Institute Agenda


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Day One Wednesday February 13
Day Two Thursday February 14
Day Three Friday February 15
9:00 am - 12:00 pm

Thriving With Managed Care: An OPEN MINDS Executive Seminar On Organizational Competencies & Best Practices In Health Plan Contract Management

Executive Seminar

In an evolving managed care marketplace new payer service delivery requirements and expectations are changing the way community mental health provider organizations deliver traditional mental health services. The partnership between payer and provider has resulted in the alignment of shared goals for timely access to treatment and services, client care coordination, targeted client outcomes, strategic market planning/ outreach, and intake and admissions processes. To be successful in this environment, provider organizations must be managed care ready and positioned as a "preferred provider" in this competitive market. In this seminar, Richard Louis, III, OPEN MINDS Senior Associate & Advisory Board Member, will present essential best management practices and the internal departmental supports necessary to succeed in a high volume and outcomes driven managed care environment. In this seminar, we will discuss:

  • Core themes related to customer centric intake and admission processes to ensure maximum client visits and reduce "no show rates"
  • Development of winning marketing strategies and account management to drive and maintain maximum referral volume
  • Customer focused care coordination for effective continued stay reviews, treatment updates and discharge planning

Richard Louis, III

Senior Associate, OPEN MINDS

Richard Louis, III, brings extensive experience in public and for-profit behavioral healthcare administration and business development to the OPEN MINDS team. Mr. Louis was formerly the Executive Director of Strategic Development and Planning, Pacific Region, for Providence Service Corporation.

Prior to OPEN MINDS, Mr. Louis served as the Assistant Director of the San Bernardino County Department of Behavioral Health, the 4th largest county behavioral health system in California, where he was responsible for day-to-day operations of a system serving over 50,000 unduplicated consumers annually through 31 county-operated facilities and 60 contract provider organizations.

Prior to his work with San Bernardino County, Mr. Louis was the Vice President of Government Operations for College Health Enterprises. In this role, he pioneered the development of public sector partnerships, contracts, and community mental health system joint ventures in California by creating some of the first inpatient psychiatric hospital-based, outpatient, day treatment, and institutional specialty treatment programs for county, state, and federal government agencies including L.A. County Department of Mental Health, L.A. County Probation Department, California Youth Authority, California Department of Developmental Disabilities, California Department of Corrections & Rehabilitation, and U.S. Immigration Customs Enforcement/Homeland Security.

Mr. Louis has served in a number of leadership roles with several organizations in the community including: the California Hospital Association – Center for Behavioral Health, Advisory Board, and SCAN Health Plan – Advisory Board; the Board of Directors of the Forensic Mental Health Association of California, College Hospitals, and the Intercommunity Child Guidance Center of Whittier; and testified on behalf of the National Association of Psychiatric Healthcare Systems before President Bush’s New Freedom Commission on Mental Health. Mr. Louis is currently a volunteer police officer with the City of Monterey Park Police Department in East Los Angeles serving since 1987 and currently holds the rank of Captain. Mr. Louis was recently appointed to the City of Claremont Police Commission in Los Angeles County.

He is a graduate of Whittier College and of the Police Academy of Rio Hondo College.

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9:00 am - 4:00 pm

The OPEN MINDS Health Plan Partnership Summit: A Guide To Developing & Negotiating Partnership Agreements With Health Plans

Executive Summit

The health and human service market is facing many new challenges – increased competition for care coordination contracts, more value-based reimbursement, and the changing role of technology. For provider organization executives, this market shift requires the development of new partnerships with health plans and new business models for sustainability. But the question many executives are asking themselves is: How? we will explore the answer to that question in this engaging summit designed to help executives understand the needs of payers, reframe the services of typical provider organizations into “solutions” for health plans, negotiate agreements with payers and build mutually beneficial partnerships with payers in their market.

This summit's agenda will include informative case studies with experienced executives, thought leader discussions, and time for interactive dialogue with attendees.

Deb Adler

Senior Associate, OPEN MINDS & Former SVP Network Strategy, UnitedHealth Group/Optum

Deb Adler brings more than 20 years of experience in executive health care roles, serving in a variety of capacities including network executive, quality management executive and chief operating officer, to the OPEN MINDS team.

Her consultant work with OPEN MINDS spans a broad range of customers (provider organizations, payors and government programs) and topics, including: collaborative care models/medical behavioral integration, provider network functions– contracting, network designs/tiering, recruitment, telehealth network implementation, and strategic planning. In addition, Ms. Adler has a special interest in helping technology-enabled providers in “go-to-market” strategies and streamlining network functions.

Since entering the managed behavioral health care field, she has become an industry-recognized leader in value-based contracting and alternative payment models. An innovator known for her ability to execute results, she has facilitated network designs and benefit plan approaches that achieve both quality outcomes and healthcare cost savings.

Before joining OPEN MINDS, Ms. Adler served as Senior Vice President of Network Strategy for Optum (now UnitedHealth Group) where she was responsible for behavioral health network development, contracting, and strategy for over 185,000 providers. In this role she developed the largest, performance-tiered behavioral health network, largest telemental health network, and largest medication assisted treatment (MAT) network. She was also responsible for implementing network initiatives to promote medical/behavioral integration, improve member outcomes, and reduce total cost of care through collaborative care models.

Prior to joining Optum/UnitedHealth, Ms. Adler spent over 12 years with ValueOptions, Inc. (now Beacon Options) where she held a variety of senior leadership roles including, Executive Vice President of National Networks; Chief Executive Officer, Health Plan Division; Vice President, Network Operations; Executive Director, Corporate Quality Management; and Executive Director, Quality & Information Systems. She was responsible for quality management and coordinated NCQA and URAC accreditation efforts.

Ms. Adler spent her early career in health care quality, serving as a quality director in two state-run psychiatric centers.

Ms. Adler received her Master’s degree in educational psychology and evaluation from Catholic University of America and is a Certified Professional in Health Care Quality (CPHQ).

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Charles Gross, Ph.D.

Vice President, Behavioral Health, Anthem, Inc.

Charles Gross, Ph.D. is the Vice President Behavioral Health/Physical Health Integration at Anthem Blue Cross Blue Shield.  In this role he is responsible for integrated behavioral health services for more than 8.2 million combined Medicaid and Medicare covered lives as well as over 19.4 million Commercially covered lives.  Dr. Gross has over 20 years of clinical and operational managed care experience in the public and private sectors, including; direct clinical work with the Health and Hospital Corporation of New York, extensive private practice experience, clinical and management experience with Kaiser Permanente, ValueOptions, United Health and Anthem Blue Cross Blue Shield.

Dr. Gross received his undergraduate degree from the University of Michigan, and his PhD. from Yeshiva University.

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Kelly J. Champ

Vice President, Network Strategy & Innovation, Optum

Bio coming soon!

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Matt Miller

Senior Vice President, Public Sector, Magellan Healthcare

Matt Miller is the senior vice president, Public Sector for Magellan Healthcare, where he is responsible for strategic account management and growth of Magellan public sector Medicaid programs. He has more than 20 years of experience in the health care industry, focusing on overall operations, business development and provider network development and management. Matt developed and implemented Magellan’s first value-based purchasing and reimbursement strategy, and continues to be actively engaged in the value-based strategy and execution for the company’s Public Markets business.

Prior to his current role, Matt served in progressive leadership roles as Magellan’s director of business development for public sector; as vice president, public sector provider network, where his focus was on Medicaid and public sector provider delivery systems; and as national vice president, behavioral health network management and operations for both the public sector and commercial network.

Matt graduated from Gustavus Adolphus College with a double major in Psychology and Criminal Justice.

