Agenda

Workshop Registration

The Pursuit of Health Equity: Practical Approaches to Equitable Member Engagement

Understanding and addressing disparities in health status, access, and quality of care in the communities we serve is critical to improving health outcomes for all members. This workshop will cover practical ways to embed health equity within your health plan programs to engage members more equitably and work toward achieving NCQA Health Equity Accreditation.

We will work through a developed framework that’s sophisticated yet approachable and helps to ensure equitable distribution of resources across all member outreaches. You will gain a deeper understanding of the factors that contribute to health inequities, the data that matters, how this framework works to level the playing field and how it aligns with the roadmap toward achieving NCQA Health Equity Accreditation.

This hands-on interactive workshop will provide a practical pathway to a state of more even-handed member engagement in line with the recent CMS updates around health equity. Expect to takeaway informative and useful handout materials that can be referred to as you progress further toward more equitable engagement for your membership.

To be held by:

Lisette is responsible for overseeing the design, development, and delivery of data-driven solutions based on the unique needs of Decision Point customers.

Lisette brings her training in health informatics and her experience in healthcare quality, self-reported outcomes, care management, and clinical operations from the provider and payer settings to understand healthcare organizations' needs and deliver actionable recommendations.

Networking Continental Breakfast

Chairperson’s Opening Remarks:

Opening Address: A Snapshot of The Latest Innovations in SDOH and Supplemental Benefits in Medicare Advantage and Medicaid

Leveraging Programs and Partnerships within the Community: A Collaborative Effort to Support and Improve Care

• Positioning yourself within local CBOs for mutually beneficial results: A Collaborative effort to support and improve care
• Optimizing services available in your community
• Community evolution: How are health plans using Community Health Workers and other non-clinical staff to support SDOH needs?
• Advancing your community engagement level and earning trust in the community through reliable and vetted CBOs
• Capital and human resources investments for successful community alliances
• Coordinating wrap-around services
• Establishing programs to uplift and support the community
• Ensuring your staff is culturally competent and recognizing multi-culturalism
• Relationship and trust building with CBOs
• CBOs are essential voices of the communities we serve- but how do we engage CBOs in the right way?
• Building true partnerships through trust, reliability, and bidirectional conversations are critical in engaging with CBO

Moderator:

Panelists:

CBO Infrastructure & Reimbursement Strategies: Overcoming Current Obstacles

• What type of CBO reimbursement strategies do you have in place?
• What type of infrastructure are you using for providing a payment model for providers?
• Revamping the reimbursement model to make it more success
• Getting positive attribution for providers through reimbursement
• Precise coding for reimbursement and the proper use of Z codes to close the loop
• Maximizing the use of Foundations and grants

Practical Tips to Integrate SDoH Assessments into Your Care Continuum Programs and Workflow

• PRAPARE methodologies
• Systematically screening for SDoH
• What type of data should you be collecting?
• How are social barriers of care impacting cost and access to care?
• Moving the needle from identifying the opportunity to implementing an intervention
• Integrating SDoH assessment data into risk leveling
• Overcoming common implementation challenges
• Closed loop referral systems and EHR integration
• How do SDoH strategies impact cost and intertwine with population health?

Networking Refreshment Break

Maryland Case Study Panel: Emerging Initiatives to Overcome Implicit Bias, Racism, Economic Disparities, and Multi- Cultural Confusion to Achieve Health Equity

• Not all needs are created equal -- the same need in different zip codes may require different actions/referrals
• How do you address implicit bias to make an impact?
• What is unique about Maryland’s payment structures under their agreement with CMMI that creates powerful incentives to address health equity (vs. just talking about health equity)?
• What are some of the payment levers that the state is using and is considering that specifically address disparities?
• What are potential lessons other states and organizations could learn from Maryland’s experience?
• What are potential lessons other states and organizations could learn from Maryland’s experience?
• Tips on how to create an environment and payment system that focuses attention on disparities and produces real changes through providers, CBOs etc.
• Practical strategies to even the economic, social, and environmental playing field
• What does the infrastructure look like and how are you continuously modifying it?
• What’s the latest from CMS Innovation Center for Health Equity?
• How do you get the states to ensure data is collected and sent through the 834s – like race, ethnicity, LGBTQ, etc. for health equity?
• How are plans measuring their progress to verify they are actually making an impact on racial equity?
• How do you address health equity from a non-profit that doesn't have clinical staffing?
• Leveraging social media and technology to address social determinants of health

Moderator:

Panelists:

Networking Lunch

Panel Discussion: Effectively Fighting Food Insecurities: How Plans are Making Big Investments in Food, Nutrition, and Medically Tailored Meals

• How do plans fit into the White House Conference on Food, Nutrition, and Health
• Tapping into local food resources in your community
• Using Medically Tailored Meals to improve self-management
• Generating effective member touch points: Creating new opportunities to step into your member space
• Innovative ideas to improve meal deliveries, food banks, groceries, and gift cards
• Offsetting the short-term financial burden
• Developing sustainable programs to solve food insecurities for your members and the community
• Which programs to eliminate? Trial and error in food initiatives
• Long term outcomes

Moderator:

panelists:

Case Study: Housing Interventions: What Are Creative Plans Doing to Change Affordable Housing Systems to Support the Health of Marginalized Communities

Housing instability is a key social determinant of health that has been linked to a multitude of adverse health outcomes.  Many Medicaid members experience homelessness and managed care entities can be a valuable resource to provide support and linkage to community resources.  CareSource, a nationally recognized managed care entity, is on the forefront of screening members for housing-related needs, providing housing navigation services and developing innovative, evidence-based solutions through meaningful community collaborations to assist its members with securing stable housing to improve their health outcomes.

