Reduce costs by providing better access to health and wellness services for your Medicaid members
Date: December 19, 2018
Time: 1:00-2:00 pm Eastern
Associate Member Host: American Well
Presenter: Danielle Russella, General Managers, Payer Solutions, American Well, Dr. Peter Antall, Chief Medical Officer, American Well

Overcome with significant barriers, Medicaid members who lack access typically show up in the ER or do nothing at all.  Often these members have routine healthcare needs or may suffer from chronic conditions.  Mobility and lack of community behavioral health providers contribute to exacerbation of issues.  All these factors drive up the cost of care and effect quality ratings.

For over a decade American Well has been making it easy for our health plan partners to significantly extend access and more holistically care for members by augmenting existing local networks.

With a robust telehealth offering, we can make it easy for your Medicaid members to get access to the healthcare they need. 

By providing access via live video visits, health plans are successfully diverting their Medicaid members away from the ER.  Members can access telehealth 24/7/365 without an appointment – from home, work or out in the community.  Join this webinar to learn how telehealth can help your health plan:

  • Drive down costs by offering an easy, convenient option to access care
  • Divert members away from costly ERs for routine care
  • Extend local network availability by offering night time and weekend coverage
  • Provide behavioral health services with access to therapists, psychologists, and physiatrists  
  • Address the unique access challenges of Medicaid members, particular in rural areas
  • Manage chronic conditions via more frequent touches
  • Create a more integrated and coordinated member experience

American Well is a leading telehealth platform in the United States, connecting the nation’s largest hospitals, insurers, employers, and consumer electronics companies for the purpose of delivering healthcare anywhere. Highly-rated by KLAS for “ease of use” in the 2017 Telehealth Virtual Care Platforms report,* American Well is transforming healthcare by creating a first-of-its kind telehealth marketplace, the Exchange™, to deliver medical care seamlessly through technology. With its strong partnerships in the U.S. and global markets, as well as its direct-to-consumer service Amwell®, the company connects millions of people to the doctors they trust for live video visits for everything from urgent care to chronic care management and healthy living.

Amazing and Costly Things – Specialty Pharmaceuticals
Date: November 14, 2018
Time: 3:00-4:00 pm Eastern
Associate Member Host: PartnerRe
Presenter: Missy Kveene, RN, Vice President, Managing Director, PULSE + Plus™ Program, PartnerRe; Stacy Borans, MD, Chief Medical Officer, Advanced Medical Strategies

Patients with multiple chronic and rare disease conditions are a significant driver of health care costs with medications being the largest category of the expenditures. The distribution of pharmacy spend has changed significantly over the last several years as more and more dollars are spent on specialty pharmacy medications

Innovative specialty drugs are providing important cures and treatments, with new therapies approved on an ongoing basis. However, with progress and innovation comes a high price tag. Today we’ll discuss these innovations and associated costs.

PartnerRe is an acknowledged leader in providing risk management solutions to accident and health markets around the world. We can help you reach your goals and provide financial peace of mind.

Our team of experienced professionals develops innovative, client-specific solutions by thoroughly understanding your goals, risk tolerance and exposures. We have a suite of proven proprietary financial and analytical tools to effectively manage your risk, complemented with extensive support services

Just Add Text: How to Improve Medicaid Member Engagement and Outcomes
Date: November 7, 2018
Time: 3:00-4:00 pm Eastern
Associate Member Host: Welltok
Presenter: Clint Furhman, VP, Public and Community Wellpass (formerly Vixova, now Welltok); AnneMarie Gramling, Senior Vice President, Consumer Experience Solutions, Welltok; Diana Zuskov, Senior Director Health Services, Public and Community, Wellpass

Reaching Medicaid beneficiaries is hard, but not impossible. Texting is a high-reach, convenient and cost-effective way to reach your members. Join this webinar to learn from a series of real-world case studies that demonstrate how population health programs, targeted campaigns and personalized messaging take texting beyond a communication channel to improve health outcomes, including:

  • 26% increase in well-baby visits
  • 35% fewer missed prenatal visits
  • 12% reduction in HbA1c
  • 76% increase in reach rate

Bonus! You’ll also learn how a smart mix of consumer data, additional communication channels (email, phone, mail, etc.) and clinically-proven programming can boost results even more.

Register now!

