2018 State HIT Connect Summit: Full Schedule

11:00am PDT

Registration Opens

Wednesday April 4, 2018 11:00am - 12:00pm PDT
TBA

1:00pm PDT

Pre-Conference Workshops

Wednesday April 4, 2018 1:00pm - 2:30pm PDT
Key Ballroom 7-12

1:00pm PDT

Track 1 (Pre-Event Workshop): Independent Verification and Validation (IV&V) of Medicaid IT Systems

The Independent Verification & Validation (IV&V) role is critical to successful implementations of Medicaid IT systems. It provides an independent and unbiased perspective on the progress of system development, integrity, and functionality to both the state and CMS. This session covers the duties of the IV&V contractor and what constitutes a high performing IV&V contractor in the E&E and MMIS systems context. Session discussion includes detailed explanation of the IV&V Progress Report, Milestone Review checklists, and CMS’ content expectations.

Speakers

Ron Backus

Information Systems Engineer, Principal, MITRE

Ron has over 30 years’ experience on software intensive, large scale systems engineering, integration, design, development, implementation, and operations efforts. His MITRE work focuses on healthcare domain IT including CMS work on: MMIS and MITA; solution development lifecycles... Read More →

Eugene Gabriyelov

Technical Director, CMCS/CMS

Eugene Gabriyelov is currently a Technical Director at the Centers for Medicare and Medicaid Services within the Division of State Systems. His duties include oversight of MMIS system certifications, certification process improvement, MITA and MITA Governance, and supporting states... Read More →

Wednesday April 4, 2018 1:00pm - 2:30pm PDT
Tubman (3rd Floor)

Track 1: Medicaid Modernization Modularity & MMIS Procurement

1:00pm PDT

Track 2 (Pre-Event Workshop): Combating the Opioid Epidemic

The objective of this workshop is to provide an overview of state and Federal efforts (programmatic & HIT-related) to mitigate the opioid crisis and to explore state strategies to enhance the value of traditional PDMPs through value-added data integrations that provides a more comprehensive and ‘holistic’ view of patient information and to ensure the data is ‘actionable’ in that it supports shared decision making and is integrated into provider workflows.

Session Takeaways Are:

Programmatic

Enhanced understanding of Federal programs to mitigate the opioid crisis and the role of HIT in enabling/supporting these initiatives (including 1115 waivers)

State HIT Leadership

Gain an appreciation of different state data integration approaches and how states are leveraging HIEs and existing/additional analytical capacities to expand the scope of PDMPs and to ensure ‘actionable data’ is provided to support shared decision making and provider workflows.
Discover available Federal and state resources (such as though the IAP (Innovation Accelerator Program), SIM (State Innovation Model) and outcomes from the HHS Opioid Symposium) and how these can be leveraged to inform your state’s policy-making and strategic HIT planning process.
Gain insights into policy and technology barriers to PDMP utilization and value-added data integrations.

Private Sector Partnership

Insights into private sector innovations to integrate disparate data sources (SDoH, criminal justice, medical examiners, location-based)
Examples of vendor approaches to ‘add value’ to traditional PDMP programs and integrate data into provider/care team workflows
Understand state limitations for sharing data and industry initiatives established to share PMP data across state lines

Speakers

Kevin C. Borcher

Pharm.D., Nebraska PDMP Program Director, Nebraska Health Information Initiative (NeHII)

Kevin Borcher is the Prescription Drug Monitoring Program Director for NeHII, the Nebraska Health Information Initiative. Kevin is responsible for the implementation, training, and support of the Nebraska Prescription Drug Monitoring Program. One of the major recent accomplishments... Read More →

Adam Goldman

MSc, Social Science Research Analyst, Division of State Reform Demonstrations, CMS

Dr. Jim Huizenga

Chief Clinical Officer, Appriss Health

Dr. Jim Huizenga received his medical degree in 2000 from the University of Michigan and completed his residency in Emergency Medicine with the combined United States Air Force and Wright State School of Medicine program in Dayton, OH. After serving in the military he joined a private... Read More →

Genevieve Morris

Principal Deputy National Coordinator, ONC/HHS

Lisa Strouss, BS, RPh, PharmD

Director Field Medical Strategy, ODH Solutions

Dr. Strouss received her Bachelor of Science degree and Doctor of Pharmacy degree from the University of Pittsburgh. She is currently the Director for Field Medical Strategy at ODH, Inc. where she leads clinical strategy with emphasis in pharmacy analytics.She has 10+ years in neuroscience... Read More →

Wednesday April 4, 2018 1:00pm - 2:30pm PDT
Key Ballroom 12

Track 2: State Innovation Data Analytics & Population Health Management

1:00pm PDT

Track 3 (Pre-Event Workshop): A Focus on Industry Collaboration

Hear from government leaders as to how industry can collaborate in order to facilitate the HHS integration across enterprises at state and local governments. HSITAG, the Human Services IT Advisory Group, will facilitate a guided discussion featuring leaders in this area from both the public and private sector to address opportunities for collaboration.

Speakers

Marty Rice

CMCS/CMS

Martin (Marty) Rice, MS, RN-BC, CPHIMS, is a registered nurse and nurse informaticist. Marty began his nursing career working in geriatric psychiatry, along with chronic and post acute care. Since receiving his Masters in Nursing Informatics from the University of Maryland School... Read More →

Kim Shaver

Principle and Founder, Kim Shaver Consulting

Kim Shaver is the principle and founder of Kim Shaver Consulting, LLC offering consulting services in health and human services, specializing in eligibility programs. She has over 35 years of experience in the field of health and human services, including 20 years of public service... Read More →

Wednesday April 4, 2018 1:00pm - 2:30pm PDT
Key Ballroom 11

Track 3: Enterprise Systems H&HS Integration

1:00pm PDT

Track 4: Blockchain in Medicaid: Moving from Hype to Opportunity

This session explores the developments in blockchain technology, its relationship to the Medicaid IT Architecture (MITA) and discusses practical approaches to integration, including the use of APIs and microservices for improving transactions.

Panelists will also discuss how states could potentially leverage the alignment of CMS frameworks for HIE Maturity and MITA as an opportunity to introduce blockchain technology as a foundation for innovation in supporting Medicaid interoperability, beneficiary engagement, and incentivization models.

Speakers

Nick Blake

Director Client Services, Briljent

Andrea Danes

CEO, Accelerant Health

Andrea S. Danes is a Medicaid Futurist, a Business Development Strategist, and an HHS Integration Advocate. She is recognized as an industry expert with more than 20 years’ experience in both public and private sectors, with program expertise in Medicaid, Child Welfare, and other... Read More →

Aaron Seib

SVP Informatics, NewWave

Jim St.Clair

Founder, Institute for Healthcare Financial Technology

Jim is the CTO of The Dinocrates Group, a Maryland-based boutique strategy and advisory firm, and the founder of the Institute for Healthcare Financial Technology. He is a senior professional with over 25 years combined experience in risk management, technology and cyber security... Read More →

Wednesday April 4, 2018 1:00pm - 2:30pm PDT
Key Ballroom 10

Track 4: Security Compliance Combating Fraud Waste & Abuse

1:00pm PDT

Track 5 (Pre-Event Workshop): Supporting States’ Use of Data Analytics in Practical Decision-Making

As healthcare delivery models evolve to more effectively link payment to improved health care outcomes, State Medicaid programs have a strong need for new data analytics tools to help inform their decision-making. This fundamental shift from rewarding volume to rewarding value creates real opportunity for State Medicaid directors to use data in a way that makes their programs more efficient. It also pushes the analytics needs of states past descriptive analytics to evaluative and predictive analytics.

In this workshop, Mathematica data experts will share important descriptive statistics needed for state operations and oversight. Our team will also showcase evaluative and predictive analytics that are, or could be, used in policy development and implementation. Panelists will have an honest discussion about analytic needs within the states, emphasizing implementation challenges and options for overcoming them.

A variety of state data analytic projects will be discussed during this session, including:

Risk adjustment with the Massachusetts Division of Health Care Finance and Policy
Interactions between child welfare and Medicaid
Medicaid enrollment and churn
Evaluative work about interventions for pediatric case management in vulnerable populations
Opioid hot-spotting
Value-based purchasing

Speakers

Carey Appold

Medicaid Area Director, Mathematica

Carey Appold came to Mathematica from the Centers for Medicare & Medicaid Services (CMS), where she led the policy development, program design, implementation, and start-up for community-based long-term care initiatives, including the $400 million Ticket to Work program and $1.75... Read More →

Matt Gillingham

Vice President and Director of Health Technology, Mathematica Policy Research

Matthew Gillingham leads a team of about 200 health technology professionals who bring together technology, project management, and program expertise to architect, build, and deliver innovative analytic solutions for government, philanthropic, and private-sector clients. For close... Read More →

Lindsey Leininger

Associate Director, Health Program Improvement, Mathematica Policy Research

Lindsey Leininger is an expert in Medicaid analytics supporting program design and evaluation. Her work uses data from administrative data systems and population-based surveys to study a variety of policy contexts, including eligibility reform, delivery system reform, risk stratification... Read More →

Paul Messino

Researcher, Mathematica Policy Research

Paul Messino is a researcher with Mathematica’s health program improvement division. Prior to joining Mathematica in 2017, Messino served as the Chief of Health Information Technology for the Maryland Department of Health and Mental Hygiene, where he led a team of analysts to implement... Read More →

Christopher Trenholm

Senior Vice President; Managing Director, Health, Mathematica Policy Research

Christopher Trenholm leads a team of more than 400 researchers, technologists, clinicians, data analytics experts, policy experts, survey experts, and program design and management experts all working on behalf of government, philanthropic, and private-sector clients. Trenholm has... Read More →

Wednesday April 4, 2018 1:00pm - 2:30pm PDT
Key Ballroom 9

Track 5: State Marketplace Reform & Managed Care Optimization

2:59pm PDT

Themed Networking (Gov Only) and Presentations (*Tracks 1-5, as below)

Wednesday April 4, 2018 2:59pm - 5:00pm PDT
Key Ballroom 7-12

3:00pm PDT

Track 1: Presentation - CMS’ MITA Governance Board Announces the Next Medicaid IT Architecture (MITA) Release

The MITA Governance Board (MGB) will announce the next Medicaid IT Architecture (MITA) release. The MITA framework enables technologies and processes to support the development of a more effective Medicaid IT enterprise. This session will provide attendees with an update on:
● The scope and benefits of the next MITA release
● The roles and responsibilities of the states in the submission of their State Self-Assessments
● Enhancements in the pipeline for future MITA releases

Speakers

Sean Mahoney

Board Chair, MITRE

Sean Mahoney is a principal Systems Engineer for MITRE. He has 19 years of leadership and information technology experience. His current focus is in MMIS and HIT systems. He is currently the chairman of the MITA Governance Board.

Marty Rice

CMCS/CMS

Van Showell

IT Specialist, CMS

Van Showell is an MMIS Systems Analyst at the Centers for Medicare and Medicaid Services within the Division of State Systems. His duties include MMIS certifications, MES newsletter and MITA Governance. Mr. Showell started his federal career with the Health Resources Services... Read More →

Amanda Starr

Principle, CSG Government Solutions

Amanda Starr is a Principal Consultant in CSG's Healthcare and Human Services (HHS) practice. She functions as a client executive and project manager, overseeing IV&V, security assessment, project management office, and requirements assessment engagements for a range of Medicaid and... Read More →

Wednesday April 4, 2018 3:00pm - 4:00pm PDT
Tubman (3rd Floor)

Track 1: Medicaid Modernization Modularity & MMIS Procurement

3:00pm PDT

Track 2: Government Only Networking (includes State Designated Entities) State Innovation, Data Analytics and Population Health Management (including Combating the Opioid Epidemic)

Networking Topics Include:
Certified Health IT use in CMS Quality Reporting Programs (supported by Beth Myers, Deputy Director, Office of Policy, ONC/DHHS)
QPP (Quality Payment Program), Quality Measures (supported by Robert Anthony, Deputy Group Director, Quality Measurement & Value Based Incentives Group, CMS)

Wednesday April 4, 2018 3:00pm - 5:00pm PDT
Key Ballroom 12

Track 2: State Innovation Data Analytics & Population Health Management

3:00pm PDT

Track 3: HSITAG Meeting (Human Services Information Technology Advisory Group) - *HSITAG MEMBERS ONLY

Wednesday April 4, 2018 3:00pm - 5:00pm PDT
Key Ballroom 11

Track 3: Enterprise Systems H&HS Integration

3:00pm PDT

Track 4: Government Only Networking (includes State Designated Entities): Security, Compliance, Combating Fraud, Waste & Abuse

Wednesday April 4, 2018 3:00pm - 5:00pm PDT
Key Ballroom 10

Track 4: Security Compliance Combating Fraud Waste & Abuse

3:00pm PDT

Track 5: Government Only Networking (includes State Designated Entities): State Marketplace Reform & Managed Care Optimization

Wednesday April 4, 2018 3:00pm - 5:00pm PDT
Key Ballroom 9

Track 5: State Marketplace Reform & Managed Care Optimization

4:00pm PDT

CMS' MITA Governance Board Meeting

Speakers

Sean Mahoney

Board Chair, MITRE

Marty Rice

CMCS/CMS

Wednesday April 4, 2018 4:00pm - 5:00pm PDT
Hopkins

Track 1: Medicaid Modernization Modularity & MMIS Procurement

7:30am PDT

Registration Opens

Thursday April 5, 2018 7:30am - 8:30am PDT
TBA

8:40am PDT

Opening Remarks

Thursday April 5, 2018 8:40am - 8:45am PDT
Key Ballroom 7-8

Keynote Sessions

8:45am PDT

General Session: With Health IT, the Future Is Now – A Keynote by the National Coordinator

Hear directly from the National Coordinator for Health IT Dr. Don Rucker about how the U.S. Department of Health and Human Services is working to facilitate the movement of electronic health information, enable patient and clinician access to that information, and leverage health IT to improve population health. You’ll also hear how emerging standards and technology are driving innovation.

