Category: Webinars & Interviews

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Summer 2020 Virtual Conference: COVID-19 Hospitalization Index

This video is part of our Summer 2020 Virtual Conference- Medicaid as the Most Important Part of the COVID 19 response. To learn more about our virtual conferences, including opportunities for patrons, please use the form below.

Session information

Attendees will learn how Lumeris’ Open Source COVID-19 Hospitalization Index can identify patients at high risk of hospitalization due to existing conditions, who are also at risk for severe disease and death due to coronavirus infection.

Attendees will identify different methods of how the COVID-19 Hospitalization Index can be implemented within their organization to proactively engage with patients.

Attendees will learn about various patient outreach strategies that care teams can use to provide clinical and non-clinical support to patients.

Speaker information

Michael Cousins

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Summer 2020 Virtual Conference: Children’s Health Plan of Wisconsin COVID 19 Response

This video is part of our Summer 2020 Virtual Conference- Medicaid as the Most Important Part of the COVID 19 response. To learn more about our virtual conferences, including opportunities for patrons, please use the form below.

Session information

1.To understand policy changes and flexibilities that have been implemented to reduce barriers to care

2.  To recognize how data is leveraged to target case management services to high risk members in areas of high disease burden

3.  To appreciate the impact of the pandemic on utilization patterns, pay for performance metrics, and financial targets

Speaker information

 Mark Rakowski 

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Summer 2020 Virtual Conference: Routing patients through COVID protocols in a university setting

This video is part of our Summer 2020 Virtual Conference- Medicaid as the Most Important Part of the COVID 19 response. To learn more about our virtual conferences, including opportunities for patrons, please use the form below.

Session information

Join us as we share how Miami Dade college utilizes MapsPeople to effectively coordinate the COVID-19 response for summer students as well as prepare for the influx of students in the fall. In this session we will explore how maps people can help:

Coordinate hospital navigation in real-time

Improve the patient experience

Increase patient confidence to return for elective procedures

Decrease missed appointments

Speaker information

 Gary Wood 

 Cristina Madrigal 

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Summer 2020 Virtual Conference: COVID-19- A review of the data so far

This video is part of our Summer 2020 Virtual Conference- Medicaid as the Most Important Part of the COVID 19 response. To learn more about our virtual conferences, including opportunities for patrons, please use the form below.

Session information

Quantify the substantial degree to which the virus has continued to spread (even in areas where new case volume is past its peak)

Quantify the differences in per capita death rates by age cohort and gender

Provide several data points on Medicaid enrollment growth during the past few months*

Speaker information

 Joel Menges 

 Amira Mouna 

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Summer 2020 Virtual Conference: Amerigroup TN COVID 19 Response

This video is part of our Summer 2020 Virtual Conference- Medicaid as the Most Important Part of the COVID 19 response. To learn more about our virtual conferences, including opportunities for patrons, please use the form below.

Session information

Anthem enterprise level engagement, initiatives and resources provided in response to COVID-19

Innovative partnerships and how they play a vital role in the COVID-19 response via the Amerigroup Tennessee Medicaid program

Key concepts related to Medicaid member outreach and how best to reach your most vulnerable members using telehealth, associate check-ins and partner organizations

Speaker information

Robert Garnett

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Summer 2020 Virtual Conference: Third Party Liability during a time of crisis

This video is part of our Summer 2020 Virtual Conference- Medicaid as the Most Important Part of the COVID 19 response. To learn more about our virtual conferences, including opportunities for patrons, please use the form below.

Session information

The discussion will give anyone responsible for the fiscal health of a plan a roadmap that will allow them to move their organizations and States away from high-abrasion, high-expense pay and chase processes, and towards true cost avoidance protocols that rely on a nationwide active coverage identification index that hones in on utilizers.  Attendees will learn about Syrtis’ daily ProTPL service which returns 100% accurate, active coverage information on a nightly basis so that payers can cost avoid claims that are the responsibility of a liable third party, and drastically mitigate their need for expensive and inefficient subrogation services.

Speaker information

Stephen Konsin, Jr.

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Summer 2020 Virtual Conference: Increase phone data plan access for Medicaid members as a way to facilitate telehealth

This video is part of our Summer 2020 Virtual Conference- Medicaid as the Most Important Part of the COVID 19 response. To learn more about our virtual conferences, including opportunities for patrons, please use the form below.