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1:00 pm - 4:00 pm

Making The Right Tech Investments For Your Organization: An OPEN MINDS Executive Seminar On Technology Budgeting & Planning

Executive Seminar

As technology takes a more central role to strategy, competitive advantage, and sustainability for health and human service organizations, it brings new issues for executive teams to grapple with: What technology to invest in? How much to spend on technology infrastructure? Who is responsible for technology purchasing, technology implementation, and technology optimization? The strategy questions are big ones. And the range of available technologies and tech-enabled functionality that shape and support strategy is large and growing rapidly. In this session, we’ll cover the big challenge facing executives as they lead their organization on the path to a tech-driven future, including:

  • How to develop a technology strategy that aligns with your organization’s strategic plan
  • How to establish a technology budget that allows your organizations to meet its strategic goals
  • How to apply best practices in technology selection, implementation, and optimization

Joseph P. Naughton-Travers, EdM

Senior Associate, OPEN MINDS

Joseph P. Naughton-Travers, Ed.M., Senior Associate, has more than 30 years of experience in the health and human service field. In this tenure as senior associate with OPEN MINDS since 1998, he has served as lead of dozens of client initiatives, served as editor of OPEN MINDS publications, and is the author of many groundbreaking articles and presentations.

Mr. Naughton-Travers brings to OPEN MINDS a broad range of experiences in private and public sector delivery of behavioral health and social services. He started his career as a behavioral health clinician, working in both child welfare and community mental health clinic settings. Subsequently, Mr. Naughton-Travers held a senior business operations management position for a psychiatric hospital system and its community mental health clinics.  Later, he was vice president of a firm specializing in information systems and billing and receivables management for community-based mental health programs.

Since joining OPEN MINDS, Mr. Naughton-Travers has developed business solutions for provider and professional organizations, state and county government, technology companies, and venture capital firms. His primary areas of expertise include strategic planning and metrics-based management, electronic health record (EHR) and technology selection and implementation, operations improvement, and corporate compliance. For the past decade, over half his consulting practice has focused on aiding organizations in technology selection and implementation, including all aspects of strategic technology planning, functional specifications development, request for proposal development, vendor selection, and contracting.

He has written numerous articles, including “Winning the Human Resource Wars: Tried, True and New Strategies for Behavioral Health and Social Service Organizations,” “Five Pillars of Management Competency,” “Data Driven Decision Making: Moving to an Organizational Measurement Culture,” “Survival of the Smartest: What is Your Organization’s Information Literacy IQ?,” and “Strategic Human Resource Management: Aligning Compensation with Employee Performance and Organizational Strategy.” Mr. Naughton-Travers is also a nationally recognized speaker, having conducted hundreds of executive and professional executive training events around the nation.

Mr. Naughton-Travers received his Bachelor’s degree from Miami University of Ohio and his Masters’ of Education in Counseling Psychology from Boston University.

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7:30 am - 8:30 am

Registration & Executive Networking Breakfast

Networking

Check-in at the registration desk to get your name badge and program materials, then join us in the exhibit hall for breakfast. Take some time to meet your fellow attendees, talk to our sponsors, and prepare for the day ahead.


8:30 am - 9:00 am

Welcome & Announcement Of The Results From The 2019 OPEN MINDS Performance Management Executive Survey

Plenary

During this opening session, OPEN MINDS Chief Executive Officer, Monica E. Oss will open the institute by sharing the results of this year's survey, The 2019 OPEN MINDS Performance Management Executive Survey: Where Are We On The Road To Value, and discussing their implications for health and human service organizations.

Monica E. Oss

Chief Executive Officer, OPEN MINDS

Monica E. Oss, M.S., Chief Executive Officer and Senior Associate, is the founder of OPEN MINDS. For the past two decades, Ms. Oss has led the OPEN MINDS team and its research on health and human service market trends and its national consulting practice. Ms. Oss is well known for her numerous books and articles focused on the strategic and marketing implications of the evolving health and human service field. She has unique expertise in payer financing models, provider rate setting, and service pricing. She has led numerous engagements with state Medicaid plans, county governments, private insurers, managed care programs, service provider organizations, technology vendors, neurotechnology and pharmaceutical organizations, and investment banking firms – with a focus on the implications of financing changes on delivery system design.

 

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9:00 am - 10:00 am

Serving Self Grant Sponsors Through Transparency, Fairness & Direct Contracting With Providers

Keynote Address

Bill Green

Chief Executive Officer, Homestead Smart Health Plans

Bill Green was appointed as the Chief Executive Officer of Homestead Strategic Holdings, Inc. effective May 1, 2018. He previously had served Homestead as Chief Legal Officer, Founder and Director since 2015.

Bill brings an extensive leadership background in both the public and private sectors. He was appointed as Chair of the Philadelphia School Reform Commission by Governor Tom Corbett in January 2014 and served on the Commission until June 2018 when Philadelphia took over local control of its School District. Immediately prior to his appointment he served as Philadelphia City Councilman At-Large from 2008-2014. Bill focused his work in City Council on fiscal discipline, government accountability, the application of technology, and improving the quality of life for city residents.

Before attending Auburn University, Summa Cum Laude, 1992, Bill traded options and futures in New York, London, and Amsterdam. He later obtained a law degree from the University of Pennsylvania, 1995. In the years since, he has founded several businesses, represented top Fortune 500 companies as a corporate and securities attorney and served as President of VistaScape Security Systems. Bill has lived and worked in Atlanta, Amsterdam, London, Philadelphia and New York.

Bill has served on the Board of Directors of numerous institutions and private companies. He is currently a Board Member for Rosemont College- 2013 to present, and The Historical Society of Pennsylvania- 2010 to present. He is a past Board Member for the Art Museum of Philadelphia, Council Representative, 2012-2014, and a past member of the Criminal Justice Advisory Board.

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10:15 am - 11:30 am

Thought Leader Discussion With Bill Green, Chief Executive Officer, Homestead Smart Health Plans

Discussion Breakout

Join us for a follow-up session with our keynote speaker, Bill Green, Chief Executive Officer, Homestead Smart Health Plans. Use this time to ask questions and continue the morning’s discussion with Mr. green and OPEN MINDS Chief Executive Officer Monica E. Oss.

Bill Green

Chief Executive Officer, Homestead Smart Health Plans

Bill Green was appointed as the Chief Executive Officer of Homestead Strategic Holdings, Inc. effective May 1, 2018. He previously had served Homestead as Chief Legal Officer, Founder and Director since 2015.

Bill brings an extensive leadership background in both the public and private sectors. He was appointed as Chair of the Philadelphia School Reform Commission by Governor Tom Corbett in January 2014 and served on the Commission until June 2018 when Philadelphia took over local control of its School District. Immediately prior to his appointment he served as Philadelphia City Councilman At-Large from 2008-2014. Bill focused his work in City Council on fiscal discipline, government accountability, the application of technology, and improving the quality of life for city residents.

Before attending Auburn University, Summa Cum Laude, 1992, Bill traded options and futures in New York, London, and Amsterdam. He later obtained a law degree from the University of Pennsylvania, 1995. In the years since, he has founded several businesses, represented top Fortune 500 companies as a corporate and securities attorney and served as President of VistaScape Security Systems. Bill has lived and worked in Atlanta, Amsterdam, London, Philadelphia and New York.

Bill has served on the Board of Directors of numerous institutions and private companies. He is currently a Board Member for Rosemont College- 2013 to present, and The Historical Society of Pennsylvania- 2010 to present. He is a past Board Member for the Art Museum of Philadelphia, Council Representative, 2012-2014, and a past member of the Criminal Justice Advisory Board.

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Monica E. Oss

Chief Executive Officer, OPEN MINDS

Monica E. Oss, M.S., Chief Executive Officer and Senior Associate, is the founder of OPEN MINDS. For the past two decades, Ms. Oss has led the OPEN MINDS team and its research on health and human service market trends and its national consulting practice. Ms. Oss is well known for her numerous books and articles focused on the strategic and marketing implications of the evolving health and human service field. She has unique expertise in payer financing models, provider rate setting, and service pricing. She has led numerous engagements with state Medicaid plans, county governments, private insurers, managed care programs, service provider organizations, technology vendors, neurotechnology and pharmaceutical organizations, and investment banking firms – with a focus on the implications of financing changes on delivery system design.

