Modernizing Medicaid Redetermination Engagement in the HR.1 Era
2026-05-20 13:00 - 14:00 (America/New_York)
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 Ushur share how Medicaid plans are reducing preventable, procedural disenrollment through proactive, digital-first engagement.
Learn how health plans are:

Engaging hard-to-reach members earlier and more effectively throughout the redetermination process
Guiding action with simplified, timely two-way digital communication
Scaling outreach with automation while maintaining compliance
Reducing missed deadlines through proactive outbound and inbound support
Amplifying member outreach within procedural disenrollment grace period

Speaker:
Chelsea Byom, Vice President, Marketing, Communications & Outreach at Santa Clara Family Health Plan
Simha Sadasiva, CEO & Co-Founder, Ushur

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Seeing What Data Hasn’t Shown Us Before: The Next Chapter of Specialized SDoH
2026-04-15 14:00 - 15:00
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 value of specialized SDoH for maternity and NICU case management – where advocacy breaks down barriers and builds member trust. It’s a new lens on an old challenge – with tangible implications for your organization, your members, and the communities you serve.
Learning Objectives:
By the end of this webinar, participants will be able to:
1. Differentiate traditional SDoH intervention approaches from specialized SDoH intervention models
Understand how generalized SDoH screening can overlook critical risk drivers—and how specialized advocacy models uncover deeper, actionable insights for high- risk Medicaid populations, particularly related to maternity and NICU populations.
2. Identify how advanced SDoH data improves risk stratification and investment prioritization
Learn how integrating social, life- based, and clinical context enables health plans to more accurately assess member risk, target interventions, and allocate resources where they will have the greatest impact.
3. Explain clinical and broad economic value of specialized SDoH interventions in maternity and NICU case management
Examine how trusted engagement, advocacy, and facilitation can reduce avoidable utilization, improve outcomes, and generate measurable return on investment for Medicaid programs.
Webinar Leaders

Janna Lacatell | Facilitator
Madeline Szabo, RN, BSN | Clinical Leader
Sara Teppema, FCA, MAAA, FSA | Actuarial & Data Science Leader

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Navigating Medicaid Headwinds: Scaling Impact Through Whole Health AI
2026-03-25 14:00 - 15:00
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 a smart digital solution that preserves member dignity while driving clinical efficiency.
Join digital health leader and CMS early adopter Welldoc for an in-depth discussion exploring how a whole-person AI platform acts as a “digital companion” to help MCOs operate efficiently under financial pressure while providing the continuous, dignified support necessary to improve health equity and clinical outcomes.
Learning objectives:

Scale Without Headcount: Analyze how AI ecosystems mitigate funding pressures by expanding clinical capacity through automated, intelligent workflows.
Foster Member Dignity: Discover how digital coaching empowers members and improves data accuracy by reducing the “chilling effect” of traditional clinical settings.
Close Care Gaps: Identify strategies for integrating multi-condition platforms to move the needle on HEDIS, quality ratings, and avoidable ER visits.

Presenters:
Keith Reynolds
Chief Operating Officer
Welldoc
Priya Jaisinghani, MD
Endocrinologist and Clinical Assistant Professor
NYU Langone

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In the AI of the Storm: Practical Guidance for the Medicaid Expert
2026-03-18 14:00 - 15:00
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 being used in healthcare today, this session will also explore the future of AI within the regulated markets space – examining where systems can fail and why safeguards, transparency and human oversight matter. Join us to learn about emerging AI/ML-focused trends, Medicaid relevant frameworks and how responsible governance can support innovation while protecting trust, equity and accountability in an increasingly complex AI landscape.
Presenters:
Thomas Brascia
Director, Technology Growth and Intelligence
Evernorth Health Services
Ember Montunnas
Senior Director, Regulated Markets Business Development
Evernorth Health Services

