2014 in Atlanta: Innovations Ripe for the Picking

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Preconference Sessions

Oct 6, 2014, 8:30am – 3:30pm
Preconference: Better Together: Coordinating Care for Adults Served by Multiple Systems

Care coordination is a key component of any strategy to improve care quality and address key cost drivers, particularly for high-cost, high-needs populations. Join NASHP in this full day preconference to learn about successful state models for coordinating care for three specific populations: individuals with multiple chronic conditions, individuals with behavioral health conditions, and dual eligibles. This preconference will explore critical topics faced by states, including building/supporting data infrastructure and data sharing across care settings, payment methods to promote care coordination, the role of managed care, and how states with and without dual demonstrations are addressing care coordination.

Agenda

Speaker Bios

Moderators

Jane Beyer, Assistant Secretary, Behavioral Health and Service Integration Administration, Washington State Department of Social and Health Services
Pam Parker, Policy Consultant, Office of the Assistant Commissioner-Health Care, Minnesota Department of Human Services
Susan Yontz, Director, Integrated Care Division, Medical Services Administration, Michigan Department of Community Health
Linette Scott, Chief Medical Information Officer, California Department of Health Care Services

Speakers

Elizabeth Baskett, Program Innovations Manager, Colorado Department of Health Care Policy and Financing

Eileen Girling, Director, Vermont Chronic Care Initiative, Department of Vermont Health Access

Robert Moon, Chief Medical Office and Deputy Commissioner Health Systems, Alabama Medicaid

Tim Pletcher, Executive Director, Michigan Health Information Network Shared Services
Darren DeWalt, Director, Learning and Diffusion Group, CMS Innovation Center

Paul Galdys, Assistant Director, Division of Behavioral Health Services, Arizona Department of Health Services

Kenneth Smith, Director, Office of Long Term Services and Supports at Executive Office of Health and Human Services, Commonwealth of Massachusetts

Keith Gaither, Director of Managed Care Operations, Tennessee Health Care Finance and Administration

Kitty Purington, Program Manager, Maine Department of Health and Human services

Susan Fleischman, Vice President, Medicaid, CHIP, and Charitable Care, Kaiser Foundation Health Plan, Inc.
Scott Leitz, CEO, MNsure

Oct 6, 2014, 8:30am – 4:00pm
Preconference: Bridging Health and Healthcare: State Health Reform Implementation to Improve Population Health

PresentationIntegrating population and public health objectives with delivery and payment systems is critical to accomplish the Triple Aim of reduced costs, better quality, and better health. As states implement new models, they are leveraging the strengths of both systems and disciplines and employing new methods and tools. This preconference will feature innovative state efforts to integrate public health and health care delivery resources and financing methods to improve population health. It will provide a forum to engage participants in facilitated discussions with the state leaders and other experts to discuss their models, successes and challenges, and lessons learned from model implementation.

Moderators

Mary G. McIntyre, State Epidemiologist, Assistant State Health Officer for Disease Control and Prevention, Alabama Department of Public Health
Johnnie (Chip) Allen, Director of Health Equity, Ohio Department of Health
Anne Barry, Deputy Commissioner, Minnesota Department of Human Services
José Montero, Director, New Hampshire Division of Public Health Services

Jill Rosenthal, Senior Program Director, National Academy for State Health Policy

Speakers

Joshua Sharfstein, Secretary, Maryland Department of Health and Mental Hygiene

Kay Ghahremani, Medicaid/CHIP Division, State Medicaid Director, Texas Health and Human Services Commission

Julie Weinberg, Director, Medical Assistance Division, New Mexico Department of Human Services

Marissa Levine, State Health Commissioner, Virginia Department of Health

Gregory Allen, Director, Division of Program Development and Management, Office of Health Insurance Programs, New York State Department of Health

Debbie Chang, Vice President of Policy and Prevention, Delaware Nemours Foundation

Judy Monroe, Deputy Director, Center for Disease Control and Prevention and Director, Office for Senate, Tribal, Local, and Territorial Support

Madeleine Biondolillo, Associate Commissioner, Massachusetts Department of Public Health
Stephen Cha, Chief Medical Officer, Center for Medicaid and CHIP Services

Oct 6, 2014, 10:00am – 4:00pm
Preconference: Connecting the Dots: Leveraging Data and Technology to Improve Health Care Delivery

Leveraging technological tools and platforms to promote data sharing and access is critical to states’ success in navigating their evolving health care landscapes to improve health care delivery, consumer empowerment in managing health, and access to care. This preconference presents a unique opportunity for state IT and policy staff to join together in a dynamic symposium to discuss states’ opportunities, challenges, successes, and lessons in applying data and technology supports to improve health care delivery systems. It is an exciting time for states in the data and technology world. The potential exists for new tools to revolutionize the treatment and delivery experience for both patients and providers. Leveraging data can move states to a new paradigm of care that could have long-standing implications for payment and delivery system models.

