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Monday, March 18
 

11:00am

Registration Opens
This is a session description.

Monday March 18, 2019 11:00am - 12:00pm

1:00pm

Pre-Conference Workshops
This is a session description

Monday March 18, 2019 1:00pm - 2:30pm

1:00pm

Track 1 (Pre-Workshop): Virginia’s Modular Implementation of MES
Virginia is the first state to get underway with a truly modular Medicaid Enterprise System (MES) implementation. With about a year and a half into implementation, the key vendors and state leadership discuss the project status including successes and lessons learned. Come join an open discussion about the work in this collaborative multi-vendor environment and the progress that the team is making towards go-live.

Moderators
avatar for Lorrie Scardino

Lorrie Scardino

Managing Director, Blue Tack Consulting, Private Sector Technology Group, Board Chair
Lorrie Scardino, Managing Director at Blue Tack Consulting, is the Private Sector Technology Group (PSTG) Board Chair. The PSTG is a consortium of HHS companies that use a consensus-based process to provide input to critical issues of the day. The group researches and analyzes topics... Read More →

Speakers
avatar for Frank Guinan

Frank Guinan

Director of the Enterprise Project Management Office, Office Virginia’s Department of Medical Assistance Services (DMAS)
Frank Guinan is the Director for the Enterprise Project Management Office for the Commonwealth of Virginia’s Department of Medical Assistance Services. Mr. Guinan is also the Program Director for the Virginia Medicaid Enterprise System (MES).  He oversees a range of Healthcare... Read More →
avatar for Brian Erdahl

Brian Erdahl

Principal Medicare & Medicaid Enterprise Systems, Deloitte Consulting LLP
Brian Erdahl, Principal, leads Deloitte’s Medicare & Medicaid Enterprise Systems (MMES) market offering. His deep leadership and technology experience includes both private health care and state Medicaid experience. He has significant experience in MMIS/MES, health information exchange... 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 of... Read More →
avatar for James F. Lukenbill

James F. Lukenbill

Ph.D., Project Director, Virginia Enterprise Data Warehouse Solution (EDWS), Optum
James is serving as the project director of the Virginia Enterprise Data Warehouse for Optum. James has a unique combination of project management, business development and analytics skills with more than 15 years of increasing responsibilities in project and program management, principally... Read More →
avatar for Todd Marker

Todd Marker

Virginia Account Lead, Health & Human Services, Accenture
Todd Marker is a Senior Manager with Accenture and has over 32 years of experience with healthcare implementation and operations.  Todd is the Account Manager for Accenture’s current delivery work with the Commonwealth of Virginia Department of Medical Assistance Services (DMAS... Read More →
avatar for Umakanth Pandurangaiah

Umakanth Pandurangaiah

Senior Consultant - Medicaid Modernization (Solutions Architect and Program Management), Virginia DMAS
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 →


Monday March 18, 2019 1:00pm - 2:30pm
Key Ballroom 12 (2nd Floor)

1:00pm

Track 1 (Workshop): MITA Governance Board Meeting
The MITA Governance Board (MGB) will hold its annual in-person board meeting during HIT Connect 2019. The MGB is made up of experts in Medicaid IT at federal agencies, states, and vendors. All conference attendees are welcome to attend this MITA Governance Board meeting.
 
Topics from the session will include:
  • Updates on the next MITA release
  • Enhancements in the pipeline for future MITA releases
  • Discussion around the future of MITA
The MITA framework enables technologies and processes to support the development of a more effective Medicaid IT enterprise.

Speakers
VS

Van Showell

MMIS Systems Analyst, CMCS/CMS
avatar for Sean Mahoney

Sean Mahoney

Board Chair, MITRE


Monday March 18, 2019 1:00pm - 2:30pm
Marshall Board Room (3rd Floor)

1:00pm

Track 2 (Workshop): Maximizing the Value of HIE and State Partnerships
Health Information Exchanges (HIE) and state leaders have a unique opportunity to partner to advance and improve the health care of their states, regions and the nation. During this session, you will hear from Colorado and Pennsylvania HIE and state leaders. Learning objectives will include: 1) overview of HIEs—different types and services offered; 2) use cases showing successes of the partnership; 3) opportunities and approaches to forge a relationship with your HIE and state officials if one does not exist; and 4) understanding the national landscape of interoperability just to name a few.

Moderators
KH

Kelly Hoover Thompson

CEO, Strategic Health Information Exchange Collaborative (SHIEC)

Speakers
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 Shared Services (MiHIN), a public and private nonprofit collaboration dedicated to improving the healthcare experience, improving quality and decreasing the cost for Michigan’s people by making... Read More →
avatar for Carrie Paykoc

Carrie Paykoc

State HIT Coordinator, Colorado
As Colorado’s Interim Director of the Office of eHealth Innovation (OeHI) and State Health IT Coordinator with the Governor’s Office of eHealth Innovation, Carrie provides strategic leadership and coordination of health information technology, health information exchange, and... Read More →
avatar for Britteny Matero

Britteny Matero

HIE Programs Manager, Oregon Health Authority
Britteny Matero is the Health Information Exchange (HIE) Programs Manager for the Oregon Health Authority (OHA). Britteny leads OHA’s work to advance statewide health information technology and exchange through OHA’s public/private partnership, the HIT Commons. Britteny’s work... Read More →
avatar for Susan Kirchoff

Susan Kirchoff

RN, MBA, Oregon Health Leadership Council
Susan Kirchoff is a healthcare consultant with the Oregon Health Leadership Council, leading the EDIE/PreManage initiative in Oregon. She previously served as the Chief Operating Officer for Health Share of Oregon and has been actively involved in healthcare delivery system transformation... Read More →


Monday March 18, 2019 1:00pm - 2:30pm
Key Ballroom 11 (2nd Floor)

1:00pm

Track 4 (Workshop): Third-Party Coverage: How Verifying Coverage Pre-Billing Saves Money and Creates Efficiencies for Providers and Payers Alike
Millions of dollars each year are lost due to lack of information about liable third-party payers. For Medicaid alone, the cost of improperly paid claims climbed to more than $18 billion in 2016 – an increase of nearly $4 billion in three years. More than half of these improper claims were due to incorrect billing from providers who often don’t have updated coverage information especially when Medicaid recipients have access to other health coverage at the point of service. Join us for this session on how HMS piloted a new solution – along with an Ohio hospital provider and Ohio Medicaid – to improve coordination between Medicaid agencies and providers by allowing them to verify and communicate other primary coverage for Medicaid members prior to billing – even at the point of scheduling, admissions and authorization.   
 

Speakers
avatar for Patrick Tighe

Patrick Tighe

Bureau Chief Claims Operations, Ohio Department of Medicaid
Patrick A. Tighe is the Bureau Chief of Claims Operations with the Ohio Department of Medicaid.  He is responsible for the Claims Processing, Claims Reconciliation, Medicare Buy-In unit, Third Party Liability and the Cost Avoidance areas as well as the Contract Manager for Third... Read More →
avatar for Deb Grier

Deb Grier

VP Enterprise Product Management, HMS
Deborah Grier, HMS Vice President COB Product Strategy, has over eighteen years of experience in healthcare program management and product development. Her career has been focused on developing solutions for government-funded health and human services programs, including working with... Read More →



Monday March 18, 2019 1:00pm - 2:30pm
Key Ballroom 10 (2nd Floor)

1:00pm

Track 6 (Workshop): Identity, Blockchain, and Solving the Interoperability Equation
Blockchain has a tremendous amount of interest and use-cases. Organizations worldwide are looking to utilize this emerging technology to better manage data, identities, security, etc., utilizing a distributed computing model. The Medicaid enterprise is no different in terms of Blockchain’s potential to redefine some of its components to become more efficient. While multiple use cases are being investigated, turning member identities from a liability into an asset, tracked on a distributed ledger, appears to be the common denominator. in this use-case, disparate systems could start communicating; profiles, identities, and permissions could be managed in a secure manner; and data provenance could be tracked.

In this session, we will discuss: 
-    The background on Blockchain and the basic concepts behind the technology
-    Practical use cases: conceptual work and actual implementation examples, as well as the potential impact on different Medicaid enterprise components
-    The use case of building upon the existing infrastructure and using a Blockchain for identity management to solve some of the interoperability challenges
- Medicaid-specific use-cases, including identity management opportunities in a State Medicaid Agency such as Mississippi
-    Next steps: Proof of Concept vs. ‘big-bang’ – navigating the ‘hype’ curve

Speakers
avatar for Tom Kapusta

Tom Kapusta

Consultant Health Services, Public Consulting Group
Tom is a Senior Consultant at PCG Health with a project management background and experience working with governments, international organizations, and private businesses. He currently focuses on Medicaid eligibility and enterprise technology modernization, working as a management... Read More →
avatar for Chris Smith

Chris Smith

Clinical Data Program Manager Mississippi Division of Medicaid, Mississippi Division of Medicaid
Chris Smith is the Clinical Data Program Manager for the Mississippi Division of Medicaid.  Mr. Smith is responsible for overall clinical data program and clinical data interoperability at DOM.  Mr. Smith has overseen multiple procurements and implementation of clinical data infrastructure... Read More →


Monday March 18, 2019 1:00pm - 2:30pm
Key Ballroom 9 (2nd Floor)

2:59pm

Workshops (*Tracks 1-6, as below)
Monday March 18, 2019 2:59pm - 4:30pm

3:00pm

Private Sector Technology Group (PSTG): Agile Best Practices in Medicaid
Note: The session is open to industry 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. The PSTG has chartered an Agile Committee, focused on the identification and communication of agile practices that have been successfully implemented in the Medicaid space. The Committee’s goal is to increase awareness of these best practices, improve outcomes and spur the adoption of agile practices and methodologies. Ultimately, an educational curriculum to support states, federal partners and industry in the adoption and deployment of agile best practices is the PSTG’s goal.

This session will provide an overview of the Agile Committee Charter and the work completed to date, including results from an industry survey, and will give participants an opportunity to provide input to the PSTG Agile conversation.


Moderators
avatar for Lorrie Scardino

Lorrie Scardino

Managing Director, Blue Tack Consulting, Private Sector Technology Group, Board Chair
Lorrie Scardino, Managing Director at Blue Tack Consulting, is the Private Sector Technology Group (PSTG) Board Chair. The PSTG is a consortium of HHS companies that use a consensus-based process to provide input to critical issues of the day. The group researches and analyzes topics... Read More →

Speakers
avatar for Joshua Slen

Joshua Slen

President, Health System Transformation, LLC, Private Sector Technology Group, Past Chair
Joshua Slen has 28 years of experience working directly for and with state governments. He is a nationally known health policy expert, responsible for designing and implementing statewide health system improvements. Over his career Joshua has delivered strategic support for population-based... Read More →
avatar for Dave Rice

Dave Rice

Director of IT Architecture, Magellan Rx, Private Sector Technology Group, Agile Committee Co-chair
Dave Rice is a Director of IT Architecture at Magellan Rx, where he has managed the technical aspects of multiple successful MECT 2.x certifications and Pharmacy Benefits Management (PBM) implementations.  He also led Magellan’s most recent MITA Vendor Self-Assessment and played... Read More →
avatar for Debbie Lemmon

Debbie Lemmon

Manager, First Data Government Solutions, Private Sector Technology Group, Agile Committee Co-chair
Debbie Lemmon, PMP, CLSSGB, ITIL, is a Manager with First Data working on Independent Verification and Validation (IV&V) projects for state governments. She has over 20 years of experience with program/project management, software and system development, meeting facilitation, stakeholder... Read More →


Monday March 18, 2019 3:00pm - 4:30pm
Key Ballroom 12 (2nd Floor)

3:00pm

Track 1 (Workshop): Leveraging Cloud, Integration & Agile Development for HHS Transformation
States are looking to reduce reliance on ‘big bang’ implementations in line with CMS’ guidance on leveraging more modular modernization strategies in order to reduce costs and to enable the IT organization to be more responsive to citizen needs and programmatic outcomes. In order for states to meet with these objectives, they are increasingly looking to agile implementation principles that leverage integration and cloud platforms. Join this workshop to understand state experiences in adopting these models and from vendors who are partnering with states in supporting the transition from both a technology and organizational change management perspective.


Panelist questions will include:
1 -What are some of the most important business drivers in making the decision to embark on this trajectory?
2 -In terms of lessons learned, readiness assessments, what are some of the considerations states should be thinking about when transitioning to this approach?
3 -What capabilities can vendors bring to state teams as partners on these efforts?
4 - What are the major impacts of organizational change management? How is this impacting skillset, HR requirements?
5 - What’s the role of procurement in fulfilling this vision, how have states evolved explored evolving procurement processes?

Moderators
avatar for Jeff Leintz

Jeff Leintz

Client Executive, Healthcare and Human Services Practice, CSG Government Solutions
Jeff Leintz is a Client Executive in CSG's Healthcare and Human Services practice. He has 20 years of experience in information systems and is a PMI-certified Project Management Professional. Jeff has significant business and technological experience with systems integration and implementation... Read More →

Speakers
MJ

Mark J. Combs

Chief Technology Officer, State of Vermont
Mark has 25 years of IT industry experience, including key contributor roles at IBM, EMC, and several successful Boston-area startups.  Prior to joining the State of Vermont in 2017;  Mark spent four years as an enterprise architect for Blue Cross Blue Shield of Vermont and six... Read More →
avatar for Mark Allen

Mark Allen

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

Casey Burns

HHS State & Local Lead, Amazon Web Services
Casey 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 health and human services (HHS) team, working with HHS agencies across the country to use technology... Read More →
avatar for Jon Cain

Jon Cain

Interim CIO, OIS, WV DHHR
Jon Cain has seventeen years of combined private and government information technology experience. Of those seventeen years, eight of them have been focused on delivering successful health and human technology-focused solutions. He has several reputable industry-recognized certifications... Read More →
avatar for Tony Lynn

Tony Lynn

Director of Engineering, Change Healthcare
Tony Lynn is an accomplished senior technology leader offering over 20 years of demonstrated career success building world-class technology environments and teams. His high-performance solutions were developed in rapid-growth industries. He is skilled in all phases of the project... Read More →
avatar for Chandra Moss

Chandra Moss

Principal Consultant, CSG Government Solutions
Chandra is a Senior Project Manager within CSG Government Solutions’ Healthcare and Human Services practice. She has a proven track-record leading extremely complex multi-million-dollar system implementations and data center installations for public and private organizations around... Read More →


Monday March 18, 2019 3:00pm - 4:30pm
Key Ballroom 11 (2nd Floor)

3:00pm

Track 2 (Workshop): ONC Policy Update
Speakers
avatar for John Rancourt

John Rancourt

Director, Interoperability Division, Office of Policy, ONC/HHS
John Rancourt is the Director, Interoperability Division, Office of Policy, Office of the National Coordinator for Health Information Technology (ONC), U.S. Department of Health and Human Services.The Interoperability Division supports health IT policy implementation through such... Read More →
avatar for Zoe Barber

Zoe Barber

Senior Policy Advisor, ONC/HHS
Zoe Barber is a Senior Policy Advisor in the Office of Policy at the Office of the National Coordinator for Health Information Technology (ONC). In this role, Zoe leads ONC’s work on the Trusted Exchange Framework and the Common Agreement (TEFCA), as directed by the 21st Century... Read More →


Monday March 18, 2019 3:00pm - 4:30pm
Key Ballroom 10 (2nd Floor)

3:00pm

Track 3 (Workshop): Data Governance and the Next Steps for State Health and Human Service Agencies
Many state health and human service agencies continue to grapple with how to best manage the vast and daily influx of data. Managing data on the scale of a state agency is an onerous task and concerns around data availability, usability, integrity, and security are compounded when there is limited governance around data. The first step in moving state agencies towards a more proactive, data-driven environment with the ability to support predictive analytics is by creating an enterprise-wide data governance organization.

