12:00 pm - 1:00 pm EST

The Path From Behavioral Health Carve-Out to Integration

Keynote Address Sponsored By Credible Behavioral Health Software
Payers and health plans are replacing reimbursement models that have separate, “carved out” behavioral health financing and delivery with models that integrate all service financing and delivery in one managing entity. What are the elements needed for a successful transition? Explore Washington state’s conversion from a nine-region system with county-centered behavioral health care authorities to a system in which managed care organizations in each region integrate physical and behavioral health for all Medicaid consumers. Do a deep dive into the factors for successful transition as payers in your state shift to greater value through holistic care. Understand the requisites for integration and managed care—including the need to focus on quantifying outcomes, and develop a plan for interoperability and data exchange.
1:00 pm - 1:15 pm EST

Using Remote Patient Monitoring: Improving Outcomes For Consumers With I/DD

Customer Interview Sponsored By Netsmart
Join this discussion of strategies to use remote patient monitoring to manage physical health for individuals with intellectual and developmental disabilities. As we continue to transition from traditional care delivery models, learn how one organization is using technology to promote engagement and deliver more care in the home.
1:15 pm - 2:15 pm EST

Best Practice Models For Collaborative Care: Coordination Between Health Plans & Provider Organizations

From The Field
The field is moving from talk to action on integrating behavioral and physical health care as the shift toward value-based reimbursement escalates. This demands evolution in health plan/provider organization partnerships. Discover best practices for building and improving these relationships through case studies from provider organization executives. Review the essentials for working with payers—committing to an integrated approach, knowing your costs and value, and bringing data to the table. Learn about innovative models for integration and community collaborations, see how other provider organizations have overcome roadblocks, and take away a framework for success with your integration plans.
1:15 pm - 2:15 pm EST

Making It Painless! Best Practice Models For Streamlining Authorizations & Continued Stay Reviews

Rapid-Fire How-to
In the expanding world of managed care and integration, authorizations for care can be confusing, time consuming, and frustrating. Prior authorizations, concurrent reviews, retrospective reviews, and appeals all have different processes. Reviewers may vary by health plan and Managed Behavioral Health Organizations. There can be variations in Level of Care guidelines and opportunities for obtaining a “preferred” status to reduce the level of authorization effort. Learn how to navigate the maze and obtain approvals to ensure better care for consumers and revenue optimization for your organization. Understand payer motivations, and examine what they are reviewing and why. Gather best practices on easing the pain, streamlining the process, and handling denials.  
1:15 pm - 2:15 pm EST

How To Build Value-Based Payer Partnerships: Best Practices In Marketing, Negotiating, & Contracting With Health Plans

Knowledge Partner Session Sponsored By Qualifacts Systems, Inc.
With escalating post-pandemic budget cuts and surging Medicaid rolls, states are increasingly going to seek more managed care arrangements that favor value over volume and deliver significant savings. How do provider organizations position for success in this environment? Discover how to develop relationships with the payers in your market, initiate strategic conversations, demonstrate value, and secure and optimize service agreements. Do a deep dive into payer “pain points” and how you can address them to gain “preferred provider organization” status. Know how to help payers meet their performance requirements, align your programs and services with their goals, and provide data to show that your service lines can deliver quality outcomes with lower costs.
1:15 pm - 2:15 pm EST

See The Whole Patient With One Integrated Solution

Product Demonstration By NextGen
Join us for a solution demonstration of NextGen® Behavioral Health Suite, the first fully integrated ambulatory platform designed to reinvent how clinical information is shared among providers. The scalable solution empowers health care provider organizations to leverage unique productivity tools that enable innovative care options and better outcomes.
2:30 pm - 3:30 pm EST

Metrics Management For Business Development & Sustainability

Rapid-Fire How-to
Learn all you need to know about how to develop a metrics management approach to transform your organizational structure to one that promotes sustainability and business development in the volatile post-crisis market. See how to establish the right metrics to achieve your strategic plan goals, educate staff on their roles in reaching the metrics, and develop a timely and accurate reporting system. Understand how to shape, monitor, and benchmark key performance indicators for sustainability—liquidity, efficiency, leverage, profitability, and market value ratios. Learn how to use revenue, marketing, customer experience, access and engagement, and service effectiveness metrics for business development. Identify measures that align with consumer and payer needs and distinguish you from your competition.
2:30 pm - 3:30 pm EST

Virtual Health: How To Expand Access & Build A Seamless Consumer Experience

Executive Roundtable Sponsored By Netsmart
Across all services, technology has expanded the possibilities to deliver a personalized experience that helps consumers find and access the products and services they need—at the time, place and price that’s right for them. How do health care provider organizations ride the wave and think beyond a telehealth platform to enhance the consumer experience? Hear from provider organizations that have implemented programs to enable rapid access to care and improve engagement. From virtual “urgent care” and walk-in models to hybrid care and high-impact video sessions, discover the secrets of the pioneers who are revolutionizing care. Learn how they are adapting workflow processes for scheduling, documentation, and billing; training staff to excel with the new service delivery models; and acting on consumer feedback to attract new business and continuously improve outcomes.
2:30 pm - 3:30 pm EST

