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May 21
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Showing of Streams
5:15pm - 6:15pm

End of Day 2

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8:00am - 8:45am 45 mins
Plenary Sessions
Registration
8:45am - 9:00am 15 mins
Plenary Sessions
Chairman’s Opening Remarks
  • Alexander Shekhdar - Principal, Sycamore Creek Healthcare Advisors
9:00am - 9:45am 45 mins
Plenary Sessions
Medicaid Managed Care 2.0: Fulfilling the Promise
  • Moderator Gary Jessee - Managing Director, Sellers Dorsey
  • Panelist Carol Steckel, MPH - Commissioner, Commonwealth of Kentucky Cabinet for Health and Family Services/Medicaid
  • Panelist Hemi Tewarson, National Governor's Association
  • Panelist Nancy Smith-Leslie - Senior Consultant, Sellers Dorsey, Former Medicaid Director, New Mexico
  • Panelist Andy McMahon - Vice President, Health and Human Services Policy, UnitedHealthcare Community & State
9:45am - 10:30am 45 mins
Plenary Sessions
Morning Networking Break
10:30am - 11:15am 45 mins
Plenary Sessions
Implications for Medicaid with Changing Political Environments and Lessons Learned
  • Moderator Andrey Ostrovsky, MD - Chief Medical Officer and Senior Vice President, Behavioral Health, Solera Health, Inc.
  • Panelist John McCarthy - Founder, Speire Healthcare Strategies
  • Panelist Barbara Sears - Partner, Strategic Health Care
11:15am - 12:15pm 60 mins
Plenary Sessions
Medicaid Director Panel Discussion: Medicaid Across the US
  • Moderator Alexander Shekhdar - Principal, Sycamore Creek Healthcare Advisors
  • Panelist Carol Steckel, MPH - Commissioner, Commonwealth of Kentucky Cabinet for Health and Family Services/Medicaid
  • Panelist Drew Snyder - Executive Director, Office of the Governor, Mississippi Division of Medicaid
  • Panelist Dennis Schrader - Chief Operating Officer and Medicaid Director, Maryland Department of Health
12:15pm - 1:10pm 55 mins
Plenary Sessions
Luncheon Break -State Medicaid Roundtable Luncheons
1:10pm - 1:15pm 5 mins
Strategies and Insights for MLTSS
Track Chair Remarks
  • Jenn McNary - Advocacy and Outreach Director, Beauhawks
1:10pm - 1:15pm 5 mins
Behavioral Health Integration
Track Chair Remarks
  • Sarah Spiekermeier, MBA, HCA, CPM - Administrative Operations Sr. Director, Banner – University Health Plan
1:10pm - 1:15pm 5 mins
Social Determinants of Health: Case Studies and Methods for Success
Track Chair Remarks
  • Linda Lusis - Vice President of National Accounts, Mozzaz Corp
1:15pm - 2:00pm 45 mins
Strategies and Insights for MLTSS
Medicare-MLTSS integration –a primer on the new D-SNP integration criteria
  • Christine Aguiar Lynch - Vice President for Medicare and MLTSS Policy, ACAP
  • Stacey Staudenmeier, MSW, LSW, MHA - AVP, Behavioral Health and Health Choices, Geisinger
  • Eric Hunter - President and CEO, CareOregon
1:15pm - 2:00pm 45 mins
Behavioral Health Integration
Why, Who and How: Fundamentals of Behavioral Health Integration
  • Jon Hamdorf - Director, Navigant Consulting and Former Kansas Medicaid Director, Navigant Consulting and Former Kansas Medicaid Director
1:15pm - 2:00pm 45 mins
Info
Social Determinants of Health: Case Studies and Methods for Success
Social Determinants: Identifying and Managing a Population At Risk
  • Frances Martini, RN, BSN, MBA - Vice President of Population Health, BCBS Tennessee

This presentation will examine how a Medicaid managed care organization enhanced a comprehensive member management program by focusing on social determinants of health.  

2:00pm - 2:45pm 45 mins
Info
Strategies and Insights for MLTSS
MLTSS - Successful Features for Integrated Program Design
  • Mary Temm - CEO/President, Temm & Associates, Inc.