Speakers

Dr. Don Rucker

National Coordinator for Health Information Technology,, HHS

Dr. Don Rucker is the National Coordinator for Health Information Technology at the U.S. Department of Health and Human Services, where he leads is the formulation of the federal health IT strategy and coordinates federal health IT policies, standards, programs, and investments.Dr... Read More →

Thursday April 5, 2018 8:45am - 9:45am PDT
Key Ballroom 7-8

Keynote Sessions

9:45am PDT

Networking Break in the Exhibit Hall

Thursday April 5, 2018 9:45am - 10:45am PDT
Key Ballroom 1-6

10:45am PDT

Plenary Sessions (*Tracks 1-5, as below)

Thursday April 5, 2018 10:45am - 11:45am PDT
Key Ballroom 7-12

10:45am PDT

Track 1: PLENARY - Integrating the Modular Medicaid Enterprise: Definitions, Expansion & Traction in the Vendor Marketplace

States and Vendors continue to struggle with defining and implementing modular based solutions. Some states are taking a leadership role in helping to define what modularity could look like. In this engaging panel conversation, come learn from CMS, the state of West Virginia, the state of Massachusetts, and the vendor community about innovative solutions for how states can approach modularity. CMS will share their latest thinking regarding how pre-certification and the importance of reusability. West Virginia will share how they were able to deliver their MMIS solution on time and on budget and got certified in 8 months. In addition, PSTG will present findings from their recently released modularity survey.

Moderators

Ryan Howells

Principal, Leavitt Partners

Ryan Howells is a Principal at Leavitt Partners. Ryan’s work with clients is focused on the competenciesrequired of risk-bearing entities transitioning to the value-based economy and how the implementation of technology can improve the triple aim. Ryan has over 20+ years’ experience... Read More →

Speakers

Lisa Alger

CSG Government Solutions and PSTG Modularity Survey Committee Chair

Lisa Alger is a Client Executive and Senior Principal within CSG Government Solutions’ Healthcare and Human Services practice. She has more than 15 years of management experience, including more than 12 years working on state government healthcare initiatives in the states of... Read More →

Ed Dolly

CIO, West Virginia Department of Health and Human Resources

Mr. Dolly has nearly 30 years of IT experience, with over 15 years of health IT experience. Mr. Dolly is a Certified Information Security Systems Professional (CISSP), Project Management Professional (PMP), and currently serves as the State of West Virginia's Coordinator for Health... Read More →

Eugene Gabriyelov

Technical Director, CMCS/CMS

Jared Linder

CIO, Indiana Family and Social Services Administration

Mr. Linder is the Chief Information Officer for the Indiana Family and Social Services Administration. He has previously served the state as the Chief Technology Officer and Medicaid HIT Coordinator, and has led efforts for MMIS system replacement, enterprise architecture, MITA, systems... Read More →

Marty Rice

CMCS/CMS

Thursday April 5, 2018 10:45am - 11:45am PDT
Tubman (3rd Floor)

Track 1: Medicaid Modernization Modularity & MMIS Procurement

10:45am PDT

Track 2: PLENARY - Lower Provider Reporting Burden and Improve Population Health Outcomes: Statewide Quality Measurement Solutions to Support Value-Based Programs

States are engaging in complex health IT implementations to lower provider burden and improve quality measurement reporting as part of overall efforts to achieve the Triple Aim: improve patient experience, improve the health of populations; and reduce the per capita cost of health care. Proactive, actionable, real-time measurement of programs, care delivery, and outcomes can be successfully supported by IT infrastructure that proves its value to healthcare and other sectors. Data liquidity is critical to ensuring that provider workflows and proven healthcare interventions reach into every practice for every patient at the right time. Panelists will describe how states are using innovation dollars to ensure robust, statewide quality measurement systems are designed with community consensus about what and how to measure care. States and healthcare organizations will learn about and see specific models, methods, and work products associated with governance, stakeholder engagement, and consensus-based health IT system design to replicate successful practices in their own communities.

Moderators

Elena Nicolella

Executive Director, New England States Consortium Systems Organization (NESCSO)

Elena Nicolella is the Executive Director of the New England States Consortium Systems Organization, a private, non-profit committed to supporting State Government Health and Human Service agencies. Elena previously worked for the State of Rhode Island’s Executive Office of Health... Read More →

Speakers

John Fleming

Deputy Assistant Secretary for Health Technology Reform, ONC/HHS

John Fleming, M.D., serves as ONC’s deputy assistant secretary for health technology reform. Prior to serving at ONC, Dr. Fleming served as a representative from Louisiana’s 4th congressional district from 2009-2017. Dr. Fleming is an early adopter and supporter of health IT... Read More →

Johanna Goderre

Sr. Consultant, CedarBridge Group

Johanna is a public health analyst and implementer with many years of experience in planning and executing policy-relevant health research and informatics programs, evaluating research findings and care delivery metrics, and ensuring that high-quality data and systems support health... Read More →

Burke Jensen

Health IT Project Manager, Office of Healthcare Policy Initiatives Statewide Healthcare Innovation Plan, Idaho

Burke Jensen is the Health IT Project Manager for the Office of Healthcare Policy Initiatives for the Idaho Department of Health and Welfare. Burke has coordinated the efforts of the Idaho Health Data Exchange and Health Tech Solutions, a data analytics vendor, to establish a statewide... Read More →

Amy Zimmerman

Rhode Island State Health Information Technology Coordinator, Rhode Island Executive Office of Health

Amy has served as Rhode Island’s State Health Information (HIT) Coordinator for the past 6 years. She is responsible for overseeing the continued development of RI’s Health Information Exchange by the State’s Designated Entity, the state’s Medicaid EHR incentive program, and... Read More →

Thursday April 5, 2018 10:45am - 11:45am PDT
Key Ballroom 12

Track 2: State Innovation Data Analytics & Population Health Management

10:45am PDT

Track 3: PLENARY - Designing for Impact in Integrated Service Delivery

Join us as we kick off this year’s Enterprise System Planning, Health and Human Service Integration track with a dynamic discussion on how leaders public sector leaders and researchers are Designing for Impact by working across sectors and systems with a line of sight on advancing population health and well-being. In this session we will take a look at the national landscape by first “zooming out” and understanding how the broad frameworks of social determinants of health and well-being, multiple generational approaches, and an increased focus on data use and optimization through tools like predictive analytics are impacting integration efforts and outcomes. Speakers from Fairfax County, VA, the state of Mississippi, and the Indiana University Richard M. Fairbanks School of Public Health will then “zoom in” and explore how these frames and tools are shaping their efforts on the ground through intentional design and leveraging data beyond traditional programs and service lines. In an interactive discussion format, panelists will highlight success stories, share lessons learned, and help inspire all of us to what is possible.

Speakers

Mark Allen

Mississippi Department of Human Services, CIO

Mark Allen graduated in 1993 from Millsaps College in Jackson, MS with a Bachelors of Business Administration. From there he worked in sales for several years before beginning work in the government sector. Mark has worked in Information Technology within Mississippi government for... Read More →

Tracy Wareing Evans

President & CEO, APHSA

Tracy Wareing Evans is the President and CEO of the American Public Human Services Association (APHSA), a bi-partisan, non-profit, membership organization representing state and local human service agencies through their top-level leadership. She spearheads the Association’s national... Read More →

Joshua R. Vest

Associate Professor of Health Policy & Management, Indiana University Richard M. Fairbanks School of Public Health

Dr. Joshua Vest is a health services researcher with an area of interest in the organizational determinants and effectiveness of health information technology and systems. Most of his work is focused on the adoption, utilization, and policy issues of technologies that facilitate the... Read More →

Jessica Werder

HHS Director of Business Integration, Fairfax County

Jessica Werder is the Director of Business Integration for Fairfax County Health and Human Services. In this capacity, she manages a portfolio of initiatives focused on service integration and information exchange across 8 local agencies. Jess has over a decade of experience in public... Read More →

Thursday April 5, 2018 10:45am - 11:45am PDT
Key Ballroom 11

Track 3: Enterprise Systems H&HS Integration

10:45am PDT

Track 4: PLENARY - Exploring Enterprise Governance, Risk and Compliance (GRC) Strategies: Why Medicaid and all government agencies that are sharing (or planning to share) data should identifying an Enterprise GRC Strategy Now!

Where is your organization on the GRC Maturity Model. Are you aware of the interdependencies of governance, risk and compliance? Or is your organization fragmented? For example, does your organization have a tactical, siloed approach to technology and data source integration? Are you continuing to reinvent or create new silos? We will discuss some of the strategic set of considerations that will help to progress toward data and organizational GRC alignment.

Speakers

Anita Corey

Director Healthcare & Human Services Innovation Incubator, Illinois DoIT

Anita is the Director of Illinois’ Healthcare and Human Services Innovation Incubator. As director, Anita is responsible for delivering a master data management and shared data platform to support data analytics and customer-centric services for Illinois’ healthcare and human... Read More →

Bradley Long

Cluster Chief Information Officer, Department of Innovation & Technology, Illinois

Michael Magnuson

IT Chief of Strategic Planning & Security, AHCA, Florida

Jan Paterson

ESq., PMP.,, Public Consulting Group

Pyreddy Reddy

Chief Information Security Officer, Privacy and Security Officer, N.C. Department of Health and Human Services

Pyreddy Reddy is the Chief Information Security Officer for the North Carolina Department of Health and Human Services. Mr. Reddy is with the department for more than 20 years and he manages the Privacy and Security Office. Mr. Reddy worked as an information system auditor for... Read More →

Thursday April 5, 2018 10:45am - 11:45am PDT
Key Ballroom 10

Track 4: Security Compliance Combating Fraud Waste & Abuse

10:45am PDT

Track 5: PLENARY - State Readiness for the Next Phase of Marketplace Reform

As the discussion around Health Care reform continues to fluctuate, States have been working to understand the options that are available to them to design and devise solutions that will empower them to address health, insurance coverage and premium issues that exist within their states.

This panel seeks to further the conversation and offer recommendations and best practices for proactively engaging with HHS to design state based coverage solutions.

Moderators

Karen Shields

VP Health Services (new development), Serco

Karen Shields is the Vice President of the Health Services business unit at Serco which processes verification services for applications submitted through healthcare.gov. She has over 30 years of business operations and technical support experience with the latter 15 years spen... Read More →

Speakers

Michael Cohen

Consulting Actuary Policy Analytics, Wakely

Michael Cohen, PhD, Consulting Actuary Policy Analytics is a new addition to Wakely. Most recently he was the Senior Advisor to the Marketplace CEO on Data Analytics and Program Integrity. He served as a senior advisor on various commercial insurance and ACA initiatives, including... Read More →

Jessica Kahn

Senior Expert, McKinsey & Company (formerly Director, Data & Systems Group, CMS)

Jess Kahn has over 25 years of experience in national, state, and local healthcare programs in government, nonprofit, and corporate settings. Her expertise is in bridging the worlds of policy, operations and technology, successfully launching new programs, disrupting old ways of thinking... Read More →

Jeff Myers

President & CEO, Medicaid Health Plans of America (MHPA)

Jeff Myers is president and CEO of Medicaid Health Plans of America (MHPA), the leading national trade association for Medicaid managed care organizations. Jeff serves as the primary spokesperson for the Medicaid health plan industry before Congress, the executive branch, state governments... Read More →

Thursday April 5, 2018 10:45am - 11:45am PDT
Key Ballroom 9

Track 5: State Marketplace Reform & Managed Care Optimization

11:50am PDT

Lunch Served in General Session Hall

Thursday April 5, 2018 11:50am - 12:30pm PDT
Key Ballroom 7-8

12:30pm PDT

Medicaid Futurist Panel: Visualizing the 2030 Medicaid Enterprise System

Abstract:
What will Medicaid Enterprise Systems look like in 2030? Will modernized systems improve the effectiveness of Medicaid and other Human Services programs? What should we consider today to realize future possibilities? Amidst the hectic pace of the current Medicaid environment, it is imperative to pause and consider longer term goals and plan a trajectory toward substantive improvement. Join a panel of industry experts to consider today’s challenges against the backdrop tomorrow’s possibilities including

Data, advanced analytics, and the increasing value of AI
Trust brokering for robust data sharing
Reuse of legacy investments through micro-services and APIs
Evolution of the state workforce

Moderators

Andrea Danes

CEO, Accelerant Health

Speakers

Claire Bailey

Director Federal, State & Local Solutions, Compuware

A former CTO for the state of Arkansas, Claire Bailey moved to Compuware where she now works to advance the company's public sector opportunities in mainframe technologies. She works to optimize the application life cycle for mainframes with a focus on development, testing and performance... Read More →

David Chen

Co-Founder & CDO, Nuna

Matt Gee

Co-founder & CEO, Brighthive

Thursday April 5, 2018 12:30pm - 1:15pm PDT
Key Ballroom 7-8

Keynote Sessions

1:15pm PDT

15 Minute Short Break

Thursday April 5, 2018 1:15pm - 1:30pm PDT
Key Ballroom 1-6

1:30pm PDT

Meet the Innovators Roundtables

Thursday April 5, 2018 1:30pm - 2:29pm PDT
TBA

1:30pm PDT

Meet the Innovators Working Lunch Roundtable 1: How a Community-Based Provider Coalition Revolutionized the Medicaid Delivery System in Colorado

As the healthcare landscape evolves, states are in a unique position to design new care delivery
initiatives that can support healthier individuals, families, and communities. Emerging delivery models
involve providers across health, behavioral health, and social supports collaborating to deliver person-centered care.
Community Health Partnership (CHP) is a member-based coalition in Colorado that has been the driving force for a community-based strategy that optimizes the delivery of outcomes-based care for high-risk populations. In this round table, Jim Calanni, former Chief Information Officer for CHP, and Andy Pitman, Director of Business Development – Government for Microsoft, will discuss best practices recommendations for:

Developing a strategic plan for implementing community care coordination
Aligning goals around improving the quality of care for high-risk populations while avoiding costly hospital admissions and re-admissions
Developing a data-sharing infrastructure that enables organizations to collaborate across multiple agencies, measure and report on outcomes, and meet complex regulatory compliance requirements

Speakers

Jim Calanni

Chief Information Officer, Community Health Partnership

Jim Calanni has 25 years of experience in health information technology leadership, with a Juris Doctorate (J.D.) in law, a Masters in Business Administration (M.B.A.) and Bachelor’s of Science (B.S.) in Bio-Chemistry. His healthcare industry experience includes developing and guiding... Read More →

Andy Pitman

Director of Business Development – Government, Microsoft

Andy Pitman is a director on Microsoft’s U.S. government solutions team, helping organizations improve the efficiency and quality of their health and human service solutions. In this role, Andy works with customers and partner companies to develop and implement innovations in areas... Read More →

Thursday April 5, 2018 1:30pm - 2:30pm PDT
Key Ballroom 12

Industry

1:30pm PDT

Meet the Innovators Working Lunch Roundtable 2: Data Governance in the State Health and Human Agencies

Data Governance is the organizing framework for effectively managing data. In this roundtable discussion, States can address their challenges and solutions involving data-management decision making processes, policies, organization and technologies necessary to manage and ensure the availability, usability, integrity, consistency, audit ability, and security of data.