Implementing a data governance organization initiates a shift in how an organization utilizes and optimizes data by breaking down data and communication silos, enabling the pursuit of population health analytics and business intelligence tools, and paving the way for Master Data Management (MDM), Master Client Index (MCI), and Master Provider Directory (MPD). Myers and Stauffer will discuss the benefits of data governance and what are the next steps after implementing a new data governance organization.


Speakers
avatar for Valerie Hoffman

Valerie Hoffman

DHHS Chief IT Manager, Nevada Dept. of Health and Human Services
Valerie Hoffman is the Nevada Dept. of Health and Human Service’s Chief Information TechnologyManager/Chief Information Security Officer as well as the Nevada Health IT Coordinator. Valerie has over 20+ years of government IT experience and joined the department in 2015 working... Read More →
avatar for Kelly Gonzalez

Kelly Gonzalez

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

Manager, Myers and Stauffer
Mr. Griscom is a manager and team lead within the health IT practice area. He supports health IT planning and evaluation, data governance initiatives, and business process engineering needed for various Medicaid and public health projects and operations. Previously he worked for the... Read More →


Monday March 18, 2019 3:00pm - 4:30pm
Key Ballroom 9 (2nd Floor)

3:00pm

Track 6 (Workshop): Building an eCQM Solution for the Next Generation of Medicaid
Three of Colorado's clinical health data organizations have partnered with Colorado SIM to enable aggregation, consolidation, and sharing of clinical quality measure (CQM) data across the state of Colorado. The funding and oversight for the project is being provided by SIM, a federally funded, Governor's Office initiative, that is helping hundreds of primary care practices and four community mental health centers integrate behavioral and physical health and learn how to succeed with alternative payment models.

This partnership is the first collaboration of its kind to leverage blockchain for HIPAA-compliant data aggregation and reporting in the state of Colorado. The blockchain based solution allows the HIE partners to each maintain direct control over their respective data assets while enabling the consolidation and contextualization needed to report electronic CQMs for SIM. The solution operates as a test case for Colorado's APM model which is currently being planned.

Speakers
avatar for Sanjai Natesan

Sanjai Natesan

SIM HIT Program Advisor, SIM - Colorado HCPF
Sanjai is currently the Colorado State Innovation Model’s (SIM) HIT Program advisor where he has been overseeing all aspects of the SIM HIT. Prior to SIM Sanjai as an entrepreneur successfully architected and licensed Health benefit exchange applications and decision support tools... Read More →
avatar for Micah Jones

Micah Jones

Medical Health IT Coordinator, Colorado Department of Healthcare Policy and Financing
Micah is the Colorado Medicaid’s Health IT Coordinator. In this role, Micah has oversight of theMedicaid EHR Incentive Program and Medicaid’s health IT projects. He also serves as Colorado Medicaid’s SME on electronic health records and electronic health information exchange... Read More →
JZ

Jed Ziegenhagen

Deputy Medicaid Director for Long-Term Services and Supports, State of Colorado
avatar for Kate Horle

Kate Horle

Director of State Initiatives, Colorado Regional Health Information Exchange (CORHIO)
Kate has a comprehensive, varied business background with a focus on general business operations,communications, and public policy. She is a creative strategic planner and negotiator and has beenresponsible for positive financial outcomes in both the private and non-profit sectors... Read More →


Monday March 18, 2019 3:00pm - 5:00pm
Tubman A & B (3rd Floor)

5:00pm

HHS & HIE Networking Reception (RSVP Required)
A Meet & Greet Networking Event for HIE Attendees to connect with their State Medicaid, HHS counterparts. Federal attendees are also invited.

Hilton Baltimore Inner Harbor
CASH BAR | Light hor d’oeuvres

RSVP>> Required by NO LATER than March 11, 2019:








Monday March 18, 2019 5:00pm - 7:00pm
Lobby Bar, Hilton (1st Floor)
 
Tuesday, March 19
 

7:30am

Tuesday, March 19th - DAY 1: Registration Opens
Tuesday March 19, 2019 7:30am - 8:30am

8:40am

8:45am

General Session: Timely, Accurate and Complete…..Investing in Outcomes
Speakers
avatar for Julie Boughn

Julie Boughn

Director, Data and Systems Group, CMS/Center for Medicaid & CHIP Services
Julie Boughn is Director of the Data and Systems Group as of April 30, 2018.  She comes to us from Audacious Inquiry, LLC, a Maryland-based health information policy and technology company.  Julie has 30+ years of experience in the operations, data and information technologies supporting... Read More →


Tuesday March 19, 2019 8:45am - 9:45am
Key Ballroom 7-8 (2nd Floor)

9:45am

10:45am

Plenary Sessions (*Tracks 1-6, as below)
Tuesday March 19, 2019 10:45am - 11:45am

10:45am

Track 1: PLENARY: Evolving MES Procurement to Support Modular, Agile Implementations that are Accountable to Program Objectives
MES procurements are transitioning towards modular, agile procurements that are more responsive to programmatic goals and outcomes. States recognize that there is significant opportunity to evolve procurement methodologies to better support this transition, whilst at the same time meeting with federal certification and approval requirements. Join this panel and better understand evolving state and vendor approaches in this new landscape as well as to explore the potential role of cooperative purchasing models.

Speakers
avatar for Edward Dolly

Edward Dolly

Acting Director, Division of State Systems, CMCS/CMS
Edward Dolly is the Acting 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... Read More →
avatar for John Crouse

John Crouse

Vice President of Health Services, Maximus
John Crouse is Vice President of Health Services for MAXIMUS. John has over 30 years of experience in International, Federal, and State health and human services programs. His experience includes Medicaid systems and operations, pharmacy benefits management (PBM), recipient and provider... Read More →
avatar for Lisa Eason

Lisa Eason

Deputy Commissioner, State Purchasing Division, Georgia Department of Administrative Services
Lisa is the Deputy Commissioner of the State Purchasing Division at the Georgia Department of Administrative Services. She is responsible for the administration of the State’s purchasing card program, the sourcing division which includes the Goods, Services and IT, Contract Management... Read More →
avatar for Dugan Petty

Dugan Petty

Education & Outreach, NASPO (National Association of State Procurement Officials) Value Point
Dugan Petty – Is a NASPO ValuePoint part-time Cooperative Contract Coordinator for Information and Communication Technology. He is also a Senior Fellow with the Governing Institute and the Center for Digital Government.During his time ValuePoint, he has been instrumental in the... Read More →
TM

Tisha McGowan

PMO Manager, Missouri HealthNet
Tisha is a certified project manager with an extensive Medicaid background.  She was involved with the HIPAA standard transaction implementation and the transition to NCPDP D.0.  In addition to 20+ years of Medicaid experience, she is also a certified pharmacy technician with retail... Read More →
avatar for Tim Peterson

Tim Peterson

MPATH Project Manager, Montana Department of Public Health and Human Services
Tim has over 20 years of experience implementing state government systems, including end-to-end management of the entire software development lifecycle from contract negotiations and project initiation, through implementation, certification, and post-production operations. For the... Read More →


Tuesday March 19, 2019 10:45am - 11:45am
Key Ballroom 12 (2nd Floor)

10:45am

Track 2: PLENARY - Accelerating the interoperability of value-based care (VBC) data across the care continuum
From health systems to clinicians to health plans to vendors, from New York to Washington D.C. to industry collaborations, from right-now progress to near-term 2020 expectations of “open APIs”:  hear about the standards-based efforts of industry leaders engaged in meeting the challenges of value-based care.
 
Hear about the challenges, the opportunities and updates on the variety of industry stakeholders who are having success and making progress on data access and health information exchange – to support value-based care.
 
In February HHS announced proposed new rules to improve the interoperability of electronic health information. In support of patient-centered healthcare, the proposed CMS and ONC rules focus on open API standards (HL7 FHIR) and are anticipated to require health care providers and plans to implement open data sharing technologies to support transitions of care, provide easy access to electronic health information, and reduce provider burden, as basis for giving clinicians more time to focus on improving care.
 
Hear from several healthcare leaders who are accelerating interoperability in the organizations they support. This panel discussion will focus on:
 
  • What standard-based open APIs (HL7 FHIR) and who are the industry collaborations focused on accelerating interoperability
  • benefits and challenges of adapting health information exchange solutions to support value-based payment initiatives
  • Updates on the DSRIP Efforts in New York  encompasses providers, payers, and an all-payer database initiative
  • Tales from the Front on the status and progress of the New York All-Payer Database, as a resource to support data analyses on health care trends and improvement opportunities
  • Overview and status of the ONC FHIR At Scale Taskforce and the HL7 Da Vinci Project



Speakers
avatar for Chase McCaleb

Chase McCaleb

Senior Director of Population Health and Clinical Informatics, Bronx-Lebanon Hospital Center
Chase McCaleb is the Senior Director of Population Health and Clinical Informatics for BronxCare Health System. In this position he supports the health system’s transition to value based care contracts by developing a population health management program enabled by EHR development... Read More →
BD

Bob Dieterle

CEO Enablecare, Program Management Office member, HL7 Da Vinci Project
avatar for Lenel James

Lenel James

Business Lead – Health Information Exchange (Co-Chair HL7 Payer User Group), Blue Cross Blue Shield Association
Lenel has over thirty-five years of experience in management, systems consulting, and standards development – and over 25 years of focused experience in the healthcare industry & 5 years of engagement in health equity.   Lenel is a Business Lead for Health Information Exchange... Read More →
avatar for Josh Klemm

Josh Klemm

Assistant Director of the Bureau of the APD, Division of Information and Statistics, New York State Department of Health
avatar for Kathryn Miller

Kathryn Miller

Director Population Health, BRONX RHIO
Kathryn Miller is Director of Population Health for the Bronx Regional Health Information Organization (RHIO). She joined the RHIO in 2012 to lead the creation of the Bronx RHIO Informatics Center (BRIC), funded by a CMS Innovation Award contract, which piloted the use of proactively... Read More →


Tuesday March 19, 2019 10:45am - 11:45am
Key Ballroom 11 (2nd Floor)

10:45am

Track 3: PLENARY - Community Engagement: Improving Outcomes through Advancing Person Centered Data Design
Presenters will introduce leading state and local community engagement projects and how interoperability and patient-centered data design are helping care teams better serve communities with complex social, economic and clinical needs. Federal representatives will provide a national perspective on the LTSS, HCBS space, updates on important standards development work, technical assistance resources and consensus building on quality measures. The session will also highlight the opportunity for vendor engagement in a growing but relatively immature HIT segment with huge potential for social impact.

Speakers
avatar for Shawn Terrell

Shawn Terrell

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

Director of Business Intelligence & Shared Analytics, Connecticut Department of Social Services
avatar for Abigail Fallen

Abigail Fallen

Senior Program Manager, HIE & Data Security, Camden Coalition of Providers
Abigail serves as the Associate Director of Compliance and Operations for the Camden Coalition of Healthcare Providers. For the past 6 years she has been responsible for overseeing the Coalition's regional Health Information Exchange (HIE).  Abigail is responsible for the governance... Read More →
AN

Arun Nararajan

Senior Policy Analyst, ONC/HHS
avatar for Liz Palena-Hall

Liz Palena-Hall

Long-Term and Post-Acute Care Coordinator, ONC/HHS
Liz Palena Hall is the Long-Term and Post-Acute Care (LTPAC) Coordinator in the Office of Policy atthe Office of the National Coordinator for Health Information Technology (ONC). In this role, Liz isleading efforts to advance health IT adoption and interoperability across the care... Read More →


Tuesday March 19, 2019 10:45am - 11:45am
Key Ballroom 10 (2nd Floor)

10:45am

Track 4: PLENARY: An Approach for Addressing Emerging Threats with Limited Security Resources
The black market value of medical data continues to rise, creating new threats for the stewards of this data. In this session, we will demonstrate how real these threats are, and provide tangible recommendations on how to strengthen security programs and utilize resources to better detect and respond to growing threats and targeted attacks.

