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  • The Future of Specialty Care is Value Based

    Virtual Event

    In specialty care, challenges like overutilization; fraud, waste, and abuse (FWA); and wide variations in provider performance drive up costs. Health plans often respond by making blanket reimbursement cuts, narrowing networks, and implementing complex utilization management (UM) protocols. But these approaches often delay care, frustrate providers, and rarely deliver meaningful impact. In this webinar, we’ll…

  • Connecting Care: Virtual Solutions for Chronic, Maternal, and Behavioral Health Challenges

    Webinar , United States

    Why Health Plan Leaders Cannot Miss This Webinar Learn about the Blueprint Health Plans Nationwide are adopting to Accelerate Outcomes in Chronic, Maternal, and Behavioral Health Care through Adaptive, Virtual Engagement. Join us for a national webinar focused on how simple member technology and culturally concordant dialogue leads to long-term Medicaid engagement for chronic, behavioral…

  • HR 1 – Cultivating a Framework for Success

    Webinar , United States

    The One Big Beautiful Bill Act is reshaping the Medicaid landscape for states, health plans, and enrollees. As collaborators in the care of our most vulnerable members, we have an interest in ensuring that members who meet eligibility requirements obtain and retain their coverage. In this webinar, we will discuss: Implementation of key areas of…

  • Transitions of Care in Mental Health

    Transitions of Care in Mental Health is an unbranded educational presentation for mental health professionals and leaders looking for evidence based practices to reduce hospital readmissions/criminal recidivism among patients with serious mental illness in their communities. Review specific examples of successful transitional care programs, explore how a multidisciplinary/collaborative approach can support successful transitions, and identify actionable…

  • Modernizing NEMT in Medicaid: Access, Integrity, and Accountability at Scale

    Access to care breaks down, and fraud, waste, and abuse persist in traditional non-emergency medical transportation programs, which rely on fragmented, legacy models built for reactive oversight rather than real-time control. This webinar brings together payer, state, and federal leaders to discuss how modernized NEMT infrastructure is improving beneficiary access, strengthening provider networks, and embedding…

  • From Skepticism to Connection: How Community-Based Peer Support Improves Health Outcomes and Member Trust

    Wednesday, March 4, 2026 2:00 PM ET Health plans and providers increasingly recognize that addressing social determinants of health requires more than referrals, it requires trust, relationships, and sustained community connection. In this interactive webinar, join leaders from Highmark Health Options of West Virginia and Wider Circle as they share how peer-driven, community-based social support…

  • In the AI of the Storm: Practical Guidance for the Medicaid Expert

    Wednesday, March 18, 2026 2:00 PM ET Artificial intelligence is advancing faster than anything we’ve seen in the PBM industry – from technology capabilities to regulatory frameworks and the policies designed to govern them - creating both opportunity and risk. Aimed at providing both a strategic overview and a tactical look at how AI is…

  • Navigating Medicaid Headwinds: Scaling Impact Through Whole Health AI

    Wednesday, March 25, 2026 2:00 PM ET As Medicaid Managed Care Organizations (MCOs) navigate new headwinds marked by significant federal funding cuts, administrative work requirements, and rising uncompensated care, the traditional episodic care model is no longer practicable. For populations facing complex chronic conditions and deep-seated social determinants of health (SDOH), overextended clinical teams need…

  • Seeing What Data Hasn’t Shown Us Before: The Next Chapter of Specialized SDoH

    Wednesday, April 15, 2026 2:00 PM ET As member needs grow more complex, traditional SDoH models no longer tell the full story. This webinar introduces a more expansive, data informed approach that helps health plans better assess risk, prioritize investments, and quantify the economic impact tied to social interventions. We will specifically focus on the…

  • Modernizing Medicaid Redetermination Engagement in the HR.1 Era

    With HR.1 introducing twice-annual redeterminations and work requirements, Medicaid plans face rising complexity, tighter timelines, and increased enrollment volatility. Yet the primary risk isn’t eligibility—it’s communication. During the unwinding period, nearly 71% of disenrollments were procedural, driven by missed notices, confusion, and administrative barriers. In this session, experts from Santa Clara Family Health Plan and…

  • From Listening to Action: Meeting CMS’s New Community Engagement Expectations

    *This webinar is exclusively for MHPA health plan members, state affiliates, and partners. Webinar attendees must register using their organization email. With the publication of CMS’s interim final rule on Medicaid community engagement requirements, states now have until January 1, 2027 to implement new provisions for enrollees. Join MHPA for an in-depth webinar detailing key…

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