Speakers

Kelly Gonzalez

MS, PMP, CUA Director of Health IT Strategy and Innovation, Myers and Stauffer

Ms. Gonzalez serves as the Director of Health IT Strategy and Innovation practice area. She leads the consulting services area that develop strategies and tactical plans states use to develop, fund, enhance, and assess their health information technology infrastructure, policy framework... Read More →

Ben Griscom

Manager, Myers and Stauffer

Mr. Griscom currently supports states in developing requirements traceability matrices, conducting business process reengineering studies and mapping technical infrastructure needed to support various Medicaid projects and operations. He has led an Enterprise Data Governance (EDG... Read More →

Dan Roach, III

MD Director of Technical Solutions and Chief Data Scientist, Myers and Stauffer

Dr. Roach serves as the director of technical solutions and chief data scientist for the firm's national consulting engagement team. Dr. Roach oversees all technical solutions, data integration, and analytics for the consulting, benefit and program integrity, and managed care engagement... Read More →

Thursday April 5, 2018 1:30pm - 2:30pm PDT
Key Ballroom 11

Industry

1:30pm PDT

Meet the Innovators Working Lunch Roundtable 3: Innovation within the Medicaid IT Ecosystem

Many states are in some stage of transition to a more modular environment. This presents both an opportunity and a challenge for states and vendors. CMS is encouraging the Medicaid IT ecosystem to evolve from developing custom solutions, toward using more COTS and SaaS solutions. This opens the door for more non-traditional Medicaid vendors who may provide innovative solutions.
This will be a collaborative roundtable focused on what states need from vendors so innovative solutions can be introduced into their environment. We will discuss any modules across the enterprise with focus on care management, analytics, and population health solutions. A sample of the topics that will be discussed include:

What are the short and long-term goals of state IT departments?
What challenges are states having as they move towards modularity?
What does a non-traditional vendor need to understand to better meet a state’s needs?
Are you finding that certain modules of the Medicaid Enterprise are better aligned to move away from custom solution?
What are innovative ideas that states, and vendors can do to partner for better solutions?

Speakers

Brian Barry

Vice President, Information Management, Telligen,

Brian Barry is Telligen’s Vice President of Information Management. Brian is a member of the Executive Team and is responsible for the overall leadership and growth of the IM business unit, including strategic planning, operations, account management and financials and development... Read More →

Chad Bennett

Director, Information Management, Telligen

Chad Bennett is the Director of State IT Solutions at Telligen. Chad is responsible for leading strategy and implementation for IT Solutions in the state market. Chad has been leading the development of innovative Health IT solutions for over 20 years. At Telligen, Chad has led the... Read More →

Thursday April 5, 2018 1:30pm - 2:30pm PDT
Key Ballroom 10

Industry

1:30pm PDT

Meet the Innovators Working Lunch Roundtable 4: Streamlining the User Data Access Experience

The length of time it takes to perform a Medicaid administrative business process continues to decrease as the access to data across business areas has been streamlined. As the Medicaid Enterprise System transitions to Modularity, it is critical that data accessibility continues to become easier, rather than more difficult. VUE360 is Molina Medicaid Solutions’ newest product for merging and displaying Medicaid data from multiple, disparate data sources and Medicaid supportive products into a single user interface for enhanced management of the Medicaid population and for ease of access by State users. Our VUE360 navigation page displays tasks for end users for member cases, messages, inbound tasks, and authorizations. A roundtable discussion will be held on the issues regarding data accessibility that new solutions, such as VUE360 need to address.

Speakers

Charlie Goldberg

Director, Molina Medicaid Solutions

Charlie works with Molina’s business development team. In addition to working with new and prospective clients, he is also responsible for heading the team’s efforts in identifying new solutions to address the transition to modularity, particularly in the areas of care management... Read More →

Amy Johnson

Product Manager, Molina Medicaid Solutions

Amy oversees the Molina healthcare payer module including core claims and encounter processing, program analytics, and financials. Amy’s 17 years of healthcare experience include 12 years of end user experience in the government sector as well as a wealth of knowledge operationalizing... Read More →

Shelly Stankiewicz

Product Manager, Molina Medicaid Solutions

Shelly currently oversees the care management and analytics modules; including population health analysis, care and case management, health information exchange and utilization management. Shelly has worked as a technical lead and product manager in Medicaid for over 18 years and... Read More →

Thursday April 5, 2018 1:30pm - 2:30pm PDT
Key Ballroom 9

Industry

1:30pm PDT

Meet the Innovators Working Lunch Roundtable 5: Applying MECL/MEELC Lessons Learned in a Modernized World

CMS guidance requires states to comply with processes and milestone reviews for both MMIS and IE&E system implementations to achieve CMS system acceptance and/or certification. In support of this guidance, CMS has developed and required states to implement the Medicaid Enterprise Certification Life Cycle (MECL) and Toolkit (MECT) for MMIS implementations, and the Medicaid Eligibility and Enrollment Life Cycle (MEELC) and Toolkit (MEET) for IE&E implementations. This
roundtable will discuss inclusion of the MECL and MEELC from various project stakeholder perspectives in the approach to your Medicaid enterprise modernization; the roles and responsibilities of the state, the PMO and the IV&V vendor; and how to successfully incorporate these processes into your schedule and project plan based on lessons learned from states at different phases of each lifecycle.

Speakers

Rob Guenther

Client Executive, CSG Government Solutions

Jeff Leintz

Client Executive, CSG Government Solutions

Thursday April 5, 2018 1:30pm - 2:30pm PDT
Chase (3rd Floor)

Industry

1:30pm PDT

Meet the Innovators Working Lunch Roundtable 6: Being Agile and Stable in a Modular World

There is a continued shift to modular development and implementation of today’s Medicaid systems. This places ever-increasing importance on ensuring the selected technology bridges the gap between program and customer facing functionality, front and back-office operations, and new and legacy systems - all with modern, cost-efficient, solutions responsive to current and new user and regulatory demands. How does an agency navigate the market “noise” about what modularity means and what technology offers the best path to achieve it? Join government program and technology experts as they share a new perspective on achieving modularity maturity. Learn about today’s advanced operational platform technology that, not only allows organizations to wrap the entire legacy platform and reduce the risk associated with replacing, renewing, or refactoring existing applications, but also allows agencies to deliver new application modules in an agile fashion.

Speakers

Tiffany Blair

Director – Health and Human Services, Pegasystems

Tiffany Blair is the Director of State and Local Government solutions for Pegasystems, where she is responsible for Pega’s strategy in Health and Human Services. Tiffany has 17+ years of government experience with expertise in HHS-focused systems for Eligibility and Child Welfare... Read More →

Carl Engel

CEO/Chief Architect, Elyon Enterprise Strategies

Thursday April 5, 2018 1:30pm - 2:30pm PDT
Stone (3rd Floor)

Industry

1:30pm PDT

Meet the Innovators Working Lunch Roundtable 7: Using Technology to Combat Fraud and Abuse in Long Term Services and Supports Programs

Although people needing LTSS make up only about 20% of the Medicaid population, they
account for as much as 80% of Medicaid expenditures. Additionally, the process needed to meet LTSS
eligibility requirements is complex, time-consuming and costly. Thus, many state programs are looking to use various types of technology -- Electronic Visit Verification (EVV), Automated Verification (AV), and Financial Transaction Analyses (FTA) systems -- to reduce Medicaid costs, as well as identify potential fraud and abuse.

In this round table, discussion leaders will address how different states are using technology to save
time and money by pre-emptively identifying fraudulent hours from home care workers, as well as
unreported assets and asset transfers in the financial eligibility process for LTSS Medicaid populations.
We will hear what is working successfully and what improvements are needed in preventing fraud and
abuse in costly LTSS programs.

Speakers

Victoria Meakin

President, Ocrolus Inc.

A graduate of Barnard College, Ms. Meakin was formerly CEO and Co-Founder of PhoneCharge Inc., a provider of electronic bill payment services to telecommunications companies, cable television companies and utilities. When PhoneCharge was acquired by CheckFree, the Company was processing... Read More →

Barbara Selter

Vice President, MAXIMUS

As Vice President and national lead for the Long Term Services and Supports market at MAXIMUS, Ms. Selter brings more than 30 years of experience in the design, development, and implementation of health programs for a variety of state and federal agencies. She focused on the use of... Read More →

Thursday April 5, 2018 1:30pm - 2:30pm PDT
Hopkins (3rd Floor)

Industry

1:30pm PDT

Meet the Innovators Working Lunch Roundtable 8: Technology is Not the Answer: How Human Service Agencies are Doubling Capacity Without Technology

How many times have you invested in a technology solution to make the pain go away, only to find out the pain gets excruciatingly worse with each passing day post implementation? While technology is sold as the cure-all for serving more clients and delivering vital services to citizens faster, without first redesigning our service delivery pipelines it often leads to false hope, wasted dollars and broken
promises, setting HHS and IT leaders and teams up for failure from the beginning. Agencies gamble hundreds of millions of dollars on new systems for a 50% chance to make a 5% improvement, yet the simple truth is technology cannot be the solution, because it is not the problem.

During this roundtable, attendees will learn how 17 human service agencies from across the country have increased capacity by up to 130% while serving families 70% faster and more accurately with no significant investment in technology. Two human service agency leaders will share their first-hand
experience, including why they chose process redesign to increase capacity rather than a technology solution and how it has impacted their agencies’ overall operations and performance.

Attendees will be challenged to think differently regarding technology and the role it plays in helping organizations improve performance, learn where to look instead to find similar improvements, and how they, too, can realize these significant gains before they make a costly technology mistake.

Speakers

Leo Ribas

Partner, Change & Innovation Agency

Leo began his career with the Washington State Department of Social and Health Services (DSHS) and held various direct service, policy, and leadership positions.As the Director for Community Services, he managed Washington's public assistance system (60 field offices, 3,000 staff... Read More →

Blake Shaw

Senior Partner, Change & Innovation Agency

In early 2000 Blake served in the Missouri Governor’s office, where he oversaw the improvement efforts for Social Services, Mental Health and Senior Services.Watching human services demand continue to rise and budgets continue to fall, he abandoned legislative and policy strategies... Read More →

Thursday April 5, 2018 1:30pm - 2:30pm PDT
Tilghman (3rd Floor)

Industry

1:30pm PDT

Meet the Innovators Working Lunch Roundtable 9:

Thursday April 5, 2018 1:30pm - 2:30pm PDT
Tubman (3rd Floor)

Industry

1:30pm PDT

Meet the Innovators Working Lunch Roundtable 10: Exploring the Art of the Possible

This roundtable will explore leading edge concepts and technologies such as visual analytic interpretation and Artificial Intelligence. Teradata will lead a discussion on the current examples of these concepts and their applicability for Medicaid and public health. We will also discuss the challenges in utilizing cutting edge technologies in public health and strategies to bring these technologies to your State.

Speakers

Catharine Evans

Senior Healthcare Industry Consultant, US Government, Teradata

Catharine Evans is currently responsible for U.S. Government healthcare for Teradata. She has extensive experience in Medicaid eligibility and payment reform, MCO/ACO/CCO quality measures and reporting, health benefit exchanges, HIPAA security and privacy rule, non-Medicaid social... Read More →

Thursday April 5, 2018 1:30pm - 2:31pm PDT
Carroll A (3rd Floor)

Industry

1:30pm PDT

Meet the Innovators Working Lunch Roundtable 11: Strategies to Maximize PDMP Effectiveness

As clinicians use PDMPs with increasing frequency the challenge for administrators and technology vendors is to provide a set of services that maximize effectiveness. These services should enable users of the PDMP to easily access relevant information, rapidly apply the information available in their clinical decision making, and when necessary, enable interventions that improve patient outcomes. This session will examine the success and lessons learned by Appriss Health in serving more than 40 PDMP programs with offerings that include: turn-key integration options that were used for more than 288 million patient encounters in 2017, enhanced analytics, and expanded scope and functionality that incorporates additional data sources, in-app communication, and linkage to treatment.