Keeping Clients & Staff Engaged During The Pandemic

Product Demonstration By Qualifacts Systems, Inc.
A recent survey by the National Council for Behavioral Health and Qualifacts found that organizations with legacy EHRs and little to no telehealth are having a more difficult time providing treatment during the COVID-19 pandemic. Get an overview of the survey findings and discuss how COVID-19 has changed or accelerated behavioral health providers' needs for staff and client engagement tools such as appointment reminders, online documentation and billing and reporting requirements. See live presentations of client engagement tools (appointment reminders with telehealth link, myStrength, online documentation) and staff dashboards and interaction tools. Attend this session and be entered to win a Google tablet.
3:30 pm - 3:45 pm EST

EHR Making Waves in LA County

Customer Interview Sponsored By Qualifacts Systems, Inc.
See why a leading provider organization chose CareLogic as their EHR. Learn about the benefits of having a true technology partner.  
3:45 pm - 4:45 pm EST

Portfolio Management & Service Line Development For Sustainability

Executive Roundtable
Continuous metrics-based service line analysis provides an enduring portfolio management framework for executive teams, helping provider organizations to manage present financial performance as well as future market positioning. In the post-crisis era, portfolio management becomes more critical than ever before for business recovery and sustainability. Discover the keys to staying competitive in a value-based market by optimizing your service options. See how successful provider organizations are delineating service lines that have a positive margin from those that are draining available resources without delivering adequate return to make the tough decisions. Understand how they are gearing new investments to new market opportunities, developing a metrics-based approach for deciding what new services to develop, and adopting a structured approach to developing and launching those new services.
12:00 pm - 1:00 pm EST

Housing Is Health Care: A Post-Pandemic Look At Integrating Social Determinants Of Health

Keynote Address Sponsored By Netsmart
Health insurance companies are financing low-income and supportive housing because it is known to improve the health—while reducing costs—of individuals with complex and acute primary and behavioral health care needs. Housing and food insecurity are likely to be exacerbated in the post-crisis era as rising unemployment brings more foreclosures and evictions. Budget-strapped payers are going to look to more managed care and value-based reimbursement to address “whole life” issues for better outcomes. There are opportunities for health and human service provider organizations operating under risk or value-based agreements to address housing and other social determinants of health. Explore whether it would make sense for your organization to pursue these opportunities and if so, how to meet payer expectations.
1:00 pm - 2:30 pm EST

Part 1: The New CFO Challenge: An OPEN MINDS Seminar On Becoming Your Organization’s Strategic Leader In A Changing Market

Executive Seminar
Managing for profitability as your organization prepares for the shift to value-based reimbursement is the new key to sustainability. A reimbursement model that rewards outcomes instead of inputs requires changes to your C-suite perspectives, operations, and roles of the traditional care team. It changes the role of the chief financial officer from steward of operations to architect of a stronger, more modern care delivery system. Explore the new roles of the finance department. Do a deep dive into the ins and outs of unit pricing, episode bundling, flexible budgeting, and determination of financial risk tolerances. Learn all you need to know about value based contract negotiation and evaluation of market opportunities—from those that minimize risk to the ones that catalyze rapid growth. Part 2 of the seminar takes place August 26, 12:00 pm – 1:30 pm EDT.
1:15 pm - 2:15 pm EST

The Future Of Care – What You Should Be Thinking About Now

Knowledge Partner Session Sponsored By Netsmart
In the wake of the forced pivot to telehealth during the pandemic, care delivery is evolving. Regulatory changes, new payer expectations, private equity investments, competition, and budget cuts are on the rise. How do provider organizations adjust to the new normal and adapt to serve the needs of their communities?  Learn what is top of mind for your executives as they try to remain competitive, and efficient while keeping the focus on person-centered care and expanding services. Gain insights on planning your technology needs and managing your workforce in the era of virtual and mobile care delivery. Pick up practical strategies to implement home-based services—the growing trend in chronic and complex care.
1:15 pm - 2:15 pm EST

Navigating Health Plans: Keys To Developing Long Term Relationships

Executive Roundtable Sponsored By NextGen Healthcare
As the pandemic appears to be dragging on, along with its revenue impact trying to increase revenues from the payer contracts that are currently in place is one path to sustainability. Hear directly from health plan executives about their concerns and expectations for the future. Learn how to make the business case for a rate increase by doing your homework to know your costs, the market rates for all health plans, your market share with each health plan, and how your competitors are being reimbursed. Understand how you can help payers improve access to care and improve their HEDIS scores. Explore what it takes to propose a change in reimbursement models or new services.
1:15 pm - 2:15 pm EST