Moderators

Greg Moody, Director, Ohio Office of Health Transformation
Anthony (Tony) Keck, Director, South Carolina Department of Health and Human Services
John Supra, Deputy Director and Chief Information Officer, South Carolina Department of Health and Human Services

Speakers

Robert Belfort, Partner, Manatt, Phelps & Phillips, LLP

Patricia MacTaggart, Lead Research Scientist and Lecturer, George Washington University
William Hazel Jr., Secretary of Health and Human Resources, Commonwealth of Virginia

Oct 6, 2014, 4:30pm – 6:00pm
Opening Plenary: Exploring the American Healthcare Paradox

Moderator

Anne Barry, Deputy Commissioner, Minnesota Department of Human Services

Speaker

Elizabeth H. Bradley, Professor at Yale School of Public Health, Director of the Yale Global Health Initiative, Faculty Director of the Yale Global Health Leadership Institute, Master Branford College, co-author “The American Healthcare Paradox: Why Spending More is Getting Us Less”

Oct 6, 2014, 6:00pm – 7:15pm
Opening Reception and Exhibits Open

Conference Sessions

Oct 7, 2014, 8:15am – 9:30am
Morning Plenary: Innovation Out of the Box: How and Why States Seek Coordination and Integration Among Agencies

Moderator, Neva Kaye, Interim Executive Director and Managing Director for Health System Performance, National Academy for State Health Policy
Clyde L. Reese III, Commissioner, Georgia Department of Community Health
Stephanie K. Mayfield Gibson, Commissioner, Kentucky Department for Public Health, Cabinet for Health and Family Services and Vice Chair of kyhealthnow
Christine Ferguson, Director, Rhode Island Health Benefits Exchange
Cathy Kaufmann, Executive Director, Oregon Transformation Center

Oct 7, 2014, 9:45am – 11:15am

Fruitful State Strategies for Achieving Health Equity in Birth Outcomes

States have implemented a variety of strategies to prevent poor birth outcomes, which carry significant human and financial costs. Although rates of pre-term birth, low birth weight and infant mortality in many states have improved, racial and ethnic disparities in birth outcomes persist across the country. Drawing from the experiences of Ohio, Michigan and South Carolina, this session will highlight promising payment, regulatory, data-use and other strategies designed to bring about measurable improvements and eliminate persistent disparities to achieve health equity in birth outcomes.
Moderator
Johnnie (Chip) Allen, Director of Health Equity, Ohio Department of Health
Speakers

BZ “Melanie” Giese, Director, South Carolina Birth Outcomes Initiative, South Carolina Department of Health and Human Services

Brenda Fink, Director, Division of Family and Community Health, Michigan Department of Community Health
Arthur James, Associate Clinical Professor, Ohio State University; Co-Director, Ohio Better Birth Outcomes; and Senior Policy Advisor, Ohio Department of Health

A Basket of Lessons on the Way to the Marketplaces

The historic first open enrollment period is complete, with over eight million people obtaining coverage through the marketplaces. State-based, partnership, and federally facilitated exchanges are gearing up for round two in November. What have states and the federal government learned, and what will change moving forward? From Kentucky to Kansas and with a view from CCIIO, this session explores successes, challenges, best practices, and highlights improvements for marketplaces in 2015. The discussions will cover issues such as marketplace operations, enrollment, affordability, and sustainability.
Moderator
Norman Thurston, Director of Health Care Statistics, Utah Department of Health
Speakers

Carrie Banahan, Executive Director, Office of Kentucky Health Benefit Exchange

Linda Sheppard, Special Counsel and Director of Heath Care Policy & Analysis, Kansas Insurance Department

Incorporating Patient and Provider Incentives in Benefit Design to Improve Health Outcome

Health insurers are structuring patient and provider incentives into their benefit designs as part of strategies to improve health outcomes for their populations. This session will showcase how Medicaid and state employee benefit programs in three states have implemented financial and non-financial incentives for both patients and providers. Panelists will discuss impacts of these incentives on their programs and how incentives can be aligned with larger delivery system reform efforts. Attendees will hear about New Mexico’s Centennial Care Medicaid waiver, Oregon Public Employees’ Benefit Board, and Texas’ implementation of wellness incentives in its Medicaid program as part of the Medicaid Incentives for the Prevention of Chronic Disease (MIPCD) project.

Moderator

Cheryl Roberts, Deputy of Program and Operations, Health Services and Operations, Virginia Department of Medical AssistanceSpeakers

Julie Weinberg, Director, Medical Assistance Division, New Mexico Department of Human Services

Dena Stoner, Senior Policy Advisor and Wellness Incentives and Navigation Director, Texas Department of State Health Services

Joan Kapowich, Special Assistant to the Chief Operating Officer, Oregon Health Authority and Administrator, Oregon Public Employees’ Benefit Board and Oregon Educators Board (retired)

Integrated Care Standards for Children with Special Health Care Needs Take Root In States

The Association of Maternal & Child Health Programs (AMCHP) recently released a set of national standards for programs serving children and youth with special health care needs. These standards are designed for use by a range of stakeholders to build and improve upon systems of care for these children. A national expert will present an overview of the standards, an Iowa official will discuss use of standards in Title V, and a District of Columbia official will discuss use of standards in Medicaid.
Moderator
Glenace Edwall, Acting Assistant Commissioner, Chemical and Mental Health Services Administration, Minnesota Department of Human Services
Speakers

Edward Schor, Senior Vice President, Lucille Packard Foundation for Children’s Health

Deb Waldron, University of Iowa Children’s Hospital, Child Health Specialty Clinics

Colleen Sonosky, Associate Director, Government of the District of Columbia, Division of Children’s Health Services, Health Care Delivery Management Administration, Department of Health Care Finance