 

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Optimizing Productivity: A Guide To New Performance-Based Compensation Models

Breakout Session

To make value-based reimbursement a success, organizations need to serve a high volume of consumers to keep unit costs down—while also improving outcomes to meet performance requirements. Incentivizing staff productivity through a performance-based compensation model can be the best way to operationalize the demands of VBR models. But what are the best practices in performance-based compensation and what is the best strategy for implementation? This session will review some examples of current models being used by provider organizations, the benefits and challenges associated with each model, and how to implement once you have decided on the best model for your organization. In this session, we will discuss:

  • How to develop a compensation strategy that works for your organization
  • How to use productivity measurement to maximize your organization’s revenue potential
  • Cast study examples of performance-based compensation models from the field

John F. Talbot, Ph.D.

Chief Strategy Officer, Jefferson Center for Mental Health, & Advisory Board Member, OPEN MINDS

John F. Talbot, Ph.D., Advisory Board Member, has more than 30 years of experience in all aspects of healthcare, including upper management, consultation, education, direct clinical work, and serving as the president of a non-profit board. Dr. Talbot has provided consultation, training and operational assistance to behavioral health providers, nonprofit organizations, and managed care organizations across the country. His areas of focus for consultation and training include strategic planning, the development of successful strategic alliances, board development, organizational reengineering, operations management, management and leadership development, and change management. He is currently Vice President of Integration Development at Jefferson Center for Mental Health in Denver, Colorado.

Prior to his current position, Dr. Talbot served as the President of a network of agencies providing care to children and families. The innovative work of Colorado Care Management received national recognition, including participation in a Federal IV-E waiver study that demonstrated measurable superior clinical outcomes. In his role with Colorado Care Management, Dr. Talbot also led the development of a coalition of Colorado business executives to address the issues of providing care to abused and neglected children, and the establishment of a nationwide purchasing cooperative for non-profits. Dr. Talbot’s previous experience included serving as the Director of the Master of Health Systems Program, and Associate Dean of University College at the University of Denver. He also held senior management positions at Mount Airy Psychiatric Center in Denver, Colorado.

Dr. Talbot has been a featured speaker at a number of national and state venues including the National Council Community Behavioral Health, Mental Health Corporations of America, the American Association of Residential Treatment Centers, the Medical Group Management Association, the Colorado Behavioral Health Council, the Mental Health Council of Arkansas, the New Jersey Association of Mental Health Agencies, and the Florida Behavioral Health Council.

Dr. Talbot is the former publisher and editor of Today’s Healthcare Manager, a newsletter focusing on leadership and management skills for healthcare managers, and has written numerous articles, manuals, and book chapters. His volunteer work includes serving as the President of the Board of Human Services Inc. in Colorado.

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Anna P. Hundley

Executive Director, Autism Treatment Center

Joined ATC in 1982
Masters in Special Education, Management & Supervision
Recognized nationally and internationally for nonprofit management and leadership skills
Past President, National Association of Residential Providers of Adults with Autism (NARPAA)
Member, National ASA Services TASK Force; Member, 32nd IRI, US Dept of Education
Vice Chair, Texas Council on Autism & Pervasive Development Disorders
National Advisory Task Force; SEDL; Chair, AFAA Leadership Council

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David E. Young, MBA

Senior Associate, OPEN MINDS & Chair Board of Directors, Raiven Healthcare

David Young, MBA, brings more than 30 years of executive experience in technology, new product development, and strategic planning in the health and human service field to the OPEN MINDS team. In addition to holding executive-level positions at prominent healthcare organizations, Mr. Young has also co-developed several start up organizations. He has extensive experience in the telemedicine field, specifically working with autism, children and adolescents, corrections and long-term care markets.

Prior to joining OPEN MINDS, Mr. Young served as the Chair of the Board and the Chief Marketing Officer of Raiven Healthcare in Tennessee. In this position, he provided leadership and strategic vision for the cutting edge artificial intelligence company. While leading the Board, he also served as the Chief Marketing Officer, providing direction in branding and imaging in the marketplace. Together, Mr. Young and the Chief Executive Officer oversaw the budgeting process and developed the direction of the board policy.

Previously, Mr. Young served as the Co-Founder, President, and Chief Operating Officer of MindCare Solutions Group, Inc., a national telemedicine organization providing tele-psychiatry and tele-primary care to institutional providers. In these roles, Mr. Young designed the corporate structure and directly managed sales, account management, and government relations. Prior to his departure at MindCare Solutions Group, Inc., Mr. Young obtained three of the largest customers in the behavioral health space as clients, when the organization was not yet three years old.

Mr. Young served as the Vice President of Tele-Psychiatry at Optum/UnitedHealth Group from 2011 – 2013, where he served as the national leader of the tele-psychiatry service line. He developed service lines, and created all aspects of the business development process. Working with senior level executives, he co-developed a design for fee-for-service and alternative payment systems.

Mr. Young received his Bachelor of General Studies, Administrative and Community Services, from Samford University, Birmingham, Alabama in 1985. He then went on to earn his Masters of Business Administration, Health Services Administration, from the University of Dallas, in Texas, in 1990.

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Edward Farbenblum

Chief Executive Officer, VestraCare

Bio Coming Soon!

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CFO Roundtable On Value-Based Reimbursement: A Facilitated Discussion By Financial Leaders For Financial Leaders

Roundtable Discussion

In this roundtable, led by James Stewart, President & CEO, Grafton Integrated Health Network, we will discuss the essential strategies chief financial officers need to meet the challenges their organizations are  facing in the transition to value-based reimbursement.  Come prepared to discuss your organization’s challenges, learn through your colleagues’ experiences, and hear different perspectives from financial leaders across the complex care continuum.

James Stewart

President & CEO, Grafton Integrated Health Network

Jamie Stewart brings to OPEN MINDS over twenty years of experience in the healthcare field. Mr. Stewart has helped develop and modify Healthcare plans and benefits, Retirement Plans and benefits, and PTO Plans for multiple behavioral healthcare providers. He has also had an integral role in program development and business planning for new strategic business lines. Additionally, he has led multiple teams in the selection, implementation, and use of multiple Electronic Health Record Systems at several behavioral health care entities.

Mr. Stewart currently serves as the Chief Executive Officer at Grafton Integrated Health Network. He previously served as the Executive Vice President, Chief Administrative Officer, where he was responsible for the supervision of the Finance Departments, Contracting (both payer and vendor), Information Technology, Human Resources, Risk Management, Facilities Department, The Infant and Toddler Program, and the Education Department. He has participated and enabled the expansion of services through the acquisition of facilities and extension of the organization’s IT/HR network into Florida, West Virginia and Australia. He also spearheaded the process of developing and implementing a new paperless Electronic Health Record, as well as a new accounting software that integrated with the Electronic Clinical Record and Billing System.

Prior to working at Grafton, Mr. Stewart was the Chief Financial Officer for the Center for Behavioral Health at Centerstone. In this position, he managed the coordination of a multi-disciplinary team through development and implementation of a Davies Award Winning Electronic Health Record. He developed new clinical programs to meet identified locality needs and established a merger between Non-Profit CMHC’s, which crossed state boundaries.

Mr. Stewart received his MBA with a Healthcare Administration focus from Indiana Wesleyan University. He received a Bachelor of Science degree in Accounting from the University of Kentucky.

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John M. Corneilson, MBA

Senior Vice President & Chief Financial Officer, Meridian Behavioral Healthcare, Inc.