Speakers

Dr. Jim Huizenga

Chief Clinical Officer, Appriss Health

Thursday April 5, 2018 1:30pm - 2:32pm PDT
Carroll B

Industry

2:30pm PDT

Short Break

Thursday April 5, 2018 2:30pm - 2:45pm PDT
Key Ballroom 1-6

2:45pm PDT

Industry Breakout Sessions

Thursday April 5, 2018 2:45pm - 3:45pm PDT
TBA

2:45pm PDT

Track 1: INDUSTRY SESSION - Connecting People to an Informed Health Ecosystem

The next generation of modular health technology systems will help achieve the vision of integrating the health ecosystem. There are many stakeholders involved with health care that play an important role in helping individuals improve their lives. These may be private sector, public sector, and non-profit organizations, as well as other individuals – not necessarily just the patient. What role will your technology – and specifically modular systems – play in connecting all participants in a productive,
effective, and secure manner? This session will explore your role and that of other stakeholders in developing the next generation of information-sharing systems.

Speakers

Thomas Beck

Principal, Deloitte Consulting LLP

Thomas Beck is a leader in Deloitte’s State Government practice with more than 15 years of experience in the architecture and implementation of State HHS solutions. He focuses on the application of large-scale systems integration techniques, service-oriented architectures, performance... Read More →

Kimberly Beckendorf

Managing Director, Deloitte Consulting LLP

Kimberly Beckendorf is a leader in Deloitte’s Public Sector State Health practice with more than 30 years of experience consulting to public and private sector healthcare payers on health plan operations, technology, and strategy. Her experience includes claims operations recovery... Read More →

Wil Carroll

Principal, Deloitte Consulting LLP

Wil Carroll is a Deloitte Consulting LLP Principal who teams with state government health and human services executives to develop and execute technology-enabled transformation programs. Wil leads Deloitte’s Medicaid Enterprise Solution (MES) market offering and is the Lead Consulting... Read More →

Thursday April 5, 2018 2:45pm - 3:45pm PDT
Tubman (3rd Floor)

Industry

2:45pm PDT

Track 2: INDUSTRY SESSION - Measuring and Managing the Social Determinants of Health

Today, there is lots of talk about “health coverage” and “health care” after people get sick – but not enough about keeping people “healthy” up front. Agencies are just starting to scratch the surface on how to improve outcomes by preventing serious health issues in the first place, and they’re doing it by integrating and analyzing data from multiple programs – inside and outside of Health and Human Services -- to obtain meaningful information about the services they provide to individuals and families. Collectively, these factors are called social determinants of health (SDOH), and they include information such as access to housing, utilities, transportation, education, and employment. A state’s ability to effectively manage SDOH can significantly improve health outcomes and reduce healthcare costs. This session will show how states are integrating disparate data to determine the effectiveness of services they provide and improve the physical and behavioral health of their citizens.

Speakers

Scott Dunn

Director, Health & Human Services Solutions, Optum

Scott Dunn is Director, Health and Human Services Programs at Optum. He provides domain expertise and policy guidance in the health and human services practice to the data integration and analytics, integrated eligibility and business intelligence initiatives of Optum Government... Read More →

John Selig

Senior Vice President, State Growth, The Lewin Group (former director of Arkansas Dept. of Human Services)

John is Senior Vice President and a leader of state business development at the Lewin Group, a national health and human services consulting firm owned by Optum.From 2005 to 2016 John served under three Governors as the Director of the Arkansas Department of Human Services. Major... Read More →

Thursday April 5, 2018 2:45pm - 3:45pm PDT
Key Ballroom 12

Industry

2:45pm PDT

Track 3: INDUSTRY SESSION - Unlock the Power of Data for more Effective Health and Human Services

In an evolving health and human services environment with impending health policy changes, leaders need deeper and broader insight to carry out their missions. A new partnership has emerged between humanity and technology, one that takes analytics to a new level and drives insights to action.

In this session, learn more about how the evolution of analytics enables new models that can deliver a single view of the citizen to support individualized approaches to care; how predictive models and anomaly detection can help maintain program integrity; and how evolutionary cognitive computing technology can aid decision-making to match citizens with optimal service providers.

Speakers

Ryan Howells

Principal, Leavitt Partners

David L. Nelson

Vice President of Strategy and Market Development, IBM Watson Health

David Nelson, M.S., is a Vice President at IBM Watson Health where he leads worldwide government strategy, marketing and market development. Mr. Nelson has 30 years’ experience working with government agencies, industry leaders, providers, and insurers. IBM Watson Health works with... Read More →

Karen Rewalt

Cognitive Offering Lead, IBM Watson Health

Karen Rewalt is the Cognitive Offering Lead for Government Health and Human Services with IBM Watson Health. Karen focuses on delivering exciting new cognitive offerings by focusing on market opportunities, determining unmet needs, and identifying innovative solutions. Much of her... Read More →

Chris Underwood

Health Information Office Director, Colorado Dept. Healthcare Policy & Financing

Chris Underwood serves as the Office Director of the Health Information Office for the Department of Health Care Policy and Financing. The Department is the state agency responsible for the administration of Colorado Medicaid, Child Health Plan Plus, and the Colorado Indigent Care... Read More →

Thursday April 5, 2018 2:45pm - 3:45pm PDT
Key Ballroom 11

Industry

2:45pm PDT

Track 4: INDUSTRY SESSION - From Program Integrity to Life or Death: The case for using data and analytics to prevent healthcare fraud

When people think of healthcare fraud, they often think of dollars. But, program integrity officials in state agencies know it’s more than that; it’s about people. Every dollar lost due to fraud, waste and abuse is a dollar that won’t be spent helping someone who needs the help. And, if that isn’t reason enough, we’re seeing the impact of fraud through the opioid crisis – provider pill mills, pharmacy scams and patient fraud. The only way to truly combat healthcare fraud, whether it is “traditional” claims-based fraud or challenges such as the opioid epidemic, is to have a complete picture of it and connect the dots between all the parties. The presenter will discuss how layering multiple data sets – patient data, provider data, associates data, agency data – and combining it with contributory data across government and other industries can help state agencies to detect and shut down fraud rings and scams.

Speakers

Justin Hyde

Director of Planning, Health and Human Services, LexisNexis

Mr. Hyde has been instrumental in the LexisNexis Government Sector specifically in the strategy, design, and implementation of identity solutions for Health and Human Services agencies nationwide.His experience spans many fronts in the Government industry; both Federal and State... Read More →

Thursday April 5, 2018 2:45pm - 3:45pm PDT
Key Ballroom 10

Industry

2:45pm PDT

Track 5: INDUSTRY SESSION - State Innovation Design and Implementation: Addressing ACA Marketplace Sustainability, Reform, and Positioning

Many states have experienced major impacts to their markets as a result of the Affordable Care Act. Undertaking cloud-based technology and operational platforms to increase member satisfaction and lower infrastructure costs, some have been reluctant to adopt cloud-based platforms due to the false perception that the technology is unsafe and outsourced. Join this important keynote panel to get a better understanding of state readiness to increase in scalability, security, and performance. The panel will also discuss why states must reform and modernize technology and operational platforms through Software-as-a-Service (SaaS) and Business-Process-as-a-Service (BPaaS). Panelists will also explore the healthcare industry's shift toward a retail-oriented consumer focus to bend the cost curve.

Moderators

Eugene Sayan

Founder, CEO, & Chairman, Softheon

Speakers

Rosemarie Day

Founder, Day Health Solutions

Rosemarie Day founded Day Health Strategies in 2010 to focus on implementing national health reform. Building on her initial success, she and her company are now serving organizations that want to transform their approach to offering or delivering health care. Since founding the... Read More →

Jon Kingsdale, Ph.D

Managing Director, Wakely Consulting

Jon has 40 years of experience in health care financing and policy. As a senior executive at several health plans, he was responsible for strategic planning, new product development, and public affairs. In 2006, he was appointed by Governor Mitt Romney to organize and lead the Massachusetts... Read More →

Thursday April 5, 2018 2:45pm - 3:45pm PDT
Key Ballroom 9

Industry

3:45pm PDT

Break in the Exhibit Hall

Thursday April 5, 2018 3:45pm - 4:00pm PDT
Key Ballroom 1-6

4:00pm PDT

Breakouts

Thursday April 5, 2018 4:00pm - 5:00pm PDT
Key Ballroom 9-12

4:00pm PDT

Track 1: Vendor Module Pre-certification Program Updates from the Pilot

In 2016 CMS announced a vision for accelerating the move toward modularity and reuse, and facilitate lower-risk, more cost- effective, and technically successful IT solutions for Medicaid IT, that involved Vendor submission of modules for “Precertification”. Precertification was envisioned as a separate, vendor-facing process with unique precertification criteria. Once precertified, that solution will be added by CMS to a list on Medicaid.gov that the states can leverage for purchasing decisions for their Medicaid Enterprise. CMS launched a Vendor Precertified Module Pilot in October 2017 that was designed to not only support acceleration toward modularity, reuse and innovation but to consider how MMIS certification could be streamlined with the use of precertified modules. This presentation provides an overview of the Pilot and will include discussions on vendor experience, the evaluation process, lessons learned, and future developments.

Speakers

Robyn Ballard

Senior Technical Solutions Manager, Optum

Robyn Ballard is a Technical Solution Manager with Optum State Government Solutions. For the last 3 years, Robyn has been in Program and Product Management for MMIS modernization efforts. Her particular focus is Provider and Care Management solutions which are modules of the Optum... Read More →

Alison Barnett

CMS Certification Lead, Change Healthcare Pharmacy Solutions (CHPSI), formerly Good Health Systems

Alison Barnett is one of the CMS Certification Leads for Change Healthcare Pharmacy Solutions Incorporated (CHPSI). Alison spent the last 18 years of her career working in various aspects of pharmacy benefits management, specifically for Medicaid clients. She spent 13 years working... Read More →

Clyneice Chaney

MITRE

Clyneice Chaney is a Principal Systems Engineer with MITRE who has over 30 years of testing, quality management, and process improvement experience with broad based knowledge in software and systems engineering topics including: project management, organizational change/process reengineering... Read More →

Carl Engel

CEO/Chief Architect, Elyon Enterprise Strategies

Eugene Gabriyelov

Technical Director, CMCS/CMS

Elizabeth Reed

Program Manager, CSRA State and Local

Ms. Reed is a CSRA health care program manager with 22 years of experience who has lead diverse healthcare projects for federal, state, and commercial organizations. She has directed complex projects from concept to fully operational status. Ms. Reed successfully managed the North... Read More →

Dave Rice

MRx IT Solutions Owner, Magellan Medicaid Administration,

Dave Rice is the Government IT Solutions Owner for Magellan Rx where he has been involved with five MECT 2.x Certifications; four in process and one for which certification was granted. He has also lead Magellan’s most recent MITA Vendor Self-Assessment and played a management... Read More →

David Tamayo

Managing Principal & Regulated Programs and Solutions, MedImpact Healthcare Systems, Inc.

David Tamayo is a Managing Principal in the Government Programs and Services division of MedImpact. MedImpact is a pharmaceutical benefit management (PBM) that administers prescription drug plans for Medicaid and Medicare managed care organizations, self-insured employer benefit... Read More →

Thursday April 5, 2018 4:00pm - 5:00pm PDT
Tubman (3rd Floor)

Track 1: Medicaid Modernization Modularity & MMIS Procurement

4:00pm PDT

Track 2: Leveraging Technology Solutions Developed for SIM and CPC+ to Support Advanced Primary Care

States and regions are making important investments in shared data infrastructure to support providers participating in value-based payment models, such as CMMI’s State Innovation Model and Comprehensive Primary Care Plus model. This session will feature implementers from Ohio, Pennsylvania, and Rhode Island discussing how they have brought together disparate data sources and developed new tools that deliver actionable data to help providers succeed under these models. Panelists will speak to key challenges they have faced and offer insights that can help other stakeholders pursuing these initiatives.

Speakers

Craig A. Jones

Chief Medical Officer, Privis Health

Craig A. Jones is currently Chief Medical Officer for Privis Health. He is also in an advisory role with the Health IT Resource Center in the Office of Care Transformation, within the Office of the National Coordinator for Health Information Technology, and with Deloitte for data... Read More →

Sarah McHugh

Team Lead, Comprehensive Primary Care Plus (CPC+), CMMI/CMS

Sarah McHugh, MPH, is a lead of the Comprehensive Primary Care Plus (CPC+) model. She joined CMS in early 2014 and worked on ACO models before pivoting to the policy development of CPC+. Prior to working at CMS, Sarah worked in politics and in the U.S. House of Representatives. Sarah... Read More →

Erik D. Muther

Vice President, Discern Health

Erik Muther is vice president at Discern Health where he leads programs related to quality measurement and performance reporting, with a focus on facilitation of multi-stakeholder initiatives. He currently serves as the regional Comprehensive Primary Care (CPC+) “payer convener... Read More →

Richard Shonk

Chief Medical Officer, The Health Collaborative

In 2013, Dr. Richard Shonk joined The Health Collaborative (THC) (the recently merged Greater Cincinnati Health Council, the Health Improvement Collaborative, and HealthBridge) as Chief Medical Officer. In his role as CMO he has led the Comprehensive Primary Care initiatives starting... Read More →

Amy Zimmerman

Rhode Island State Health Information Technology Coordinator, Rhode Island Executive Office of Health

Thursday April 5, 2018 4:00pm - 5:00pm PDT
Key Ballroom 12

Track 2: State Innovation Data Analytics & Population Health Management

4:00pm PDT

Track 3: Modular Partnerships to Promote Better Integrated Solutions

To maximize the availability of the OMB Circular A-87 enhanced match funding, West Virginia developed a progressive approach for a single procurement to provide a modular Integrated Eligibility Solution (IES) to support the administration of the health and human services programs for its Child Support, Emergency Assistance, LIEAP, Medicaid, School Clothing Vouchers, Social Services, SNAP, and TANF recipients. West Virginia's unique strategy included mandatory requirements in their Request for Proposals (RFP) that limited the number of modules that could be owned by any one vendor, which necessitated vendor partnerships to support the solution. West Virginia's strategy is aimed at achieving a streamlined contract management vehicle where the prime vendor is contractually obligated to comply, manage, and ensure corrective action for all service level agreements (SLAs) and performance metrics. The result of the procurement was bid proposals featuring multiple vendor partnerships with best of breed solutions across the enterprise to create new found efficiencies in; operations, interoperability, partnerships, cost sustainability, and reuse across the health and human services domain. Join West Virginia as we discuss the methodology and strategies used to develop these procurement requirements and lessons learned from our process.

