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Monday, December 7
 

11:00am PST

Registration Opens
This is a session description.

Monday December 7, 2020 11:00am - 12:00pm PST
TBA

12:00pm PST

Welcome, Leadership Panel!
Monday December 7, 2020 12:00pm - 12:45pm PST
TBA

1:00pm PST

Pre-Conference Workshops
This is a session description.

Monday December 7, 2020 1:00pm - 2:30pm PST
TBA

1:00pm PST

Track 1 (Workshop): Time to Focus on Outcomes
This cross-industry panel will provide the basis for a lively discussion on why a new mindset is necessary in the transition to modularity and modernization. Custom systems no longer make sense in a world where proven commercial off-the-shelf (COTS) products get the job done more efficiently and effectively in a fraction of the time. But everyone must be open to new ways of thinking.
In a COTS-based world, outcomes should be the measure for technology procurements. This allows states to articulate business objectives while holding vendor partners accountable for meeting high standards. CMS also sees value by focusing on outcomes as a means to simplify the certification process and minimize administrative work.

Moderators
avatar for Tom Graves

Tom Graves

Senior VP, Government Solutions, Optum

Speakers
avatar for Ed Dolly

Ed Dolly

CMS-CMCS
Edward Dolly is the Director for the Division of State Systems within the Data and Systems Group at the Center for Medicare & Medicaid Services and has 33 years (and counting) of Information Technology experience. More than 20 of those years were specifically in support of State Government... Read More →
NC

Nicole Corneaux

Medicaid Director, State of New Mexico
avatar for James Coursey

James Coursey

DHHS CIO, State of South Carolina
Jim Coursey, President, Kinsey Lawton Associates (KLA) is a nationally recognized expert in health and human services program design, specializing in Medicaid systems and operations transformation. He has a more-than 20-year career successfully leading integrated teams to design and... Read More →
avatar for Jess Kahn

Jess Kahn

Partner, McKinsey & Co.
Jessica Kahn is a Partner at McKinsey’s Washington D.C. office where she co-leads McKinsey’s Medicaid Health and Human Services Value Assurance &  IT Transformation practice.Key Experience:-Former (SES) Director of Medicaid Data & Systems at CMS-Deep expertise in Medicaid Information... Read More →


Monday December 7, 2020 1:00pm - 2:30pm PST
TBA

1:00pm PST

Track 1A (Workshop): Private Sector Technology Group (PSTG) All Industry Meeting (open to current PSTG members only)
The PSTG is a Health Information Technology industry group that follows a consensus-based process to
provide input to critical issues of the day. All industry representatives are invited to join the PSTG
conference session. Hear updates on our current industry collaboration efforts with CMS and the State
Technology Advisory Group (STAG), PSTG committee updates and new communication initiatives. In
addition, we will explore how PSTG can best serve our membership and the private sector through
facilitating active audience participation in breakout groups to address a series of questions tailored to
identify perspectives on relevant issues affecting the Health IT industry today. Member and non-
members are welcome.

Speakers
avatar for Carrie Moore

Carrie Moore

Paradigm Shift Strategies, Owner, Private Sector Technology Group, Chair
Carrie Moore is the owner of Paradigm Shift Strategies and the current Board Chair for PSTG. Carrie has over 20 years’ experience working in the health care information technology industry. First half of career-focused on managing the implementation of large public-sector decision... Read More →
avatar for Sarah Miller

Sarah Miller

Audacious Inquiry, V.P. of State Government Services &; HIE Account Management, Private Sector Technology Group, Vice-Chair
Sarah leads Ai’s state government work with a focus on delivering business results for State Medicaid Agencies, through strategic planning services, governance services, technology advisory services, and organizational development/change management services.  Before coming to Ai... Read More →
avatar for Tony Franklin

Tony Franklin

Cambria Solutions, Executive Director MES Solutions, PSTG Treasurer
Tony Franklin is an Executive Director at Cambria Solutions where he leads the expansion of Cambria’s national MES practice and serves as the MES Practice Director. He has been in the Health and Human Services field since 1989 and has more than 27 years of experience managing large-scale... Read More →
avatar for Mia Pereek

Mia Pereek

Deloitte Consulting LLP, Senior Manager, Private Sector Technology Group, Secretary
Mia Pareek serves public sector clients, primarily focused on state Medicaid agencies. Her work focuses on transforming the operations of Medicaid agencies in response to citizen demands, new legislation and budget pressures. Mia’s experience spans Medicaid program and policy development... Read More →
avatar for Lorrie Scardino

Lorrie Scardino

Blue Tack Consulting, Managing Director, PSTG, Immediate Past Chair
Lorrie Scardino is the Managing Director at Blue Tack Consulting and the Immediate Past Chair of the PSTG. Lorrie has decades of experience in IT Services, with emphasis on Health Programs. She is a recognized expert in the Medicaid market and her firm has worked with numerous states... Read More →


Monday December 7, 2020 1:00pm - 2:30pm PST
TBA

1:00pm PST

Track 2 (Workshop): SHIEC hosted Interoperability, HIE, Medicaid Partnership
Moderators
KH

Kelly Hoover Thompson

CEO, SHIEC (Strategic Health Information Exchange Collaborative)

Speakers
BM

Beth Myers

Deputy Director, ONC Office of Policy
avatar for Mariann Yeager

Mariann Yeager

CEO, The Sequoia Project
Mariann Yeager (CEO) has more than 20 years of experience in the health information technology field. She currently serves as CEO for The Sequoia Project, a non-profit solely focused on advancing secure, interoperable nationwide health data sharing in the US. She also leads the Recognized... Read More →
avatar for Laura Young

Laura Young

Executive Director, healthConnect Alaska
Laura Young is an information technology expert with over 25 years working within the IT industry with a focus on government, non-profit, education, and healthcare. She is currently the Executive Director for healtheConnect Alaska. She has degrees in Information Technology and Health... Read More →
avatar for Jay Nakashima

Jay Nakashima

Executive Director, eHealth Exchange
Over the past 25 years Jay Nakashima has designed and implemented EHRs, optimized clinical workflow, and spearheaded data exchange. Jay has worked for health IT vendors, providers, payers, and now leads the eHealth Exchange, the nation’s oldest and largest health information network... Read More →
CW

Claudia Williams

CEO, Manifest MedEx


Monday December 7, 2020 1:00pm - 2:30pm PST
TBA

1:00pm PST

Track 2A (Workshop): Addressing the Opioid Epidemic though HIT and care management operations
Moderators
JM

Jim McEvoy

Health Management Associates

Speakers
LP

LaVerne Perlie

Nurse Consultant, ONC/HHS
JB

Jaime Bland

CEO, NeHII
KB

Kevin Borcher

Sr. Director, Pharmacy Services, NEHII
SB

Stella Bailey

Drug Control Unit Manager, North Carolina Department of Health and Human Services, Division of Mental Health, Developmental Disabilities and Substance Abuse Services
LJ

Lisa Johnson

Director of Data Analytics and Strategy, Delaware Department of Health and Social Services Division of Substance Abuse and Mental Health


Monday December 7, 2020 1:00pm - 2:30pm PST
TBA

1:00pm PST

Track 3 (Workshop): Harnessing the Power of Data to Connect Medicaid and Corrections Data for Hoosier Health
As states continue transformative work to reform their health care payment and delivery systems to improve
population health, streamline service delivery and reduce costs, having the right data and data systems to support and inform those efforts is imperative to success. Throughout 2017 and 2018 the Indiana Family and Social Services Administration (FSSA) transitioned from a heavily focused reporting group to an insight-driven organization with the appropriate governance required to fully harness the power of data. FSSA, through its work with the National Governor’s Association (NGA), and in collaboration with the Department of Corrections (DOC), Management Performance Hub (MPH), Medicaid and others identified cross-party data sharing opportunities to provide solutions for complex health problems.
In this session, attendees will learn how:
  • FSSA applied for and received a technical assistance grant from the NGA to “Harness the Power of Data to Achieve State Policy Goals.”
  • How legislation would allow the Indiana DOC to apply for Medicaid coverage on behalf of inmates 60 days prior to release. This legislation intended to ensure that returning citizens had access to the necessary health coverage to help reduce recidivism and the utilization of high-cost emergency care.
  • The new DOC policy that would only be made possible with enhanced data governance and cross-sector data sharing.
  • How FSSA, DOC, MPH, Medicaid, and others worked together to improve the business process.
Through this data-sharing effort, FSSA was not only able to demonstrate that the policy change did reduce time-to-coverage for these inmates, but they also engaged the academic community to study the impact of the reduced time-to-coverage on health outcomes and population health.

Speakers
avatar for Amy Lewis Gilbert, JD, MPH

Amy Lewis Gilbert, JD, MPH

Chief Science Officer, Indiana Family & Social Services Administration
Amy Lewis Gilbert, JD, MPH is Chief Science Officer for the Indiana Family and Social Services Administration (FSSA), which administers the State’s health coverage and social service programs. As CSO, Gilbert’s role is to help identify evidence priorities across FSSA divisions... Read More →
avatar for Connor W. Norwood, PhD, MHA,

Connor W. Norwood, PhD, MHA,

Chief Data Officer, Indiana Family and Social Services Administration, Division of Strategy and Technology
As the Chief Data Officer for Indiana Family Social Services Administration (FSSA), Dr. Norwood oversees the enterprise data warehouse (EDW) for FSSA, which houses the business information and data required to support all reporting and data analytics for Indiana’s health and human... Read More →
avatar for Jared Linder

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 →
avatar for Justin Blackburn

Justin Blackburn

Assistant Professor, Indiana University Richard M. Fairbanks School of Public Health
Dr. Blackburn's research primarily involves leveraging large administrative data sets to evaluate public health policy and outcomes at the state, local, and national levels. He is a frequent collaborator with state and local public health agencies and has applied methodologically... Read More →
avatar for Shannon M. Stotenbur

Shannon M. Stotenbur

Vice President Business Development, Optum State Government Solutions
Ms. Stotenbur is Vice President of Business Development for Optum Government Solutions. In her role, she works closely with stakeholders to build and maintain effective, quality relationships and drive development across her territory. Prior to Shannon’s work with Optum, she was... Read More →


Monday December 7, 2020 1:00pm - 2:30pm PST
TBA

1:00pm PST

Track 4 (Pre-Event Workshop): HHS Cybersecurity Panel: Manage Threats and Protect your Citizens
In 2015, the United States Congress passed the Cybersecurity Act of 2015 (CSA), and within this legislation is Section 405(d): Aligning Health Care Industry Security Approaches. As an approach to this requirement, in 2017 HHS convened the 405(d) Task Group leveraging the Healthcare and Public Health (HPH) Sector Critical Infrastructure Security and Resilience Public-Private Partnership. As a result, the Health Industry Cybersecurity Practices: Mitigating Threats and Protecting Patients (HICP) publication was developed and released in December 2018. The HICP publication aims to raise awareness, provide vetted cybersecurity practices, and move towards consistency in mitigating the current most pertinent cybersecurity threats to the sector. It seeks to aid healthcare and public health organizations to develop meaningful cybersecurity objectives and outcomes.

The document includes a main document, two technical volumes, and a resources templates appendix:
- The main document examines cybersecurity threats and vulnerabilities that affect the healthcare industry. It explores (5) current threats and presents (10) practices to mitigate those threats.
- Technical Volume 1 discusses these ten cybersecurity practices for small healthcare organizations
- Technical Volume 2 discusses these ten cybersecurity practices for medium and large healthcare organizations.
- Resources and Templates includes a variety or cybersecurity resources and templates for end users to reference

The five cybersecurity threats facing the healthcare industry are:
1. Email Phishing
2. Ransomware
3. Loss or Theft of Equipment or Data
4. Insider Intentional or Accidental Data Loss
5. Attacks Against Connected Medical Devices

The technical volumes discuss these 10 practices in more detail, tailored to small, medium, and large organizations:
1. Email Protection Systems
2. Endpoint Protection Systems
3. Access Management
4. Data Protection and Loss Prevention
5. Asset Management
6. Network Management
7. Vulnerability Management
8. Incident Response
9. Medical Device Security
10. Cybersecurity Policies

Speakers
JA

Julie Anne Chua

Risk Management Branch Chief, U.S. Department of Health and Human Services
PR

Pyreddy Reddy

Chief Information Security Officer, North Carolina DHHS


Monday December 7, 2020 1:00pm - 2:30pm PST
TBA

1:00pm PST

Track 5 (Workshop): Evolution of HIX Marketplaces and HHS



Moderators
CD

Capri Dye

Manager, Cambria Solutions
JM

Juan M. Montanez

Principal, Health Management Associates

Speakers
avatar for Venkat Koshanam

Venkat Koshanam

CIO, Maryland Health Benefit Exchange
Mr. Koshanam is an excellent Information Technology Leader with passion for bringing transformation and consumer engagement into Government and Public Service, recognized for Digital Innovation by CIO 100, with 25 years of diverse experience as a senior executive, program manager... Read More →
CB

Chris Breining

Vice President of Vertical Sales, Billing and Public Sector, Wex Health
BE

Brent Earnest

Director of Program Integration, beWellnm
ZS

Zach Sherman

Executive Director, Pennsylvania Health Insurance Exchange Authority


Monday December 7, 2020 1:00pm - 2:30pm PST
TBA

1:00pm PST

Track 6 (Workshop): The Future of Digital Quality Measurement
Health care quality measurement is going digital and HIEs are positioned to play a predominant role in the future of quality measurement. Digital measures create new opportunities for using the rich information in electronic data sets to assess more of what matters. This session will highlight how states are using data aggregators to supplement claims and produce validated performance measures. Hear from state and national experts as they move the needle on HIE data quality to support oversight and payment programs.

