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Personalizing MA: Optimizing Supplemental Benefits for Chronically Ill Beneficiaries (SSBCI)

  • July 27, 2020
  • 1:00 PM – 2:00 PM ET
  • Online
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With its latest MA Call Letter, CMS finalized its approach for Medicare Advantage (MA) plans to tailor supplemental benefits for beneficiaries with chronic conditions, including the flexibility to offer a portfolio of non-primarily health-related services. As the country continues to respond to the COVID-19 pandemic, including emerging issues such as social isolation for beneficiaries at greater risk for COVID-19 mortality, MA plans are at the forefront of iterating on SDOH investments and surfacing, rapidly, what works and what doesn’t to drive member value.

This panel discussion will focus on the policy imperative, early feedback from SSBCI pioneers, and the operational challenges for provider networks tasked with implementation. Moderated by Aneesh Chopra, President of CareJourney, we will hear insights from industry experts and share how data sharing, CMS/ONC interop rules, and provider networks can enable plan success.

Attendees will learn:

  • What is SSBCI and how could it impact my organization?
  • How do I get a better understanding of my patient population and segment them for network growth and better care?
  • What types of supplemental services could lead to greatest impact?

Speakers 


Aneesh Chopra (Moderator)
President
CareJourney

Aneesh Chopra is the President of CareJourney, an open data membership service building a trusted, transparent rating system for physicians, networks, facilities and markets on the move to value. He served as the first U.S. Chief Technology Officer under President Obama (’09-’12) and in 2014, authored, “Innovative State: How New Technologies can Transform Government.” He serves on the Board of the Health Care Cost Institute, the New Jersey Innovation Institute, and earned his MPP from Harvard Kennedy School and BA from The Johns Hopkins University.


Caraline Coats
VP, Bold Goal & Population Health Strategy

Humana

Caraline Coats has been with Humana for over twelve years. She started as a Regional Director of Medicare Operations in Arizona and relocated to Florida, where she became the VP of Network Management and subsequently, the Regional VP of Network Management for the East Region. In her role before joining the Bold Goal team, Coats served as VP of Humana’s Value-Based Strategies, leading the organizational advancement of innovative payment models that enable Humana to support providers as population health managers in value-based care relationships.


Dr. Romilla Batra
Chief Medical Officer

SCAN Health Plan

Dr. Romilla Batra currently serves as the Chief Medical Officer of SCAN Health Plan. She is responsible for the oversight of SCAN’s clinical and non-clinical programs that improve overall outcomes and experience while reducing cost and delivering consumer centric care. She is also responsible for SCAN’s provider integration program, pharmacy, healthcare services, medical policy, digital health innovation, public & government affairs and community benefit. Dr. Batra has over 18 years of experience in leading organizational efforts to create innovative programs focused on population health management and quality improvement, both on the health plan side as well as provider group side.


Dr. Sanjay Doddamani
Chief Physician Executive and COO
Southwestern and Texas Health Resources

Dr. Sanjay Doddamani is executive vice president, chief physician executive and chief operating officer of Southwestern Health Resources, the clinically integrated network supporting 5,500 providers and almost a million lives through UT Southwestern, a large academic system, Texas Health Resources, a 29 hospital community system and a network of community affiliated primary care and specialty providers. He oversees the strategy and implementation of operations, quality, clinical programs and population health.

He previously served as senior physician advisor at the Center for Medicare and Medicaid Innovation (CMMI) within the Centers for Medicare and Medicaid Services where he served in the front office overseeing the development and implementation of health delivery models that tested and measured value-based payment innovation.


Dr. Kavita Patel
Nonresident Fellow, Brookings Institute
Primary Care Physician, Mary’s Center

Dr. Patel has a rich background in health policy, previously working at the Brookings Institution on health care reform and physician payment. Dr. Patel also served in the Obama Administration as director of policy for the Office of Intergovernmental Affairs and Public Engagement in the White House, where she played a key role in the design of health care reform legislation. Dr. Patel serves on the board of several organizations including Dignity Community Care, SSM, Radiology Partners and Paladina Health. She is also a Venture Partner at New Enterprise Associates.


 

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