1st Annual Symposium
For Health Plans on Addressing Social Determinants of Health March 1-2, 2018 | Standard Club | Chicago
Reducing the Financial and Care Burden through Cost-Effective, Sustainable Models for Improvement
Keynote Speaker
Attend the only conference specifically designed for health plans to improve quality and reduce care costs by better understanding the social challenges that your members face—access to health services, housing, nutrition, employment/ income, and more. KEY TAKEAWAYS: •
Three health plan presidents explain why they focus on social determinants—and how you can get leadership buy-in for initiatives at your organization
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In a special workshop, learn how to collect and analyze social needs data to create your own action plan
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A noted expert explains exactly what constitute social determinants and how they can reduce your members’ wellbeing
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Numerous case studies provide the concrete information you need to make social needs initiatives work at your health plan
Cara V. James Ph.D., Director, Office of Minority Health CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS)
To Register: Call 866-676-7689 or visit us at events.healthcare-conferences.com/H490?dvce=1 v2 ms 12.5.2017
ms 2.20.18 pp1
Reduce Care Costs While Improving Quality Health plan professionals are looking more and more at the significant factors that drive a member’s health which are outside the clinical care setting. These “social determinants of health” have been shown to account for as much as 60% of a person’s health risks and outcomes, and understanding what they are and how to address them is emerging as a powerful tool in achieving the healthcare trifecta. This is the only conference specifically for health plans that explains how to understand the social determinants of health that most challenge your members. Get the latest insights on exactly how you can improve your quality ratings and reduce costs by addressing these social needs. This innovative new event provides a comprehensive guide for health plans in targeting your efforts to address social determinants, including concrete how-to information and numerous case studies from plans like yours which have achieved solid results. Join us for two days and come away with a game plan to reduce costs and improve quality at your organization by better understanding your members and how they live. Don’t miss this unique opportunity—register today! Sincerely, Lance Lysinger Lance Lysinger, Conference Director HEALTHCARE EDUCATION ASSOCIATES P.S. An impactful program to address social determinants requires a coordinated effort. We’ve made it easier for multiple members of your team to attend by offering significant group discounts and early-bird rates.
Keynote Speaker Dr. Cara James Is the Director of the Centers for Medicare & Medicaid Services (CMS) Office of Minority Health (OMH), and co-chair of the CMS Rural Health Council. She is a nationally recognized expert and thought leader in health disparities, health equity, and improving health outcomes for vulnerable populations. As the Director of the CMS OMH, Dr. James leads CMS’s efforts to meet the unique needs of minority and underserved populations. Under her leadership, CMS OMH has development of the first, CMS Equity Plan to Improve Quality in Medicare, created and launched an ongoing initiative to help individuals understand their coverage and connect to care, and strengthened the quality and increased the collection and reporting of demographic data. Dr. James is a member of the National Academy of Medicine (NAM) Roundtable on the Promotion of Health Equity and the Elimination of Health Disparities, and has served on several NAM committees. Dr. James received both her Ph.D. in Health Policy and her A.B. in Psychology from Harvard University.
Distinguished Speaking Faculty John G. Lovelace President, Government Programs and Individual Advantage UPMC HEALTH PLAN Sheila Owens-Collins, MD, MPH, MBA, Chief Medical Officer GREATER BADEN MEDICAL SERVICES former Medical Director, Health Equity Strategies, Innovations, and Outcomes Research JOHNS HOPKINS HEALTHCARE Rafael Gonzalez-Amezcua, MD, Medical Director, Medicare L.A. CARE HEALTH PLAN Fernando Arbelaez, Senior Director, Research, Development and Analytics GATEWAY HEALTH Krista Beckwith, MSPH, CPC-A, Population Health Director COLORADO ACCESS Cynthia Al-Aghbery, RN, MSN, CCM, Executive Director of Government Programs Clinical Operations BLUE CROSS BLUE SHIELD OF NEW MEXICO Allison Hess, Associate Vice President, Health and Wellness GEISINGER Frances Martini, MBA, BSN, Vice President, Population Health BLUECARE TENNESSEE
Thomas Lutzow, President-CEO INDEPENDENT CARE HEALTH PLAN
John Bernot, MD, Senior Director—Quality Measurement NATIONAL QUALITY FORUM Garth Graham, President AETNA FOUNDATION April Canetto, MSW, Manager, Cultural and Linguistic Services HEALTHNET HEALTH PLAN Joyce Chan, Vice President, Medicare Product HEALTHFIRST Marc Garnier, Community Development Manager AETNA Sunil Kripalani, MD, Associate Professor; Director, Effective Health Communication Core; Director, Center for Clinical Quality and Implementation Research VANDERBILT UNIVERSITY MEDICAL CENTER E. Yvonne Lewis, CEO NATIONAL CENTER FOR AFRICAN AMERICAN HEALTH CONSCIOUSNESS Leon W. Lead, Manager of Program Initiatives, Integrated Care Department CENPATICO
Jim Milanowski, President-CEO GENESEE HEALTH PLAN
Rodney Clayton, Card Operations Manager INCOMM Cyndi Alexander, VP, Quality and Star Ratings Improvement PHARMMD Rita Johnson-Mills, CEO RJMILLS ENTERPRISES Christina Latterell, Vice President, Quality Improvement and Risk Adjustment ALIGNMENT HEALTHCARE Alexandria “Zan” Margolis, Director, Member Outreach & Engagement ALIGNMENT HEALTHCARE
DAY ONE:
Thursday, March 1, 2018
10:45 – 11:00
11:00 – 12:30 SPECIAL WORKSHOP: Collecting and Analyzing Social Needs Data to Form Your Plan of Action •
7:30 – 8:45 Exhibits Set-Up, Registration, & Networking Breakfast 8:45 – 9:00
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Chair’s Opening Remarks
PART I—INTO ACTION: DEVELOPING YOUR HEALTH PLAN’S STRATEGY
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9:00 – 9:45 Understanding What Constitute Social Determinants of Health and How They Impact Your Members’ Wellbeing
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The World Health Organization defines social determinants of health as “the conditions in which people are born, grow, live, work and age.” This session examines:
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Strategies for pinpointing those life factors that represent the social determinants of health which are most challenging for your particular membership Understanding the dynamics of how these factors bring down the population’s quality of health Looking at the challenges in terms of dollars
Sheila Owens-Collins, MD, MPH, MBA, Chief Medical Officer GREATER BADEN MEDICAL SERVICES former Medical Director, Health Equity Strategies, Innovations, and Outcomes Research JOHNS HOPKINS HEALTHCARE
Christina Latterell, Vice President, Quality Improvement and Risk Adjustment ALIGNMENT HEALTHCARE
9:45 – 10:45 PRESIDENTS’ PANEL: Why Have They Chosen to Focus on Social Determinants and What is the Return on Investment? • • • •
Examining the importance of addressing social needs factors in achieving quality improvement and other key company goals How they identified the initiatives to target at their health plan Evaluating current and future ROI Making the case to achieve leadership buy-in for social determinants initiatives at your company
Moderator: TBA Speakers: John G. Lovelace, President, Government Programs and Individual Advantage UPMC HEALTH PLAN Thomas Lutzow, President-CEO INDEPENDENT CARE HEALTH PLAN Jim Milanowski, President-CEO GENESEE HEALTH PLAN
Morning Networking Break
Incorporating social determinants data into a member’s profile in order to obtain a holistic view of their health risks and needs Identifying key sources of data: claims records, hospital/ provider records, census data, information from public health organizations and government Commissioning a study of your membership—strategies for effectively conducting your own research Utilizing data to identify and stratify health care disparities among population groups Employing predictive analytics to identify priority groups where disparity reduction efforts will make the greatest impact, and smaller groups where a targeted intervention can make a big difference Maximizing ROI by using the most appropriate data and the most suitable analytic methods
Moderator: TBA Speakers: Rafael Gonzalez-Amezcua, MD, Medical Director, Medicare L.A. CARE HEALTH PLAN Fernando Arbelaez, Senior Director, Research, Development and Analytics GATEWAY HEALTH Krista Beckwith, MSPH, CPC-A, Population Health Director COLORADO ACCESS 12:30 – 1:30 speakers
Networking luncheon for all attendees &
1:30 – 2:15 KEYNOTE ADDRESS—CMS “Path to Equity” Framework The CMS Office of Minority Health endeavors to have all CMS beneficiaries achieve their highest level of health. To reach this goal, CMS has established a 3-part ‘path to equity’ framework, which enables a comprehensive approach to addressing health disparities, inclusive of social determinants of health. The framework promotes progress regardless of where an organization is in their efforts to achieve health equity, and it is a tool that is appropriate for everyone. During this presentation, Dr. James will share work and resources underway at CMS that highlight each aspect of the framework and how they can empower participants to start or continue their path to equity. Cara V. James, Ph.D., Director, Office of Minority Health CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS) PART II—CASE STUDIES: SUCCESS STORIES IN TARGETING SPECIFIC SOCIAL DETERMINANTS
2:15 – 3:00 ACCESS TO HEALTH SERVICES— Community Paramedicine Program By deploying a paramedic to a disadvantaged member’s home following an ER visit or hospitalization, this initiative has
reduced these members’ ER visits by 61%, while establishing them with PCPs and engaging them with care coordination. Learn how to organize a system for providing members with support post-discharge that: • Ensures discharged members have their medications and understand the instructions • Gets members the behavioral healthcare or social services they need • Goes over their follow-up plan and problem-solves any barriers preventing adherence Cynthia Al-Aghbery, RN, MSN, CCM, Executive Director of Government Programs Clinical Operations BLUE CROSS BLUE SHIELD OF NEW MEXICO 3:00 – 3:15
Afternoon Networking Break
3:15 – 4:00 UPMC
HOUSING—Housing as Health at
This program provides stable housing as well as social and medical supports to low- income homeless disabled adults with chronic medical conditions and consistent unplanned care (ED visits, readmissions, repeated SNF stats, crisis services, detox, etc.). Over eight years, the program has reduced unplanned care, improved adherence to recommended treatments, and reduced care costs. The session explains how to: • Identify an appropriate target population • Find compatible partners and build a mutual business case • Define goals • Assess actual outcomes John G. Lovelace, President, Government Programs and Individual Advantage UPMC HEALTH PLAN
4:00 – 4:45 NUTRITION—Geisinger’s “Fresh Food Farmacy” Program This innovative project uses food as medicine for food-insecure patients with Type II Diabetes, providing high quality fresh fruits, vegetables, whole grains and lean meats to patients and families that cannot afford the food needed to control their condition. This presentation will include: • • •
Working with a local food bank and community partners to build a prescription-based food pantry Providing clinical services and measuring clinical outcomes Planned expansion
Allison Hess, Associate Vice President, Health and Wellness GEISINGER
4:45 – 5:30 EMPLOYMENT AND INCOME—Making Choices: The Everyday Financial Challenges of a Population at Risk BlueCare of Tennessee manages 600,000 Medicaid members with significant challenges. This interactive presentation will: • Present a tool they use for training clinicians on the effects of social determinants • Concretely demonstrate for attendees the impact of difficult financial decision- making in a low-income household, and the related effects on the member’s health
• Examine ways to mitigate the health effects of low or irregular income • Analyze strategies for engaging community resources to reduce the impact of poverty Frances Martini, RN, BSN, MBA, Vice President, Population Health BLUECARE TENNESSEE
5:30– 6:30
Networking Reception
For more information about our sponsorship opportunities contact Kevin Weigel at 704-341-2448 or kweigel@healthcare-conferences.com
DAY TWO:
Friday, March 2, 2018 7:30 – 8:25
Networking Breakfast
8:25 – 8:30
Chair’s Recap of Day One
