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Care Management and Care Coordination Value Visit

Event Date: 9/20/2016 - 9/22/2016

Event Overview

"Improving quality and outcomes through advancing care management" 

You won’t want to miss this 2 ½ day event focused on the challenges we face when it comes to more effectively managing the health care of our member populations and driving improvement in quality and outcomes.  This value visit will include best practices and case studies shared by Alliance members getting strong results, as well as expert presentations from subject matter leaders.  Plus, there will be ample time within the event and over meals for open discussion and networking with your Alliance colleagues,   Click the "Documents" tab to view the detailed schedule. 

Care Management Systems Survey:

In preparation for this meeting, we encourage you to take this survey on care management/predictive analytics systems.  (Even if you're unable to join us in Minneapolis.)  In addition to using the survey data at the Value Visit, we will also post the survey results to the Alliance website for the benefit of all members.

Meeting highlights include: 

Case studies from member plans:

Medical management program redesign – A Provider Driven Model – Health Alliance Medical Plans

Listening to the voice of the customer - Network Health Plan 

Implementing Integrated Health Home Delivery Models - Passport Health Plan

Outsourcing care management - understanding the challenge and opportunities around outsourcing and/or partnering with vendors and/or providers -Community Health Plan of Washington & Sentara  

Technological advances in care management - Telehealth – Avera Health Plan

Neighborhood Health Plan - Health@Home Program - Neighborhood Health Plan  

Management of care transitions – Sentara

Member plan case studies are complemented by presentations from subject matter experts:   

Integrating quality improvement & care management strategies – Health Integrated

Exploration of the care management systems landscape - best practices and processes for evaluation, selection, implementation - FlexTech

Innovations in predicting and managing member risk utilizing social determinants of health data -  Forecast Health

5 Best Practices to Optimize your Case Management Program Performances – Welltok  

Self management support for members with chronic conditions. - Canary Health 


Who should attend?

  • Health plan and health system medical directors
  • Health services teams
  • Care managers
  • Quality management teams

 

Functions

Tuesday, September 20, 2016

6:00 - 8:00 pm Networking dinner for event delegates.  Restaurant location to be announced.

 

Wednesday, September 21, 2016

Dinner on your own.

Agenda

For a printable, detailed agenda, visit the Documents tab noted above.  Or check out the agenda-at-a-glance below 

Tuesday, Sept 20
8:00 – 8:30 Breakfast & Registration 
8:30 – 9:00 Welcome & Introductions
9:00 – 10:15 Connecting quality improvement and care management strategies to drive value based care   
10:15 – 10:45 Break
10:45 – 12:00 Medical management program redesign - A provider driven model
12:00 – 1:00 Lunch
1:00 – 2:15 Listening to the voice of the customer- Network's approach
2:15 – 2:45 Fitness break
2:45 – 3:30 Implementing integrated health home delivery models –medical and behavioral services  
3:30 – 4:30 Outsourcing/delegating care management to vendors/providers -  challenges and opportunities  
4:30 Adjourn
6:00 Sponsored dinner with your peers

Wednesday, Sept 21
8:00 – 8:30 Breakfast
8:30 – 10:00 Care management and population health systems strategies  
10:00 – 10:30 Break
10:30 – 12:00 Innovations in predicting and managing member risk  
12:00 – 1:00 Lunch
1:00 – 2:15 Technological advances in care management – telehealth, video visits, etc.
2:15  - 2:45 Fitness Break
2:45 – 3:30 Neighborhood Health Plan - Health@Home program 
3:30 – 4:30 Managing care transitions  
4:30 Adjourn
6:00 Dinner on your own 

Thursday, Sept 22
8:00 – 8:30 Breakfast 
8:30 – 9:30 5 best practices to optimize your case management program performance   
9:30 – 10:00 Break  
10:00 – 11:00 Self management support for members with chronic conditions
11:00 - 12:00 Box lunch and open discussion  

In addition to the presentations outlined, roundtable discussions will be facilitated throughout the meeting.  You won't want to miss this networking opportunity to participate with your peers and informally share your best practices and challenges.    

 

 

 

 
Documents
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11/2/2016

Survey Results: Care Management and Predictive Analytics Tools
22 Health Plan Alliance member plans shared where they are in the care management selection process and the use of predictive analytics tools.