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From Skepticism to Connection: How Community-Based Peer Support Improves Health Outcomes and Member Trust
2026-03-04 14:00 - 15:00
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 is transforming member engagement, improving quality outcomes, and strengthening retention—particularly in rural and underserved communities.
Drawing on real-world implementation and member stories, speakers will explore how Wider Circle’s Connect for Life®program integrates seamlessly into managed care operations while remaining flexible enough to meet members where they are—through phone-based outreach, in-person gatherings, community events, and peer-led support.
The conversation will also examine how this approach aligns with state and payer priorities, including Highmark’s focus on scalable, plug-and-play solutions that deliver measurable impact quickly.
What You’ll Learn
How trust drives outcomes: Why peer-led, community-based support outperforms referrals in engaging members and improving quality
A scalable model in action: How community support integrates seamlessly into managed care operations with measurable impact
Results that matter: How peer connection improves gap closure, retention, and member satisfaction—especially in rural and underserved populations
Presenters:
William Friedman, Vice President of Payer Engagement, Wider Circle
Jason Landers, Market President, Highmark Health Options, West Virginia
Jocelyn Williams, Community Engagement Specialist, Wider Circle
Crystal Belisky, Community Engagement Specialist, Highmark Health Options

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Modernizing NEMT in Medicaid: Access, Integrity, and Accountability at Scale
2026-02-25 14:00 - 15:00
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 program integrity into day-to-day operations.

Panelists will share real-world lessons on how data-driven visibility, standardized workflows, and interoperable systems are delivering better member and provider outcomes, while reducing FWA risk particularly in rural and hard-to-serve communities, without sacrificing statewide consistency or cost control.

Presenters:
· Becca Geist, National Director of Government Programs, Kaiser Permanente (moderator)
· Sufian Chowdhury, Co-Founder & CEO, Kinetik
· Andrew Peterson, CEO, UHC New Mexico

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Transitions of Care in Mental Health
2025-12-03 14:00 - 15:00
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 strategies for potential implementation.

Hannah Yterdal, MS is a Licensed Professional Counselor (Texas) with several years of experience working in inpatient and outpatient programs. As a Community Medical Liaison representing Johnson & Johnson Neuroscience she provides free and unbranded mental health education with a goal of empowering adults diagnosed with schizophrenia/SMI to live full, meaningful lives and be active participants in their treatment. She has presented at leading mental health advocacy organizations, professional advanced training programs, and accredited behavioral health treatment centers in multiple states.

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HR 1 – Cultivating a Framework for Success
2025-11-19 14:00 - 15:00 | 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 interest such as frequency of redeterminations, medical frailty definitions, and work requirements.
How different states may approach the implementation of these requirements and the administrative costs associated.
Recommendations about how to ‘get ready’ and effectively work with state partners.
Policies that will not only allow eligible members to keep benefits, but also minimize the cost of administration for those who are no longer eligible.

Learning Objectives:

Levers that will shape implementation of HR 1 (OBBBA)
Engage stakeholders to influence where possible (FCC, SSA, States)
Identify things that can be prepared now and/or engagement recommendations
Identify ways to partner with states to assist where possible
Identify pending guidance and the potential implications to your plan

Presenters:

Linda Roman, SVP Centauri Health Solutions (Moderator)
Jeff Jackson, COO, Executive Chair, Centauri Health Solutions
Laura Pence, Director, Leavitt Partners, The Enrollment Coalition
Bill Snyder, Principal, Leavitt Partners, The Enrollment Coalition

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Connecting Care: Virtual Solutions for Chronic, Maternal, and Behavioral Health Challenges
2025-10-29 13:00 - 14:00 | 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 health and maternity populations Through real-world application, you will gain expert insight on how to accelerate member engagement, outcomes, and boost your quality bonuses.
What You’ll Learn and Why It Matters:

Expert perspectives from Vheda Health’s clinical leadership on key quality metrics.
Proven virtual care model delivering member engagement, clinical monitoring, and CMS-compliant quality reporting.
Targeted digital interventions reducing care gaps and costs.
Virtual care’s ability to positively impact medical cost, hospitalizations, and quality bonuses.