State policymakers and their federal and health plan partners are increasing seeking opportunities to improve Medicare and Medicaid integration for dually eligible beneficiaries as a way to reduce fragmentation and improve care. Based on the experiences of various states with pioneering integrated care programs, this presentation explores key features of effective program design and operations. The presentation will also provide top factors driving state investments in integrated programs.

2:00pm - 2:45pm 45 mins
Info
Behavioral Health Integration
Addressing Barriers to Treatment Can Help Support Your Members With Opioid Dependence
  • Julie Stancliff, DO - Psychiatrist, Doctor of Osteopathic Medicine

A recent protocol and guidelines for treatment of opioid dependence call for access to all medication-assisted treatment (MAT) options. However, barriers exist that may affect access for those who want to start treatment, including access to and reimbursement for opioid detox. These and other barriers will be discussed in this presentation, as well as measures that may help address them and provide greater support for members with opioid dependence.


2:45pm - 3:45pm 60 mins
Strategies and Insights for MLTSS
Afternoon Reception
2:45pm - 3:45pm 60 mins
Behavioral Health Integration
Afternoon Reception
2:45pm - 3:45pm 60 mins
Social Determinants of Health: Case Studies and Methods for Success
Afternoon Reception
3:45pm - 4:30pm 45 mins
Info
Strategies and Insights for MLTSS
The MLTSS National Landscape and Essential Elements Shaping its Future
  • Karen Brodsky - Principal, Health Management Associates

A growing demand for long term services and supports (LTSS) has reshaped the delivery of these services in many states as increasingly, Medicaid enrollees receive them under managed care. States are managing the costs for LTSS in innovative ways by transitioning to managed long term services and supports (MLTSS) in deliberate efforts to manage costs and improve access and quality of care. At least 23 states have some form of MLTSS in place with an additional 10 states in the pipeline. We will sketch the MLTSS national landscape, reviewing the populations served across states, forms of MLTSS contracting, and the services used by qualified enrollees. We will then review MLTSS fundamentals and breakthroughs for states’, health plans’ and MLTSS enrollees to build out and sustain MLTSS programs for older adults and people with disabilities. We will also address pioneering efforts to serve, for example, individuals with intellectual and developmental disabilities (IDD) under MLTSS and to provide person-centered care for enrollees in the LGBT community who need long term care. In our work with states, health plans, providers and advocates we track MLTSS program strategies that when packaged together deliver meaningful results. Among the session topics will be: • the adoption of integrated care management platforms to support MLTSS • methods for identifying the rising risk population for MLTSS • value based payment strategies that support rebalancing and other LTSS quality goals • a comprehensive framework for addressing social determinants of health within MLTSS • investments in the direct care workforce serving individuals in MLTSS • investments in MLTSS and family caregiving, and • ongoing efforts to achieve program and operational alignments for Medicare-Medicaid dual eligible enrollees with access to MLTSS. This session will combine MLTSS basics with a trajectory for MLTSS programs of the future. It will introduce conference participants who are new to MLTSS to the industry, refresh more seasoned participants and stimulate all with the latest trends transforming this Medicaid benefit.

3:45pm - 4:30pm 45 mins
Behavioral Health Integration
Integrating Behavioral Health into a Split System
  • Sarah Spiekermeier, MBA, HCA, CPM - Administrative Operations Sr. Director, Banner – University Health Plan
4:30pm - 5:15pm 45 mins
Info
Strategies and Insights for MLTSS
Case Study: A View from Former Ohio State Medicaid Director
  • Barbara Sears - Partner, Strategic Health Care

If I knew then what I know now. Lessons learned and considerations around strategic succession planning, staff development, and executive branch transition while working to create or maintain an entrepreneurial innovative attitude in an increasingly politically charged Medicaid environment.

4:30pm - 5:15pm 45 mins
Behavioral Health Integration
Winning Managed Care Proposals: Vendor Response and Working with Community-Based Organizations
  • Meryl Price - President, Health Policy Matters
  • Jihye Gyde - Manager, Nonprofit Finance Fund
5:15pm - 6:15pm 60 mins
End of Day 2