In Collaboration with:


Wednesday, November 6, 2019
8:30 am
Pamela Greenberg
Pamela Greenberg, MPP
President and Chief Executive Officer
Association for Behavioral Health and Wellness (ABHW)

8:45 am

Hear what initiatives and goals national health plan and association executives are prioritizing for the coming year.

Moderator:

Doug Nemecek
Doug Nemecek, MD, MBA
Chief Medical Officer - Behavioral Health; National Medical Officer - Coverage Policy and Affordability
Cigna

Panelists:

Arthur C. Evans, Jr.
Arthur C. Evans, Jr., PhD
Chief Executive Officer / Executive Vice President
American Psychological Association

Chuck Ingoglia
Chuck Ingoglia
President & CEO
National Council for Behavioral Health

9:30 am

The beginning of November marks one year before the 2020 election, and one year since the Democrats took the House. Where do we see behavioral health headed? What is the outlook for health care in general for the next year? Hear an animated and provocative discussion on the buzz from the Hill and on the campaign trail, and what may happen in health care in the coming months.

Moderator:

Brian D. Coyne
Brian D. Coyne
Vice President, Federal Affairs
Magellan Health

Panelists:

The Honorable Charlie Dent
The Honorable Charlie Dent
Senior Policy Advisor
DLA Piper LLP (US)

Mary T. Giliberti
Mary T. Giliberti, JD
Executive Vice President, Policy
Mental Health America

Al Guida
Al Guida, JD
Principal
Guide Consulting Services (GCS)

10:30 am

The Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act (H.R. 6) was signed into law in October 2018, in order to address the opioid epidemic through improved treatment and recovery services. Hear what legislation and regulatory action has followed one year later, including new initiatives, technology implementation, and milestones reached thus far, and assess the outlook for achieving universal electronic prescribing for controlled substances (EPCS) by 2021.

Moderator:

James Laughman
James Laughman, MSW, LSW
President of Intellectual and Developmental Disabilities Solutions
AmeriHealth Caritas

Panelists:

Bradley E. Lerner
Bradley E. Lerner
Vice President, Government Affairs and Associate General Counsel
Beacon Health Options

James A. Polo
James A. Polo, MD, MBA, MSS, FAPA, FACHE
Executive Medical Director,
Regence BlueCross BlueShield of Oregon;
Behavioral Health Medical Director,
Cambia Health Solutions

June S. Sivilli
June S. Sivilli
Senior Advisor, Public Health, Education and Treatment
ONDCP

11:15 am

The goal of Medicaid waivers is to give states the flexibility to be innovative in how they structure their Medicaid programs and provide coverage and services for their populations. Hear how states are targeting specific populations in managed care, assess the impact of work requirements accompanying expansion, and learn about potential future waiver initiatives that will impact behavioral health.

Moderator:

Brian K. Brooks
Brian K. Brooks, MEd, LPC
Growth Director, Behavioral Health Government Business Division
Anthem

Panelists:

Stuart Yael Gordon
Stuart Yael Gordon, JD
Director, Policy and Communications
National Association of State Mental Health Program Directors (NASMHPD)

Kody H. Kinsley
Kody H. Kinsley
Deputy Secretary for Behavioral Health & Intellectual and Developmental Disabilities
N.C. Department of Health and Human Services

Judith Solomon
Judith Solomon
Senior Fellow
Center on Budget and Policy Priorities

12:00 pm
1:00 pm

As the volume of congressional interest, regulatory enforcement, and public and private litigation around mental health and substance use disorder parity laws increases, health plans need to determine whether they have the processes and documentation in place to confidently manage their behavioral health benefits while minimizing risks and maximizing market opportunities. This session will provide an update on federal and state guidance and enforcement, developments in state law and litigation, and best practices for achieving and documenting compliance.

Mary Nugent
Mary Nugent, CIE, AMCM, FLMI, AIRC
Compliance and Enforcement Division Director, Oversight Group, Center for Consumer Information and Insurance Oversight
Centers for Medicare and Medicaid Services (CMS)

David Shillcutt
David Shillcutt, JD
Attorney
Epstein Becker Green PC

1:45 pm

While it is not a new phenomenon that organizations must often find creative ways to address the workforce shortage, the widespread use of telehealth to expand services and increase access to care, especially in rural areas, plays a significant role transforming the way patients receive their care. Hear how telehealth is being used to address workforce shortages in rural areas, what type of guidance is governing its use, and the uptake and future development of telehealth programs across the country.

Moderator:

Devan Cross
Devan Cross
President and Chief Executive Officer
MHN

Panelists:

Liberty Eberly
Liberty Eberly, DO
Chief Medical Officer
InnovaTel

William L England
William L England, PhD, JD
Director, Office for the Advancement of Telehealth, Federal Office of Rural Health Policy
Health Resources & Services Administration (HRSA)

Max Isaacoff
Max Isaacoff
Government Affairs and Policy Manager
National Rural Health Association

2:45 pm

Without strong quality and regulatory guidelines that specifically address SUD and recovery homes, the opioid crisis is becoming more of a target for fraud. Hear how fraud is affecting patients and insurers, and what is being done at the state, federal, and regulatory levels to address this growing problem.

Moderator:

Noreen K. Vergara
Noreen K. Vergara
Senior Vice President, General Counsel & Chief HR Executive
New Directions Behavioral Health, LLC

Panelists:

Maureen Dixon
Special Agent in Charge, Philadelphia Regional Office, Office of Inspector General-Office of Investigations
U.S. Department of Health and Human Services

Carl Reinhardt
Director, SIU West
Anthem, Inc.

3:30 pm

While it is widely acknowledged that programs to address social determinants and treat the whole person are impactful in improving overall health and reducing costs, the financial backing and payment structure to support those programs often requires a number of resources. Review the payment methodologies that are in place for this purpose, and discuss how to best pay for these services through braided and blended funding.

Keith Maccannon
Keith Maccannon
Director, Marketing, Community Relations and Outreach
AmeriHealth Caritas District of Columbia

Len M. Nichols
Len M. Nichols
Director of the Center for Health Policy Research and Ethics, Professor of Health Policy
George Mason University
former Senior Advisor for Health Policy
Office of Management and Budget (OMB)