Key Topics & Takeaways:

How to optimally manage rising costs and risks in unmanaged chronic, behavioral, and maternal health.
Better understand payer incentives and penalties tied to HEDIS and equity stratification.
Learn how the right virtual care models deliver 5:1 ROI and better quality outcomes.
Learn strategies leading to higher adoption of culturally concordant, multichannel outreach.
Preparing for future guidelines with adaptable virtual care.

The Future of Specialty Care is Value Based
2025-10-22 13:00 - 14:00 | https://us02web.zoom.us/webinar/register/WN_Bb257AZQQOayRsfxk_KOLA#/registration?_hsenc=p2ANqtz-934LCrw7-0gFdJcCtuRFdP2h78iKcg7TUTWEqhliAk4EcODSeVtKhvfulUX2eoGNhnYVhkPI-2NChwrpnHgY9vZV-ZcA&_hsmi=385879091&utm_content=385686448&utm_medium=email&utm_source=hs_email
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 explore how value-based therapy models offer a smarter, more sustainable solution. By aligning incentives, reducing administrative burden, and rewarding quality outcomes, value-based programs can address inefficiencies without penalizing high-performing providers. While not one-size-fits-all, this model works for most and delivers measurable benefits for payers, providers, and members.
We’ll also be joined by CORA Physical Therapy, a leading outpatient therapy provider with more than 250 clinics across 10 states. They will share insights into the strategic application of value-based care and explain why therapy is a strong candidate for innovative payment and care delivery models. Learning Objectives • Identify the key challenges in specialty care and understand why traditional cost-control strategies often fall short.

Explore how value-based care models can be applied to specialty disciplines to improve outcomes, reduce administrative burden, and ensure fair provider compensation.
Examine a real-world case study from CORA Physical Therapy to understand how value-based care can be implemented and the measurable impact on cost, quality, and provider satisfaction.

Speakers H. Kelley Riley, MD, MBA, Chief Medical Officer, Health Network One
Martin Bilowich, Senior Advisor, Health Network One
Tom Austin, Senior Vice President, Strategic Finance, CORA Physical Therapy
Moderator: Kristin Gasteazoro, Chief Growth Officer, Health Network One

From Access to Outcomes: Transforming Maternal and Infant Health
2025-10-15 13:00 - 14:00, 2025-10-01 14:00 - 15:00 | Webinar, United States
Access to reliable healthcare is critical for maternal and infant health—but for too many Medicaid families, transportation challenges create barriers that put mothers and babies at risk. Missed prenatal appointments, delayed postpartum care, and limited access to support services can contribute to serious complications and poor outcomes. MTM Health is committed to breaking down these barriers. Through innovative non-emergency medical transportation (NEMT) solutions, including on-demand rides, specially trained drivers, and concierge-level coordination, we help pregnant and postpartum members access the care they need, when they need it.
In this webinar, we’ll explore how MTM Health partners with health plans and communities to improve maternal and infant outcomes by combining transportation access with Mobile Integrated Health (MIH) solutions. Our certified Community Health Workers bring care directly into the home to connect Medicaid members with midwives, doulas, and chronic condition management resources, while building trust and empowering mothers to take charge of their birth experience. Join us to hear success stories, learn how we’re supporting states in the Transforming Maternal Health (TMaH) Model, and discover proven strategies for ensuring healthier beginnings for mothers and babies across rural, suburban, and urban communities.