Housing is from Venus, Medicaid is from Mars

This session will explore collaborations between State Medicaid and housing agencies to provide safe and accessible housing to individuals with complex health care needs. A national expert will present opportunities for states to leverage affordable housing and Medicaid services, and discuss how these initiatives can reduce costs, improve outcomes, and support rebalancing. One state’s successful collaboration to provide permanent supportive housing will be presented, and another state will describe its efforts to secure housing for individuals transitioning from institutions.
Moderator

Jane Beyer, Assistant Secretary, Behavioral Health and Service Integration Administration, Washington State Department of Social and Health Services
Speakers

Nicole Sweazy, Housing Authority Administrator, Louisiana Housing Corporation

Resource

Abigail Dowell, Money Follows the Person Housing Specialist, Bureau of TennCare
Jennifer Burnett, Director, Division of Community Systems Transformation, Disabled and Elderly Health Programs Group, Center for Medicaid Services (CMS)

A Policy Cafe Dialogue on Ensuring Coverage for Transitional Youth

Youth in the juvenile justice and foster care systems have many physical and behavioral health needs, but states often struggle to effectively provide continuity of care and access to services as youth transition through systems or placements, across types of coverage, and into adulthood. What policies and strategies can states use to ensure youth have coverage and access to services as they make these transitions? Participants will engage in small-group discussions to share successful strategies and learn from each other.
Rene Mollow, Deputy Director, Health Care Benefits and Eligibility, California Department of Health Care Services

Oct 7, 2014, 11:30am – 1:15pm

Luncheon Plenary: What's the Big Idea? How Innovative Thinking is Changing Health and Health Care

Moderator
William Hazel Jr., Secretary of Health and Human Resources, Office of Governor Terry McAuliffe, Virginia
Tony Keck, Director, South Carolina Department of Health and Human Services
Cindy Mann, CMS Deputy Administrator/Director, Center for Medicaid and CHIP Services, Centers for Medicare and Medicaid Services

Oct 7, 2014, 1:30pm – 3:00pm

Branching Out From Medical Homes: A Conversation with Leading States

States across the country are pursuing medical homes as one strategy to strengthen primary care. As medical home programs mature, states are building on this foundation, incorporating new services and delivery models such as integrated behavioral health, and developing new payment models that increase provider accountability for quality and cost. They are also taking advantage of federal opportunities such as the State Innovation Models program and the Medicaid Health Home State Plan Option to enhance medical homes. In this session, attendees will hear from two state leaders in medical homes, Maine and New York, and participate in interactive discussion to explore lessons learned from these states’ early experience with medical homes and plans for the future. This session is supported by The Commonwealth Fund.
Moderator

Christopher Kus, Associate Medical Director, Division of Family Health, New York State Department of Health
Speakers

Gregory Allen, Director, Division of Program Development and Management, Office of Health Insurance

Jim Leonard, Deputy Director, Office of MaineCare Services, Department of Health and Human Services

Harvesting the Best from the New Crop of Medicaid Expansion Alternatives

With new opportunities to extend coverage to low-income adults, states are exploring innovative methods of expanding their Medicaid programs, including use of Medicaid funds to cover premium payments for Qualified Health Plans (QHPs) and cost-sharing structures for premiums and copayments. This session will provide an overview of states’ alternative approaches, featuring speakers from Arkansas and Michigan who will provide an update on lessons learned during the first months of their expansions.
Moderator
Lois Steinbeck, Senior Fiscal Analyst, Montana Legislative Fiscal Division
Speakers

Jackie Prokop, Director, Policy Program Division, Michigan Bureau of Medicaid Policy and Health System Innovation

Suzanne Bierman, Assistant Director, Coordination of Coverage, Arkansas Division of Medical Services

Robin Arnold Williams, Senior Advisor, Leavitt Partners

Taking A Bite Out of Dental Access Problems for Low-Income People

Ensuring access to dental care is critically important to improving overall health care, but can be challenges for state Medicaid programs. This panel will highlight importance of oral health care as well as discuss state efforts to increase dentists’ participation in Medicaid, strategies for motivating consumers to seek care, and innovative ways to expand access to services. Join us for this diverse panel of experts that includes a representative from Maryland, the Pew Charitable Trusts and the Centers for Disease Control and Prevention.
Moderator
Jeanene Smith, Chief Medical Officer and Administrator, Office for Oregon Health Policy and Research, Oregon Health Authority
Speakers
Scott Presson, Senior Advisor for Special Projects, Division of Oral Health, Centers for Disease Control and Prevention
Julie Stizel, Campaign Manager for Pew’s Children’s Dental Campaign

Joshua Sharfstein, Secretary, Maryland Department of Health and Mental Hygiene

Early Implementation of Dual Eligible Demonstrations Bearing Fruit

The CMS Financial Alignment Demonstration authorizes states to undertake initiatives that integrate Medicare and Medicaid financed acute, primary, behavioral health and LTSS for individuals dually eligible for the Medicare and Medicaid programs. This session will provide a status report on state implementation of the demonstration, including successes, challenges and lessons learned from early experience. It will also examine Washington’s managed fee-for-service model and Virginia’s capitation model.
Moderator
Susan Yontz, Director, Integrated Care Division, Medical Services Administration, Michigan Department of Community Health
Speakers

