Did you miss last week's Medicaid Matters Talk Show? Richard Yadon, show host interviewed Gwen Williams VP of Molina Medicaid about the latest trends driving the Medicaid eco-system forward toward 2013. Ms. Williams currently serves as the Chairwomen of the Private Sector Technology Group. Learn more about the PSTG by clicking here.
Listen in to the Medicaid Matters show recording below:
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We are honored to have Robert Mendonsa CEO Of Aetna Better Health in Illinois as our guest on the March 27th Medicaid Matters Talk Show. As chief executive officer of Aetna Better Health in Illinois, Robert Mendonsa’s (BIO) primary responsibilities include overseeing health plan staff and establishing and maintaining a system for reviewing, assessing and implementing the state contract.
1PM EST CLICK HERE TO LISTEN LIVEIn addition, he is responsible for the implementation and execution of the health plan’s Integrated Management Care program. Mr. Mendonsa has had a long career with Aetna. He began as a sales manager in 1991 and, since then, has held six positions in three states. Prior to his current role, he was president of small and middle markets for the 16-state North Central Region. Based in Chicago, he was responsible for profit and loss for health insurance products sold to employers with 2 to 3,000 workers. Before re-joining Aetna, Mr. Mendonsa was the chief financial and administrative officer at Association House of Chicago, a 110-year-old social service institution dedicated to improving the lives of the neediest.Throughout his career, Mr.Mendonsa has devoted a significant amount of time to public service causes. He has served as chair of the American Heart Association,Community Health, a free clinic on Chicago’s west side, and the Aetna Foundation Regional Grants Council. Mr. Mendonsa earned a master’s degree in business from the University of Southern California and a bachelor’s degree in economics from the University of California,Los Angeles.
Medicaid Video: Care Management
Listen to the recording (below) of this informative discussion with Linda Hamacher (BIO) about the changing face of Medicaid. Ms. Hamacher plans on sharing highlights of a recent presentation made at the Medicaid Innovations Forum.
Genesee Health Plan (GHP) is a community-based non-profit that provides primary care & other basic services to 27,000 low-income, uninsured adults in Genesee County, Michigan, one of the most economically depressed areas of the U.S. The Genesee Health Plan is the only local one in Michigan that is funded directly by the community through a special millage. The plan reduced its enrollee’s’ use of emergency department services by 51% and hospital admissions by 15% between 2006-2007. The success of the Genesee Health Plan has demonstrated that any community–even one with scare resources–can provide basic, affordable health services to uninsured adults.
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Not able to attend the conference? No worries, we can't bring you the Florida sun but we can bring the panel discussion on Enrollment and Fraud prevention to you. Listen and watch via the video below: This two day Forum highlighted the best of the best from the Medicaid industry. Please see the speaker list below. Listen in as show host Richard Yadon moderates the afternoon panel discussion on Enrollment and Fraud Prevention.
Medicaid Innovation Forum February 8-9th 2012 Orlando FloridaRegister Scheduled Speaker List:
Margaret K. Brockman, RN, MSN, CCM, COHNProgram Specialist, Physician Services Nebraska Medicaid and Long Term Care
Stephanie Sullivan ChrobakDirector of Commonwealth Care Program Commonwealth Health Insurance Connector Authority (Health Connector)
Bill ClarkDirector, Provider and Member Relations Department of Vermont Health Access
Robert E. Cooper, Jr.Manager of Community Affairs Ameri Health Mercy Health Plan
Robert M. Damler, FSA, MAAAConsulting Actuary Milliman
Thomas DerrickPresident MariChris, LLC
Holly Michaels FisherVice President, Government Program Management and Strategies OptumInsight Consulting Holly Michaels Fisher is a Vice President in the Government Program and Management
Clint FuhrmanDirector of Government Health Care Programs LexisNexis Risk Solutions
M. Melanie "Bz" Giese, RNDeputy Director, Medical and Managed Care Services South Carolina Department of Health and Human Services
Jeff GottliebDirector of Sales, Public Sector SXC Health Solutions, Inc.
Linda Hamacher, President; CEO,Genesee Health Plan of Michigan
Dr. Scott HowellNational Senior Medical Director for Clinical Performance and Compliance OptumInsight
Thomas L. JohnsonPresident and CEO Medicaid Health Plans of America
Kevin KempskePartner, EVP, Public Relations and Grassroots Outreach GKV Register Here for the Forum use code MP52 to get $200 discount! David C. Kumpf, CEO Optimetra
Greg MoodyDirector, Governor’s Office of Health Transformation State of Ohio
Beth NelsonMedicaid Development Director ClearStone Solutions
Henry W. OsowskiManaging Director Strategic Health Group LLC
Janet ParenteauBusiness Solutions Director, Care Management DST Health Solutions
Karen ParkerDirector, Bureau of Medicaid Financial Management and Administrative Services State of Michigan
Scott P. PolanskyChief of Business Development Boston Medical Center HealthNet Plan Scott Polansky is Chief of Business Development for Boston Medical Center HealthNet Plan (BMCHP) in Boston, MA. BMCHP serves almost 250,000 members and is the 4th largest HMO in Massachusetts.
