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Summer 2020 Virtual Conference: COVID-19 Hospitalization Index

This video is part of our Summer 2020 Virtual Conference- Medicaid as the Most Important Part of the COVID 19 response. To learn more about our virtual conferences, including opportunities for patrons, please use the form below.

Session information


Attendees will learn how Lumeris’ Open Source COVID-19 Hospitalization Index can identify patients at high risk of hospitalization due to existing conditions, who are also at risk for severe disease and death due to coronavirus infection.

Attendees will identify different methods of how the COVID-19 Hospitalization Index can be implemented within their organization to proactively engage with patients.

Attendees will learn about various patient outreach strategies that care teams can use to provide clinical and non-clinical support to patients.

Speaker information


Michael Cousins

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Summer 2020 Virtual Conference: Children’s Health Plan of Wisconsin COVID 19 Response

This video is part of our Summer 2020 Virtual Conference- Medicaid as the Most Important Part of the COVID 19 response. To learn more about our virtual conferences, including opportunities for patrons, please use the form below.

Session information


1.To understand policy changes and flexibilities that have been implemented to reduce barriers to care

2.  To recognize how data is leveraged to target case management services to high risk members in areas of high disease burden

3.  To appreciate the impact of the pandemic on utilization patterns, pay for performance metrics, and financial targets

Speaker information


 Mark Rakowski 

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Summer 2020 Virtual Conference: Routing patients through COVID protocols in a university setting

This video is part of our Summer 2020 Virtual Conference- Medicaid as the Most Important Part of the COVID 19 response. To learn more about our virtual conferences, including opportunities for patrons, please use the form below.

Session information


Join us as we share how Miami Dade college utilizes MapsPeople to effectively coordinate the COVID-19 response for summer students as well as prepare for the influx of students in the fall. In this session we will explore how maps people can help:

Coordinate hospital navigation in real-time

Improve the patient experience

Increase patient confidence to return for elective procedures

Decrease missed appointments

Speaker information


 Gary Wood 

 Cristina Madrigal 

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Summer 2020 Virtual Conference: COVID-19- A review of the data so far

This video is part of our Summer 2020 Virtual Conference- Medicaid as the Most Important Part of the COVID 19 response. To learn more about our virtual conferences, including opportunities for patrons, please use the form below.

Session information


Quantify the substantial degree to which the virus has continued to spread (even in areas where new case volume is past its peak)

Quantify the differences in per capita death rates by age cohort and gender

Provide several data points on Medicaid enrollment growth during the past few months*

Speaker information


 Joel Menges 

 Amira Mouna 

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Summer 2020 Virtual Conference: Amerigroup TN COVID 19 Response

This video is part of our Summer 2020 Virtual Conference- Medicaid as the Most Important Part of the COVID 19 response. To learn more about our virtual conferences, including opportunities for patrons, please use the form below.

Session information


Anthem enterprise level engagement, initiatives and resources provided in response to COVID-19

Innovative partnerships and how they play a vital role in the COVID-19 response via the Amerigroup Tennessee Medicaid program

Key concepts related to Medicaid member outreach and how best to reach your most vulnerable members using telehealth, associate check-ins and partner organizations

Speaker information


Robert Garnett

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Summer 2020 Virtual Conference: Third Party Liability during a time of crisis

This video is part of our Summer 2020 Virtual Conference- Medicaid as the Most Important Part of the COVID 19 response. To learn more about our virtual conferences, including opportunities for patrons, please use the form below.

Session information


The discussion will give anyone responsible for the fiscal health of a plan a roadmap that will allow them to move their organizations and States away from high-abrasion, high-expense pay and chase processes, and towards true cost avoidance protocols that rely on a nationwide active coverage identification index that hones in on utilizers.  Attendees will learn about Syrtis’ daily ProTPL service which returns 100% accurate, active coverage information on a nightly basis so that payers can cost avoid claims that are the responsibility of a liable third party, and drastically mitigate their need for expensive and inefficient subrogation services.

Speaker information


Stephen Konsin, Jr.

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Summer 2020 Virtual Conference: Increase phone data plan access for Medicaid members as a way to facilitate telehealth

This video is part of our Summer 2020 Virtual Conference- Medicaid as the Most Important Part of the COVID 19 response. To learn more about our virtual conferences, including opportunities for patrons, please use the form below.

Session information


●Understand the recent telehealth regulatory and reimbursement shifts caused by Covid-19

●Project the ways telehealth will change the way healthcare is practiced and received post the crisis

●Examine the “last mile” connectivity challenge which limits the under-connected and at-risk population from participating in telehealth today (and tomorrow)

Speaker information


 Brett Moraski

Liliane Offredo-Zreik 

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Summer 2020 Virtual Conference: Electronic payer-provider relationships in Medicaid dental

This video is part of our Summer 2020 Virtual Conference- Medicaid as the Most Important Part of the COVID 19 response. To learn more about our virtual conferences, including opportunities for patrons, please use the form below.