Tammy Whitlock, Division Director, Office of Coordinated Care, Virginia Department of Medical Assistance Services

MaryAnne Lindeblad, Medicaid Director, Washington Health Care Authority

Edith Walsh, Deputy Director, Aging, Disability and Long-Term Care, RTI International

State Innovations in Preventing, Managing, and Treating Substance Abuse

Substance abuse is a national epidemic. Drug overdoses are now the leading cause of injury death in the United States, and more than half of overdose deaths involve prescription drugs. States are taking a variety of innovative approaches to prevent, manage, and treat substance abuse. This session will feature a national overview, followed by a facilitated conversation with a national expert and officials from two leading states. Massachusetts will highlight their work addressing opioid abuse, and Idaho will discuss implementation of a recovery oriented system of care.
Moderator
Jane Beyer, Assistant Secretary, Behavioral Health and Service Integration Administration, Washington State Department of Social and Health Services

Tami Mark, Vice President, Truven Health Analytics; Director, Center for Behavioral Health Services Research

Resource

Kathy Skippen, Substance Use Disorder Services Program Specialist, Idaho Substance Abuse Single State Authority, Idaho Department of Health and Welfare

Hilary Jacobs, Senior Policy Advisor, State Opiate Treatment Authority, Commissioner’s Office, Massachusetts Department of Public Health

Oct 7, 2014, 3:30pm – 5:00pm

Growing Integrated Public Health and Primary Care Initiatives

The recently released “Practical Playbook” provides resources, success stories, and lessons learned for supporting public health-primary care collaboration. This session will begin with an overview of the Practical Playbook as a tool for identifying opportunities for public health and primary care integration. The session will then showcase examples of public health-primary care integration in two states.
Moderator

Jose Montero, Director, Division of Public Health Services, New Hampshire Department of Health and Human Services
Speakers

Lloyd Michener, Professor and Chair, Department of Community & Family Medicine Director, Duke Center for Community Research, Duke University School of Medicine

Jeanene Smith, Chief Medical Officer and Administrator, Office for Oregon Health Policy and Research, Oregon Health Authority

Seema Csukas, Director, Maternal and Child Health Section, Georgia Department of Public Health

Ripe Opportunity: Medicaid, Inmates, and Coverage

This session will include a review of strategies that states are using to provide access to health care for inmates re-entering society to ensure a successful transition into the community. In addition, this session will highlight initiatives that states are employing to leverage limited resources by financing hospital care for inmates in the correctional system with Medicaid funds. Join us in this panel discussion to hear from state officials in Illinois, North Carolina, and Rhode Island.
Moderator
K. Joseph Flores, Legislative Fiscal Analyst, Virginia Senate Finance Committee
Speakers

Deb Florio, Medicaid Administrator, Rhode Island Office of Health and Human Services

Jennie Sutcliffe, Policy Analyst, Illinois Health Insurance Marketplace, Office of Governor Pat Quinn

William Appel, Project Director, Division of Medical Assistance, North Carolina Department of Health and Human Services

Enrolling by the Bushel: Promising Practices from the First Year of Health Reform Implementation

States enrolled millions of new individuals into coverage during the ACA’s first year of implementation, pioneering innovative strategies to identify, engage, and enroll uninsured Americans. Moderated by Carrie Banahan, Kentucky’s Kynect Director, this session will feature leaders from three diverse states (Connecticut, Illinois and Montana) sharing promising outreach and enrollment practices including reaching limited English-proficient, Native American and hard-to-reach populations, lessons learned, and strategies for retaining eligible populations in 2015. Alice Weiss will also share findings from NASHP’s Enrollment 2014 project research.
Moderator
Carrie Banahan, Executive Director, Office of Kentucky Health Benefit Exchange
Speakers
Denise Smith, Access Health Connecticut Training Coordinator, Navigator and In-Person Assister Outreach Program

Katherine Buckley-Patton, Deputy Administrator, Medicaid and Health Services Branch, Montana Department of Public Health and Human Services

Jennifer Koehler, Director, Illinois Health Insurance Marketplace

Integrating Medicare and Medicaid Beyond the Financial Alignment Demonstration

Some states with well-established Medicare-Medicaid managed care programs chose not to participate in the Financial Alignment Initiative Demonstration, and other states may want to develop their own approaches. Building on the preceding session on early implementation of the dual demonstration, a national speaker will discuss state options for integration. Arizona will describe its plans to further integrate Medicare Special Needs Plans (SNPs) with Medicaid managed care, and Minnesota will discuss its concept for integrating SNPs with Medicaid ACOs.
Moderator
MaryAnne Lindeblad, Medicaid Director, Washington State Health Care Authority
Speakers

Kijuana Wright, Program Development Officer, Medicare Coordination and Integration, Division of Health Care Management, Arizona Health Care Cost Containment System

Pam Parker, Policy Consultant, Office of the Assistant Commissioner-Health Care, Minnesota Department of Human Services

Michelle Herman Soper, Senior Program Officer, Center for Health Care Strategies

A Policy Café Dialogue on Emerging Roles for the Safety Net: Achieving Triple Aim Goals for Vulnerable Populations

Safety net providers are a critical source of care for vulnerable populations, particularly Medicaid beneficiaries and the uninsured. Spurred by new opportunities and challenges rooted in state and national health care reform, safety net providers are increasingly engaging in new delivery models such as medical homes, community-based care teams, and accountable care entities to support Triple Aim goals. Through series of small-group conversations, this policy café will explore roles for safety net providers in supporting high-quality, coordinated care across the health care system.
Limited attendance.