9/22/2016

Presentation: Five Best Practices to Optimize Your Case Management Program Performance
Welltok provides an overview of the critical success factors that lend themselves to quality and clinical outcomes, engagement, and member satisfaction through the use of analytic insight and outreach strategies.

9/22/2016

Presentation: Overcoming Barriers to Care Management and Member Engagement Through Mobile
This presentation will focus on trends in mobile-enabled care management to help patients feel connected and cared for on a daily basis, while amplifying the reach of a care manager to support more members with a higher touch service.

9/21/2016

Presentation: Care Management and Population Health Systems Strategies
FlexTech discusses John's Hopkins care management/population health system's vision and the process they used to evaluate the marketplace, execute procurement and make a solution selection which is aligned with their vision.

9/21/2016

Presentation: Utilizing Social Determinants of Health Data to Improve Patient and Population Health
Forecast Health explores innovations in predicting and managing member risk by incorporating non-traditional data sources - "social determinants of health" data - with traditional claims/clinical data to understand what is driving the risk and help guide care team interventions.

9/21/2016

Presentation: Health at Home Program Case Study
Neighborhood Health Plan provides an overview of their home based primary care program for highly complex and costly members and the positive outcomes they have achieved.

9/21/2016

Presentation: Managing Care During Transitions
During this presentation, Sentara will describe the transitional care models in place within their plan for both commercial and government programs in addition to some of their lessons learned.

9/21/2016

Presentation: Self Management Support for Members with Chronic Conditions
Canary Health addresses the unique ability of internet-based interventions to bring cost-effective self-management support to very large numbers of individuals who have one or more chronic conditions including obesity and diabetes.

9/21/2016

Presentation: Technological Advances in Care Management
Dr. Preston Renshaw shares an overview of Avera's consumer telehealth program including goals, implementation process and early results.

9/20/2016

Presentation: Connecting Quality Improvement and Care Management
Jane Scott shares her insights into some of the major factors driving changes in quality transformation and suggests areas of focus for plans as they design their quality and care management strategies

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Attendees

Below is a list of all delegates registered to date for this event

  • Kimberly Bentz
  • ALLIANCE MEMBER
  • Director of Program Optimization at Health Alliance Plan (HAP)
  • Kia Dunbar-Harris
  • ALLIANCE MEMBER
  • Vice President of Clinical Care Services at Sentara Health Plans (Optima)
  • Liz McKune
  • ALLIANCE MEMBER
  • Vice-President, Health Integration at Passport Health Plan
  • Connie Mom-Chhing
  • ALLIANCE MEMBER
  • Director, Fully Integrated Managed Care at Community Health Plan of Washington
  • Daniel O'Connell
  • ALLIANCE MEMBER
  • Vice President of Health Services at Cox HealthPlans
  • Penny Ransom
  • ALLIANCE MEMBER
  • Chief Administrative Officer at Network Health
  • Preston Renshaw
  • ALLIANCE MEMBER
  • Chief Medical Officer at Avera Health Plans
  • Vivian Williams
  • ALLIANCE MEMBER
  • Manager of Care Management at Health New England
  • Neal Kaufman
  • SPEAKER
  • Founder & Chief Medical Officer at Canary Health
  • Craig Penrose
  • SPEAKER
  • Senior Vice President, Business Consulting Services at Emids Technologies
  • Jane Scott
  • SPEAKER
  • Sr. VP of Professional Services at Gorman Health Group
  • Becky Erbe
  • SPONSOR
  • Chief Business Development Officer at hunterAI
  • Dennis Nelson
  • SPONSOR
  • Vice President Business Development at eviCore healthcare
  • Lisa Smith
  • SPONSOR
  • Director, Product Management /Care Management at DST Health Solutions
  • Kenesha Bartley
  • VIRTUAL ATTENDEE - MEMBER
  • Senior Director of Customer Service at MetroPlusHealth
  • David DiGiuseppe
  • VIRTUAL ATTENDEE - MEMBER
  • VP of Healthcare Economics at Community Health Plan of Washington
  • Jennifer Joseph
  • VIRTUAL ATTENDEE - MEMBER
  • Case Manager - UM at MetroPlusHealth
  • Tim Meier
  • VIRTUAL ATTENDEE - MEMBER
  • Provider Contracting at Providence Health Plan
  • Irina Shikin
  • VIRTUAL ATTENDEE - MEMBER
  • Sr. Regulatory Auditor at Health Alliance Plan (HAP)
Speakers