Speakers

Jon Cain

IS Director, West Virginia DHHR (OMIS)

Jon Cain has seventeen years of combined private and government information technology experience. Of those seventeen years, eight of them have been focused on delivering successful health and human technology focused solutions. He has several reputable industry recognized certifications... Read More →

Justin Davis

Manager, BerryDunn

Justin Davis is a Certified Project Management Professional (PMP) and a Manager in BerryDunn’s Government Consulting Group. His primary area of focus is providing project management and consulting services for state Medicaid agencies, including assistance with the implementation... Read More →

Ed Dolly

CIO, West Virginia Department of Health and Human Resources

Thursday April 5, 2018 4:00pm - 5:00pm PDT
Key Ballroom 11

Track 3: Enterprise Systems H&HS Integration

4:00pm PDT

Track 4: Evolving Third Party Liability (TPL) towards ‘Cost Avoidance’ and beyond ‘Pay & Chase’, exploring state modernization and procurement models.

Track 4: Evolving Third Party Liability (TPL) towards ‘Cost Avoidance’ and beyond ‘Pay & Chase’, exploring state modernization and procurement models.

Third Party Liability is largest savings programs Medicaid Agencies have to control costs and manage budgets. What are states doing to leverage TPL and incorporate real-time TPL verifications to assist states with eligibility and benefit plan decisions? This session will discuss state planning efforts and innovations to TPL and consider the following questions:

What are the available procurement options available to states?
How is TPL considered in the modular modernization of MMIS? Or Eligibility systems?
How can cost-avoidance be quantified/measured to support the saving value of real-time identification of TPL?
What methods can be used to ensure that MCOs are maximizing TPL and coordinating benefits?
Why should policymakers consider TPL in the upfront planning of Medicaid transformation or DSRIP projects?

Moderators

Mary Fontaine

Deputy Director Center for Health Care Financing, Umass Medical School

Mary joined UMass Medical School in 2000, and oversees operations and consulting services for TPL, benefit coordination, program compliance and fiscal integrity programs. She has played a critical role in building the Medical School's national reputation in this area, particularly... Read More →

Speakers

Ciera Charles

MSHA, Michigan Department of Health and Human Services

Ciera Charles, MSHA, joined Michigan's Department of Health and Human Services, Health Insurance Liability Section as a Departmental Analyst in early 2017. Collaborating closely with third party payers, Ciera has worked to bring Michigan's third party coverage identification and subrogation... Read More →

Britt Graupner

Benefit Recovery Manager, Minnesota DHS

Deborah Grier

Vice President, HMS

Deb Grier, HMS Vice President Enterprise Product Management, has over 15 years of experience in working within the Coordination of Benefits product and service space. Her career has been heavily focus on working toward solutions for government-funded health and human services programs... Read More →

Denise Poley

Senior Manager Health & Public Service, North America, Accenture

Denise Poley is a Senior Manager based in Charlotte, NC and leads Accenture’s Third Party Liability Offering. Denise has over 25 years of experience in the public and private sectors including 15 years of leadership experience in state government. Most notably, Denise served... Read More →

Thursday April 5, 2018 4:00pm - 5:00pm PDT
Key Ballroom 10

Track 4: Security Compliance Combating Fraud Waste & Abuse

4:00pm PDT

Track 5: Medicaid Program Design – Using new CMS/ONC health IT Toolkits for SPAs, Waivers and Demonstrations

This session will look at the suite of Medicaid Health IT Toolkits for SPAs, Waivers and Demonstration as a vehicle to advance HIT, HIE and Interoperability through Medicaid Program Design. It will also look at programmatic strategies currently in use by states to advance health IT alignment and interoperability. Colorado will be sharing its successes and challenges in advancing the State’s health IT, health information exchange and interoperability goals through leveraging innovations in its procurements and governance processes

Speakers

Kim Eisen

Procurement Director, Colorado Department of Health Care Policy and Financing

Kim V. Eisen serves as the Procurement Director for the Colorado Department of Health Care Policy and Financing. At present, she has oversight of the Department’s purchasing and contracting services. Her public procurement experience has involved solicitation development, negotiating... Read More →

Adam Goldman

MSc, Social Science Research Analyst, Division of State Reform Demonstrations, CMS

Arun Natarajan

Senior Policy Analyst, ONC/HHS

Carrie Paykoc

Health IT Coordinator, Colorado

Shawn Terrell

Health Insurance Specialist, Administration for Community Living

I have been working in the long term services and supports (LTSS) arena for 18 years. I am a Health Insurance Specialist at the Administration for Community Living, where my primary focus is on developing person-centered planning capacity and quality measurement and improvement in... Read More →

Ellen Marie Whelan

Chief Population Health Officer, CMCS/CMS

Thursday April 5, 2018 4:00pm - 5:00pm PDT
Key Ballroom 9

Track 5: State Marketplace Reform & Managed Care Optimization

5:00pm PDT

Networking Cocktail Reception in Exhibit Hall

Thursday April 5, 2018 5:00pm - 6:00pm PDT
Key Ballroom 1-6

7:30am PDT

Registration Opens

Friday April 6, 2018 7:30am - 8:00am PDT
TBA

8:00am PDT

States of Implementation Roundtables

Friday April 6, 2018 8:00am - 8:43am PDT
Key Ballroom 7-8 & Foyer

8:00am PDT

States of Implementation Roundtable 1: Enabling State Medicaid MMIS and E&E Implementations

In this session, CMS, MITRE and State technical experts facilitate a discussion designed to help states develop more effective Medicaid IT systems that align with CMS’ modularity mandate. We will discuss how to leverage the Medicaid Eligibility and Enrollment Toolkit (MEET) and Medicaid Enterprise Certification Toolkit (MECT). MEET v1.0 and MECTv 2.2, released in third quarter 2017, offer more flexibility with modular and agile development and accommodate various state approaches to system development lifecycles. The session will review the critical process steps for the toolkits as well as describe the various phases of MMIS certifications and E&E reviews and how to prepare for them. States will also gain a broader understanding of the independent verification and validation (IV&V) role as an unbiased evaluator, intended to ensure the integrity of certification processes at the state level.

Speakers

Trish Heiman

MITRE

Trish Heiman, a Health Systems Engineer at the MITRE Corporation, has over 20 years of experience managing the implementation and operations of large IT systems. For the past 7 years, Trish has worked with several Health and Human Services agencies to develop strategies and roadmaps... Read More →

Nick McNeil

MITRE

Nick McNeill is a health care professional whose passions lay in leveraging significant years of experience in health management, information technology, policy, and research to create innovative solutions to critical issues in health care. Nick has extensive experience working as... Read More →

Tim Peterson

MMIS Project Manager, Montana

Tim Peterson of Montana is a Project Manager with over 20 years of experience implementing state government systems, including all aspects of systems development and implementation. His most recent 8 years of project management experience are specific to the Medicaid enterprise. He... Read More →

Friday April 6, 2018 8:00am - 8:45am PDT
Key Ballroom 7-8 & Foyer

Track 1: Medicaid Modernization Modularity & MMIS Procurement

8:00am PDT

States of Implementation Roundtable 2: Defining and Implementing Interoperable Services for Medicaid Modules

The MITA TAC has a 15 year track record of collaboration between states and vendors to define and build Proof of Concept modules for use in Medicaid MMIS systems. The MITA TAC is currently working with MITRE corporation (Project Poplin), CMS, the Leavitt partners lead MTA initiative, Stewards of Change, states and vendors to implement working implementations of Medicaid Modular solutions. This discussion will highlight how secure Application Program Interfaces (APIs) can be used to implement the reference architecture documented in project Poplin in a secure and interoperable manner and then be used as the basis for Human Services modules aligned with the A87 exception through the National Interoperability Collaborative (NIC). This discussion will present the issues that need to be addressed to meet the requirements of modularity as defined by CMS. For example interoperability and security. The presentation, although being technical in nature, will be presented in a manner that is understandable by Medicaid execs. The MITA TAC intends to have a booth to demonstrate the progress on the collaborative Proof of Concept (PoC) as well as serving as a place for individuals to do a technical “deep dive” into the topics discussed in the presentation.

Speakers

Karen Hale

b.nimble

As a healthcare strategist and business development professional, Karen Hale has over 20 years of healthcare experience. An executive with a broad public and private healthcare knowledge base and committed to the transformation and improvement of the delivery of healthcare and outcomes... Read More →

Dave Walsh

Chair, MITA TAC

Dave Walsh brings over twenty years of innovation and leadership to the Medicaid and healthcare community. He is a highly regarded healthcare consultant in leading various organizations with his vast knowledge and numerous entrepreneurial successes in the field. In an effort to promote... Read More →

Friday April 6, 2018 8:00am - 8:45am PDT
Key Ballroom 7-8 & Foyer

Track 1: Medicaid Modernization Modularity & MMIS Procurement

8:00am PDT

States of Implementation Roundtable 3: Poplin, A Reference Architecture for Medicaid

Modular and interoperable Medicaid IT systems help to ensure that states address the changing needs of the beneficiaries, stay in compliance with regulations, and result in reducing program costs per beneficiary. The Poplin project is a Medicaid reference architecture being developed, under the MITA Governance Board and sponsored by CMS, by key states, vendors, and other stakeholders. Poplin defines a standard, extensible set of business processes, object definitions, and application programming interfaces (APIs) for State Medicaid Agencies. Poplin provides technical specifications to help ensure interoperability and reusability of modules and information for multi-organization, multi-vendor, and multi-technology state Medicaid systems. This presentation will discuss the goals, principles, and guiding practices for a nationwide Poplin architecture for Medicaid. Guiding practices include four components of service definition, reference implementations for key shared services, and service definitions for key Medicaid functional areas.

Speakers

David W. Hill

Principal Software Systems Engineer, The MITRE Corporation

Dave Hill is a Principal Software Systems Engineer at MITRE with expertise in healthcare transformation solutions. He spent the last two years providing technical and management leadership to advancing Medicaid IT, focusing on interoperability and architecture. Before that, he led... Read More →

Van Showell

IT Specialist, CMS

Friday April 6, 2018 8:00am - 8:45am PDT
Key Ballroom 7-8 & Foyer

Track 1: Medicaid Modernization Modularity & MMIS Procurement

8:00am PDT

States of Implementation Roundtable 4: New York ‘s All Payer Database – Transforming Health Care in the Empire State

New York State has embarked on an ambitious project to build an All Payer Database (APD) to serve as a comprehensive data and analytical resource for supporting healthcare decision-making and research. The NY Department of Health (DOH) recognizes that integrating data about the health system into an APD that includes not only claims data, but other critical data sources – such as clinical and hospital discharge data, vital statistics, and population/census data – will allow stakeholders to monitor efforts to improve care quality and population health research, and reduce health costs for New York residents.

DOH also envisions additional benefits with the APD, including: enhanced security, national benchmarking, advanced analytics, disease and risk profiles, a suite of quality measures, and the ability to easily visualize trends and results.

To date, the NY APD includes hospital utilization data for all payers in New York, as well as Medicaid claims and eligibility data, and claims and eligibility data for all Qualified Health Plans offered through the NY Health Insurance Exchange. The NY APD includes a data warehouse component that enables power users to query these datasets directly, and a web portal that connects users with a data visualization reporting package that provides data analytics for each of these sources.

This roundtable describes the exciting APD project, including the project management, design process and examples of benefits New York expects to realize.

Speakers

Mary Beth Conroy

MPH, Director, Division of Information and Statistics, New York State Department of Health

Mary Beth Conroy has over 28 years of experience at the NYS DOH and currently serves as the Director of the Division of Information and Statistics. The Division has a strategic goal of achieving quality and safety objectives through a targeted focus on data promotion, management... Read More →

Steve Johnson

Engagement Manager, NY APD, The Lewin Group

Dr. Johnson is a Health Economist with over 38 years of experience working with healthcare data. Steve is a Vice President at the Lewin Group and leads the Program Effectiveness and Sustainability group within the State Practice. His team of over 45 staff members is primarily responsible... Read More →

Sachin Shah

HIT Director, Optum

Sachin Shah is HIT Director of the Optum State Government and is serving as a Project Director for theAll Payer Database implementation in NY. Mr. Shah has 12 years of project management experience and15 years’ experience in Medicaid and health care data analysis. He has led teams... Read More →

Friday April 6, 2018 8:00am - 8:45am PDT
Key Ballroom 7-8 & Foyer

Track 2: State Innovation Data Analytics & Population Health Management

8:00am PDT

States of Implementation Roundtable 5: State Medicaid Director’s Guidance on HIE

Friday April 6, 2018 8:00am - 8:45am PDT
Key Ballroom 7-8 & Foyer

Track 2: State Innovation Data Analytics & Population Health Management

8:00am PDT

States of Implementation Roundtable 6: Technology is Not the Answer: How Human Service Agencies are Doubling Capacity Without Technology

Speakers

Michael Jones

Eligibility, Enrollment & Member Services Director, South Carolina Department of Health and Human Services

Michael leads the Eligibility, Enrollment & Member Services (EEMS) division within the South Carolina Department of Health and Human Services, which operates in more than 40 offices and processing centers located throughout the entire state. Eligibility workers in these offices and... Read More →

Trey Long

Deputy Administrator for Program Operations, Economic Security Administration, Department of Human Services, District of Columbia

Trey leads the Division of Program Operations (DPO) within the Department of Human Services Economic Security Administration. DPO delivers human services through five Service Centers located throughout the District of Columbia. Eligibility workers in these centers and other offices... Read More →

Leo Ribas

Partner, Change & Innovation Agency

Blake Shaw

Senior Partner, Change & Innovation Agency

Friday April 6, 2018 8:00am - 8:45am PDT
Key Ballroom 7-8 & Foyer

Track 2: State Innovation Data Analytics & Population Health Management

8:00am PDT

States of Implementation Roundtable 7: Universal Data Vision

Following its strategic plan, the West Virginia Bureau for Medical Services (BMS), a division of the West Virginia Department of Health and Human Resources (WVDHHR), is in the midst of re-aligning its healthcare infrastructure to address the three-part strategic goal of better health, better care, and lower costs. An efficient and effective healthcare system must be built on three inter-related goals:

● Better health: West Virginians can reach improved health and productivity through a renewed focus on addressing the root causes of poor health including lack of preventive care, physical inactivity, and poor nutrition.