Claims management experience and other innovative solutions for Managed Care Organizations (MCOs)
Date: October 31, 2018
Time: 3:00-4:00 pm Eastern
Associate Member Host: Conduent
Presenter: Susan Shirley, Director, Operations TPA Solutions, Conduent; Anne Clements, Director, TPA Solutions, Conduent; Todd Berkley, VP, BenefitWallet, Conduent; Philip Micali, Director, Growth Initiatives, Conduent

In today’s digital age, rapid responses and accurate claims disbursements are key. Due to outdated legacy systems and common administrative lapses, claims processing remains a major pain point for health plans. Both small and large health plans are seeking help to modernize their payment practices in order to adapt and innovate for value and member satisfaction. Health plans need accurate, secure and standardized data to improve business planning and ultimately the members’ experience.

Join us for this upcoming MHPA Webinar Wednesday, Conduent leadership will discuss how the world of claims processing is an evolving business, and how partnering with a third party administrator can help health plans reduce waste and improve efficiencies, enhance provider and member experiences, and expand within their markets.  

Conduent is the world’s largest provider of diversified business process services with leading capabilities in transaction processing, automation, analytics and constituent experience. We work with both government and commercial customers in assisting them to deliver quality services to the people they serve. We manage interactions with patients and the insured for a significant portion of the U.S. healthcare industry. We’re the customer interface for large segments of the technology industry. And, we’re the operational and processing partner of choice for public transportation systems around the world. Whether it’s digital payments, claims processing, benefit administration, automated tolling, customer care or distributed learning – Conduent manages and modernizes these interactions to create value for both our clients and their constituents.

Medicaid State Funding: Why it Matters to YOU!
Date: October 3, 2018
Time: 3:00-4:00 pm Eastern
Associate Member Host: Human Arc
Presenter: Shanna Hanson, FHFMA, CHC, CC, Manager, Business Knowledge, Human Arc

We have been on a healthcare legislative roller coaster since 2017! Several attempts have been made to repeal the Affordable Care Act. Medicaid expansion and federal funding have been questioned. Block grant and per capita Medicaid funding have been introduced and debated. Do you know what these are - and how they impact you? This program will include an overview of the current Federal Medical Assistance Program (FMAP) funding, block grant and per capita cap alternatives. We will look at the impact to health plans and hospitals and share ways to prepare for the twists and turns of the roller coaster ride!

Human Arc, a Centauri Health Solutions company, is a 34-year leader in government program eligibility enrollment and reimbursement services for health plans. Our services help clients optimize their revenue cycle management, while helping plan members realize quality-of-life improvements. In 2017, Human Arc became part of Centauri Health Solutions, an NCQA HEDIS-certified vendor and leading provider of risk-adjustment and healthcare quality solutions. The partnership unites a power to solve with a passion to serve.

Best Practices for Collecting and Reporting Encounter Data
Date: September 26, 2018
Time: 3:00-4:00 pm Eastern
Associate Member Host: TransUnion Healthcare
Presenter: Noelle Porter, Vice President, TransUnion Healthcare; Stephen Harrop, Business Analyst, TransUnion Healthcare

This webinar will address some of the common data quality challenges faced by managed care organizations which prevents accurate and timely encounter data being collected and reported to regulatory agencies.

Join TransUnion’s expert Encounter data team which has over 25 years experience partnering with some of the nations largest health plans to hear best practice advice that will help improve your Encounter data operations.

TransUnion Healthcare, a wholly owned subsidiary of credit and information management company TransUnion, offers a range of solutions that help health plans, ACOs and risk bearing provider organizations to maximize reimbursement opportunities and improve overall data quality.  By leveraging our data assets, market-leading technologies and deep insights into consumer financial behavior, our customers are able to operate more efficiently and better manage the care of their member populations.

Bridging the NEMT Gap with Technology & Innovation
Date: August 22, 2018
Time: 3:00-4:00 pm Eastern
Associate Member Host: MTM, Inc.
Presenter: Eric Reynolds, Vice President of Business Development, MTM, Inc.; Mindi Knebel, CEO, Kaizen Health

There’s no debating the importance of non-emergency medical transportation (NEMT) in removing community barriers and connecting members to healthcare. In fact, a recent study by the Medical Transportation Access Coalition (MTAC) showed that 58% of Medicaid members couldn’t access healthcare without the NEMT benefit. 

Technology has greatly impacted the NEMT landscape over the past several years, with MTM focusing on delivering meaningful applications of new technologies that impact the member experience beyond simple GPS tracking. Through our acquisition of the industry leading Reveal platform and investment in Kaizen Health, MTM is empowering members and clients with real-time transparency into trip status and staying ahead of the curve for technology demands in the NEMT marketplace. Join MTM’s Vice President of Business Development Eric Reynolds and Kaizen Health’s CEO Mindi Knebel for an engaging discussion on how technology and innovation is changing the way health plans, hospital systems, and brokers approach NEMT. 