Moderators
avatar for Wendy A. Talbot

Wendy A. Talbot

MPH, AVP Measure Collection & Audit, National Committee for Quality Assurance (NCQA)

Speakers
AT

Albert Taylor

Medical Informatics Fellow, ONC/HHS
avatar for David Kelley MD

David Kelley MD

CMO, Pennsylvania Department of Human Service's Office of Medical Assistance Programs
Dr. David Kelley is the Chief Medical Officer for the Pennsylvania Department of Human Services Office of Medical Assistance Programs and Office of Long-Term Living. He helps manage the clinical and quality aspects of the Medical Assistance Programs for over 2.9 million beneficiaries.As... Read More →
avatar for Dan Porreca

Dan Porreca

Executive Director, HEALTHeLINK
Daniel E. Porreca is the executive director of HEALTHeLINK, the health information exchange serving Western New York.Porreca serves on the board of directors for the Strategic Health Information Exchange Collaborative (SHIEC) and on the governing board of the Buffalo Translational... Read More →
avatar for David Kendrick, MD, MPH, FACP

David Kendrick, MD, MPH, FACP

CEO of MyHealth Access Network, Chair of the Department of Medical Informatics, Oklahoma University School of Community Medicine
David C. Kendrick, MD, MPH, FACP is founder and CEO of Oklahoma’s MyHealth Access Network, which serves more than 3M patients statewide, and provides advanced health information exchange, community-wide care coordination, and a robust decision support platform. MyHealth provides... Read More →


Monday December 7, 2020 1:00pm - 2:30pm PST
TBA

2:59pm PST

Workshops (*Tracks 1-6, as below)
Monday December 7, 2020 2:59pm - 4:30pm PST
TBA

3:00pm PST

3:00pm PST

Track 1A (Workshop): MITA Governance Board Meeting
Monday December 7, 2020 3:00pm - 4:30pm PST
TBA

3:00pm PST

Track 1A (Workshop): Stakeholder-Driven Approach to EVV: Leveraging Creative Technical Solutions to Streamline EVV
Electronic Visit Verification is a challenge that all States are facing – how do I implement it effectively? What technologies do I use? Can I leverage my legacy systems? Does my policy support EVV?

The State of Texas, in coordination with Accenture, have implemented a robust EVV solution that streamlines the EVV visit and claims processes for Texas Medicaid providers, managed care organizations, and State Stakeholders. The solution capitalizes on the best of Software as a Service (SaaS) and custom development, while also leveraging legacy technology where appropriate.

In this session, you will learn how the State implemented EVV state-wide using multiple EVV vendors across multiple payors and improved the overall business process. We will discuss the overall solution, the challenges faced before, during, and after implementation, and guiding principles in implementing a modern EVV solution.

Speakers
CM

Chris Mayfield

Managing Director, Accenture
PF

PJ Frische

IT Director for Medical and Social Services Applications, Texas HHSC (TBC)


Monday December 7, 2020 3:00pm - 4:30pm PST
TBA

3:00pm PST

Track 2 (Workshop): Transforming the Customer Experience in Health and Human Services
Does your contact center make it simple for customers to get the right answers to their questions, at the right moment, in the right way? In this session, you’ll learn how Accenture, AWS, and Salesforce are collaborating to transform the customer experience. The Advanced Customer Engagement solution is cloud and AI-enabled, featuring a human-centric design with digital self-service options, omnichannel experiences, and robotic process automation. Outcomes include more cost-effective use of funding, data-driven decision making, and improvements in employee satisfaction. The solution frees agents and caseworkers from repetitive mundane work to focus on their agency’s mission. It also enhances a state’s ability to achieve population and wellness objectives, because customers are more empowered to engage with the programs, services, and benefits offered by their state.

Moderators
avatar for Melissa Rowe

Melissa Rowe

SLG Health and Human Services, Amazon Web Services, Amazon Web Services
Melissa Rowe is a Senior Partner Strategist with Amazon Web Services’ (AWS) Health and Human Services practice, where she has played an instrumental role in the formation of the group over the past four years. Melissa has over 25 years of experience in health and human services... Read More →

Speakers
avatar for Roderick Bremby

Roderick Bremby

Senior Director, Health and Human Services, Salesforce, Inc.
Roderick L. Bremby recently joined Salesforce after serving two terms as Commissioner of the Connecticut Department of Social Services.  Bremby led Connecticut’s largest health and human service agency in service to over 1M Connecticut residents. During his eight years at the Department... Read More →
avatar for Gaurav Diwan

Gaurav Diwan

Managing Dir. of Human Services, Accenture
Gaurav Diwan is a Managing Director in Accenture’s Health & Public Service practice, and the industry lead for Integrated Eligibility and Public Assistance. He is responsible for all work that Accenture delivers to public assistance agencies, and is currently leading Accenture’s... Read More →
avatar for Sean Pearson

Sean Pearson

CIO, New Mexico Human Services Department
Sean Pearson is the Chief Information Officer of the New Mexico Human Services Department.  As CIO, Mr. Pearson oversees information technology operations for one of the largest agencies in New Mexico State Government that includes Medicaid, TANF, SNAP, child support, behavioral... Read More →


Monday December 7, 2020 3:00pm - 4:30pm PST
TBA

3:00pm PST

Track 2A (Workshop): APCD, HIT Infrastructure to support VBP
Speakers
AN

Arun Natarajan

Sr. Policy Analyst, ONC/HHS
avatar for Sachin Shah

Sachin Shah

Project Director, NY APD, Optum
Sachin Shah is HIT Director of the Optum State Government and is serving as a Project Director for the All Payer Database implementation in NY. Mr. Shah has 12 years of project management experience and 15 years’ experience in Medicaid and health care data analysis. He has led teams... Read More →
MB

Mary Beth Conroy

Director, Division of Information and Statistics at NYS Department of Health, NYS Department of Health
JL

Jan Lee

CEO, DHIN (Delaware Health Information Network)
TL

Terri Lynn Palmer

Director of Data Analytics, DHIN (Delaware Health Information Network)


Monday December 7, 2020 3:00pm - 4:30pm PST
TBA

3:00pm PST

Track 3 (Workshop): Innovation At It’s Best: Florida’s Approach to FX Modernization
The Florida Agency for Health Care Administration (AHCA) is transforming the Medicaid Enterprise to provide better health care for all Floridians. The Agency’s transformation is informed by its MES Strategic Plan, which guides decisions through a Vision Guiding Principles, and Strategic Priorities.

The Agency rebranded the Florida Medicaid Enterprise System to Florida Health Care Connections (FX). The FX is a multi-year project that will modernize the current Medicaid technology using a modular approach while simultaneously improving overall Agency functionality and build better connections to other data sources and programs. FX will result in the ability to provide better health care by utilizing our resources, technology, and processes more efficiently and effectively. The future state of FX will have the right technology, utilizing the right resources, based on higher quality data and more efficient processes – all of this leading to a world-class healthcare experience for all Floridians.

The discussion will be focused on the process, lessons learned, success and mission forward for the Agency.

Speakers
PR

Patrick Rork

Managing Director, Accenture


Monday December 7, 2020 3:00pm - 4:30pm PST
TBA

3:00pm PST

Track 4 (Workshop): The More You Know: Shine a Light on Your TPL Programs. Let transparency guide you.
A robust and healthy Third Party Liability system is a critical component of a state’s ability to ensure
Medicaid dollars are spent judiciously. Ensuring that states stand prepared to leverage best-of-breed
technologies to provide data-driven TPL results and transparency will be instrumental to this evolution.
In this session, we will dive into the various models and tools available to or being leveraged by states to
help “shine a light” into the health of their TPL program. This includes everything from health insurance
premium payment (HIPP) to your retroactive insurance identification and recovery efforts, subrogation
recovery efforts and cost avoidance.

We will explore best practices for using innovative technologies to improve upon increased transparency
into the form and function of the TPL systems being leveraged by the States. Speakers will discuss the
benefits to the TPL process, as well as obstacles encountered in developing their solution.

Moderators
MC

Michele Carpenter

SVP Government Solutions, HMS

Speakers
CL

Cynthia L. Perkins

Senior Advisor to the Deputy Secretary of Health Care Finance, Maryland
DP

Denise Poley

TPL Offering Lead, Accenture


Monday December 7, 2020 3:00pm - 4:30pm PST
TBA

3:00pm PST

Track 6 (Workshop): Using Lean-Agile to Transform Your Work
Speakers
avatar for Chris Reed

Chris Reed

Manager, Cambria Solutions
Chris Reed is a Manager at Cambria Solutions. He has served as a Lean-Agile Coach for the Mississippi Division of Medicaid since 2018, when he developed and led a Lean-Agile Implementation for the Division. He has provided similar services to numerous teams within the Mississippi... Read More →
SD

Shenetta Drone

Chief Innovations Officer, HIT, MS Division of Medicaid
avatar for Agusta Callaway

Agusta Callaway

Senior Consultant, Cambria Solutions
Agusta Callaway is a Senior Consultant at Cambria Solutions. In that role, she has worked with the Mississippi Division of Medicaid since 2017. In addition to leading and sustaining a Lean-Agile Implementation, she has helped the Division expand their interoperability program, bringing... Read More →
avatar for Sarah Miller

Sarah Miller

Audacious Inquiry, V.P. of State Government Services &; HIE Account Management, Private Sector Technology Group, Vice-Chair
Sarah leads Ai’s state government work with a focus on delivering business results for State Medicaid Agencies, through strategic planning services, governance services, technology advisory services, and organizational development/change management services.  Before coming to Ai... Read More →
avatar for Mia Pereek

Mia Pereek

Deloitte Consulting LLP, Senior Manager, Private Sector Technology Group, Secretary
Mia Pareek serves public sector clients, primarily focused on state Medicaid agencies. Her work focuses on transforming the operations of Medicaid agencies in response to citizen demands, new legislation and budget pressures. Mia’s experience spans Medicaid program and policy development... Read More →


Monday December 7, 2020 3:00pm - 5:00pm PST
TBA

5:00pm PST

 
Tuesday, December 8
 

7:30am PST

Registration Opens
Tuesday December 8, 2020 7:30am - 8:30am PST
TBA

8:40am PST

Opening Remarks:
Tuesday December 8, 2020 8:40am - 8:45am PST
TBA

8:45am PST

Using Data and Reducing Burden: an update from CMS
Speakers
avatar for Julie Boughn

Julie Boughn

Director, Data and Systems Group, CMS/Center for Medicaid & CHIP Services
Julie Boughn is the Director of the Data and Systems Group in CMS’s Center for Medicaid and CHIP Services. She is passionate about measuring and delivering value from IT investments, engaging users in the design and development of systems, and developing leaders and organizations... Read More →


Tuesday December 8, 2020 8:45am - 9:45am PST
TBA

9:45am PST

Networking Break in the Exhibit Hall
Tuesday December 8, 2020 9:45am - 10:45am PST
TBA

10:45am PST

Plenary Sessions (*Tracks 1-6, as below)
Tuesday December 8, 2020 10:45am - 11:45am PST
TBA

10:45am PST

Track 1 PLENARY - MES Procurement, Modularity, Outcomes Based Transformation (MES Procurement Focus)



Moderators
avatar for Amy Ashida

Amy Ashida

18F
Amy is a designer at 18F with over a decade of experience working with states, federal agencies, tech companies, news organizations, and nonprofits to develop user-centered products and practices. She has been on both sides of the vendor relationship as both a designer and a consultant... Read More →

Speakers
BL

Bart Lemmon

Supplier Development Director, NASPO ValuePoint
TM

Tracy Mack

Deputy Project Manager, Alaska Eligibility Projects
avatar for Steven Reilly

Steven Reilly

18F, Consulting Engineer
Steven Reilly is a consulting engineer at 18F, working with federal and state agencies to improve their processes and products through technology and procurement. As a member of 18F since 2015, Steven has participated in numerous procurements for technology tools and services, including... Read More →


Tuesday December 8, 2020 10:45am - 11:45am PST
TBA

10:45am PST

Track 2: PLENARY - 'Interoperability Insights': Developing, updating and resourcing your state, HIT, interoperability roadmap and implementation plan!
With the much-anticipated policy updates surrounding interoperability, TEFCA and information blocking states are embarking on a steep learning curve as it relates to the rules, standards, associated demonstration projects that will inform their strategic planning efforts in the coming years. Effective stakeholder engagement, coordination will prove critical in creating a shared vision of HIT needs in the state and will help guide State government when making decisions on policy and investments in Health IT over the next few years.

A successful roadmap will need to address infrastructure needs as well as governance, legislative/policy needs, and sustainability as well as to explore the role of public-private partnerships in meeting these goals.

Join this session of states, interoperability demonstration project leaders and federal policymakers to inform your state interoperability, HIT plan planning efforts inc coming years!

Speakers
avatar for Alan Fontes

Alan Fontes

Director, UConn AIMS
Alan Fontes, MSc, is an Analytics and Information Management (AIM) Solution Architect and Director of UConn AIMS who has over 30 years of experience designing innovative solutions to empower businesses with information and insight to make data-driven decisions. He has developed innovative... Read More →
avatar for Victoria Veltri

Victoria Veltri

Executive Director, Office of Health Strategy (OHS), Connecticut
Victoria Veltri, JD, LLM, is the Executive Director of the Office of Health Strategy (OHS) and oversees the office’s mission to implement comprehensive, data-driven strategies that promote equal access to high-quality health care, control costs and ensure better health for the people... Read More →
AZ

Amy Zimmerman

State HIT Coordinator, Rhode Island


Tuesday December 8, 2020 10:45am - 11:45am PST
TBA

10:45am PST

Track 3: PLENARY - Selecting an Application Platform for your HHS Enterprise
Join this informed panel group to understand how different states are approaching the complex review process in order to select an application platform for the HHS Enterprise. Review components include: current system architecture, required business functionality, business process flows for the purpose of selecting a platform technology solution or solutions, opportunities for implementing reusable services across multiple federal and state programs. Learn how different states are approaching this complex review process to better inform your state planning, implementation strategy.

Moderators
CE

Carl Engel

CEO, Elyon Strategies

Speakers
DW

David Whitham

Assistant CIO, Health and Eligibility, Massachusetts Medicaid, MA EOHHS
RH

Robert Hobbelman

Chief Information Officer, Virginia Department of Social Services
HW

Herb Wilson

Director of Health Information Services and CBMS, Colorado Governor's Office of Information Technology
avatar for Casey Burns

Casey Burns

Health and Human Services Practice Lead, AWS
Casey Burns, Health and Human Services (HHS) Lead for Amazon Web Services (AWS), is an experienced private and public sector executive with a background in health, healthcare, technology, and organizational transformation. Casey leads the AWS state and local HHS team, working with... Read More →


Tuesday December 8, 2020 10:45am - 11:45am PST
TBA

10:45am PST

Track 4 PLENARY - Technology driven approaches to combat Medicaid fraud, waste, and abuse
The Office of Financial Management estimates that about $57 billion in improper payments occurred within Medicaid in 2019 (roughly 14.9% of all payments). The increased prominence of managed care (over 75% of Medicaid beneficiaries now receive some portion of their benefits through managed care plans) also raises important considerations on how states and managed care organizations can partner together more strongly, enabled by technology driven approaches, to ensure program integrity and combat fraud, waste, and abuse (FWA).
 