● Better care: West Virginians should always get the right care, in the right place, at the right time. Yet, there is widespread agreement that the health care system as currently structured results in both missed opportunities for care and the provision of unnecessary, and sometimes harmful, health care services.

● Lower costs: West Virginia can lower the total cost of health care per person throughout the system –including Medicaid, CHIP, Public Employees Insurance Agency (PEIA), and private insurance – by improving the efficiency of care and reducing waste and duplication.

With the growing availability of health data, West Virginia’s healthcare delivery is moving beyond individual care to population health management. Using technology and analytics, population health management shifts care from immediate treatment to predictive and preventive care. To this end, the Bureau is working toward implementing a Universal Data Vision consisting of comprehensive data structures into which data from many sources can be easily imported. A variety of modules (per CMS2392-F §433.111(h)) will be used to mine the data structures to perform analytics and generate reports, and BMS is in the midst of implementing its first module – a Quality Rating System (QRS) per CMS 2390-F§438.334. A Universal Data Vision facilitates the shift to predictive and preventive care.

Speakers

Ed Dolly

CIO, West Virginia Department of Health and Human Resources

Nestor V. Figueroa

Principal / Co-Founder, Nagnoi

Over 20 years of experience building Data Analytics solutions for Fortune 500 corporations from a wide variety of industries such as Healthcare, Education, and Government. Worked for nearly a decade as Principal Consultant in the iAnalytics Group of PricewaterhouseCoopers in New... Read More →

Bob Osburn

Molina Medicaid Solutions, Vice President of Strategic Solutions

With nearly four decades of healthcare experience, Mr. Osburn is highly knowledgeable in healthcare reform initiatives. He has a record of achievement and experience in both the provider and payer sectors while demonstrating proficiencies in establishing vision, enhanced organizational... Read More →

Rodolfo Velasco

Healthcare Solutions Manager, Nagnoi

Mr. Velasco has over 10 years of leadership experience in the healthcare industry across various business areas and segments including Medicare, Medicaid and Commercial. As a Stars Rating Director in a Medicare Advantage (MA) organization managing more than 170,000 MA lives, Rodolfo... Read More →

Friday April 6, 2018 8:00am - 8:45am PDT
Key Ballroom 7-8 & Foyer

Track 2: State Innovation Data Analytics & Population Health Management

8:00am PDT

States of Implementation Roundtable 8: People, Providers, Models and Relationships – Using HIT/HIE to Build and Operate Attribution Engines to Support Multi-Payer Care Transformation and Advanced Payment Models

Actors (implementors, payers, and providers) are challenged to attribute, track, measure, and report on populations covered by different advanced payment models. Providers and payers may be participating in multiple models, which compounds the problem. This roundtable will discuss the challenges faced by states to devise and implement attribution algorithms which must be accurate, flexible, and timely. Roundtable facilitators - Daniel Chaput, Rim Cothren, and Tim Pletcher - have a wealth of background in this topic and are actively engaged in aspects of standards, use cases, and operational solutions.

Speakers

Daniel Chaput

Public Health Analyst, ONC/DHHS

Daniel Chaput is an IT Specialist at the Office of the National Coordinator for Health Information Technology in Washington D.C. Daniel has dual training background and experience in public health and information technology, plus having worked at the State and Local Health Departments... Read More →

Rim Cothren,

Contractor SME-State, ONC/DHHS

Dr. Cothren is a leader in developing and implementing strategies for health information sharing. As Executive Director for the California Association of Health Information Exchanges, Dr. Cothren leads a diverse group stakeholders in realizing statewide interoperability in California... Read More →

Tim Pletcher

PhD, Executive Director,, MiHIN

Dr. Tim Pletcher is the Executive Director of the Michigan Health Information Network Shared Services (MiHIN), a public and private nonprofit collaboration dedicated to improving the healthcare experience, improving quality and decreasing cost for Michigan’s people by making valuable... Read More →

Friday April 6, 2018 8:00am - 8:45am PDT
Key Ballroom 7-8 & Foyer

Track 2: State Innovation Data Analytics & Population Health Management

8:00am PDT

States of Implementation Roundtable 9: Creating an Open Source Business Rules Repository: Making the Idea a Reality

A business rules repository as envisioned under the Affordable Care Act offers a practical solution to
advance modularity and interoperability of HHS technology, as well as furthering horizontal integration across HHS systems and programs such as Medicaid, SNAP, and TANF. Open source initiatives such as the “Federal Source Code Policy” and Code.gov could be used to help realize this potential. For example, a GitHub-like repository could enable program administrators to share and use different programs’ eligibility rules, thus avoiding redundant coding efforts while promoting transparency and accuracy. This roundtable will explore opportunities, challenges, and alternatives to establishing a robust rules repository, with the intent of generating a collaborative vision. This group discussion will offer an opportunity for forward-thinking and like-minded visionaries to brainstorm and find a path forward.

Speakers

Sonal Ambegaokar

Senior Policy Manager, Social Interest Solutions

Sonal Ambegaokar is a Senior Customer Experience Manager at Social Interest Solutions (SIS), whose mission is to improve access to quality health and social services through technology and policy solutions. In this role, Sonal provides policy research, analysis, technical assistance... Read More →

Jessica Kahn

Senior Expert, McKinsey & Company (formerly Director, Data & Systems Group, CMS)

Juhan Sonin

Creative Sandpaper, Lecturer at MIT, and Director, goInvo

Juhan Sonin specializes in healthcare design, open source design, and system engineering. His work has been recognized by the New York Times, Newsweek, BBC, WIRED, and National Public Radio (NPR) and published in The Journal of Participatory Medicine and The Lancet. He has spent time... Read More →

Friday April 6, 2018 8:00am - 8:45am PDT
Key Ballroom 7-8 & Foyer

Track 3: Enterprise Systems H&HS Integration

8:00am PDT

States of Implementation Roundtable 10: Winning Tactics for Helping Health and Human Services Agencies Engage with Citizens

Citizens expect to interact with government agencies on a digital platform in the same way they interact with shopping websites or social media employing easy to use applications. Agencies gain trust and engaged citizens when they provide a good customer experience within their online interactions. Faced with rising caseloads and static resources, agencies need to invest in new service delivery models. Agencies must shift citizen interactions from a heavily brick and mortar in-person experience to a more self-directed model using digital channels including responsive online portals and mobile devices.

Please join this session and learn how, through public-private partnership, a government agency and
a solution provider, like IBM Watson Health can work together to design a delightful citizen engagement solution that provides efficiencies in delivering health and human services programs.

Speakers

Claire McLoughlin

Principal Offering Manager, Government Health and Human Services, IBM Watson Health

Claire McLoughlin is a principal offering manager for Watson Health Government Health and Human Services offerings, responsible for understanding the unique challenges of our clients and developing a set of differentiated offerings to align with our customers’ strategic priorities... Read More →

Friday April 6, 2018 8:00am - 8:46am PDT
Key Ballroom 7-8 & Foyer

Track 3: Enterprise Systems H&HS Integration

8:00am PDT

States of Implementation Roundtable 11: Cyber Security: What Is It And How Do I Know if I Have It?

The number of reported data breaches and ransomware attacks has continued to increase, and systems containing healthcare related information have become a major target. As systems become more modular, the number of interconnections and components that could be targeted and provide an avenue to the sensitive data will increase. The presentation will discuss the various definitions of Cyber Security and propose approaches to assess the cyber security posture of an organization or system to identify vulnerabilities or weaknesses based on real world experience assisting state clients in these assessments and based on new approaches. The presentation will include discussion of current cyber security guidance and frameworks such as the National Institute of Standards and Technology Cybersecurity Framework and the American Institute of Certified Public Accountants SOC 2 for Cybersecurity Risk Management.

Speakers

Ron Franke

CISA, CRISC, CIA, CFE, CICA Principal, Myers and Stauffer

Mr. Franke, principal with Myers and Stauffer, brings over 38 years of audit, management, analysis, and information technology (IT) experience in the local, state, and federal government sectors. Mr. Franke has supervised, performed audit procedures, and performed quality reviews... Read More →

Tiffany Garcia

CISA, CICA Senior Manager, Myers and Stauffer

Ms. Garcia, senior manager with Myers and Stauffer, has more than 10 years of information technology (IT) security and audit experience in the construction, healthcare, and government sectors. She has managed and performed service organization controls audits of third-party service... Read More →

Friday April 6, 2018 8:00am - 8:46am PDT
Key Ballroom 7-8 & Foyer

Track 4: Security Compliance Combating Fraud Waste & Abuse

8:00am PDT

States of Implementation Roundtable 12: Medicaid Provider Enrollment and Screening Meets Credentialing – Where States are Headed

The Affordable Care Act (ACA) substantially changed the requirements for screening and enrollment of Medicaid providers. Providers must be placed into categories of risk; Limited, Moderate, and High. There are new requirements for periodic background and sanction checks, facility site visits, fees, and many other tasks. Another complicating factor is the role of Medicaid Managed Care Organizations (MCOs) in this process. While MCOs typically have responsibility for provider credentialing, it is often separate from screening & enrollment, creating redundancy and confusion for stakeholders. A number of States have begun to combine the Credentialing process with Medicaid Screening & Enrollment. This roundtable will explore what states are doing and the implications for Medicaid Programs, MCOs, and Providers.

Speakers

John P. Crouse

Vice President, MAXIMUS Health Services

John Crouse is Vice President of Health Services for MAXIMUS. John has over 30 years of experience in International, Federal, and State health and human services programs. His experience includes Medicaid systems and operations, Pharmacy Benefits Management, member and provider customer... Read More →

Billy Millwee

President/CEO, BM&A Public Policy

Billy is the President/CEO and Founder of BM&A Public Policy. Until August 2012 he served as the Texas Health and Human Services Deputy Executive Commissioner and Texas Medicaid Director. In this role he provided operational and programmatic leadership for the Texas Medicaid and CHIP... Read More →

Friday April 6, 2018 8:00am - 8:46am PDT
Key Ballroom 7-8 & Foyer

Track 4: Security Compliance Combating Fraud Waste & Abuse

8:45am PDT

Opening Remarks

Friday April 6, 2018 8:45am - 8:50am PDT
Key Ballroom 7-8

8:50am PDT

General Session: Leadership, Planning & Implementation: Opportunities & Challenges for State Medicaid Agencies Implementing Modular Based Solutions

How do you lead in times of immense change and continuous turnover? What were the lessons learned after the implementation of Healthcare.gov? How do they relate to the challenges states are facing today as they progress toward more modular-based solutions? This session will facilitate a conversation with the OIG who developed a set of 10 best practices following one of the largest and most visible federal IT projects in history. What leadership skills rose to the top? How will these skills help future technology projects? We will also engage Medicaid technology leaders who have leveraged these best practices in their own sphere of influence and uncover real, practical solutions for how states can successfully implement large scale IT projects in the future.

Moderators

Ryan Howells

Principal, Leavitt Partners

Speakers

Ruth Ann Dorrill

Deputy Regional Inspector General, Office of Inspector General (OIG) / DHSS

Tom Jordan

CIO, New Jersey Division of Medical Assistance and Health Services

Jeff Livesay

Senior Executive Vice President, Michigan Health Information Network Shared Services

Jeff Livesay joined MiHIN as its Associate Director in November 2011 overseeing the growth and operations of MiHIN from a two-person company to a world-class team including more than 100 staff. Jeff led the creation of an extensive, powerful legal framework resulting in more than... Read More →

Elena Nicolella

Executive Director, New England States Consortium Systems Organization (NESCSO)

Friday April 6, 2018 8:50am - 9:45am PDT
Key Ballroom 7-8

Keynote Sessions

9:45am PDT

15 Minute Short Break

Friday April 6, 2018 9:45am - 10:00am PDT
Key Ballroom 1-6

10:00am PDT

Industry Breakout Sessions

Friday April 6, 2018 10:00am - 11:00am PDT
Key Ballroom 9-12

10:00am PDT

Track 1: INDUSTRY SESSION: Planning for a More Modern Development Environment

How would you build an environment that would support State Medicaid Agencies’ need to be cloud based, service oriented, sustainable, and extensible, while leveraging the legacy applications that are the workhorses of the business? In order to transform your Medicaid systems to be more responsive, interoperable, and capable, building a truly modern development environment is key. Learn best practices, technologies and approaches that are empowering states to gain continuous integration, delivery and improvement while maintaining program integrity with a high level of service to the client base.

