AUCD - Leading Change Session: Driving Health Outcomes
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Engaging Stakeholders to Influence Managed Care Plans that Include Long-term Services and Supports
Tuesday, November 19, 2019 8:30 AM - 10:15 AM
Location: Grand North
Session Description
About this Session
Managed care plans that combine medical services with community-based, long-term services and supports now exist in 24 states. Several additional states are considering this approach. How can people with disabilities and the organizations that support them engage with the state and health plans to ensure the needs of people with disabilities are successfully addressed?
Participant Outcomes
Participants will be able to:
- Better understand the role of health plans, especially in managing Medicaid home and community-based services,
- Hear from state, AUCD network, and advocacy leaders about successful program models and challenges, and
- Learn how and where to engage to influence positive change.
Featured Presenter(s)
Moderator
John Tschida, MPP, Associate Executive Director for Research and Policy, AUCD
John Tschida, MPP, is the associate executive director for research and policy at AUCD, where he provides strategic direction, develops funding opportunities, and builds external partnerships. He also leads the PROMISE TA Center. He has more than 20 years of experience using data and research to drive systems change at the policy and program level for individuals with disabilities.
Previously, John served as director of the National Institute on Disability, Independent Living, and Rehabilitation Research (NIDILRR), the federal government's premier applied disability research agency. He also served as director of public policy and innovation at Allina Health in Minnesota, where he developed integrated health delivery systems and financing models for people with disabilities.
John serves on a number of national panels designing policy or governance solutions to further the independence of people with disabilities, including the board of the Long Term Quality Alliance, Anthem Health's National Advisory Board, and the Lakeshore Foundation's Advisory Council. He has written numerous articles on disability and public policy for national and local publications.
Panelists
Merrill Friedman, Senior Director, Disability Policy Engagement, Anthem
Merrill Friedman leads the Disability Policy Engagement team and advocacy strategy for Anthem, a leading health benefits company serving nearly 74 million people nationwide through its affiliates. She works collaboratively with consumers, advocates and stakeholders to ensure the diverse interests and preferences of older adults, individuals with disabilities, and children involved in child welfare programs inform Anthem's health benefits approaches and related initiatives. Ms. Friedman also leads the National Advisory Board (NAB) on Improving Health Care Services for Older Adults and People with Disabilities and advances the integration of the NAB's six foundational principles, the independent living philosophy, and principles of self-determination throughout these programs, as well as Anthem's member interactions and business practices. In addition, she leads strategic partnerships with national and local organizations to advance the development of inclusive public policy.
Ms. Friedman is a nationally recognized leader in Medicaid, LTSS and health services that reflect the needs and interests of older adults, people with disabilities and children and adolescents. Health program expertise includes disability, aging, drivers of health (SDoH), foster care, mental health and substance use, intellectual and developmental disabilities, and justice involvement. Her extensive experience in program development, strategy, new business growth and operations management informs the innovation and development of home and community-based services and capacity building.
Ms. Friedman has served on numerous national boards and commissions. She was appointed by President Barack Obama to the President's Committee for People with Intellectual Disabilities and by Governor Jennifer Granholm to the MI Statewide Independent Living Council where she also served as Board Chair. Currently, Ms. Friedman serves on the board of directors for Family Voices, Rebuilding Together, and is a member of the National Academy of Social Insurance (NASI) and the NASUAD MLTSS Institute Advisory Board.
Ted Kastner, MD, MS, Commissioner, New York State Office for People with Developmental Disabilities
Theodore A. Kastner, MD, MS is the Commissioner of the New York State Office for People With Developmental Disabilities (OPWDD) where he oversees the provision of services to more than 138,000 people with intellectual or developmental disabilities, a state workforce of more than 22,000 direct support staff, clinicians, nurses, researchers and other professionals throughout the state, and a budget of approximately $8.0B.
Prior to joining OPWDD, Dr. Kastner served as the founder and President of Developmental Disabilities Health Alliance, Inc., an integrated primary care/mental health practice for people with intellectual and developmental disabilities. He was formerly Director of the Rose F. Kennedy Children's Evaluation and Rehabilitation Center (RFK CERC) at Montefiore Medical Center and a Professor of Pediatrics and Professor of Psychiatry and Behavioral Sciences at the Albert Einstein School of Medicine where he also held the Ruth I. Gottesman Chair in Developmental Pediatrics.
Dr. Kastner is board-certified by the American Board of Pediatrics in Pediatrics, Developmental and Behavioral Pediatrics, and Neurodevelopmental Disabilities and by the American Association for Physician Leadership as a Certified Physician Executive. With more than 40 years in the field of developmental disabilities, beginning as a direct support professional for the Massachusetts Association for the Blind and Visually Impaired, Dr. Kastner has provided consultation in 25 states, and brings to this position expertise in program development and evaluation and the design and operation of for-profit and non-profit managed care plans.
Michael Monson, MPP, Senior Vice President, Medicaid & Complex Care, Centene Corporation
Michael Monson is the Senior Vice President of Medicaid & Complex Care at Centene Corporation and the CEO of Social Health BridgeTM. Operating in 32 states and with revenue of $73 billion, Centene Corporation, a Fortune 51 company, is a leading multi-line healthcare enterprise that provides programs and related services to the rising number of under-insured and uninsured individuals. Mr. Monson has national product responsibility for Centene's Medicaid and Complex Care product lines - TANF; CHIP; Foster Care; Medicaid Expansion; Aged Blind & Disabled (ABD); Managed Long Term Services & Supports (MLTSS); and Medicare-Medicaid Plans (CMS Financial Alignment Demonstration). Additionally, he is responsible for Centene's overall strategy for Social Determinants of Health (SDoH), Social Health Bridge TrustTM, and the Centene Center for Health Transformation, a collaboration with academic researchers.
Previously, Mr. Monson was the Chief Administrative Officer & Vice President of Residential Services at Village Care of New York, a New York City based integrated health system with more than $200M in revenue. He joined Village Care after having spent more than eight years working at the Visiting Nurse Service of New York (VNSNY). Prior to joining VNSNY, Mr. Monson spent six years working for McKinsey & Company where he worked primarily with media and nonprofit clients. Prior to that, he was the Finance Director for then Congressman Robert Menedez's campaign.
Jazmin Burns, PsyD, 2019-2020 AUCD Emerging Leaders Intern
Jazmin Burns is AUCD's Communications and Engagement Emerging Leader Intern for 2019-2020. She is currently working as a Postdoctoral Scholar Fellow in the LEND program at the UC Davis MIND Institute. Jazmin graduated from Alliant International University - Sacramento in May 2019 with her Psy.D. in Clinical Psychology. She has been a part of the UC Davis MIND Institute and UC Davis Health System serving in many different roles since 2012. Her passion includes working with individuals who have neurodevelopmental disabilities and/or experienced trauma. Her passion also includes learning more about mental health policy and advocacy so that she can further support and empower families who feel as though they do not have a voice. Jazmin's dream is to continue to work at the UC Davis MIND Institute as a clinical psychologist, while simultaneously starting a private practice to serve underrepresented populations who have neurodevelopmental disabilities and mental health needs. In her free time, Jazmin enjoys traveling, cooking, eating, singing, watching movies/TV, playing videogames, and spending time with her husband and three cats. This is Jazmin's first year being a part of AUCD and she is very excited about what this year will bring!