For more than 20 years, MTM has partnered with clients to develop innovative solutions for accessing healthcare, promoting independence, and connecting community resources through healthcare and transportation management. By leveraging high quality customer service and our ability to develop comprehensive provider networks, we help our clients accomplish their goals while achieving our vision of communities without barriers.

Technology-Fueled Member Engagement
Date: August 15, 2018
Time: 2:00-3:00 pm Eastern
Associate Member Host: Conduent
Presenter: See Presenter information below

With consumer-driven health savings account (HSA) programs trending in Medicaid and managed care organizations under increasing pressure to improve completion rates for health risk assessments (HRAs), plan administrators are looking for meaningful, measurable value from their engagement platforms.  

While HSA-like programs in Medicaid have the potential to accomplish the twofold goals of encouraging personal responsibility and reducing Medicaid program costs, to be effective they must combine the latest technology innovation with administrative simplicity. The same holds true for the HRA; intelligent design and personalized member outreach can dramatically improve completion rates. 

Attend this webinar to learn best practices and how to leverage digital technologies for implementing HSAs, improving HRA participation, and supporting your members in making better healthcare MHPA choices. This webinar will be hosted by Conduent's BenefitWallet® and Healthcare Solutions experts. BenefitWallet is a next-generation product for employers, health administrators and consumers for managing multiple health accounts on one integrated platform. Other topics will include: 

  • The Medicaid MCO imperative: transforming the HRA
  • Engaging and navigating members through their healthcare journey
  • Creating a connected consumer experience focused on outcomes and satisfaction
  • Automation technology and consumer profile analytics to personalize outreach

Conduent creates digital platforms and services for businesses and governments to manage millions of interactions every day for those they serve. Conduent is leveraging the power of cloud, mobile and IoT, coupled with technologies such as automation, cognitive and blockchain to elevate every constituent interaction and drive modern digital experiences.



Todd Berkley, Global Leader, BenefitWallet®, BenefitWallet, Conduent Human Resource Services - Over 30 years experience in consumer banking, health care and investments Leading consultant, advocate, speaker and author in the HSA industry Currently Global Leader of BenefitWallet, a leader in HSA, FSA and HRA solutions Formerly President of HSA Consulting Services (2012-2015) – AskMrHSA.com Led Optum HSA Group (2005-2012); grew business from 50K to 1 million accounts Long-time member of American Bankers Association HSA Council 

Jason Grau, Strategy and Business Development, Care Integration Services, Conduent Commercial Healthcare -  Jason Grau is Vice President of Strategy and Business Development at Conduent Care Integration Services.  Jason is responsible for leading population health programs and developing new consumer-centric care models for payer and provider clients.  He has nearly 20 years of experience leading strategy and innovation in the healthcare industry.  He previously led Healthcare Reform strategy work at Oliver Wyman, helping payers and providers to understand the financial and strategic impacts of the ACA and to transform their business models for the post-ACA world.  He also led work with several early adopters of consumer-centric healthcare models.  He worked previously at The Boston Consulting Group, Blue Cross and Blue Shield Association, Oliver Wyman, and Blue Cross and Blue Shield of Kansas City.  Jason has a Ph.D. in materials science and engineering from M.I.T. and is a co-inventor on a patent for 3D Printing.

Phil Micali, Director, Growth Initiatives, BenefitWallet®, BenefitWallet, Conduent Human Resource Services - Phil Micali has been working tirelessly for 33 years on various forms of consumer engagement initiatives in health care, through leadership positions within Payer and Provider organizations groups doing:  Early managed care design, development and implementation  Behavioral health innovation in private and public sectors  Consumer directed care pioneering product development and go to market strategy and tactics  Adaptation of commercial programs to government programs and vice versa  Coalition development including all interested stakeholders, especially in public sector programs   Entrepreneurial activity (SaaS product creation and specialized benefits consulting) to create consumer decision support tools for health insurance enrollment and purchasing, and enable Fortine 500 companies to bring health savings accounts and wellness programs into play.  Phil has inspired unique vision into all of his career assignments, always focused on improving quality, lowering costs, and bettering the consumer and payer experience.  In his product development, growth and account management roles, he has enabled all of his Internal and external customers to come together for improving care and service delivery for beneficiaries, applying high standards for customer experience and outcomes by virtue of efficient and productive teamwork.   As an industry thought leader, Phil has presented at multiple trade conferences over the years, including but not limited to The Conference Board, AHIP, and World Congress, and the Northeast Business Group on Health, the latter on whose board he served. He also served for four years as guest lecturer in the Bocconi University Master in International Health Management and Policy in Milan, Italy.  