Speakers
avatar for Dennis Leber

Dennis Leber

CISO, Kentucky Cabinet Cabinet for Health & Family Services
Dennis is a proud Kentuckian, Father, Husband, Grand Father, and Veteran. Dennis started his Information Security career in the Military and has worked in the Automotive, Healthcare, Federal Government, and Finance Industries as an Information Security Leader. Dennis currently serves... Read More →
avatar for Pyreddy Reddy

Pyreddy Reddy

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

Adam Kehler

Principal Consultant - Risk, Security, and Privacy, Online Business Systems
Adam has over 20 years’ experience in technology including 8 years performing consulting services in Health Information Privacy and Security. Adam holds CISSP and Certified Ethical Hacker (CEH) certifications and has conducted hundreds of Health Information Security Risk Assessments... Read More →
avatar for Melissa Erikson

Melissa Erikson

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

Rob Harvey

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


Tuesday March 19, 2019 10:45am - 11:45am
Key Ballroom 9 (2nd Floor)

10:45am

Track 5: PLENARY - Addressing SDoH via waivers and collaboration with Medicaid Health Plans
Speakers
KC

Kelly Crosbie

Deputy Director, Quality and Population Health, NC Department of Health and Human Services
AS

Alex Shekhdar

Consultant, (Previously VP Policy, MHPA)
avatar for Ellen Harrison

Ellen Harrison

Vice President, Market Strategy and Consulting, HMS
Ellen Harrison is Vice President, Market Strategy and Consulting for HMS. She brings more than 20 years’ experience in strategic planning, managed care operations and consulting experience. HMS provides a broad range of coordination of benefits, payment integrity, care management... Read More →
avatar for Ann Oshel

Ann Oshel

SVP Community Relations, Alliance Behavioral Healthcare
Ann has a Masters of Science degree in Marriage and Family Therapy from the University of Kentucky. She has almost 30 years of experience working in community based mental health and leadership. She is currently the Sr VP of Community Health and Well-Being for Alliance Health where... Read More →
avatar for Shane Owens

Shane Owens

Health IT Design Lead Socio-Technical Systems Division, Georgia Tech Research Institute
Mr. Shane Owens is a health IT and health technology researcher/designer with expertise in user centered design for the purposes of evaluating and designing technologies. He has been involved in several projects related to the design and evaluation of health IT and health technologies... Read More →


Tuesday March 19, 2019 10:45am - 11:45am
Tubman A & B (3rd Floor)

10:45am

Track 6: PLENARY - Emerging Technologies in Healthcare, Implications for HHS Transformation
Speakers
AA

Adimika Arthur

Executive Director, HealthTech for Medicaid (HT4M)
avatar for Andrea Danes

Andrea Danes

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

Kishor Bagul

Executive Consultant, NYS DOH


Tuesday March 19, 2019 10:45am - 11:45am
Paca (3rd Floor)

11:50am

12:30pm

Lunchtime Keynote: Empowering Citizens via Sustainable Health Data Ecosystems
Our nation's state and local health IT leaders face the challenge of delivering customer-focused results while dealing with pressure to optimize resources. Each year, leaders feel the imperative to develop strategic roadmaps that leverage artificial intelligence and machine learning, natural language processing, and virtual tools to augment and scale the effectiveness of their teams. While new technologies have the potential to spur ground-breaking programs, such progressive leaps remain elusive for many organizations. A critical success factor is to establish re-enforcing approaches that leverage existing data and incorporate citizen feedback to fuel program innovation. In this session, Taha Kass-Hout, a senior leader at Amazon focusing on healthcare and AI-related initiatives, will share his vision for a citizen-centered future when it comes to big data and digital health. He will bring insights from his track record in public service pioneering digital health, big data, open science, crowdsourcing, and cloud, and outline a vision for health IT leaders can build a citizen-centered future powered by big data and digital health technologies.

Moderators
avatar for Susan Dentzer

Susan Dentzer

Appointed Visiting Fellow, Duke-Margolis Center for Health Policy
A health policy expert and top-rated editor and journalist, Dentzer served as editor-in-chief of the policy journal Health Affairs from 2008 to 2013, and was an award-winning on-air Health Correspondent for the PBS NewsHour for a decade. She is the editor and lead author of the book... Read More →

Speakers
avatar for Taha Kass-Hout, MD, MS

Taha Kass-Hout, MD, MS

Senior Leader Health Care and Artificial Intelligence, Amazon
Taha A. Kass-Hout, MD, MS is a senior leader at Amazon focusing on health care and AI-related initiatives, including Amazon Comprehend Medical. The expansion of AWS Comprehend into medicine is the first health care-specific machine learning service offered by AWS. Taha has a successful track record over the past two decades pioneering in health care and life sciences, digital health, big data, open science, precision medicine... Read More →


Tuesday March 19, 2019 12:30pm - 1:15pm
Key Ballroom 7-8 (2nd Floor)

1:15pm

15 Minute Short Break
Tuesday March 19, 2019 1:15pm - 1:30pm

1:30pm

Vendor Opportunities in Medicaid Modernization (Vendor Attendees ONLY)
More than 30 states will embark on a journey to modernize their Medicaid Enterprise System (MES) before 2023. This represents a tremendous opportunity for new and legacy vendors. It is imperative to understand the landscape including which states will modernize and how to determine where they are in the process, how states staff and procure projects, the role CMS plays in both oversight and funding, and what the competitive landscape looks like today. Join industry experts as they explore these topics and more, including how to keep up with activities moving forward. Regardless of whether you have been around for years or are just getting started if you are a vendor in the MES space this session is for you!

Speakers
avatar for Lorrie Scardino

Lorrie Scardino

Managing Director, Blue Tack Consulting, Private Sector Technology Group, Board Chair
Lorrie Scardino, Managing Director at Blue Tack Consulting, is the Private Sector Technology Group (PSTG) Board Chair. The PSTG is a consortium of HHS companies that use a consensus-based process to provide input to critical issues of the day. The group researches and analyzes topics... Read More →
avatar for Andrea Danes

Andrea Danes

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


Tuesday March 19, 2019 1:30pm - 2:15pm
Key Ballroom 7-8 (2nd Floor)

1:30pm

1:30pm

MTI Roundtable 1 (Non-Vendor Attendees ONLY): MCO Contracting to Drive Health Information Technology Adoption and Improve Population Health Outcomes
During this highly interactive roundtable, participants will hear and share practical advice on driving HIT adoption and improving population health outcomes through MCO contracting. MCO contracting is evolving to require improvements in health outcomes which are often linked to value-based contracting strategies. A key component to improving health outcomes includes having timely, accurate, and complete information available at the point of care. This information includes traditional health information but increasingly includes information related to social determinants of health which stand to greatly impact overall health.



Speakers
avatar for Jared Duzan, CFE

Jared Duzan, CFE

Principal, Myers and Stauffer
For more than 21 years at Myers and Stauffer, Jared has provided rate setting, auditing, and consulting services to state Medicaid agencies and the Centers for Medicare and Medicaid Services (CMS). Jared’s experience includes quality and efficiency studies, reimbursement system... Read More →
avatar for Kelly Gonzalez

Kelly Gonzalez

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

Megan Wyatt

Senior Manager, Myers and Stauffer
Ms. Wyatt has experience in state government in the areas of policy and fiscal analysis, program management and oversight, budgeting, and contract review. She has extensive knowledge of Medicaid in the area of managed care and provider reimbursement including Medicaid managed care... Read More →


Tuesday March 19, 2019 1:30pm - 2:30pm
Chase (3rd Floor)

1:30pm

MTI Roundtable 2 (Non-Vendor Attendees ONLY): How Technology and Legislative Efforts Intersect to Address the Evolving Opioid Epidemic: Best Practices for Interoperability, Integrated Workflow, and Clinical Design
Appriss Health is a responsible leader that has built a nationwide ecosystem of solutions, EHR and pharmacy management system partners, government organizations, hospitals and health systems, pharmacies, HIEs, and others to help make a difference by widely deploying dynamic technologies and capabilities to address the evolving opioid epidemic.

Join this session to understand best practices for interoperability, integrations, and clinical design from the nation’s leading provider of comprehensive substance use disorder solutions. The results of our experience in building the infrastructure for PDMPs, clinical workflow integrations, interstate data- sharing, advanced analytics for clinical decision support and more have enabled us to continue our commitment to HIT impact and innovation. Learn how we aligned with current legislative and government agency efforts to support the path forward, and have proven solutions for patient management and treatment ready to be rapidly deployed today, to attack the complex opioid problem plaguing our communities. Sharing #knowledgeforgood.


Speakers
avatar for Brad Bauer

Brad Bauer

Senior Vice President, Appriss Health
Brad Bauer brings over 28 years of professional experience working within commercial and government healthcare and strategic partner markets. Brad’s background also includes over 21 years of experience working within Healthcare Information Technology solutions to help access and... Read More →


Tuesday March 19, 2019 1:30pm - 2:30pm
Stone (3rd Floor)

1:30pm

MTI Roundtable 3 (Non-Vendor Attendees ONLY): Advanced Analytics with Tableau
All too often, when working with data, analysts tend to engage with what’s available, what they can readily get their hands on, what’s easy to prepare, and yet they still spend hours preparing their data and ultimately end up with tabular output that mildly resembles their favorite spreadsheet. Even then, the actual analytics that are performed on the data are minimal, since the time left after data preparation is typically just enough to count things up a few different ways.

Enter the Tableau Platform, which empowers the analytical life cycle visually from the point of acquiring and cleaning data all the way to every single employing asking natural language questions directly of their data at their desktop, and the landscape changes. The time available in the workflow opens up to actually think about secondary and tertiary use cases that are supporting and supported by the data you work with every single day. The time opens up to allow you to think about working with your data much more algorithmically, in the sense of advanced analytics methodologies, such as supervised learning, association rules modeling, and true outlier detection.

Tableau is the gold standard analytical application and the platform that opens doors, opens minds, and opens pathways to identifying new and creative ways to solving the most challenging business problems in State and Local Government.


Speakers
avatar for Dave Kopniske

Dave Kopniske

Senior Manager, Tableau


Tuesday March 19, 2019 1:30pm - 2:30pm
Hopkins (3rd Floor)

1:30pm

MTI Roundtable 4 (Non-Vendor Attendees ONLY): Modular Transformation and Data Integration: What are the Challenges?
With the transformation of legacy HHS systems into modern applications that adopt an increasingly modular approach, data integration challenges loom large for most enterprises. As old data exchanges and processes are retired, new and inventive strategies must be employed in order to maintain system and data integrity.
Attendees to this session will have the opportunity to discuss their challenges, and hear practical, real-life solutions on how a couple of states have implemented innovative approaches.


Speakers
avatar for Stephen Timmons

Stephen Timmons

Director of Solution Sales, eSystems Inc.
Steve Timmons is currently Director of Solution Sales for eSystems’ Public Sector Practice. With more than twenty years’ experience in the Public Sector, Steve has worked with legislators, governors, state CIOs and agency executive directors, and lobbyists effectively across many... Read More →
KF

Kevin Flanagan

Public Sector Marketing Manager, Salesforce
Kevin Flanagan is an Industry Marketing Manager focused on Healthcare and Public Sector at MuleSoft, a subsidiary of Salesforce. MuleSoft is an open source connectivity platform that empowers IT to rapidly design, develop, and manage APIs and integrations on-premises or in the cloud... Read More →


Tuesday March 19, 2019 1:30pm - 2:30pm
Tilghman (3rd Floor)

1:30pm

MTI Roundtable 5 (Non-Vendor Attendees ONLY): Demonstrating the value of shared state HIT systems to achieve sustainability: RI’s statewide clinical quality measurement system.
Often the cost savings and buying power of statewide HIT systems seem logical from the beginning, but reaching sustainability requires a demonstration of value to garner commitment. Discuss how RI is partnering with the community to build a shared service for clinical quality measures with vendor IMAT Solutions, and the efforts to navigate the tenuous path to long term sustainability.

Speakers
avatar for Mark Coetzer

Mark Coetzer

Program Director, IMAT Solutions
Mark has more than 20 years of technology related experience working in a variety of fortune 100 industries. Most recent career contributions have been in the healthcare and life sciences verticals. At IMAT Solutions, Mark is program director managing client implementations and support... Read More →
avatar for Melissa Lauer

Melissa Lauer

Health Information Technology Specialist, Rhode Island Executive Office of Health and Human Services
Melissa currently serves as the Health Information Technology Specialist for the RI Executive Office of Health and Human Services on HIT projects within the Rhode Island State Innovation Model grant and the Medicaid HITECH IAPD. She has worked for the State of Rhode Island since 2014... Read More →


Tuesday March 19, 2019 1:30pm - 2:30pm
Carroll A (3rd Floor)

1:30pm

MTI Roundtable 6 (Non-Vendor Attendees ONLY): Best Practices in State Based Marketplace/Medicaid Eligibility Determination
During this session, we’ll explore:
  • how close collaboration between Medicaid departments and the Exchanges can lead to better outcomes for consumers, including both Medicaid and APTC-eligible populations;
  • the evolution of exchange eligibility determination from the single streamlined application/subsidized and unsubsidized flows to leveraging Exchange owned MAGI eligibility mechanism and Account Transfer BSD standard to determine eligibility and pass applicants between Exchange and State Medicaid department systems; and
  • best practices from State-Based Marketplace States such as NV, CO, MD, CA, MN, and ID, as well as the future of eligibility determination.

Speakers
avatar for Venkat Koshanam

Venkat Koshanam

CIO, Maryland Health Benefit Exchange
Venkat Koshanam is the CIO for the Maryland Health Benefit Exchange (MHBE), the state’s health insurance marketplace (HIX) under the Affordable Care Act (ACA) of 2010. Mr. Koshanam oversees all technology for the organization, including online and mobile marketplaces, customer support... Read More →
avatar for Ryan High

Ryan High

Chief Operations Officer, Nevada Health Link
Ryan High joined the Silver State Health Insurance Exchange as the Chief Operations Officer in October of 2016. Ryan came to the Exchange after two years at the City of Reno working on strategic initiatives and performance measures in the city manager’s office. Prior to the City... Read More →
avatar for Russell Cook

Russell Cook

Information Systems Manager, Nevada Health Link
Russell Cook joined the Silver State Health Insurance Exchange in July 2016 as the Information Systems Manager, bringing over eight years of IT experience with the State of Nevada. He attended Carson High School in Carson City, NV, and he received his Bachelor’s Degree in Music... Read More →
avatar for Kelly Guthner

Kelly Guthner

Chief Innovation Officer, Connect for Health Colorado
Kelly Guthner is a seasoned IT executive with 35 years of experience and has served as Chief Innovation Officer for Connect for Health Colorado since early 2018. During his tenure with Connect of Health Colorado, he has overseen implementation of an entirely new application system... Read More →
JK

Jess Kahn

Senior Expert, McKinsey
avatar for Shankar Srinivasan

Shankar Srinivasan

Co-Founder & COO, GetInsured
Shankar is the co-founder of GetInsured and leads the company’s product management. He served as GetInsured’s COO/CTO for the past decade, leading the technical team in developing and implementing health exchange solutions for the private market, and more recently for four state... Read More →


Tuesday March 19, 2019 1:30pm - 2:30pm
Carroll B (3rd Floor)

1:30pm

MTI Roundtable 7 (Non-Vendor Attendees ONLY): Taming the MPI Management Dragon
With the average rate of identity duplication hovering around 12%, and the known cost to reconcile a single pair of duplicate records approximating $1,000, the problem of identity matching is becoming one of the top challenges faced by modern health care institutions worldwide.

