Conference Agenda

Speaker Presentations
Day One,
October 13, 2022
8:00

Chairperson’s Welcome

CREATING A DATA-DRIVEN WHOLE PERSON CARE INFRASTRUCTURE
8:10

Transitioning from Transactional Care to a Holistic Whole Person Approach: Shifting Away from Disease Management and Toward Treating the Root Causes of Disease

David Granger, MD, MPH, MBA,Medical Director—DC Medicaid, CareFirst BlueCross BlueShield Community Health Plan - District of Columbia

8:40

California Advancing & Innovating Medi-Cal (CalAIM): A Case Study in Data- Driven Program Development

  • Kaiser Permanente works to improve the conditions for health and equity in the community by addressing the root causes of health, such as economic opportunity, affordable housing, safe and supportive schools, and a healthy environment.  Housing stability is a key factor in a person’s overall health and well-being.
  • We optimize patient well-being by coordinating high quality services for Medi-Cal members with multiple complex medical and non-medical social needs.
  • The NCAL Medi-Cal Care Coordination team uses an interdisciplinary approach by integrating clinical and non-clinical staff to both provide outreach and care coordination services. The team has been further enhanced to leverage community partners that serve as an extension of the care team to support members in the community. 
  • Results of intensive care coordination continue to be monitored but preliminary results have shown reductions in ED Visits and IP admissions, along with gains in members permanently housed

Banafsheh Siadat, ScD Regional Director - NCAL Medi-Cal Strategy and Operations, Kaiser Permanente

9:10

Driving Outcomes through a Data-Driven Care Progression Model

Arby Nahapetian, MD, MPH,Chief Clinical Officer,Adventist Health

Regina Berman, RN, MA,Integrative Care Management and ACO ExecutiveAdventist Health

9:40

Whole Person Service: Person-Centric Analytics-Driven Approach to Achieving CMS Quadruple Aim

We will describe a whole person care framework and take the audience on a journey toward self-sufficiency. Specifically, this presentation will focus on:

  • Developing an integrated whole-person solution framework
  • Illustrating how the maturity framework and the integrated solution framework together can enable and guide you to achieve the Quadruple Aim in terms of enhancing beneficiary experience, improving population health, optimizing costs, and enhancing provider experience
  • Using Maternal Health and Child Wellness to illustrate various use cases and demonstrate the value that Whole Person Service can bring to your beneficiaries, employees, and partners
  • Highlighting the critical role that shared data and analytics play
Featuring case studies that have been implemented in various states and counties, we hope you will join us to envision and explore how to further expand the adoption of whole person care in both government and non-government agencies and providers.

Veronica Adamson, General Manager, Human Services and Public Health, Maternal Health Equity Innovation Advocate, Author and Technology Builder,Gainwell Techologies

Dr. Jung Kim, Director, Health and Human Services Analytics, Gainwell Technologies

10:10

Morning Refreshment Break

10:40

Panel Discussion: Creating a Whole Person Care Foundation that Incorporates Prevention- Focused Health Measures, Addresses SDoH, Integrates Behavioral Health, and Manages Population Health

Panelists:

Stephen Peskin, MD, MBA, MACP, Executive Medical Director, Population Health, Horizon Blue Cross Blue Shield of New Jersey

Alycia Sepe,BSN, RN Vice President of Business Development, Payer and State Government Market, Bamboo Health

Mike Rhoades, MBA,Founder/Chief Executive Officer, Blaze Advisors

CARE COORDINATION: INTEGRATING PHYSICAL, BEHAVIORAL, AND SOCIAL CARE MANAGEMENT
11:20

Leveraging Intensive Care Management to Reduce Avoidable ER Visits and Unnecessary Readmissions

Alan Rice, LCSW,Population Health Specialist, Select Health SNP,VNS Health

11:50

Can Integrated Chronic Care Management Drive Meaningful Engagement and ROI Across Various Populations?

12:20

Integrating Community Health Workers and Peer Support Specialists into Complex Care Teams

Gabriel Uribe,Director, Community Health,Inland Empire Health Plan

12:50

Luncheon

1:50

Panel Discussion : Taking A Whole Person Approach to Care Management: Leveraging Integrated and Patient-Centered Care Models That Address Physical, Behavioral and Social Health to Improve Outcomes

Panelists:

Chris Esguerra, MD,Chief Medical Officer,Health Plan of San Mateo

Amie Hoffman,Director, Behavioral Health, Geisinger Health Plan

2:30

Our Community Care Settings Program: From Pilot to Policy Shaping Program

  • Systems leadership efforts and resulting evolution of our plan, our partners, and our program
  • Initial program learnings and refinements
  • How we demonstrated effectiveness
  • How we used pilot results to influence policy