Oct 8, 2014, 7:30am – 12:00pm
Exhibits Open
Oct 8, 2014, 7:30am – 8:30am

Breakfast Roundtables

Strategies for Monitoring Health Insurance Coverage and Access to Health Care Under the ACA

This roundtable will focus on opportunities for states to monitor health insurance coverage and access to health care as the ACA moves forward, with a focus on what could be done using existing federal data sources and what could be done with the new Health Reform Monitoring Survey.Resources: Sharon K. Long, Senior Fellow in the Health Policy Center, The Urban Institute; and Genevieve Kenney, Co-Director and Senior Fellow in the Health Policy Center, The Urban Institute
NASHP Representative: Tricia Leddy, Deputy Director, HealthSource RI, NASHP Academy Member

State Progress in Improving LTSS: How Top Performers are Raising the Bar

The 2014 State LTSS Scorecard ranks states on five dimensions (26 indicators) of LTSS system performance. This roundtable will provide highlights of the key findings across states and provide insights from top performers. This session will help state policy makers use Scorecard data to put their state LTSS programs and policies into context. It will familiarize policy makers with how to use Scorecard report and website to identify specific areas in which states can improve their LTSS systems.
Resource: Dr. Susan C. Reinhard, Senior Vice President, AARP
NASHP Representative: Diane Justice, Senior Program Director, NASHP

Funder and Grantee Partnership Promotes Informed Health Policy Decision-Making by State Legislators

Rose Community Foundation and the Colorado Health Institute have worked together since 2011 to provide state lawmakers with nonpartisan, evidenced-based health data and information. Support for strong legislator knowledge about complex and changing health issues is important in any realm, but is especially crucial in term-limit states like Colorado where biennial turnover affects up to one-third of the General Assembly. The Colorado Health Institute’s Legislative Services program is the result of a strong collaboration between Rose Community Foundation and the Colorado Health Institute to build a multi-dimensional program designed to help legislators make informed health policy decisions. The program includes a biennial conference for new and returning lawmakers, educational luncheons during the legislative session for legislators and their staff, written materials that focus on issues of greatest interest to state legislators, and dedicated Colorado Health Institute staff who connect directly with key legislators. Breakfast Roundtable hosts will speak about the genesis, evolution, challenges and lessons learned related both to the Legislative Services program and the partnership between Rose and the Colorado Health Institute.
Expert Resources: Michele Lueck, President and CEO, Colorado Health Institute; and Whitney Gustin Connor, Senior Program Officer in Health, Rose Community Foundation
NASHP Representative: Ledia Tabor, Program Manager, NASHP

Innovative Medicaid Hospital Payment Policies

Medicaid fee-for-service payments to hospitals totaled $89.5 billion in FY 2013, accounting for 20.3% of all Medicaid fee-for-service spending. This roundtable will provide the opportunity for interested attendees to share their state’s payment models and innovations for hospital care. This could include rate methodology changes, value-based purchasing initiatives, pay-for-performance and other incentive programs, multi-payer pilots, ACO efforts, and their impact on outcomes and stakeholders.
Expert Resources: Carla Willis, Senior Research Associate-Medicaid, Georgia Health Policy Center; Bill Rencher, Research Associate II-Medicaid, Georgia Health Policy Center; and Evan Cole, Associate Project Director-Medicaid, Georgia Health Policy Center; Georgia Health Policy Center
NASHP Representative: Charles Townley, Policy Specialist, NASHP

Transforming Maternal and Child Healthcare to Improve Birth Outcomes

The average share of deliveries insured through Medicaid represents nearly one-half of all births across the country. Furthermore, Medicaid and CHIP insure more than half of all low-income children. This presents a unique opportunity for public and private entities to increase the number of healthy babies born into Medicaid and improve the services provided to children. Join colleagues to learn about and discuss initiatives in areas such as group prenatal care, NICU management, pre-term birth rates, and industry and state partnerships that are driving change.
Expert Resources: Karen Shea, Vice President, Maternal and Child Health at WellPoint, Inc. and Sean Dunbar, Health Policy Director, Public Policy Institute at WellPoint, Inc.
NASHP Representative: Carrie Hanlon, Program Manager, NASHP

Creating a Learning Collaborative for Partnerships between State Agencies and University Health Policy Centers

The Roundtable will update participants, and gather input, about a developing network of state partnerships and the ways the network will learn from each others’ best practices. The roundtable, like the network itself, should be of interest to: state health policymakers who want to build more evidence into their decision-making processes; those working in state agencies’ data and analytical branches; directors, researchers, and analysts based in university policy centers.
Expert Resources: Catherine Hoffman, Deputy Director, California Medicaid Research Institute; and Enrique Martinez-Vidal, Vice President, AcademyHealth
NASHP Representative: Kathy Witgert, Program Director, NASHP