John Corneilson was named Chief Financial Officer in May 2016 after serving as Vice President of Finance and Accounting / Comptroller since 2014. Prior to joining Meridian, John served as Director at Luther Springs Camp and Retreat Center in Hawthorne, Fla., after 22 years in industrial accounting as Controller at manufacturing facilities stretching from Ocala, Fla., Poplar, Bluff; Mo., and Boone; Iowa., to Reynosa, Mexico. He was awarded a Bachelor of Arts in Accounting and Business Management at Augustana College; and, received a Master’s in Business Administration and Accounting from Northern Illinois University.

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Keith Neal, MBA, MHL, CHFP

Senior Vice President & Chief Financial Officer, Advocates

Keith joined Advocates in September 2018 as Senior Vice President and Chief Financial Officer. He is responsible for directing all aspects of the organization’s financial affairs; leading key strategic and tactical initiatives; continuously evaluating systems and performance; and identifying areas for operational redesign and leading improvement efforts.  He is also a faculty member at Brown University, where he is a Teaching Associate for Financial Decisions in the Changing Healthcare Landscape.

Prior to Advocates, Keith worked at Brown Emergency Medicine (formerly University Emergency Medicine Foundation) where he was Chief Financial Officer.  There he led the accounting, finance, and revenue cycle functions, which handled over 270,000 patient encounters. He also assisted in managing the corporate governance aspects of the Foundation.  While there, he helped develop and implement quality and gain-sharing programs with Commercial and Medicaid managed care payors.  Prior to that, Keith worked for EMC Corporation for nearly 15 years in a variety of leadership roles.

Keith received his bachelor’s degree in economics from Wheaton College.  He also has an MBA from Clark University, and a Master of Healthcare Leadership from Brown University, where he focused his studies on the development and implementation of quality-based payment programs and alternative payment models.  He is an Eagle Scout, 6-sigma Greenbelt, and a Certified Healthcare Financial Professional.  He occasionally lectures on the topic on healthcare finance, and was recently published in Academic Emergency Medicine, contributing to a manuscript on the financial viability of emergency department observation units.

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Michelle Aponte-Pacheco

Chief of Revenue Cycle, Emergence Health Network

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Credible Behavioral Health Software Knowledge Partner

Knowledge Partner

Sponsored by Credible Behavioral Health Software


11:45 am - 1:00 pm

Building A New Performance Management Dashboard: How To Use KPIs To Manage Performance In A Value-Based Market

Breakout Session

Coordinated care, value-based payment, and competitive bidding are just a few of the big drivers forcing health and human service organizations to change management processes and strategy. In order to make those changes and improve decision-making, executive teams need to using metrics-based management. One method of metrics-based management is the development of a key performance indicator (KPI) system. An effective KPI system captures financial and non-financial measures, and is driven by structured data based upon an organization’s strategic objectives. This session will discuss the steps to developing applicable measures and the uses of these measures for strategy and process management—including:

  • The strategic importance of real-time performance management in a value-based market
  • Best practices in building an effective KPI system
  • Case study presentations from organizations that have developed their own performance management system

Joseph P. Naughton-Travers, EdM

Senior Associate, OPEN MINDS

Joseph P. Naughton-Travers, Ed.M., Senior Associate, has more than 30 years of experience in the health and human service field. In this tenure as senior associate with OPEN MINDS since 1998, he has served as lead of dozens of client initiatives, served as editor of OPEN MINDS publications, and is the author of many groundbreaking articles and presentations.

Mr. Naughton-Travers brings to OPEN MINDS a broad range of experiences in private and public sector delivery of behavioral health and social services. He started his career as a behavioral health clinician, working in both child welfare and community mental health clinic settings. Subsequently, Mr. Naughton-Travers held a senior business operations management position for a psychiatric hospital system and its community mental health clinics.  Later, he was vice president of a firm specializing in information systems and billing and receivables management for community-based mental health programs.

Since joining OPEN MINDS, Mr. Naughton-Travers has developed business solutions for provider and professional organizations, state and county government, technology companies, and venture capital firms. His primary areas of expertise include strategic planning and metrics-based management, electronic health record (EHR) and technology selection and implementation, operations improvement, and corporate compliance. For the past decade, over half his consulting practice has focused on aiding organizations in technology selection and implementation, including all aspects of strategic technology planning, functional specifications development, request for proposal development, vendor selection, and contracting.

He has written numerous articles, including “Winning the Human Resource Wars: Tried, True and New Strategies for Behavioral Health and Social Service Organizations,” “Five Pillars of Management Competency,” “Data Driven Decision Making: Moving to an Organizational Measurement Culture,” “Survival of the Smartest: What is Your Organization’s Information Literacy IQ?,” and “Strategic Human Resource Management: Aligning Compensation with Employee Performance and Organizational Strategy.” Mr. Naughton-Travers is also a nationally recognized speaker, having conducted hundreds of executive and professional executive training events around the nation.

Mr. Naughton-Travers received his Bachelor’s degree from Miami University of Ohio and his Masters’ of Education in Counseling Psychology from Boston University.

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Ashley Sandoval

Associate Chief Executive Officer, Emergence Health Network

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Diana Salvador, Psy.D.

Vice President, Quality Assurance and Risk Management, CPC Behavioral Healthcare

Diana Salvador, PsyD, is a licensed Clinical Psychologist in both New Jersey and New York and currently serves as the Vice President of Quality Assurance & Risk Management at CPC Behavioral Healthcare in Monmouth County, NJ. CPC provides a continuum of mental health, substance use, and special education services to children, adults, and families and is a certified CCBHC and the recent recipient of the SAMHSA CCBHC and MAT Expansion grants. In her role she develops and monitors outcomes to support a value-based system of care and leads quality improvement initiatives. Prior to coming to CPC, Dr. Salvador worked at Rutgers University Behavioral Health Care providing oversight for residential, school and community programs for youth and families throughout NJ. She is a volunteer Faculty member of the Robert Wood Johnson Medical School and an Affiliate of the National Child Traumatic Stress Network. Her specialties include program development, continuous quality improvement, workforce development and the creation of innovative system change to reduce health disparities.

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Revenue Cycle Management: A New Model For A New Market

Breakout Session

Most organizations typically only collect 80% of Medicaid services that are billed. Although many organizations have revenue cycle management systems in place, most have not evolved their systems to tightly measure and manage cost, care, and outcomes across the entire episode of care. But provider organizations that understand how to manage costs, while delivering quality service and better outcomes, will be the best positioned to thrive in the value-based world. In this session, we will cover:

  • How to assess your organization’s revenue cycle management, from point of service to billing
  • How to optimize your revenue cycle for value-based reimbursement
  • Examples of revenue cycle management systems from provider organizations

 

David E. Wawrzynek, MBA

Senior Associate, OPEN MINDS

David Wawrzynek, MBA brings more than 40 years of public behavioral health, clinical, financial, and management experience to the OPEN MINDS team. He brings a truly unique combination of experience  with his clinical, business, and financial experience, as well as a demonstrated history of efficient and effective management of behavioral health services.

Mr. Wawrzynek currently serves as a Senior Associate and Subject Matter Expert in the OPEN MINDS Consulting Practice, where he leads projects related to value-based purchasing, financial modeling, and clinical and financial data analysis. In recent years, Mr. Wawrzynek has focused on the development of analytic modeling tools, communication platforms, and knowledge management supports to transform raw data into meaningful information, to enable more effective strategic and operational insights and decision-making.

Before joining OPEN MINDS, Mr. Wawrzynek served 18 years as the Senior Vice President, Finance and Chief Financial Officer at Spectrum Human Services, a private, non-profit community mental health organization in Western New York. In this role, Mr. Wawrzynek designed, implemented and monitored systems to support information technology, human resources, billing, budgeting, financial modeling and reporting, site operations, risk management, security, as well as change management.

Previously, Mr. Wawrzynek served as the Vice President of Finance and Chief Fiscal Officer with Health Management Group in Buffalo, New York. In this role, he managed the corporate financial resources through the supervision and coordination of the functions of reimbursement, budget, banking, and general accounting.

