ADDP will host a two-day managed care series that will cover (a) basics of state and federal funding and managed care on the first day and (b) the impact of managed care on Massachusetts and its community-based providers on the second day.
It is highly encouraged that those new to managed care attend the first session on April 7 as it will provide a foundation needed for the May 17 training.
Why attend?
Ever wonder what the relationships are between different federal and state agencies, such as the Centers for Medicare and Medicare Services’ (CMS), Massachusetts’ Medicaid or MassHealth, and Massachusetts’ Department of Developmental Services (DDS)?
Do you question all the various basic intricacies of MassHealth funding and where MassHealth is involved throughout the system?
Want to know what the managed care buzz is about, and the impact it will have on the developmental disability field in the next couple years? Do you want to know implications of managed care throughout the system? Want to be better prepared to advocate for these changes to come?
If you answered yes to any of the above questions, then these sessions are for you.
The first session will cover a basic foundation of managed care, CMS, DDS, and MassHealth.
The second session will include an in-depth analysis and impact of managed care on the provider community.
Both trainings will include an interactive process allowing opportunities for questions and discussion from the audience.
Description of Part 2 Training
On May 17, Bernadette Di Re, UnitedHealthCare Community Plans of Massachusetts and Rhode Island CEO and their SCO team will discuss the following areas:
- Overview and impact of Massachusetts’ Medicare and Medicaid dual eligible demonstration, also known as Senior Care Options (SCOs)
- Description of Program of All-Inclusive Care for the Elderly (PACE), how PACE providers are involved in the duals project, and impact of PACE to consumers and other providers
- Overview of Massachusetts’ managed care re-design efforts and accountable care organization (ACO) models and what it means for providers
- National perspective of what is occurring in other states regarding managed care efforts and its impact on those states
Target Audience
The intended audience is program managers, directors, and assistant directors and senior executives. Again, if you are unfamiliar with managed care and how state and federal funding occurs, it will be necessary for you to attend the first session on April 7.
Speaker Bios
On May 17:
Bernadette Di Re has more than 20 years of experience in strategic planning, operations, marketing and product development within the Massachusetts and Rhode Island healthcare environments. Bernadette joined the UnitedHealthCare (UHC) Community Plan of Massachusetts in 2011 as the plan’s Chief Operating Officer and assumed her current role as Health Plan CEO of the Massachusetts and Rhode Island Plans in early 2014. In Massachusetts, she oversees UHC’s Senior Care Options (SCO) program, the largest and fastest growing SCO and one of the original SCOs created in 2004. She also is responsible for the UHC Community Plan of Rhode Island, one of the “highest-rated” health insurance plans in the nation per NCQA’s Medicaid Health Insurance Plan Ratings 2015-2016. Prior to joining UHC, Bernadette held leadership positions in local Medicaid, Medicare and Commercial health plans. Bernadette is a board member and Treasurer of the Massachusetts Association of Health Plans, a Volunteer Mentor with Women UNLIMITED, Inc., and a member of Women in Healthcare Management. During the Patrick administration, she co-chaired the healthcare working group under the Governor’s Committee on Sexual Assault and Domestic Violence and has presented at national conferences on health plan interventions around domestic violence. Bernadette received her MBA in International Business from The American University and BS in Marketing from Georgetown University.
Koren Iskra is the Chief Operating Officer of the UnitedHealthCare Community Plans of Massachusetts and Rhode Island. As part of the UHC Community and State family since 2010, she previously held the role of Vice President of Business Development in the Northeast region as well as the compliance officer and quality director for the Massachusetts health plan. She has a depth of experience in Massachusetts managed Medicaid as well as healthcare consulting. Ms. Iskra has worked extensively as a health care volunteer and as researcher and analyst in India and South Africa. She received her MPH from Yale University and a BS in Business Administration from the University of Connecticut.
Steven Bucchianeri, Pharm.D., UnitedHealthcare Community Plans of Massachusetts and Rhode Island Vice President of Health Services, has more than 13 years of experience developing and implementing clinically and financially sound clinical programs in commercial, Medicare and Medicaid markets. In his current position, he is responsible for the strategic leadership and accountability for all clinical programs for all products and membership served by the Massachusetts and Rhode Island health plans to ensure contractual compliance and achievement of clinical and utilization management goals. Prior to joining UHC, Steve was the Sr. Director of Health Services at MedVentive, a McKesson company focused on creating patient population management software to assist provider groups with ACO contracts and held the position of Director of Pharmacy at BMC HealthNet Plan, a 250K life Medicaid MCO. Steve is a Massachusetts-registered pharmacist. He received both his Bachelor and Doctor of Pharmacy degrees from the Massachusetts College of Pharmacy.
ADDP Member Admission:
$130.00 Two Day Discount (Apr. 7th & May 17th)
$75 One Day
ADDP NON-Member Admission:
$160.00 Two Day Discount (Apr. 7th & May 17th)
$105.00 One Day
Registration will begin at 9:00 am