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Fly-in: Social Determinants of Health

Event Date: 9/23/2019 - 9/24/2019

Event Overview


  

Supportive housing is one of the most complicated and expensive social determinants of health.  Join physician leaders from both payer and provider organizations for a deep dive into the unique opportunities we have to positively impact this barrier for the vulnerable populations we serve.  Co-hosted by the Health Plan Alliance and America’s Physician Groups (APG), this executive workshop will offer a unique mix of expert presentations from policy leaders, industry experts; real-world examples from healthcare organizations; and a highly engaging strategic visioning workshop that will allow us to translate ideas into practical applications. 

 


 
Brought to you by the Health Plan Alliance and America's Physician Groups

The Health Plan Alliance is a national organization that brings provider-sponsored and independently-owned health plans together with their health system and provider group leaders for unparalleled peer-to-peer collaboration. For more than 20 years, Health Plan Alliance members have leveraged the collective knowledge of our community to enhance their business acumen and advance the quality of health care delivery in their communities.

America’s Physician Groups is the nation’s leading professional association for accountable physician groups, composed of over 300 medical groups and independent practice associations (IPAs). America’s Physician Groups’ members operate under a capitated, coordinated care model that is the essence of the nation’s health reform movement from volume to value. 




5 reasons you should attend

  1. Hear from Hawaii’s Lt. Governor, Dr. Josh Green, a passionate policymaker and physician out to solve his state’s housing crisis.

  2. Engage directly with APG president Don Crane and Alliance president Joe Lastinger on the current state of innovative partnerships between payers and providers—and what is possible in the future. 

  3. Learn from Inland Empire Health Plan and St. Lukes Health System, and how their housing programs have begun making an impact, plus lessons learned along the way. 

  4. Participate in a visioning scenario framework to translate ideas into practical application. We will envision what is possible, what is best for the people involved and what is right for healthcare. 

  5. Dig into the foundational requirements for health plans and provider organizations to meaningfully address the social needs of the patients we serve.



Meet and hear from these industry leaders

KEYNOTE SPEAKER

Dr. Josh Green
Lt. Governor of Hawaii

Dr. Josh Green, shares his perspective on his state’s housing crisis. Dr. Green estimates 70 percent of his time is focused on finding big and small ways to get more homeless people off the street. In his role, Lt. Governor Green connects public and private sector stakeholders, and is at the forefront of multiple projects designed to positively impact the homeless crisis in Hawaii.  He shares the science and art needed to fully define the problem, design solutions that are both effective and sustainable, and to bring multiple stakeholders together in service of these vulnerable populations.

SPECIAL SESSION

John Gorman
Founder and Chairman, Nightingale Partners

Throughout his career, John has always been passionate about supporting vulnerable populations. He recently founded Nightingale Partners, an organization dedicated to helping payers and providers make an impact on social determinants that prevent patients from achieving healthy, happy lives. He will share the most recent research findings on SDOH, plus a comprehensive update on MA and Medicaid policies that are making it possible for payers and providers to incorporate these considerations into their benefit design. John will also discuss industry movement in the space: what the big players are investing in and why—plus, innovative financing vehicles some organizations are leveraging to kickstart their efforts.



Who should attend

This meeting is limited to Health Plan Alliance members and invited guests.

  • Chief Medical Officers and Medical Directors
  • Leaders with responsibility for product design  
  • Leaders with responsibility for network development, advanced payment models, and provider collaboration 
  • Leaders with responsibility for social services and community partnership development


Alliance member health system and/or provider groups are also invited attend.



Thank you to our event sponsors


Silver

 
Agenda

AGENDA AT A GLANCE

Last updated August 21, 2019

Monday, September 23

 

You will need to be escorted to the meeting room, look for the Health Plan Alliance sign in the lobby

 

3:00 – 4:00pm

Welcome and Kick Off (2nd floor, Conf room 2505 & 2506)

 

Roundtable Discussion

Providers and payers are forging new, innovative programs and relationships, in part driven by the CMS commitment to move into value-based reimbursement and two-way risk. This group discussion will focus on the current state of these collaborative efforts and what is possible in the future.