Learn from this esteemed panel of participants on how to tackle identity management with a revolutionary Big Data Master Data Management approach. The panel will collaborate on how to effectively manage the explosive growth of data sources and data types while assigning a proven Universal Patient ID to each identity with 100% matching accuracy – every time. Big Data MPI management is achieved regardless of the data source or types being ingested by the healthcare organization. Don’t let the MPI dragon get you down!


Speakers
avatar for Jamie Bland

Jamie Bland

CEO, Nebraska Health Information Initiative (NEHII)
Jamie Bland, DNP, RN-BC, is CEO of Nebraska Health Information Initiative (NEHII). Prior to joining NEHII, she worked with a provider organization as Chief Clinical Officer and at the VA Midwest Region office in Eagan, MN as the PCMH and health promotion disease prevention program... Read More →
avatar for Gregory Church

Gregory Church

President, 4medica, Inc.
Mr. Church brings to 4medica a rare combination of business acumen, senior leadership, operational and strategic marketing experience. He began his career with a consumer-facing healthcare provider referral company in Boulder, CO where he quickly moved up the ranks from managing corporate... Read More →


Tuesday March 19, 2019 1:30pm - 2:30pm
Key Ballroom 12 (2nd Floor)

1:30pm

MTI Roundtable 8 (Non-Vendor Attendees ONLY): Driving Modularity and Interoperability with a Platform-based Approach to MMIS
Traditional approaches to large-scale MMIS systems no longer work.  Custom developed applications are too inflexible built on an aging technology stack, while Commercial-Off-The-Shelf (COTS) applications and modules sit on fragile platforms, too rigid to change or integrate.  Both force the business to change to adapt to technology, rather than adapting the technology to the business.
These approaches run counter to concepts of modularity and interoperability – how can you connect disparate technologies when they weren’t designed to operate with other technologies or within your legacy environment? What if, instead, MMIS modules were built in a single platform, reusable across modules and applications with everything needed to develop enterprise applications – case management, business process management, integrations, rules, etc. – sat in a single platform, reusable across modules and applications? What if all development was done in low or no code –making it easy to change quickly and connect? Discuss how modern development platforms offer an alternative. How can these platforms enable faster, flexible modular system configuration? Meet with thought leaders across the technology transformation spectrum— program experts, experienced integrators, and proven technology innovators— to discuss the pros and cons of using a platform based approach for your Medicaid systems.

Speakers
avatar for Tiffany Blair

Tiffany Blair

Director, Health and Human Services, Pegasystems
Tiffany Blair is the Director of State and Local Government solutions for Pegasystems’ Public Sector business line, where she is responsible for the formation and execution of Pega’s industry strategy in the Health and Human Services sector.  Tiffany has 18+ years of government... Read More →
VK

Vinay Koneru

Technology Solutions Manager, Public Sector and Healthcare, Conduent Inc.
Vinay has over 25 years of experience across multiple domains.  Over the years he has been responsible for designing and delivering enterprise data and analytics strategies and solutions in healthcare and telecommunication industries.  He led innovation and continuous improvement... Read More →


Tuesday March 19, 2019 1:30pm - 2:30pm
Key Ballroom 11 (2nd Floor)

2:30pm

Short Break
Tuesday March 19, 2019 2:30pm - 2:45pm

2:45pm

Industry Breakout Sessions
Tuesday March 19, 2019 2:45pm - 3:45pm

2:45pm

Track 1: INDUSTRY SESSION - Addressing security in a modular environment
As interoperability advances through modern Medicaid enterprise systems (MES), it is critical to have a clear security and privacy strategy and framework to support modules and the integration of those modules. Deloitte will share its experiences to date in Medicaid modular implementations and how starting early and collaborating with the various modules is critical to the overall success of state MES projects.

Speakers
avatar for Dipak Modi

Dipak Modi

Senior Manager, Deloitte & Touche LLP
Dipak Modi is a Senior Manager in Deloitte’s Risk and Financial Advisory Cyber Risk Services practice with 14 years of experience in the information technology and cyber security sector. Over the past eight years, he has focused on delivering a range of security services to health... Read More →
avatar for Todd Glanzer

Todd Glanzer

Senior Manager, Deloitte & Touche LLP
Todd Glanzer is a Senior Manager in Deloitte’s Risk and Financial Advisory Cyber Risk Services practice. He has more than 25 years of leadership experience in cybersecurity operations across demanding technology environments. In the Government and Public Services sector, Todd helps... Read More →


Tuesday March 19, 2019 2:45pm - 3:45pm
Key Ballroom 12 (2nd Floor)

2:45pm

Track 2: INDUSTRY SESSION - Moving Beyond “Health Care” to Address the Social Determinants of Health: How States Use Analytics to Gain a Broad View of Social Services and are Improving Outcomes
Public agencies are starting to scratch the surface on how to improve outcomes and maintain overall health by addressing the broader social needs of individuals. Collectively, these are often called social determinants of health (SDOH), and they include basic needs such as access to housing, utilities, transportation, education, food, employment, and more. As states increasingly integrate programs, systems, and the supporting data, they are making strides in improving community health and outcomes by viewing the broader needs of individuals through the lens of social determinants.

This panel discussion session will feature state agency professionals who are applying social determinants in various ways. We will discuss their approach, why they’re doing it, and how they’re proceeding, as well as the hurdles, and the efforts to overcome them. We will focus on the integration of data and use of analytics, and how these leaders are implementing a “culture of analytics” to determine the effectiveness of services they provide and to improve the health of their citizens.

Moderators
avatar for Scott Dunn

Scott Dunn

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

Speakers
avatar for Cynthia Green-Edwards

Cynthia Green-Edwards

Chief Compliance Officer, Michigan Dept. of Health and Human Services
Chief Compliance Officer, Michigan Department of Health and Human Services (MDHHS). Cynthia is the designated Privacy Officer and Security Officer responsible for ensuring MDHHS compliance with applicable local, state, federal laws and regulations, third-party guidelines, and internal... 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 Andrew Cone

Andrew Cone

SVP, State Government Solutions, Optum
Andrew Cone leads solution and business development/strategy for Optum State Government. His experience spans the health spectrum, including commercial, government (Medicare and Medicaid), payer, provider, and pharmacy benefit services. A graduate of Hamline University in St. Paul... Read More →


Tuesday March 19, 2019 2:45pm - 3:45pm
Key Ballroom 11 (2nd Floor)

2:45pm

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 James Lilly

James Lilly

Deputy CIO, HHS 2020 Project Director - New Mexico
James Lilly is the Deputy CIO, HHS 2020 Project Director New Mexico. With 20 years of experience as a Technical Architect and Project Manager focused on large enterprise software development and implementation efforts in the Utility, Advertising, and Health Care arenas.  A native... Read More →


Tuesday March 19, 2019 2:45pm - 3:45pm
Key Ballroom 10 (2nd Floor)

2:45pm

Track 4: INDUSTRY SESSION - Igniting Innovation: Use of Predictive Analytics to Fuel Effective Member Engagement
Imagine an easier and quicker way to identify those high-risk individuals – both new and in your existing Medicaid population – with chronic conditions, utilization or potential medication misuse, or non-compliant in preventive care needs. Predictive data analytics technology is the answer. Once identified, you can enroll these high-risk individuals in a multi-modal integrated member engagement program targeted specifically their identified health needs.
Join industry experts on this panel in a discussion of how they are using predictive data analytics technology to help state agencies better “Know their Members” and in turn, fuel more effective member engagement programs to improve health outcomes – and ultimately help members’ lead healthier lives.

Speakers
avatar for Ellen Harrison

Ellen Harrison

Vice President, Market Strategy and Consulting, HMS
Ellen Harrison is Vice President, Market Strategy and Consulting for HMS. She brings more than 20 years’ experience in strategic planning, managed care operations and consulting experience. HMS provides a broad range of coordination of benefits, payment integrity, care management... Read More →
JF

Jill Field

Senior Director Data Analytics, HMS
KP

Kirit Pandit

Chief Technology Officer, Vitreous Health


Tuesday March 19, 2019 2:45pm - 3:45pm
Key Ballroom 9 (2nd Floor)

2:45pm

Track 5: INDUSTRY SESSION - A Blueprint for States: Executing Medicaid Expansion and the ACA
Join us as we provide a blueprint for states looking to either expand Medicaid or establish a State-Based insurance offering. Our esteemed panel will discuss what resources are required to start, execute, and operate either of these programs.  

In this session, you will learn:
  • How states are utilizing work requirements as a form of Medicaid expansion 
  • CMS Office of Program Integrity’s (OPI) suggestion of strong "front door deterrent" to Medicaid eligibility
  • 1115 Waiver approaches to managing the population, utilizing nominal premiums, and work requirements  
  • Ensuring close connection with — and the development of — ACA strategies for those eligible for APTC
  • Exploring the potential benefits of developing a State-Based Marketplace
  • The latest technology in Electronic Asset Verification

Speakers
avatar for Rosemarie Day

Rosemarie Day

Founder & CEO, Day Health Strategies
Rosemarie has over 25 years of experience in the public, private and non-profit sectors, including 16 years of leadership experience in state government. Most notably, Rosemarie served as the founding Deputy Director & COO of the Massachusetts Health Connector where she played a significant... Read More →
avatar for Michael Sasko

Michael Sasko

VP Government Solutions, Softheon
Michael is the Vice President of Government Solutions responsible for all public sector client business development and partnerships. Mike has worked as a project lead, client lead, and business architect lead for several major State, Federal, and Medicaid healthcare projects. Throughout... Read More →
avatar for Amanda Schipp

Amanda Schipp

Of Counsel, Kreig DeVault LLP
Amanda Schipp is a member of the firm’s Health Care Practice Group and focuses her practice in the areas of publicly funded healthcare programs, particularly Medicaid and the Affordable Care Act. Ms. Schipp has over 12 years of experience working in multiple areas of health care... Read More →


Tuesday March 19, 2019 2:45pm - 3:45pm
Tubman A & B (3rd Floor)

2:45pm

Track 6: INDUSTRY SESSION - Alexa, show me what’s possible for the citizen experience in health and human services?
No matter our jobs, many of us often take on repetitive tasks that consume time we could be devoting to direct customer and citizen interaction and advancing strategic initiatives. Healthcare and human services workers might rightly argue that they have more than their fair share of these tasks—and that their time and mindshare could be better allocated to higher-value activities. Virtual assistants and cloud-computing are specifically designed to offload the kind of “undifferentiated heavylifting” that eats up valuable resources. These combine artificial intelligence (AI), robotic process automation (RPA), voice and text capabilities, and content analysis to support intuitive, conversational interactions.
The technology to make that possible is here, and healthcare/human services agencies using virtual assistants are already seeing improvements in availability and capacity, speed and accuracy, and customer and caseworker experience. Join us at this session to start talking about what’s possible and how to make it a reality for your organization.

Speakers
avatar for Kathy Slater-Huff

Kathy Slater-Huff

Communication & Education Bureau Chief, NM Human Services Department Medical Assistance Division
Kathy Slater-Huff serves as the Communication and Education Bureau Chief for the New Mexico Human Services Department’s Medical Assistance Division (MAD). MAD is the administrator of the State’s Medicaid program. Kathy has worked in Medicaid for over eleven years and has been... Read More →
avatar for Jeanelle Romero

Jeanelle Romero

PEJUST Health Unit Program Manager, NM Human Services Department
Jeanelle Romero is a program manager for the New Mexico Human Services Department (HSD) Medical Assistance Division (MAD). Jeanelle manages the Presumptive Eligibility (PE) and Justice-Involved Utilization of State-Transitional Healthcare (JUST Health) programs for New Mexico Medicaid... Read More →
avatar for Mike Vozas

Mike Vozas

Collaboration Leader for US Public Sector, Amazon Web Services
Mike Vozas is a Collaboration Leader at Amazon Web Services. He has over twenty years of experience delivering collaboration technology solutions to customers across many markets and verticals.
avatar for Gaurav Diwan

Gaurav Diwan

Managing Director North America HHS, 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 →


Tuesday March 19, 2019 2:45pm - 3:45pm
Paca (3rd Floor)

3:45pm

Break in the Exhibit Hall
Tuesday March 19, 2019 3:45pm - 4:00pm
Key Ballroom 1-6 (2nd Floor)

4:00pm

Breakouts
Tuesday March 19, 2019 4:00pm - 5:00pm

4:00pm

Track 1: Outcomes, outcomes, outcomes! How states are helping CMS get there
CMS believes that basing enhanced funding decisions on outcomes – that is, whether technology enables a state’s specific program and business needs – will strengthen state and federal accountability, improve state flexibility, and increase the likelihood of successful IT implementation. CMS, in partnership with policy and state stakeholders, is experimenting to develop outcomes-based end-to-end oversight.
 
CMS is currently conducting experiments with a number of states to develop outcomes-based approaches for as-is pharmacy assessment, electronic visit verification (EVV) certification, and modular certification. In this session, CMS will share the high-level approach and states will share their experiences and lessons learned with an emphasis on how focusing on outcomes helps ensure that their program and business needs are met.
 
(i) session format: breakout
(ii) session title: Outcomes, outcomes, outcomes! How states are helping CMS get there
(iii) CMS speakers:

Speakers
avatar for Aaron Cydrus

Aaron Cydrus

Project Manager, Ohio Department of Medicaid
avatar for Alexander Quevedo

Alexander Quevedo

CIO, Department of Health, Puerto Rico
avatar for Edward Dolly

Edward Dolly

Acting Director, Division of State Systems, CMCS/CMS
Edward Dolly is the Acting 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... Read More →
avatar for Kaitlin Epstein

Kaitlin Epstein

MITA Lead, State of Vermont


Tuesday March 19, 2019 4:00pm - 5:00pm
Key Ballroom 7-8 (2nd Floor)

4:00pm

Track 1: Reducing Error Rates in Medicaid Eligibility
Modernizing your Medicaid system can present many challenges and can often impact the very citizens you are trying to help, such as when errors occur in determining eligibility for Medicaid. Although MAGI Medicaid was implemented for Arkansas in 2013, the non-MAGI Medicaid continued to reside on the mainframe-based legacy system with both systems providing independent feeds to MMIS.  This resulted in an unacceptably high percentage of eligibility errors.
 