Session information


After attending this session, attendees will understand how payers and MCO’s can support dental providers and patients during the COVID-19 shutdown with streamlined processes and electronic tools, particularly in support of emergent and urgent care needs.  The session will educate attendees on how payers can support dental providers and patients with:

•            Teledentistry

•            Authorization changes

•            Out-of-network rules

•            Self-service tools

Speaker information


 Marcel Tetzlaff 

Shirley Spater

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Summer 2020 Virtual Conference: Getting enhanced benefits into the hands of members rapidly during a pandemic

This video is part of our Summer 2020 Virtual Conference- Medicaid as the Most Important Part of the COVID 19 response. To learn more about our virtual conferences, including opportunities for patrons, please use the form below.

Session information


Attendees will discover how WEX Health is offering to rapidly assist state Medicaid, public health and other HHS agencies, and state employers in providing immediate direct benefit assistance to Medicaid members using existing member benefit card solutions.

Attendees will learn how WEX Health’s SpeedLift solution, a highly elastic, quick-implementation, supported by a steady stream of communications helped a state agency relieve its citizens of a financial burden associated with its CHIP program within weeks of the COVID-19 outbreak. After attending this session, attendees will know about WEX Health and the innovative approaches we have taken to ease the burden many are feeling at this time as it relates to the health and finances of their business and its employees.

Speaker information


 John Sweeney 

 Jeff Bakke 

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Medicaid Buy-In: Episode#5- Interview with John Sweeney and Cheryl Gardner

Listen to the Podcast

  • Guest Bio
  • Show notes

John SweeneyWEX Health

John Sweeney is a thought leader on the WEX Public Sector team, focused on connecting WEX innovation to evolving client needs in the Medicaid and health marketplace verticals. Prior to joining the WEX team, John served in various other healthcare technology roles throughout his 20+ year career, including nearly 10 years at IBM companies.  John also serves as the Director of the Hale Center Theatre, where he has directed 30 productions over the last 16 years. 

Cheryl GardnerGardner Strategies

Cheryl Smith Gardner is the founder of Gardner Strategies, a health policy and strategy company. Cheryl combines functional knowledge and experience in state health policy design with a notable background in strategic management and program administration. Her clients include state government agencies, technology firms, and policy shops. 

Prior to founding Gardner Strategies, Cheryl served as the Chief Executive Officer at beWellnm (New Mexico’s health insurance exchange), as the Executive Director of the Arkansas Health Insurance Marketplace (AHIM), as a Senior Practitioner at Deloitte Consulting, as a director in the Health Insurance Exchange practice at Leavitt Partners, and in the Utah Governor’s Office of Economic Development as the Director of Policy and Strategy of the Utah Health Exchange office. 

Her leadership and expertise in the areas of state health policy, insurance exchanges, and health system reform often draws national attention as she is frequently cited in a number of respected publications including the Washington Post, Politico, The Wall Street Journal, USA Today, and the New York Times. Cheryl is a highly sought after public speaker and has participated multiple times as a presenter, panelist, and moderator at a number of national conferences including those sponsored by the National Conference of State Legislatures (NCSL), the Republican Governors Association (RGA), the National Conference of Insurance Legislators (NCOIL), and America’s Health Insurance Plans (AHIP).

Highlights from this episode

  • Defining Medicaid Buy In and Public Option as one more chapter in the continuation of expanding coverage
  • Medicaid Buy in Vs Medicare Buy In; Compared to Medicare for All
  • States controlling their own destiny with Medicaid Buy In customization
  • How long we have been trying to implement Medicaid Buy In
  • Buy in as part original ACA design via Public Plan/Option
  • Range of readiness for Medicaid Buy in across states
  • The importance of choice for all health insurance consumers
  • Importance of where the idea of Buy in originates within a state stakeholder system
  • How preliminary eligibility criteria can determine broader uptake
  • Importance of different states sharing what they are doing with other states
  • 2 kinds of readiness: Policy readiness and technology readiness
  • Technology is there. Its better than ever and its cheaper than ever
  • Challenges of working through bureaucracy of the policy side
  • Key tech systems that need to be in place or enhanced to deliver Medicaid Buy In / Public Option through a state marketplace
  • Impact of simplifying Medicaid eligibility systems integration requirements on costs of technology
  • Importance of making consumer shop and compare experience best it can be for increasing uptake for Medicaid Buy In
  • Opportunity to customize plans for consumers based on their specific healthcare needs
  • Getting the data needed to customize plan offerings to consumer needs
  • Predicting when we will see more Medicaid Buy In programs

About our Sponsor

This was made possible by support from WEX Health. Please take a moment to learn more about what they do by visiting wexinc.co/public-sector