Case Study: A Grassroots Approach to Improving Maternal and Child Health Outcomes

Around the globe, grassroots movements are critical in advancing systems change for maternal, child and family health and social well-being. We learned from successful strategies from these movements and applied their wisdom and knowledge, coupled with a human rights-based approach to health to grow the Grassroots Maternal and Child Health (MCH) Initiative in Indiana. The mission of the Grassroots MCH Initiative is the build the capacity of individuals and organizations within traditionally marginalized communities to bring about systems change to improve MCH outcomes. Our approach is grounded in training and mentoring Grassroots MCH Leaders from these communities, and then working in equitable partnership with them to address inequitable social and economic systems that are the root causes of poor MCH outcomes. We will discuss the training and mentoring process and the key actions of the Grassroots MCH Initiative, inclusive of housing equity, justice system reform, and capacity building of faith-based and early childhood education programs. We will share insight into how to grow this type of work within communities to bring about sustainable changes that result in health equity.

Networking Refreshment Break

Case Study:SDoH & Chronic Diseases: Upstream and Downstream Interventions

• Chronic conditions management
• Looking at chronic disease management with a health equity lens
• Moving past problematic materials

Case Study: Integrating SDoH Programs into Your Behavioral Health, Mental Health, and Substance Abuse Initiatives

• Treating mental health issues for patients who have comorbidities
• Recognizing various factors that have led to a dramatic increase in mental health, substance abuse, overdoses, and suicidal ideation and how are plans responding?
• How does SDoH affect mental health?
• Innovative strategies to improve screening and interventions
• RMP monitoring and tracking the efficacy of medications
• Improving behavioral health access through better population management
• Provider scarcity challenges
• Better access to therapy
• Collaboration for peer support services with CBOs
• Recognizing peer recovery specialists as an integral part of the care continuum

Networking Cocktail Reception

Networking Continental Breakfast

Chairperson’s Opening Remarks:

Utilizing Supplemental Benefits & Quality Programs to Catapult a Social Determents of Care Transformation

• Future plan designs and supplemental programs to incorporate SDoH
• Creative ways of incorporating new supplemental benefits to reduce social barriers to care
• Financial counseling
• Home aids
• Transportation
• Meals
• Home redesign
• Health literacy
• Caregiving services
• Dispatch health
• Pest control
• Fall programs
• Other quality programs making an impact
• Using MLR and positive outcomes
• Assessing ROI on various new supplemental benefits
• Which supplemental benefits are actually impacting members?

Making Financial Sense of Your SDoH and Health Equity Services: Measuring Cost and Tracking Outcomes

• Tracking short term performance in a long-term game
• Looking at payment models to cover the SDoH programs and services
• Realistic estimations and financial setbacks
• Tracking results on a moving target
• How are plans measuring progress for estimated traceable results in 2-3 years?
• Leveraging quality improvement with SDoH and Health Equity for Population Health management
• What does the data say?

Driving Outcomes through Data & Predictive Analytics

• Looking at the many different angels for driving outcomes through data
• Looking at the many different angels for driving outcomes through data
• Gathering, measuring, interpreting, and analyzing data for better outcomes
• Can you do predictive analytics based on zip code?
• Barriers to adoption and implementation
• Uncontrolled SDoH data and an increased need for case management innovations

Networking Refreshment Break

Achieving Success in a Value Based Care Environment Using Data Interoperability While Improving Inter-Departmental Communication to Enhance SDoH Initiatives

• Sharing and using information across the entire spectrum from the plan to the provider
• How are plans, providers, care managers, member services and benefit partners/vendors sharing the vast amount of information they have and using it in a practical and meaningful way?
• How are we pulling it all together from various touch points?
• Overcoming challenges and barriers for data interoperability: Eliminating silos

Nicki Venem, CPC, MSMLManager, Value Based Programs, MSO Services,Blue Cross of Idaho

Stina RedfordDirector, Payment Innovation,Blue Cross of Idaho

In-Home Care Access and Options: Using Home Care to Advance Health Outcomes, Reduce Cost, and Address SDoH

• Serving members in a more personal and preferred way
• How do you identify and deliver service to individuals who are homebound or prefer to receive services in that way?
• Strategies to collect information and improve SDoH from home visits
• Expanding aging in place platforms
• Post-acute care partnerships

Moderator:

Panelists:

Close of Conference