Listen to audio version (above) and get up to speed on these in less than 3 mins, or check out on Spotify
Check out the audio version above, or on Spotify
Check out the audio version above, or on Spotify
Listen to audio version (above) and get up to speed on these in less than 3 mins, or check out on Spotify
Check out the audio version above, or on Spotify
Listen to audio version (above) and get up to speed on these in less than 3 mins, or check out on Spotify
Overall summary of event
February 4, 2024
St. Petersburg Marriot, FloridaThe February 2024 Mostly Medicaid Ideas Workshop was a huge success, convening executives from multiple state HHS agencies, Medicaid plans, and solution providers.
Highlights from the Feb. 2024 MostlyMedicaid Ideas Workshop
MostlyMedicaid convened more than 2 dozen HHS leaders from across the country to facilitate a robust discussion on key trends and challenges in our Medicaid space. The workshop used a combination of national trends discussion and group surveys to create a “true public square.”
Kris Vilamaa and Clay Farris of MostlyMedicaid covered key national trends related to the state and federal policy landscape and technology in Medicaid. Surveys of the group touched on several key topics, including: The Medicaid / PHE unwinding in 2024, top state challenges, populations with the most need for support, Medicaid performance on quality measures, and coming state budget challenges.
According to Clay Farris, the discussion from these MM Ideas Workshop is a critical part of improving the Medicaid program: “I think the Ideas Workshop was a clear indication of the need I think the Ideas Workshop was a clear indication of the need to have a true dialogue on many things in our Medicaid industry. The level of engagement in these discussions is extremely high, and its amazing what gets surfaced when smart people are just given the floor to talk. Kris and I provide a limited structure to make sure its helpful, but beyond that the resulting ideas are truly sourced from the execs and thought leaders in the room.”
Following the group discussion, Workshop attendees were treated to a discussion of Medicaid LTSS from one of the most impactful leaders in our space- Carol Steckel. Carol shared insights from her career as a Medicaid director in multiple states, as well as experiences working with PACE programs.
Resolutions from the Workshop included:
1. Build a habit on our teams of envisioning an actual member during our policy and solution discussions within our organizations. Ask – “whats the impact,” and “how will they experience this?”
2. Work to identify un-necessary training or cert requirements that may be hidden burdens on the already-strained workforce.
3. Work to think of the service array / benefits for the same member populations as more consistent (instead of dependent on payer source). While we identified this as a moonshot, it was generally agreed as very important.
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About MostlyMedicaid
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Mostly Medicaid reaches thousands of Medicaid industry professionals, decision makers and influencers with its thought leadership publications and information sharing products. We also provide consulting, training and market intelligence services for HHS agencies, Medicaid plans, and solution providers working in the Medicaid industry. MostlyMedicaid offers a unique value in the Medicaid industry by focusing on data-driven business perspectives rather than policy-only or advocacy-only positions.
If you are an HHS agency, a Medicaid health plan, or a solution provider looking to grow your impact in the Medicaid space- We Can Help.
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About the MostlyMedicaid Ideas Workshop
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The MostlyMedicaid Ideas Workshop is a unique series of gatherings designed to create a “true public square.” The modern Medicaid industry has been over-run with vendors and consultants who are all saying the same things (that just so happen to align with their solutions). But there is a growing number of people in this space who want a space to talk more broadly, and across stakeholder groups. Thats why we created the one-of-a-kind MostlyMedicaid Ideas Workshop. Our unique ability to convene stakeholders from our 10,000-strong audience of Medicaid professionals allows us to fill this gap. The MM Ideas Workshops combine Medicaid SME with a passion for building dialogue. Attendees include C-Suite executives from HHS agencies, Medicaid health plans, and solution provider organizations. Participation is by invite-only and is kept anonymous.
Great discussion with Lorelei Kellog, Medicaid Director for New Mexico. Key topics include: Unique aspects for New Mexico going into the redeterminations effort; Insights into key elements of the upcoming 1115 waiver; and success stories using data analysis to support increasing provider rates. Run time: 14 mins
Clipped from: https://www.indeed.com/q-Medicaid-l-New-Jersey-jobs.html?vjk=fa0df92336159560&advn=940939426731412
Job Summary
The Director of Credentialing for the Medical Group possesses primary responsibility for leading and managing operational requirements of the Credentialing Department in support of the medical group as well as the health care system. The Director will effectively lead and serve as the subject matter expert on all credentialing and privilege processes for medical providers and allied health professionals ensuring consistency, accuracy and compliance with established protocols, accrediting and regulatory agencies. The Director of Credentialing coordinates and collaborates with RWJBH business leaders and colleagues on day-to-day operations as it relates to credentialing.
Essential Functions
Job Requirements
Other Duties:
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.
RWJBarnabas Health is the most comprehensive health care delivery system in New Jersey, with a service area covering five million people. The system includes eleven acute care hospitals Clara Maass Medical Center in Belleville, Community Medical Center in Toms River, Jersey City Medical Center in Jersey City, Monmouth Medical Center in Long Branch, Monmouth Medical Center Southern Campus in Lakewood, Newark Beth Israel Medical Center in Newark, RWJUH- New Brunswick, RWJUH- Somerset in Somerville, RWJUH- Hamilton, RWJUH- Rahway and Saint Barnabas Medical Center in Livingston; three acute care children s hospitals and a leading pediatric rehabilitation hospital (Children s Specialized Hospital), a freestanding 100-bed behavioral health center, trauma centers, a satellite emergency department, ambulatory care centers, geriatric centers, the state s largest behavioral health network, comprehensive home care and hospice programs, fitness and wellness centers, retail pharmacy services, a medical group, multi-site imaging centers and an accountable care organization.
RWJBarnabas Health Medical Group is a multispecialty group practice comprised of highly trained and experienced world class primary and specialty care physicians. RWJBarnabas Health Medical Group physicians provide compassionate and innovative cutting-edge care for people at every stage of life at easily accessible facilities conveniently located throughout New Jersey. Backed by the vast continuum of resources of RWJBarnabas Health, the largest not-for-profit integrated health care delivery system in New Jersey and one of the largest in the nation, our dedicated physicians and expertly trained supporting staff continuously strive for clinical excellence.
We offer a great work environment, competitive rates and excellent benefits, including:
