HealthySteps: An Evidence-Based Model for Promoting Healthy Early Childhood Development – What It Is, Why It Matters, and How Your Health Plan Can Get Involved
Date: December 14, 2016
Time: 3:00-4:00 pm Eastern
Associate Member Host: ZERO TO THREE
Presenter: Jennifer Tracey, Director of Policy and Finance for HealthySteps at ZERO TO THREE and Jonathan Goldfinger, National Director, HealthySteps

The first one thousand days of a child’s life are a period of incredible growth, providing families and other caregivers with a critical opportunity to promote healthy long term development. HealthySteps is an evidence-based, interdisciplinary pediatric primary care program that ensures infants and toddlers receive nurturing parenting and experience healthy development during this critical time period and beyond. A child development professional, known as a HealthySteps Specialist, connects with families during and in between well-child visits as part of the primary care team. The HealthySteps Specialist offers screening and support for common and complex concerns, including feeding, behavior, sleep, attachment, depression, and adapting to life with a baby or young child. Specialists also work with families to address social determinants of health, such as food and housing insecurities, by making and following up on referrals to essential community resources. As of October 2016, there are 93 HealthySteps sites in 15 states and the District of Columbia, and Medicaid is the primary insurer for HealthySteps children and families.

A randomized controlled trial demonstrated HealthySteps’ positive impact on outcomes including: timely well-child visits and vaccination rates; pediatric use of developmental assessment and follow-up; injury-related emergency room visits; continuity of care and patient satisfaction; and parental knowledge of child development and adoption of early literacy habits, such as reading to young children. While universally valuable, HealthySteps is particularly impactful for vulnerable children and families, including Medicaid beneficiaries, who experience elevated stressors and therefore require additional supports.

This webinar will provide more information on the HealthySteps program model, its benefits for Medicaid beneficiaries and their families, and how investments in HealthySteps can promote quality care and population health while achieving both short- and long-term cost savings. The webinar will also highlight potential opportunities to partner with HealthySteps providers and the National Office. Next steps will include the establishment of a HealthySteps workgroup for interested health plans to identify concrete ways to bring this evidence-based, interdisciplinary program to their youngest members and their families.

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Adventures in Change: Navigating the Affordable Care Act’s Effect on Medicaid Coordination of Benefits
Date: December 7, 2016
Time: 3:00-4:00 pm Eastern
Associate Member Host: HMS
Presenter: Kristen Ballantine, HMS Vice President, Government Relations AND Frank Mincieli, HMS Senior Director, Enterprise Data Quality

The Affordable Care Act (ACA) changed the landscape of Medicaid eligibility and enrollment, forcing Medicaid agencies and health plans to reexamine how to best maximize funding sources to provide care for new populations. Six years after the ACA’s implementation, Medicaid programs still face a dynamic environment in ensuring Medicaid remains the payer of last resort.

Based on this popular MHPA2016 breakout session and new research including both the perspectives of Medicaid MCOs and Medicaid consultants, this webinar will address:                           

  • How Medicaid expansion demographic changes effect coordination of benefits activities, including demographics and the employer market
  • The impact of data sharing initiatives on Medicaid coordination of benefits efforts
  • How legislation such as state-level Deficit Reduction Acts provide Medicaid plans more data access and savings opportunities
  • Best practices in coordination of benefits post the ACA
  • How the 2016 CMS Medicaid Managed Care rule will impact the way plans share data and coordinate benefits

At the end of the webinar, participants will be able to:

  • Understand the 2016 CMS Medicaid Managed Care rules for data sharing as it relates to coordination of benefits activities
  • Identify state level legislation that impacts their plan’s coordination of benefits efforts
  • Gain insight into best practices across Medicaid health plan and state coordination of benefits models
  • Compare statistics regarding other health insurance coverage for Medicaid expansion populations, including demographics and the employer market

This week’s webinar is presented by MHPA Associate Member, HMS (NASDAQ: HMSY). HMS provides the broadest range of cost containment solutions in healthcare to help payers improve performance. They deliver coordination of benefits, payment integrity, and population health technology solutions to health plans, state agencies, federal programs, and employers. Using innovative technology and powerful data analytics, HMS prevents and recovers improper payments related to fraud, waste, and abuse. As a result of their services, customers recoup billions of dollars every year and save billions more through the prevention of erroneous payments.

Reduce Health Care Costs with Nutrition Care
Date: November 30, 2016
Time: 3:00-4:00 pm Eastern
Associate Member Host: GA Foods
Presenter: Maureen Garner, MS, RD, LD, SNS, Senior Marketing Manager, GA Foods and David Karpan, Senior Vice President, Sales, GA Foods

GA Foods® is a specialized maker of highly nutritious meals serving the unique nutritional needs of health care members/patients, seniors, children, the military, and emergency responders to disasters. Our SunMeadow® meals are prepared with the freshest ingredients, are developed under the strictest safety conditions, and always with great taste in mind.

