Medicaid, Medicare and Duals Health Plans are recognizing the importance of integrating behavioral and primary care for complex populations, as well as their role in addressing the opioid epidemic. This conference will explore the strategies they are using to deliver whole person care, and how they are using technology, payment models, and targeted treatment strategies to minimize barriers to care, improve access, boost member engagement, and reduce ER visits. With a section dedicated to addressing Opioid Use Disorder and Substance Use Disorder, it will explore areas such as identifying those at risk for OUD/SUD, using Medication-Assisted Treatment, taking a value- added approach to opioid addiction, and alternative pain management therapies.
Specifically, the event will target these key areas:

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    BEHAVIORAL HEALTH MODELS/STRATEGIES

  • Developing A Whole Person Care Model to Coordinate Physical and Behavioral Care
  • Addressing Disparities in Behavioral Health by Delivering Culturally Competent Care Implementing a Comprehensive 1115 Waiver to Transform Behavioral Health
  • Developing a Targeted Care Strategy for Complex Members: Coordinating Care to Reduce ED Visits and Readmissions Among Members with Behavioral Health Needs
  • Developing Innovative Strategies for Engaging Members with Serious Mental Illness
  • Creating Targeted Engagement Strategies for Vulnerable Populations: Supporting the Member Throughout the Behavioral Health Journey
  • Implementing Evidence-Based Telehealth Programs to Integrate Behavioral Health in Primary Care
  • Leveraging Technologies to Offer Behavioral Therapies, Treat OUD and Increase the Reach of Existing Providers to Rural and Underserved Communities
  • Shifting from Fee for Service to Value Based Payments for Behavioral Health Services: Building on Existing Models Developed for Primary Care

  • OPIOID/SUBSTANCE USE MANAGEMENT

  • Leveraging Data and Screening Tools to Identify Members At Risk for Development Opioid Use Disorder
  • Amplifying Substance Use Outcomes with App-Based Motivational Incentives
  • Launching a Substance Use Disorder Care Continuum that Drives Improved Outcomes
  • Expanding Access to Medication-Assisted Treatment (MAT) for Members with OUD: Eliminating Barriers to Treatment and Incentivizing a Collaborative Team-Based Approach
  • Developing a Perinatal Addiction Treatment Health-home in Response to the Opioid Epidemic
  • Taking a Value-Added Approach to Opioid Addiction: Partnering with Providers to Identify Misuse, Reduce Opioid Prescribing, and Treat Opioid Use Disorder as a Chronic Condition
  • Developing Services to Respond to SUD Reform and Measuring Financial Impact
  • Considerations for Medication-Assisted Treatment (MAT) in Special Populations
  • Developing an Opioid Management Strategy for Vulnerable, Higher Frequency Populations
  • Taking a Collaborative Approach Toward Facilitating Access to OUD Treatment and Overcoming Barriers to Care
  • Transitioning OUD Patients from the Emergency Room to Outpatient Services
  • Improving Network Adequacy for Behavioral Health Services: Ensuring Timely Access to Mental Health and Addiction Treatment Providers
  • Supporting the Reimbursement of Alternative Pain Management and Non-Opioid Therapies


2020 ALL-STAR SPEAKERS
North Carolina Department of Health and Human Services

Kate Barrow

Community Engagement Specialist, Division of Mental Health, Developmental Disabilities and Substance Abuse Services
AmeriHealth Caritas

Tracey Davis, PharmD

Director of Pharmacy
Trusted Health Plan, District of Columbia

Jose Diaz-Luna, PharmD, RPh

Vice President of Pharmacy
DynamiCare Health

David R. Gastfriend, M.D., DFASAM

Chief Medical Officer
Gateway Health

Cheryl L. Holtzman

Manager, Perinatal Case Management, Clinical Operations
CareSource

Kieran D. Hurley, Esq.

Director of Behavioral Health Programs
Blue Cross and Blue Shield of North Carolina

Angela Lynn, RN, MSN, BSN,CCM

Director of Care Management
Englewood Hospital and Medical Center

Cynthia Mulder

Administrative Director of Pain Management & Palliative Medicine
North Carolina Department of Health and Human Services

Roanna Newton

Program Manager Division of Mental Health, Developmental Disabilities and Substance Abuse Services
Virginia Premier

Lee Peebles, LCSW, CSAC

Manager of Behavioral Health and ARTS Services
CareSource

Gregg Pieples, MSW, LSW

Substance Use Disorder Program Lead, BH Enterprise
Gateway Health

Lakshmi K. Reddy, MD

Medical Director
Community Health Plan of Washington

Stephanie Shushan

Senior Analyst, Integrated Programs and Strategic Initiatives
Geisinger Health Plan

Stacey Staudenmeier, LSW, MHA

AVP, Behavioral Health and Health Choices
Utah Department of Health

Jennifer Strohecker, PharmD, BCPS

Director, Bureau of Healthcare Policy and Authorization, Division of Medicaid and Health Financing
Affinity Health Plan

Michelle Squire, MSN, RN, CCM

Manager, Case Management
Alaska Department of Health and Social Services

Albert E. Wall

Deputy Commissioner
Educational Underwriter
  • Strategic Solutions Network (SSN), based in Boca Raton, FL, is the parent company of the Medicare Risk Adjustment & Revenue Management Management, Plus Quality and Star Ratings and a series of related conferences.
Supporting Organization
  • Strategic Solutions Network (SSN), based in Boca Raton, FL, is the parent company of the Medicare Risk Adjustment & Revenue Management Management, Plus Quality and Star Ratings and a series of related conferences.
Who Should Attend:

From Health Plans and Medicaid/Government Entities

  • Chief Medical Officer
  • Chief Operating Officer
  • Chief Pharmacy Officer
  • Chief of Psychiatry
  • Chief Financial Officer
  • Vice President and Directors of:
    • ⁃ Behavioral Health
      ⁃ Integrated Care
      ⁃ Care Management
      ⁃ Case Management
      ⁃ Clinical Services
      ⁃ Health Services
      ⁃ Pharmacy
      ⁃ Quality
      ⁃Operations
      ⁃ Contracting
      ⁃ Provider Relations
      ⁃ Managed Care
      ⁃ Policy Form

From Treatment and Recovery Facilities, Hospitals, and Health Systems:

  • Chief Medical Officers
  • Chief Executive Officers
  • Chief Operating Officers
  • Chief Financial Officers
  • Vice Presidents and Executive Directors
    • ⁃ Behavioral Health
      ⁃ Pharmacy
      ⁃ Business Development
      ⁃ Operations