8:30 am
8:30 am
Yener Balan
Yener Balan, MD, DFAPA
Executive Director, Behavioral Health
Kaiser Permanente

8:45 am

The growing applications of telehealth technologies to healthcare revolutionizes access and what it means to “see the doctor.” Review the current landscape of virtual behavioral healthcare, the opportunities & considerations from the payer perspective, and how one digital care provider is successfully navigating the space.

  • Discuss how to build a virtual behavioral health care program – the technology, the providers, and reimbursement
  • Understand patient “fit” and engagement with virtual behavioral health care; integration of care and the “on-ramps and off-ramps” for digital solutions
  • Hear strategies and examples that drive towards quality, outcomes and scale
Natasha Khouri
Natasha Khouri
Associate Vice President, Telehealth Solutions
UPMC Health Plan

Stephen Smith
Stephen Smith
Chief Executive Officer and Founder
NOCD

9:30 am

Mobile apps, gamification, and self-help tools can be important resources to engage, educate, and promote adherence to a care plan. With thousands of apps to choose from, identify the key factors that make these tools worth the investment, and gain insight into what actually impacts quality and reduces costs.

  • Review the APA’s app evaluation model, and the criteria of privacy/safety, evidence, ease of use, and interoperability
  • Analyze what the data is revealing as evidence-based, quality outcomes
  • Discuss how apps can impact costs of long term care for chronic conditions
Paul Mango
Paul Mango
Deputy Chief of Staff for Policy
U.S. Department of Health and Human Services

Chris Molaro
Chris Molaro
Chief Executive Officer and Co-Founder
NeuroFlow

Chinwe Nwosu
Chinwe Nwosu, MS
Director, Clinical Innovations
America's Health Insurance Plans (AHIP)

Michael Thompson
Michael Thompson
President and Chief Executive Officer
National Alliance of Healthcare Purchaser Coalitions

Mitch Vidovich
Mitch Vidovich
Director, Government Affairs
Independence Blue Cross

10:45 am

It has become common practice to take social determinants of health into account when managing beneficiaries, by identifying root causes and creating programs that address members’ most basic needs. But the role of the payer in tackling issues outside of the traditional scope of “health care” is not clearly defined. Discuss initiatives that are taking us beyond the traditional payer mindset, and put incentives on outcomes that improve the health of our populations.

  • Analyze initiatives beyond a traditional mindset that are pushing boundaries and redefining health care
  • Evaluate opportunities presented through partnerships and joint interventions
  • Apply the groundwork from creative programs that increase access to services and address members with the most complex medical and behavioral health needs
  • Find innovative ways to utilize payment streams to address those issues

Moderator:

Mohit M. Ghose
Mohit M. Ghose
Vice President, Government Relations
Beacon Health Options

Panelists:

Nyota Pieh
Nyota Pieh, MD, MPH
Psychiatrist
CareMore Health System

Brendan Shane
Brendan Shane, MSW, LICSW, MBA
Director, Behavioral Health
Blue Cross Blue Shield of Minnesota

Mark Steffen
Mark Steffen, MD, MPH
Vice President and Chief Medical Officer
Blue Cross Blue Shield of Minnesota

11:30 am

A newly funded HCSC program highlights a dedicated integrated behavioral health pharmacy approach to opioid management. Hear how the model is funded and how real time monitoring will help identify and target members for intervention.

  • Understand the staffing model needed to get a dedicated program off the ground
  • Hear the challenges HCSC hopes to address through this model, and the goals for the first year of implementation
  • Discuss the plan for data mining, including the information that will be important to making quick, actionable decisions
Ben Lawrence
Ben Lawrence, MA, LPC-S, CCM
Director, Behavioral Health Clinical Operations, Risk Identification & Outreach Program
Health Care Service Corporation (HCSC)

12:15 pm

Peer support staff are often underutilized members of the care team, and can help extend the reach of health plan services to beneficiaries. Outline a strategy for a robust peer support program that supports advancement, promotes growth, and demonstrates cost-effectiveness.

  • Identify elements of a successful program structure, including peer support roles, career advancement, training, and partnerships with educational institutions
  • Review systematic organizational considerations like background checks or other program requirements
  • Promote engagement with populations that have been historically unreachable or with which engagement is not sustainable
  • Demonstrate financial viability and revenue generation
Shannon Cosgrove
Shannon Cosgrove, MHA
Director, Community Health
Blue Shield of California Promise Health Plan

Chris Esguerra
Chris Esguerra, MD, MBA
Senior Medical Director
Blue Shield of California Promise Health Plan

Gina Fleming
Gina Fleming, MAG
Director, Care Transformation
Blue Shield of California Promise Health Plan

Joycelyn Smart-Sanchez
Joycelyn Smart-Sanchez, LCSW, PPSC
Senior Manager, Social Services
Blue Shield of California Promise Health Plan

1:00 pm