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Care Coordination Coming (Or Changing) In A State Near You
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Care Coordination Coming (Or Changing) In A State Near You
What comes to mind when you think about care coordination? Do you picture social workers tirelessly connecting people to the right care across each case? Do you picture Accountable Care Organizations (ACOs) bridging the divide between different services to improve patient outcomes? Maybe you think of health homes or patient-centered medical homes (PCMH). Since 2010 and the passage of the Patient Protection and Affordable Care Act (PPACA), the number of state Medicaid programs implementing care coordination initiatives has continued to grow.1
Join OPEN MINDS and PsychU as we explore the trends in care coordination across the U.S. by state. Tracking of care coordination initiatives is essential as our speakers recognize the growth of these initiatives by state Medicaid program.1 Tune into this webinar to explore whether the past 13 years of care coordination initiatives have made progress towards their goal of improving the quality of consumer care and bending the health care cost curve.
References:
- OPEN MINDS. (2023, May 1). State Medicaid Care Coordination Initiatives: The 2019 Update. OPEN MINDS. https://openminds.com/market-intelligence/reference-guide/state-medicaid-care-coordination-initiatives-the-2019-update/
Steven Remillard
Manager, Market Policy, Highmark & Advisory Board Member, OPEN MINDS*
MoreDr. Steven Remillard brings over 25 years of experience in the health and human service field, to the OPEN MINDS Consulting Practice. He currently serves as Manager, Market Policy, at Highmark. His areas of expertise include value-based purchasing, integrated care programming, HEDIS measurement, data-driven organizational development and social determinants of health.
Dr. Remillard is also an Adjunct Professor at the University of Penn State. Mr. Remillard is a part of the University of Penn state’s Harrisburg campus where he works in the Department of Psychology.
Dr. Remillard holds his Doctor of Chiropractic from Life University in Atlanta, Georgia where he received Magna cum Laude honors. Mr. Remillard received his Masters of Arts in Clinical Psychology from Morehead State University in Morehead, Kentucky where he received Summa cum Laude honors. Mr. Remillard received his Bachelor of Science from St. Francis University in Loretto, Pennsylvania through the Honors Program at this institution.
Margaret Mays
Vice President, Staff Accreditation, at Carelon Behavioral Health & Advisory Board Member, OPEN MINDS
MoreMargaret Mays brings over 20 years of health care industry experience to the OPEN MINDS team. Ms. Mays currently serves as an Advisory Board Member at OPEN MINDS. Her areas of expertise include health plan contracting, and reimbursement, quality program design and metrics-based programs, training development, health care processing systems, policy development, and accreditation/regulatory requirements.
Ms. Mays also currently serves as the Vice President, Staff Accreditation, at Carelon Behavioral Health.
Prior to joining Beacon, Ms. Mays served as the Vice President of Quality Improvement at Magellan Health Services, where she provided comprehensive quality leadership, developed high-performance teams, and improved metrics. She launched the Magellan Lean Six Sigma Training Institute resulting in an ROI of $1.7 million. Ms. Mays cultivated a high-performance team of over 20 staff members and improved department productivity through mentoring and coaching.
Prior to her role at Magellan Health, Ms. Mays served as the Director of Quality Management at TLC Family Care Health plan, a division of Amerigroup, where she successfully managed MCO NCQA accreditation and directed all HEDIS processes. Ms. Mays helped produce a 27% improvement in Early Periodic Screening, Diagnosis, and Treatment. She also achieved 95% and above performance on state audits through a full-spectrum quality improvement program.
Previously, Ms. Mays served as the Director of Quality and Compliance at Magellan Health Services, where she managed a wide range of quality processes, developed high impact reporting, and collaborated with cross functional teams to improve data accuracy. At Magellan, Ms. Mays achieved a track record of exemplary audit scores through implementing state-of-the-art practices.
Ms. Mays received a Doctor of Health Sciences from A.T. Still University in Mesa, Arizona. She holds a master’s degree in Health Administration from the University of Washington. She previously earned a Bachelor of Science in Allied Health Administration from the University of Alabama.
Joseph Cirrincione, PharmD, MBA (OPDC)
Senior Managed Market Liaison
Dr. Steven Remillard and Margaret Mays are paid consultants of Otsuka Pharmaceutical Development & Commercialization, Inc. (OPDC).
Joseph Cirrincione, PharmD, MBA is an employee of Otsuka Pharmaceutical Development & Commercialization, Inc. (OPDC)Upcoming Events
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