Reducing Readmissions and Engaging Members with a Home-Delivered Meals Program
Date: August 8, 2018
Time: 3:00-4:00 pm Eastern
Associate Member Host: Mom's Meals NourishCare
Presenter: Catherine Macpherson, MS, RDN, VP Product Strategy & Development and Chief Nutrition Officer, Mom's Meals NourishCare; Jeffrey T. King, RN, MBA, VP of Healthcare Services, Molina Healthcare of Florida

This webinar will describe how transitions of care are being strengthened for members through a program that includes fully-prepared, condition-appropriate home-delivered meals.  Attendees will learn about the results of a recent data analysis which revealed that members receiving home-delivered meals experienced fewer 30-day readmissions compared to state and regional data. A deeper look at data can also be used to identify members who may benefit from a longer, chronic care meals program. The presenters will provide insights into how meals enhance member engagement, support healthy food access – a key social determinant of health, and will discuss best practices for administering an innovative home-delivered meals program.

Mom's Meals NourishCare® provides fully-prepared, refrigerated meal solutions direct to homes nationwide. With condition-appropriate menus and the ability to choose every meal, every order, we provide seniors, patients recovering post-discharge and those managing a chronic condition with a tailored nutrition solution to manage their specific needs.

Leveraging Data to Identify and Treat High-Risk Populations
Date: June 27, 2018
Time: 3:00-4:00 pm Eastern
Associate Member Host: 3M Health Information Systems
Presenter: Michael Keyes, Engagement Leader, 3M Health Information Systems

Thanks to the Triple Aim, shared saving and value-based care initiatives, plans and providers are striving to fully capture risk in order to improve the health of their overall population. The strategy is to use data, clinical and socioeconomic, to find those patients at risk who would benefit from earlier and appropriate interventions. Fully capturing the disease burden of a member population as early as possible can help determine which clinical and care management interventions can be successful in a value based environment.  

But we know social determinants also play a critical role in understanding a person and their anticipate resource needs within the healthcare system.  NLP (Natural Language Processing) enhances clinical decision making by transforming data that is collected in text into computable machine readable inputs. This supplements the data that is captured as structured encoded data in other parts of the medical record.  Thus it offers an additional pathway to identifying the at-risk population and understanding personal challenges in managing health all of which will assist clinician and caregivers successfully improve health outcomes and lower costs of care.  

• NLP enhances clinical and socioeconomic data (text) into encoded data to be used in other parts for the medical record – thus providing more successful clinical data interventions
• NLP helps to fully capture the disease burden of a population –allowing more successful interventions
• NLP is another method to help identify at-risk populations and this can assist clinicians and caregivers in improving outcomes while lowering costs

3M Health Information Systems works with providers, payers and government agencies to anticipate and navigate a changing healthcare landscape. 3M provides healthcare performance measurement and management solutions, analysis and strategic services that help clients move from volume to value-based health care, resulting in millions of dollars in savings, improved provider performance and higher quality care. 3M’s innovative software is designed to raise the bar for computer-assisted coding, clinical documentation improvement, performance monitoring, quality outcomes reporting and terminology management. 

Community Based Care
Date: June 20, 2018
Time: 3:00-4:00 pm Eastern
Associate Member Host: Maxim Healthcare Services
Presenter: Refer to speaker panel below

Keeping your members home: How Maxim Healthcare Services and Leidos Health are coupling caregivers and technology to improve Population Health

Maxim Healthcare Services is national home healthcare, medical staffing, population health & wellness services provider with over 200 locations across the country, with almost 30 years of experience.  

The presenters for this webinar are: Andy Friedell, MS, Public Policy, Senior VP of Strategic Solutions, Maxim Healthcare Services; Tom Cassels, M.P.P., Social Policy Analysis, Chief Strategy Officer, CareC2, a Leidos business; Collan Rosier, M.P.S., Legislative Affairs, CBCM Senior Program Manager, Maxim Healthcare Services; and Antoinette Nnadi, RN, BSN, CBCM Clinical Manager, Maxim Healthcare Services 

Neonatal Abstinence Syndrome – Strategies for Reduction and Management
Date: June 6, 2018
Time: 3:00-4:00 pm Eastern
Associate Member Host: ODH, Inc.
Presenter: Dr. Jameelah Melton, M.D., Associate Medical Director, ODH, Inc.; Dr. Candace Saldarini, M.D., Medical Director, ODH, Inc.

