May 14, 2024

Networking Continental Breakfast


Chairperson’s Opening Remarks:

Cameual Wright, MD, MBAVice President, Market Chief Medical Officer, IndianaCareSource


An Integrated Approach to Improve the Health Equity Index through Social Care

  • Lead with help to meet new NCQA and CMS regulatory requirements
  • Gain a holistic understanding of members by identifying and documenting solutions and other health equity data elements
  • Improve member engagement, while enhancing brand awareness and loyalty through SDOH advocacy
  • Integrating Dual and LIS advocacy into your social care program to demonstrate a ROI

Keslie Crichton Chief Sales OfficerBenelynk

Amber Smits Quality Revenue and Health Equity SupervisorNetwork Health


Part II: Scalability Sustainability, Replication, and Scalability of SDoH Programs

  • What is working and what isn’t? What is worth replicating?
  • Growing small scale progress one step at a time
  • Realistic scalability concerns: Time, resources, and cost
  • Aligning with national movements to grow SDoH and health equity programs?


Kevin Bagley, DHA, FACHEFormer Medicaid DirectorKevin Bagley Strategic Consulting


Rani Morrison Williams, MS, MSW, LCSW, FACHECDE Chief Diversity and Community Health Equity OfficerUniversity of Illinois Hospital & Health Sciences System

Angela B. Abenaim, MSHealth Equity DirectorAnthem Blue Cross and Blue Sheild Ohio Medicaid

Jalynne K. Figueroa, MBAConsultant IIIKaiser Permanente

Martha Shenkenberg, BSN, MBADirector, Health Care Services, Medi-Cal and State Programs, SCALKaiser Permanente


Measuring Impact and Managing Expectations

  • How do you measure outcomes and impact?
  • Projected outcomes and tactical strategies to get there
  • Resources, rendered care, reporting, and managing outcomes
  • What does the before and after data show with respect to time, restraints, transportation, food pantries, etc.
  • Where is the start line and how will you track short and long term impact?
  • Measuring the efficacy and effectiveness of programs: Real impact
  • How do you ensure needs are being met?
  • Closed loop referrals: How do you know food, housing, and transportation are secure now?
  • Reporting accuracy

Jeanine SmithPractice Manager, Family Medicine South WaterfrontOregon Health & Science University

Katrina RoebuckSenior Director of Systems IntegrationDepartment of Behavioral Health and Intellectual disAbility Services City of Philadelphia 


Networking Refreshment Break


Panel Discussion: Accelerating Progress with Community-Based Organizations through Value Based Contracts and Innovative Competitive Alliances

  • Value-based payments for CBOs
  • What are CBOs looking for in a partner? What do they need?
  • Utilizing all funding options, billing, z-codes, grants, ILOS, and other creative collaborations
  • Disruptive approaches to moving the needle forward with your CBOs
  • Working with competitors to avoid overwhelming CBO and various community resources
  • Building and strengthening CBO relationships
  • Engaging CBOs that are in multi-payer markets
  • Heat mapping: Where is the need and is there a race/ethnicity component to that?


Michelle Grigsby-Hackett, LCPC, CPRP Chief Executive OfficerAffiliated Santé Group


Paul Cantrell Director, Center of Excellence to Align Health and Social CareUSAging

Nikki Kmicinski, MS, RD, CDN Executive DirectorWestern New York Integrated Care Collaborative, Inc.


Leveraging CBOs to Advance the Work:  Creating Infrastructure and Sustainable Models that Allow for Care “Closer to Home” for Patients and Members

  • Innovative ways to leverage CBOs to advance SDOH and Health Equity strategies with a common goal to bring care closer to home where patients live and work
  • Learn more about creating infrastructure and sustainable models that connect clinical care to social care for better outcomes and healthier communities
  • Identify the barriers and lessons learned to take into consideration when working with CBOs
  • Learn how to leverage data to determine partnerships and strategies, as well as demonstrate program impacts