Improving Maternal Health for Hard-to-Reach Populations
2025-08-20 13:00 - 14:00 | Webinar, United States
Wednesday, August 20, 2025
1:00 PM ET
Why Health Plan Leaders Cannot Miss This Webinar
Click here to register
Be at the Forefront of Transforming Maternal Health for Hard-to-Reach Populations

Are you ready to elevate your organization’s maternal health strategy, drive measurable improvements, and lead groundbreaking change for communities that need it the most? Join fellow healthcare executives and industry visionaries for this exclusive national webinar focused on practical, data-driven solutions designed for hard-to-reach populations.
What Makes This Session Unmissable?
Expert Speakers: Hear directly from Dr. Debra Jones, Senior Medical Director, andShameet Luhar, CEO at Vheda Health, leaders in maternal health innovation, plus experience a live member journey demonstration.
Real-World Demonstrations: Get practical tactics to overcome access barriers using technology, remote monitoring, and culturally sensitive care.
Actionable Knowledge: Learn how to address social determinants, close tech gaps, and ensure equitable engagement during and after pregnancy.
Proven Outcomes: Analyze white-paper-backed results :

23–36% reduction in NICU admissions
Up to 50% reduction in pre-term births
84% monthly engagement—demonstrating sustained impact

Together, we can bridge gaps, break barriers, and transform care, because every mother and every family deserves the best possible start. Secure Your Seat Today!

Post OBBBA in Medicaid: Navigating in a New Landscape
2025-07-23 13:00 - 14:00 | https://us02web.zoom.us/webinar/register/WN_vJUi6lw5TyifWjnjVlyhHQ#/registration
How to Reach, Retain and Support Medicaid Members at Scale
July 23, 2025
1:00 PM ET
With the passing of the OBBBA, Medicaid redetermination has shifted to a high-stakes, high-volume challenge for MCO plans. Millions of vulnerable members risk losing coverage due to administrative complexity, outdated contact information, and confusing additional eligibility requirements. The pressure is real — but so is the opportunity to modernize how you engage and support members throughout this critical time.
Join MHPA and Ushur for a powerful conversation as we break down how this new legislation impacts Medicaid MCOs, what eligibility will look like moving forward, and strategies and solutions that will empower Medicaid MCOs to drive member redetermination / recertification process completion and keep members enrolled—without overwhelming operations or compromising compliance.
What you’ll learn:

What the eligibility landscape will look like with the passing of the OBBBA
Engagement challenges, and what will it take to keep members enrolled in Medicaid
How compliance and regulations come into play
What it takes to support vulnerable members across diverse eligibility paths
The criticality of preferred means of communication
What “compassionate offboarding and transition support” looks like when Medicaid coverage ends

Speakers:

Craig Kennedy, President and CEO, Medicaid Health Plans of America (MHPA)
Yvonne Daugherty, Global Head of Industries, Ushur

“Ushur delivers the world’s first Customer Experience Automation platform built specifically for regulated industries. Purpose-built for delivering ideal self-service, Ushur infuses intelligence into digital experiences for the most delightful and impactful customer engagements. Equipped with guardrails and compliance-ready infrastructure, Ushur powers vertical AI Agents for healthcare, financial services and insurance use cases. Designed for rapid code-less deployment with flexible, advanced capabilities for IT and business teams, enterprises can transform customer and employee journeys at scale in the fastest time to value. To learn more about Ushur, visit us at ushur.ai.“

Specialty Care Management: The Hidden Lever Plans Can't Afford to Overlook
2025-06-11 13:00 - 14:00 | https://us02web.zoom.us/webinar/register/WN_Fv0FdlbARkGKAM4KuBeNqA#/registration
Market forces, including margin erosion, looming budget cuts, and ongoing clinician shortages, are pressuring managed care leaders to deliver care more cost-effectively – without compromising quality. Yet when it comes to trimming costs, specialty services, such as eye care, outpatient therapy, dermatology, and others, are often overlooked. And this could be costing you millions. For example, in eye care, several commonly used Part B injectable drug treatments for various retinal conditions can cost $2,000 to $3,000 for a single injection. But with a step therapy program that utilizes a low-cost alternative with a similar safety and effectiveness profile when indicated, health plans have been shown to save $1.6M per 100K members. Therefore, strategic specialty care management can generate significant savings while improving outcomes. It can also help improve HEDIS scores and other quality measures.
Don’t leave specialty care on autopilot. Join this webinar to learn how your health plan can:
• Lower costs
• Improve quality metrics
• Reduce administrative burden
• Drive network efficiency
• Enhance member experience
Speakers:
H. Kelley Riley, MD, MBA, Chief Medical Officer, Health Network One
Afrouz Motedaeiny, OD, Senior Medical Director, Premier Eye Care
Moderator:
Kristin Gasteazoro, Chief Growth Officer, Health Network One