Following up to our webinar about the opioid epidemic in March, ODH medical directors will drill down on the most vulnerable population affected -  newborns.  

This webinar will present an overview of the current rate of opioid use during pregnancy, how opioid abuse happens and the impact to newborns experiencing Neonatal Abstinence Syndrome (NAS).  This will include a review of symptoms, current management strategies of NAS and estimated cost to the health system.

Learn new strategies to reduce neonatal abstinence syndrome through data analytics and an illustrated case study of initiatives by a commercial health plan in Tennessee, a state hit particularly hard by opioid epidemic and NAS. 

ODH, Inc. is an innovative health technology and services solution company that helps payers and other risk bearing entities integrate and analyze data from behavioral, physical health and social determinant sources. Learn more at www.odhsolutions.com 

How is the US Managing Children with Developmental Disorders? Deep Dive into Cerebral Palsy
Date: May 23, 2018
Time: 3:00-4:00 pm Eastern
Associate Member Host: Ipsen Biopharmaceuticals, Inc.
Presenter: Savreet Bains, Ipsen Biopharmaceuticals, Inc.

1. What is Cerebral Palsy?
2. Real-World Data on Cost & Treatment of Cerebral Palsy (CP) in the United States Managed Medicaid Program

About Ipsen North America
Ipsen Biopharmaceuticals, Inc. is the U.S. affiliate of Ipsen (Euronext: IPN; ADR: IPSEY), a global specialty-driven biopharmaceutical group focused on innovation and specialty care. The U.S. head office is located in Basking Ridge, New Jersey, and its Canadian office, Ipsen Biopharmaceuticals Canada, Inc., an integrated business unit within North America, is located in Mississauga, Ontario. Additional research and development and manufacturing sites are located in Cambridge, Massachusetts, as part of Ipsen Bioscience, Inc., the Ipsen U.S. research and development center, which is focused on the discovery of potentially highly differentiated and competitive products in Oncology, Neurosciences and Rare Diseases. Ipsen North America employs more than 400 people and is dedicated to providing hope for the patients whose lives are challenged by difficult-to-treat diseases. At Ipsen, we focus our resources, investments and energy on discovering, developing and commercializing new therapeutic options for oncologic, neurologic and rare diseases. For more information on Ipsen in North America, please visit www.ipsenus.com or www.ipsen.ca

Micro and Macro approaches to Mitigate Risk in Managed Care Plans
Date: May 9, 2018
Time: 3:00-4:00 pm Eastern
Associate Member Host: Relias
Presenter: Tom Friedman, MPA, Group Product Manager, Relias

Micro and Macro approaches to Mitigate Risk in Managed Care Plans
Budgets are tightening and the shifting of risk is occurring not just from health plans to providers but from large payers, like states, to health plans.  Both health plans and providers will likely see less growth in resources in coming years.  

The two-fold goal of slowing cost growth while getting people healthier assumes that the investment providers and health plans have already made are ready to bear fruits.  They likely are not adequate, but there are things that can be done.  

This webinar focuses on highlighting micro and macro strategies health plans can take to improve provider performance and build an opportunity for long-term revenue generation and protection. 

About Presenter: 
Tom Friedman, Senior Group Manager at Relias in the Payer and Community Health markets 
Tom brings executive experience working in healthcare payer strategic planning, finance, government affairs, and analytics, having most recently served as the Director of Policy, Planning, and Analysis for the State Health Plan of North Carolina. 

Relias is your strategic partner in solving shared payer and provider problems with a comprehensive combination of assessment and analytics tools paired with targeted provider and patient education.