4:30 – 5:30pm

Facing headwinds: How pilots and health leaders can get more lift by going straight for it

Pilots who point the aircraft’s nose directly into a headwind during takeoff will get much greater lift – they effectively climb the wind to get to the desired cruising altitude much sooner, which requires less runway and is better for the plane’s equipment. By facing social determinants of health with the same calculated bravery, healthcare organizations can also leverage the opportunity to achieve desired outcomes more quickly. And by embedding this approach into systems, workflows, and payment, we can sustainably climb the wind again and again with less stress to our infrastructure. In this session Brendan O’Connor of Solera reflects on his years helping healthcare organizations meaningfully incorporate SDOH into their member care strategies. He describes the learning curve payers and providers experience as they learn to navigate headwinds successfully. This session addresses the foundational requirements for health plans and providers to meaningfully address the social needs of members:

Know your true north: what are the organization’s objectives of addressing the social needs of its members? Alignment between the organization-wide and SDoH strategies is critical to avoid distractions and move in a straight line despite hurdles that will be encountered.

Understand the need: organizations too often make decisions lacking the data required to best inform those decisions. How can healthcare move beyond claims, layering on health risk assessment data, community health needs assessments, community health worker data, standardized SDoH screening tools, and other data to more accurately predict risk, understand need, and make more informed decisions?

Be an effective matchmaker: once the needs are well understood, now what? Your CHWs, case managers, and social workers can become more effective matchmakers with the right tools. Resource directories are moving into the 21st century, but is it enough to be a connector? What data will your partners need? What data do you expect to be fed back into your systems? Do the partners have capacity to serve additional members with current resources?

Leverage data to inform action: Leveraging your improved data from effective screening and community resource connections, you should now be able to more accurately understand need and predict risk, all the way down to the city block or individual level.What would you do with this powerful knowledge?

Now…act!: The infrastructure described above should enable a more confident and quick transition from pilot to scale. With the right strategy and foundational infrastructure, we can create a thriving ecosystem of digital and community partners supporting your members.

 

6:00 – 8:00pm

 

Happy Hour/Networking Dinner

Tuesday, September 24, 2019

7:30 – 8:00am

Breakfast

Alliance Offices (2nd floor, Conf Rm 2505 & 2506)

8:00 – 8:30am

Welcome Back!

Recap of yesterday’s discussion, attendee introductions, looking ahead to today’s agenda, and sponsor acknowledgments.

8:30 – 9:30am

The state of play in social determinants and supportive housing

  • Relevant recent research findings

  • Policy updates: SDOH in Medicare Advantage and Medicaid

  • Industry moves, e.g., Kaiser/United investments, transactions in the space

  • What housing integration looks like when insurers and providers get into it

  • What to expect in SDOH benefits in the next 3 years

  • Innovative financing vehicles: social impact bonds and Opportunity Zones

9:30 – 9:45am

Break

 

9:45 – 10:45am

Keynote: Prescribing hope – the strategy to end homelessness in Hawaii

Lt. Governor Josh Green estimates that he spends 70 percent of his time focused on finding big and small ways to get more homeless people off the street. In his role, Lt. Governor Green connects public and private sector stakeholders, and is at the forefront of multiple projects designed to positively impact the homeless crisis in Hawaii. He shares the science and art needed to fully define the problem, design solutions that are both effective and sustainable, and to bring multiple stakeholders together in service of these vulnerable populations.

 

10:45 – 11:30am

Flash Case Studies

Hear examples of housing programs implemented to address SDOH, including funding, early and predicted results, and plans for future expansion. You will learn how payers and provider organizations can collaborate with community and non-profit organizations to achieve better patient care and outcomes.

 

11:30 – 12:30pm

 

Networking Lunch

12:30 – 3:00pm

Strategic visioning workshop on housing and SDOH: The role of healthcare organizations in addressing housing needs

The negative health impacts of homelessness and housing needs contribute to major health issues, premature death, and drive up cost for the healthcare system. The exact role and responsibility of healthcare organizations in addressing these factors is not always clear and deserves consideration.

In this session, Spring Street Exchange will use a visioning scenario framework to translate ideas into practical application. We will envision what is possible, what is best for the people involved and what is right for healthcare.

 

Venue

Las Colinas, TX

Health Plan Alliance Headquarters

290 E. John Carpenter Freeway, Bldg 1
Irving, TX 75062


Hotels that offer shuttles to our headquarters

Omni Mandalay Hotel
221 E Las Colinas Blvd

Irving, TX 75039
972.556.0800
Website

Homewood Suites
4300 Wingren Dr
Irving, TX 75039
972.556.0665
Website

Aloft Las Colinas
122 E John Carpenter Fwy
Irving, TX 75062
972.717.6100
Website

Holiday Inn Express & Suites Irving Convention Center
333 W John Carpenter Fwy
Irving, TX 75039
972.910.0302
Website

Need more recommendations send an email to the Alliance. 

 

Attire

Business casual attire is appropriate for the meeting.  Remember that the hotel meeting room temperatures vary, so we recommend that you layer clothing to be comfortable in case the room becomes either hot or cold.


Ground transportation

Taxi from the Dallas/Ft Worth International airport and Love Field airport is approximately $25 one-way.  UberX is $17-20.  The hotels above provide a shuttle to the Alliance office at 290 E John Carpenter Fwy, Bldg 1, which is where the meeting will be held.



Dallas weather

View the latest weather forecast.
Documents
9/24/2019

Presentation: IEHP Housing Program
Inland Empire Health Plan discusses an example of a housing program implemented to address SDOH, including funding, early and predicted results, and plans for future expansion. This presentation took place September 24, 2019 during the Social Determinants of Health Fly-In.

9/24/2019

Presentation: The State of play in social determinants and supportive housing
John Gorman discusses policy updates around SDOH in Medicare Advantage and Medicaid. What to expect in SDOH in the next three years. This presentation took place September 24, 2019 during the Social Determinants of Health Fly-In.

9/24/2019

Video: IEHP Housing Member Testimonial
This video was shown during our Social Determinants of Health Fly-In, September 24, 2019.

9/24/2019

White Paper: Community Benefit and Finance/Tax Staff - Cultivating Relationships for Accurate Reporting
For many years, the Catholic Health Association of the United States (CHA) and Vizient have published guidelines to help hospitals plan and report community benefit. CHA and Vizient provide information designed to help staff in community benefit and in finance cultivate effective relationships important to assuring accurate community benefit reporting.

9/24/2019

Presentation: Spring Street SDoH Data Sheet: The Impact of Inadequate Housing
Spring Street provides background data as part of the SDoH visioning workshop they led during the SDoH Fly-in held in Dallas, September 2019.

9/24/2019

Presentation: Prescribing hope - the strategy to end homelessness in Hawaii
Hawaii Lt. Governor Green discusses how he connects public and private sector stakeholders, and is at the forefront of multiple projects designed to positively impact the homeless crisis in Hawaii. He shares the science and art needed to fully define the problem, design solutions that are both effective and sustainable, and to bring multiple stakeholders together in service of these vulnerable populations. This presentation took place September 24, 2019 during the Social Determinants of Health Fly-In.

9/23/2019

Presentation: Facing headwinds - How pilots and health leaders can get more lift by going straight for it
In this session, Brendan O'Connor of Solera reflects on his years helping healthcare organizations meaningfully incorporate SDOH into their member care strategies. He describes the learning curve payers and providers experience as they learn to navigate headwinds successfully. This session addresses the foundational requirements for health plans and providers to meaningfully address the social needs of members. This presentation took place September 23, 2019 during the Social Determinants of Health Fly-In.

9/4/2019

Agenda: Social Determinants of Health
Agenda for the Social Determinants of Health Fly-In September 23-24, 2019. Supportive housing is one of the most complicated and expensive social determinants of health. Join physician leaders from both payer and provider organizations for a deep dive into the unique opportunities we have to positively impact this barrier for the vulnerable populations we serve. Co-hosted by the Health Plan Alliance and Americaâ??s Physician Groups (APG), this executive workshop will offer a unique mix of expert presentations from policy leaders, industry experts; real-world examples from healthcare organizations; and a highly engaging strategic visioning workshop that will allow us to translate ideas into practical applications.

