Washington, D.C.

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Policy Changes and Innovation in Chronic Condition Care

  • November 29, 2018
  • 12:00 PM – 1:00 PM ET
  • Online
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For the 2020 plan year, Medicare Advantage plans now have flexiblity to offer new supplemental benefits, and to target those benefits to members with chronic conditions. Many plans are looking to address medical needs and also the social determinants of health with these new benefits, to support better clinical outcomes, quality, and cost savings.

This webinar will provide a summary of the recently passed Chronic Care Act and how it allows Medicare Advantage Plans, including D-SNPs and C-SNPs, to develop innovative products to support members with chronic conditions for 2020.

Attendees will learn about law’s provisions with regard to supplemental benefits and the targeting of benefits for members with chronic conditions from a policy expert. Attendees will also learn about an innovative model of care that supports people with uncontrolled chronic conditions with home-delivered meals and other benefits, which can serve as an example for payer teams considering 2020 benefit designs.


Speakers


Henry W. Osowski
Managing Partner
Strategic Health Group LLC

Hank Osowski, a Founding Member and Managing Partner of Strategic Health Group, is an experienced health care executive and strategist who has provided leadership to commercial, Medicare and Medicaid health plans for more than three decades. He has led several engagements for the firm’s clients on the key challenges of Medicare and Medicaid Managed Care programs in diverse markets, such as California, Wisconsin, Michigan, Illinois, New Mexico, Florida, West Virginia and Hawaii. He has also provided leadership to more than a dozen client plan development undertakings for commercial, Medicare Advantage and Medi-Cal business startups in multiple states.

Formerly the senior vice president of corporate development for SCAN Health Plan, Hank was a key member of the senior leadership team that turned the company around from a “near death experience” into an exceptionally strong financial position and one of the largest nonprofit Medicare Advantage plans in the country. He led SCAN’s expansion into seven additional California counties and as well as its first out-of-state expansion into Arizona where Hank then served as CEO of SCAN Health Plan Arizona and SCAN Long Term Care. He has also led the organization’s strategic planning efforts and initiated an innovation development regimen to seek improvements in care coordination practices and future care outcome protocols.

Prior to SCAN, Hank served as a Principal in a national health care consulting organization providing a range of strategic, financial and development services for health plans, physician groups and hospitals. He also served as vice president International Operations for American Family Life Assurance Corporation where he directed the development of start-up operations in the United Kingdom, Germany and Italy, as well as the financial turnaround of the company’s Canadian operations.

Hank began his California career as a member of the senior management team responsible for the turnaround and financial survival of Blue Cross of California. In this capacity, Hank led the financial improvement of the individual and small group division and provided leadership to the organization’s strategic planning efforts.

A frequent speaker on critical issues facing the Medicare and Medicaid programs, including the opportunities for strengthening a Medicare Advantage plan’s market position, the challenges of supporting programs for the Dual Eligible populations, as well as the principles for structuring effective long term care programs. His views on some of the challenges facing the healthcare industry have been published in “Managed Care Contracting & Reimbursement Advisor”, “Payers and Providers” and “Becker’s Hospital Review.”


Catherine Macpherson, MS, RDN
VP Product Strategy and Development and Chief Nutrition Officer

Catherine is a senior leader in healthcare product strategy and product management. She is a product innovation leader who has launched successful multi-channel, consumer-focused, technology-enabled health, wellness and condition management products at leading healthcare companies and organizations.

Catherine is the VP of Product Strategy and Development and Chief Nutrition Officer for PurFoods, the leading national provider of home-delivered meals that allow people to recover and age at home. She also served as Vice President over the Medication Adherence and Immunizations businesses at Walgreens, led Healthcare Product Strategy at WebMD and managed health and wellness products and programs for Ceridian, the National Institutes of Health and the American Institute for Cancer Research.

Catherine earned her Masters of Science degree in Human Nutrition from the University of Minnesota and her BA from the University of Michigan. She is a Registered Dietitian and has training and expertise in product management, behavior change, weight management, tobacco cessation, medication adherence, health coaching, disease management and culinary arts.


Scott Rinefort
Senior Product Director

Scott joined CareMore Health in 2013. He received his B.S. in Business from Butler University and MBA from Eastern Illinois University. He began his healthcare career as Director of Marketing & New Markets for a senior housing/hospital development company. Scott then worked at PacifiCare and United Healthcare in increasingly responsible roles across all lines of business. In his current role as Senior Director, Product Design Scott leads innovation across both plan product development and clinical programs including a focus on Social Influencers of Health. He has a passion for ensuring that CareMore’s business model supports and elevates its clinical delivery and for developing progressive solutions to help our patients access the healthcare system.