Reduce Cost & Optimize Revenue with Chart Automation from Cerner & Edifecs
Date: May 2, 2018
Time: 3:00-4:00 pm Eastern
Associate Member Host: Edifecs & Cerner
Presenter: Vik Sachdev, VP, Product Management, Edifecs; Jim Poteet, Sr. Director, Revenue Cycle Development, Cerner; John Kelly, Principal Business Advisor, Edifecs

In this webinar Cerner and Edifecs will discuss the challenges associated with the existing medical chart review process and propose a solution which uses existing HIPAA and emerging FHIR standards to achieve optimal process efficiency.  Leveraging Edifecs’ position as the leading edge-based EDI gateway for health plans and Cerner’s extensive EMR footprint, proposed solution will deliver the following value: 
• Reduction in labor & materials costs
• Both real-time and batch request and response
• Many-to-many scalability and automation 
• PHI and privacy compliance

Edifecs develops innovative, cost-cutting information technology solutions to transform the global healthcare marketplace. Since 1996, Edifecs technology has helped healthcare providers, insurers, pharmacy benefit management companies and other trading partners trim waste, reduce costs and increase revenues. More than 350 healthcare customers today use Edifecs solutions to simplify and unify financial and clinical transactions. In addition, Edifecs develops supply chain management solutions to support worldwide customers in non-healthcare industry segments. Edifecs is based in Bellevue, WA, with operations internationally. Learn more about us at www.edifecs.com.

Cerner’s health information technologies connect people, information and systems at more than 25,000 provider facilities worldwide. Recognized for innovation, Cerner solutions assist clinicians in making care decisions and enable organizations to manage the health of populations. The company also offers an integrated clinical and financial system to help health care organizations manage revenue, as well as a wide range of services to support clients’ clinical, financial and operational needs. Cerner’s mission is to contribute to the systemic improvement of health care delivery and the health of communities. 

The Future of NEMT in Medicaid
Date: April 25, 2018
Time: 3:00-4:00 pm Eastern
Associate Member Host: Veyo
Presenter: Jonathan Freedman, Managing Principal, Health Management Associates; John McCarthy, Founding Partner, Speire Healthcare Strategies; Jami Snyder, Assistant Director, Arizona Health Care Cost Containment System; Stan Sipes, EVP, Business Development, Veyo

The availability of reliable transportation is critical to ensuring that Medicaid beneficiaries have access to primary, preventative, and specialty care. A lack of transportation has been identified as one of the major reasons that Medicaid health plan members miss or delay appointments, which can result in unnecessary hospitalizations and poor health outcomes. Join experienced executives from state agencies and managed care health plans to:

●      Discuss how NEMT can impact access to care, service utilization, health outcomes, and cost.

●      Learn what strategies have successfully been implemented in other states.

●      Discover what challenges exist and how innovation can be leveraged to improve access to care.

Veyo is a full-service transportation brokerage designed specifically for healthcare. By integrating consumer technology with rideshare fleets, we have decreased costs and increased efficiency.  Operating in eight states with over 9 million completed trips and a 97.1% on-time rate, we're changing NEMT - one trip at a time.

Can Technology Be Empathetic? Designing Person-Centric Data Practices
Date: April 11, 2018
Time: 3:00-4:00 pm Eastern
Associate Member Host: ODH, Inc.
Presenter: Adam Johnson, Vice President of Technology and Operations, ODH, Inc.; Henry "Ike" Carpenter, Director, Technology Solutions, ODH, Inc.

Technology, at its best, can do what humans will never be able do as well – comb through mountains of data and distill it into meaningful, actionable information. Semantic systems in use today are capable of making inferences and revealing new insights from multiple data sources. But what if it could also take into account the day-to-day challenges people face?

Learn how technology developed with empathy aims to do just that. This person-centered approach can help health plans improve adoption of new practices, and help members and communities root out the persistent problems that keep people sick and drive healthcare costs to an unsustainable level. 

Join Adam Johnson, Vice President, Product Development & Operations, and Ike Carpenter, Technology Solutions, for a discussion on how person-centric data practices are necessary for seeing the whole picture in care. Topics include:

  • Patient-centric solutions for health plan managers
  • Integrating and accessing data across the healthcare ecosystem
  • Analysis of social determinants to drive cost-effective solutions

ODH, Inc. is an innovative health technology and services solution company that helps payers and other risk bearing entities integrate and analyze data from behavioral, physical health and social determinant sources. Learn more at www.odhsolutions.com 


Serious Illness Strategies for Medicaid Plans
Date: March 28, 2018
Time: 3:00-4:00 pm Eastern
Associate Member Host: Center to Advance Palliative Care (CAPC)
Presenter: Amy Kelley, MD, MS, Vice Chair, Health Policy, Icahn School of Medicine at Mount Sinai; Allison Silvers, MBA, Vice President, Payment and Policy, Center to Advance Palliative Care

Achieving satisfaction and value among the high-cost sub-population is a struggle.  This webinar reviews a compilation of best practices that integrate palliative care principles and services into health plan operations that can result in substantial improvement.

