As acts of violence become more frequently documented and the national conversation around mass violence grows louder, it is an important to address this issue as part of our narrative on improving health care. Discuss the role of payers in supporting members, informing policy, and advancing the development of trauma-informed care systems.
- Examine programs that focus on predictive analysis or profiling of at risk members
- Assess where to have the biggest impact in the areas of screening/prevention, resilience building, and crisis response
- Hear an update on research and outreach at the public policy level
The Heart Nest Center for Peace and Healing;
The Center for Mind-Body Medicine
While many efforts are being made in health care to reduce opioid prescribing, increase monitoring, and aid in addiction recovery, there are still other, impactful ways to mitigate the effect of substance use disorders on communities and families. Discuss the alternatives to abstinence-only approaches and assess what is working at the state and local level.
- Review harm reduction programs in place at the community level, and the resources involved
- Identify the data and statistics payers should focus on in order to inform quality
- Advance the integrated dissemination of information and coordination across systems that don’t communicate
- Consider possible collateral consequences of opioid-only focused policies and practices
Philadelphia Center Manager
CleanSlate Outpatient Addiction Medicine
- Hear an overview of current HEDIS behavioral health quality measures, including new measures related to substance use disorders
- Discuss the use of telehealth in HEDIS quality measures
Senior Research Associate, Performance Measurement
National Committee for Quality Assurance(NCQA)
With provider shortages common across the country, ensuring that beneficiaries have timely and adequate access to care is a challenge – especially for members with more complex care needs. Determine where payers should focus their resources to have the most impact in managed care and long term care.
- Develop strategies for managing the most complex and chronically ill patients
- Identify options to ensure a relevant level of services is delivered regardless of physical location
- Consider how to alleviate basic lack of network through extending practice capabilities
Amid all the buzz in value-based payments, where does behavioral health fit in and how do we keep it—and whole-person care—at the forefront? Evaluate the trends in reimbursement rates, capitation style, and bundles, and discuss which models move closest to ultimately holding the patient harmless.
- Assess the scope of different payment models and risk structures
- Make the case for value-based behavioral health as a cost of care improvement driver
- Review the latest in BH-PH integration opportunities as a means of driving quality of care for behavioral health patients
Staff Vice President, Payment Innovation
With parity still an elusive goal, and with varying levels between public and commercial sectors, payers must continue to pursue true integration and collaborative models with providers. Re-evaluate the components of integrated care, why it is complex, and what payers and providers should be doing to support whole-person care.
- Improve inter-professional collaboration to empower integrated and cohesive teams by reducing billing and infrastructure barriers
- Discuss what payers need from clinics to feel more comfortable experimenting with innovative payment programs
- Equip providers with effective tools for change by targeting those who want to become more well-versed in BH but don’t have the resources
Program Director, National TA & Training Center for Ryan White Sustainable Strategies (RWHAP)
Primary Care Development Corporation
From a systems level, so much time, attention, resources, capacity, and policy have been dedicated to addressing the opioid epidemic, that other equally as important initiatives around treating substance use—like alcoholism and cocaine use, which are still on the rise, in addition to other mental health services —can be diminished.
- Review where systems may be failing individuals with mental health conditions and other types of SUD, and what barriers to treatment must be mitigated
- Harness the popularity and salience around opioids and broaden your framework to address mental health by creating partnerships on the process level
Mental Health Advocate and Award Winning Author and Speaker; Host of the Psych Central Podcast, an iTunes Top Ten show
Chief Medical Officer, Community Care Behavioral Health Organization
UPMC Insurance Services Division
Meet, network, and share experiences with attendees who have similar topic interests. Attendees will break into groups to participate in informal discussions around the topic they are most interested in. Discussion leaders will kick off discussion and encourage attendees to share top of mind trends, challenges, questions, and ideas with the group.
Impacting Chronic Pain
Treating Children and Adolescents