Cal MediConnect Providers Summit
Wednesday, January 21st, 2015 | 8:00 AM - 4:00 PM
555 West Temple Street | Los Angeles, CA
Purpose
The California Department of Health Care Servicesinvites you to an important Provider Education Summitfor providers participating inCal MediConnect. The summit will give providers, managers and other staff on the frontlines of implementing Cal MediConnect the concrete tools and information they need to fulfill the program’s promise of more integrated and coordinated care for dual eligible beneficiaries. The Summit will feature break-out sessions that bring together health plans, plan delegates (medical groups and IPAs) and other providers for practical conversations about care integration and operational issues.
Agenda
8:00 AM – 9:00 AMRegistration and Networking Breakfast
9:00 AM – 9:30 AMOpening Session
Speaker: Mari Cantwell, Chief Deputy Director of Health Care Programs, Department of Health Care Services
9:45 AM – 10:45 AMBreakout Session #1
Panel Options:
1.Integrated Care Teams: Best Practices:The heart of Cal MediConnect is the enhanced care coordination that improves the health care experience for beneficiaries. This panel will share best practices in the roles of the health plans, medical groups and other providers, and discuss how providers across the spectrum can effectively communicate and collaborate on behalf of their patients.
Panelists
Alexandra Krause, Center for Health Care Strategies
Joseph Garcia, Community Health Group
Sunil Joshi, AltaMed
Dr. George Fields, CareMore
2.Delegation 101:Plans and delegates will need to adapt practices around network management and communications as well as delegation oversight to reflect the new benefits and services delivered through Cal MediConnect. This panel will discuss how delegation should work, and share best practices on how plans and delegates can better train staff and communicate both with each other, and with consumers and providers.
Panelists
Jane Ogle, Harbage Consulting
Rita Lonzo, Health Net
Kathy Hegstrom, Advanced Medical Management
11:00 AM – 12:15 PMBreak-out Session #2
Panel Options:
- Medical Meets Behavioral Health:Cal MediConnect brings Medicare and Medi-Cal benefits and services under one plan, excluding county mental health.This panel will share stories on how coordination of behavioral services is going in early days of CCI implementation, with a focus on identifying lessons learned and opportunities for improvement in operations.
Panelists
TBD, Center for Health Care Strategies
Dr. Clayton Chau, LA Care
Dr. Jerry Vaccaro, Synermed
Dr. JamePratty, CareMore(Invited)
- Medical Meets Long-Term Services and Supports:Cal MediConnect integrates Medi-Cal long-term services and supports into managed care for the first time. This panel will discuss some of the innovative work being done in LTSS integration, the role of nursing facilities in care integration, as well as the challenges providers are facing.
Panelists
Rebecca Malberg von Loewenfeldt, Harbage Consulting
David Nolan, CareMore
Joe Diaz, California Association of Health Facilities
Rebecca Sussman, St. John's Well Child & Family Center
12:15 PM – 1:15 PMLunch: Cal MediConnect Plan Office Hours
Provider services representatives from all five LA Cal MediConnect health plans will be available to answer questions for providers needing plan-specific assistance.
1:30 PM – 2:45 PMBreak-out Session #3
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Panel Options:
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- Engaging Consumers in Care:Many dual eligible beneficiaries are unfamiliar with managed care plans or how to navigate their new health care system. This panel will share best practices in how to communicate most effectively to beneficiaries during the on-boarding process and how to educate consumers about managed care. This panel will also share best practices for plans in locating and engaging consumers in the Health Risk Assessment process.
Panelists
Carolyn Ingram, Center for Health Care Strategies
Jennifer Rasmussen, Molina Healthcare
Dan Frank, Regal Medical Group
Toni Vargas, Neighborhood Legal Services of LA County
Brenda Premo, Western University
- Understanding and Leveraging Continuity of Care:This panel will share information on revised continuity of care policies for physicians, and discuss specifics on how many types of providers can work with plans and delegatesto meet their patients’ needs.The panel will discuss how continuity of care is going thus far in Cal MediConnect and the opportunities and challenges ahead.
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Panelists
Jane Ogle, Harbage Consulting
Brian Hansen, Department of Health Care Services
Bill Barcelona, California Association of Physician Groups
TBD, Neighborhood Legal Services of LA County
Susan Bell, Care1st
3:00 PM – 4:00 PMClosing Session
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