The Center to Advance Palliative Care (CAPC) is a national organization dedicated to increasing the availability of quality palliative care services for people facing serious illness.

Integrated Care and Care Coordination in a Value-Based World
Date: March 21, 2018
Time: 3:00-4:00 pm Eastern
Associate Member Host: Relias
Presenter: Melissa Lewis-Stoner, MSW, LCSW-C, Product Manager for Behavioral Health, Relias

Value-based initiatives continue to align financial incentives to the delivery of high quality, coordinated care for patients. These incentives seek to promote value, improve health outcomes, and lower costs. The role of integrated care coordination is especially critical since Medicaid serves the nation’s most complex and high need populations. In addition to care coordination, technology is another tool in the toolbox used to close the health care delivery system's historic fragmentation. 

We will cover:
•  What is value-based care, how does it work and why does it matter?
•  Integrated service delivery 
•  The role of care coordination in improving health outcomes and lowering costs
•  The role of technology - actionable data and analytics to assist with care coordination

About Presenter: 
Melissa A. Lewis-Stoner, MSW, LCSW-C currently serves as Product Manager for Behavioral Health where she creates and maintains the behavioral health product roadmap, conducts market and competitive analyses to inform product development decisions, and acts as the voice of the market. She is a licensed clinical social worker with more than 20 years of behavioral and public health experience in state government and not-for-profit agencies. Prior to joining CMT/Relias, Melissa was the Director of the Health Home program at Way Station, Inc. in Maryland where she helped to position the organization as the statewide experts in the start-up and implementation of Health Homes across the state.

Relias is your strategic partner in solving shared payer and provider problems with a comprehensive combination of assessment and analytics tools paired with targeted provider and patient education.

Busting the Myths about Medicaid and CDH Plan Design
Date: March 7, 2018
Time: 3:00-4:00 pm Eastern
Associate Member Host: Conduent
Presenter: Todd Berkley, Global Leader of BenefitWallet, Conduent; Kevin McKechnie, Executive Director and Founder of the American Bankers Association (ABA)

Is it TRUE that working-age Medicaid beneficiaries:

  • Don’t save?
  • Will never embrace a health plan deductible?
  • Don’t respond to incentives for healthy behavior?

Come to this webinar to debunk these, and other myths, surrounding health savings, spending and incentive accounts in Medicaid. .  This webinar will explore how Consumer-Directed Health (CDH) accounts in the private sector have created strong momentum for innovation in Medicaid.   We will bust common myths in the Medicaid world, explore how work requirements and community engagement for Medicaid eligibility are different in scope, but related in concept to CDH accounts, and discuss the legislative and political forces that will continue to shape this important arena of health care. 

This webinar will help illustrate  the politics, policy and program elements of this type of Medicaid reform.   

Join our experts on March 7: Todd Berkley, the Global Leader of BenefitWallet, Conduent’s suite of CDH solutions and the author of The HSA Owner’s Manual:  What every accountholder, employer and benefits consultant needs to know about Health Savings Accounts – and how to use them strategically.

Kevin McKechnie is Executive Director and Founder of the American Bankers Association (ABA) Health Savings Account (HSA),Council who works tirelessly with his staff to provide context about health savings accounts to influence policy.

Click here to listen to a recording of Conduent's March 7th webinar.

The slides for Conduent's webinar can be found here.

The Goldilocks Zone: Managing Member Engagement so it’s “Just Right”
Date: February 21, 2018
Time: 3:00-4:00 pm Eastern
Associate Member Host: Healthx
Presenter: Melissa Palladino, Product Strategy Director, Healthx; Mike Vogt, National Director of Health Solutions, mPulse Mobile

Take your member engagement strategy beyond portals and into a calibrated surround-sound environment. This session will discuss why and how to engage your members using a variety of channels and smart campaign strategy, to meet members where they are.

Healthx helps payers reduce costs and successfully compete in the changing world of healthcare by delivering the leading member engagement and provider collaboration solution. We work with our customers to drive online portal and mobile app utilization to reduce administrative costs, drive greater ROI and improve health 

Technology And The Opioid Crisis: A Prescription For Breakthrough
Date: February 14, 2018
Time: 3:00-4:00 pm Eastern
Associate Member Host: ODH, Inc.
Presenter: Lisa Strouss, Pharm. D., Director, Field Medical; Candace Saldarini, MD, Director, Medical Affairs

Federal and state initiatives to combat the issue have increased, and positive results are accumulating. Learn what is promising, what still poses challenge and how technology supports solutions across the health care ecosystem. 