Previously, Mr. Wawrzynek served his first 14 year tenure with Spectrum Human Services as Director of Financial Operations. In this role, he was responsible for the fiscal, facility, personnel, and business functions of the corporation. In addition he was responsible for data analysis and worked closely with the Clinical and Quality Assurance Directors in the development and monitoring of performance and outcome indicators.

Before joining Spectrum, Mr. Wawrzynek served as an Outpatient Psychiatry Supervising Counselor with Buffalo General Hospital Community Mental Health Center. In this role, he held dual clinical and administrative responsibilities and assisted in the daily operation of the department, acted as a liaison to other hospital departments, and supervised staff activities.

Mr. Wawrzynek began his career as a clinical Supervising Counselor for the City of Buffalo’s Division of Drug Abuse Services where he was responsible for supervision of all counseling and clinical activities at a community-based drug treatment center and provided counseling services for clinic patients.

In recognition of his professional successes, Mr. Wawrzynek was named as the 2007 Not-for-profit Chief Financial Officer of the Year by Buffalo Business First.

In addition to his professional experience, Mr. Wawrzynek has served in a number of leadership roles for affiliations including past President for the New York State Cerner Software User Group; past Board President for Child Resource Network; and Treasurer for Spectrum Human Services Foundation.

Mr. Wawrzynek earned his Master of Business Administration and his bachelors in psychology from SUNY at Buffalo and his Master of Science in Rehabilitation Counseling from Syracuse University.

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Vanessa R. Lane, MBA

Vice President, Revenue Cycle Management/ Data Analytics, Grafton Integrated Health Network

Vanessa Lane is the Director of Revenue Cycle Management at Grafton Integrated Health Network.  She has over twenty years of experience in the healthcare field. Ms. Lane has experience managing accounts receivable, contracting, admissions, authorizations and front desk functions in a healthcare setting. She also has extensive experience in working with multiple state Medicaid systems to develop and implement policy changes.  Additionally, she has participated in multiple teams in the selection, implementation, and use of multiple Electronic Health Record Systems.

Prior to working at Grafton, Ms. Lane was the Manager of Accounts Receivable for the Center for Behavioral Health at Centerstone. In this position, she managed the revenue cycle through multiple Electronic Health Record Implementations and several mergers between Non-Profit CMHCs.

Ms. Lane received her MBA with a Healthcare Administration focus from Indiana Wesleyan University. She received a Bachelor of Science degree in Business Management from Indiana Wesleyan University.

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Core Solutions, Inc. Technology Demonstration

Technology Demonstration

Sponsored by Core Solutions, Inc.


1:00 pm - 2:30 pm

Lunch On Your Own

Networking


Framing Value Propositions With Discovery-Data-Mining

Invitation-Lunch-Only

Sponsored by TenEleven Group

Your agency has value in places you haven’t even thought to look!

With the introduction of Value-Based-Payments, comes the emphasis on Behavioral Health agencies being able to prove value.  But what does value look like?  How do you articulate the value you offer?  But most importantly, what is the value you offer?

This Lunch & Learn will introduce you to the concept of Discovery-Data-Mining and how you can leverage your EHR data to form succinct data-driven value propositions for use with payers, private funders, or any stakeholder that needs to know exactly what you do well.

Please email Chuck Calhoon at ccalhoon@10e11.com to request an invitation and start making your data talk!

Tristan Keelan

Marketing Strategist, TenEleven Group

Tristan Keelan is the Marketing Strategist at TenEleven Group. Tristan holds a BA in English from Elmira College and an MBA from St. Bonaventure University. He uses his experiences working in Government, Non-profit National Service, and Banking to bring business process and analytics driven insights to the behavioral health industry.

Tristan is the Co-Author of the TenEleven training course Data, Analytics, & You, which explores how to manipulate your EHR data in a business analytics tools for maximum visibility into behavioral health agency outcomes.  In this capacity Tristan is responsible for delivering training that is designed to help behavioral health agencies incorporate analytics into their strategic plan and management of clinical outcomes measures.

You can read blog posts from Tristan here.

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What’s New In Workforce Management? Exploring The Latest Trends For HHS Organizations

Invitation-Lunch-Only

Sponsored by DATIS HR Cloud

The way we work is constantly changing. As we push ahead in 2019, it’s important to stay on top of the dynamic nature of workforce management. This session will dig into the latest workforce trends that are currently transforming the way Health and Human Services organizations operate. Discover new insights from DATIS’ 2019 State of Workforce Management Report and learn about the key priority areas that continue to shape the behavioral health landscape in this engaging, can’t-miss session.


2:30 pm - 3:15 pm

The Valant EHR: An Intuitive Platform

Technology Demonstration

Sponsored by Valant

When searching for an EHR for example, an intuitive user experience and configurable workflows are increasingly important. When it comes to an approachable, straightforward workflow, The Valant Platform EHR is one that must be seen to be believed. The interface looks like a modern experience we have come to expect from current technology, but is unique in the Behavioral Health market.

This brief demo will cover the foundation of Valant EHR technology and how it’s different from what you’re using today. We’ll dive a bit into the interface to show how this underlying technology creates incredibly easy, straightforward workflows and reporting that takes little to no training. We hope you’ll join us in this talk about how modern technology enables an intuitive EHR.

Brian Gann

Enterprise Account Executive, Valant

Brian Gann has been on the Valant team for over five years and is an expert in connecting behavioral health administrators with usable and sustainable technology. He is a technical expert who can explain complex functions in relatable language. Brian graduated from the University of Washington with a degree in history before changing course to work in healthcare and technology.

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Micah Adler

Director of Business Development, Valant

Micah Alder has been working in the behavioral health industry for over 15 years and has become an integral communicator for our community. Micah’s deep experience of scaling behavioral health organizations enables him to help increase the value of healthcare services and help practices become more effective and profitable. Micah is Valant’s Director of Business Development, working with enterprise organizations across the Southeast.

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2:30 pm - 3:45 pm

Implementing A New Model Of Integration: The Cigna Collaborative Care Model

Breakout Session

Historically, the distinction between the organizations that provide services and the organizations that manage financial risk for a population has typically been quite clear—but that traditional model has been changing. In our shifting value-based market, provider organizations are taking on more risk and health plans are developing and acquiring service delivery capacity. One example of an innovative collaboration is the Arizona-based Cigna Medical Group, division of Cigna HealthCare of Arizona, Inc.. The Cigna Medical Group is a multi-specialty group practice with 20 health care centers in the Phoenix area. Owned by Cigna, the medical group provides primary care and other services to more than 100,000 customers. In this session, we'll learn more about this model from the perspectives of Cigna, a physician champion, and a specialty behavioral provider partner.

 

Richard Louis, III

Senior Associate, OPEN MINDS

Richard Louis, III, brings extensive experience in public and for-profit behavioral healthcare administration and business development to the OPEN MINDS team. Mr. Louis was formerly the Executive Director of Strategic Development and Planning, Pacific Region, for Providence Service Corporation.

Prior to OPEN MINDS, Mr. Louis served as the Assistant Director of the San Bernardino County Department of Behavioral Health, the 4th largest county behavioral health system in California, where he was responsible for day-to-day operations of a system serving over 50,000 unduplicated consumers annually through 31 county-operated facilities and 60 contract provider organizations.

Prior to his work with San Bernardino County, Mr. Louis was the Vice President of Government Operations for College Health Enterprises. In this role, he pioneered the development of public sector partnerships, contracts, and community mental health system joint ventures in California by creating some of the first inpatient psychiatric hospital-based, outpatient, day treatment, and institutional specialty treatment programs for county, state, and federal government agencies including L.A. County Department of Mental Health, L.A. County Probation Department, California Youth Authority, California Department of Developmental Disabilities, California Department of Corrections & Rehabilitation, and U.S. Immigration Customs Enforcement/Homeland Security.