8:30 – 9:15 SPECIAL FEATURE: Speaking the Same Language: Establishing National Data Standards for Social Determinants of Health In the drive to better understand how social determinants affect populations across the country, and with stakeholders urging CMS to gather data on social risk factors among Medicare beneficiaries, there is a growing movement to gain consensus on exactly how to collect that information. The National Quality Forum and the Aetna Foundation are taking steps to develop a national approach to collecting and integrating social determinants information, in order to facilitate the capture of high-quality and reliable data that merges clinical and social information across communities. The goal is to help clinicians and organizations implement best practices, keep track of what is working, and share lessons learned. Learn how your health plan can be ahead of the curve by incorporating these concepts into your social needs initiatives now. John Bernot, MD, Senior Director—Quality Measurement NATIONAL QUALITY FORUM Garth Graham, President AETNA FOUNDATION PART III—STRATEGIES FOR IMPROVING RESULTS ACROSS CATEGORIES
9:15 – 10:20 Member Engagement Strategies that Boost Healthcare Quality • • • •
Personalizing engagement strategies based on a member’s social factors Leveraging the latest technology for overcoming engagement challenges Organizing effective in-house teams for client-facing operations Proven strategies for finding and maintaining contact with difficult-to-locate members
April Canetto, MSW, Manager, Cultural and Linguistic Services HEALTHNET HEALTH PLAN
Leon W. Lead, Manager of Program Initiatives, Integrated Care Department CENPATICO Roderick Kersch, Vice President of Healthcare Solutions Sales & Marketing INCOMM 10:20 – 10:30
Morning Networking Break
10:30 – 11:00 Overcoming 10 Structural Determinants and Conditions in a Duals Plan This partnership presentation highlights how to move a specific subset of the Duals population to become adherent and compliant members in disease states such as diabetes, heart disease, asthma and more. Learn how to build a collaborative network between health plans and vendor to improve clinical & social support for Duals members to achieve improved health outcomes.
Cyndi Alexander, VP, Quality and Star Ratings Improvement PHARMMD
12:30 – 1:30
1:30 – 2:15 Optimizing Quality Improvement Efforts by Taking into Account Your Members’ “Health Literacy”: Better Understanding How They Comprehend and Utilize Health Information According to a report from the U.S. Department of Health and Human Services, only 12 percent of adults in the U.S. have proficient health literacy, and more than a third of adults have low health literacy levels that make it difficult for them to deal with common health tasks such as following directions for how to use prescription medications. This session will examine: •
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Rita Johnson-Mills, CEO RJMILLS ENTERPRISES
11:00 – 11:45 Creating Supports for Members Seeking Lifestyle Changes to Address Chronic Conditions • • •
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Identifying which chronic conditions to target among your membership (diabetes, obesity, hypertension, depression and severe, persistent mental illness, etc.) Aligning incentive programs to provide member motivation Providing transportation as a cost-effective way to change lifestyles for non-drivers, allowing access to farmers markets, exercise facilities, emotional support groups, etc. Organizing stimulating educational programs focused on cooking, exercise, meditation
Christina Latterell, Vice President, Quality Improvement ALIGNMENT HEALTHCARE Alexandria “Zan” Margolis, Director, Member Outreach & Engagement ALIGNMENT HEALTHCARE
11:45 – 12:30 Working with Community Partners as a Cost-Effective Way to Amplify the Impact of Your Social Determinants Effortss • • • •
Identifying the most effective potential partners in your target area: community-based organizations, businesses, churches, social organizations, etc. Defining and communicating your goals in the project Establishing member referral programs to communitybased organizations Obtaining valuable social determinants information from community partners
Thomas Lutzow, President-CEO INDEPENDENT CARE HEALTH PLAN
Joyce Chan, Vice President, Medicare Product HEALTHFIRST
Luncheon for all attendees & speakers
How low health literacy has been linked to poor health outcomes such as higher rates of hospitalization and readmission, less frequent use of preventive services and poorer control of chronic diseases Determining the primary barriers to effective healthcare communication that exist among your membership Optimizing your quality improvement efforts by factoring in the health literacy of the populations you serve Providing members with tools to overcome poor health literacy
