8:30 am
Pamela Greenberg
Pamela Greenberg
President and Chief Executive Officer
Association for Behavioral Health and Wellness (ABHW)

8:45 am

There are various perspectives on integration, both in the state legislature and within the levels of resistance and buy-in from providers. Gain state perspectives on current policies that have the potential to bend the cost curve in behavioral health.

  • Stay abreast of different state policies and ensure compliance to state regulations
  • Understand the various models and statutes for coverage of specific conditions and treatment for patients with SUD and criminogenic needs
  • Discuss the impact of policy and implementation on models of integration
  • Learn how organizations can better collaborate to support integrated care
Michael Golinkoff
Michael Golinkoff, PhD, MBA
Senior Vice President Innovation Advisor
AmeriHealth Caritas

Kristin Kroeger
Kristin Kroeger
Chief of Policy, Programs, and Partnerships
American Psychiatric Association

Brie Reimann
Brie Reimann
Assistant Vice President
National Council for Behavioral Health

Moderator:

Charles Gross
Charles Gross, PhD
Vice President, Behavioral Health
Anthem, Inc.

9:30 am
The state Medicaid 1115 waivers provide states the flexibility to test innovative models of care. Such waivers allow for behavioral health advancement in determining the most cost-effective structure of benefits and services that will increase quality, improve access, and have the potential to lower the cost curve.
  • Learn about recent state waiver requests and subsequent outcomes
  • Discuss the potential for waivers to expand coverage of services and populations
  • Identify how states are targeting specific populations in managed care to improve quality

Moderator

Shannon McMahon
Shannon McMahon
Executive Director, Medicaid Policy
Kaiser Permanente;
Former Medicaid Director
Maryland

Panelists:

John J. Kaelin
John J. Kaelin
Senior Advisor
Centene Corporation
Visiting Fellow
Rockefeller Institute of Government

Matt Salo
Matt Salo
Executive Director
National Association of Medicaid Directors

Hemi Tewarson
Hemi Tewarson, JD
Director, Health Division
National Governors Association

10:45 am
There has been a nationwide focus on and urgency to address the opioid crisis, through various legislative measures that put new funding streams and authorities in place, at both a local and national level. Assess the wide ranging ramifications of the opioid crisis and the need for coordination and increased interoperability across state agencies.
  • Review current legislation and proposals related to PDMPs, SUD Fraud, and IMD
  • Discuss efforts to make funding available for OUD and specialized services syndrome
  • Evaluate how funds have been balanced between opioid and other ongoing SUD chronic care needs and what may need to change
Brian Altman
Brian Altman, JD
Detail, Office of the Director
Office of National Drug Control Policy

Kelly M. Corredor
Kelly M. Corredor
Director, Advocacy and Government Relations
American Society of Addiction Medicine

Moderator:

Sarah Schmidt
Sarah Schmidt
Senior Director, Federal Affairs
Aetna

11:30 am
As mental health parity continues to be a focus area for payers, providers, and consumers, it is evident that there are some fundamental changes that will need to take place in order for plans to fully comply with federal parity requirements. Review new regulations and their implications for implementation and compliance.
  • Determine what federal guidance requires of health plans
  • Consider Parity’s impact on payment models and other plan network strategies
  • Discuss Parity’s intricate framework and compliance challenges
Adam R. Easterday
Adam R. Easterday
Deputy General Counsel, Regulatory Affairs
Optum

Kevin J. Malone
Kevin J. Malone
Parity Accreditation Program Director
Clear Health Quality Institute

David Shillcutt
David Shillcutt
Health Insurance Specialist, Division of Managed Care Plans
Center for Medicaid and CHIP Services

Moderator:

Connie Galietti
Connie Galietti, JD
Director, Legal and Professional Affairs
American Psychological Association

12:15 pm
1:30 pm
In order to provide more coordinated and integrated services to members, payers and providers must effectively share pertinent data and information about their patients. Address the privacy concerns associated with access to data and the guidance put forth by 42 CFR Part 2.
  • Discuss the goals and unintended barriers of 42 CFR Part 2 - A 360º perspective of privacy and confidentiality
  • Assess the implications of aligning 42 CFR Part 2 with HIPAA for the purposes of health care treatment, payment, and operations
  • Learn how to comply and implement 42 CFR Part 2 in the age of technology
Rebecca Murow Klein
Rebecca Murow Klein
Director, Government Affairs
Association for Behavioral Health and Wellness (ABHW)

Doug Nemecek
Doug Nemecek, MD, MBA
Chief Medical Officer - Behavioral Health
CIGNA

Kristen Shatynski
Kristen Shatynski, PhD
Professional Staff Member
House Committee on Energy and Commerce

Moderator:

Bradley E. Lerner
Bradley E. Lerner
Associate General Counsel and Director, Parity Compliance
Beacon Health Options

2:15 pm
As behavioral health technologies continue to rapidly evolve, so, too, will the need for the regulations that govern their use. With technology outpacing licensure requirements, it is essential to ensure access and cost-effective, patient-centered care remain top priorities.
  • Examine policies around billing and coding for telehealth versus in-person care, and how documentation and payment need to reflect quality care
  • Recognize the barriers to adoption, utilization, and reimbursement of telehealth services
  • Discuss ways to make licensure more accessible and less expensive
Meghan Conroy
Meghan Conroy
Chief Executive Officer and Founder
Captureproof, Inc.

David C. Guth Jr.
David C. Guth Jr.
Chief Executive Officer
Centerstone

Joel White
Joel White
Chief Executive Officer
Horizon Government Affairs

3:30 pm
As payment structures shift to value-based arrangements and the measurements for quality outcomes evolve, payers need to understand the implications of integrated payments and what is measurable within advanced payment models. Discuss the implications of value-based care delivery on how quality, value, and reimbursement are changing.
  • Evaluate the implications of integrated payments and sub-capitation on behavioral health care delivery
  • Consider how outcomes are and should be measured for persons with SMI, and how close we are to uniform measures for providers and payers
  • Review what payment methodologies are being developed, the hurdles associated with them, and what payers are currently reimbursing under 2018 codes
Nathaniel Z. Counts
Nathaniel Z. Counts, JD
Senior Policy Director
Mental Health America

Robert Krebbs
Robert Krebbs
Staff Vice President, Payment Innovation
Anthem

C. Vaile Wright
C. Vaile Wright, PhD
Director, Research and Special Projects
American Psychological Association

Moderator:

Patty Byrnes
Patty Byrnes
Director, Federal Affairs
AmeriHealth Caritas Family of Companies

4:15 pm
Join the discussion with behavioral health executives as they assess the status of the industry at the time of the midterms and where lobbying and advocacy efforts should be focused.
  • Hear an update on the contention around the ACA and the behavioral health implications
  • Address policy-level initiatives designed to address the workforce shortage
  • Preview potential regulatory action to take place in late 2018 and early 2019

Moderator:

Charles S. Ingoglia
Charles S. Ingoglia, MSW
Senior Vice President, Public Policy and Practice Improvement
National Council for Behavioral Health

Panelists:

Aryana Khalid
Aryana Khalid
Managing Director
GPG

David Schwartz
Head, Global Policy
Cigna

Rodney L. Whitlock
Rodney L. Whitlock
Vice President, Health Policy
ML Strategies, LLC