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.

This executive seminar is designed to help organizations across the country implement the competencies and tactics for value-based contracts. In the seminar, executive teams of provider organizations will:
• • Confirm the foundational components of infrastructure needed for VBR are in place
  • Identify how to move from service value concepts linked to VBR to discussions with payers and implementation of new VBR services
  • Implement approaches to realigning their service model to ensure success in a value-driven market

Provider organizations serving children with complex support needs and youth in underserved communities are seeking to develop innovative programs and models of care that integrate behavioral health support services with educational needs. However, these young people often end up in a no-win situation in which either treatment or education is put first to the detriment of the other.

With the current focus on social determinants of health, how are provider organizations keeping pace with the changing market to ensure the focus on education and the focus on treatment sit side-by-side? Join us for discussions about the opportunities and ongoing challenges facing the children’s services market.

Executives will discuss innovations in school-based service delivery, the intersection between education and health care funding, and evolving payment models that could systemically address these challenges in the future.

Agenda:

• • 10:00am – 10:30am: Introduction and Overview: Whose Money Is It Anyway? The Intersection Of Education & Health Care Funding
  • In this session, Sharon Hicks, senior associate with OPEN MINDS and chair of The 2021 Children’s Summit, will open the day with an overview of school based health services, provide an historical review of the funding issue, and discuss the importance of an integrated approach for children’s school based health services.
    • Speaker: Sharon Hicks, Senior Associate, OPEN MINDS

• • 10:30am – 11:15am: Funding For School Based Children’s Health Services: The New York Approach
  • New York's effort to develop alternative routes to school-based supports was stalled for decades.  Restrictive regulations, limited school building space, and complex billing system requirements stymied satellite clinic growth. Despite being the home state to Geoffrey Canada's Community School model, state funding for that initiative remained stagnant.  This session will focus on Medicaid redesign and school superintendent awareness that turned this lost in space journey into a course charted for success.
    • Speaker: Andrea Smyth, Executive Director, NYS Coalition For Children’s Behavioral Health

• • 11:15am – 12:30pm: Intensive Behavioral Services In A School Setting: Innovations With An MCO County/Private Partnerships
  • Presenters will discuss innovations with programming, financing, and partnerships to improve access to school-based behavioral health services, particularly during the COVID-19 pandemic.  Models of school-based service delivery, implementation processes, and lessons learned from Philadelphia and Washington, DC, as well as state and national examples, will be shared with participants.
  • Speakers:
    • Tamra Williams, Ph.D., Deputy Chief Clinical Officer Of Children’s Services, Community Behavioral Health (CBH)
    • Olga Acosta Price,Ph.D., Associate Professor in the Department of Prevention & Community Health at George Washington University and Director of the Center for Health and Health Care in Schools
    • Katy Stinchfield, MS, LPC, Senior Program Manager, School-Based Health Alliance

• • 12:30pm – 1:00pm: Lunch on your own

• • 1:00pm – 1:45pm: Public Private Partnerships-Funding The Behavioral Health Needs Of Children
  • The focus of this presentation will be on how a handful of communities in Michigan have built and maintained collaborative bodies comprised of leaders in education, mental health, law enforcement, local government, and funders to address whole-child/family needs in innovative ways. A goal of this effort is the sustainable mitigation of barriers, including economic to receive the needed services so NO child or family “falls through the cracks”. How this effort has been maintained as well as a focus on new/different needs in the wake of the COVID-19 pandemic will be discussed.
    • Speaker: Derek S. Allen, MA ACTP- Executive VP COO-Starr Commonwealth

• • 1:45pm – 2:45pm: “There Is No Box”: Creating An Innovative Approach To Bridging The Gap Between Academic, Behavioral Mental Health Services For Children
  • In this presentation, ICAN will share their process for evolving the size, scope, and overall spectrum of services they offer to school districts. Participants will learn about their innovative methods for helping districts think creatively to blend existing resources with outside supports to address long standing challenges for their students and their students' families. They will demonstrate that when the invisible boundaries are removed that often "box" us in, we begin to realize that anything is possible!
  • Speakers:
    • Jeremy D. Butler, Director of Community Initiatives, ICAN
    • Kristen Rasmussen, Chief Operating Officer, ICAN
    • Steven Bulger, CEO / Executive Director, ICAN

• • 2:45pm – 3:00pm: Break

• 3:00pm – 4:00pm: School-Based Health Services: Forecasting The Future
• Wrap up the day by joining the day’s presenters to discuss what the future holds for school-based health services. Gain important insights to move your organization forward. And, we encourage YOU to share your thoughts at this closing roundtable session.
  • Executive Roundtable featuring all presenters

In the current environment of changing consumer expectations and new financial models, one essential skill all executives need to master is the ability to evaluate and modify current services as well as to develop new services to meet the challenges in the changing market, including being more financially viable and relevant to consumers.

In this exciting session, we will review everything you need to know about developing a new service line beginning with analyzing your current service lines to determine strategic options for diversification. Executive attendees will learn how to:

• Create a structured approach for selecting new services for your organization while ensuring they are financially sustainable
• Develop a costing model for launching new services
• Create a structured service line feasibility analysis and development process