Chris Esguerra, MD, Chief Medical Officer,Health Plan of San Mateo

3:00

Integrating Behavioral Health into Managed Care

Lisa Truitt,Director of the Health Care Delivery Management Administration,DC Department of Healthcare Finance

3:30

Afternoon Refreshment Break

SOCIAL DETERMINANTS OF HEALTH
4:00

Panel Discussion: Novel and Empirical Approaches to Addressing SDoH

We know that health plans are deploying a wide variety of approaches to addressing the social determinants of health. But how do we know the activities are really helping disadvantaged plan members? In this session, Mike Adelberg, a former CMS and health plan executive, will survey SDOH interventions that have been proven, based on peer- reviewed studies, successful in addressing SDOH barriers in specific populations. His presentation will be complemented by two short presentations from leading vendors documenting their success in addressing SDOH.

Moderator:

Michael S. Adelberg,Principal & Lead, Healthcare Strategy Practice, Formerly, Director of Medicare Advantage Operations, CMS, Faegre Drinker Consulting

4:40

Coordinating Wrap Around Services to Individual Needs: Addressing SDoH by Connecting Community Based Organizations and Health Service Providers

Traci A. Massie, PMP, MBA, CCHW,Director of Government Programs, Member & Community Outreach and Social Determinants of Health,Optima Health

5:10

How the DUOS System of Aging Closes SDOH Gaps & Improves Member Experience: A Case Study

This session will walk through the motivations/goals, delivery and results of bringing the DUOS System of Aging to a Medicare Advantage plan population, delivering meaningful, measurable impacts on SDOH, member growth and retention, and plan quality.

Karl Ulfers,Co-founder and CEO,DUOS

5:40

Developing and Implementing the Community Resource Center Model:  Meeting Member Needs During the Pandemic and Beyond to Enhance Equity and Access to Care

Francisco Oaxaca, Chief of Communications and Community Relations,L.A. Care

6:10

Cocktail Reception

Day Two,
October 14, 2022
8:00

Chairperson’s Recap

8:10

Empowering Members with Self Service Tools to Take Increased Ownership of Their Health

Nikki Hungate, MS, MHA, Senior Leader, Medicare Government Programs, Product Strategy,MVP Health Care

8:40

Developing Partnerships with Community Based Organizations to Engage Vulnerable Populations, Reduce Social Barriers and Improve Health Literacy

Jim Milanowski, CEO,Genesee Health Plan

TECHNOLOGY AND MEMBER ENGAGEMENT
9:10

Panel Discussion: Using Digital Solutions to Advance Whole Person Care: Bridging Gaps in Care with Technology Including Telehealth, Remote Patient Monitoring, and Hybrid In- Person Care Models to Improve Access, Outcomes, and Affordability

Panelists:

Stephen Peskin, MD, MBA, MACP,Executive Medical Director, Population Health,Horizon Blue Cross Blue Shield of New Jersey

9:50

Leveraging Telehealth to Deliver Personalized Whole Person Care: Improving Access, Increasing Utilization, and Removing Barriers to Care to Improve Outcomes

10:20

Improving Member and Plan Communications for Special Needs Members: Addressing Immediate Needs of Members in Distress and Long Term Needs of Members at Risk

10:50

Morning Refreshment Break

HEALTH EQUITY
11:20

Panel Discussion: Reducing Health Disparities through a Whole Person Approach: Minimizing Societal Barriers to Health Equity and Addressing Differences in Access, Treatment and Outcomes

Panelists:

Angela Lynn, RN, MSN, BSN, CCM,Director of Care Management,Blue Cross and Blue Shield of North Carolina

12:00

Leveraging Policies in Medicaid to Increase Access to Health Coverage and Critical Services and Benefits, and to Move the Needle on Health Outcomes

Amy Dobbins,Section Manager, Medicaid Eligibility Policy,Washington State Health Care Authority

Jessica Diaz,Section Manager, Medicaid Program Operations and Integrity,Washington State Health Care Authority

12:30

Luncheon

1:30

Whole Person Care that Addresses Multi-Ethnic Needs: How to Develop Linguistically and Culturally Appropriate Services

Peter Winston,Senior Vice President and General Manager, California,Clever Care Health Plan

2:00

Reducing Disparities in Maternal Health: Extending Comprehensive Health Coverage Postpartum, Especially Among Women of Color and Those in Rural Areas

Ana Brown-Cohen,Senior Manager of Health Programs, Colorado Access

Jamie Zajac, Manager, Care Management, Colorado Access

2:30

Taking a Comprehensive Approach to Addressing Implicit Bias: Identifying the Factors Driving Inequity in the Care Setting

Angela Lynn, RN, MSN, BSN, CCM,Director of Care Management,Blue Cross and Blue Shield of North Carolina

3:00

Conclusion of Conference