Mr. Louis has served in a number of leadership roles with several organizations in the community including: the California Hospital Association – Center for Behavioral Health, Advisory Board, and SCAN Health Plan – Advisory Board; the Board of Directors of the Forensic Mental Health Association of California, College Hospitals, and the Intercommunity Child Guidance Center of Whittier; and testified on behalf of the National Association of Psychiatric Healthcare Systems before President Bush’s New Freedom Commission on Mental Health. Mr. Louis is currently a volunteer police officer with the City of Monterey Park Police Department in East Los Angeles serving since 1987 and currently holds the rank of Captain. Mr. Louis was recently appointed to the City of Claremont Police Commission in Los Angeles County.

He is a graduate of Whittier College and of the Police Academy of Rio Hondo College.

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Lisa Kay

Clinical Program Manager, Cigna

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Have You Optimized Your Organization For Value-Based Reimbursement? The OPEN MINDS VBR Assessment

Breakout Session

This shift away from traditional fee-for-service reimbursement models to value-based reimbursement (VBR) has turned “business as usual” on its head for many specialty provider organizations. It has forced executive teams to continue their current operations, while simultaneously preparing for the move to value-based reimbursement and population health models. The move to VBR requires the development of a new organizational infrastructure, as well as new technical and financial competencies to make the transition successfully. For executive teams of provider organizations, developing these new functional capabilities is key to sustainability and success. This session is designed to help organizations across the country ensure their teams are prepared for value-based contracting and have all the required competencies needed for success. In this session, OPEN MINDS senior associate Dr. John F. Talbot will:

  • Review the key competencies their organizations need to prepare for value-based reimbursement, including leadership, organizational infrastructure and financial management; technology infrastructure functionality; provider network management and clinical performance optimization; and consumer access and engagement.
  • Discuss how to assess their organization's preparedness for VBR and steps to address gaps in organizational readiness
  • Explore examples of organizations that have gone through the readiness assessment process to prepare for value-based contracts

John F. Talbot, Ph.D.

Chief Strategy Officer, Jefferson Center for Mental Health, & Advisory Board Member, OPEN MINDS

John F. Talbot, Ph.D., Advisory Board Member, has more than 30 years of experience in all aspects of healthcare, including upper management, consultation, education, direct clinical work, and serving as the president of a non-profit board. Dr. Talbot has provided consultation, training and operational assistance to behavioral health providers, nonprofit organizations, and managed care organizations across the country. His areas of focus for consultation and training include strategic planning, the development of successful strategic alliances, board development, organizational reengineering, operations management, management and leadership development, and change management. He is currently Vice President of Integration Development at Jefferson Center for Mental Health in Denver, Colorado.

Prior to his current position, Dr. Talbot served as the President of a network of agencies providing care to children and families. The innovative work of Colorado Care Management received national recognition, including participation in a Federal IV-E waiver study that demonstrated measurable superior clinical outcomes. In his role with Colorado Care Management, Dr. Talbot also led the development of a coalition of Colorado business executives to address the issues of providing care to abused and neglected children, and the establishment of a nationwide purchasing cooperative for non-profits. Dr. Talbot’s previous experience included serving as the Director of the Master of Health Systems Program, and Associate Dean of University College at the University of Denver. He also held senior management positions at Mount Airy Psychiatric Center in Denver, Colorado.

Dr. Talbot has been a featured speaker at a number of national and state venues including the National Council Community Behavioral Health, Mental Health Corporations of America, the American Association of Residential Treatment Centers, the Medical Group Management Association, the Colorado Behavioral Health Council, the Mental Health Council of Arkansas, the New Jersey Association of Mental Health Agencies, and the Florida Behavioral Health Council.

Dr. Talbot is the former publisher and editor of Today’s Healthcare Manager, a newsletter focusing on leadership and management skills for healthcare managers, and has written numerous articles, manuals, and book chapters. His volunteer work includes serving as the President of the Board of Human Services Inc. in Colorado.

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Donald J. Dauman, MBA, LCSWR

Chief Financial Officer, Spectrum Health & Human Services

Mr. Dauman graduated from the University at Buffalo with an MSW in 1989 and an MBA in 2001. He has a 28-year career in behavioral health in a variety of direct service positions and has served in Program Management roles and Executive Leadership roles. He also has a 10-year career as the Erie County Department of Mental Health Fiscal Administrator. Mr. Dauman has extensive experience in new program development, grant writing, system reform initiatives and innovative program and fiscal management models.

In 2010 Mr. Dauman joined the staff of Spectrum Health and Human Services as the Assistant Chief Financial Officer and was promoted in 2017 as their Senior Vice President of Finance and Chief Financial Officer. Spectrum Health and Human Services is one of the largest and most comprehensive behavioral health organizations in Western New York. Mr. Dauman is an avid Buffalo Sabres fan and lives in Lancaster, New York with his wife of 28 years and two children Zachary and Amber.

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4:00 pm - 5:00 pm

Health Plan/Provider Data Exchange In Pay-For-Performance: A Town Hall Discussion On Meeting The Connectivity Challenge

Plenary

Sponsored by Credible Behavioral Health Software

The health and human service market is steadily moving toward more reimbursement based on some measure of performance or value. But to make these value-based relationships work, both health plan and provider organization need real-time electronic data exchange to optimize system performance.

But, there are challenges in making that happen. In this town hall, our expert panel will share their experiences in making data exchange work. From the operational issues in establishing data exchange to the development of analytic reporting to better manage consumer care and population health, this session will focus on the practical issues. The panelists will offer advice to organizations in how to leverage data to build a true partnership for better consumer care.

Joseph P. Naughton-Travers, EdM

Senior Associate, OPEN MINDS

Joseph P. Naughton-Travers, Ed.M., Senior Associate, has more than 30 years of experience in the health and human service field. In this tenure as senior associate with OPEN MINDS since 1998, he has served as lead of dozens of client initiatives, served as editor of OPEN MINDS publications, and is the author of many groundbreaking articles and presentations.

Mr. Naughton-Travers brings to OPEN MINDS a broad range of experiences in private and public sector delivery of behavioral health and social services. He started his career as a behavioral health clinician, working in both child welfare and community mental health clinic settings. Subsequently, Mr. Naughton-Travers held a senior business operations management position for a psychiatric hospital system and its community mental health clinics.  Later, he was vice president of a firm specializing in information systems and billing and receivables management for community-based mental health programs.

Since joining OPEN MINDS, Mr. Naughton-Travers has developed business solutions for provider and professional organizations, state and county government, technology companies, and venture capital firms. His primary areas of expertise include strategic planning and metrics-based management, electronic health record (EHR) and technology selection and implementation, operations improvement, and corporate compliance. For the past decade, over half his consulting practice has focused on aiding organizations in technology selection and implementation, including all aspects of strategic technology planning, functional specifications development, request for proposal development, vendor selection, and contracting.

He has written numerous articles, including “Winning the Human Resource Wars: Tried, True and New Strategies for Behavioral Health and Social Service Organizations,” “Five Pillars of Management Competency,” “Data Driven Decision Making: Moving to an Organizational Measurement Culture,” “Survival of the Smartest: What is Your Organization’s Information Literacy IQ?,” and “Strategic Human Resource Management: Aligning Compensation with Employee Performance and Organizational Strategy.” Mr. Naughton-Travers is also a nationally recognized speaker, having conducted hundreds of executive and professional executive training events around the nation.

Mr. Naughton-Travers received his Bachelor’s degree from Miami University of Ohio and his Masters’ of Education in Counseling Psychology from Boston University.

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Charles Gross, Ph.D.

Vice President, Behavioral Health, Anthem, Inc.