Attendees

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

  • Bill Barcellona
  • ALLIANCE GUEST
  • Sr. VP Gov't Affairs at America's Physician Groups
  • Desiree Camacho
  • ALLIANCE GUEST
  • Assistant Vice President at MSO of PR/MMM Holdings
  • Therese Crossett
  • ALLIANCE GUEST
  • VP Business Development at Brown & Toland Physicians
  • Luaselau Fesili
  • ALLIANCE GUEST
  • Lieutenant Governor at Office of the Lieutenant Governor/State of Hawaii
  • Jennifer Jackman
  • ALLIANCE GUEST
  • VP of Business Development at America's Physician Groups
  • Cheryl Moses
  • ALLIANCE GUEST
  • Chief Nursing Officer at Physicians of SW Washington
  • Marc Rahming
  • ALLIANCE GUEST
  • Sr. Manager, Managed Markets at Astellas
  • Faith Saporsantos
  • ALLIANCE GUEST
  • Sr. Manager, Consulting Managed Care West at Mazars USA
  • Michael Tou
  • ALLIANCE GUEST
  • Executive Director, Government & Public Affairs at Providence St. Joseph Health
  • Gray Clarke
  • ALLIANCE MEMBER
  • Senior Medical Director at Presbyterian Health Plan
  • Elizabeth Craig
  • ALLIANCE MEMBER
  • Medicaid Manager: Social Services at SelectHealth
  • Trevor DaRin
  • ALLIANCE MEMBER
  • Director, Sg2 at Vizient Inc.
  • Scott Hancock
  • ALLIANCE MEMBER
  • VP of Sales and Operations at Care N' Care Insurance Company, Inc.
  • Sara Hansen
  • ALLIANCE MEMBER
  • Manager of Risk Adjustment Clinical Operations at Avera Health Plans (DAKOTACARE)
  • Liz Lacouture
  • ALLIANCE MEMBER
  • Executive Director - Behavioral Health at Presbyterian Health Plan
  • Traci Massie
  • ALLIANCE MEMBER
  • Director, Government Programs at Sentara Health Plans (Optima)
  • David Mena
  • ALLIANCE MEMBER
  • Consultant, Sg2 at Vizient Inc.
  • Anita Patel
  • ALLIANCE MEMBER
  • Director, Regional Care Management - Paramount Healthcare at Promedica Health System
  • David Sand
  • ALLIANCE MEMBER
  • Chief Medical Officer at Care N' Care Insurance Company, Inc.
  • Terri Scannell
  • ALLIANCE MEMBER
  • Senior Social Responsibility Director at Vizient Inc.
  • Rebecca Segel
  • ALLIANCE MEMBER
  • Client Relations, Director at Vizient Inc.
  • Paul Sherman
  • ALLIANCE MEMBER
  • Chief Medical Officer at Community Health Plan of Washington
  • Maureen Wallkes
  • ALLIANCE MEMBER
  • Manager of Medicare Integrated Case Management at Sentara Health Plans (Optima)
  • Donald Crane
  • SPEAKER
  • President & CEO at America's Physician Groups
  • John Gorman
  • SPEAKER
  • Founder and Chairman at Nightingale Partners
  • Josh Green
  • SPEAKER
  • Lieutenant Governor at Office of the Lieutenant Governor/State of Hawaii
  • Lura Hawkins
  • SPEAKER
  • Vice President, Member Services at America's Physician Groups
  • Jeanna Kendrick
  • SPEAKER
  • Senior Director, Community Health at Inland Empire Health Plan
  • Kevin McDevitt
  • SPEAKER
  • Director of Social Determinants of Health at Spring Street Exchange
  • Brendan O'Connor
  • SPEAKER
  • Senior Director, Social Determinants of Health Business Development at Solera Integrated Health Network
  • Nancy Wise
  • SPEAKER
  • Managing Partner at Spring Street Exchange
  • Jeff Fadler
  • SPONSOR
  • VP, Business Development at Centauri Health Solutions
  • Joe Farago
  • SPONSOR
  • Sr. Client Executive at Centauri Health Solutions
  • Sophia Kim
  • SPONSOR
  • Chief Revenue Officer at Centauri Health Solutions
Speakers