This panel will bring together individuals across state (Medicaid Fraud Control Unit), federal government (CPI and CMCS), and managed care to discuss approaches to combating Medicaid FWA. The panel will discuss the aspirations set on combatting FWA, current approaches, and challenges experienced today. In addition, we will explore best practises in technology driven approaches and capabilities required for the future to successfully combat FWA.

Moderators
avatar for Jess Kahn

Jess Kahn

Partner, McKinsey & Co.
Jessica Kahn is a Partner at McKinsey’s Washington D.C. office where she co-leads McKinsey’s Medicaid Health and Human Services Value Assurance &  IT Transformation practice.Key Experience:-Former (SES) Director of Medicaid Data & Systems at CMS-Deep expertise in Medicaid Information... Read More →

Speakers
avatar for Ed Dolly

Ed Dolly

CMS-CMCS
Edward Dolly is the Director for the Division of State Systems within the Data and Systems Group at the Center for Medicare & Medicaid Services and has 33 years (and counting) of Information Technology experience. More than 20 of those years were specifically in support of State Government... Read More →
CH

Christine Hajzak

Staff VP Program Integrity, Government Business Division at Anthem
JF

Jennifer Forsythe

Deputy Director Medicaid Fraud Control Unit, State of Maryland


Tuesday December 8, 2020 10:45am - 11:45am PST
TBA

10:45am PST

Track 5: PLENARY - State Marketplace Reform, Managed Care Transformation
Speakers
AV

Amanda Van Vleet

Senior Program Analyst, Quality and Population Health, North Carolina Medicaid
DT

Damon Terzaghi

Senior Director of LTSS, ADvancing States
CK

Craig Kennedy

CEO, Medicaid Health Plans of America (TBC)


Tuesday December 8, 2020 10:45am - 11:45am PST
TBA

10:45am PST

Track 6: PLENARY - It’s 2020: Time to Take Stock
Despite the massive investment in healthcare in the U.S., costs continue to rise and the health of the population is declining. We’re dealing with more chronic conditions and more people with multiple conditions. Our industry is trying to solve this with wave after wave of technology – Analytics, Internet of Things, Mobile Technology, Artificial Intelligence, Robotic Automation, Fitbits and health trackers, home monitors, etc. Has it made a difference? It seems we’ve overlooked the human touch – new solutions in Population Health and Wellness are bringing together this important technology with human coaches and clinicians in new ways to drive greater engagement, greater behavior change, and improved outcomes. In this session, we talk about how in a world where we are often so focused on technology, it’s critical to remember that it’s through interaction with other people that we are most encouraged to change.

Moderators
avatar for Kimberly Beckendorf

Kimberly Beckendorf

Managing Director, Deloitte
Kim Beckendorf is a leader in Deloitte’s Government & Public Services practice and Deloitte’s State Health Community of Practice Leader. She has nearly 35 years of experience in health care consulting, including health plan operations, technology, and strategy for public- and... Read More →

Speakers
avatar for Don Johnson

Don Johnson

CTO and Product Lead, Optum State Government Solutions
Don leads the Product and Architecture teams within the Optum State Governments Solutions organization. He is focusing on initial product launches, refinement of best practices, and technical strategy and architecture.He has held a variety of engineering, architecture, and innovation... Read More →
avatar for Dr. Paul Ritvo

Dr. Paul Ritvo

Professor, School of Kinesiology and Health Science, and Department of Psychology at York University
Dr. Paul Ritvo is a Clinical Research Psychologist and Professor in the School of Kinesiology and Health Science, and Department of Psychology at York University, and in the Departments of Family and Community Medicine, and Psychiatry at the University of Toronto. Dr. Ritvo is an... Read More →
avatar for Michael S. Weiner

Michael S. Weiner

Chief Medical Officer, MAXIMUS
Dr. Michael S. Weiner is the Chief Medical Officer for MAXIMUS, with over 25 years of experience in the clinical and technology fields. Dr. Weiner supports the operational leadership to drive the overall strategic direction, growth and oversight of our global clinical health services... Read More →
avatar for Michael Garbus

Michael Garbus

VP Global Health Business Development and Solutions, MAXIMUS
Michael Garbus is Vice President of Global Health Business Development and Solutions at MAXIMUS. With over 35 years of experience in public and private sectors, Mr. Garbus engages jurisdictions and organizations in operations and technology discussions to enhance healthy lives and... Read More →
avatar for Dr. Noah Wayne, PhD, RKin, CSEP-CEP

Dr. Noah Wayne, PhD, RKin, CSEP-CEP

Director of Clinical Programs, NexJ Health
Dr. Noah Wayne is the Director of Clinical Programs at NexJ Health. He completed his PhD at York University specializing in health psychology and the use of technology to support health behaviour change for populations with chronic conditions. His post-doctoral work at Princess Margaret... Read More →


Tuesday December 8, 2020 10:45am - 11:45am PST
TBA

11:50am PST

Lunch Served in General Session Hall
Tuesday December 8, 2020 11:50am - 12:30pm PST
TBA

12:30pm PST

Lunchtime Keynote: to be announced
Tuesday December 8, 2020 12:30pm - 1:15pm PST
TBA

1:15pm PST

15 Minute Short Break
Tuesday December 8, 2020 1:15pm - 1:30pm PST
TBA

1:30pm PST

The Current State of MES Modularity and Future Directions (Vendor Attendees Only)
The Private Sector Technology Group (PSTG) chartered a 2020 Modularity Committee to look at the past three years in the transformation to modular Medicaid Enterprise Systems and where our collective experiences can take us in the future. The Committee is canvassing states and vendors on their experiences, from planning to procurement to implementations and everything in between. In this session, the Committee Co-chairs will present the call-to-action that resulted in the Modularity Committee’s formation and its approach to collecting and analyzing state and vendor experiences. We will also collect information from session attendees to supplement the information we have collected thus far. Finally, we will discuss the next steps and the PSTG’s goals for an actionable work product from the Modularity Committee.

Speakers
avatar for Lorrie Scardino

Lorrie Scardino

Blue Tack Consulting, Managing Director, PSTG, Immediate Past Chair
Lorrie Scardino is the Managing Director at Blue Tack Consulting and the Immediate Past Chair of the PSTG. Lorrie has decades of experience in IT Services, with emphasis on Health Programs. She is a recognized expert in the Medicaid market and her firm has worked with numerous states... Read More →
avatar for Carrie B. McConnell

Carrie B. McConnell

Ernst & Young LLP, Client Executive, Government Health, PSTG, Modularity Co-Chair
Carrie brings 27 years of delivery and business development experience supporting State Medicaid Programs. With over 15 years in a national role, Carrie has performed several state MMIS reviews assessing legacy MMIS replacement in concert with modernization efforts.  Previous experience... Read More →
avatar for Nancy Bass

Nancy Bass

Practitioner, North Highland, Modularity Co-Chair, PSTG
Nancy Bass is a consultant with North Highland’s Public Sector practice, serving health and human services agencies, including Medicaid, Economic Self-Sufficiency, Child Welfare, and Mental Health and Substance Abuse programs. With over 20 years of consulting experience, Nancy works... Read More →


Tuesday December 8, 2020 1:30pm - 2:15pm PST
TBA

1:30pm PST

Meet the Innovators Roundtables
Tuesday December 8, 2020 1:30pm - 2:30pm PST
TBA

1:30pm PST

Meet the Innovators Working Lunch Roundtable 1: Taco Tuesday! A Method to the Module-ness
During this interactive roundtable experience, participants will gain a deconstructive view of the rationale, function, and expected results of the modules that comprise the MMIS 2020 Platform at the Commonwealth of Pennsylvania. The session will cover all modules with an emphasis on the key role an independent EDI module plays in optimizing outcomes. Speakers from the Commonwealth will also outline the key considerations that influenced their decision-making process, specifically around areas related to COTS, configurability, speed, & futureproofing.
 

Speakers
avatar for Sam Moore

Sam Moore

Senior Project Manager, Edifecs
Sam is the Senior Project Manager for the MMIS 2020 Platform which is a modular replacement for the current MMIS in the Commonwealth of Pennsylvania. ​​​​​​​​​
avatar for Shane McMillan

Shane McMillan

Public Sector Technical Lead, Edifecs
Public Sector Technical Lead for Edifecs focusing on EDI modularity, Data Quality, Interoperability and Value-Based Care use cases10+ years of pre-sales experience in State Health and Human ServicesBusiness and technical expertise in Enterprise Integration and Process Automation


Tuesday December 8, 2020 1:30pm - 2:30pm PST
TBA

1:30pm PST

Meet the Innovators Working Lunch Roundtable 2: Transforming PDMPs into Integrated Clinical Platforms to Enable Impactful Progress Towards Reducing Opioid Overdoses and Deaths
Learn how integrating PDMP information, analytics, resources and more into EHR and pharmacy management system workflow is a critical next step in the progression of optimizing PDMPs to make a meaningful difference in the opioid epidemic. The roundtable will highlight the progress made by many states via the deployment of a
a platform capable of:
  •  Identifying patients at risk of an overdose earlier
  •  Incorporating critical clinical solutions that empower prescribers and pharmacists to better engage patients
  • Mitigating the illicit drug overdose trend with clinical tools
  • Improving treatment referral capabilities and bridging the gap that exists getting patients to treatment efficiently and effectively
  • Enabling communication with care teams
  • Providing non-dispensation-related risk data such as non-fatal overdose, Naloxone administration, drug court data, etc.

Speakers
avatar for Brad Bauer

Brad Bauer

Senior Vice President, Appriss Health
Bauer brings more than 30 years of professional experience working within commercial, government, healthcare, and strategic partner markets. His background also includes over 22 years of experience working within HCIT solutions to help enable access and mitigate risk. Prior to joining... Read More →


Tuesday December 8, 2020 1:30pm - 2:30pm PST
TBA

1:30pm PST

Meet the Innovators Working Lunch Roundtable 3: Overcoming Barriers to Adopting AI
According to Gartner, Artificial Intelligence (AI) adoption in organizations has tripled in the past year, and AI is a top priority for many CIOs. Yet early AI initiatives have a high probability of failure due to misalignment of business and technology. Some of these include identifying the right business case, having the right specialist that can marry the clarity of business problems and technologies, the complexity of the tools, the quality of data and the infrastructure to support these initiatives.
In this session, we shall discuss these and other barriers and hear from various other government attendees as to their successes and lessons learned in the adoption of AI.

Speakers
avatar for Sam Hua

Sam Hua

VP Software Engineering, eSystems
As eSystems’ Vice President Software Engineering, Sam Hua leads eSystems’ Asset Development practice. He manages people, processes and assets, from ideation and requirements management, to architecture and design, development, test, and deployment. With over 30 years of software... Read More →


Tuesday December 8, 2020 1:30pm - 2:30pm PST
TBA

1:30pm PST

Meet the Innovators Working Lunch Roundtable 4: Incorporating Social Determinants of Health into Medicaid Planning
States are challenged with the many questions raised when considering social determinants in a Medicaid program, addressing them in practice, and using the data derived from related research to drive Medicaid planning. How do we gather useful information? How do we fund programs to address social determinants of health (SDoH)? This discussion will take a look at how some states are gathering and using SDoH data, the emerging technologies that can assist in addressing social determinants, and the ongoing supports needed to change population health through SDoH factors. Connecting population health with social elements that don’t directly fall under state Medicaid or Department of Health purview is a key factor in transforming health and human service organizations and the way they address the overall needs of their constituents. This discussion offers an innovative combination of technology, services and a switch in paradigm to supportive services instead of reactive services.

Speakers
avatar for Ferdinand Morales

Ferdinand Morales

Vice President of Operations, MAXIMUS
Ferdinand Morales has more than 15 years of work experience in the development, delivery, and optimization of value-added quality management systems for health and human services operations. Mr. Morales currently serves as the Vice President of Operations for the New York State of... Read More →


Tuesday December 8, 2020 1:30pm - 2:30pm PST
TBA

1:30pm PST

Meet the Innovators Working Lunch Roundtable 5: HITECH to MMIS Funding Transition Steps to Maximize Remaining Funding and Sustain Current and Future Health IT Investments
Health Information Technology for Economic and Clinical Health (HITECH) funding sunsets in September 2021 and the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities (SUPPORT) Act funding ends in September 2020, but the Centers for Medicare and Medicaid Services (CMS) is committed to continued support of health IT investments that benefit the Medicaid Enterprise.  Funding through Medicaid Management Information Systems (MMIS) is ongoing, and can help your state continue to sustain and develop health IT infrastructure. However, in order to transition to MMIS funding, health IT functions and services must benefit the Medicaid Enterprise and advance Medicaid Information Technology Architecture (MITA) maturity.
 
This roundtable session is designed for those health and human services leaders seeking information about how to best plan for and leverage available funding, identify alignment of current health IT infrastructure to the MITA framework, obtain outcomes-based certification of health IT solutions to receive maintenance and operations (M&O) funding at 75% federal match rate, and transition to the MMIS funding stream for future design, development, and implementation (DDI) of health IT solutions.

Speakers
BG

Ben Griscom

Manager, Myers and Stauffer
KG

Kelly Gonzalez

Director, Health IT Solutions and Innovations, Myers & Stauffer


Tuesday December 8, 2020 1:30pm - 2:30pm PST
TBA

1:30pm PST

Meet the Innovators Working Lunch Roundtable 6: TBC
Tuesday December 8, 2020 1:30pm - 2:30pm PST
TBA

1:30pm PST

Meet the Innovators Working Lunch Roundtable 7: TBC
Tuesday December 8, 2020 1:30pm - 2:30pm PST
TBA

1:30pm PST

Meet the Innovators Working Lunch Roundtable 8: TBC
Tuesday December 8, 2020 1:30pm - 2:30pm PST
TBA

1:30pm PST

Meet the Innovators Working Lunch Roundtable 9: TBC
Tuesday December 8, 2020 1:30pm - 2:30pm PST
TBA

1:30pm PST

Meet the Innovators Working Lunch Roundtable 10: TBC
Tuesday December 8, 2020 1:30pm - 2:31pm PST
TBA

2:30pm PST

Short Break
Tuesday December 8, 2020 2:30pm - 2:45pm PST
TBA

2:45pm PST

Industry Breakout Sessions
Tuesday December 8, 2020 2:45pm - 3:45pm PST
TBA

2:45pm PST

Track 1: INDUSTRY SESSION - Top Considerations in Implementing a Cloud-Based Modular IT System
Technical implementation of a modular, cloud-based Medicaid Enterprise System (MES) can be both complex and challenging if not managed appropriately. Implementations typically require integrating modules built with different technologies, hosted on different cloud or on-premise infrastructures, and with modules at different life cycle stages. On top of that, the implementations involve other considerations such as managing hundreds of data exchanges, implementing a secure environment, and executing a robust release management process.
 