Charles Gross, Ph.D. is the Vice President Behavioral Health/Physical Health Integration at Anthem Blue Cross Blue Shield.  In this role he is responsible for integrated behavioral health services for more than 8.2 million combined Medicaid and Medicare covered lives as well as over 19.4 million Commercially covered lives.  Dr. Gross has over 20 years of clinical and operational managed care experience in the public and private sectors, including; direct clinical work with the Health and Hospital Corporation of New York, extensive private practice experience, clinical and management experience with Kaiser Permanente, ValueOptions, United Health and Anthem Blue Cross Blue Shield.

Dr. Gross received his undergraduate degree from the University of Michigan, and his PhD. from Yeshiva University.

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Monica Collins, MA, MBA

Senior Director, System Transformation, Magellan Behavioral Health of Pennsylvania

Monica Collins is the Sr. Director, System Transformation for Magellan Behavioral Health of Pennsylvania where she is responsible for leading the strategy and planning efforts in system transformation.  Her responsibilities include engaging providers, state agencies and stakeholders in a collaborative approach to develop a high value service delivery system.  She brings more than 20 years of behavioral healthcare experience to this role both from a provider and then a payer perspective.  Monica earned her Masters of Arts in Counseling Psychology from Indiana University of Pennsylvania and her Masters of Business Administration from Southern New Hampshire University. Unique qualifications include certification in Primary and Behavioral Healthcare Integration.

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5:00 pm - 6:00 pm

Executive Networking Reception

Networking


8:00 am - 9:00 am

Executive Networking Breakfast

Networking


9:00 am - 10:00 am

Innovative Collaborations & Partnerships For Long-Term Services: The Anthem Perspective

Plenary

Leigh Davison

Staff Vice President, LTSS Specialty Organization, Anthem, Inc.

Leigh Davison is the Staff Vice President, LTSS Specialty Organization at Anthem, Inc. with responsibility for leading the organization’s LTSS business development, strategy and execution, program oversight, and operations. With more than27 years’ experience in the health care industry, she has been with Anthem for 13 years and held several positions within the organization both at a corporate and health plan level. She has an extensive background in marketing, network development, provider relations and operations both in Government and Commercial health care industry. Prior to working with Anthem, Inc. and Amerigroup Corporation, Leigh held several positions with Aetna, Inc. and U.S. Healthcare/Corporate Health Administrators.

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10:15 am - 11:30 am

Thought Leader Discussion With Leigh Davison, Staff Vice President, LTSS Specialty Organization, Anthem, Inc.

Discussion Breakout

Join us for a follow-up session with our keynote speaker, Leigh Davison, Vice President, LTSS Specialty Organization, Anthem, Inc. Use this time to ask questions and continue the morning’s discussion with Ms. Davison and OPEN MINDS Chief Executive Officer Monica E. Oss.

Leigh Davison

Staff Vice President, LTSS Specialty Organization, Anthem, Inc.

Leigh Davison is the Staff Vice President, LTSS Specialty Organization at Anthem, Inc. with responsibility for leading the organization’s LTSS business development, strategy and execution, program oversight, and operations. With more than27 years’ experience in the health care industry, she has been with Anthem for 13 years and held several positions within the organization both at a corporate and health plan level. She has an extensive background in marketing, network development, provider relations and operations both in Government and Commercial health care industry. Prior to working with Anthem, Inc. and Amerigroup Corporation, Leigh held several positions with Aetna, Inc. and U.S. Healthcare/Corporate Health Administrators.

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Monica E. Oss

Chief Executive Officer, OPEN MINDS

Monica E. Oss, M.S., Chief Executive Officer and Senior Associate, is the founder of OPEN MINDS. For the past two decades, Ms. Oss has led the OPEN MINDS team and its research on health and human service market trends and its national consulting practice. Ms. Oss is well known for her numerous books and articles focused on the strategic and marketing implications of the evolving health and human service field. She has unique expertise in payer financing models, provider rate setting, and service pricing. She has led numerous engagements with state Medicaid plans, county governments, private insurers, managed care programs, service provider organizations, technology vendors, neurotechnology and pharmaceutical organizations, and investment banking firms – with a focus on the implications of financing changes on delivery system design.

 

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Keeping Consumers In The Equation: Best Practices In Consumer Experience & Engagement

Breakout Session

A running theme in the market shift to value-based care is the importance of consumer engagement—both to increase consumer participation in the management of complex conditions and to increase consumer satisfaction. If your organization has consumers who are engaged in their health care, chances are, you have an edge over your competitors – because your consumers are better informed, are more proactive in their health care and insurance coverage, have better outcomes, and cost less. In this session we'll discuss consumer engagement strategies in the new world of value-based care, including:

  • Why consumer engagement is essential in a value-based market
  • How to develop a consumer engagement strategy to improve performance and increase consumer satisfaction
  • Case studies from provider organizations who have successfully implemented consumer engagement strategies

Joseph P. Naughton-Travers, EdM

Senior Associate, OPEN MINDS

Joseph P. Naughton-Travers, Ed.M., Senior Associate, has more than 30 years of experience in the health and human service field. In this tenure as senior associate with OPEN MINDS since 1998, he has served as lead of dozens of client initiatives, served as editor of OPEN MINDS publications, and is the author of many groundbreaking articles and presentations.

Mr. Naughton-Travers brings to OPEN MINDS a broad range of experiences in private and public sector delivery of behavioral health and social services. He started his career as a behavioral health clinician, working in both child welfare and community mental health clinic settings. Subsequently, Mr. Naughton-Travers held a senior business operations management position for a psychiatric hospital system and its community mental health clinics.  Later, he was vice president of a firm specializing in information systems and billing and receivables management for community-based mental health programs.

Since joining OPEN MINDS, Mr. Naughton-Travers has developed business solutions for provider and professional organizations, state and county government, technology companies, and venture capital firms. His primary areas of expertise include strategic planning and metrics-based management, electronic health record (EHR) and technology selection and implementation, operations improvement, and corporate compliance. For the past decade, over half his consulting practice has focused on aiding organizations in technology selection and implementation, including all aspects of strategic technology planning, functional specifications development, request for proposal development, vendor selection, and contracting.

He has written numerous articles, including “Winning the Human Resource Wars: Tried, True and New Strategies for Behavioral Health and Social Service Organizations,” “Five Pillars of Management Competency,” “Data Driven Decision Making: Moving to an Organizational Measurement Culture,” “Survival of the Smartest: What is Your Organization’s Information Literacy IQ?,” and “Strategic Human Resource Management: Aligning Compensation with Employee Performance and Organizational Strategy.” Mr. Naughton-Travers is also a nationally recognized speaker, having conducted hundreds of executive and professional executive training events around the nation.

Mr. Naughton-Travers received his Bachelor’s degree from Miami University of Ohio and his Masters’ of Education in Counseling Psychology from Boston University.

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Blake A. Martin, MHA

Executive Vice President & Chief Development Officer, Monarch

Blake is a business development and marketing professional with ten years of experience in building relationships that lead to improved revenue streams and brand awareness. Currently working in the non-profit health and human services industry as Chief Development Officer, he is responsible for strategic oversight of a large real estate portfolio, business development with private and public Managed Care Organizations (MCOs), resource development, and marketing functions for Monarch, one of North Carolina’s largest mental health and human services companies. Blake holds his MHA degree from Pfeiffer University.

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Chris Thompson

Vice President of Operations-Behavioral Health, Monarch

As Senior Vice President of Operations, Behavioral Health, Chris Thompson is responsible for overseeing all of Monarch’s behavioral health operations across North Carolina.

Having worked with non-profit organizations for more than 10 years, Chris joined Monarch more than six years ago. He holds a Bachelor of Science degree in accounting and finance from Winthrop University and earned his Master’s in Health Administration at Pfeiffer University.

Chris lives in Fort Mill, S.C., with his wife, Courtney, and their two teenage children, Jonathan, and Ashton.