Health Network One (HN1) is a leading specialty management company providing value-based solutions that help health plans improve outcomes. With a nationwide network of credentialed providers, HN1 ensures high-quality specialty care in eye care, outpatient therapies, behavior analysis, dermatology, podiatry, and more. With over 20 years of experience, HN1 designs and manages specialty networks and clinically guided programs that support care delivery for more than 7 million members.
Through expertise in clinical quality programs and alternative payment models, we empower health plans to enhance provider collaboration and improve care delivery. For more information, visit www.healthnetworkone.com.

Curb Diabetes Complications and Costs
2025-05-07 14:00 - 15:00 | https://us02web.zoom.us/webinar/register/WN_FqnFMeC0TQ6Dmo6RmJ1eBQ#/registration
Diabetes can lead to serious complications, and one of the costliest — and least discussed — is diabetic foot amputations. Even more surprising is the mortality rate for individuals who have experienced an amputation which is higher than that of many cancers. While the reality is discouraging, the leading cause of many amputations, foot ulcers, is preventable. Join us for an informative session to learn more about this serious issue facing your members with complex diabetes and how you can better manage it.
Key takeaways:
• Learn about diabetic foot complications and the impact they have on overall health
• Understand how to identify members at risk of foot complications and how to target them for a virtual care program
• Discover how individuals with previous foot complications including amputations can be highly motivated and engaged with monitoring solutions
• Hear how one Medicaid plan partnered with Podimetrics to lower costs and improve outcomes for their most complex members
Diabetic amputations represent a significant indicator of health inequity. Implementing an impactful program can help reach your most vulnerable members, not only supporting their foot health but also addressing their social determinants of health.
Presenters:
Davidica Brodersen
Vice President of Enterprise Health Services
Podimetrics
Gary Rothenberg, DPM
Medical Director
Podimetrics

Podimetrics provides a virtual care solution combining advanced remote monitoring with personalized support, empowering individuals with complex diabetes to reduce complications, lower costs, and improve outcomes. Our approach begins with diabetic foot health and addresses the broader health challenges faced by people with diabetes. At the core of our solution is the SmartMat™—a scientifically validated technology integrating clinical intelligence and real-time monitoring to detect complications before they start. By enabling timely, targeted interventions, we help payors, providers, and patients prevent serious complications, saving lives and limbs.

AI Agents in Healthcare: Scaling Member Service for Faster, More Equitable Access
2025-04-16 13:00 - 14:00 | Webinar, United States
Medicaid and Medicare health plans face increasing member expectations, especially during seasonal surges like renewals and redetermination, open enrollment, and new plan year transitions. Limited live resources can make it difficult to deliver timely, effective support to members.
AI-powered Agents offer a scalable, secure, and empathetic solution—helping members complete self-service tasks such as updating primary care provider (PCP) selections, requesting ID cards, and getting answers to common benefits, services and support questions, all within digital platforms.
Join this session to learn how AI Agents are transforming health plan member engagement while ensuring HIPAA compliance and seamless escalation for complex inquiries.
Key takeaways include:
• Enhancing member support by quickly delivering benefits education and resolving routine requests.
• Ensuring compliance and accuracy with built-in guardrails that prevent AI “hallucinations” and enable warm transfers to live agents when needed.
• Leveraging human-in-the-loop strategies to maintain trust, empathy, and precision.
• Driving operational efficiency and member satisfaction with personalized, 24/7 digital assistance.
Presenters:
Dustin Roberts
Solution Consulting, Manager
Ushur
Yvonne Daugherty
Global Head of Industries
Ushur
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Automation platform built specifically for regulated industries. Purpose-built for delivering ideal self-service, Ushur infuses intelligence into digital experiences for the most delightful and impactful customer engagements. Equipped with guardrails and compliance-ready infrastructure, Ushur powers vertical AI Agents for healthcare, financial services and insurance use cases. Designed for rapid code-less deployment with flexible, advanced capabilities for IT and business teams, enterprises can transform customer and employee journeys at scale, driving faster time-to-value and improved outcomes.