In this session, Deloitte shares lessons learned from four state modular implementations focusing on three key considerations – connectivity from both a network and data exchange perspective, technical governance across stakeholders, and change/release management to coordinate, communicate, and plan a successful implementation and ongoing operations. Come join this session to learn more about addressing these important considerations.

Speakers
avatar for Bharat Chaturvedi

Bharat Chaturvedi

Managing Director, Deloitte
Bharat Chaturvedi has over 19 years of leadership and management experience in health care, health information technology (HIT), and technology consulting. He has led large initiatives to develop strategies for business-to-technology transformations and implemented large and complex... Read More →
avatar for Rajesh Sharma

Rajesh Sharma

Senior Manager, Deloitte
Rajesh Sharma is a Senior Manager in Deloitte’s Government & Public Services Health Technology practice, currently serving the Commonwealth of VA ISS project as technical lead and enterprise architect. Rajesh has 18+ years of public sector IT experience focusing on Medicaid and... Read More →
avatar for Jason Reese

Jason Reese

Senior Manager, Deloitte
Jason Reese is a Senior Manager in Deloitte’s Government & Public Services Health Technology practice with 13+ years of experience in Medicaid and public health and human services programs. He brings innovative applications of technology to clients to increase the efficiency and... Read More →


Tuesday December 8, 2020 2:45pm - 3:45pm PST
TBA

2:45pm PST

Track 2: INDUSTRY SESSION - How do we get to data standardization?
Disconnected data is everywhere. The lack of connected data results in unnecessary expense, excess maintenance, errors in data translation, and even mistakes in patient diagnosis. Why does it continue and what can we do to stop it? This panel will discuss the benefits of a connected health care ecosystem from the agency, vendor and policy perspectives. It will explore HL7/FHIR and other standards, and the associated pros and cons. What are we giving up? What are we gaining? What can you do today to help move to a common standard?

Speakers
avatar for Vishal Chaudhry

Vishal Chaudhry

Chief Data Officer, Washington State Health Care Authority
Vishal is an experienced and successful change agent and leader with more than 20 years, implementing and improving business processes across the health care, electronics, and automotive industries. He has held healthcare leadership roles in performance improvement, analytics and... Read More →
avatar for Don Johnson

Don Johnson

CTO and Product Lead, Optum State Government Solutions
Don leads the Product and Architecture teams within the Optum State Governments Solutions organization. He is focusing on initial product launches, refinement of best practices, and technical strategy and architecture.He has held a variety of engineering, architecture, and innovation... Read More →
avatar for Josh Klemm

Josh Klemm

CISO & Assistant Bureau Director, Bureau of All Payer Systems, New York State Department of Health
Josh Klemm is the Chief Information Security Officer (CISO) and Assistant Director of the Bureau of All Payer Systems and Informatics with the New York State Department of Health. Mr. Klemm also serves as a Lecturer of Information Systems and Technologies with the University at Albany... Read More →


Tuesday December 8, 2020 2:45pm - 3:45pm PST
TBA

2:45pm PST

Track 3: INDUSTRY SESSION - The SDOH Value Model
How can we develop a functional and flexible framework for measuring the return on investment (ROI) in Social Determinants of Health (SDOH) factors? Stakeholders have come together to align on the impact of social determinants in building stronger communities and lowering healthcare costs. But there’s still perceived risk in making investments in SDOH because of challenges with delivering interventions and measuring and tracking the outcomes they support. With a functional and flexible framework, stakeholders could measure ROI and identify interventions that produce the strongest outcomes.
 
In this session, we will focus on approaches to quantify direct and indirect stakeholder benefits to improve evaluation of social and economic impact. In addition, we will share a series of use cases for defining “value creation” and desired outcomes—laying the groundwork for a repeatable framework for determining value and cost-effectiveness of an intervention.


Tuesday December 8, 2020 2:45pm - 3:45pm PST
TBA

2:45pm PST

Track 4: INDUSTRY SESSION - Global Partnerships with Local Outcomes – How Medicaid is Benefiting from Worldwide Cooperative Digital Health Research
State Medicaid Agencies across the country, in partnership with HMS, have joined Australia’s Digital Health Cooperative Research Centre (Digital Health CRC), the largest digital health research cooperative in the world, to put Big Data to meaningful use. The Digital Health CRC is funded by government, universities and businesses, totaling over $160M (AUD). Top universities, including Stanford, Southern Methodist University, and the University of Canberra, lead the research efforts and work with government and business to develop analytical models and actionable policies aimed at improving the quality of healthcare for all.

This panel discussion will focus on the power of sharing de-identified data on a global scale to support research. Panelists will share recent research projects, including opioid abuse and recovery, reduction in readmissions and geospatial analysis to identify social determinants of health. New predictive models and ways the analytics are driving the actions of payers, providers and members for a better healthcare system will also be discussed.

Speakers
DH

Digital Health Cooperative Research Centre (speaker TBC)

In April 2018, the Australian Federal Government announced its support for - and agreed to contribute funding to - the Digital Health CRC. The Federal Government’s grant, covering a seven-year period, came into effect in July 2018. The Digital Health CRC is the largest digital health... Read More →
JC

Jason Cooper

Chief Analytics Officer, HMS


Tuesday December 8, 2020 2:45pm - 3:45pm PST
TBA

2:45pm PST

Track 5: INDUSTRY SESSION - Learning from the Trenches: The Move to State-Based Marketplaces
More states are contemplating to run state-based marketplaces to gain flexibility, cost savings and ultimately boost and maintain enrollment within the states.  Hear from leaders in the field as they discuss expectations, results and possible adjustments for the 2021 enrollment season. Will expected cost savings, enrollment growth, customer service and control over insurance markets materialize?

Listen as experts address integration and policy challenges and share real-life scenario hand-offs between Medicaid and marketplace eligibility and enrollment systems. Learn strategies for coordination and cost containment when performing eligibility and employment verifications that use both the CMS Data Services Hub and direct integration with The Work Number® employment and income verification service.

Speakers
HK

Heather Korbulic

Director, Silver State Health Insurance Exchange
avatar for Joel Hardi

Joel Hardi

Product Manager, Equifax Workforce Solutions
Joel Hardi is a product manager at Equifax who works primarily on social services and other government verifications products including Equifax Instant Client Insights™ for Eligibility. Mr. Hardi has more than 15 years' experience in identity, security engineering, product design... Read More →


Tuesday December 8, 2020 2:45pm - 3:45pm PST
TBA

2:45pm PST

Track 6: INDUSTRY SESSION - Tackling Interoperability Using the Emerging Technology of Fast Healthcare Interoperability Resources (FHIR®)
The proposed CMS rules for Interoperability and Patient Access is driving the industry to achieve outcome-based business and program objectives through modularity, scalability and reusability of technology solutions. Recognizing the potential challenges and opportunities in the State Medicaid market, CNSI is leveraging Amazon Web Services to build an HL7® FHIR® open, standards-based API to boost data accessibility amongst consumers and payers. This emerging technology builds on existing industry data exchange API and provides secure access to information through any third-party application of choice as defined by the 21st Century Cures Act. Attendees will learn how interoperability and information access can empower consumers to adopt healthy behaviors, educate policy makers on the effects of social determinants, and help states improve overall population health.

Speakers
avatar for Sashi Ravipati

Sashi Ravipati

SVP of Architecture and ETS, CNSI
DV

Dev Vijay

Senior Director, Data Services, CNSI


Tuesday December 8, 2020 2:45pm - 3:45pm PST
TBA

3:45pm PST

Break in the Exhibit Hall
Tuesday December 8, 2020 3:45pm - 4:00pm PST
TBA

4:00pm PST

Breakouts
Tuesday December 8, 2020 4:00pm - 5:00pm PST
TBA

4:00pm PST

Track 1: Virginia’s Modular Implementation of MES – Chapter Two
The Commonwealth of Virginia is nearing the implementation of the first fully modular Medicaid Enterprise System (MES) in the nation. On the road to MES over the last year, Virginia and its MES partners have continued to address challenges, compile lessons learned, and celebrate milestones. Come join an open discussion about the journey through module integration, single sign-on, testing, end-user navigation, and more.

Speakers
avatar for Ajay Rohatgi

Ajay Rohatgi

Project Management Consultant, Virginia DMAS
Ajay has 20 + years of experience in managing complex and innovative IT programs for the public sector both as a state employee and as a consultant. He specializes in implementing solutions that require integration of data, services, and processes across multiple systems and organizations... Read More →
avatar for Umakanth Pandurangaiah

Umakanth Pandurangaiah

Acting Director of the Program Management Office, Virginia DMAS
Umakanth has 20+ years of experience in managing enterprise-level IT projects for both public sector companies and the state and federal governments. He has delivered numerous high-profile projects in the Medicaid and Medicare sectors. Currently, Umakanth is the Acting Director of... Read More →
avatar for Alan Fowler

Alan Fowler

Account Manager, Virginia Provider Services Solution, DXC Technology
Alan Fowler is currently the Account Leader for the Virginia Medicaid Enterprise System Provider Services Solution. Prior to this position, Alan was the Account Leader for DXC Technology’s Medicaid contract with the  Pennsylvania Department of Human Services. With over 30 years... Read More →
avatar for Brian Erdahl

Brian Erdahl

Medicaid Enterprise Systems Principle, Deloitte
Brian Erdahl is a leader in Deloitte’s Government & Public Services Health Technology practice, where he is responsible for aligning our services and technology solutions to the needs of our state and federal government health care clients. Brian has 35+ years of leadership and... Read More →


Tuesday December 8, 2020 4:00pm - 5:00pm PST
TBA

4:00pm PST

Track 1A: HIE coming under MMIS, Interoperability
Speakers
PS

Parrish Steinbrecher

Health Information Office Director, Colorado DHCPF
SD

Shannon Duplessis

Medicaid PPMO & Shared Services Section Chief, Louisiana Department of Health


Tuesday December 8, 2020 4:00pm - 5:00pm PST
TBA

4:00pm PST

Track 2: National Alliance to Impact the Social Determinants of Health (NASDOH) and The Gravity Project: Interoperability to Facilitate Social Care and impact SDOH
The influence of social determinants on health (SDOH) outcomes is increasingly recognized in emerging payment reform programs, federal and state-based policies, and information technology initiatives. The growing awareness of how SDOH shapes health has contributed to efforts to address actionable socioeconomic risk factors through the healthcare delivery system. An important challenge to these efforts is the fragmented communication and coordination among individuals and the stakeholders providing them social services.  This fragmentation has many consequences including reduced effectiveness of resource availability and allocation, and frustration for individuals needing services and support. Advancing SDOH interoperability is foundational to addressing individuals’ social needs and to inform public and population health policy actions that impact SDOH upstream.

This session will introduce the National Alliance to Impact the Social Determinants of Health (NASDOH) in partnership with Leavitt Partners, and the Gravity Project, an HL7 FHIR Accelerator Project, initiated in May 2019 by the Social Interventions Research and Evaluation Network (SIREN) in partnership with EMI Advisors LLC.

NASDOH will present on the framework it is developing to advance an individual-centric, open, and interoperable ecosystem for SDOH data collection and sharing. The presentation will highlight 5 key opportunities to foster SDOH interoperability and their benefit. The Gravity Project will highlight its work to develop coded data elements and an HL7 SDOH FHIR Implementation Guide to foster the collection and sharing of social risk factors in clinical settings. The presentation will describe it consensus-driven process for developing data elements and key learnings about productive ways to engage communities in defining core data needed for interoperability.

Speakers
RH

Ryan Howells

MTA, and CARIN Alliance, Leavitt Partners
avatar for Lisa Nelson

Lisa Nelson

Value Sets Subject Matter Expert, EMI Advisors, LLC & Gravity Project
Lisa Nelson is Principal Informaticist and VP of Business Development for MaxMD, a health information services provider for healthcare interoperability solutions. Lisa has over 20 years of experience in the development and use of health information technology (HIT) standards. Her... Read More →
avatar for Evelyn Gallego

Evelyn Gallego

Program Manager, EMI Advisors, LLC & Gravity Project
Evelyn is the founder of EMI Advisors LLC, an 8(a) certified Small Minority-Owned Business. EMI was started to further Evelyn’s mission of delivering value-driven health data management advisory services to her government and commercial clients.Evelyn has over 20 years of experience... Read More →


Tuesday December 8, 2020 4:00pm - 5:00pm PST
TBA

4:00pm PST

Track 2A: TEFCA Update, Exploring the Role of QHINs



Speakers
LJ

Larry Jessup

Branch Chief, ONC/HHS
avatar for Mariann Yeager

Mariann Yeager

CEO, The Sequoia Project
Mariann Yeager (CEO) has more than 20 years of experience in the health information technology field. She currently serves as CEO for The Sequoia Project, a non-profit solely focused on advancing secure, interoperable nationwide health data sharing in the US. She also leads the Recognized... Read More →


Tuesday December 8, 2020 4:00pm - 5:00pm PST
TBA

4:00pm PST

Track 3: Discover How Maryland Uses the Cloud to Integrate HHS Delivery
The State of Maryland’s Department of Human Services (DHS) is advancing its vision to deliver a network of social services programs from an integrated platform. If you visit the DHS website, the value proposition of having programs “a click away” is starting to come to life with the Long-Term Care application and redetermination. In this session, you will hear more about the underlying decisions, collaboration, and technology tools enabling rapid development of new HHS applications on the MD THINK platform. Discover what outcomes DHS plans to bring forward in the ensuing years. The session will feature a short overview with an interactive Q&A discussion between Subramanian Muniasamy, Maryland’s DHS Chief Technology Officer, and Herb Jordan, his “customer” from Maryland Department of Health. Join the session to hear about the journey, results to date, and the roadmap for the future.