This session will discuss how a single streaming process was designed and developed by eSystems for Arkansas DHS, where the MAGI-Medicaid system intercepted the legacy Non-MAGI segments, verified, cleansed and compiled them along with the MAGI segments into a single stream, and then sent them to MMIS. This project has been a huge success and has reduced error rates from an average of 10% to 1-2%.

Moderators
avatar for Vivek Sawhney

Vivek Sawhney

eSystems Inc
Vivek Sawhney is an accomplished Project / Program and Relationship Manager, with over 25 years of broad based experience in sales and delivery of Information Technology (IT) Services. He has more than 13 years of experience in managing Integrated Eligibility (IE) and Health & Human... Read More →

Speakers
avatar for Jeff Dean

Jeff Dean

CIO, Arkansas Department of Human Services
Jeff Dean is the Chief Information Officer (CIO) of the Arkansas Department of Human Services (DHS). He is also on the Governor’s Technology Oversight Council, 2016 Southern Region Vice President for the National Association of State Technology Directors (NASTD), Arkansas’s ISM... Read More →


Tuesday March 19, 2019 4:00pm - 5:00pm
Key Ballroom 11 (2nd Floor)

4:00pm

Track 3: More than 66,000 Independent Assessments Help Arkansas Coordinate Care for Medicaid Beneficiaries with Chronic, High-Cost Needs
Arkansas has ambitious goals to improve its Medicaid program, with goals to achieve $835 million in savings through SFY 2021 – mainly through program efficiencies, proper utilization of services, and better outcomes – while providing more coordinated and comprehensive services to those who need them.
Critical to this effort will be effectively coordinating care for a relatively small group of Medicaid beneficiaries who represent a significant percentage of costs due to their complex medical and behavioral health conditions, as well as their need for supportive services. This group encompasses about 35,000 beneficiaries accounting for about $500 million in annual spending.
To assess who needs what services – including how many and how often – the Arkansas Department of Human Services selected Optum to complete functional independent assessments; working closely with the state and providers, Optum completed more than 66,000 functional assessments in nine months-with many more to come. Results of the assessments are used to determine whether individuals are eligible for certain behavioral health Medicaid services; appropriateness of home- or community-based care versus more expensive institutional settings; and to develop care plans to improve this group’s health and quality of life. 
This session examines how Optum and Arkansas completed the assessments in nine months-conducting as many as 700 a day at one point – by tailoring a comprehensive assessment tool; employing health and human services professionals to conduct assessments; customizing the underlying technology platform required to support the tool and collect and report data, and offering provider training, support, and outreach.

Speakers
avatar for Paula Stone

Paula Stone

Director for Behavioral Health Services, Arkansas Department of Human Services (DHS)
Paula Stone is a Licensed Certified Social Worker with more than 25 years of experience in Behavioral Health. She worked as a mental health therapist and directed community-based programs in Arkansas before leaving the state to work in Florida, California and New Jersey. Her experience... Read More →
avatar for Jennifer Petersen

Jennifer Petersen

Project Director, Arkansas DHS Independent Assessments, Optum
Jennifer Petersen is the Program Director for Optum State Government Solutions overseeing the Arkansas Independent Assessment Program. She was previously a regional director for the Veterans Health Administration, where she led the rural and telehealth programs along with implementing... Read More →


Tuesday March 19, 2019 4:00pm - 5:00pm
Key Ballroom 10 (2nd Floor)

4:00pm

Track 4: Securing KY HEALTH utilizing NIST CSF
This discussion is targeted to Security and Business professionals alike. Kentucky has an approved 1115 waiver to the Medicaid program. This waiver required the interfacing of multiple applications, both hosted locally, and in the cloud.

The initiative also integrates legacy systems with new design. This presents a challenge in securing the system(s). CHFS Security Office developed a strategy utilizing the NIST CSF that addressed these challenges.

The talk addresses the challenges, the innovative solution implemented, and how this same solution is repeated and duplicated across the Cabinet's Security program.

Speakers
avatar for Mark Enlow

Mark Enlow

Security Architect, Commonwealth of Kentucky
Mr. Enlow has over 20 years’ experience working with large-scale State Government Agencies performing Information Security Administration and IT Audit functions.  He has been engaged in performing Governance, Risk, & Compliance (GRC) work for large enterprise organizations, including... Read More →
avatar for Dennis Leber

Dennis Leber

CISO, Kentucky Cabinet Cabinet for Health & Family Services
Dennis is a proud Kentuckian, Father, Husband, Grand Father, and Veteran. Dennis started his Information Security career in the Military and has worked in the Automotive, Healthcare, Federal Government, and Finance Industries as an Information Security Leader. Dennis currently serves... Read More →


Tuesday March 19, 2019 4:00pm - 5:00pm
Key Ballroom 9 (2nd Floor)

4:00pm

Track 5: Using Advanced Analytics and Interactive Visualizations in Value Based Payment Reform
In 2011, Governor Cuomo and his administration set a bold vision to stabilize and transform New York’s Medicaid program.  On an annual basis, the State’s - Office of Health Insurance Programs administers more than $67 Billion in payments for services provided to approximately 6.5 Million New Yorkers.

As Prime Contractor for New York’s – Medicaid Data Warehouse and Medicaid Analytics & Performance Portal, CMA has integrated and deployed best in class data orchestration, visualization and analytic tools to facilitate trust and transparency among the stakeholders who are collaborating to reduce costs, improve outcomes and enhance the health of the State’s Medicaid population.
In this session, participants will learn how big data sets are being enhanced and orchestrated to generate essential insights.    The presentation will move quickly from policy and challenges to the innovative technologies that the State has deployed to enable self-provisioning and analysis of data by authorized parties.  Participants will gain a first-hand appreciation for the steps New York has taken to enable engagement and collaboration among a diverse set of state-wide stakeholders, including providers and payers who have partnered to help stabilize and transform the nation’s second largest Medicaid Program.

Speakers
AY

Anthony Young

Customer Consulting Technical Architect, Tableau
JW

Jeff Wendth

VP Health Care Solutions, CMA
GD

Gary Davis

Executive VP, CMA


Tuesday March 19, 2019 4:00pm - 5:00pm
Tubman A & B (3rd Floor)

4:00pm

Patient Access and Interoperability using APIs in Medicaid
On February 11th, CMS released a proposed rule entitled patient access and interoperability that outlines how they propose state Medicaid agencies and Medicaid Managed Care organizations share data using Application Programming Interfaces (APIs). The ONC also released a proposed rule regarding information blocking related to the 21st Century Cures Act. Come learn more from CMS, the ONC, and the industry about the proposed rules. We will also be discussing Blue Button 2.0 and how state Medicaid compliance can be made easier using non-proprietary and free FHIR API implementation guides.

Speakers
AM

Alexandra Mugge

Deputy Chief Health Informatics Officer, Centers for Medicare and Medicaid Services
avatar for Ryan Howells

Ryan Howells

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

Thomas Novak

Medicaid Interoperability Lead, ONC Office of Policy
Thomas Novak is the Medicaid Interoperability lead in the Office of Policy at ONC where he supports the advancement of Medicaid interoperability in the drafting and review of federal regulations. He is detailed part-time to the CMS Medicaid Data and Systems Group where he provides... Read More →
LB

Lisa Bari

Health IT, and Interoperability, CMMI, CMS
JK

Jim Kirkwood

Director, Division of Healthcare Innovation, New York State Department of Health (TBC)


Tuesday March 19, 2019 4:00pm - 5:00pm
Paca (3rd Floor)

5:00pm

 
Wednesday, March 20
 

7:30am

Wednesday, March 20th - DAY 2: Registration Opens
Wednesday March 20, 2019 7:30am - 8:00am

8:00am

States of Implementation Roundtables
Wednesday March 20, 2019 8:00am - 8:43am

8:00am

States of Implementation Roundtable 1: Medicaid Waiver Programs & HIE: Providing the Next Level of Care Coordination
During this session, you will hear how SD Medicaid Waiver Programs have partnered with the statewide HIE to provide more timely, proactive, and targeted service to Waiver Program Members. Through partnership with the State HIE (SD Health Link) care coordinators and case managers have access to real-time clinical event alerts (ED, Inpatient – Admit/Discharge/Transfers) and relevant clinical data to provide the next level of care coordination with the goal of reducing long term or post-acute care placements.

Speakers
avatar for Kevin DeWald

Kevin DeWald

Executive Director, South Dakota Health Link
Kevin DeWald currently serves as the Executive Director for South Dakota Health Link and has been leading State, Regional, and National efforts of Health IT and Health Information Exchange for 13 years.  Health Link is a multi-state network that serves 63 hospitals and more than... Read More →


Wednesday March 20, 2019 8:00am - 8:45am
Chase (3rd Floor)

8:00am

States of Implementation Roundtable 2: Interoperability Land Birds of a Feather Session
Join us to discuss the future roadmap and governance for Interoperability LandTM (IOL).  This Birds of a Feather session will introduce IOL as a community platform for collaborative, digital data visualization resource for interoperability testing and development and share how you can be a part of the solution.  Together we can make true interoperability a reality.  Use of IOL will help support the future of Medicaid Modernization and the evolution of the Medicaid Information Technology Architecture. This includes enabling states and federal agencies to support migration to open Application Programing Interfaces (API) and new interoperability standards (e.g. FHIR). In addition, IOL can serve as a mechanism to establish a mechanism to accelerate pilot projects and the evolution modular Medicaid enterprise systems and in the future serve as a foundation for future agile procurement of software as a service and open API’s.

Speakers
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 Shared Services (MiHIN), a public and private nonprofit collaboration dedicated to improving the healthcare experience, improving quality and decreasing the cost for Michigan’s people by making... Read More →


Wednesday March 20, 2019 8:00am - 8:45am
Stone (3rd Floor)

8:00am

States of Implementation Roundtable 3: Leveraging APCD Investments for Outcomes Based Analytics
APCDs or APDs promise to provide a strong data and analytical foundation for healthcare decision making and research critical to transformation efforts.
States from across the country are, however, at different levels of maturity as it relates to their APCD investments and project implementation.
NYS's APD, upon completion, will be one of the largest public sector health-data repositories in the country including a foundational data warehouse and a robust master person index to enrich data, whereas, both CT and WV's implementations are less mature.
Join representatives from these states to discuss the foundational, operational considerations in order to optimize your APD investment for outcomes-based analytics, including:

- funding sources, sustainability planning
- structural considerations (where should the APD reside)
- the foundational data model for your APD
- prioritizing data sources for integration
- data governance, data access processes
- SME resources for data harmonization efforts


Moderators
JB

John Bock

New York All Payer Database Engagement Manager, Optum
John Bock is the Optum State Government Solutions Engagement Manager for the New York All Payer Database project.  He has been with Optum for over two years.  Prior to joining Optum, Bock worked with the New York State Medicaid Management Information System for nearly 15 years as... Read More →

Speakers
avatar for Jon Cain

Jon Cain

Interim CIO, OIS, WV DHHR
Jon Cain has seventeen years of combined private and government information technology experience. Of those seventeen years, eight of them have been focused on delivering successful health and human technology-focused solutions. He has several reputable industry-recognized certifications... Read More →
avatar for Josh Klemm

Josh Klemm

Assistant Director of the Bureau of the APD, Division of Information and Statistics, New York State Department of Health
avatar for Allan Hackney

Allan Hackney

Health Information Technology Officer, Connecticut Office of the Lt. Governor
Allan serves as Connecticut’s Health Information Technology Officer within the Office of Health Strategy, a role appointed by Lt. Governor Nancy Wyman to develop and coordinate the implementation of a statewide health information technology (HIT) strategy, and to build and implement... Read More →


Wednesday March 20, 2019 8:00am - 8:45am
Tilghman (3rd Floor)

8:00am

8:00am

8:00am

States of Implementation Roundtable 6: Community Engagement: Tackling Homelessness
Speakers
avatar for Laura Zeilinger

Laura Zeilinger

Director, Department of Human Services
Laura Green Zeilinger has served as the Director of the Department of Human Services (DHS) since January, 2015. In this capacity, Director Zeilinger is responsible for a 1,200-person agency that is charged with empowering every District resident to reach their full potential by providing... Read More →


Wednesday March 20, 2019 8:00am - 8:45am
Hopkins (3rd Floor)

8:00am

States of Implementation Roundtable 7: Community Engagement: New Mexico – Optimizing Transitions from Incarceration
Access to medical care for individuals released from incarceration can be a slow-moving and difficult to navigate process. For those individuals with no insurance coverage in effect when they leave a jail or prison, immediate access to care is even further out of reach.

In-an-effort to reduce recidivism and provide immediate access to care upon release, the New Mexico Human Services Department has developed the Justice-involved Utilization of State- Transitioned Healthcare (JUST Health) program. The JUST Health program allows HSD to suspend, rather than terminate, benefits for incarcerated individuals. Upon release, benefits are reinstated which allows the Medicaid enrollee immediate access to services, including substance abuse treatment, pharmaceutical benefits and care coordination activities.

This session will outline the evolution of the JUST Health program and will include information on the policy changes and legislative initiatives that were necessary for implementation. It will also look at the data sharing and technology hurdles and successes the program has encountered, as well as the planned technology initiatives that will help the program move even further along.


Speakers
avatar for Kathy Slater-Huff

Kathy Slater-Huff

Communication & Education Bureau Chief, NM Human Services Department Medical Assistance Division
Kathy Slater-Huff serves as the Communication and Education Bureau Chief for the New Mexico Human Services Department’s Medical Assistance Division (MAD). MAD is the administrator of the State’s Medicaid program. Kathy has worked in Medicaid for over eleven years and has been... Read More →
avatar for Jeanelle Romero

Jeanelle Romero

PEJUST Health Unit Program Manager, NM Human Services Department
Jeanelle Romero is a program manager for the New Mexico Human Services Department (HSD) Medical Assistance Division (MAD). Jeanelle manages the Presumptive Eligibility (PE) and Justice-Involved Utilization of State-Transitional Healthcare (JUST Health) programs for New Mexico Medicaid... Read More →


Wednesday March 20, 2019 8:00am - 8:45am
Tubman A & B (3rd Floor)

8:00am

States of Implementation Roundtable 8: APIs and Medicaid - A multi-sector approach to compliance
The Medicaid Technology Alliance will lead a discussion of the use of open APIs to gain efficiencies in the Medicaid technology ecosystem and comply with the recent CMS proposed rule on interoperability. MTA will present their white paper on how the implementation of a standard for data communication and the use of non-proprietary APIs is a foundational first step in the journey to an outcomes-based Medicaid landscape. MTA, in partnership with CMS and MiHIN, will also provide a proof of concept demo that shows the utility of open APIs in pulling together relevant beneficiary data from diverse data sources.