One out of two older adults is at risk for malnutrition. Malnutrition increases hospital lengths-of-stay and leads to more complications, falls, and readmissions. During this webinar, we will review the evidence that shows adding nutrition care as a benefit can maximize patient outcomes while reducing health care costs.

How Big Data and Machine Learning are Transforming Medicaid Analytics Today
Date: November 2, 2016
Time: 3:00-4:00 pm Eastern
Associate Member Host: Cyft
Presenter: Leonard D’Avolio PhD and Pam Gossman

As a leader in the healthcare market and knowing the importance of analytics in this new value-based environment, this webinar will be of interest to you! While there are many more vendors in this space, Cyft and its founder, Len D'Avolio have years of experience and evidence-based results using machine learning in the healthcare arena. Dr. D'Avolio is on faculty at the Harvard Medical School and led the Ariadne Institute at Brigham and Women's Hospital. His analytics have been used successfully for the VA system and other hospital settings, health plans, and other vendors.  

An educational webinar & QA session designed to help leaders in value-based care organizations understand the analytics landscape in light of the unique needs of Medicaid-reimbursed providers.

Participants will learn:

  • Upcoming policy changes causing organizations to rethink analytics approaches
  • An overview of the current analytics landscape for business and operational leaders
  • Real world examples and lessons learned putting analytics to work for over 250+ healthcare organizations
  • Best practices for selecting and implementing the right analytic approaches
  • An interactive Q&A session

Leonard D’Avolio PhD

Dr. Leonard D’Avolio, Ph.D. is an Assistant Professor at Brigham and Women’s Hospital and Harvard Medical School, the CEO and co-founder of Cyft a healthcare prediction company, an advisor to Ariadne Labs and the Helmsley Charitable Trust Foundation, board member for Youth Development Organization, a researcher and writer. He previously led informatics for the Department of Veterans Affairs’ precision medicine initiative (the Million Veteran Program) and the first clinical trial embedded within an electronic medical record system. Dr. D’Avolio founded Ariadne Labs’ informatics team and led their partnership strategy as well as the creation of a mobile phone-based system that uses real time data feedback to improve neonatal care in Uttar Pradesh, India. His work has been funded by several agencies and organizations including the Department of Defense, the Department of Veterans Affairs, the Agency for Healthcare Research & Quality, the National Cancer Institute, Helmsley Charitable Trust Foundation, and the Bill and Melinda Gates Foundation.  

Pam Gossman

Pamela Gossman has over 30 years experience developing health care delivery models that foster care coordination and a holistic approach to individual health care needs. She was President of Senior Whole Health Massachusetts (SWH), one of the first Medicare Advantage Fully Integrated Dual Eligible Special Needs Plan (MA-SNP) in Massachusetts serving over 10,000 seniors and participated in its expansion to New York. Ms. Gossman was part of the founding team responding to the initial RFP and building the company. She participated in the State’s Professional Advisory Committee at the initiation of state and federal discussion regarding these new integrated plans for Medicaid and Medicare eligible seniors. Ms. Gossman also worked with Massachusetts Program for All-Inclusive Care for Elders (PACE), a care coordination program for Children with Special Health Care Needs (MHSPY), and in the development of new rural community health centers integrating public and state mental health programs in Michigan.

Incorporating Precision Medicine into Clinical Pathways to Improve Quality and Reduce Costs
Date: October 26, 2016
Time: 3:00-4:00 pm Eastern
Associate Member Host: Genomic Health
Presenter: Kathy Lokay, President and CEO, Via Oncology (a division of Genomic Health)

Personalized (or precision) medicine means different things to different people, but to your members with cancer, it means assurance of the best care tailored to their wishes and needs. Sometimes this includes testing looks for biomarkers that indicate which therapies will work best for the patient. In other instances, personalized medicine means evaluating whether a patient’s risk of having the cancer return is high or low. In breast cancer, testing for risk recurrence scores for certain early stage patients can avoid costly chemotherapy (and side effects) for those with low recurrence risk without compromising long-term outcomes. As such, precision medicine has the potential to achieve the triple aim of better outcomes, better experience, and less costly care.

In this session, learn how the development of a clinical pathway and its deployment through a decision support tool can support the appropriate use of both predictive testing and associated treatment decisions in an era of precision medicine in oncology.

Via Oncology is a clinical decision support company based in Pittsburgh, PA whose mission is improving outcomes of patients with cancer through the utilization of clinical pathways. The Via Pathways are developed and maintained by expert physician panels to promote the best evidence-based care from work-up and treatment to symptom management and survivorship. The Via Pathways are delivered to oncologists through the Via Portal, a patient specific, point of care decision support software tool. The Via Pathways are licensed by academic, hospital and community based practices in 24 states representing over 1,000 oncologists.

Are Your Policies and Procedures Prepared for an Audit? Best Practices for Today’s Heavily Regulated Environment
Date: August 31, 2016
Time: 3:00-4:00 pm Eastern
Associate Member Host: Cody Consulting Group, Inc.
Presenter: Deb Mabari, CEO

Attendees will learn about best practices for the life cycle management of policies and procedures — and how P&P's are effectively created, managed, and communicated throughout the organization. Case studies will be presented, with an additional focus on how to ensure your P&P process workflow is fully compliant and audit-ready.

Cody Consulting is a technology and consulting firm providing healthcare information technology products and services to Medicaid and Medicare managed care plans (MCOs). Founded in 2006, Cody has been built by experienced managed care veterans who understand the difficulties faced by MCOs in ensuring their compliance with complex government regulations.

Overview of Emerging Technologies: Opioids with Abuse-Deterrent Properties and Claims, (OADP)
Date: July 29, 2016
Time: 3:00-4:00 pm Eastern
Associate Member Host: Purdue Pharma L.P.
Presenter: Dr. J. David Haddox, Vice President of Health Policy

This Webinar Wednesday will provide an overview of the evolving technology being used to impart abuse deterrence to opioid analgesics that are currently marketed in the US and are in development.

It includes 1) a review of the rationale for developing opioid analgesic drug products that deter particular methods of abuse, 2) highlights of the federal strategy to reduce both the prevalence and consequences of opioid analgesic abuse and 3) information to help locate FDA-approved abuse-deterrence claims within a drug product's label.

This webinar was hosted by MHPA Associate Member, Purdue Pharma L.P. Purdue Pharma L.P. and associated companies are privately held pharmaceutical companies committed to advancing the medical care of patients with quality products that make a positive impact on healthcare and on lives. Purdue Pharma is engaged in the research, development, production and distribution of both prescription and over-the-counter medicines and hospital products. For more information, please visit www.purduepharma.com.

The Case for Medication Monitoring
Date: July 20, 2016
Time: 3:00-4:00 pm Eastern
Associate Member Host: VRI
Presenter: Elaine Raptosh, Director of Clinical Care and Stacey Cummings, Director of Strategic Accounts

The focus of this week's webinar will be on the current concerns with lack of medication adherence. Adherence can have significant impact on both the healthcare system and the individual's quality of life. The implications of adherence will be discussed. The webinar will also include a brief overview of programs that have been utilized to address these concerns. A high level overview of Associate Member, VRI's medication monitoring program offering will close out the presentation. 
At VRI, we are here to help. Our remote patient monitoring services include medical alerts, medication monitoring and vitals monitoring, which all help the people you care about most live independently - and with confidence. Visit www.vricares.com to learn more!

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Continence Care – Linking Plan Leadership to Case Management Empowerment
Date: July 15, 2016
Time: 3:00-4:00 pm Eastern
Associate Member Host: Medline Industries

The Medicaid Health System is a very large, complex configuration of services that bring extraordinary challenges to caregivers every day. One of the biggest challenges is continence management and how it relates to the well-being, dignity and comfort of your members. Every day your case managers face the confusing and daunting task of putting those in their care in the right product to help alleviate embarrassment, discomfort and clinical issues.

In this webinar, you can learn how Plan leadership can engage in an understanding of issues faced by case managers tasked with helping members manage this difficult condition. 
By linking leadership to case management through staff development a higher level of competency and confidence can be achieved that will result in care that truly makes the lives of members better. Join and learn of the opportunities available to bridge the gaps in continence care with impactful information that will provide actionable options to support case management efforts.

This week's Webinar Wednesday will be hosted by MHPA Associate Member, Medline Industries. Medline's mission is to provide quality medical products with superior value, improve patient care and enhance the quality of people's lives. We do that through a personalized approach to better understand our customers' needs in an environment that demands lower costs and better outcomes.

As both a manufacturer and distributor across the continuum of care, Medline reaches members today through the acute, long-term care and home care markets. 
We deliver the most robust product portfolio and patient-care solutions to help healthcare and health plan providers perform at their very best. Our responsiveness and commitment to advancing healthcare is evident in our actions every day.

For more information on Medline, please check out their website: www.medline.com

And for a copy of the presentation or additional information, please contact Lisa Marsek, LMarsek@medline.com

Effective Strategies for Managing Special Needs Populations Within Value-Based Care
Date: July 8, 2016
Time: 3:00-4:00 pm Eastern

Special needs populations require special care. This calls for services that address mental health and substance abuse issues, certain comorbidities, economic disadvantages, housing instability, minorities, frail elderly, and chronically sick children. These members may also face unique challenges accessing care, such as lack of transportation.

The problem for health plans? These services generally cost more, especially if care is not managed appropriately. When reimbursement is tied to clinical outcomes, it's particularly important for providers to have access to these services so they can be successful under value-based payment.

For optimal outcomes, plans need a sound strategy for delivering care that is affordable, safe and accessible for special populations.

Join us for this webinar and learn how to:

  • Stratify your population to see which subgroups and individuals have the greatest health risk. 
  • Pinpoint issues related to cost, quality and access. 
  • Manage care for super-utilizers by prioritizing those who persistently need extra care and predicting who may become high-need in the future. 
  • Allocate resources to serving special needs populations within an existing value-based care program 
  • Establish and reward providers who deliver preventive care and reduce avoidable high-cost utilization.