Agenda

Speaker Presentations

7:30

Networking Continental Breakfast

8:20

Chairperson’s Opening Remarks:

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

8:30

Part I: ROI

ROI, Affordability, ILOS, & Reimbursement Considerations: The Long Game of SDoH ROI

  • Data around SDoH programs and ROI
  • How are health plans absorbing the added costs affiliated with health equity and SDoH?
  • 11-5 waivers and In Lieu of Service loopholes, restrictions, and projected changes
  • Current reimbursement setbacks
  • How do you get paid for your new pilots and programs?
  • Affordability for SDoH programs and platforms
  • Examining the real value and expectations of ROI

Keslie Crichton Chief Sales OfficerBenelynk

Additional speaker TBA

9:00

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?

Moderator:

TBA

Panelists:

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

9:45

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 

10:15

Networking Refreshment Break

10:45

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?

Moderator:

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

Panelists:

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.

Additional panelist TBA

11:30

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

12:00

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

Moderator:

TBA

Panelists:

Jaime DircksenVice President, Community Health & Well-BeingTrinity Health

Carrie BakerPresident & Chief Executive OfficerHealth Impact Ohio

Haile Hernandez, BS MSWHead of Social Determinants of Health-Community Health ServicesPoint32Health

12:45

Networking Lunch

1:45

Topic TBA

A Four-Part Discussion on Disruptive SDoH Innovations for Food, Housing, and Transportation
2:15

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

Speaker TBA

2:45

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

Haile Hernandez, BS MSWHead of Social Determinants of Health-Community Health ServicesPoint32Health

3:15

Networking Refreshment Break

3:45

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

Andy AuerbachChief Revenue OfficerSafeRide Health

4:15

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

5:00

Topic TBA

5:30- 6:30

Networking Cocktail Reception


7:30

Networking Continental Breakfast

8:20

Chairperson’s Opening Remarks:

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

A Three-Part Discussion on Data, Technology & Interoperability
8:30

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

9:00

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

  • How do plans build a robust data infrastructure? How do you bring all the data points together?
  • Strategic data management and the use of analytics
  • Technology and standardization considerations
  • Operational portals for data gathering and sorting
  • Staffing, safety/security, and integrity challenges and solutions
  • Strategies to successfully obtain valuable and more granular data
  • NCQA’s expectations with respect to capturing data and reporting accuracy
  • Getting the most out of public and private resources
  • Growing, changing, and responding to the ever-changing data sets
  • How are plans broaching data exchange systems with HIEs

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

Additional panelist TBA

9:30

Using Technology & Interoperability to Close Gaps in Care for SDoH and Eliminate Health Disparities

  • How to utilize and deploy technology to close gaps in health equity and SDoH
  • Employing technology to better manage the population
  • Making sense of various technology language
  • Technology solutions that support the member experience
  • Strategies to overcome data sharing and interoperability stumbling blocks
  • Breaking fragmented technology initiatives and taking a holistic and meaningful approach to better health outcomes
  • Ethics and generative A.I. inefficiencies

Speaker TBA

10:00

Networking Refreshment Break

10:30

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

11:15

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

Kate Tullio, MPH, MS, Director of Health EquityCareSource

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

12:00

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, Manager, Value Based Programs, MSO ServicesBlue Cross of Idaho

Stina RedfordDirector, Payment InnovationBlue Cross of Idaho

12:45

End of the Conference