Sunil Kripalani, MD, Associate Professor; Director, Effective Health Communication Core; Director, Center for Clinical Quality and Implementation Research VANDERBILT UNIVERSITY MEDICAL CENTER
2:15 – 3:00 CASE STUDY: The Multicultural System of Care in Flint, Michigan The need to address issues of cultural and language barriers became increasingly clear during the water crisis in Flint, MI. Those typically marginalized faced even more challenges, and for example information was limited and often unavailable to the Hispanic/Latino community. This population is also described as disproportionately impacted by the social determinants of health, high rates of poverty, poor educational outcomes, low employment, and lack of health insurance. The goal of the project is to develop a process to engage these residents in effectively utilizing the health care system. This session will: • • • • •
Study how the water crisis raised awareness of this specific health care challenge Examine the process developed by the Genesee Health Plan to implement the state’s Multicultural System of Care Investigate the usefulness and value of “Community Engagement/Community Voices” Analyze the conversation process for identifying cultural differences Look at specific outcomes from implementation
E. Yvonne Lewis, CEO NATIONAL CENTER FOR AFRICAN AMERICAN HEALTH CONSCIOUSNESS Jim Milanowski, President-CEO GENESEE HEALTH PLAN 3:00
Summit concludes
The Conference Organizers
Healthcare Education Associates is a division of Financial Research Associates, LLC. HEA is a resource for the healthcare and pharmaceutical communities to improve their businesses by providing access to timely and focused business information and networking opportunities in topical areas. Offering highly targeted conferences, Healthcare Education Associates positions itself as a preferred resource for executives and managers seeking cuttingedge information on the next wave of business opportunities. Backed with over 26 years of combined conference industry experience, the producers of HEA conferences assist healthcare professionals, actuaries, attorneys, consultants, researchers and government representatives in their professional endeavors. For more information on upcoming events, visit us online: www.healthcare-conferences.com
RISE (Resource Initiative & Society for Education) Vision: To build a community and an educational system that promotes successful careers for professionals who aim to advance the quality, cost and availability of health care. RISE provides: • A forum to build professional identity and a network of colleagues • A platform to capture and share knowledge and insights • A venue to develop and share benchmarks and document best practices • Career track development support • A channel for building alliances, partnerships and affiliations that fulfill the vision RISE (Resource Initiative & Society for Education) Mission: RISE is the first national association totally dedicated to enabling healthcare professionals working in organizations and aspiring to meet the challenges of the emerging landscape of accountable care and health care reform. We strive to serve our members on four fronts: Education, Industry Intelligence, Networking and Career Development. To learn more about RISE and to join, visit us online: www.risehealth.org
Gold Sponsors
Sponsorship and Exhibit Opportunities Enhance your marketing efforts through sponsoring a special event or exhibiting your product at this event. We can design custom sponsorship packages tailored to your marketing needs, such as a cocktail reception or a custom-designed networking event. To learn more about sponsorship opportunities, please contact Kevin Weigel at 704-341-2448 or kweigel@healthcareconferences.com
Who Should Attend? From health plans, professionals with responsibilities in: • • • • • • • • • •
Medicare Medicaid Duals Quality Improvement Care Management Population Health Care Coordination Medical Services Case Management Finance
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• • • • • •
Complex Populations State and Federal Affairs/Relations Policy and Government Affairs Reimbursement Long Term Care/ LTSS Government Programs Disability Policy Behavioral Health Member Services
Get the inside answers to these important questions: • How can I reduce care costs by investing in the social needs of my members? • How do I obtain the information I need to target my social needs initiatives? • Where will my social determinants initiatives make the biggest difference in my quality scores? • What types of social needs efforts can raise health quality across multiple groups? • How can I ensure various departments at my organization are working in synergy to address the social determinants we are targeting?