Are Digital Health Programs Delivering Measurable ROI?
2025-04-09 13:00 - 14:00 | Webinar, United States
How are managed care organizations measuring the multi-faceted ROI of digital health programs across clinical outcomes, utilization, and quality? Join our panel of health plan leaders as they share their experiences in measuring and expanding digital health solutions beyond the pilot stage. This discussion will explore different approaches to evaluating population health initiatives, allocating resources effectively, and aligning with value-based care objectives. Attendees will learn how other healthcare decision-makers make meaningful digital health investments that benefit both patients and payers, ensuring digital health solutions truly deliver on their promise of improved care and sustainable ROI.
Presenters:
Reza Alavi, MD
Managing Director
Quintuple Aim
Mike Rapach
President & CEO
CareFirst Community Health Plan Maryland
Rebecca Geist
National Director, Government Programs Business Development
Kaiser Permanente
Ifrad Islam
VP, Value-Based Care
Prominence Health
Sebastian Seiguer
CEO
Scene Health

Scene is the industry leader in MedEngagement, going beyond traditional medication adherence to transform disease management. Commercialized out of Johns Hopkins, Scene has over ten years of experience improving medication adherence in diverse populations facing significant health and socio-economic challenges. Scene currently delivers programs for over 700 public health departments, Medicaid and Medicare MCOs, and life science organizations covering multiple chronic and infectious conditions, including diabetes, asthma, COPD, cholesterol, opioid use disorder, hepatitis C, tuberculosis, hypertension, sickle cell disease, and solid organ transplants.

Shifting from Traditional to Transformational Care: Reimagined Roles and Strategic Partnerships within MCOs to Deliver High Quality Outcomes
2025-03-19 14:00 - 15:00 | https://us02web.zoom.us/webinar/register/WN_wGrjszQ0R-eJZpyayVIDDA#/registration
MCOs must move beyond traditional roles to spark transformational change. Advancing population health goals and improving health outcomes requires purposeful collaboration from cross-sector community partnerships. BlueCross and BlueShield of Illinois (BCBSIL) is committed to disrupting health disparities through targeted, strategic partnerships. In this presentation, BCBSIL and two organizational partners, PS2G and HealthCare Dynamics International (HCDI), share strategies for collective impact and call on MCOs to shake up the population health landscape by reimagining their role within it.
By leveraging existing community resources and partnering with established CBOs and trusted community stakeholders, we develop sustainable, structural initiatives to reduce health disparities for hard-to-reach populations. This presentation explores how BCBSIL’s partnership with PS2G and HCDI has amplified engagement efforts through an integrated community approach. PS2G’s program to reduce food insecurity through economic investment with their Growing Homes initiative and Dion’s Chicago Dream Vault and HCDI’s on-the-ground engagement approach using human-centered design and their Parachute Methodology showcases the vital nature of embedding lasting, culturally responsive interventions to reduce health disparities and improve health outcomes. In this presentation, BCBSIL demonstrates the critical nature of building an agile coalition of support for at-risk populations – beginning with the MCO.