Assessing the ACAs Early Impacts on Insurance Coverage

This session will include a non-technical discussion about the data and methods states can use to assess and monitor the early impact of the ACA on health insurance coverage. Specific topics may include: projecting future marketplace enrollment, both during open enrollment and via qualifying life events; quantifying the early impacts of the ACA on uninsurance; measuring enrollee satisfaction with the marketplace; measuring churn; assessing the location and characteristics of the remaining uninsured; assessing the size and characteristics of the Welcome Mat population
Expert Resources: Elizabeth Lukanen, Senior Research Fellow, SHADAC, University of Minnesota and Julie Sonier, Deputy Director, SHADAC, University of Minnesota
NASHP Representative: Alison Wils, Policy Specialist, NASHP

State Employee Health Plan Spending: Premiums, Cost Drivers, and Policy Approaches

Like all large employers, states’ fiscal health, their ability to recruit qualified staff, and their employees’ health and finances are all affected by their employee benefits. The Pew Charitable Trusts and Milliman, Inc. researched each state’s employee health plan spending and benefit designs, and projected which plans are likely to trigger the Cadillac Tax in 2018. We will discuss how states’ health plan offerings vary in actuarial value, subsidy of dependents, and deductible levels, and what these data can tell us about the employer-sponsored health insurance market overall.
Expert Resource: Maria Schiff, Director, State Health Care Spending Project, and Pew Charitable Trusts
NASHP Representative: Chiara Corso, Research Assistant, NASHP

Advancing the Medical Home Model for Pediatrics through State Health Policy

This roundtable will provide a platform to discuss states’ efforts towards pediatric medical home implementation in public programs. Facilitators and participants will present challenges, barriers, successes and lessons learned as medical home implementation has evolved in state programs. Examples of innovative pediatric-focused programs, such as Iowa’s Section 2703 Health Homes, will be provided.
Expert Resource: Debra Waldron, MD, MPH, FAAP, Vice Chair, Child Health Policy & Statewide Health Services, University of Iowa Children’s Hospital
NASHP Representative: Barbara Wirth, Program Manager, NASHP

Transforming the Workforce to Provide Better Chronic Care: The Role of Nurses

Promising ambulatory delivery system models, including both patient-centered medical homes (PCMH) and accountable care organizations (ACO), recognize that it takes a team of skilled professionals to deliver quality, comprehensive and coordinated chronic care. Beginning in late-2013, the National Academy for State Health Policy and the AARP Public Policy Institute have collaborated on work that has focused specifically on how registered nurses are being deployed in six delivery system initiatives in five states—Maryland, Minnesota, North Carolina, Oregon, Rhode Island–to take on new roles in areas such as care coordination, care management, and in program operation. The purpose of this roundtable is to share replicable opportunities and lessons for other states and/or payers that are developing or considering patient-centered models of primary care delivery and discuss other workforce roles to consider for future reports.
Expert Resources: Lynda Flowers, Senior Strategic Policy Advisor, AARP Public Policy Institute; Rachel Yalowich, Policy Analyst, NASHP

Overview Discussion: Primary Analytical Uses of the All Payer Database (APD)

The morning’s talk will explore how specific health research, evaluation, and monitoring functions are greatly bolstered by establishment of an APD (including potential role or fit in state and national efforts at systems reform). APD implementation challenges may also be touched upon, as time allows.
Expert Resources: Chris Nemeth, Director, All Payer Database Development Bureau, Office of Quality and Patient Safety, New York State Department of Health
NASHP Representative: Alice Weiss, Program Director, NASHP

The Joint Commission’s Behavioral Health Home Certification

In January 2014, The Joint Commission launched its Behavioral Health Home Certification option, which gives providers a comprehensive blueprint for delivering this new health care model to help them take advantage of health care reform and improve the quality of life for the individuals in their care. Attaining Joint Commission Behavioral Health Home certification means that providers have: achieved Behavioral Health Care accreditation; integrated physical and behavioral health through internal provision of services, co-located partnerships or facilitated referrals; undergone a comprehensive, on-site evaluation and demonstrated compliance with certification standards; and demonstrated data is continually being used to measure outcomes.
Expert Resource: Tracy Griffin Collander, LCSW, Executive Director, Behavioral Health Care Accreditation Program, The Joint Commission
NASHP Representative: Karen VanLandeghem, Senior Program Director, NASHP

CDC’s Role in Bridging Public Health & Health Care

Dr. Corinne Graffunder will discuss CDC’s unique role in public health – health care collaboration. She will highlight this CDC priority and engage in discussion on strategic efforts to advance population health through health care purchasing, reimbursement and financing, and improved accountability and quality through performance measurement.
Expert Resource: Dr. Corrine Graffunder, Branch Chief, Centers for Disease Control
NASHP Representative: Jill Rosenthal, Senior Program Director, NASHP

Engaging Health Systems in Population Health

This roundtable will provide insights into the experiences of large, integrated health delivery systems and physicians in embracing population health to support their patient populations, improving access and quality of care while maintaining costs. Evolent Health and its partner Indiana University Health (IU Health) will present a case study on physician behavioral change in transitioning to value based care. We will discuss challenges that providers face in this regard, and explore how providers and states can partner to improve outcomes and efficiency, aligning on clinical, administrative and operational initiatives.
Expert Resources: Carolyn Magill, Senior Vice President, Evolent Health, CHPD Board Member; Dr. Gary Piefer, Chief Medical Officer, Evolent Health