Important Information Venue
CPE Credits
The Standard Club 320 S Plymouth Ct. Chicago, IL 60604 (312) 427-9100 We have a limited number of hotel rooms reserved for the conference. The negotiated room rate of $150 per night will expire on February 1, 2018, although we expect the block to sell out prior to this date. To ensure you receive a room at the negotiated rate book well before the expiration date. Upon sell-out of the room block, availability will be at the hotel’s discretion. Please call (312) 427-9100 to book your room, and mention the “Social Determinants of Health Symposium” to receive the negotiated rate.
From The Club’s Website: “The vision of our founders was to create a membership of leaders who shared a common bond of charitable, social and civic responsibility. This common bond, this standard of excellence, comes to life in the setting of the Club itself. Located in the heart of Chicago’s thriving business community and cultural center, The Standard Club is a place where distinguished business people, professionals, community leaders and their families gather to experience the best the city has to offer.”
Team Discounts • • •
Three people will receive 10% off Four people will receive 15% off Five people or more will receive 20% off
In order to secure a group discount, all delegates must place their registrations at the same time. Group discounts cannot be issued retroactively. For more information, please contact Colayne Strong at 704-341-2392 or cstrong@healthcare-conferences.com
Registration & Cancellation For information regarding refund, complaint and/or program cancellation policies, please visit our website: https://www.healthcare-conferences.com/thefineprint.aspx
Bronze Sponsor
Financial Research Associates is registered with the National Association of State Boards of Accountancy (NASBA) as a sponsor of continuing professional education on the National Registry of CPE Sponsors. State boards of accountancy have final authority on the acceptance of individual courses for CPE credit. Complaints regarding registered sponsors may be submitted to the National Registry of CPE Sponsors through its website: www.nasbaregistry.org. Program Level: Overview Anticipated CPE Credits: 12 Recommended Field(s) Of Study: Specialized Knowledge Prerequisites: None Advance Preparation: None Instructional Delivery Method: Group Live Learning Objectives: Upon completing the course, participants will: • Understand what really constitute social determinants and how they impact members’ wellbeing • Understand how to collect and analyze the data needed to form a plan of action • Possess tools and methods from health plans which have made a difference by targeting specific determinants For more information, visit our website: www.frallc.com/ thefineprint.aspx
ASWB CEUs Satisfactory completion Participants must complete an evaluation form to receive a certificate of completion. Your chosen sessions must be attended in their entirety. Partial credit of individual sessions is not available. NOTE: If you are seeking continuing education credit for a specialty not listed below, it is your responsibility to contact your licensing/ certification board to determine course eligibility for your licensing/certification requirement. Social Workers Amedco, #1346, is approved as a provider for social work continuing education by the Association of Social Work Boards (ASWB) www.aswb.org, through the Approved Continuing Education (ACE) program. Amedco maintains responsibility for the program. ASWB Approval Period: 6/24/2016 to 6/24/2019. Social workers should contact their regulatory board to determine course approval for continuing education credits. Social workers participating in this course may receive up to 12.25 clinical continuing education clock hours. ADA Statement ADA accommodations will be made in accordance with the law. If you require ADA accommodations, please indicate what your needs are at the time of registration. We cannot ensure the availability of appropriate accommodations without prior notification. Grievances If you would like to file a grievance, complaints or have questions, please contact Kelli Bush at kbush@frallc.com .
Addressing Social Determinants of Health for Health Plans
events.healthcareconferences.com/h490
EARLY BIRD (Ends February 2, 2018)
Quality Improvement Director
STANDARD
HEALTH PLAN/PROVIDER *
$1495
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$1695
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SERVICE PROVIDERS & CONSULTANTS
$1995
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$2195
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February 22, 2018.
H490 H490
1st Annual Symposium
For Health Plans on Addressing Social Determinants of Health March 1-2, 2018 | Standard Club | Chicago