Session information

●Understand the recent telehealth regulatory and reimbursement shifts caused by Covid-19

●Project the ways telehealth will change the way healthcare is practiced and received post the crisis

●Examine the “last mile” connectivity challenge which limits the under-connected and at-risk population from participating in telehealth today (and tomorrow)

Speaker information

 Brett Moraski

Liliane Offredo-Zreik 

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Summer 2020 Virtual Conference: Electronic payer-provider relationships in Medicaid dental

This video is part of our Summer 2020 Virtual Conference- Medicaid as the Most Important Part of the COVID 19 response. To learn more about our virtual conferences, including opportunities for patrons, please use the form below.

Session information

After attending this session, attendees will understand how payers and MCO’s can support dental providers and patients during the COVID-19 shutdown with streamlined processes and electronic tools, particularly in support of emergent and urgent care needs.  The session will educate attendees on how payers can support dental providers and patients with:

•            Teledentistry

•            Authorization changes

•            Out-of-network rules

•            Self-service tools

Speaker information

 Marcel Tetzlaff 

Shirley Spater

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Summer 2020 Virtual Conference: Getting enhanced benefits into the hands of members rapidly during a pandemic

This video is part of our Summer 2020 Virtual Conference- Medicaid as the Most Important Part of the COVID 19 response. To learn more about our virtual conferences, including opportunities for patrons, please use the form below.

Session information

Attendees will discover how WEX Health is offering to rapidly assist state Medicaid, public health and other HHS agencies, and state employers in providing immediate direct benefit assistance to Medicaid members using existing member benefit card solutions.

Attendees will learn how WEX Health’s SpeedLift solution, a highly elastic, quick-implementation, supported by a steady stream of communications helped a state agency relieve its citizens of a financial burden associated with its CHIP program within weeks of the COVID-19 outbreak. After attending this session, attendees will know about WEX Health and the innovative approaches we have taken to ease the burden many are feeling at this time as it relates to the health and finances of their business and its employees.

Speaker information

 John Sweeney 

 Jeff Bakke 

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Clay’s Monthly Medicaid News Roundtable: Episode 43

Clay’s wildly successful and amazingly popular Medicaid Roundup has its own radio show that’s on the internet (and not really a radio show). Join Clay and our distinguished panel for our 42nd episode to hear insightful commentary on Medicaid news that you won’t get anywhere else.
  • SPEAKERS
  • REcordings
  • Show notes
  • email us / ceu

Host: Clay Farris

Clay has advised CMS administrators, state Medicaid Directors, health plan CEOs, technology COOs and a wide range of other clients in the healthcare industry.  His unique blend of management consulting, project management, policy making and analytics help deliver on-time, actionable results for a wide array of business challenges. His Weekly Medicaid Roundup is read and loved by more than 10,000 professionals in the Medicaid industry.
His experience includes policy making at both the federal (CMS) and state levels (State of Georgia), management consulting for large organizational change initiatives, big data solution sales and implementation and cutting-edge analytics. 
He currently leads key project components related to consultation design, Medicaid subject matter expertise and project management. He has a masters in Health Policy from the Johns Hopkins Bloomberg of School of Public Health and is also a Certified Internal Auditor.

Our Distinguished Panel

Elena Nicolella

Elena Nicolella is the Executive Director of the New England States Consortium Systems Organization, a private, non-profit committed to supporting the people and work of the New England Health and Human Service agencies. Elena previously worked for the State of Rhode Island for nine years in several positions, including Director of Policy and Innovation as well as Medicaid Director for the Executive Office of Health and Human Services, and as a consultant to the Behavioral Health agency. Elena also worked for the Centers for Medicaid and Medicare Services for eight years as a Health Insurance Specialist. She received her Master’s in Public Health from Boston University.
 

Virgil Dickson

Virgil Dickson is a Policy Analyst at the Center for Evidence Based Policy at Oregon Health and Science University. Before starting at OHSU, he reported from Washington on the federal regulatory agencies. His experience before joining Modern Healthcare in 2013 includes serving as the Washington-based correspondent for PRWeek and as an editor/reporter for FDA News. Dickson earned a bachelor’s degree from DePaul University in 2007.

Jon Hamdorf

Jon Hamdorf is the Director of Navigant Consulting and Former Kansas Medicaid Director. 
Jon holds bachelor’s degrees in sociology and management information systems from the University of Iowa, has an M.B.A from Baker University, and is a doctoral (PhD) candidate at the University of Kansas Medical School in the department of Health Policy and Management. 
In his professional career, Jon has spent 15 years managing global sales engineering teams and delivering healthcare technology solutions for US and global health systems. In the past few years, his focus has been on conducting and publishing health services research, advising on local and national health policies, and working for the state of Kansas as an policy advisor and Medicaid director.

Our detailed prep pack includes: 

  • Articles discussed with sources
  • Each article is highlighted & summarized
The prep pack includes Clay’s summary & exclusive content for this episode’s discussion .
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