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Rate Setting For Value-Based Reimbursement: A Guide To Developing Capitated Payment Models

Breakout Session

Thoroughly understanding how to develop bundled payments/case rates will ensure that your clinical services deliver outcomes-based care and provide the necessary revisions needed for billing, financial reporting and data tracking are made to fit this new payment model. This session will provide attendees with a guide to developing and managing a successful case rate payment model and will include:

  • The drivers of the move to case rates and other value-based reimbursement models
  • A guide to developing a case rate proposal and preparing your organization for managing case rate contracts
  • Examples of successful case rate contracting models

David E. Wawrzynek, MBA

Senior Associate, OPEN MINDS

David Wawrzynek, MBA brings more than 40 years of public behavioral health, clinical, financial, and management experience to the OPEN MINDS team. He brings a truly unique combination of experience  with his clinical, business, and financial experience, as well as a demonstrated history of efficient and effective management of behavioral health services.

Mr. Wawrzynek currently serves as a Senior Associate and Subject Matter Expert in the OPEN MINDS Consulting Practice, where he leads projects related to value-based purchasing, financial modeling, and clinical and financial data analysis. In recent years, Mr. Wawrzynek has focused on the development of analytic modeling tools, communication platforms, and knowledge management supports to transform raw data into meaningful information, to enable more effective strategic and operational insights and decision-making.

Before joining OPEN MINDS, Mr. Wawrzynek served 18 years as the Senior Vice President, Finance and Chief Financial Officer at Spectrum Human Services, a private, non-profit community mental health organization in Western New York. In this role, Mr. Wawrzynek designed, implemented and monitored systems to support information technology, human resources, billing, budgeting, financial modeling and reporting, site operations, risk management, security, as well as change management.

Previously, Mr. Wawrzynek served as the Vice President of Finance and Chief Fiscal Officer with Health Management Group in Buffalo, New York. In this role, he managed the corporate financial resources through the supervision and coordination of the functions of reimbursement, budget, banking, and general accounting.

Previously, Mr. Wawrzynek served his first 14 year tenure with Spectrum Human Services as Director of Financial Operations. In this role, he was responsible for the fiscal, facility, personnel, and business functions of the corporation. In addition he was responsible for data analysis and worked closely with the Clinical and Quality Assurance Directors in the development and monitoring of performance and outcome indicators.

Before joining Spectrum, Mr. Wawrzynek served as an Outpatient Psychiatry Supervising Counselor with Buffalo General Hospital Community Mental Health Center. In this role, he held dual clinical and administrative responsibilities and assisted in the daily operation of the department, acted as a liaison to other hospital departments, and supervised staff activities.

Mr. Wawrzynek began his career as a clinical Supervising Counselor for the City of Buffalo’s Division of Drug Abuse Services where he was responsible for supervision of all counseling and clinical activities at a community-based drug treatment center and provided counseling services for clinic patients.

In recognition of his professional successes, Mr. Wawrzynek was named as the 2007 Not-for-profit Chief Financial Officer of the Year by Buffalo Business First.

In addition to his professional experience, Mr. Wawrzynek has served in a number of leadership roles for affiliations including past President for the New York State Cerner Software User Group; past Board President for Child Resource Network; and Treasurer for Spectrum Human Services Foundation.

Mr. Wawrzynek earned his Master of Business Administration and his bachelors in psychology from SUNY at Buffalo and his Master of Science in Rehabilitation Counseling from Syracuse University.

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Debbie Cagle Wells

Chief Marketing Officer, Centerstone

Debbie Cagle is well-known and respected in the healthcare marketing, behavioral health and managed care industries, with more than 20 years of experience in the field. She has worked at Centerstone in a variety of roles for more than ten years including executive leadership for Advantage Behavioral Health, a behavioral health managed care company; Centerstone Military Services, which provides programs and services to veterans and their families; and Centerstone Health Partners, which recently established integrated care clinics for clients with physical and behavioral healthcare needs. Today, she leads marketing and business development for Centerstone, creating and driving business strategy for revenue growth and market share. This includes strategy and oversight of payer relations and contracting, referral marketing, grant writing, branding and communications.

Prior to joining Centerstone, Debbie served as chief operating officer of ValueOptions of Tennessee; vice president of AdvoCare of Tennessee, a subsidiary of Magellan Health Services, and she has directed behavioral health managed care services contracting for HCA, Inc. and Vanderbilt University Medical Center. Debbie graduated from Texas Woman's University with a B.S., dually certified in Special Education, Mental Retardation/ Learning Disabilities and Elementary Education.

She graduated from Texas Woman's University with a B.S., dually certified in Special Education, Mental Retardation/Learning Disabilities and Elementary Education.

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Maggie Labarta, Ph.D.

President & Chief Executive Officer, Meridian Behavioral Healthcare, Inc.

Maggie is a clinical psychologist with over 30 years of healthcare management experience. She received her Ph.D. from the University of Maryland (College Park) and has been with Meridian since 1983. Her clinical experience includes a focus on work with families in cases of abuse, neglect and family law as well as work within acute inpatient psychiatric settings. Administratively, she has considerable experience in strategic planning and organizational development.

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Data Sharing & Reporting In A Value-Based Market: Adapting To Ever Changing Reporting Requirements While Enhancing Your Own Organization's Performance

Breakout Session

Sponsored by Streamline Healthcare Solutions

As states and other payers move towards the value-based payment models, adjusting your operations and technology infrastructure to meet new data sharing and reporting requirements can be daunting. Whether there is a statewide financing system overhaul, or a Medicaid managed care entity making minor modifications to existing reporting requirements, these shifts can have big implications for behavioral health provider. To master this challenge, executive teams will need to leverage new technology, build a data-driven management model, and form new partnerships with stakeholders to be successful. In this session, Central Florida Behavioral Health Network will review how they are working with behavioral health provider organizations to manage data sharing and reporting in the state of Florida – they'll discuss how they are using technology to adapt to the new state reporting model and how they are leveraging the data to improve their own systems of care.

Learning Objectives:

  • Identify important factors and considerations when implementing new reporting that integrates data sets to improve reporting quality.
  • Learn how to overcome barriers of organizational coherence in the process of collecting and reporting the new data and adapting to the change.
  • Learn how to leverage technology to meet payer data reporting requirements and to internally improve systems of care.

Katie Morrow

Vice President of Compliance, Streamline Healthcare Solutions

Katie Morrow is a Licensed Bachelor’s Social Worker with seven years’ experience in the clinical field. In her clinical experience she was a Case Manager for adults with mental illness and developmental disabilities. After receiving a Master’s Degree in Public Administration, she transitioned to also doing quality improvement tasks as a Performance Improvement Clinician, which included coordination of The Joint Commission and State audit reviews, data analysis of the electronic health record data, and staff training for her agency on the use of Streamline products. She began working directly for Streamline in August of 2011. With Streamline, Katie has been the project manager on several implementations as well as providing training and support to Streamline’s customers.

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11:30 am - 12:00 pm

Refresh Break & Raffle Drawing

Networking


12:00 pm - 1:00 pm

The New Financial Normal: Moving Value-Based Reimbursement From Concept To Practice

Plenary

Monica E. Oss

Chief Executive Officer, OPEN MINDS

Monica E. Oss, M.S., Chief Executive Officer and Senior Associate, is the founder of OPEN MINDS. For the past two decades, Ms. Oss has led the OPEN MINDS team and its research on health and human service market trends and its national consulting practice. Ms. Oss is well known for her numerous books and articles focused on the strategic and marketing implications of the evolving health and human service field. She has unique expertise in payer financing models, provider rate setting, and service pricing. She has led numerous engagements with state Medicaid plans, county governments, private insurers, managed care programs, service provider organizations, technology vendors, neurotechnology and pharmaceutical organizations, and investment banking firms – with a focus on the implications of financing changes on delivery system design.

 

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