November 6, 2023
7:00 |
Registration and Continental Breakfast |
7:50 |
Chairperson’s Welcome |
8:00 |
Creating a Whole Person Care Framework: Transforming Systems and Transitioning to the Next Generation of Managed Care that Supports Whole Person Health
Seiji Hayashi, MD, MPH, FAAFP,Interim Chief Medical Officer, Community Health Plan of DC, Lead Medical Director for Government Programs,CareFirst BlueCross BlueShield |
ASSESSING MEMBER NEEDS AND DEVELOPING A CARE PLAN |
8:40 |
A Journey of Whole Health Interventions: Using Data to Design and Implement Population Health Solutions
Kate Miller, Whole Health Director, Anthem Blue Cross and Blue Shield Medicaid in Kentucky Tabitha Ross, Health Equity Director, Anthem Blue Cross and Blue Shield Medicaid in Kentucky |
9:20 |
Implementing Coordinated Care for Beneficiaries with Complex Needs: Integrated Care Management and Transition Strategies that Address the Medical and Social Needs of the Most Vulnerable Populations
Karleen Haines, Chief of DEIB & Advocacy,Partners Health Plan/Care Design NY Diane Marrone, Chief of Care Management,Partners Health Plan /Care Design NY |
10:00 |
Population Management Beyond our Four Walls: Addressing Vulnerable Populations through Innovation and Needs-Based Program Development
Regina Berman, RN, MA,Integrative Care Management and ACO Executive,Adventist Health Raul Ayala, MD, MHCM,Ambulatory Medical Officer, Adventist Health, President,California Academy of Family Physicians |
10:40 |
Morning Refreshment Break
|
11:10 |
Panel Discussion: Shifting Away from Fee-for-Service and Toward Value Based Care: Advancing Payment Models that Pay for Value Delivered through Integration and Whole Person Care Population Approaches
|
CARE DELIVERY AND TRANSITIONS OF CARE |
11:40 |
Designing a Model of Care for the D-SNP Population: Assessing Health Risks and Providing High-Tech, High-Touch Support to Address Dual Eligibles’ Complex Needs
Chris Esguerra, MD, Chief Medical Officer,Health Plan of San Mateo Albert Lam, MD,Chair of Geriatric Medicine, Palo Alto Medical Foundation |
12:10 |
Next Gen Whole Person Care for Healthy Aging: A Balance of Medical Care and Support to Meet Daily Living, Social and Emotional NeedsHealthy aging demands Age in Place and Care at Home. This model of care is evolving rapidly. This session will take a deep dive into the tools and strategies for a fast-growing market segment - D-SNP for the emerging high-need, high-cost, and very complex beneficiary group.
Mina Chang, Ph.D.,Deputy Director, Chief, Compliance and Analytics Division, Ohio Department of Aging |
12:40 |
Luncheon
|
1:40 |
Panel Discussion: Ensuring Access to Coverage and Care: Improving Access to Services at Every Point in the Healthcare Journey
|
2:20 |
Leveraging Non-Traditional Healthcare Workers: Community Health Workers, Peer Review Specialists, and Community Navigators to Deliver Whole Person Care in the Home or Community SettingAt the end of this session you will be able to:
Joann Sciandra, MHA, BSN, RN, CCM,Vice President, Care Coordination and Integration,Geisinger Health |
3:00 |
Supporting Members with Diabetes Using a Multifaceted Approach: Findings and Lessons Learned
Jamie Zajac,Director, Care Coordination, Colorado Access Kisii Hosack,Interim Director,Colorado Access |
3:40 |
Afternoon Refreshment Break
|
4:10 |
Leveraging Intensive Care Management to Reduce Avoidable ER Visits and Unnecessary ReadmissionsOne of Medicaid Managed Care Plans’ biggest expense is on Avoidable ED Encounters and Hospitalizations however they do not have the bandwidth to perform effective Follow Up to Hospitalizations and ED Encounters. This session will focus on how:
Alan Rice, LCSW, Population Health Specialist, Select Health SNP, VNS Health |
4:50 |
Whole-Person, Team-Based, Integrated Care: How Mobile Integrated Health Community Paramedicine Supports Coordinated Care Members
Erica Idso Weisz, MS, LMFT Coordinated Care Team Manager, CareOregon Sabrina Bellew, Mobile Integrated Health Manager,Mercy Flights |
5:20 |
Cocktail Reception |
November 7, 2023
HEALTH EQUITY/HEALTH RELATED SOCIAL NEEDS | |
7:30 |
Continental Breakfast |
8:30 |
Making Health Equity an Intrinsic Part of the Corporate Culture: Creating Buy In and Setting the Foundation for the Cultural Shift
Cameual Wright, M.D., MBA,Vice President, Market Chief Medical Officer, Indiana Market,CareSource |
9:10 |
Panel Discussion: Addressing Health Related Social Needs: Screening Members for SDoH and Addressing Social Barriers to Improve OutcomesSharon Colaizzi, Corporate Director, Population Health Program Manager,AmeriHealth Caritas Chris Esguerra, MD, Chief Medical Officer, Health Plan of San Mateo |
9:50 |
Partnering with Community Based Organizations to Address Social Health Barriers: Aligning, Integrating and Coordinating Health Services with Other Social Services.
Jim Milanowski, CEO,Genesee Health Plan |
10:30 |
Morning Refreshment Break |
11:00 |
Leveraging SDoH Data to Recognize Disparities, Identify Vulnerabilities, and Improve Care through Data-Informed Interventions
Traci A. Massie, PMP, MBA, CCHW, Director of Government Programs, Member & Community Outreach and Social Determinants of Health, Optima Health |
11:40 |
Panel Discussion: Using a Health Equity Lens to Remove Barriers to Care, Enhance Access, and Improve Outreach to Historically Marginalized Populations
Moderator:Jim Milanowski, CEO,Genesee Health Plan |
12:20 |
Conclusion of Conference
|