Speakers
avatar for Ryan Howells

Ryan Howells

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

Lloyd Fisher

Software Architect, Wellcare Health Plans
JS

Jeff Strand

Business Architect, DXC
KT

Kelly Taylor

Product Manager of Blue Button 2.0, US Digital Service, The White House


Wednesday March 20, 2019 8:00am - 8:45am
Key Ballroom 7-8 (2nd Floor)

8:01am

States of Implementation Roundtable 9: Impacts of Recommended Changes to NCPDP Pharmacy Claims Standards on the Medicaid Enterprise
The continued maturation of real-time claims processing for pharmacy benefits paid by SMAs, development of new and innovative pharmacy benefits across all segments of the healthcare industry, advancements in electronic prescribing, and other influences such as the current Opioid epidemic have generated changes in the need to deliver, respond to, and utilize data. Over the past 10 years, NCPDP standards have been updated to accommodate the evolving business and regulatory needs, but utilization of these changes has been limited by the HIPAA Transaction and Code Sets mandates that only allow the use of versions of the standards published in the final rule of 2009.

This roundtable will provide an opportunity for a guided, interactive dialog between participants to discuss timelines that have been recommended for revising the HIPAA transaction requirements for pharmacy, critical factors to properly implement and utilize the newest Telecommunication, Batch, and Batch Standard Subrogation formats, and changes SMAs may need to consider in their policies, State regulations, and State Plan Amendments.

Speakers
TM

Tisha McGowan

PMO Manager, Missouri HealthNet
Tisha is a certified project manager with an extensive Medicaid background.  She was involved with the HIPAA standard transaction implementation and the transition to NCPDP D.0.  In addition to 20+ years of Medicaid experience, she is also a certified pharmacy technician with retail... Read More →
avatar for Mark Elliott

Mark Elliott

CSG Government Solutions
Mark Elliott is a Principal in CSG's Healthcare and Human Services practice. He has over 25 years of health IT experience in the public and private sectors, providing state agencies with industry standards, regulation, and process guidance related to pharmacy benefits management... Read More →


Wednesday March 20, 2019 8:01am - 8:45am
Key Ballroom 9 (2nd Floor)

8:01am

States of Implementation Roundtable 10: TPL in the Age of Dynamic Healthcare
Every Medicaid agency is responsible for controlling costs in multiple ways, including Third Party Liability activities. Individuals on Medicaid may also have other health insurance, but that other health insurance- whether employer-sponsored, Medicare, or even casualty insurance must pay primary to the extent of its legal liability. 

This round table discussion welcomes both newcomers and seasoned professionals. Attendees will receive a brief refresher on the “What’s, Why’s, Who’s and When’s” of TPL and then move beyond the basics. Our discussion will focus on the impact to and application of TPL practices within a healthcare environment experiencing seismic changes. We will ponder

•    How is your state approaching TPL within the MES vision? 
•    How has TPL changed in light of managed care shift? What are the TPL rolls and responsibilities of your Medicaid Managed Care plans?
•    What changes/choices are you or do you foresee making for your TPL programs as Value Based Delivery models continue to become more popular in Medicaid? 
•    How is your state applying new technologies within your TPL solutions?

Come ready to participate in informative information sharing and to take new ideas back to your State!

Moderators
avatar for Andrea Danes

Andrea Danes

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

Speakers
avatar for Deb Grier

Deb Grier

VP Enterprise Product Management, HMS
Deborah Grier, HMS Vice President COB Product Strategy, has over eighteen years of experience in healthcare program management and product development. Her career has been focused on developing solutions for government-funded health and human services programs, including working with... Read More →
avatar for Denise Poley

Denise Poley

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


Wednesday March 20, 2019 8:01am - 8:45am
Key Ballroom 10 (2nd Floor)

8:01am

States of Implementation Roundtable 11: Electronic Advanced Planning Document (eAPD) Demonstration
Speakers
avatar for Jerome Lee

Jerome Lee

Senior Health Insurance Specialist, Centers of Medicare and Medicaid Services (CMS)
CDR Jerome Lee, USPHS, is a Senior Health Insurance Specialist stationed at the Centers for Medicare and Medicaid Services (CMS) in San Francisco, CA. Currently, CDR Lee supports and oversees efforts of multiple states to improve the efficiency, quality, and accessibility of health... Read More →
avatar for Nick Aretakis

Nick Aretakis

Health Insurance Specialist, CMCS/CMS
Nick Aretakis is based out of the Denver regional office for CMS and is a member the CMCS Medicaid Enterprise Team. Nick is the lead for HITECH data analytics and works with subject matter experts across the nation. Additionally, Nick works with the California Medicaid agency with... Read More →


Wednesday March 20, 2019 8:01am - 8:46am
Key Ballroom 11 (2nd Floor)

8:01am

States of Implementation Roundtable 12: Using Hospital Event Alerts to Bridge Disparate Providers and Reduce ED Utilization
Oregon has seen significant success improving patient lives and reducing emergency department (ED) utilization through a statewide effort that promotes hospital event alerts for hospitals, health plans, primary care, behavioral health, dental, long-term services and supports, and others. EDIE/PreManage brings hospital event information, as well as provider care recommendations, to a patient’s own health care team and case managers for more informed care. The result has been a statewide reduction of 2% overall ED utilization with an 8% reduction amongst high utilizers, higher quality of patient care, and improved communication between providers resulting in strengthened coordinated care.
 
Oregon’s presentation will include how hospital event alerts has successfully been rolled out across the state, strategies for bringing communities together and growing adoption, and successes seen. The goal of the roundtable is to assist other states who are considering how to bring disparate providers and case managers (including health and human services organizations and state programs) to the table around a use case and implement a technology solution successfully. Oregon’s number of stakeholders and community engagement around this use case and technology platform is unique and has not been broadly shared.

Speakers
avatar for Britteny Matero

Britteny Matero

HIE Programs Manager, Oregon Health Authority
Britteny Matero is the Health Information Exchange (HIE) Programs Manager for the Oregon Health Authority (OHA). Britteny leads OHA’s work to advance statewide health information technology and exchange through OHA’s public/private partnership, the HIT Commons. Britteny’s work... Read More →
avatar for Susan Kirchoff

Susan Kirchoff

RN, MBA, Oregon Health Leadership Council
Susan Kirchoff is a healthcare consultant with the Oregon Health Leadership Council, leading the EDIE/PreManage initiative in Oregon. She previously served as the Chief Operating Officer for Health Share of Oregon and has been actively involved in healthcare delivery system transformation... Read More →


Wednesday March 20, 2019 8:01am - 8:46am
Key Ballroom 12 (2nd Floor)

8:45am

Opening Remarks
Wednesday March 20, 2019 8:45am - 8:50am
Key Ballroom 7-8 (2nd Floor)

8:50am

General Session: Combatting the Opioid Epidemic, Implementing the Support Act
The United States continues to struggle with opioid-related overdose deaths – the epidemic has contributed to poor overall health outcomes throughout the country devastating families and costing billions of dollars. This session explores how States are utilizing data and analytics to fight against opioid addiction and substance use disorders.

Moderators
avatar for Yvonne Powell

Yvonne Powell

SVP, The Lewin Group
Ms. Powell is a senior leader with over 30 years of experience in public sector health care.  She has assisted more than 25 state Medicaid programs and is experienced in bridging policy and technical issues to bring together necessary expertise and resources during large-scale system... Read More →

Speakers
avatar for Daniel Stein

Daniel Stein

President, Stewards of Change Institute, Co-PI, NIC (National INteroperability Collaborative)
Daniel Stein is President of Stewards of Change Institute, a nonprofit “think-and-do-tank”. He is also Co-Principal Investigator for the National Interoperability Collaborative, a new “Community of Networks” initiative. SOCI believes that responsible, systemic information-sharing... Read More →
CB

Cindy Beane

Commissioner, West Virginia Bureau for Medical Services
avatar for Kevin Borcher

Kevin Borcher

PDMP Program Director, Nebraska Health Information Initiative (NeHII)


Wednesday March 20, 2019 8:50am - 9:45am
Key Ballroom 7-8 (2nd Floor)

9:45am

15 Minute Short Break
Wednesday March 20, 2019 9:45am - 10:00am

9:59am

Industry Breakout Sessions
Wednesday March 20, 2019 9:59am - 10:14am

10:00am

Track 1: INDUSTRY SESSION - Perspectives on How States are Navigating the Lifecycle of Modular Modernization
From planning to procurement, engineering to implementation, State Medicaid departments across the country are in different phases of system modularity and modernization. Hear directly from State Leaders, as CNSI brings together this lively roundtable to discuss where they are at in the process, where they are going, and what has made them successful. Attendees will also hear how modularity and modernization differ by state, procurement method, and governance model. Whether your organization is just beginning to address modularity, is mid-cycle, or has an established program, you won’t want to miss this insightful and timely conversation. States invited to participate include Michigan, Illinois, Utah, Washington, Arizona, and Texas.

Moderators
avatar for Ryan Howells

Ryan Howells

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

Speakers
avatar for Karen Scott

Karen Scott

Director, MMIS Michigan Department of Health and Human, State of Michigan
Karen Scott has over 15 years of experience working in various Michigan MMIS system analyst and team lead roles during design, development, and implementation of CHAMPS (Community Health Automated Medicaid Processing System) which has been in operation since September 2009. Accomplishments... Read More →
avatar for Cathie Ott

Cathie Ott

Director, ProviderOne Operations and Services, State of Washington
As the director of the Division of ProviderOne Operations and Services, Cathie leads a team responsible for providing a secure and reliable Medicaid payment system with high availability and reliability to internal users. ProviderOne must pay Medicaid providers on time and accurately... Read More →
avatar for Jason Stewart

Jason Stewart

Director, MMIS and Project Management Office, State of Utah
Jason Stewart is the Project Management Office Director for the State of Utah MMIS replacement project. Jason has 20 plus years of experience in information technology. Prior to working for the State of Utah, Jason worked in practice management software development for Dentrix Dental... Read More →



Wednesday March 20, 2019 10:00am - 11:00am
Key Ballroom 12 (2nd Floor)

10:00am

Track 2: INDUSTRY SESSION - Raising the Bar in Managing Managed Care
As Medicaid Programs continue to look for ways to improve health outcomes and reduce cost, how a State drives optimum value out of their managed care partners is a critical element in this equation. Accenture thought leaders will discuss innovative approaches in program design, management, operations, and analytics that will drive improvement in the managed care model.  We will discuss how to improve the provider and member experience, how to measure and manage for outcomes, how to design the program to leverage strengths and mitigate weaknesses of partners, and how to operate in a way that maintains the State’s insight into performance.

Moderators
avatar for Chris Mirro

Chris Mirro

Managing Director - Public Sector Health Platform Lead, Accenture
Chris leads Accenture’s Public Sector health work in North America. Chris joined Accenture in 2010, bringing two decades of state health experience, having previously held leadership roles in sales, business development, solutions, product development and delivery for state and... Read More →

Speakers
avatar for Phil Poley

Phil Poley

Managing Director – Public Sector Health Industry Lead, Accenture
Phil is the Industry Lead for Accenture’s Public Sector Health practice, focusing on ensuring that our practitioners remain at the forefront of industry trends, bringing the capabilities and talent our clients need to meet their mission goals.  He served in Massachusetts state... Read More →
avatar for Kristin Thorn

Kristin Thorn

Managing Director – Public Health Consulting Lead, Accenture
Kristin is a leader in Accenture’s Health and Public Sector practice. She partners with organizations to drive innovation and leverage technology to improve core business operations and strengthen administration of Medicaid Managed Care programs. She also works with organizations... Read More →
avatar for Joseph Fiorentino

Joseph Fiorentino

Managing Director – Public Sector Analytics Lead
Joseph leads Accenture’s Analytics practice for state and local government. Joseph has worked with social services, social security and healthcare organizations for almost 20 years, helping clients succeed with service delivery transformation and take advantage of advanced client-centered... Read More →


Wednesday March 20, 2019 10:00am - 11:00am
Key Ballroom 11 (2nd Floor)

10:00am

Track 3: INDUSTRY SESSION - Repurposing Legacy Identity Data for Use in a Modern MMIS Setting
Legacy identity solutions come in two types, dated commercial offerings and or self-built components, spread across multiple locations. Accessing this data requires an enterprise to either continue costly support of an out of date solution or look at a means to resurrect this data for use in a modern setting. Join ForgeRock as we discuss a modern identity platform built for a Microservices architecture capable of any deployment (hybrid, multi, cloud) setting by utilizing API’s for the surfacing and federating of legacy data in a modern identity deployment.

This session will help you to understand how leveraging a modern Identity Platform can help your organization to:  
  • Accelerate and risk-mitigate your investments as you undertake this critical paradigm shift
  • Comply with regulations and simplify complex data-sharing and consent decisions, as well as secure patient-controlled data-sharing across cloud, mobile, and IoT sources
  • Enable microservices to transform your organization to new levels of agility and capability, while providing cost savings
  • Simplify the use of embedded identity information in legacy systems with 21st century approaches
  • Securely connect people, devices, things and events to enable a 360 degree view

Speakers
avatar for Steven Jarosz

Steven Jarosz

Distinguished Solution Architect, ForgeRock
Steven is a Distinguished Solutions Architect at ForgeRock. He has helped to architect secure access of services since the time of Netscape. Steven has participated over the years of many patterns that have enabled easier access to mission-critical information, balanced against security... Read More →


Wednesday March 20, 2019 10:00am - 11:00am
Key Ballroom 10 (2nd Floor)

10:00am

Track 4: INDUSTRY SESSION -Incorporating Non-Traditional Data into Your Workflow Will Expand Your Decision Making Processes
Fraud, Waste and Abuse (FWA) is an ever- growing problem in the Medicaid program and all HHS programs. Driven by bad actors, every dollar lost due to fraud, waste and abuse is a dollar that won’t be spent helping someone who needs assistance. That is just the start; the downstream impacts from Medicaid abuse is almost incomprehensible and immeasurable. Unfortunately, the bad actors are finding ways to avoid detection and those on the program front lines are limited to their view that only their data can provide them. The only way to truly combat these threats against our public healthcare system is to have the most comprehensive, collaborative view of those participating in your programs: members and providers.