4 Tools For Improving Client Engagement In The Era Of COVID-19

Product Demonstration By Welligent
The topic of client engagement has always been a complicated one given the complex populations served by behavioral health providers. As we all become accustomed to the new normal, the use of technology is paramount in communicating, serving, and maintaining relationships of trust with clients. Welligent’s comprehensive electronic health records software provides innovative tools to bridge the gap and allow you to continue to provide high-quality care to your clients regardless of care setting, including virtual options. Welligent’s easy to use platform enables the creative use of technology so your provider organization remains on the cutting edge. Join us as we explore how telehealth, automated client appointment reminders, mass communication techniques, and client access using a Patient Portal are designed to make your job and your client’s lives easier.
2:15 pm - 2:30 pm EST

Preparing For The New Normal: What’s Keeping Executives Up At Night?

CEO Conversation
As we consider the post-crisis “new normal,” what are the big issues keeping provider organization executives up at night? What are the challenges and opportunities that lie ahead for specialty provider organizations? And, how do they develop and implement a strategy for sustainability? Get perspectives from two chief executive officers based on their conversations with managers in the field— and take away actionable ideas for navigating the turbulence ahead. Learn what telehealth acceptance has really been like for consumers and staff, what the next big thing is to prepare for, and how to up your technology game to be prepared for a future of value-based reimbursement and new forms of hybrid and virtual service delivery.
2:30 pm - 3:30 pm EST

Best Practices For Community Reintegration: From Custody Back To The Community

From The Field
Many states are granting early release of the incarcerated to allow prisons to maximize space and implement physical distancing, isolation, and quarantine efforts necessary to reduce the spread of COVID-19. But are communities ready to help meet the reentry needs of these individuals? When re-entering the community, most offenders face significant social adaption issues that can have a negative impact on relationships, their ability to find jobs or housing, or to get a formal education. How can provider organizations ease this transition for consumers? How are payers supporting reentry? Get best practices for community reintegration through case studies from organizations successfully managing these programs. And find out how to manage and report critical outcomes.
2:30 pm - 3:30 pm EST

Accreditation — A Path To Success

Knowledge Partner Session Sponsored By Streamline Healthcare Solutions
As health care becomes increasingly consumer driven, ensuring quality, safety, and cost effectiveness is critical to the survival and success of provider organizations. Gain an overview of the behavioral health accreditation landscape and understand why accreditation has become an integral part of service delivery. See how accreditation standards can help you improve overall performance. Get the rundown on the current accrediting bodies in behavioral health. See which accreditations are worth pursuing and how you need to prepare to achieve them. Learn about recent changes in standards that impact your key service lines.
2:45 pm - 4:15 pm EST

Part 1: Aligning Your Board To The New Sustainability Challenge: An OPEN MINDS Seminar On Non-Profit Management

Executive Seminar
As the health care industry faces extreme disruption in the wake of COVID-19, board members and executives must work together to understand the changing market and map a plan for recovery and resilience. Do a deep dive into the new challenges and opportunities for nonprofit health and human service organizations and the changing role of the board in a time of competition and new business models. Learn how to update your board on the altered landscape and the need for updated strategies for sustainability. Understand the requisites for the new “best practice board”—skills to support modern health care in a value-based environment; the ability to preserve purpose and know when to redefine it; and the ability to monitor finance, business, compliance, and ethics. Part 2 of the seminar takes place on August 26, 2:00 pm – 3:30 pm EDT
2:30 pm - 3:30 pm EST

Improving Patient Outcomes: How Data Visualization Can Enhance Your Practice

Product Demonstration By Sigmund Software
As the COVID-19 pandemic shows no sign of easing anytime soon, it is critical to have flexible, specialized, and robust outcomes tools to support your organization. Learn how AURA equips your team with comprehensive outcomes tools. Explore the value of a robust outcomes suite that provides data capture for all end users, comprehensive ‘golden thread’ data sharing, and analytics for outcome measurements and key performance indicator reporting.
3:45 pm - 4:45 pm EST

Staying Connected With Consumers In A Disconnected World: How Integrated Pharmacy Can Help

Product Demonstration By Genoa Healthcare
The exponential growth of telehealth since the start of the COVID-19 pandemic has created opportunities but also many new challenges for behavioral health care providers, including engaging with consumers. An in-house pharmacy improves a provider organization's ability to provide “complete care” for consumers and can be a competitive advantage. Join us to get best practices for delivering telehealth services in tandem with onsite pharmacy. Hear provider organization testimonials and real-life examples of how on-site pharmacy and telehealth have played out during the COVID-19 crisis.
3:45 pm - 4:45 pm EST