Speakers

Carl Engel

CEO/Chief Architect, Elyon Enterprise Strategies

Friday April 6, 2018 10:00am - 11:00am PDT
Tubman (3rd Floor)

Industry

10:00am PDT

Track 2: INDUSTRY SESSION - Tackling the Opioid Epidemic in Medicaid: Analyze, Communicate, Act

Medicaid beneficiaries are prescribed opioids at twice the rate of the rest of the population and are up to six times more likely to overdose. How can data analysis and access to information effectively increase opioid safety? One approach being explored by the State of Michigan, CNSI and Watson Health is to use advanced analytics, which provide easy access to these insights that support decision making. This session presents research into how predictive analytics can identify characteristics and patterns of Medicaid recipients with abnormal opioid drug use to show not only who but why a beneficiary is at risk. This predictive analysis could ideally prevent an addiction before it begins and hold irresponsible prescribers accountable. Additionally, different types of users can then interact and communicate via a cognitive conversation both empowering state workers and beneficiaries with real time data and actionable insights.

Speakers

Christopher Codella

IBM Distinguished Engineer, Public Sector CTO, Watson Group

Dr. Christopher F. Codella is an IBM Distinguished Engineer, and Chief Technology Officer, Cognitive Solutions, Worldwide Government. His current activities center around complex data analytics, particularly applying IBM’s Watson technology to build solutions that support the missions... Read More →

Dev Vijay

Director, Data Services, CNSI

Dev Vijay brings 18 years of experience to CNSI; he is responsible for leading the Data Services practice within the Midwest region and manages Data Modeling, Conversions & Business Intelligence. Key contributor to the Data Conversion for the modernization of the Medicaid Management... Read More →

Friday April 6, 2018 10:00am - 11:00am PDT
Key Ballroom 12

Industry

10:00am PDT

Track 3: INDUSTRY SESSION - Deploying Analytics to Realize Accelerated Speed to Outcomes

Health and Human Service (HHS) agencies often wait on data, specifically, on the insights contained in the data. This delay in gathering and analyzing timely information affects their ability to understand people’s needs and deliver critical services that can accelerate outcomes and, more importantly, improve the lives of the most vulnerable members of our society. But what if we could change this dynamic?

What if we knew more about the people that human services agencies serve and how they are served? What’s the potential impact of an agency’s work on people’s lives and future?
What if we could identify which kinds of cases are risk prone so that we could put in place specific measures to mitigate that risk?
What if we could predict which families are more likely to achieve financial independence? Can we use information from their case file or external data from similar cases to pinpoint what factor(s) would change a family's life?

HHS agencies can glean new insights from transactional data and use it to fundamentally transform the speed to outcomes for the people they serve.
Along with building greater analytics capabilities, HHS agencies need to look at new, more agile procurement strategies that will enable them to more quickly seize on the advantages of innovation. This session will discuss real world cases of agencies accelerating outcomes for people and how procurement is being transformed to help agencies leverage analytics modules, PODs and platforms to realize speed to outcomes.

Speakers

Joseph Fiorentino

Managing Director, Accenture

Joseph Fiorentino is a managing director in Accenture’s Health and Public Service practice for state and local government. Joseph has worked with social services, social security and healthcare organizations for almost 20 years, helping clients succeed with service delivery transformation... Read More →

Cecil Lynch

Chief Medical Information Officer, Accenture

Cecil Lynch, MD, MS is the CMIO of Accenture’s Global Digital Health Services Group with extensive domain expertise in both medical practice and Health IT. He has served in leadership roles within the HL7 Standards Development Organization including as a current member of the Architectural... Read More →

Michael Petersen

M.D, Senior Manager, Health Management Delivery Operations, Accenture

Michael is a transformative Physician Executive with Accenture’s Health Management Team and serves as an Innovation Lead for Medicaid and Chief Medical Officer for Accenture's Opioid Epidemic Solution. Dr. Petersen has extensive experience and specializes in healthcare innovation... Read More →

Friday April 6, 2018 10:00am - 11:00am PDT
Key Ballroom 11

Industry

10:00am PDT

Track 4: INDUSTRY SESSION - Secure Data Sharing in the Age of Cyber Attack: Keep Your Data Safe and Your Options Open

As state agencies work to advance their transformation efforts, the struggle to implement consistent, government-grade data security policies without compromising data sharing has taken on a new urgency. And, as cyber-attacks—and the devastating toll they exact on consumer confidence and privacy—continue to escalate year over year, the need to strike this balance is now more critical than ever.

Speakers

Michael Doane

Healthcare Solutions Director, Marklogic

Michael Doane has spent over 20 years in the software industry. During his career he has worked as a developer, team lead, project manager, consultant, product manager, sales engineering manager and sales account executive for a number of successful software product companies. His... Read More →

John Evans

CISO and Deputy CTO, Maryland Department of Human Service

John Evans has nearly two decades of IT experience supporting the government as a commercial contractor and also as a Public Servant. He currently has two roles at the Maryland Department of Human Services (MD DHS) where he is serving as the Deputy CTO and the Chief Information... Read More →

Friday April 6, 2018 10:00am - 11:00am PDT
Key Ballroom 10

Industry

10:00am PDT

Leveraging community partners & SDoH to promote HHS Integration and improve outcomes

Community-based organizations (CBOs) are well positioned and motivated to help people navigate the complex paths into benefits and services. CBOs that seek to address their clients’ complex social needs, including assistance with health care, nutrition, housing, child care, utilities, and job training, often need to separately log onto multiple systems and complete manual processes that require redundant information collection and other inefficiencies.

This panel will explore how CBOs can benefit from access to systems that provide a '360-degree citizen view’ integrating health and SDoH (Social Determinants of Health) data. Panelists will provide various perspectives on data integration efforts as well as their experiences using technology for information and referral for clients as well and eligibility and enrollment processes.

This discussion is aimed at federal, state, and local policy and IT leaders who seek to maximize their knowledge by hearing from community partners to improve program performance, promote integration and how to best leverage clinical and ’non-clinical’ data assets.

Speakers

Sonal Ambegaokar

Senior Policy Manager, Social Interest Solutions

Abigail Fallen

Sr. Program Manager Health Information Exchange & Data Security, Camden Health Coalition

Abby Fallen is the Senior Manager at the Camden Coalition, splitting her time between the regional Health Information Exchange (HIE) and Information Systems for the organization. Abby has spent the past two years growing the internal team to provide HIPAA and data security best practices... Read More →

Ravindar Gujral

Chief Data & Technology Officer, Benefits Data Trust (BDT)

Ravindar Gujral is an experienced executive with deep understanding of business process, technology, and the interplay between the two. At BDT he leads the organization in how it leverages data and technology to improve access to essential benefits and services for low-income populations... Read More →

Samantha Meklir

Senior Policy Advisor, ONC/HHS

Al Taylor

Medical Informatics Fellow, ONC/HHS

Teresa Tillman

Chief Operating Officer, Redwood Community Health Coalition (RCHC)

Teresa Tillman has over 20 years of health care experience, including 11 years supporting the California safety-net, plus experience in managed care contracting, hospital and group practice management. She oversees RCHC’s operations and administration, and directs strategic initiatives... Read More →

Leveraging Community Partners to Promote HHS Integration RESOURCES 3 22 18 docx

SDOH Overarching Vision(2) pdf

RCHC SDH Workgroup ScopeofWorkv2 pdf

BDT 3.22.18 pdf

Friday April 6, 2018 10:00am - 11:00am PDT
Key Ballroom 9

Track 3: Enterprise Systems H&HS Integration

11:00am PDT

Networking Break in Exhibit Hall

Friday April 6, 2018 11:00am - 11:30am PDT
Key Ballroom 1-6

11:30am PDT

Breakouts

Friday April 6, 2018 11:30am - 12:30pm PDT
Key Ballroom 9-12

11:30am PDT

Track 1: “As if State Agency Procurement Was not Hard Enough Before Modularity!” How to Assure Procurement Risks and Issues are Considered and Assessed During Planning Phases of Project. When is the right time to assess?

Procurement for modular solutions RFPS will need to engage multiple perspectives from state agencies before the RFPs are published! IT professionals may not understand the complexity of procurement processes in depth. Lawyers may not understand how IT systems are procured and managed. Procurement planning and understanding of potential risks and issues in depth should be part of the strategic assessment and planning for all modular considerations. The ability to compress schedules and reduce procurement risks will be a key consideration, and how to instill some agile principles within a traditionally NON-agile set of processes. We will explain how and why Shakespeare thought it would be useful to “First kill all the lawyers.” And why that won’t work today.

Speakers

Jan Paterson

ESq., PMP.,, Public Consulting Group

Friday April 6, 2018 11:30am - 12:30pm PDT
Tubman (3rd Floor)

Track 1: Medicaid Modernization Modularity & MMIS Procurement

11:30am PDT

Track 2: ONC, Health IT and Long Term Services and Supports

This session will look at strategies to advance health IT, health information exchange and interoperability through Medicaid funded long term services and supports (LTSS) programs in both institutional and Home and Community Based Services (HCBS) settings. Through an interactive panel discussion, this session will review the “CMS-ONC Health IT Toolkit for Medicaid Funded Home and Community Based Services (HCBS) Programs”, a toolkit which helps states examine some of the key building blocks needed to develop an optimized health IT ecosystem for advancing the HCBS Medicaid program objectives. The session will also look at actual state programmatic strategies being used by Georgia and Minnesota to advance health IT alignment and interoperability through the CMS TEFT Grant. As part of this grant, Minnesota and Georgia developed and piloted applications that each state designed to support coordination and collaboration among care teams for beneficiaries served through the States’ HCBS programs.

Moderators

Arun Natarajan

Senior Policy Analyst, ONC/HHS

Speakers

Greg Linden

Principal, Linden Tech Advisors, LLC

Greg Linden is the Principal at Linden Tech Advisors, LLC. He is active in Minnesota’s e-Health Initiative, and is currently involved in helping communities move forward with electronic Health Information Exchange (HIE). He was the technical SME for a CMS grant project known as... Read More →

Shane Owens

Health IT Design Lead, Socio-Technical Systems Division, Georgia Tech

Shane Owens serves as the Health IT Design Lead for the Human Technology Innovation group within Georgia Tech Research Institute. In his role, Mr. Owens applies user-centered research with a focus on empathic design to design and evaluate health IT and health technologies for various... Read More →

Bonnie Young

TEFT Program Manager, GA DCH

Bonnie Young has twenty plus years of Technical Information Technology experience managing enterprise system implementations for health care, state government and corporate systems. Five plus years of experience in managing IT government projects for the State of Georgia’s Public... Read More →

Friday April 6, 2018 11:30am - 12:30pm PDT
Key Ballroom 12

Track 2: State Innovation Data Analytics & Population Health Management

11:30am PDT

Track 3: Do You Believe in the Users? Linking Policies, Incentives, and Conformance to Create Modular Enterprise and Statewide Solutions

In the 1982 movie “TRON,” actors playing intelligent computer programs ask each other “Do you believe in the users?” This presentation will discuss how scalable health information exchange can be accomplished by focusing on interoperability through enforcing rigorous data and technical standards using a combination of financial incentives for machine-validated conformance and normalization. This socio-technical approach both encourages and requires health information organizations to participate in a common legal and trust framework that further institutes strict compliance requirements for participants to utilize highly modular, medium-grained web services that can be flexibly assembled and reused to accomplish things from Health Information Exchange (HIE) to Modular Medicaid Information System (MMIS) capabilities. Web services using modern APIs can replace user-centric silos with highly modular components for provider directory information, master patient information, record location, care coordination, public health reporting, and quality reporting each of which can be procured independently. This presentation will also describe how a focus on standardized health information and interoperability can help reduce provider workflow burdens and help close gaps-in-care by enabling the separate user-centric user interface efforts to occur in parallel. Finally, this presentation will detail how knowledge-based predictive modeling can be applied to successfully standardized exchanges of health information for use cases of very high value such as the detection of high-risk conditions and treatment optimization for population health.

Speakers

Jeff Livesay

Senior Executive Vice President, Michigan Health Information Network Shared Services

Tim Pletcher

PhD, Executive Director,, MiHIN

Friday April 6, 2018 11:30am - 12:30pm PDT
Latrobe (1st Floor)

Track 3: Enterprise Systems H&HS Integration

11:30am PDT

Track 3: Pennsylvania’s Public Health Gateway: Lessons Learned and Future Opportunities

In 2014 Pennsylvania identified the need to have a single point of entry into various public health and
human service data systems. This single point of entry that utilizes a connection to the state’s health
information exchange network is referred to as the Public Health Gateway (PHG). Since 2014, three of
the state’s certified Health Information Organizations have onboarded to the PHG and are now
supporting their member organizations to submit electronic messages to a number of state data
collection systems. The PHG will also support data exchange between state entities in order to reduce
the need to collect duplicate information.
During the presentation the speakers will:
● Describe Pennsylvania’s journey to implement the PHG
● Identify future uses of the PHG
● Outline the benefits and challenges of developing and administering the PHG through a collaboration of the Health and Human Services agencies

Speakers

Martin Ciccocioppo

MHA MBA Director, Pennsylvania eHealth Partnership, Pennsylvania Department of Human Services

Martin Ciccocioppo (pronounced Chick-EE- Chop) is the new Director of the Pennsylvania e-Health Partnership Program in the Pennsylvania Department of Human Services. Martin has spent more than 30 years helping to improve the lives of Pennsylvanians by providing analytic and data support... Read More →

Pat Keating

Chief Information Officer, Pennsylvania Dept. of Health

Patrick is the CIO for the Pennsylvania Departments of Health and Drug and Alcohol Programs. He oversees all aspects of IT including Application Development, Customer Support, Operations, Database Administration, Network Communications, Project Management and Information Security... Read More →

David Kelley

Chief Medical Officer, Pennsylvania Medicaid Program

Dr. David Kelley, Chief Medical Officer, Pennsylvania Department of Human Services Office of Medical Assistance Programs Dr. Kelley is the CMO for the Pennsylvania’s Medicaid Programs. He oversees the clinical and quality aspects of PA’s Medicaid Program that provides benefits... Read More →

Matt McGeorge

Senior Consultant, Health Management Associates

Matt supports the PA Department of Health with Public Health Gateway. He also held the position of health IT coordinator at Pennsylvania Medical Assistance Program. In that role he led the administration and oversight of the Medicaid EHR incentive program. Matt also partnered with... Read More →

Pam Zemaitis

Medicaid Health IT Coordinator, Pennsylvania

Pamela Zemaitis is currently the Health IT Coordinator for Pennsylvania's Medicaid EHR Incentive Program. Ms. Zemaitis oversees the HIT program and works with providers, hospitals, associations and key stakeholder to continue to improve on the HIT program. She has been involved... Read More →

Friday April 6, 2018 11:30am - 12:30pm PDT
Key Ballroom 11

Track 3: Enterprise Systems H&HS Integration

11:30am PDT

Track 4: Security from the ground up - Cybersecurity as an essential Quality Assurance measure

Cyber attacks continue to rise in the public sector, yet cybersecurity remains to be viewed as an afterthought in many IT projects. In this session, we will outline the landscape of threats to state systems and discuss how States can leverage IV&V and Quality Assurance requirements to move beyond the “checklist” and enhance their cybersecurity programs and practices to effectively address these threats. This session will focus on providing practical recommendations on how to combat the top security threats and strengthen the maturity of your cybersecurity program.

