10:00am - 1:00pm EST

Succeeding With Value-Based Reimbursement: An OPEN MINDS Executive Seminar On Organizational Competencies & Management Best Practices For Value-Based Contracting

Executive Seminar
This shift away from traditional fee-for-service reimbursement models to value-based reimbursement (VBR) has turned “business as usual” on its head for many specialty provider organizations. It has forced executive teams to continue their current operations, while simultaneously 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 that 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
10:00am - 4:00pm EST

The Children’s Summit: The Future of School-Based Health Services

Executive Summit
    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 in this summit.
    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
    • Speaker: Sharon Hicks, Senior Associate, OPEN MINDS
  • 10:30am – 11:15am: Funding For School Based Children’s Health Services: The New York Approach
    • 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
    • Speakers:
      • Tamra Williams, Ph.D., Deputy Chief Clinical Officer Of Children’s Services, Community Behavioral Health (CBH)
      • Olga 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
    • 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
    • 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 Services: Forecasting The Future
    • Executive Roundtable featuring all presenters
1:30pm - 4:30pm EST

How To Develop A New Service Line: An OPEN MINDS Seminar On Building A Diversification Strategy & Conducting A Feasibility Analysis

Executive Seminar
In the current environment of changing consumer expectations and new financial models, one essential skill that 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 starting 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
4:30pm - 5:30pm EST

Onsite Outdoor Networking Reception

Wrap up the day with socially distanced networking by the pool. Enjoy a beverage and hors d'oeuvres while catching up with colleagues and discussing the day’s events.
11:30am - 12:00pm EST

Welcome, Announcements & Results From The 2021 OPEN MINDS Performance Management Executive Survey: Where Are We On The Road To Value

Introduction
During this opening session, OPEN MINDS Chief Executive Officer, Monica E. Oss will open the institute by sharing the results of this year's survey, The 2021 OPEN MINDS Performance Management Executive Survey: Where Are We On The Road To Value, and discussing their implications for health and human service organizations. OPEN MINDS surveyed specialty provider organizations in the health and human services to determine where they are on the road to technology adoption. The survey provides information on:
  • Performance-based contracts for staff by market and organizational size
  • Trends in value-based contracting arrangements by market and organizational size
  • The number of organizations with contracts with managed care plans or accountable care organizations by market and organizational size
A free copy of The 2021 OPEN MINDS Performance Management Executive Survey: Where Are We On The Road To Value is available to all Elite and Premium members through our OPEN MINDS market surveys.
12:00pm - 1:00pm EST

What Health Plans Want: Making It Easier For Consumers To Get Care

Keynote Address
What are the biggest concerns of health plans in the post-pandemic era and what do they expect from provider organizations? Increasing demand for mental health and addictions treatment calls for augmentation of the “supply chain.” The shift to value-based reimbursement is accelerating but hampered by the lack of standardization and benchmarks for quality outcome measures. Integration and gaps in the referral pipeline are also a concern. In the light of these concerns, what can provider organizations do to make it easier for consumers to get care, build stronger relationships with health plans, and deliver better outcomes? Ms. Boyd provides the answers in this session.
1:30pm - 2:30pm EST

Thought Leader Discussion Session With Erin Boyd, Behavioral Network Strategy Director, Cigna

Thoughtleader Forum
Join us for a follow-up session with our keynote speaker Erin Boyd, Behavioral Network Strategy Director, Cigna. Use this time to ask questions and continue the morning’s discussion.
1:30pm - 2:30pm EST

Planning For Revenue Expansion By Expanding Your Service Area – From Market Analysis To Launch

Best Practice "How To"
A market-focused planning process is necessary in order to develop new services that create better outcomes at a reduced total cost of care. Identification of changing, or unmet consumer needs, is the starting point. But moving from concept to execution requires a defined process and specific talent to design the new service and create the financial costing model. In this session, attendees learn the key steps to:
  • Identify services that address consumer and payer needs by improving service quality and reducing the cost of care
  • Propose and negotiate new service innovations to payers
  • Develop cost models for new and re-engineered services
  • Calculate the return on invest (ROI) for new service models to demonstrate that they are financially feasible and reduces the cost of care
1:30pm - 2:30pm EST

Addictions Treatment: The Case For Value

Topical Case Study Session
Health care payers are increasingly shifting away from fee-for-service payment systems that reward volume to value-based payment (VBP) models that incentivize high-quality, cost-effective care. The extent to which addiction treatment providers are engaged in VBP is minimal and is at various stages across the country. In this session, we will hear from an organization specializing in addiction treatment and a health plan that have worked together to successfully implement effective value-based payment arrangements. They will share their approach, discuss outcomes, and provide examples of their why VBP works.
3:00pm - 4:00pm EST

Integrating Social Determinants To Improve Performance Outcomes

Topical Case Study Session
The growing list of programs focused on the social determinants of health (SDoH) is diverse in approach and size. To deliver better health outcomes, social determinants —including poverty, food insecurity, lack of education, unstable housing, and environmental conditions — must be addressed to find success with whole person, value-based care. For provider organizations, the complexity of SDoH paired with current organizational priorities and services makes it difficult for providers to know where to focus. This session will include strategic discussions on:
  • How to capture data on consumers to identify what social service programs are needed
  • How to measure social determinant outcomes as a part of whole person care
  • Case study presentations from organizations that have integrated SDoH into their service lines
3:00pm - 4:00pm EST

Key Performance Indicators For Value-Based Care: How To Use Performance Metrics To Build A Value Proposition For Health Plans