Garry RaimPartner, EVP of Direct and Interactive Marketing GKV
Robin RaveendranChief Program Administrator Arkansas Department of Human Services, Division of Medical Services - Program Integrity Unit
Michael RichardsExecutive Director, Government Relations and External Affairs Gundersen Lutheran Health System
Robert RobidouDirector, Network Development Cook Children’s Health Plan
Cheryl Slagle, RN, CMCN, CCMVice President, Health Services CareSource
Debra SmyersSenior Director, Program Development for Medicaid, Special Needs Plan, and CHIP University of Pittsburgh Medical Center (UPMC) Health Plan
Hoa Su, MPHManager of Health Education Health Net, Inc.
Jacqueline ThomasDirector, Program Integrity Alabama Medicaid Agency
Pamela Tropiano, RN, CCM, BSN, MPA,Senior Vice President, Health Services CareSource
Listen in to an insightful and relevant discussion. Our panel of Medicaid care management experts share their views and expert opinions about the latest trends, issues, and challenges in the areas of: Care Coordination |Case Management |Care Management |Field Service Coordination
Watch and Listen belowVideo streaming by Ustream This Weeks Guests:
Cheryl Slagle, VP Health Services, CareSource___________________________________________
Juanica Williams, Past Director Health Care Management Services, Amerigroup___________________________________________
Deborah Mitchum, Director Case Management, Denver Health
Join Us on Tuesday at 1pm EST
Jay Mason, CEOMyHealthDIRECT Jay Mason leads the organizations strategy and vision, aligning innovative industry business models to the development of its technologies and services. Its application and services are widely-used by health systems, hospitals, managed care organizations and State health information exchange initiatives, resulting in the reduction of unnecessary emergency room visits, cost savings for hospitals and public health programs and better access to care and care coordination for patients. Mason’s future plan also includes a model where consumers can use the solution on their smart phone to find and secure healthcare appointments in their communities. Mason launched National Employee Benefits in 1988, one of the first chiropractic benefit management firms in the country. In 1998, he sought out and led in the merger with American WholeHealth in that year. As CEO of their managed care division, AWH became the leader in complementary and alternative benefits, with over 30,000 contracted providers and 20 million covered lives. A strong believer in community service, he has served on the Board of Directors of Congo Initiative, Board of Directors of Christian Stewardship Foundation and Board of Directors of Concordia University of Wisconsin. He also serves on the Advisory Board of Concordia School of Pharmacy. Mason holds a graduate degree in non-profit management from Carroll University, and a business management bachelor’s degree from the University of Wisconsin, La Crosse.
Tom Reilly, Vice President-Health Care SolutionsMyHealthDIRECT Tom is currently Vice President of Healthcare Solutions for My Health Direct, Inc. In his capacity Tom has a role in shaping the strategic direction of the company. Other responsibilities include generating new business and ensuring that current accounts are renewed and strengthened. Having held key roles in the for-profit, not-for-profit, and government sectors, Tom Reilly has a nuanced understanding of the unique values and culture associated with each. In the governmental sector, Tom served as Senior Advisor to the Administrator of the Centers of Medicare and Medicaid Services (CMS). In this role, he reported to the lead person in the agency and was charged with ensuring that critical projects and priorities were successfully completed. Implementation of new programs, such as the Chronic Care Improvement Program, was among his responsibilities. Management of operational priorities, such as staffing allocation, was also among his responsibilities. In the non-profit arena, Tom served as Director of Government Affairs for Aurora Health Care. He advocated for Aurora’s integrative approach to health care delivery among federal, state, and local governments. In addition to securing additional governmental funds for Aurora, he successfully advocated for a new initiative to improve care for patients with chronic conditions. As a result of his efforts, Aurora secured onsite access to state Medicaid enrollment specialists. Tom has also worked in the for-profit sector prior to working for My Health Direct. As Account Manager for Cenpatico Behavioral Health, part of Centene Corporation, it was his responsibility to successfully interface behavioral health services within the health plans. Prior to working for Cenpatico, he founded an independent consulting firm, Evolution Strategies, to find ways to bring community-based solutions to the most challenging demands of business.
Join Medicaid Matters on March 27th as we take a look at Integrated Care Management. We are honored to have Robert Mendonsa CEO Of Atena Better Health in Illinois as our guest. Robert Mendonza Bio As chief executive officer of Aetna Better Health in Illinois, Robert Mendonsa’s primary responsibilities include overseeing health plan staff and establishing and maintaining a system for reviewing, assessing and implementing the state contract. In addition, he is responsible for the implementation and execution of the health plan’s Integrated Management Care program. Mr. Mendonsa has had a long career with Aetna. He began as a sales manager in 1991 and, since then, has held six positions in three states. Prior to his current role, he was president of small and middle markets for the 16-state North Central Region. Based in Chicago, he was responsible for profit and loss for health insurance products sold to employers with 2 to 3,000 workers. Before re-joining Aetna, Mr. Mendonsa was the chief financial and administrative officer at Association House of Chicago, a 110-year-old social service institution dedicated to improving the lives of the neediest.Throughout his career, Mr.Mendonsa has devoted a significant amount of time to public service causes. He has served as chair of the American Heart Association,Community Health, a free clinic on Chicago’s west side, and the Aetna Foundation Regional Grants Council. Mr. Mendonsa earned a master’s degree in business from the University of Southern California and a bachelor’s degree in economics from the University of California,Los Angeles.