Speakers

Melissa Erikson

Public Knowledge

Melissa has extensive experience in both public and private healthcare, with a focus on improving efficiencies in service delivery and coordination of care through health information technology (HIT). Her background includes leading several HIT projects for states, including work... Read More →

Greg Gamette

Senior Consultant, Public Knowledge

Greg has 18 years of consulting experience with public and private sector organizations. He has worked with numerous state agencies and large companies, performing planning, design, implementation, data analysis, independent verification & validation (IV&V), quality assurance (QA... Read More →

Rob Harvey

Online Business Systems

As Director of Online Business Systems’ Risk, Security and Privacy Practice, Rob is helping to build, grow, and lead a pragmatic, risk-based business-minded security consulting practice that focuses on governance/program management, including PCI, ISO, HIPAA, vulnerability management... Read More →

Adam Kehler

Online Business Systems

Adam has over 20 years’ experience in technology including 7 years performing consulting services in Health Information Privacy and Security. Adam holds CISSP and Certified Ethical Hacker (CEH) certifications and has conducted hundreds of Health Information Security Risk Assessments... Read More →

Friday April 6, 2018 11:30am - 12:30pm PDT
Key Ballroom 10

Track 4: Security Compliance Combating Fraud Waste & Abuse

11:30am PDT

Track 5: How Technology Can Enhance Wellness for Medicaid Members with Serious Mental Illness

Individuals with serious mental illness often die at relatively young ages due to complications of tobacco use and obesity. Learn how a managed care organization used innovative technological approaches and Medicaid data to support provider efforts that enhanced the health of these individuals in a state Medicaid program. An evaluation, funded by the Patient Centered Outcomes Research Institute (PCORI), identified significant improvements that correlate with enhanced health and decreased healthcare spending.

Speakers

James Schuster

VP Behavioral Integration & CMO, Behavioral, Medicaid and Special Needs Services, UPMC Insurance Division

James Schuster, MD, MBA is the VP of Behavioral Integration and the Chief Medical Officer for Behavioral, Medicaid and Special Needs Services for the UPMC Insurance Division. Dr. Schuster is board certified in psychiatry and in the subspecialties of geriatric and addiction psychiatry... Read More →

Friday April 6, 2018 11:30am - 12:30pm PDT
Key Ballroom 9

Track 5: State Marketplace Reform & Managed Care Optimization

12:30pm PDT

Networking Lunch & Demonstrations

Friday April 6, 2018 12:30pm - 1:30pm PDT
Exhibit Hall

1:30pm PDT

Breakouts

Friday April 6, 2018 1:30pm - 2:30pm PDT
Key Ballroom 9-12

1:30pm PDT

Track 1: The Open Source Provider Screening Module

CMS is developing a prototype Open Source Provider Screening Module (PSM) as a proof of concept for advancing modular Medicaid Management Information System (MMIS) architectures. Speakers will discuss how open source development supports the shift to modularity and its value to states, describe the PSM project, and share opportunities for ongoing involvement. They will demonstrate the latest PSM and instruct attendees on how to obtain the latest code and documentation. Additionally, there will be a discussion of the potential benefits states could achieve by implementing and integrating an open source module within their MMIS.

Speakers

Eugene Gabriyelov

Technical Director, CMCS/CMS

Trish Heiman

MITRE

David W. Hill

Principal Software Systems Engineer, The MITRE Corporation

James Vasile

Partner, Open Tech Strategies

James Vasile is Lead Open Source Strategist at Solution Guidance Corporation. James has been helping governments, non-profits, and businesses get the most from their open source investment for 15 years. His advice has guided understanding of when and how to approach open source... Read More →

Friday April 6, 2018 1:30pm - 2:30pm PDT
Tubman (3rd Floor)

Track 1: Medicaid Modernization Modularity & MMIS Procurement

1:30pm PDT

Track 2: HIE 3.0—A Roundtable Discussion About Building Value and Trust

Statewide and regional HIEs must continue to evolve to ensure sustainability of HIE services across all the organizations and individuals they serve. HIEs must maintain the loyalty and the trust of their largest customers, usually health systems and hospitals, in order to ensure the availability of HIE services to their smallest customers. This panel will tell you how to work with stakeholders including policymakers, business leaders, state officials, healthcare executives, and consumer groups, to build a true business of HIE services that will be self-sustaining long past the current period of government investments and incentives.

Speakers

Dan Chavez

CEO, San Diego Health Connect

Daniel J. Chavez joined the San Diego Beacon HIE as Executive Director in March 2013 with more than 30 years of healthcare information technology (HIT) experience. He has an extensive track record of cultivating HIT startups, in general management, business development and product... Read More →

David Kendrick

MD, MPH, FACP, Primary Investigator and CEO, MyHealth Access and Board

David Kendrick, MD, MPH, FACP, chairs the Department of Medical Informatics at the University of Oklahoma’s School of Community Medicine, and serves the OU Health Sciences Center as the Assistant Provost for Strategic Planning. The Department of Medical Informatics provides clinical... Read More →

Michael Matthews

Chief Strategy Officer, CedarBridge Group LLC and President and Board Chair of The Sequoia Project

Michael has been a long-time passionate champion for leveraging health IT to enhance the efficiency and efficacy of health care. Much of his work has been in health information exchange and he has achieved such industry milestones as being the first HIE to participate on eHealth... Read More →

Tim Pletcher

PhD, Executive Director,, MiHIN

Carol Robinson

CEO and Principal, CedarBridge Group LLC

Carol Robinson, CEO of CedarBridge Group, has grown the company from a solo-practice into a nationally-recognized consulting and software development firm, comprised of experienced industry leaders. Carol served as Oregon’s State Coordinator for Health IT from 2009-2013, and has... Read More →

Friday April 6, 2018 1:30pm - 2:30pm PDT
Key Ballroom 12

Track 2: State Innovation Data Analytics & Population Health Management

1:30pm PDT

Track 3: Certification…..a 360 degree view

States have been adopting the Medicaid Enterprise Certification Life Cycle (MECL) and Toolkit (MECT) for MMIS implementations, and the Medicaid Eligibility and Enrollment Life Cycle (MEELC) and Toolkit (MEET) for IE&E implementations in alignment with CMS guidance. Compliance with the processes and milestone reviews reduces overall project risk, assures the continuation of federal funding, and prepares states for final MMIS Certification and IE&E system acceptance. While CMS has standardized the process for certification/system acceptance, the experiences within each State are very different. The goal of this session is to help favorably position you for each of your milestone reviews, including the important final system certification/acceptance. Join us as we discuss our experiences and lessons learned as the PMO and IV&V partner across ten state projects. We will share salient takeaways and provide recommended actions and considerations for you whether you are implementing one module or are in the middle of the full-system implementation.

Speakers

Dawn Boland

Client Executive, CSG Government Solutions

Dawn Boland is a Senior Principal and Client Executive within CSG Government Solutions’ Healthcare and Human Services practice. She is a certified Project Management Professional, Risk Management Professional, and Lean Six Sigma Green Belt with more than 17 years of program and... Read More →

Rob Guenther

Client Executive, CSG Government Solutions

Jeff Leintz

Client Executive, CSG Government Solutions

Friday April 6, 2018 1:30pm - 2:30pm PDT
Key Ballroom 11

Track 3: Enterprise Systems H&HS Integration

1:30pm PDT

Track 4: SAMHSA Consent2Share: 42 CFR (Part 2), Updates & Implications for State HIT Implementation

The increased use of health information technology in behavioral health care has provided patients with new opportunities to take control of their health. To aid organizations in securely exchanging this information while complying with federal and state privacy laws, SAMHSA developed Consent2Share, an open-source application for consent management and data segmentation.

Organizations that electronically share patient health and behavioral health information must do so while complying with federal and state confidentiality laws. At the same time, patients have the right to control which information is shared with their health care providers.

With the Office of the National Coordinator for Health Information Technology, SAMHSA and other stakeholders developed standards and guidelines to segment health data and manage patient consent preferences. Using these standards, Consent2Share integrates with existing health information exchange systems.

This presentation looks at aspects of Data Segmentation for Privacy (DS4P) and Consent2Share.

Speakers

Ken Salyards

Information Management Specialist, Substance Abuse and Mental Health Services Agency (SAMHSA)

Kenneth Salyards, Information Management Specialist, Substance Abuse and Mental Health Services Agency (SAMHSA) is a HL7 member and a Certified HL7 CDA Specialist coordinating health information technology across SAMHSA in collaboration with other federal Health and Human Services... Read More →

Friday April 6, 2018 1:30pm - 2:30pm PDT
Key Ballroom 10

Track 4: Security Compliance Combating Fraud Waste & Abuse

1:30pm PDT

Track 5: Leveraging the Consolidated Clinical Document Architecture (C-CDA) Standard to Coordinate Care and Improve Outcomes for Medicare & Medicaid Beneficiaries

Michigan has partnered with CMS and seven managed care organizations (integrated care organizations) in what is known as the MI Health Link Demonstration. Health Plans participating in this demonstration are required to create a person-centered care plan that allows beneficiaries to sit in the driver's seat when navigating their healthcare, with the assistance of a designated care coordinator. The care plan is used to coordinate medical services and supplies, behavioral health, substance use disorder, pharmacy, dental, vision, long term services and supports including home and community based services.

MDHHS developed a solution to reduce the burden for care coordinators and streamline the process for creating, updating, and sharing patient-centered care plans with members of the care team. MDHHS developed an electronic care plan using the C-CDA and paired it with a complimentary rendering tool for a customized view of the care plan for members of the care team. The solution enables care team members to view the care plan within electronic health records (EHRs). For care team members without an EHR, the care plan is configurable to view and print via a secure portal. This approach facilitates real-time integrated and coordinated care. During this workshop, MDHHS will review the architecture and functions of the C-CDA and rendering tool and discuss how other state Medicaid agencies could potentially leverage this approach to improve beneficiaries care coordination.

Speakers

Forrest White

MI Health Link Technical Project Manager, Altarum, Supporting Michigan Department of Health and Human Services (MDHHS)

Born, raised, and resides in Michigan. Bachelor of Arts Degree in Business at Michigan State University. Over 20 years working with MDHHS in Medicaid Eligibility and Enrollment. Past 3 years with Altarum supporting MDHHS as the Technical Project Manager for the MI Health Link... Read More →

Pam Gourwitz

Director of the Integrated Care Division, Bureau of Medicaid Policy and Planning,, Michigan Department of Health & Human Services

Pam Gourwitz has thirty years in health plan operations with government programs. In her current position, she is Director of the Michigan Department of Health and Human Services (MDHHS) Integrated Care Division responsible for the Integrated Dual Demonstration (MI Health Link) and... Read More →

Friday April 6, 2018 1:30pm - 2:30pm PDT
Key Ballroom 9

Track 5: State Marketplace Reform & Managed Care Optimization

2:30pm PDT

5 Minute Short Break

Friday April 6, 2018 2:30pm - 2:35pm PDT
Key Ballroom 1-6

2:35pm PDT

Closing Keynote: The Role of States in Implementing the 21st Century Cures Act’ Speakers

The 21st Century Cures Act lays out new requirements meant to enhance and increase interoperability. States can play a significant role in helping to expand interoperability within their jurisdictions, since they have access to funding and can create a business case for expanded interoperability. The Office of the National Coordinator can help provide guidance on how to best partner with a single state health information exchange, govern a network of networks, or partner with a Qualified Health Information Network to reach those interoperability goals.

As the HITECH Act ends in 2021 and states begin considering how to maintain or build new Health Information Exchange architecture, a broader role for Health Information Exchanges emerges as states begin to consider how to re-use these investments to improve coordination of care and case management for Medicaid patients, as well as meet the new directives contained in the 21st Century Cures Act.

Speakers

Genevieve Morris

Principal Deputy National Coordinator, ONC/HHS

Thomas Novak

Medicaid Interoperability Lead, Office of Policy, ONC/HHS

Thomas is the Medicaid Interoperability lead in the Office of Policy at the Office of the National Coordinator for Health IT where he supports the advancement of Medicaid interoperability in the drafting and review of Federal regulations. He is detailed part time to the Centers for... Read More →

Friday April 6, 2018 2:35pm - 3:20pm PDT
Key Ballroom 7-8

Keynote Sessions