Speakers
avatar for Subramanian Muniasamy

Subramanian Muniasamy

CTO, Maryland Department of Human Services
Subi has spent more than 20 years in health and human services and has a passion for building modern IT systems.  As the CTO of Maryland Department of Human Services (formerly Maryland Department of Human Resources), Muniasamy is implementing a revolutionary cloud-based shared services... Read More →
avatar for Julisa Mandeville

Julisa Mandeville

WWPS SLG Program Manager, Amazon Web Services
Julisa Mandeville as a Program Manager at Amazon Web Services (AWS). Julisa brings over 15 years of diverse management consulting experience in the public sector. She’s worked with healthcare systems and state and local government customers across the United States, served a four-year... Read More →
avatar for Herb Jordan, III

Herb Jordan, III

Enterprise Chief Information Officer , IT, Maryland Department of Health
The Maryland Department of Health is the 2nd largest health plan in Maryland, with administrations that provide services to a wide array of residents under an equally large set of circumstances.As CIO, Herb is charged with implementing and operating an Enterprise IT model. Under this... Read More →


Tuesday December 8, 2020 4:00pm - 5:00pm PST
TBA

4:00pm PST

Track 4: A New Approach to Employer and Income Verification – State Specific Data Set Development
Federal Program Integrity (PI) initiatives are placing greater requirements on state verifications of Public Assistance Programs. For example, in response to CMS Medicaid requirements for electronic hard asset (real property, DMV) and soft asset (banks, Financial Institutions) verifications as directed by the Social Security Act Section 1940 [42 U.S.C 1396w], most states have or are in the process of securing Asset Verification Systems (AVS).

Recently, the U.S. Department of Agriculture has put forth a new Proposed Rule putting tighter state restrictions on the Supplemental Nutrition Assistance Program (SNAP), commonly known as Food Stamps.

Among the most significant challenges states face in administering SNAP is securing accurate, timely, and reliable employment and income information to determine applicant eligibility. A common approach is the use of external vendors that often capture large, multi-state employers by utilizing national payroll service providers. Unfortunately, many applicants often work in local small businesses, franchises, and sole proprietorships that are beyond the reach of these national employer data sets.

States such as West Virginia are piloting a new initiative to gaining proof of an applicant’s employment and income by utilizing a “ground-up” approach using existing historical data along with new electronic secure (bi-directional) connections to state-based employers. These localized data sets have utilization beyond HHS, where sister agencies such as Child Support can benefit from access to reliable local employer income information.

Speakers
avatar for Michael Sasko

Michael Sasko

VP of Government Solutions, Softheon
As Vice President of Government Solutions for Softheon, Michael is responsible for all government client-facing work.  Most recently Michael’s efforts have championed the delivery of all new Asset Verification System (AVS) awards to include West Virginia, New Mexico, and most recently... Read More →
avatar for Justin Davis

Justin Davis

Office of the Cabinet Secretary, West Virginia DHHR
Justin Davis currently serves as Assistant to the Cabinet Secretary with the West Virginia Department of Health and Human Resources (DHHR). His focus is the use of information technology to better enable the efficient and effective administration of health and human services programs... Read More →
avatar for Matthew Newsome

Matthew Newsome

Chief Innovation Officer, ITG Revenue Management Solutions, LLC


Tuesday December 8, 2020 4:00pm - 5:00pm PST
TBA

4:00pm PST

Track 5: Leveraging Machine Learning to Enhance MCO Provider Network Oversight
Ensuring that Medicaid recipients have access to providers and services is a critical issue for states that administer Medicaid through managed care programs. Inadequate provider networks threaten the quality of care and can impede efforts to improve population health outcomes. Additionally, inaccurate data makes it difficult for organizations to understand gaps in coverage. Manual processes to validate provider networks both in terms of data accuracy and network adequacy are insufficient given the high volume of Medicaid providers. In recent years Pennsylvania, assisted by Deloitte, has successfully automated provider network validation processes. Machine learning, applied to provider network oversight, has enabled Pennsylvania to focus reviews on high-need specialties and to understand the true and actual networks of providers who are available to serve recipients.

Speakers
avatar for Ramona Pereira-Chakka

Ramona Pereira-Chakka

Principal, Deloitte Consulting
Ramona has over a decade of experience helping government leaders transform their agencies through emerging and disruptive technologies, innovative business models, and retooled program operations resulting in improving quality outcomes for millions of recipients. Ramona particularly... Read More →
avatar for Matthew C. Mardorff

Matthew C. Mardorff

Specialist Leader, Deloitte Consulting
Matthew is a Specialist Leader at Deloitte with more than 15 years of experience in the field oftechnology implementations and analytics for Health and Human Services, focusing primarily onMedicaid programs. During his time with Deloitte, Matt has served as a trusted business advisor... Read More →
avatar for Barry Bowman

Barry Bowman

Managed Care Operations Chief & Director of Monitoring and Compliance, Pennsylvania Department of Human Services, Office of Medical Assistance Programs
Barry is the Managed Care Operations Chief and Director of Monitoring and Compliance for the HealthChoices Physical Health Program administered by the Pennsylvania Department of Human Services, Office of Medical Assistance Programs. Barry has 25 years of experience performing contract... Read More →


Tuesday December 8, 2020 4:00pm - 5:00pm PST
TBA

4:00pm PST

Track 6: Pioneering Assistive Technology for HCBS, LTSS!
Speakers
AN

Arun Natarajan

Sr. Policy Analyst, ONC/HHS
DH

Dean Holstead

Director, Federal Collaboration, Cloud & Accessibility, Microsoft (TBC)
avatar for Angela Brenner

Angela Brenner

Director of Federal Programs, The Missouri Department of Mental Health
Angie Brenner is the Missouri Department of Mental Health, Division of Developmental Disabilities Director of Federal Programs. She is responsible for compliance oversight of the Division’s Home and Community Based Waivers.She joined the State of Missouri in 1999 with the Department... Read More →


Tuesday December 8, 2020 4:00pm - 5:00pm PST
TBA

5:00pm PST

Networking Cocktail Reception in Exhibit Hall
Tuesday December 8, 2020 5:00pm - 6:00pm PST
TBA
 
Wednesday, December 9
 

7:30am PST

Registration Opens
Wednesday December 9, 2020 7:30am - 8:00am PST
TBA

8:00am PST

States of Implementation (SOI) Roundtables
Wednesday December 9, 2020 8:00am - 8:43am PST
TBA

8:00am PST

8:00am PST

SOI Roundtable 1: TBC
Wednesday December 9, 2020 8:00am - 8:45am PST
TBA

8:00am PST

SOI Roundtable 2: Own the outcomes: Managing development efforts in an iterative world
Often agencies find that they don’t know how to work together with a vendor to appraise work as it’s being done. In this round table 18F and our partners will share tools and tactics used in state and federal work to build collaborative relationships with vendors. Thoughtful management of development efforts allows agencies to set both themselves and their vendors up for success, make informed decisions, and track progress. We’ll use real-world examples to demystify the buzzwords (product ownership, DevOps, code review, MVP, sprint goals, traceability), discuss alternatives to report-based vendor management, and discuss how to spot and address when expectations aren’t met.

Speakers
avatar for Amy Ashida

Amy Ashida

18F
Amy is a designer at 18F with over a decade of experience working with states, federal agencies, tech companies, news organizations, and nonprofits to develop user-centered products and practices. She has been on both sides of the vendor relationship as both a designer and a consultant... Read More →
avatar for Steven Reilly

Steven Reilly

18F, Consulting Engineer
Steven Reilly is a consulting engineer at 18F, working with federal and state agencies to improve their processes and products through technology and procurement. As a member of 18F since 2015, Steven has participated in numerous procurements for technology tools and services, including... Read More →


Wednesday December 9, 2020 8:00am - 8:45am PST
TBA

8:00am PST

SOI Roundtable 6: Realizing Modular Innovations - Integrated Social Services Care Management in Indiana
The State of Indiana has implemented the Care Management for Social Services (CaMSS) module. This adaptable and replicable module system works to enhance and shorten the processing of waiver recipient services for the Medicaid eligible population in Indiana; providing the waiver recipient/client a shortened timeframe for approval and receipt of services and/or treatment.  With this system being operational in Indiana, the State is also working to create and utilize customizable, MECT 2.3 aligned, checklists for certification to reduce State resource burdens during the certification activities and process. Indiana looks to share their success and invite States to learn about their successful innovations for both the client population and certifying a new modular system utilizing the MECT 2.3 processes.

Speakers
avatar for Jared Linder

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 →
avatar for Melissa Price

Melissa Price

Business Consulting Senior Manager / IN IV&V Project Manager,, NTT DATA Services
Melissa Price is employed at NTT Data as a Business Consulting Senior Manager. She has over 20 years of experience in project, IT, and operations management in support of state and commercial healthcare services. Melissa’s knowledge spans across all aspects of Medicaid, including... Read More →
PC

Phil Canada, TBC

PMO Manager, Netlogx


Wednesday December 9, 2020 8:00am - 8:45am PST
TBA

8:00am PST

SOI Roundtable 9: Using procurement transparency to attract modern software vendors
Alaska’s Department of Health & Social Services is working with the Technology Transformation Services’ Office of Acquisition at 18F on a new approach to product and acquisition management to develop a modern, integrated eligibility system for their Division of Public Assistance. A major risk that our joint team identified was the need to attract vendors who are experts in working in modern ways to bid on the work. We’re experimenting with a transparent approach so that anyone can see, and provide public feedback on, our progress. We believe this will help to garner the interest of companies that are likewise willing to work in the open — precisely the kind of vendors who we want to work with.

In this roundtablewe will describe the methods used, provide tips for how other organizations can try these processes out, and discuss key lessons learned through this effort.

Speakers
RH

Randy Hart

Consultant, Federal IT Procurement Reform, 18F
avatar for Nick Faulkner

Nick Faulkner

Consulting Director, Comagine Health
Mr. Faulkner is a Consulting Director with Comagine Health (formerly Qualis Health). He leads a team of consultants providing project management, IV&V, quality assurance, and other technical assistance services to government clients. His experience includes department-level IT governance... Read More →
TM

Tracy Mack

Deputy Project Manager, Alaska Eligibility Projects


Wednesday December 9, 2020 8:00am - 8:45am PST
TBA

8:00am PST

SOI Roundtable 12: The DC HIE: How DC’s Medicaid Program is Using a Market-Driven Approach to Sustain HIE
The District of Columbia Medicaid Program serves as the State Health IT Coordinator for the District and leads the implementation of health information exchange (HIE) across the city with the goal of ensuring District residents have access to their health information whenever and wherever it is needed. From 2011 to 2016, there was minimal District-level coordination to establish HIE services in the District. In the last three years, a dedicated team of government leaders, stakeholders, and technology partners have built a strong collaborative to establish a market of HIE entities with an ever-increasing demand.

Panelists from DC Medicaid will provide an overview of the District’s unique governance model for HIE, share best practices for funding and sustaining HIE infrastructure, and present a comprehensive framework for evaluating the spread, scale, and sustainability of health IT and HIE in any state.

Speakers
avatar for Michael Fraser

Michael Fraser

HIE Management Analyst, DC Department of Health Care Finance
​​​​Michael Fraser is a Management Analyst with the District of Columbia Department of Health Care Finance. Michael works closely with IT developers, public health leaders, and stakeholders to oversee the design, develop, and implementation of HIE grant work, aimed to increase... Read More →
avatar for Nina Jolani

Nina Jolani

HIE Program Analyst, DC Department of Health Care Finance
Nina Jolani is a Program Analyst at the District of Columbia Department of Health Care Finance. Nina has built her career in a variety of roles and industries, which have included public health non-profit, digital health startup, and state government agencies. In her current role... Read More →
avatar for Deniz Soyer

Deniz Soyer

Health IT and HIE Project Manager, DC Department of Health Care Finance
Deniz Soyer is a Project Manager with the District of Columbia Department of Health Care Finance. Deniz is responsible for assessing the network of providers connected to HIE and evaluating the effectiveness of HIE services to improve care and outcomes in the District. Deniz is passionate... Read More →


Wednesday December 9, 2020 8:00am - 8:45am PST
TBA

8:00am PST

SOI Roundtable 14: Power in Partnership: Fostering Data Governance Transformation Through States’ Collaboration
State Medicaid agencies (SMAs) are facing significant challenges with developing a cohesive enterprise-wide data governance strategy and program that promotes data sharing, drives business value from leveraging data as an asset, and bases policies on evidence essential to the agency’s long-term data-driven vision. With ongoing changes to the healthcare environment and T-MSIS, the critical data and systems component of the CMS Medicaid and CHIP Business Information Solution (MACBIS), the quality and completeness of states’ data is more important than ever.  Each state’s unique perspective helps guide the approach to their data governance and how they leverage related information. However, by creating a multi-agency collaborative to share and leverage data governance information, growth opportunities can evolve within individual SMAs and greater data governance outcomes can be achieved. Join this panel (MO, IN, and NC) as it shares some data governance best practices, lessons learned and details from their collaborative efforts.

