The residual impact of the COVID-19 pandemic is a change in the way care is delivered in the U.S.  With a growing demand for post-acute care, coupled with staffing challenges, providers face challenges and opportunities in care transition and coordination along the continuum of care. Hear our panel of experts discuss innovative and novel approaches to care coordination. Topics include: real-time transparency, streamlining and improving communication, and Interoperability between partner organizations   Panelists: Cynthia Deculus, Chief Population Health Officer and Vice President, Po ..read more

CMS replaced the Global and Professional Direct Contracting (GPDC) Model with the redesigned ACO Realizing Equity, Access, and Community Health (REACH) Model in 2023. ACO REACH is the first accountable care model to directly address health equity and access to care, with a specific directive to meet the needs of patients from marginalized and underserved communities.    Whether you are participating in ACO REACH, the model provides vital insights into the future of value-based care and care collaboration. This panel will discuss the incentives and requirements laid out by the new ACO ..read more

Dr. Errol L. Pierre, Senior Vice President, State Programs at Healthfirst, joins Eric to discuss how health plans, providers and other organizations can create a culture of health equity. He notes the challenges of obtaining the data necessary to understand where to start. Errol advises organizations to gain the patient's or member's trust to get the information. He also touches on setting ROI expectations for health equity programs, defining terms to normalize the discussion of health disparities within the organization and the business imperative of diversity.    Errol shares his i ..read more

As we turn the page from 2022, health plans are facing new challenges impacting member experience, retention, and, most importantly, their member’s health. This panel will offer insights on the priorities to focus on as we enter 2023. Topics include: the new reality health plans and members will face once the PHE ends and how getting ahead will avoid significant membership losses; CMS’ increased weight on CAHPS surveys will lead to more focus on member satisfaction; New Social Need Screening and Intervention (SNS-E) requirement means that plans will need to get more serious about members’ soci ..read more

Health leaders from Network Health, Health Net, Priority Health, and Health.io discuss how top health plans improve risk assessment and quality measures through innovations and at-home testing.    Topics include: Strategies for deploying novel solutions to drive member engagement and reduce costs for members, especially among traditionally unengaged populations Why removing barriers to testing with at-home solutions is a boon to health equity How accurate staging improves health outcomes for members with chronic conditions Working with provider networks for better management of memb ..read more

Motivating Medicare Advantage members to take the clinical actions needed to promote and support their care is a high priority for health plans. Data shows that talking to peers with whom they can relate and share common health issues benefits members and engages them more in their health   Our panel of experts from Humana, Regence, SCAN Health Plan and Wisdo discuss how incorporating peer support programs in your MA plans can improve clinical outcomes, lower costs and boost engagement for members with chronic diseases, behavioral health issues and other social determinants of health. Hea ..read more

Julianne Eckert, Senior Director of Clinical Quality, Clover Health, Andre Bliss, Director of Medicare STARs, UPMC Health Plan and Marisa Howard, Senior Director, MA Operations, Evolent Health, share practical strategies and best practices to help Medicare Advantage plans to execute a successful star rating strategy. Learn significant trends and gain critical insights to help your plan earn and sustain a 4+ star rating in an era of rapid change!   This episode is sponsored by Evolent Health Services Evolent Health Services is disrupting healthcare administration, generating exceptional cl ..read more

Omolara Thomas Uwemedimo, MD, MPH joins Eric to discuss place-based interventions and how they are used to address health inequities. The place-based model focuses on improving health that aligns with community members, businesses, schools, churches and other institutions in a specific geographic location (a specific community or zip code). Omolara is a healthcare social entrepreneur, board-certified pediatrician, community health equity consultant, career transition & business coach, public health researcher & health justice advocate. She is CEO & co-founder of Strong Children Wel ..read more

Hybrid care models provide a more personalized, flexible, and seamless patient journey, improving the in-person experience and giving patients more autonomy over their own care. Our expert panel discusses leveraging hybrid-care models to improve access to care, close gaps in care and improve outcomes. Learn successful strategies and best practices you can implement in your organization.   Panel:  Tracy Rico, Director, Virtual Care Services, Superior HealthPlan (Centene Corporation); Erika Pabo, MD, MBA, Vice President Transformation & Central Operations, Centerwell/Humana; Donna ..read more

The delivery of social care services in connection with healthcare requires new systems to organize the relationships and activities of healthcare payers, providers, community-based organizations (CBOs), and community members.    This panel will discuss integrating social care into healthcare delivery and the need for the organized delivery of social care services, including care coordination, through a multi-stakeholder health and social care ecosystem, as part of a whole-person approach to health.   Ji Im, MPH, Senior Director for Community and Population Health, CommonSpirit ..read more