ODH, Inc. is an innovative health technology and services solution company that helps payers and other risk bearing entities integrate and analyze data from behavioral, physical health and social determinant sources. Learn more at www.odhsolutions.com 

3 Components to Improving the Patient Experience
Date: February 7, 2018
Time: 3:00-4:00 pm Eastern
Associate Member Host: Relias
Presenter: Tom Friedman; Ling Guo

3 Components to Improving the Patient Experience for Value-Based Payment Success

Improving the patient experience requires attention to multiple contributing factors in differing amounts, but the three main components are consistent: understanding patients' unique needs, educating patients, and providing excellent customer service. Dedicating resources to find the right balance of these three components will likely be unique to each set of clinicians but determining the right ratio is key to success in value-based reimbursements.  

This webinar focuses on:
• Explaining the three main components of the patient experience
• Providing resources on how to improve the patient experience
• Walking through practical examples of why the right balance is critical in a health care environment where resources such as time and money are scarce 

Join our experts on February 7th: Tom Friedman, Senior Manager at Relias in the Payer and Community Health markets. He brings executive experience working in healthcare payer strategic planning, finance, government affairs, and analytics, having most recently served as the Director of Policy, Planning, and Analysis for the State Health Plan of North Carolina. He is joined by Ling Guo, Associate Product Manager for Payers and Community Health. Ling is currently researching the opioid crisis and continuing medical education. Ling brings four years of experience in research about civil society and international development. Ling received her Bachelor’s degree from the University of North Carolina at Charlotte.

Relias is your strategic partner in solving shared payer and provider problems with a comprehensive combination of assessment and analytics tools paired with targeted provider and patient education.

Hunger in America: Nutrition’s Role in Healthcare
Date: January 31, 2018
Time: 3:00-4:00 pm Eastern
Associate Member Host: GA Foods
Presenter: Elizabeth Keegan, MS RD LDN; John Siegel, VP Business Development - Sales

Seniors are at risk for malnutrition, which can lead to increased hospital readmissions and longer stays. This presentation will focus on the problem of food insecurity in America. Participants will understand the benefits of nutrition intervention and the steps healthcare professional can do to assess the risk of those with poor nutritional status. 

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.
For information, call 1-866-575-2772

Home-delivered Meals for Diabetes Management
Date: January 24, 2018
Time: 3:00-4:00 pm Eastern
Associate Member Host: Mom's Meals NourishCare
Presenter: Catherine Macpherson, MS, RDN, VP Product Strategy & Development and Chief Nutrition Officer

Diabetes management is a top health care priority for health plans and members. An environmental scan of 2018 health care trends from leading organizations uncovers that a top trend is incorporating social determinants of health into chronic care management models.  This webinar will present 2018 health care trend information, a blueprint for creating and paying for a care management program that includes support for a critical social determinant – access to healthy food, and will provide insights from a successful diabetes management program at a Medicaid managed care organization. 

For over 17 years, Mom’s Meals NourishCare has been providing fully prepared, refrigerated meal solutions direct to homes nationwide. With health condition menus and the ability to choose every meal, every order, seniors, patients recovering post-discharge, and those managing a chronic condition can get a tailored nutrition solution to manage their specific needs. 

Invest Early to Save Big! How to Promote Healthy Early Childhood Development While Reducing Costly Care
Date: January 17, 2018
Time: 3:00-4:00 pm Eastern
Associate Member Host: HealthySteps
Presenter: Johanna Lister, JD, MPH, Senior Policy Specialist, HealthySteps & Alice Ricks, MPP, MPH, Senior Policy Analyst, HealthySteps

There is no smarter investment than an investment in a young child: decades of research demonstrate the tremendous short- and long-term benefits and cost savings achieved by effective early childhood programs. HealthySteps is an interdisciplinary primary care program that serves young children and their families in pediatric and family practice settings, with proven results. By partnering with providers to bring the HealthySteps program to their members, Medicaid health plans can achieve the triple aim of better care, better health, and lower costs. Watch this brief video story about HealthySteps and then join us to learn why a growing number of states across the country are implementing HealthySteps to attain their population health goals. 

The mission of HealthySteps is to transform pediatric practice to improve the health, well-being, and school readiness of babies and young children in low-income families. HealthySteps is headquartered at ZERO TO THREE, which is the leading non-profit organization working to ensure that babies and toddlers benefit from the early connections that are critical to their well-being and development.