Walk Around Atlanta with NASHP

Begin your day with a scenic and refreshing walk around Atlanta that will include a visit to the Centennial Olympic Park. This special event is complimentary

Oct 8, 2014, 8:45am – 10:15am

DSRIP on My Mind: Delivery System Reform Incentive Payment Programs in Medicaid

The Delivery System Reform Incentive Payment (DSRIP) program is a relatively new tool that states can use to support provider improvement projects through Medicaid. To date, seven states have had DSRIPs approved, and more states are considering implementing the program. This session will feature a brief overview of DSRIP, and three states at different stages of implementation. The states include a “veteran” sharing results and best practices; an “intermediate” state sharing implementation lessons, and a “newcomer” discussing major policy decisions and goals for their newly approved DSRIP program.
Moderator

Mary G. McIntyre, State Epidemiologist, Assistant State Health Officer for Disease Control and Prevention, Alabama Department of Public Health
Speakers

Neal Kohatsu, Medical Director, California Department of Health Care Services

Claudine Swartz, Strategic Policy Solutions

Swartz Handout

Gregory Allen, Director, Division of Program Development and Management, Office of Health Insurance Programs, New York State Department of Health

Community Picks from the Orchard of Evidence-based Health Interventions

This session will introduce the CDC’s Community Guide, a resource for identifying evidence-based interventions. Attendees will then hear both state and community perspectives on identifying, implementing, and scaling two successful evidence-based wellness interventions: a health, exercise and nutrition program for people with severe mental illness in New Hampshire, and innovative employee wellness programs in Oregon. Panelists will discuss the state-community collaborations necessary to support these community interventions.
Moderator

Joan Kapowich, Special Assistant to the Chief Operating Officer, Oregon Health Authority
Speakers

Kathy Raymond, Director, Community Based Services and Evidence-Based Practices, New Hampshire Center for Life Management

Sarah Pratt, Assistant Professor in Psychiatry, The Geisel School of Medicine at Dartmouth
Anil Thota, Coordinating Scientist and Senior Service Fellow, Community Guide Branch, Centers for Disease Control and Prevention

Community Settings for Medicaid Home and Community Based Services

CMS recently issued regulations specifying new criteria which residential settings must meet to be settings where Medicaid HCBS services can be provided. Some states may need to revise their standards for HCBS waiver and state plan services governing assisted living and other community-based residences, small and large. This session will provide an overview of the new rule and implications for state policy, a perspective on the rule from a beneficiary organization, and a state’s efforts to comply with the regulations.
Moderator
Gail Propsom, Director, Bureau of Long Term Support, Wisconsin Department of Human Services
Speakers
Susan Reinhard, Senior Vice President for Public Policy at AARP
Martha Roherty, Executive Director, National Association of States United for Aging and Disabilities

Integration of Physical Health, Behavioral Health, and Long-Term Services and Supports

Integration of services provided through multiple delivery systems requires more than just including them in the same managed care plan or consolidating them under one managed fee-for-service umbrella. This session will present state models for integrating services, overcoming organizational barriers, and establishing new frameworks for collaboration. Following a national overview, attendees will learn about integration efforts from the perspectives of Medicaid, mental health, and LTSS leaders. This session will highlight Missouri’s Community Mental Health Center Health Homes and Tennessee’s Integrated Medicaid Managed Care Organizations.
This session is supported by The Commonwealth Fund.Moderator
Jennifer Vermeer, Assistant Vice President for Medical Affairs, University of Iowa Health Care
Speakers

Deb Bachrach, Special Counsel, Manatt, Phelps and Phillips, LLP, New York

Patti Killingsworth, Assistant Commissioner and Chief of Long-Term Services and Supports, Tenncare

Laine Young-Walker, Chief Medical Officer, Missouri Department of Mental Health

Blossoming Opportunities to Improve Diabetes Care and Reduce Costs

This session will dive into innovative strategies to lessen the burden of diabetes. Topics will include the Centers for Disease Control and Prevention’s efforts to translate research on diabetes into practice; a partnership between the University of Hawaii and the state’s Medicaid program to test enrollee incentive programs to improve early detection and self-management; and an FQHC-based project in Wisconsin that uses dental services as a lever to improve the health of patients with diabetes.
Moderator
Richard N. Gottfried, Chair, Committee on Health, New York State Assembly
Speakers

Dr. Ann Albright, Director, CDC Division of Diabetes Translation

Rebecca Rude Ozaki, Associate Professor, University of Hawaii Center on Disability Studies

Greg Nycz, Executive Director, Family Health Center of Marshfield, Inc.