Speakers
avatar for Connor W. Norwood, PhD, MHA,

Connor W. Norwood, PhD, MHA,

Chief Data Officer, Indiana Family and Social Services Administration, Division of Strategy and Technology
As the Chief Data Officer for Indiana Family Social Services Administration (FSSA), Dr. Norwood oversees the enterprise data warehouse (EDW) for FSSA, which houses the business information and data required to support all reporting and data analytics for Indiana’s health and human... Read More →
avatar for Darin Hackmann

Darin Hackmann

Chief Information Officer and Data Officer, MO HealthNet
Darin Hackmann is the Chief Information Officer and Chief Data Officer for MO HealthNet, the Missouri Medicaid Program. Darin has Masters Degrees in Computer Information Systems and Business Administration and is a certified Project Management Professional.  Darin has more than 30... Read More →
avatar for Tammy Barkhoff, MSPM, PMP

Tammy Barkhoff, MSPM, PMP

Project Manager and Data Governance Manager, MO HealthNet
Tammy Barkhoff is a Project Manager and also serves as the Data Manager supporting the Missouri Medicaid agency’s data governance initiative and MMIS modularization efforts. Tammy has her Master’s in Project Management and is PMP certified. She has more than 25 years of project... Read More →
avatar for Josh Martin

Josh Martin

Interim Chief Data Officer, IN Management Performance Hub
Josh Martin is the interim Chief Data Officer for the State of Indiana and Director of the Indiana Management Performance Hub, where he leads a dedicated team of problem solvers that provide analytics solutions tailored to address complex management and policy questions enabling improved... Read More →
avatar for Sam Gibbs

Sam Gibbs

Deputy Secretary for Technology and Operations, NC Department of Health and Human Services
Samuel C. Gibbs joined N.C. Department of Health and Human Services on April 10, 2017, as the Deputy Secretary for Technology and Operations. An eighth-generation North Carolinian, Gibbs brings to the department three decades of executive management experience with technology and... Read More →


Wednesday December 9, 2020 8:00am - 8:45am PST
TBA

8:00am PST

SOI Roundtable 3: Connecting Medicaid & Health Data to Facilitate Statewide Analytic Challenges Aimed at Improving Maternal Health
Indiana’s Governor Eric Holcomb has set an ambitious goal to greatly reduce the State’s infant mortality rate and achieve the lowest rate among Midwestern states by 2024. To support this, Indiana HIMSS in coordination with the Family and Social Services Administration, Indiana State Department of Health, Indiana Management Performance Hub (MPH), the Regenstrief Institute, and KSM Consulting conducted a data visualization and analytics challenge hosted by Parkview Health. This is the first time in State history that such diverse organizations have joined forces to support Indiana’s OB Navigator program with the aim of improving maternal and infant health through the creation and publication of 45 publicly available datasets https://hub.mph.in.gov/dataset?tags=Datapalooza, provided by 2 State Agencies, and the Regenstrief Institute. A public call for proofs of concept using this data went out to the general public, and professional and student teams were formed to compete in the creation of data visualization and analysis solutions. Teams were judged based upon the solution’s potential for impact, creativity and innovation, and cross-disciplinary approach. Twenty teams ultimately submitted proofs of concept for the competition. These teams were narrowed down to the top 5 professional and top 5 student teams who then were invited to present at the first-ever Healthy Mom + Baby Datapalooza in Indiana. Winning teams won cash prizes totaling more than $3,000 with the potential for generating high value use cases for implementation in future efforts. By convening students, researchers, policymakers, health care professionals and entrepreneurs from across the state, the competition is propelling the exploration and analysis of Indiana’s data to deliver powerful insights and innovative support for the OB Navigator program. This roundtable will not only share key results from the top submissions, but also discuss the process for harnessing the power of data and hosing a statewide data & analytics challenge.

Speakers
avatar for Amy Lewis Gilbert, JD, MPH

Amy Lewis Gilbert, JD, MPH

Chief Science Officer, Indiana Family & Social Services Administration
Amy Lewis Gilbert, JD, MPH is Chief Science Officer for the Indiana Family and Social Services Administration (FSSA), which administers the State’s health coverage and social service programs. As CSO, Gilbert’s role is to help identify evidence priorities across FSSA divisions... Read More →
avatar for Matt Kirby

Matt Kirby

KSMC
Matt has a passion for spurring innovation in government and is a leader in Indy’s civic tech movement. As a Senior Consultant at KSM Consulting, he works closely with municipal, state, and federal agencies to improve how government shares, analyzes and applies data. Matt helped... Read More →


Wednesday December 9, 2020 8:00am - 8:45am PST
TBA

8:00am PST

SOI Roundtable 9: Lessons in Payer Clinical Data Quality: Mississippi Medicaid’s Experience with MCO Clinical Data
In 2019 Mississippi Division of Medicaid (DOM) went live with clinical data feeds from the three MCOs that operate in Mississippi. These feeds bring DOM new data on labs, medications and allergies from the MCOs. These connections to the MCOs follow DOM’s previous connections to three large providers for bidirectional exchange of C-CDA clinical summaries. As DOM integrates new clinical data from MCOs, it’s clear that Medicaid agencies face a challenge in obtaining MCO clinical data that matches the quantity and quality of data from providers. Meeting this challenge requires collaboration and continuous technical improvement from the MCOs and Medicaid agencies.

Speakers
avatar for Ian Morris

Ian Morris

Clinical Data Interoperability Project Manager, Mississippi Division of Medicaid
Ian Morris is the Clinical Data Interoperability Project Manager for the Mississippi Division of Medicaid where he is responsible for onboarding providers and payers to the Clinical Data Interoperability program. In 2016 he completed a first-of-its-kind project connecting a large... Read More →


Wednesday December 9, 2020 8:00am - 8:45am PST
TBA

8:00am PST

SOI States of Implementation Roundtable 4: Innovative Care Delivery Support in Maryland
The Maryland Health Care Commission (MHCC) supports advanced care delivery and quality improvement initiatives to improve health outcomes and reduce the total cost of care. This session will present three examples of Maryland initiatives aimed at improving patient care and reducing the need for medical services by helping patients and caregivers more effectively manage health conditions: (1) Maryland’s Care Management Focus Group, which informs the development of recommendations, resources, and materials to support Maryland practices in implementing and advancing care management delivery; (2) the Patient and Family Advisory Council (PFAC) Guide, which provides Maryland ambulatory practices with information and resources to help create, integrate, and expand a PFAC; and (3) a Telehealth Readiness Assessment (TRA) Tool for physicians and practice administrators to assess organizational, technical, and contextual factors related to implementing or expanding a telehealth program.

Speakers
avatar for Colleen Ceradini, M.H.A.

Colleen Ceradini, M.H.A.

Chief Executive Officer, Maryland Primary Care Physicians
Colleen Ceradini is the Chief Executive Officer for Physicians Management Group, LLC and guides the overall business operations of Maryland Primary Care Physicians (MPCP), the largest independent primary care group practice in Maryland.  She has over 40 years of experience in the... Read More →
avatar for Ashley Kinder

Ashley Kinder

M.D., F.A.A.P., Saint Agnes Hospital
Dr. Ashley Kinder is a Baltimore native who earned her medical degree from the University of Maryland School of Medicine in 2010, before completing her residency training at the same institution in Internal Medicine and Pediatrics.  She joined Saint Agnes Medical Group in 2014 as... Read More →
avatar for Melanie Cavaliere

Melanie Cavaliere

Chief of Innovative Care Delivery, Maryland Health Care Commission
Melanie Cavaliere serves as the Chief of Innovative Care Delivery at the Maryland Health Care Commission (MHCC). Ms. Cavaliere has twenty-five years of professional experience in health care policy and employee benefits consulting. Current projects include supporting innovative care... Read More →
avatar for Alana Sutherland, M.P.H., P.M.P.

Alana Sutherland, M.P.H., P.M.P.

Program Manager, Center for Health Information Technology and Innovative Care Delivery, MHCC
Alana Sutherland is a Program Manager in the Maryland Health Care Commission’s Center for Health Information Technology and Innovative Care Delivery. In this role, she is responsible for the development of educational materials and programs to advance health information technology... Read More →
avatar for Anene Onyeabo, M.P.H., P.M.P.

Anene Onyeabo, M.P.H., P.M.P.

Program Manager, Center for Health Information Technology and Innovative Care Delivery, MHCC
Anene Onyeabo is a Program Manager in the Maryland Health Care Commission’s Center for Health Information Technology and Innovative Care Delivery. She currently works to develop educational content and programs to advance innovative care delivery and health information technology... Read More →
avatar for Dr. Pat Czapp

Dr. Pat Czapp

AbsolutCARE
Dr. Czapp currently directs the Prince George’s County operation for AbsoluteCARE, an organization providing comprehensive ambulatory care exclusively to underserved individuals with complex medical conditions.  Pat has over a decade of experience in reducing readmissions, implementing... Read More →


Wednesday December 9, 2020 8:00am - 8:45am PST
TBA

8:00am PST

SOI Roundtable 7: Completing Life Cycles - How Are We Going to Manage?
As the modularity standard quickly becomes a reality in the Medicaid Enterprise, we must be able to effectively manage ongoing system development and implementation projects while procuring new solutions. How can we ensure appropriate management of the risks and issues of a large-scale system modernization while also dealing with the uncertainty inherent within the procurement process? During this session, we will discuss the importance of effective project management, focusing on tools, techniques, and governance strategies to align in-flight implementations with the changing needs of the State in a multi-vendor, active procurement environment. We will also discuss complexities and considerations for transitioning to M&O for some modules, while other modules are beginning, as well as expectations for coordination with CMS, FNS, vendors, and State staff.

Speakers
avatar for Sean Kasten

Sean Kasten

Client Executive, CSG Government Solutions
Sean in a Client Executive in CSG Government Solutions' Healthcare and Human Services practice. He has more than 10 years of experience providing consulting services and subject matter expertise for HHS projects in eight states. He brings expertise in procurement and contracting... Read More →
avatar for Lesley Lueckenotte

Lesley Lueckenotte

MEDES Project Director, Missouri Office of Administration
Lesley has more than 10 years of experience managing large, complex multi-use development projects. She began her career as a Business Analyst, and evolved into positions including Director of Corporations, Director of Business Services, and currently the MEDES Project Director for... Read More →
avatar for Pamela Bax

Pamela Bax

Project Manager, CSG Government Solutions
Pam is a Project Management Officer in CSG Government Solutions’ Healthcare and Human Services practices who has worked in Missouri state government for more than 20 years. Pam is a PMI-certified PMP with more than 30 years of experience managing complex IT projects. Pam has spent... Read More →


Wednesday December 9, 2020 8:00am - 8:45am PST
TBA

8:00am PST

SOI Roundtable 8: Exposing a Common Blind Spot: Hidden Security and Compliance Risks Unique to Medical Devices
HIPAA requires healthcare providers to perform a thorough and comprehensive risk analysis. Many times, these risk analyses turn up insufficient because the provider fails to identify every place where electronically protected health information (ePHI) is stored in their organizations thus putting patients and their data at risk.

One major and common blind spot are medical devices that capture, store and transmit patient data
on a regular basis and yet are not considered as “IT equipment” within many organizations. This leads to the classic “Who Owns the Data?” problem.

Failure to secure medical devices presents two main threats:
1. You can’t assess and secure ePHI if you don’t know where it resides.
2. Patient safety may be compromised by corrupted data or the compromise of unsecured medical devices.

The roundtable will focus on strategies to conduct a comprehensive risk identification and assessment exercise that covers all connected devices including medical devices.

Speakers
avatar for Sheetal Sood

Sheetal Sood

Senior Executive Compliance Officer | Corporate Records Management Officer, NYC Health + Hospitals
Sheetal Sood is the Senior Executive Compliance Officer and Board appointed Corporate RecordsManagement Officer for NYC Health + Hospitals, the largest public health system in the country.In her role, Sheetal provides senior executive compliance oversight of her organization’s HIPAAPrivacy/Security... Read More →


Wednesday December 9, 2020 8:00am - 8:45am PST
TBA

8:00am PST

SOI Roundtable 7: TBC
Wednesday December 9, 2020 8:00am - 8:45am PST
TBA

8:00am PST

SOI Roundtable 10: Driving Better Health Outcomes Through Multicultural Text Messaging
While the new multitude of digital health technologies promises to drive a better future of patient outcomes and care, one of the most effective, cost-efficient, and accessible solutions is text messaging. This session will provide attendees with a comprehensive look at the value and use of text messaging in patient engagement and care navigation, with case study examples and insight from Tufts Health Plan.

Speakers
avatar for Ahmad Jubran

Ahmad Jubran

Chief Technology Officer, ConsejoSano
Ahmad Jubran is Chief Technology Officer of ConsejoSano, a patient engagement platform that connects payers, providers and health systems with their multicultural Medicaid/Medicare patient populations. Ahmad has nearly two decades of expertise in developing large scale healthcare... Read More →
avatar for Rudy Bozas

Rudy Bozas

Director, Community Relations and Marketing, Tufts Health Plan
As director of community relations and marketing for Tufts Health Plan - Public Plans, Rudy oversees marketing for four different public plan products in two states, RI and MA. Rudy comes with more than 20 years of experience as a seasoned entrepreneur and marketing professional with... Read More →


Wednesday December 9, 2020 8:00am - 8:46am PST
TBA

8:00am PST

8:45am PST

Opening Remarks
Wednesday December 9, 2020 8:45am - 8:50am PST
TBA

8:50am PST

General Session: ONC (session details awaiting clearance)
Speakers
DR

Don Rucker

National Coordinator for Health IT, HHS


Wednesday December 9, 2020 8:50am - 9:45am PST
TBA

9:45am PST

15 Minute Short Break
Wednesday December 9, 2020 9:45am - 10:00am PST
TBA

9:59am PST

Industry Breakout Sessions
Wednesday December 9, 2020 9:59am - 10:14am PST
TBA

10:00am PST

Track 1: INDUSTRY SESSION - Achieve Modular Integration Success with Systems Integration
What is the best approach to integrate modules? This Industry Session focuses on best practices in execution activities with systems integration and how to define success in a modular journey. Viewpoints from a systems integrator, government agency (federal or state), and Project Management Office will provide a robust view of Medicaid Enterprise system integration objectives and lessons learned.

Wednesday December 9, 2020 10:00am - 11:00am PST
TBA

10:00am PST

Track 2: INDUSTRY SESSION - Completing the picture: An interactive quality measure dashboard combining EHR and claims data
The Bronx RHIO is an HIE partnering with provider systems in support of delivery system and payment reform initiatives. Learn more about how the Bronx RHIO implemented the IMAT Solutions platform to advance their goals of improving Data Quality and Healthcare Quality Reporting and analytics in the HIE market. In partnership with Bronx Health Access (BHA), the Bronx RHIO developed a quality measure dashboard on IMAT’s platform integrating both HIE-wide EHR data and claims data. This tool provides a more complete view than either BHA's internal EHR data, or their claims data, could on their own, as the RHIO integrates clinical data from competing hospitals and institutions. The dashboard allows comparison of measure performance, with filters for insurance, comorbidities, and demographic factors. It monitors site performance over time and can identify individuals not meeting the measures, for intervention. It allows data export for MCOs so they can see clinical data filling gaps for measures where they lack claims. Since measures are often missed by only a few patients missing a service, this tool offers significant opportunity for both the MCO and provider system.