The first step in the battle lies right at the beginning of the relationship established between an individual member and provider with the State and its programs. All states undergo a very important eligibility determination and screening processes, but are they enough? Eligibility screening verifies if the person applying actually qualifies for program benefits with the assumption that the determination is the correct person. However, is the person really who they say they are? Similarly, with providers; checking a few databases is a good start, but do you have a full picture of all the risks the provider can expose to your program? The answer to both questions will never result with 100% yes; however, accessing more data and filling in missing pieces will certainly give you a better edge. 

The presenter will discuss how state agencies can detect and, more importantly, prevent threats to your program on multiple fronts by applying the best data in the right part of your workflow. He will also share national best practices as well as the future of data and data sharing. He will provide demonstrations of both solutions. Attendees will learn how to:

  • Access the most effective non-traditional data to help strengthen your program.
  • Save time and increase productivity by reducing the amount of transactions being scrutinized during screening processes.
  • Prevent threats by flagging stolen or synthetic identities and surfacing provider risks.
  • Leverage shared intelligence to combine provider and identity data with agency data for expanded network visibility across claims, provider, individual, business and non-healthcare fraud data.

Speakers
avatar for Justin Hyde, Sr.

Justin Hyde, Sr.

Director of Market Planning, LexisNexis Risk Solutions
Mr. Hyde has been instrumental in LexisNexis Government Sector specifically in the strategy, design, and implementation of identity solutions focused on health and human services agencies nationwide. •    Experienced program manager who directed the implementation of the Florida... Read More →


Wednesday March 20, 2019 10:00am - 11:00am
Key Ballroom 9 (2nd Floor)

10:00am

Track 5: INDUSTRY SESSION - Optimizing Outcomes Today and Tomorrow: Performance Monitoring of MCOs to Realize the Triple Aim
Since the introduction of the Health Maintenance Organization Act of 1973, there have been numerous iterations of Managed Care Organizations (MCOs). From CHINs to HIEs, each iteration evolved in the hopes to improve community health and the experience of care while reducing cost. While providers prioritized the improvement promised by the Triple Aim, technology teams, vendors, and other agencies worked diligently to develop technology solutions that would meaningfully augment that improvement. Today, MCOs are faced with a unique challenge to optimize population health outcomes, amidst evolving Medicaid dynamics, while continuing to manage disparate, siloed systems that augment the care of their populations. As the landscape of data becomes more prolific, an action-oriented perspective on realizing the Triple Aim while leveraging the work and systems of siloed solutions is becoming increasingly more valuable – both for the health of the general population as well as the management of state resources. Moreover, there is additional value to be realized for the community at large when MCO insights and comparisons can inform state, district and territory-level trends including the performance by physician, FQHC, group practice and hospital.

This session illustrates ways in which technology can support and assist MCOs in realizing the Triple Aim through data management systems for surveillance, reporting, strategic planning, and operations used to improve population health outcomes. Attendees will learn about key measures that help drive the Triple Aim value in MCOs:
  • Independent Validation of MCO Performance
  • Quality Measure, HEDIS & Health Homes Measures Monitoring
  • Fraud and Abuse Detection
  • Ability to drive PIP specific for each MCO
  • Benefits of a Single Platform
  • Finally, the speaker will showcase example population health and care coordination programs alongside
  • the insights garnered and shared from the DC Department of Health Care Finance, such as:
  • High or Rising Cost (Patient/Provider Strategy)
  • High Cost Diagnosis or Cost Per Patient Strategy
  • High ER Users and Non-Emergent Use of ER
  • Frequently Admitted Patients or Admissions for Low Acuity
  • Re-Admissions by Facility, Diagnosis
  • Focus on Chronic Care or Annual Wellness
  • Provider or Practice-based Customization
  • Risk-based, Predictive Cost-based, Resource Utilization-based Strategy (By Practice or Provider)
  • RAF-based Educational Strategy
  • Disease-based Quality Performance (Gaps in Care) with Preventive Care for Adults, Pediatrics, and Maternity

Speakers
avatar for Dr. Sanjay Seth

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, where he develops strategies to support providers and organizations participating in care delivery programs borne out of Health Reform and the Accountable Care... Read More →
avatar for Kerda DeHaan

Kerda DeHaan

Management Analyst, DC Department of Health Care Finance
Kerda DeHaan currently serves as the administrator for the DC Department of Health Care Finance’s health home program for individuals with multiple chronic conditions. She has over 15 years of experience in the public health and has transferred her knowledge in maternal and child... Read More →
avatar for Juan M. Montañez

Juan M. Montañez

Principal, Health Management Associates, Washington, DC
Juan has more than 25 years of experience and an extensive knowledge base that encompasses information technology, financial planning, business process optimization, strategic planning, cost-benefit analysis, government procurement, and project management. Presently Juan is leading... Read More →


Wednesday March 20, 2019 10:00am - 11:00am
Tubman A & B (3rd Floor)

10:00am

Track 6: INDUSTRY SESSION - HHS Integration on FHIR - Innovative Steps Forward in Cross-Agency Data Sharing and Collaboration
States are facing challenges in how to implement modular solutions that meet compliance with federal regulations and state business objectives.  Having a good plan in place enables you to identify risks and issues early on.  Some key considerations for business objectives should be the User Experience and Positive Outcomes.  GDIT will discuss our approach to supporting states in this time of change promoting an increase in interoperability and data sharing.  We will discuss how 1115 Waiver demonstrations projects, Value-Based Purchasing, and the MyHealthEData initiatives are supported by innovative technology.

Speakers
avatar for Elizabeth Reed

Elizabeth Reed

Program Manager, General Dynamics Information Technology
Ms. Reed is a GDIT health care program manager with 23 years of experience who has lead diverse healthcare projects for federal, state, and commercial organizations. She has directed complex projects from concept to fully operational status. Ms. Reed successfully managed the North... Read More →
avatar for Tom Silvious

Tom Silvious

Director, General Dynamics Information Technology
Mr. Silvious is a strategic advisor in the State and Local business area of General Dynamics Information Technology (GDIT) with over 35 years of experience helping governments and healthcare providers develop the Standards and Interoperability for population health analytics and data... Read More →


Wednesday March 20, 2019 10:00am - 11:00am
Paca (3rd Floor)

11:00am

Networking Break in Exhibit Hall
Wednesday March 20, 2019 11:00am - 11:30am
Key Ballroom 1-6 (2nd Floor)

11:30am

Breakouts
Wednesday March 20, 2019 11:30am - 12:30pm

11:30am

Track 1: EVV Outcomes-Based Certification Progress Update
Speakers
avatar for Aaron Cydrus

Aaron Cydrus

Project Manager, Ohio Department of Medicaid
avatar for Eugene Gabriyelov

Eugene Gabriyelov

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

Gina Molla

Lead Information Systems Engineer, MITRE Corporation
Gina Molla, MS, MBA, ITIL Expert, is a Lead Information Systems Engineer at the MITRE Corporation who specializes in IT service management, process improvement, and organizational development. She has provided advisory services to the EPA, VA, U.S. Mint, IRS, and CMS. Gina is leading... Read More →


Wednesday March 20, 2019 11:30am - 12:30pm
Key Ballroom 7-8 (2nd Floor)

11:30am

Track 1: Leverage and Reuse: Not Just About Technology
On July 1 the State of Maine implemented a new Pharmacy Benefit Management Solution (PBMS) delivered by Change Healthcare. This implementation offers a case study in how effective project management supports successful project outcomes. Change Healthcare and the State of Maine’s PBMS Contract Manager will partner to discuss the role that strong project management processes played in the DDI.
 
At Change Healthcare we believe that the principle of “leverage and reuse” applies not only to IT solutions but also the processes used to deploy those solutions. The successful project management methodologies used on the Maine PBMS implementation are the result of significant investment in the Change Healthcare Project Management Office (PMO), helping ensure that efficient, effective, and most importantly reusable processes are implemented across the Change Healthcare project portfolio. In addition, the Change Healthcare PMO leverages lessons learned from past projects to drive continuous improvement in its PMO processes. We will discuss continuous improvement strategies such as:
  • assessing each activity as a process
  • measure process capabilities
  • identify links in activities
  • prioritize improvements
  • manage resources more effectively 
Implementation of consistent project management processes across the portfolio and strong engagement from the project teams in Maine and Wyoming, combined with a focus on continuous improvement, create an environment where clients benefit from the collective experience of project managers. This ensures tried and true methodologies are implemented on all our projects.
 
Join members of the Change Healthcare PMO team and the Maine Pharmacy Team to discuss their successful implementation, the PMO processes that supported the project, and the efforts of the Change Healthcare PMO to continuously improve its processes.

Speakers
avatar for Chris Samuel

Chris Samuel

Sr. Project Manager, Change Healthcare
PMO Manager for Change Healthcare and 25+ year healthcare professional.   During this time, his responsibilities included managing project portfolios across multiple business areas within the Commercial, Medicaid, Medicare and Tricare lines of business. Prior industry experience... Read More →
avatar for Nina Bradley

Nina Bradley

Operational Account Coordinator, Change Healthcare
Process Improvement and Quality Lead, Nina Bradley holds a bachelor’s degree in Leadership & Management with a Masters in Healthcare Administration. Having completed Six Sigma Black Belt training Nina aims to demonstrate how partnering Lean Six Sigma with the Change Healthcare Pharmacy... Read More →
avatar for Cori Cooper

Cori Cooper

Pharmacy Program Manager, Wyoming Medicaid
Cori has been a pharmacist for over 16 years and is currently the Pharmacy Program Manager for Wyoming Medicaid, a position which she has held for nearly seven years.  She was an associate professor at the University of Wyoming School of Pharmacy where she oversaw fourth year Doctor... Read More →


Wednesday March 20, 2019 11:30am - 12:30pm
Paca (3rd Floor)

11:30am

Track 2: OH NO! HITECH funds are going away! Learn how to continue your HIT work when they do!
The federal government offers financial assistance to states for deploying information health information technology (HIT) solutions to support their Medicaid programs. States request IT funding by submitting an Advanced Planning Document (APD) to Centers for Medicare and Medicaid Services (CMS). The APD provides details about the requested funding, the projects that will be undertaken, and the milestones the state proposes to achieve with the HIT project(s). Traditionally, Medicaid has funded the design development, and implementation of HIT projects under HITECH funds, which sunsets in 2021. CMS has expanded funding to States via traditional Medicaid IT (MMIS, MES, E&E) funding mechanisms for systems integrators, project management, and maintenance and operations to sustain HIT investments. States must connect their funding requests to MITA requirements to receive approval and drawdown HIT funds under MES authority.  Come learn about Maryland’s experience doing the planning work necessary to make this transition happen.

Moderators
avatar for Sarah Miller

Sarah Miller

VP, State Government Services & HIE Account Management, Auadacious Inquiry
 Sarah leads Ai’s State Government Services practice with a focus on Medicaid Information Technology Consulting.  Sarah works with HIEs, State Medicaid Agencies, and the Centers for Medicare & Medicaid Services to design successful technology projects with a special focus on meeting... Read More →

Speakers
avatar for David Wertheimer II

David Wertheimer II

Enterprise Architect, Maryland Department of Health
David currently serves as the Enterprise Architect for the Maryland Department of Health. He has been with the Department for over eight years working on projects ranging from ICD-10 Implementation and National Correct Coding Initiative (NCCI) edits to the EHR Incentive Program and... Read More →
avatar for Lindsey Ferris

Lindsey Ferris

CRISP
Lindsey currently serves as the Program Director of HIE Projects at CRISP, the health information exchange serving Maryland and DC, and partnered with West Virginia. She has been with CRISP for over 6 years and is responsible for managing the HITECH funding for HIE activities and... Read More →
avatar for Thomas Novak

Thomas Novak

Medicaid Interoperability Lead, ONC Office of Policy
Thomas Novak is the Medicaid Interoperability lead in the Office of Policy at ONC where he supports the advancement of Medicaid interoperability in the drafting and review of federal regulations. He is detailed part-time to the CMS Medicaid Data and Systems Group where he provides... Read More →


Wednesday March 20, 2019 11:30am - 12:30pm
Key Ballroom 11 (2nd Floor)

11:30am

Track 3: Advancing Analytic Capacity in H/HS in Pursuit of Outcomes
The nation’s federal, state, and local Health and Human Services (H/HS) systems are the cornerstone to building a strong, dynamic, and healthy nation. Many H/HS system leaders are readily adopting new, effective, and responsive services that are outcome-focused, and that identify and address root causes of challenges with the assistance of new services and capabilities built on analytical insights. These leaders are evolving their organization from a traditional model based on regulatory compliance and programmatic outputs, to a model that works seamlessly across sectors and engages families and whole communities in addressing the multi-dimensional socioeconomic issues that its families face. Critical to moving toward this model is a strong foundation of a health and human services organization that views data and data systems as fundamental along with the related workforce capacity comprised of personnel who are skilled in driving decisions based on analytics.

To that end, the American Public Human Services Association (APHSA), Optum, The Lewin Group and Chapin Hall at the University of Chicago sponsored a two-and-a-half day symposium for sixty-one state and local health and human services (H/HS) thought leaders from eighteen states on July 20–22, 2018.

This session will feature state participants of our symposium who will present a range of findings and results they’ve advanced coming out of that event. The topics will explore current practices and operations taking place in the H/HS system as well as approaches and challenges to building analytic capacity and culture within their own agencies.

