The 2022 OPEN MINDS Health Plan Partnership Summit

Strategic Alignment To Inform Provider/Payer Partnerships For Improved Performance Outcomes

February 17, 2022 | 7:30 am – 4:15 pm ET

The only national event focused on building health plan/provider partnerships to better serve consumers with multiple chronic conditions and complex support needs.

Are strategic initiatives aligned for both health plans and provider organizations? Health plan priorities are being reshaped to meet new challenges of the changing health and human services landscape, and they’ve got “big data” behind their every move. For provider organization executives, understanding the dynamics of the health plans in their market is the key to creating preferred health plan relationships. During this one day event, we will hear from executives from health plans and provider organizations alike on specific case studies with regard to partnership opportunities. You will see how the right management tools, strategic insights, and the expert advice can help you navigate strategic health plan/provider partnerships in order to better serve consumers with complex support needs.

This summit provides you with market intelligence, management tools, strategic insights, and the expert advice you need to navigate strategic health plan/provider partnerships in order to better serve consumers with complex support needs.

7:30 am – 8:30 am ET: Registration & Breakfast

8:30 am – 9:00 am ET: Welcoming & Introduction

Kickoff the Summit with co-chairs Cathy Gilbert, Senior Associate, and Richard Louis, III, Vice President, Western Region at OPEN MINDS presenting a high-level overview of health plan priorities in the “next normal”.

Cathy Gilbert, Senior Associate, OPEN MINDS
Richard Louis, III, Vice President, Western Region, OPEN MINDS

9:00 am – 10:00 am ET: If You Aren’t Thinking About These Five Things… Start! Defining Performance Measures For Successful Payer/Provider Partnership

As provider organizations are implementing their 2022 strategy for sustainability post-pandemic, health plans are rethinking their market positioning with a new focus on payer – provider alignment. Health plans and providers can learn from each other so that shared consumers have positive outcomes, ensuring your organization remains sustainable and meets performance standards. Our speaker, as an executive in various Fortune 500, behavioral health payers, and government organizations, offers five things that 40 years of experience have proven are critical to improved performance, meeting objectives ,and building sustainable payer-provider partnerships.

• Culture trumps strategy every time…..pay as much attention to culture as a strategy
• Disruptive events/innovations drive change before you can plan for them
• Maintaining uncompromising integrity in data is critical to achieving outcomes
• Expectations unknown or not clear are doomed to create failure
• Building partnerships is a two-way journey to success

Dennis Derr Ed.D., SPHR, MBHO/EAP Facilitator, National Behavioral Consortium

10:15 am – 11:45 am ET: Out of The Shadows: How Substance Use Disorder Has Helped Pave The Way For Partnership Opportunities

Over 70,000 Americans died in 2019 from an opioid overdose, and this number is estimated at over 90,000 for 2020, the highest it has ever been. How can providers work with health plans to ensure they offer the most up-to-date treatment (behavioral and medication assisted), while balancing quality care with improved and measurable consumer outcomes? Programs and facilities receiving distinction as a center for excellence must demonstrate coordinated multidisciplinary care plan for consumers, and must also provide timely access to quality medical and psychosocial care in all phased of treatment. The Blue Distinction Specialty Care program helps consumers find quality treatment and care in the area of substance use disorders. These nationally designated facilities must demonstrate a commitment to delivery improved consumer outcomes, and safety while demonstrating objective measures. Hear from one such provider organization who is doing exactly that, while working together within the Blue Distinction Program and the intricacies of navigating that partnership.

Bill Pompos, Manager, Program Execution & Network Strategy, BCBS of MI, Behavioral Health Strategy & Planning
Silvia Gramada, Manager, BCBS of MI, Behavioral Health Strategy & Planning
Bruce Goldberg, President, River’s Bend PC

11:45 am – 1:15 pm ET: Networking Lunch

1:15 pm – 2:45 pm ET Looking For Quality Outcomes? It Starts With Innovative Value-Based Contracting

The shift away from traditional fee-for-service reimbursement models to value-based reimbursement (VBR) has turned “business as usual” on its head for many specialty provider organizations. It has forced executive teams to continue their current operations, while simultaneously implementing new services, technology, and data-driven systems that are necessary for VBR success. New or redesigned services linked to quality outcomes need to be built, negotiated, and piloted. Technology that drives outcomes and creates operational efficiencies needs to be identified, funded, and implemented. And, a culture of using data to ensure standardized, results-oriented outcomes across the organization must be built. Provider organizations need to move from an understanding of the key competencies required in the VBR model to tactical initiatives for implementing the talent, technology, and systems that deliver quality and value within value-based contracts.

Monica Collins, Sr. Director, System Transformation, Magellan Behavioral Health of Pennsylvania
Charlotte Chew, Vice President, Out Patient Operations, Pyramid Healthcare
Richard Louis, III, Vice President, Western Region, OPEN MINDS
Cathy Gilbert, Senior Associate, OPEN MINDS

3:00 pm – 4:15 pm ET: Simplifying Access To Behavioral Healthcare: New Directions Behavioral Health & Tridiuum Demonstrate Success With Florida-based Provider Program

New Directions Behavioral Health and Tridiuum launched their Florida-based provider program in December 2021. In this session, learn how advanced analytics and technology-enabled direct scheduling increases reach, improves member access and connection to quality behavioral healthcare.