Speakers
avatar for Alexander Felicier

Alexander Felicier

Manager, Analytics Infrastructure, BronxRHIO
Alex Felicier is an Analytics Infrastructure Manager for the Bronx Regional Health Information Organization (RHIO) in New York. He joined the Bronx RHIO in August 2016 and has served as a project manager and data analyst. His work focuses on analytics and quality measure reporting... Read More →
avatar for Jocelyn Chacko

Jocelyn Chacko

Manager, Population Health Quality Initiatives, BronxRHIO
Jocelyn has a background in healthcare data analytics conducting both financial and clinical analyses to aid leadership in strategic data-driven decision making to improve patient care and lower costs. She is an information technology professional with skills in SQL, SAS, and Python... Read More →
avatar for Andrew Fair

Andrew Fair

Director of Analytics, BronxRHIO
Andrew Fair is a data analyst and leader with over a decade of experience working in public health and healthcare. Before coming to the Bronx RHIO, he spent most of his career at the NYC Department of Health and Mental Hygiene, where he supported initiatives ranging from promotion... Read More →
avatar for Steve Maggio

Steve Maggio

Senior Project Manager, Bronx Health Access (BHA)
Steve is a PMP certified IT project manager, focusing primarily on Information Technology and Finance. Through DSRIP, Steve has provided strategic level support on Health Information Technology (HIT) needs with regard to Health Information Exchanges, Analytics, and Electronic Medical... Read More →
RM

Rob Marsh

Vice President of Product & Program Management, IMAT Solutions
Rob Marsh is the Vice President of Product & Program Management at IMAT Solutions. Rob has more than 15 years of experience in health IT and over 30 years in the data analytics arenas. He is responsible for product development, business growth, and client management at IMAT Solut... Read More →


Wednesday December 9, 2020 10:00am - 11:00am PST
TBA

10:00am PST

Track 3: INDUSTRY SESSION - Enterprise Data Hub as the New Medicaid Data Integration Pattern
Human Services projects in state government involve large scale data integration efforts. Legacy technology implementations struggle to keep pace with fast-changing integration needs that are both costly and prolong the time to benefit. State government Medicaid modernization projects have made concerted efforts to improve these challenges via closer adherence to MITA standards and improved modularity.  
 
To that end, this session will discuss a novel approach to human services technology implementation leveraging the Enterprise Data Hub architecture to more quickly integrate disparate data, decrease implementation timeframes and costs, and shorten time to benefit The approach leverages an Operational Data Store pattern that is trusted to both run the business and perform analytics. Two state government MMIS modernizations programs that are currently implementing this pattern will be discussed.

Speakers
avatar for Gerhard Ungerer

Gerhard Ungerer

CTO, Random Bit LLC
Gerhard Ungerer is the Chief Technology Officer and co-founder of Random Bit LLC, which provides enterprise architecture, software design, and governance services.  He currently serves as Enterprise Architect and Subject Matter Expert on a large-scale enterprise data integration... Read More →


Wednesday December 9, 2020 10:00am - 11:00am PST
TBA

10:00am PST

Track 4: INDUSTRY SESSION - CMS, MITA, AVS...Oh SNAP!
In response to CMS SSA Section 1940 requirements to deploy an electronic Asset Verification System (AVS), forward-thinking states are expanding their approach to combatting HHS eligibility Fraud, Waste and Abuse. These Office of Program Integrity (OPI) “front door” deterrents, deploy a wider variety of verification data sources and often incorporate sister agency data sharing.  Through the integration of data set utilization, program managers for Medicaid, Medical (LTCC), SNAP and TANF can share data access with Social Services (child support), Recovery (IG) and others.

Softheon, a new leader in the AVS technology, introduces VERIFY AVS, modularly- deployed, MITA-aligned, singularly integrated, technology solution. Verify is built to solve for today’s simple AVS requirements (hard and soft assets) on a singular platform and is easily configured for future data sets that might include citizenship/alien status, incarceration, duplicate SSN, duplicate applicant and out of state beneficiary recipient, to name a few.

Speakers
avatar for Michael Sasko

Michael Sasko

VP of Government Solutions, Softheon
As Vice President of Government Solutions for Softheon, Michael is responsible for all government client-facing work.  Most recently Michael’s efforts have championed the delivery of all new Asset Verification System (AVS) awards to include West Virginia, New Mexico, and most recently... Read More →
avatar for Neha Sharma

Neha Sharma

Verify Product Manager, Softheon
Neha is the Certified Product Owner of Softheon Verify AVS Solution with 7+ years of experience in Engineering and Technical Product Management for multi-technology products. Neha is an enthusiast for improving customer experience and developing solutions for complex business problems... Read More →


Wednesday December 9, 2020 10:00am - 11:00am PST
TBA

10:00am PST

Track 5: INDUSTRY SESSION - Transforming Government Healthcare: Non-traditional Data as an Enabler
With the ever-increasing focus on ensuring the best care for patients & program members as well as the demand to reduce the organizational burden and overall healthcare costs, the ability to better understand those participating in your program critical on a number of fronts.  During this session, the presenter will discuss how utilizing non-traditional data can elevate your member engagement, optimize patient matching, and ultimately provide better opportunities for a healthy population.

Speakers
avatar for Justin Hyde, Sr.

Justin Hyde, Sr.

Senior Director, Market Planning, LexisNexis Risk Solutions
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 →


Wednesday December 9, 2020 10:00am - 11:00am PST
TBA

10:00am PST

Track 6: INDUSTRY SESSION - A Roadmap for Meaningful Data Sharing within a State HHS Agency
In this session, Delaware’s Department of Health and Social Services (DHSS) Secretary will share the agency’s approaches to developing roadmaps designed to enable timely, effective, secure data sharing across the organization’s many divisions and programs – Medicaid, SNAP, TANF, behavioral health and substance use treatment, child protective services, child support enforcement, child care and more. These roadmaps also lead to optimized future investments in health and human services IT, particularly in the data management and analytics domain. The roadmaps incorporate both strategic and tactical needs, reuse/leverage opportunities across divisions and agencies, the best use of local, state and federal funds, and all pertinent laws and regulations that govern access to, use and sharing of sensitive health and social services information.

Speakers
DK

Dr. Kara Odom Walker

Secretary of the Delaware Department of Health and Social Services
Dr. Kara Odom Walker was sworn in as Secretary of the Delaware Department of Health and Social Services on Feb. 6, 2017. As Secretary, she leads the principal agency charged with keeping Delawareans healthy, ensuring they get the health care they need in a fast-changing world, and... Read More →
JM

Juan M. Montanez

Principal, Health Management Associates
DS

Dr. Sanjay Seth

Executive Vice President, HealthEC
Dr. Sanjay Seth brings over 30 years of clinical, administrative and consulting experience to the HealthEC leadership team. As executive vice president, he develops approaches to support providers and organizations participating in healthcare programs borne out of the Affordable Care... Read More →


Wednesday December 9, 2020 10:00am - 11:00am PST
TBA

11:00am PST

Networking Break in Exhibit Hall
Wednesday December 9, 2020 11:00am - 11:30am PST
TBA

11:30am PST

Breakouts
Wednesday December 9, 2020 11:30am - 12:30pm PST
TBA

11:30am PST

Track 1: Modularity in Motion – Real-World Approaches to the Ever-Changing Payment Accuracy Landscape
Prior to modularization, State Medicaid agencies designed highly customized Payment Accuracy and Program Integrity solutions, which were unique to each state. The procurement strategy for these varied from being bundled into the MMIS procurement, bundled with other modules or issued as a standalone RFP.  Now that some states are farther along in their path to modularity, this session will provide critical feedback and address the successes and challenges each state has encountered on the path to modularity.  Speakers from all types of States, who have implemented or are in the process of implementing a module that includes these different frameworks, will share their experiences.  There is no one right answer but by better understanding, the reasoning behind an approach and by discussing any challenges during the implementation, audience members currently in the process of planning will be well equipped to make better and more informed decisions.

Speakers
SY

Sarah Young

Deputy Commissioner for Policy Coordination & Operations, West Virginia Bureau for Medical Services
avatar for Brandon Lewis

Brandon Lewis

Director of MES Project Management and Health Information Technology, West Virginia Bureau for Medical Services
Brandon Lewis is the Medicaid Enterprise Project Officer for the West Virginia Bureau for Medical Services (Medicaid). Brandon manages all Medicaid Enterprise System contracts and projects for WV Medicaid. Prior to joining WV Medicaid, Brandon spent 14 years working in a variety of... Read More →
CL

Candi Layman

Project Manager/Contract Manager, Ohio Department of Medicaid (TBC)
Candi Layman is a Project Manager/Contract Manager with the Ohio Department of Medicaid.
JS

Jesse Springer

Medicaid Technology and Business Operations Unit Manager, Wyoming Department of Health (TBC)
JT

Jospeh Tighe

MMIS Procurement Manager, New Mexico Human Services Department


Wednesday December 9, 2020 11:30am - 12:30pm PST
TBA

11:30am PST

11:30am PST

Track 2: Climbing the Data Governance Mountain: The Great Expedition
Every mountain "climb" begins with a plan and training needed to ensure you can successfully reach the summit. Similar to mountain climbing, inexperience and poor planning can result in failure when maturing your organization's data governance. Despite the potential negatives, when done right, achieving mature data governance, like mountain climbing, can be an exciting and rewarding experience. In this session, MO HealthNet (MHD), Missouri's Medicaid Agency, will share details regarding the Information Management Maturity Assessment they conducted as the first step of their climb and how the results of that assessment helped formulate their expedition’s "itinerary" to address the challenges (data quality issues, data complexity, data silos, quality data management) of climbing the Data Governance Mountain. Learn more as MHD shares the results of their recent collaboration with Chief Data Officers from other state Medicaid agencies, as well as, the progress of their expedition toward reaching the Data Governance summit.

Speakers
avatar for Darin Hackmann

Darin Hackmann

Chief Information Officer and Data Officer, MO HealthNet
Darin Hackmann is the Chief Information Officer and Chief Data Officer for MO HealthNet, the Missouri Medicaid Program. Darin has Masters Degrees in Computer Information Systems and Business Administration and is a certified Project Management Professional.  Darin has more than 30... Read More →
avatar for Tammy Barkhoff, MSPM, PMP

Tammy Barkhoff, MSPM, PMP

Project Manager and Data Governance Manager, MO HealthNet
Tammy Barkhoff is a Project Manager and also serves as the Data Manager supporting the Missouri Medicaid agency’s data governance initiative and MMIS modularization efforts. Tammy has her Master’s in Project Management and is PMP certified. She has more than 25 years of project... Read More →


Wednesday December 9, 2020 11:30am - 12:30pm PST
TBA

11:30am PST

Track 2A: Leveraging Open APIs to Promote Efficiency and Interoperability in Medicaid
Speakers
avatar for Cathie Ott

Cathie Ott

Division Director, Washington Health Care Authority
Cathie Ott is the Director of the Division of ProviderOne (MMIS) Operations and Services, State of Washington Health Care Authority (HCA). Cathie has extensive experience in Medicaid payment system analysis, design, implementation and strategic operations. Responsibilities also include... Read More →
RH

Ryan Howells

MTA, and CARIN Alliance, Leavitt Partners


Wednesday December 9, 2020 11:30am - 12:30pm PST
TBA

11:30am PST

Track 3: A Better Path to Integrated Eligibility Systems
The annualized spend on maintaining, operating, improving and modernizing integrated eligibility systems (IES) is estimated to be approximately $6.5 billion. However, the track record of success for IES implementations is decidedly mixed. These systems face many challenges, from managing increased spending to designing new systems in a multi-stakeholder environment. Sharing sensitive data (such as medical information) across systems also presents serious security and privacy concerns. Furthermore, there is no single template for executing these projects successfully, making the process difficult to navigate.

This presentation will focus on five observations that States can use to inform their integrated eligibility systems (IES) implementations and improve their systems, streamline processes, and ultimately serve their constituents better. These observations are based on an analysis of thousands of public sector IT transformations, including those of IESs. States can apply these strategies to maximize value and minimize risk to improve existing IESs and facilitate future implementations of IESs. These observations also apply to other large IT systems in the State Healthcare and beyond.

Wednesday December 9, 2020 11:30am - 12:30pm PST
TBA

11:30am PST

Track 4: Proving Trustworthiness in the Provider to Vendor Supply Chain: Privacy and Security Compliance Best Practices
This panel will discuss privacy and security requirements for exchanging health data and how health information exchanges can maintain and demonstrate compliance. Privacy and security requirements continue to evolve, and increasingly trading partners want assurance that any shared information will be properly protected. Third-party assurance programs can help HIEs and their partners assess, maintain, and demonstrate their privacy and security programs effectively in the marketplace. The New York State Department of Health (NYS) will discuss its use of the HITRUST CSF Certification Program on behalf of the Statewide Health Information Network for New York (SHIN-NY), its advantages and lessons learned to help others work on HITRUST or similar certifications.

Speakers
avatar for Anne Kimbol

Anne Kimbol

Asst. General Counsel and Chief Privacy Officer, HITRUST
Anne serves as the Assistant General Counsel and Chief Privacy Officer for HITRUST. She is responsible for formulating and implementing HITRUST's privacy policy and strategy, ensuring that internal privacy practices and processes operate in conjunction with the information security... Read More →


Wednesday December 9, 2020 11:30am - 12:30pm PST
TBA

11:30am PST

Track 5: HL7 A DaVinci Project Deep Dive
Founded in 2018, Da Vinci is the private sector initiative focused on developing the critical standards needed to support providers and payers in Value-Based Care initiatives. This session will provide a detailed review of the current set of Da Vinci use cases, the progress on adoption by the industry and a review of how various implementation guides are being tested by Da Vinci members and demonstrated at HIMSS 2020. We will include demonstrations of the key use cases being implemented by Da Vinci members

Wednesday December 9, 2020 11:30am - 12:30pm PST
TBA

11:30am PST

Track 6: Reducing Risks in Modularity by Moving to Cloud Procurements
After years of skepticism, institutions are starting to get serious about using the cloud as more cities, states, and federal agencies adopt cloud technologies. The debate has shifted from “Is the cloud secure?” to “How do we maximize the value of cloud for our health and human services programs?” The primary benefits for cloud adoption in the public sector are not unique to Medicaid. They include lower costs, more flexibility, less vendor lock, access to a broad suite of cloud products and services, and more. However, ensuring the success of cloud migrations or implementations is not simple.

Join this session to find out the key learnings from one state’s experience while performing a proof-of-concept for cloud migrations. Discover best practices from both an operational and technical perspective. Understand how to ensure the viability of the cloud-based solution and the architecture necessary to support the platform scalability and availability requirements. You will also learn more about what’s needed to unlock value from the cloud, including standards, governance, talent and capabilities, organizational setup, operating model, vendor management, and security.