Best Practice "How To"
More competition and more value-based reimbursement (VBR) are making performance metrics more important than ever for health and human service organizations. Finding the right performance metrics to demonstrate value to health plans has been a big challenge for many executive teams. One method of metrics-based management is the development of a key performance indicator (KPI) system. An effective KPI system captures financial and non-financial measures and is driven by structured data based upon an organization’s strategic objectives. This session will cover:
  • The steps to developing applicable measures
  • The use of measures for building a value proposition for health plans
  • Creating a strategy for demonstrating value with health plans
3:00pm - 4:00pm EST

Improving Performance & Productivity Through Technology

Topical Case Study Session
In a health care marketplace dominated by the “next normal,” technology has become essential for any provider organization to improve performance and maximize productivity. Historically, much of health care has been limited to technologies such as electronic health records (EHR) and telehealth. However, as the coronavirus 2019 (COVID-19) pandemic has forced organizations to deliver more remote and in-home services, there are many opportunities for provider organizations to leverage these innovative technologies to increase organizational efficiencies, improve consumer outcomes, and reduce costs. In this session, we will discuss:
  • The opportunities in using technology to improve outcomes in consumers’ care
  • How to decide what technology would be beneficial for both organizations and consumers
  • Case studies presentations from organizations who have seen improvements on performance and productivity using technology
4:30pm - 5:30pm EST

Using Value-Based Reimbursement To Drive Service Innovation

Executive Roundtable
Value-based reimbursement (VBR) is not going to be set aside or delayed as a result of the pandemic. If anything, it is going to be adopted as a strategy to keep costs down during a time where budgets are increasingly strained. With this strategy, innovation has become key. Our panel of health plan executives will discuss their perspective on how VBR has driven innovation, even despite the market disruption caused by the public health emergency. They will also provide insight on how providers can use VBR to drive innovation within their organizations.
5:30pm - 6:30pm EST

Onsite Outdoor Networking Reception

Wrap up the day with socially distanced networking by the pool. Enjoy a beverage and hors d'oeuvres while catching up with colleagues and discussing the day’s events. .
10:30am - 11:30am EST

Start Your Day With Yoga!

Activity
Rejuvenate your creativity, focus, and mindfulness by starting your day with yoga. This class will wake you up and get you going for the rest of the day!
12:00pm - 1:00pm EST

What Provider Organizations Should Expect As Managed Care Moves To A Whole Person Focus

Keynote Address
State Medicaid agencies are no longer willing to pay managed care organizations (MCOs) to manage the costs of health care only. Their focus is extending beyond traditional HEDIS measures to look at population-level outcomes for a spectrum of social and economic needs. This is leading MCOs to explore new partnerships, new dimensions in care coordination, new types of provider organizations in their network, data interoperability across health and social service systems, and new value-based reimbursement models. Hear from Amy Kendall about how this shifting focus of MCOs will define new expectations for organizations serving complex populations with serious mental illnesses and intellectual and developmental disabilities. Learn what health plans are looking for and how provider organizations can come to the table with innovations and evidence-based practices to impact consumers’ health and non-health indicators.
1:30pm - 2:30pm EST

Thought Leader Discussion Session With Amy Kendall, Vice President, Complex Populations, CareSource

Thoughtleader Forum
Join us for a follow-up session with our keynote speaker, Amy Kendall, Vice President, Complex Populations, CareSource. Use this time to ask questions and continue the morning’s discussion.
1:30pm - 2:30pm EST

Moving From Long-Term To Short-Term Residential Services

Best Practice "How-To"
For residential treatment services, not only are long-term and short-term models different in structure, the funding structure and cost of services vary greatly. For most consumer populations, the goal is to limit long-term residential wherever possible and to focus care delivery on home- and community-based services. As a result, there are some fundamental changes — new treatment models and new technologies — that are changing payer and consumer preference, and in turn, changing how services are delivered. This session will focus on the changing landscape in residential treatment services from both the health plan and provider perspective and will cover:
  • Trends in prevalence, utilization, treatment models, and reimbursement
  • Best practices in accessing payer demand
  • Steps needed to move from long-term to short-term residential treatment services
3:00pm - 4:00pm EST

Market, Math & Metrics: Three Keys To Optimizing Your Strategy

Best Practice "How To"
When it comes to assessing how to move forward with a new strategy or to achieve the necessary performance, the number of potential resources and “first steps” for health and human service organizations can be overwhelming. However, in most cases, it comes down to three elements: market research for planning, math for decisionmaking, and metrics for management. Knowing the key market issues, the value of “math,” and the right performance metrics are essential for strategic decisionmaking in the current and future markets. Join us for this session where we will discuss:
  • Understanding potential customers, contributors, and funders through market research
  • How to “do the math,” adjust the model, and make the right decisions when developing operational and financial models
  • Ensuring you have the right measures to turn data to into actionable and meaningful measures to improve performance
3:00pm - 4:00pm EST

How To Facilitate Organizational Change In A Changing Market

Topical Case Study Session
Motivational interviewing is an effective tool to transform conversations about change within an organization. Colleen Marshall, author of Motivational Interviewing for Leaders in the Helping Professions: Facilitating Change in Organizations, will discuss the powerful ways motivational interviewing can be used to generate solutions to align staff, address performance, and to redesign procedures or programs.
4:30pm - 5:30pm EST

Positioning Your Organization For The "Next Normal"

Keynote Address
The pandemic crisis is almost certain to change behavioral health for the long-term. Many practices have been altered to meet the extraordinary demands that the pandemic has imposed on behavioral healthcare providers and payers. As we look to the “next normal”, performance will matter. The advantage will go to the organizations that are data driven with documented “better” performance. Monica Oss will discuss the data and performance measures needed and share why they will be key to an organization’s success.
5:30pm - 6:30pm EST

Onsite Outdoor Networking Reception

Wrap up the day with socially distanced networking by the pool. Enjoy a beverage and hors d'oeuvres while catching up with colleagues and discussing the day’s events.

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