Presenters:
Suzanne Letang
Clinical Strategy Manager
Blue Cross and Blue Shield of IL
Jean Drummond
President and CEO
HCD International
Deidre Sherman
Chief Customer Officer
PS2G
Ravi Sankar
Sr. Partner
PS2G

How Health Plans Can Address Children Welfare
2025-03-12 15:00 - 16:00
The Medicaid market for health plans wanting to serve children in foster care and/or with complex needs is growingly competitive. And the needs of children are increasingly complex. The state’s expectations are high. The pressure is on for healthcare to better meet the needs of our children. Health plans must be trained and equipped to take on providing for the comprehensive physical and mental healthcare needs of children who have experienced trauma and who may be involved in the child welfare system. This is a pivotal moment where the healthcare system and child welfare systems must come together to improve both systems and the lives of children. This session will feature a panel of experts who have different roles and valuable perspectives on how managed care can help transform the child welfare system and those it serves.

For more than twenty years, Sellers Dorsey has supported transformational change in healthcare. As one of the top healthcare consulting firms in the nation, we partner with states, providers, health plans, and other stakeholders to strengthen the critical safety net system and enhance healthcare access, quality, and outcomes for the country’s most vulnerable populations.
Presenters:
Cheryl Fisher
Vice President, Business Development for Foster Care and Child Welfare Programs
Centene
Scott Lundy
CEO
Arrow Child and Family Ministries
Karen McCloud
President & CEO
Benchmarks
Katie Olse
Senior Director for Child and Family Wellbeing
Sellers Dorsey

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Navigating the evolving landscape of autism spectrum disorder: Addressing challenges and improving outcomes
2025-02-19 13:00 - 14:00 | https://medicaidplans.org/event/navigating-the-evolving-landscape-of-autism-spectrum-disorder-addressing-challenges-and-improving-outcomes/
The prevalence of autism spectrum disorder (ASD) continues to rise, along with the complexity of meeting the needs of individuals and families. Magellan is pleased to present this Q&A-style webinar with MHPA, featuring Yagnesh Vadgama, an ASD thought leader. Join us to explore key topics shaping the future of Applied Behavior Analysis (ABA) and autism care, including:

Access and utilization challenges
Importance of early intervention
Strategies for collaboration between families, providers and health plans

Presenter
Yagnesh Vadgama
Vice President, Operations and Clinical Autism Services
Magellan Healthcare

Register Now

Magellan Health, Inc. supports innovative ways of accessing better health through technology, while remaining focused on the critical personal relationships that are necessary to achieve a healthy, vibrant life. Magellan’s customers include health plans and other managed care organizations, employers, labor unions, various military and governmental agencies and third-party administrators. For more information, visit MagellanHealth.com.

Reporting on the 2024 Medicaid Adult Core Set Behavioral Health Quality Measures Intended to Drive Quality and Advance Behavioral Health
2025-02-12 13:00 - 14:00 | https://medicaidplans.org/event/medicaid-adult-core-set-behavioral-health-quality-measures-2025/
To support their efforts to improve behavioral health in Medicaid and Children’s Health Insurance Program (CHIP), Centers for Medicare & Medicaid Services (CMS) identified a core set of 18 behavioral health quality measures for reporting by state Medicaid and CHIP agencies. This Core Set, which consists of 7 measures from the Child Core Set and 11 measures from the Adult Core Set, will be used by CMS to measure and evaluate progress toward improvement of behavioral health in Medicaid and CHIP. Beginning with 2024, reporting of all the behavioral health quality measures on the Child Core Set and the Adult Core Set is mandatory.
Join us to learn about the Medicaid mandatory reporting requirements on behavioral health quality measures. Many states may not be aware of these 2024 mandatory reporting requirements, or which measures they are required to report to CMS. This webinar aims to inform and raise awareness for managed care customers including Medicaid, health systems, MCOs, ACOs, and key stakeholders such as PHDMs representing medical, pharmacy, and quality on this new reporting mandate.
Speaker
Samuel Stolpe, PharmD, MPH
Head of Healthcare Quality Strategy Strategic Customer Group
Johnson & Johnson Innovative Medicine

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