Policy Cafe Dialogue on Children's Coverage, the ACA, and Options

CHIP and Medicaid have successfully increased rates of health insurance coverage of children and youth. The ACA added new coverage options and extended CHIP funding through October 2015. However, it is unclear how well the new coverage landscape will meet children’s health and developmental needs. Through small-group discussions, policy café participants will identify and explore federal and state policy options to maintain and improve further upon gains made in children’s coverage rates, as well as in access to and quality of care, post-ACA.
Rebecca Pasternik-Ikard, Deputy State Medicaid Director and SoonerCare Program Director, Oklahoma Health Care Authority

Oct 8, 2014, 10:30am – 12:00pm

A Fresh Crop of State Payment Reform Innovations

It is an exciting time for states in multi-payer payment reform, as many take the leap from health system transformation planning to practice. Leading state officials from Iowa, Tennessee, and Washington will discuss their innovative multi-payer payment strategies, including bundled payments, accountable communities of health, and risk-sharing agreements. Panelists will cover states’ strategies for engaging multiple payers, ensuring stakeholder commitment, and utilizing policy levers such as state purchasing power or waivers to shift away from fee-for-service and towards paying for value.
Moderator
David Kelley, Chief Medical Officer, Pennsylvania Department of Public Welfare, Office of Medical Assistance Programs
Speakers

Nathan Johnson, Health Care Policy Division Director, Washington Health Care Authority

Brooks Daverman, Director, Strategic Planning and Innovation Group, Tennessee Division of Health Care Finance and Administration

Marni Bussell, Director, Iowa Health Care Transformation

Creatively Addressing Complexities in Coverage for Pregnant Women under the ACA

Low- and moderate-income pregnant women now have multiple options for health insurance including: Medicaid, subsidized coverage in the marketplace, and in some states, CHIP covers pregnancy-related services. These options, along with federal rules regulating minimum requirements for coverage, have created a complex coverage landscape that could be difficult for women to navigate and for states to administer. Following an overview presentation on the complexities in pregnancy coverage, officials from two states–California and Oklahoma–will discuss how Medicaid agencies can work to support coverage of pregnant women through benefit and cost sharing wraps and education campaigns.
Moderator
John Supra, Chief Information Officer, South Carolina Department of Health and Human Services
Speakers

Rebecca Pasternik-Ikard, Deputy State Medicaid Director and SoonerCare Program Director, Oklahoma Health Care Authority

Catherine Hess, Managing Director for Coverage and Access, National Academy for State Health Policy

Rene Mollow, Deputy Director, Health Care Benefits and Eligibility, California Department of Health Care Services

Helping Consumers Harvest the Benefits of Their New Coverage

With millions of individuals newly insured after the roll out of health insurance marketplaces and Medicaid expansions, public and private agencies are developing innovative ways to ensure that consumers understand their new coverage. Representing state, insurer, and consumer perspectives, panelists will discuss strategies for improving health insurance literacy including successful approaches to outreach and tips for developing materials specifically targeted to this population.
Moderator
Julie Weinberg, Director, Medical Assistance Division, New Mexico Department of Human Services
Speakers

Joan Winchester, Senior Manager, Center for Health Literacy, Maximus
Steven Rush, Director, UnitedHealth Group Health Literacy Innovations Program, UnitedHealthcare Consumer Office
Linda Kanamine, Director of Communications, Connect for Health Colorado

Fresh Innovations in Leveraging Hospital Community Benefit Requirements

The ACA made standards for nonprofit hospitals more stringent. This session will describe the hospital community benefits requirements of the ACA and provide a forum for attendees to discuss ways for states to use these new requirements creatively to support communities and population health. The session will begin with an overview of how hospital community benefits requirements are being implemented. Attendees will then hear from programs that have creatively leveraged these new requirements to improve population health, including information regarding a Determination of Need Program as well as the development of mini-grants to integrate state rural health offices and local health departments.
Moderator
Linette Scott, Chief Medical Information Officer, California Department of Health Care Services
Speakers

Gayle Nelson, Director, Hospital Community Benefit Program, The Hilltop Institute

Madeleine Biondolillo, Associate Commissioner, Massachusetts Department of Public Health

Jane Shirley, Local Health Program Director, Bureau of Community Health Systems, Kansas Department of Health and Environment

Leveraging Payment and Delivery System Reforms to Improve Chronic Care and Long Term Services and Supports

Many states are implementing comprehensive payment and delivery system reforms, including accountable care models, dual eligible demonstrations, and strategies states are pursuing through the State Innovation Model (SIM) initiative. Some states are taking advantage of these initiatives to transform their LTSS and chronic care delivery systems. This session will feature Arkansas’s efforts to implement health homes and prospective payment models for LTSS and behavioral health services, and Minnesota’s efforts to coordinate chronic care through several federal-state reform initiatives.
Moderator
Pam Parker, Policy Consultant, Office of the Assistant Commissioner-Health Care, Minnesota Department of Human Services
Speakers

Marie Zimmerman, Health Care Policy Director, Office of the Assistant Commissioner – Health Care, Minnesota Department of Human Services
Mimi Toomey, Senior Advisor on Long Term Services and Support, HHS Center for Medicare and Medicaid Innovation; and Director, Office of Policy Analysis and Development, Administration for Community Living

Rene Montgomery, Senior Policy Analyst, Office of Policy and Planning, Arkansas Department of Human Services

Oct 8, 2014, 12:15pm – 2:00pm

Closing Luncheon Plenary: State Leadership in System Transformation that Achieves Health Equity

Moderator
Catherine Hess, Managing Director for Coverage and Access, National Academy for State Health PolicyKeynote Speaker
Dr. David Satcher, Director of The Satcher Health Leadership Institute and formerly the 16th Surgeon General of the United States, serving from 1998 until 2002.
Closing
Susan Reinhard, Senior Vice President for Public Policy at AARP and Vice Chair, Center for Health Policy Development, Board of Directors (NASHP’s governing board)

Preconference Sessions

Conference Sessions

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