Speakers
avatar for Jess Kahn

Jess Kahn

Partner, McKinsey & Co.
Jessica Kahn is a Partner at McKinsey’s Washington D.C. office where she co-leads McKinsey’s Medicaid Health and Human Services Value Assurance &  IT Transformation practice.Key Experience:-Former (SES) Director of Medicaid Data & Systems at CMS-Deep expertise in Medicaid Information... Read More →
avatar for Jim Watkins

Jim Watkins

Digital Expert, McKinsey & Co.
Jim Watkins is a Digital Expert at McKinsey, with a focus on enterprise architecture, analytics, and cloud infrastructure. With more than twenty-five years of development and operational experience, Mr. Watkins has managed the design, implementation, and rollout of information systems... Read More →
avatar for Jason McNamara

Jason McNamara

Strategic Programs Manager, Amazon Web Services
Jason McNamara of Amazon Web Services (AWS) is a technology leader with a background in healthcare, public safety, and organizational management. Jason is the Health Lead for AWS’ state and local health and human services (HHS) team, working with HHS agencies and technology partners... Read More →
avatar for Tolian Gjika

Tolian Gjika

Engagement Manager, McKinsey Consulting LLC
Tolian is an Engagement Manager with McKinsey & Company based in LA (Southern California Office)Tolian has joined the Firm in 2013 and has served leading institutions in Banking, Insurance, and Government mainly on Healthcare, Strategy, and Digital Transformation topicsPrior to returning... Read More →


Wednesday December 9, 2020 11:30am - 12:30pm PST
TBA

12:30pm PST

Networking Lunch & Demonstrations
Wednesday December 9, 2020 12:30pm - 1:30pm PST
TBA

1:30pm PST

Breakouts
Wednesday December 9, 2020 1:30pm - 2:30pm PST
TBA

1:30pm PST

Track 1: MMIS Modularity Replacement…How do I get Started?
There are so many questions when starting your MES Modular procurement. What modules are out there? What should my timeline look like? When do I procure an IV&V vendor? Do I need a PMO or SI vendor? This session will discuss ideas on how to jumpstart your MES procurement so you can move forward as efficiently as possible with the modular replacement of your MMIS. We will share procurement scenario examples of how you might want to approach your replacement projects, as well as lessons learned and experiences from several states so that you can hear what has worked well, and what hasn't. We’ll also share our experience incorporating Outcomes-Based Certification and Organizational Change Management into MMIS replacement strategies.

Speakers
BD

Bob Duryea

Sr. Project Manager - Medicaid Enterprise Management Solution (MEMS), Kentucky Cabinet for Health & Family Services
Bob Duryea is the Senior Project Manager for the Commonwealth of Kentucky’s Cabinet for Health and Family Services’ Medicaid Enterprise Management Solution (MEMS) project.
avatar for Bill Schuh

Bill Schuh

HHS Client Executive, CSG Government Solutions
Bill is a Client Executive in CSG Government Solutions' Healthcare and Human Services practice. He is a Medicaid expert with a wide range of experience across technology, business programs, and state and federal legislative arenas. Prior to joining CSG in 2010, he worked for the State... Read More →
CL

Candi Layman

Project Manager/Contract Manager, Ohio Department of Medicaid (TBC)
Candi Layman is a Project Manager/Contract Manager with the Ohio Department of Medicaid.
avatar for Michael Collisi

Michael Collisi

Senior Principal, Practice Lead Healthcare and Human Services, CSG Government Solutions
Michael Collisi is a Healthcare and Human Services Practice Lead with CSG Government Solutions and also leads CSG’s Medicaid Modernization Center of Excellence. He is a certified Project Management Professional with over 20 years of IT experience in public and private sectors. Michael... Read More →


Wednesday December 9, 2020 1:30pm - 2:30pm PST
TBA

1:30pm PST

Track 1A: More Impact, Less Burden
How innovation and advanced technologies can be used to implement a modular, open architected solution to leverage the State of Connecticut’s most valuable asset, that of data, to drive information-based decisions.

Objectives: Attendees will have a better understanding of how:
  • Connecticut is leveraging innovation and advance technologies to architect a modular, open architecture information management solution.
  • Connecticut is unlocking and utilizing the APCD by designing and developing advanced analytics to transform and leverage data to identify healthcare metrics by clinical stratification for risk-adjusted quality outcomes to provide cost transparency and healthcare affordability
  • The importance of incorporating data related to health equity and the social determinants of health to provide visibility into specific populations.
  • CDAS will provide foundational services to the states’ HIEs to provide

Speakers
avatar for Alan Fontes

Alan Fontes

Director, UConn AIMS
Alan Fontes, MSc, is an Analytics and Information Management (AIM) Solution Architect and Director of UConn AIMS who has over 30 years of experience designing innovative solutions to empower businesses with information and insight to make data-driven decisions. He has developed innovative... Read More →
avatar for Victoria Veltri

Victoria Veltri

Executive Director, Office of Health Strategy (OHS), Connecticut
Victoria Veltri, JD, LLM, is the Executive Director of the Office of Health Strategy (OHS) and oversees the office’s mission to implement comprehensive, data-driven strategies that promote equal access to high-quality health care, control costs and ensure better health for the people... Read More →


Wednesday December 9, 2020 1:30pm - 2:30pm PST
TBA

1:30pm PST

Track 2: Quality Measurement: Innovations for Population Health, Value Based Payment
Speakers
avatar for Matthew C. Mardorff

Matthew C. Mardorff

Specialist Leader, Deloitte Consulting
Matthew is a Specialist Leader at Deloitte with more than 15 years of experience in the field oftechnology implementations and analytics for Health and Human Services, focusing primarily onMedicaid programs. During his time with Deloitte, Matt has served as a trusted business advisor... Read More →
avatar for Isaac Lutz

Isaac Lutz

Principal Consultant, New York State Technology Enterprise Corporation (NYSTEC)
Isaac Lutz is a Principal Consultant at the New York State Technology and Enterprise Company (NYSTEC), an independent, not‐for‐profit corporation based in Rome, New York that acts as a trusted advisor to its clients seeking assistance with IT strategy, technology acquisition... Read More →
BN

Brandi Noel

Senior Consultant, HealthTech Solutions (TBC)
JZ

Jed Ziegenhagen

Payment Policy Analyst, Colorado Department of Health Care Policy & Financing
AF

Amy Frankel

Health IT Strategy and Innovation, Myers & Stauffer LLC


Wednesday December 9, 2020 1:30pm - 2:30pm PST
TBA

1:30pm PST

Track 2A: Project Unify - A joint collabboration effort by the NIC, MIHiN, the MITA TAC to educate, and deploy Proof of Concept implementations of interoperability for both Health and Human Services
This session will examine the efforts of the National Interoperability Collaborative (NIC), Michigan Health Information Network (MIHiN), Office of the National Coordinator (ONC) and the MITA Technical Architecture Committee (TAC) in utilizing standards such as Fast Healthcare Interoperability Resources (FHIR) and the National Information Exchange Model (NIEM) to form the foundation of a person-centered suite of solutions.  We will discuss our vision and our efforts to make interoperability a reality and how this vision can impact people.  The speakers are participating in a Proof of Concept (PoC) initiative called Project Unify that is open to all.  Project Unify is intended to demonstrate, educate and push the art of the possible in serving people in H&HS.


Speakers
TN

Thomas Novak

Medicaid Interoperability Lead, ONC/HHS
avatar for Dave Walsh

Dave Walsh

Chair, MITA TAC
Mr. Walsh has focused on collaboration in healthcare and in particularly in Medicaid for over 20 years.  He is now active in the integration of Health and Human Services.  Mr. Walsh believes that it is time for the industry to stop re-inventing the wheel and to share in foundational... Read More →
DS

Daniel Stein

President of Stewards of Change Institute, Co-Principal Investigator, National Interoperability Collaborative
avatar for Tim Pletcher

Tim Pletcher

Executive Director, Michigan Health Information Network Shared Services (MiHIN)
Dr. Tim Pletcher is the Executive Director of the Michigan Health Information Network Share 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 →


Wednesday December 9, 2020 1:30pm - 2:30pm PST
TBA

1:30pm PST

Track 3: Helping Vulnerable Children through Substantive Agency Transformation
Join a live case study discussing active agency transformation projects. Hillsborough County, Florida, has historically high rates of child removal. Investing in a community-wide data sharing platform for early identification and intervention aligned with their Family Preservation Model is transforming how agency and community partners operate and are viewed as a possible statewide model. Learn about the power of actionable data and strategies for tough conversations about privacy, bias, and social responsibility. As agencies also struggle in a tight labor market with impending legacy retirements, new strategies for attracting, training, and retaining talent are necessary. How will your agency cope with this loss of institutional knowledge? Learn how the State of Maryland is using technology and efficiency to drive workforce strength. Partnership between Medicaid, Child Welfare agencies and CMS is imperative. Hear CMS discusses how integrated efforts across human services programs and related workforce initiatives can fully leverage federal funding support.

Speakers
RK

Ramin Kouzehkanani

Chief Information & Innovation Officer, Hillsborough County
avatar for Andrea Danes

Andrea Danes

Executive Director, EY, US Government and Public Sector
Andrea S. Danes passionately advocates for effective use of integrated HHS data to drive innovation and improve program administration and service delivery. With more than 27 years of experience in Medicaid and Child Welfare as a state employee, industry executive, and foster mom... Read More →
RZ

Rena Z. Mohamed

Director, Outcomes Improvement Social Services Administration, Maryland Department of Human Services
avatar for Ed Dolly

Ed Dolly

CMS-CMCS
Edward Dolly is the Director for the Division of State Systems within the Data and Systems Group at the Center for Medicare & Medicaid Services and has 33 years (and counting) of Information Technology experience. More than 20 of those years were specifically in support of State Government... Read More →


Wednesday December 9, 2020 1:30pm - 2:30pm PST
TBA

1:30pm PST

Track 4: Best Practices in Detecting Fraud
Description – No program is immune to health care fraud. This session will offer best practices for identifying and addressing fraud through data analysis and medical reviews. See how Medicaid programs can benefit from Medicare fraud prevention.

Background
Noridian, as a Medicare Administrative Contractor and Unified Program Integrity Contract (UPIC) Indefinite Delivery Indefinite Quantity (IDIQ) and Supplemental Medical Review Contractor (SMRC), assesses and reports on fraud schemes. Noridian evaluates end-to-end information and performs reviews, in addition to developing study topics valuable to other payors.

Agenda
Discover how fraud topics are identified, developed and submitted to CMS and get ideas for your own best practices. Learn how we design and perform fraud-detecting analysis including:
  • Using data analysis to design a study
  • Building multiple perspectives into results
  • Supporting idea exploration and refinement
  • Setting a baseline
  • Reporting on results
You’ll leave with new tools to support your program’s integrity.


Speakers
avatar for Katie Shequen

Katie Shequen

Director of Medical Review, Noridian Healthcare Solutions
avatar for Bev Rohtert

Bev Rohtert

Special Projects Manager, Noridian Healthcare Solutions
Bev Rohtert is a Special Projects Manager at Noridian, a Certified Fraud Examiner and licensed Tennessee Private Investigator. She has over 25 years of program management, healthcare investigation, data analysis, medical review, compliance and auditing experience across private and... Read More →


Wednesday December 9, 2020 1:30pm - 2:30pm PST
TBA

1:30pm PST

Track 5: Transforming Medicaid Consumer Engagement with Integrated Digital Platforms
Medicaid and insurance affordability programs under the ACA need to engage consumers to facilitate providing healthcare to millions of people. The Maryland Health Benefit Exchange (MHBE) serves over 1.3 million Medicaid and APTC/CSR customers in Maryland and has established itself as a national leader in applying digital technologies to engage consumers. This session will share experiences and lessons learned from MHBE's award-winning digital platform, recognized by CIO 100 in 2019, to talk about how states can apply digital technologies to transform consumer experience for Medicaid and other insurance affordability programs such as APTC/CSR.

Speakers
avatar for Sanju  Arappoyil

Sanju Arappoyil

Solutions Architect, MHBE
Sanju Arappoyil is a highly experienced Solution Architect who has been instrumental in successfully architecting and developing some of the most significant Health & Human Services (HHS) and financial services systems. This includes providing the foundational architecture for modernizing... Read More →
avatar for Venkat Koshanam

Venkat Koshanam

CIO, Maryland Health Benefit Exchange
Mr. Koshanam is an excellent Information Technology Leader with passion for bringing transformation and consumer engagement into Government and Public Service, recognized for Digital Innovation by CIO 100, with 25 years of diverse experience as a senior executive, program manager... Read More →


Wednesday December 9, 2020 1:30pm - 2:30pm PST
TBA

1:30pm PST

Track 6: Colorado Benefits Management System (CBMS) Transformation Project
In recent years, CMS has promoted a vision of states implementing innovative cloud solutions that are agile, efficient, cost-effective, and leverage hardware and software reuse.

Colorado will present our Colorado Benefits Management System (CBMS) Transformation Project which migrated out of state data centers to a cloud-hosted service and improved the county caseworker user experience. We will share our strategy to lift and shift our integrated eligibility and enrollment system to an Amazon Web Services cloud environment and phased implementation of the Salesforce platform to modernize the user interface with a component-based framework for application development. We will include how we vetted the strategy, navigated the federal approval process, engaged a vendor, integrated IV&V, and involved many stakeholders to develop buy-in for this leading-edge modernization project.

We also will cover planning and execution challenges, the approach to completing the MEET Checklist for a lift and shift approach, how the state kept a focus on the project and phase progress and drove completion of all phases in two years. With a county workforce of nearly 5,000 users, we paid particular attention to creating the training plan and developing its content, while implementing organizational change management. This was critical to the project’s success.

From the original concept through final implementation in August 2019, Colorado will share our journey, challenges, and triumphs.

Speakers
HW

Herb Wilson

Director of Health Information Services and CBMS, Colorado Governor's Office of Information Technology


Wednesday December 9, 2020 1:30pm - 2:30pm PST
TBA

2:30pm PST

5 Minute Short Break
Wednesday December 9, 2020 2:30pm - 2:35pm PST
TBA

2:35pm PST

Closing Keynote: TBC
Wednesday December 9, 2020 2:35pm - 3:20pm PST
TBA