Allison Hess Vice President Health InnovationsGeisinger


Networking Lunch


Innovative Ideas for Utilizing Community Health Worker to Advance Your SDoH Initiatives

  • Using community health workers as the ideal navigator/soldier around SDoH initiatives
  • Setbacks and benefits to working with CHW
  • Workforce gap


Michelle Grigsby-Hackett, LCPC, CPRPChief Executive OfficerAffiliated Santé Group


Jaime DircksenVice President, Community Health & Well-BeingTrinity Health

Carrie BakerPresident & Chief Executive OfficerHealth Impact Ohio

Jen LaneVice President, Healthcare ProgrammingModify Health

Mindi S. KnebelChief Executive OfficerKaizenHealth

A Four-Part Discussion on Disruptive SDoH Innovations for Food, Housing, and Transportation

Case Study #1:

Innovative and Sustainable Strategies Health Plans are Implementing to Manage Food Insecurities

  • CMS’s ILOS push for food insecurities
  • Healthy food options/benefits
  • What are State Medicaid Directors doing with the data and how are they using Medicaid dollars?
  • Education and long-term sustainability sources
  • Food as medicine initiatives/food pharmacy and closed-loop referrals
  • Groundbreaking suggestions to enhance food banks, meal deliveries, groceries, food trucks, mobile groceries, and gift cards
  • Equalizing the short-term financial drain
  • What is evidence-based effective and scalable?
  • Solving the root cause of food insecurities – what is working in some areas and not others and why?
  • Funding challenges

Jennifer CallahanChief Operating Officer ATRIO Health Plans


Case Study #2:

Revolutionary Approaches to Support the Health of Marginalized Communities through Affordable Housing Systems: What Works and What Doesn’t

  • Understanding the magnitude of housing insecurities and its effects on an assortment of adverse health outcomes
  • Effectively screening members for housing-related needs
  • Steering services toward evidence-based solutions with secure housing to improve health outcomes
  • Recognizing the urgency of devoting more resources toward secure housing systems for members
  • How is CMS helping housing insecurity programs?
  • Emergency supportive housing options
  • Strategies to get houses up to par with members with extra needs
  • Housing stability tools, national partnerships, options, and innovations

Shannon Sleighter, MBA-HMManager, Life Services - IndianaCareSource


Networking Refreshment Break


Case Study #3:

Scalable Strategies to Overcome Transportation Insecurities

  • Measuring short- and long-term transportation insecurity problems
  • Solid innovations to improve the vast array of transportation insecurity complaints
  • Common pitfalls and creative solutions for transportation
  • Seeking better partnerships
  • Improving accessibility and timeliness

Caroline Yaun, RN, BSN, LNCExecutive Director, SNP ProgramsATRIO Health Plans

Patrick EganVP of Sales & Business DevelopmentSafeRide Health


Case Study #4:

Effective Strategies to Address the Drastic Health Disparity in Maternal Mortality and Morbidity Rates with Medical Drivers

  • Traditional case management, targeted case management, and gaps in interventions
  • What do the disparities in maternal mortality and morbidity rates say about health equity? How are plans addressing these disparities?
  • What are you doing in this space and how is it working?
  • Housing overlap
  • Innovative workforce training and life skills
  • Doula initiatives, services, and support

Cameual Wright, MD, MBAVice President, Market Chief Medical Officer, IndianaCareSource


Addressing SDoH and Health Equity in Today’s Healthcare System

Explore an innovative model that addresses SDoH and Health Equity for our most vulnerable members in the communities where they live, proven to improve health outcomes and quality, lower costs and address member satisfaction and retention. Expect to learn:

  • How peer pressure impacts gap closure as well as member retention
  • How to tackle SDoH at scale with a measurable ROI
  • Understand how community-based groups improve member communication and help mitigate/address inequity as well as move members to be more proactive about their healthcare

Bill Friedman VP of Payer Engagement Wider Circle

Chiquela HarrisonArea Manager Wider Circle

5:30- 6:30

Networking Cocktail Reception

Sponsored by

May 15, 2024

Networking Continental Breakfast


Chairperson’s Opening Remarks:

Cameual Wright, MD, MBAVice President, Market Chief Medical Officer, Indiana CareSource

A Three-Part Discussion on Data, Technology & Interoperability

Understanding to Importance of Collecting, Sharing, and Using Social Determinants of Health Data to Improve Health Outcomes

To improve health equity we must understand what is happening upstream from an individual’s clinical encounter. These circumstances, referred to as the social determinants of health (SDOH), significantly affect individual and community health and healthcare outcomes. And, when SDOH data is appropriately collected, used, and securely shared, the entire healthcare team can gain insight into various elements that make up a person’s medical and non-medical story, allowing them to work on improving that individual's overall health and well-being.

During this session, the speaker will share the importance of collecting, sharing, and using SDOH Data to improve health outcomes. They will share best practices, tactics, and strategies as well as highlight the power of collecting, using, and sharing SDOH data has in improving health and healthcare outcomes. The speaker will also share the opportunities and challenges facing health information professionals as their organizations use SDOH data.

Jennifer Mueller, MBA, RHIA, SHIMSS, FACHE, FAHIMAAHIMA Past-President Vice President & Chief Privacy OfficerWisconsin Hospital Association Information Center


Building a Robust & Meaningful Data Infrastructure for SDoH and Health Equity: Formalizing Data Structures & Evidence-Based Guidance

  • Data infrastructure and interoperability
  • Analytics and reporting- how are we using them?
  • Screening and referral platform
  • Screening requirements from CMS and NCQA
  • Using SDoH data to assist in identifying disparities in resources and resulting initiatives

Lorena de Leon, DPA, MBA, Senior Director, Population Health and SDoH,Maryland Physicians Care

Sheila Phicil, Director of InnovationBoston Medical Center Health System | Health Equity Accelerator


Using Actionable Data Insights to Close Gaps in Care for SDoH and Reduce Health Disparities

  • Create and implement actionable data insights for decision-making
  • Apply a health equity lens to reduce gaps in care and SDoH barriers
  • Integrate multiple data sets to refine your population health interventions
  • Use a centralized dashboard to make integrated, nuanced, data-driven decisions

Jean DrummondPresident & CEO HealthCare Dynamics International (HCDI)


Networking Refreshment Break


Case Study:

Addressing SDOH in Primary Care

  • Are physicians adequately trained in how to address SDOH?
  • What is the relationship between health behaviors and SDOH?
  • How do SDOH contribute to physician burnout?
  • Engaging providers-use of z codes
  • Multi -year partnerships with payors re: SDOH
  • Collaborating with payors

Barry Stelmach CFOCatholic Medical Partners

Carmela Costiniuk, B.Sc. OT, MHA, D. EdD (C)Vice President, Population Health and Clinical TransformationCatholic Medical Partners

Margaret W. Paroski, MD, MMMPresident & CEOCatholic Medical Partners


Measuring & Improving Cultural Competency through CLAS Standards for a More Inclusive Program: Going Beyond ESL and Hearing Standards

  • How do you effectively measure cultural competency and share that data?
  • Improving race and ethnicity communication and outreach
  • CLAS standards best practices
  • Overcoming various resources and training challenges
  • Development and growth initiatives
  • Tactical strategies to evaluate and improve your language data
  • Meeting HEDIS metrics and breakdown by language
  • Areas of improvement

Keisha Zackery, Health Equity DirectorCareSource


Melissa Morgan, MHA, CPHQ,Director Health Equity and Quality, Population HealthInterwell Health


Preparing Healht Plans for the Star Health Equity Index

  • What is the impact of HEI and Social Risk Factors
  • Capturing the data necessary for reimbursement
  • Revisiting your available data, projected scores, challenges, and specific priorities
  • How will CMS measure HEI scores?

Nicki Venem, CPC, MSML,Director, Network InnovationIndependent Doctors of Idaho

Stina RedfordDirector, Payment InnovationBlue Cross of Idaho


End of the Conference