Moderators
avatar for Christina Becker

Christina Becker

APHSA
Christina works on one of APHSA’s Collaborative Centers, the National Collaborative for Integration of Health & Human Services. The National Collaborative is composed of state, community, industry, and other partner members, who are focused on horizontal integration work between... Read More →
avatar for Scott Dunn

Scott Dunn

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

Speakers
avatar for Deanne Wertin

Deanne Wertin

Deputy Agency Information Officer, Health and Human Services Agency for State of California
Deanne Wertin has twenty-five years of experience working within and across federal, state and local, and not-for-profit organizations focused on the design and development of IT solutions that facilitate data sharing, analytics, and use to improve outcomes.  After starting her career... 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 →


Wednesday March 20, 2019 11:30am - 12:30pm
Key Ballroom 10 (2nd Floor)

11:30am

Track 4: Data-Sharing, 42 CFR Part 2 Compliance: Consent2Share innovations using SMART on FHIR
Speakers
avatar for Greg Linden

Greg Linden

Principal MBA, CPHIMS (representing Minnesota), Linden Tech Advisors
Greg is currently providing business leadership for Minnesota’s DHS Electronic Visit Verification (EVV) program and was the technical SME for Minnesota’s DHS Encounter Alert Service effort, which is rolling out statewide. Greg is leading a DHS program implementing C2S and OCP... Read More →
avatar for Ken Salyards

Ken Salyards

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


Wednesday March 20, 2019 11:30am - 12:30pm
Key Ballroom 9 (2nd Floor)

11:30am

Track 5: State HIX Evolution, Maintenance & Operations
Moderators
CK

Chini Krishnan

Chief Executive Officer and Co-Founder, GetInsured

Speakers
avatar for Venkat Koshanam

Venkat Koshanam

CIO, Maryland Health Benefit Exchange
Venkat Koshanam is the CIO for the Maryland Health Benefit Exchange (MHBE), the state’s health insurance marketplace (HIX) under the Affordable Care Act (ACA) of 2010. Mr. Koshanam oversees all technology for the organization, including online and mobile marketplaces, customer support... Read More →
avatar for Ryan High

Ryan High

Chief Operations Officer, Nevada Health Link
Ryan High joined the Silver State Health Insurance Exchange as the Chief Operations Officer in October of 2016. Ryan came to the Exchange after two years at the City of Reno working on strategic initiatives and performance measures in the city manager’s office. Prior to the City... Read More →
avatar for Russell Cook

Russell Cook

Information Systems Manager, Nevada Health Link
Russell Cook joined the Silver State Health Insurance Exchange in July 2016 as the Information Systems Manager, bringing over eight years of IT experience with the State of Nevada. He attended Carson High School in Carson City, NV, and he received his Bachelor’s Degree in Music... Read More →
avatar for Kelly Guthner

Kelly Guthner

Chief Innovation Officer, Connect for Health Colorado
Kelly Guthner is a seasoned IT executive with 35 years of experience and has served as Chief Innovation Officer for Connect for Health Colorado since early 2018. During his tenure with Connect of Health Colorado, he has overseen implementation of an entirely new application system... Read More →


Wednesday March 20, 2019 11:30am - 12:30pm
Tubman A & B (3rd Floor)

12:30pm

Networking Lunch & Demonstrations
Wednesday March 20, 2019 12:30pm - 1:30pm
Key Ballroom 1-6 (2nd Floor)

1:30pm

Breakouts
Wednesday March 20, 2019 1:30pm - 2:30pm

1:30pm

Track 1: Operations Management: Determining the Health of Your Enterprise
The movement to an outcomes-based approach to the evaluation of Medicaid Enterprise Systems changes the question we ask from, "Is the technology operating as designed?" to "Is the technology supporting the achievement of the goals and objectives of the Medicaid program?" This shift in focus necessitates that Medicaid policy and program implementation are closely coordinated with the technology that supports the Program. In this panel, we will continue the conversation that started in the Tuesday Session: Outcomes, outcomes, outcomes! How states are helping CMS get there . While that session focuses on the experiments that CMS is pursuing with States, this session takes a deeper look at the relationship between technology and program at the State level and how aspects of that relationship will impact CMS's outcomes-based certification efforts.

Speakers
avatar for Edward Dolly

Edward Dolly

Acting Director, Division of State Systems, CMCS/CMS
Edward Dolly is the Acting 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... Read More →
avatar for Elena Nicolella

Elena Nicolella

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


Wednesday March 20, 2019 1:30pm - 2:30pm
Key Ballroom 12 (2nd Floor)

1:30pm

Track 2: The Power of Big Data Analytics: How State Medicaid Agencies Can Leverage Data for Payment, Delivery System Reform
With states under tremendous pressure to modernize and develop more effective Medicaid IT systems that align with the Centers for Medicare and Medicaid (CMS) modularity mandate, agencies are looking to streamline infrastructure while reducing implementation cost, time, and risk. The Kansas Department of Health and Environment (KDHE) has adopted big data analytics to gain insight into ways to lower costs and improve outcomes for their Medicaid program. Analytics has provided the foundation for a growing number of government healthcare initiatives. These include population health management, value-based care, hospital re-admissions reductions, and clinical decision support. One the major challenges that states face is not a lack of data, but that they have too much of it. The challenge is how to discern what data is important and how to use it.

Historically, Medicaid agencies have generated enormous amounts of data and have faced technological challenges in aggregating, storing, analyzing, and visualizing this data due not only to its sheer volume, but also to privacy concerns. Over the past several years, KDHE, in partnership with its vendors, have brought numerous new data sources together and developed the capability to use and generate data in actionable and innovative ways. These include the use of near real-time analytics for program monitoring, which integrates healthcare data from multiple sources and in different formats into a comprehensive 360-degree Medicaid beneficiary view. Information can be viewed from the program, population demographics or individual level. 

The use of big data analytics has led to a successful realization of the Triple Aim, which translates to an immense savings in health care expenditures, improvements in care quality and greater beneficiary satisfaction and quality of life. Medicaid beneficiaries are typically high-cost, high-need populations and face an array of social, economic, and environmental factors that have a significant impact on their overall health. Given Medicaid’s complex populations and the implications for state budgets, KDHE is particularly interested in using data-driven innovations to enhance and bring efficiencies to the Medicaid program

Speakers
avatar for Harlen Hays

Harlen Hays

Manager, Lead Analytics Advisory Consultant, Cerner
Harlen Hays is a Lead Analytics Advisory Consultant at Cerner based out of Kansas City, MO. He has been with Cerner since December 2008 and supports analytics advisory services, analytics development, and insight generation across multiple services lines including state Medicaid... Read More →
avatar for Adam Proffitt

Adam Proffitt

Director of Program Finance and Informatics, Division of Health Care Finance, Kansas Department of Health and Environment (KDHE)
Adam Proffitt is the Director of Program Finance and Informatics for the Kansas Department of Health and Environment, Division of Health Care Finance. In this role, he leads the Agency’s efforts to utilize the wealth of available data to inform policy decisions that will continually... Read More →


Wednesday March 20, 2019 1:30pm - 2:30pm
Key Ballroom 11 (2nd Floor)

1:30pm

Track 3: Integrated Workflow Management: saving time, reducing errors and accurately tracking program allocation
At this session, you will learn how Tulare County justified, planned, implemented and continues to realize success with their Workflow Management Tool (WMT) 12 months post-implementation.
In 2015 Tulare County Health and Human Services had over 700 workers processing approximately 60,000 tasks per month for approximately 75,000 cases. The case management system was over 10 years old and was built to be a customer record and eligibility determination system. Tulare implemented several workaround tools to assist with the management of the workload including a homegrown “task in task out” task management system.

In 2017 Tulare contracted with InTelegy to plan, implement and integrate the Intelegy WMT – Workflow Management Tool. The three-phased approach consisted of Phase I-Assessment and Plan, Phase II- Design and Build and Phase III- Implementation. Learn how InTelegy and Tulare County worked in partnership to implement the enterprise-wide, mission-critical software that is integrated with their case management system and now provides Tulare County with:

·      Standardized Workflow across the office and county
·      Prioritized and equal work distribution
·      A method to manage funding streams efficiently: WMT provides actual time spent by program allowing real-time studies and accurate allocation of time by funding resource
·      Access to Data that shows real-time supervisor & staff level workflow as well as influences management decision making from trending and tracking of critical operational and customer level touch points
 

Speakers
avatar for Vail Dutto

Vail Dutto

CEO, Intelegy
Vail is the founder and chief executive officer of InTelegy Corporation, which has 22 years of experience, building, transforming and leading change in customer services and service delivery business process and technology. Since 2003, InTelegy has brought this expertise to 25 California... Read More →
avatar for Juliet Webb

Juliet Webb

Director, Department of Human Services, Tulare County Health & Human Services Agency
Juliet has worked in county government for nearly 17 years, directing Tulare County’s human services program for the past five. Tulare County HHSA is an integrated “super agency:” offering public health, mental health and human services to its population of nearly 500,000 residents... Read More →


Wednesday March 20, 2019 1:30pm - 2:30pm
Key Ballroom 10 (2nd Floor)

1:30pm

Track 4: West Virginia Asset Verification Services (AVS) journey to meet both CMS mandate and new state SNAP legislative requirements.
CMS mandate known as Section 1940, to the Social Security Act (SSA) requires all states to implement an electronic system for verifying the assets of aged, blind, or disabled applicants for, and members of, Medicaid.  New legislation in West Virginia requires verifications of estimated 350,000 SNAP recipients NLT 1 January 2019.
 
WV executed phased approach: first a portal experience (meeting CMS Mandate) to engage the states 800+ enrollment specialists and second integrated solution into the West Virginia eligibility system known as eRAPIDS.  This 2-phase approach allows for training, testing, and user-influenced design prior to integration within a newly deployed MMIS system.
 
West Virginia AVS verifies both Medicaid and SNAP on a single platform.  Softheon Inc was determined to meet all system requirements, offered best price and execute delivery of1 January 2019. WV AVS platform is modular in design to adapt to changes in CMS policy or local legislation, and a more straight-forward MMIS integration.  WV AVS can utilize several credit bureau subordinate vendors, and enrollment specialist gain on-screen data analysis and a Risk Score calculation upon return of results, initiated by email notification.  

Speakers
avatar for Jon Cain

Jon Cain

Interim CIO, OIS, WV DHHR
Jon Cain has seventeen years of combined private and government information technology experience. Of those seventeen years, eight of them have been focused on delivering successful health and human technology-focused solutions. He has several reputable industry-recognized certifications... Read More →
avatar for Robert Miller

Robert Miller

GM Government Cloud Solutions, Softheon
As the leader for the State & Local Government Cloud business unit of Softheon, Rob is responsible for driving awareness and adoption of State and Local Government workloads on Softheon’s cloud computing platform. He is dedicated to creating and executing a business strategy that... Read More →


Wednesday March 20, 2019 1:30pm - 2:30pm
Key Ballroom 9 (2nd Floor)

1:30pm

Track 5: Use-Cases for Clinical Data Interoperability between MCOs and Medicaid Agencies
The Mississippi Division of Medicaid (DOM) was one of the first Medicaid Agencies to connect to provider health systems for real-time clinical summary (C-CDA) query and exchange. After connecting four of the largest health systems in the state for real-time C-CDA exchange, in 2018 the Division of Medicaid began connecting to their three Medicaid Managed Care Organizations (MCOs) for bi-directional clinical data exchange.  The first successful MCO connection was with Magnolia Healthcare.

In this session, Mississippi Medicaid and Molina Healthcare (MCO) project staff will discuss the impact of moving from clinical data exchange with provider trading partners into clinical data exchange with MCOs, and how MCO clinical data exchange can impact and support improvements in the Medicaid Agency, including for quality of care, lowering of costs of care, and assisting a Medicaid Agency in building a rich clinical data set for analytics and population health use-cases. This session will also address how the DOM Clinical Data Interoperability Program is aligned with CMS and other requirements such as MITA, Promoting Interoperability (MU), and the 21st Century Cures Act. 

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 →
avatar for Brien Sarnoski

Brien Sarnoski

Director of Project Support, Molina Healthcare
Brien Sarnoski has been a project leader in the healthcare industry for over 20 years. Since 2014, he has been a Director in the Project Support Office for Molina Healthcare, Inc. Prior to joining Molina Healthcare, Brien spent his career delivering projects associated with regulatory... Read More →
avatar for Chris Smith

Chris Smith

Clinical Data Program Manager Mississippi Division of Medicaid, Mississippi Division of Medicaid
Chris Smith is the Clinical Data Program Manager for the Mississippi Division of Medicaid.  Mr. Smith is responsible for overall clinical data program and clinical data interoperability at DOM.  Mr. Smith has overseen multiple procurements and implementation of clinical data infrastructure... Read More →


Wednesday March 20, 2019 1:30pm - 2:30pm
Tubman A & B (3rd Floor)

1:30pm

Track 6: Ensuring Patient Record Access When Disaster Strikes
Healthcare interoperability can save lives and relieve stress in an emergency. The Patient Unified Lookup System for Emergencies (PULSE) is a nationwide health IT disaster response platform that can be deployed at the city, county, or state level to authenticate disaster healthcare volunteer providers. PULSE allows disaster workers to query and view patient documents from all connected healthcare organizations to make informed care decisions, refill medications, and more. PULSE was originally conceived by the Office of the National Coordinator (ONC) for Health IT following Hurricane Katrina. Well-meaning physicians and providers flocked to shelters to help, but there was an inability to confirm medical credentials of these volunteers or access health records of evacuees. Learn how to bring this essential health IT system to your state.  

https://sequoiaproject.org/pulse/


Speakers
avatar for Kristen Finne

Kristen Finne

Program Manager, HHS emPOWER Program, Senior Program Analyst, HHS/ASPR/EMMO/Readiness, HHS
Kristen Finne, is a Senior Program Analyst in the U.S. Department of Health and Human Services, Office of the Assistant Secretary for Preparedness and Response (ASPR) and has 20 years of expertise in health care and public health policy, programs, service delivery, research and emergency... Read More →
SA

Scott Afzal

President, Audacious Inquiry
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.  The Sequoia Project... Read More →



Wednesday March 20, 2019 1:30pm - 2:30pm
Paca (3rd Floor)

2:30pm

5 Minute Short Break
Wednesday March 20, 2019 2:30pm - 2:35pm

2:35pm

Closing Keynote: Update from the National Coordinator for Health IT
Speakers
avatar for Dr Don Rucker

Dr Don Rucker

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


Wednesday March 20, 2019 2:35pm - 3:20pm
Key Ballroom 7-8 (2nd Floor)