Lack Of Access To Care & Care Continuity Challenges: How Providers & Payers Are Addressing

Executive Roundtable Sponsored By Credible Behavioral Health Software
Providing access to behavioral health services continues to be the biggest pain point for payers. Consumers still wait weeks or months to receive the treatment they need. Payers and providers— along with software vendors and technology companies not traditionally associated with health care—are working collaboratively to address the problem of access and to ensure continuity of care to prevent readmissions and unnecessary treatment. Explore what techniques and technologies are succeeding in the quest to drive greater access. Learn how virtual care is shifting the paradigm, who the new competitors are, and how you can gear up to address payer concerns and increase service volume.
11:00 am - 3:30 pm EST

The OPEN MINDS Care Innovation Summit: Solving The Problem Of Access For Consumers With Complex Care Needs

Executive Summit Sponsored By Welligent
Connecting consumers with complex support needs to effective treatment is an ongoing challenge. Despite the strong demand for behavioral health services, limited options and long waits are often the norm. Get an overview of the trends driving innovation in the health and human service market and a review of the OPEN MINDS strategic framework for designing and launching sustainable treatment programs. Do a deep dive with case study presentations on cutting-edge new clinical programs to ensure that consumers have access to the right services and supports at the right time. Understand how payers are prepared to support innovation to improve access to care. Explore program design and keys to success with the pioneers. Join a roundtable discussion on who pays for innovation and how.
12:00 pm - 1:00 pm EST

Making Tough Decisions In Turbulent Times: 12 Steps To Creating Your Data-Driven Organization

Knowledge Partner Session Sponsored By PerformWise
Now more than ever, executives of specialty provider organizations need a data-driven approach to decision making. Leaders need to take data and turn it into actionable information so they can navigate a clear and successful path into a murky future. Vital information that impacts strategic decisions exists somewhere in the organization, but it is often not integrated for reporting, or is not in a format that’s helpful for decision making. Walk through a field-tested, twelve-step process to move your executive team and your entire organization to data-driven decision making. Review what type of operational information is most useful for strategic decision making. And examine best practices in performance reporting through case studies.
12:00 pm - 1:00 pm EST

Financial Forecasting Models For Fee For Service, Case Rates & New Service Lines

Rapid-Fire How-to
Executives are under more pressure than ever to steer their organizations to sustainability by managing uncertainty, volatility, and risk. So financial forecasting has become more critical and more complex than ever before. Organizations must have a system in place that provides the tools and data to build models for financial forecasting, specifically for fee for service, case rates and new service lines. Get best practices for building financial forecasting models. Learn all you need to know to forecast results, minimize risks, and increase payment for value-based, risk-sharing, shared savings, and bundled payment models. Understand the role of forecasting in assessing and developing new service lines.
12:00 pm - 1:30 pm EST

Part 2: The New CFO Challenge: An OPEN MINDS Seminar On Becoming Your Organization’s Strategic Leader In A Changing Market

Executive Seminar
Managing for profitability as your organization prepares for the shift to value-based reimbursement is the new key to sustainability. A reimbursement model that rewards outcomes instead of inputs requires changes to your C-suite perspectives, operations, and roles of the traditional care team. It changes the role of the chief financial officer from steward of operations to architect of a stronger, more modern care delivery system. Explore the new roles of the finance department. Do a deep dive into the ins and outs of unit pricing, episode bundling, flexible budgeting, and determination of financial risk tolerances. Learn all you need to know about value based contract negotiation and evaluation of market opportunities—from those that minimize risk to the ones that catalyze rapid growth.
1:15 pm - 2:15 pm EST

Telehealth – What Will The Payers Change Post-COVID-19? Let’s Ask Them

Executive Roundtable Sponsored By Qualifacts Systems, Inc.
During the pandemic, 45% of health plans modified their virtual care coverage—eliminating co-pays and reimbursing for telehealth at the same as in-person. But what will happen to expanded telehealth benefits after the crisis ends? How do you stay on top of the changing rules? Ask the payers the tough questions about future reimbursement models and expected outcomes. Learn how you can demonstrate if telehealth services are delivering the same—or better—quality, consumer engagement, and clinical outcomes as face-to-face services. Understand how the payer focus on quality and performance will likely expand from the individual-level to a programmatic level. See how you can collaborate with payers as they navigate a path to recovery.
1:15 pm - 2:15 pm EST

Adherence & The Role For New Technologies

Knowledge Partner Session Sponsored By Otsuka Pharmaceutical Development & Commercialization, Inc.
Nonadherence to medication is a serious problem in mental health care. Understand the current state of adherence and the limitations encountered. Learn about new technologies that are being used to measure and address adherence, and explore the future state of technological adoption for treatment adherence in behavioral health.
2:00 pm - 3:30 pm EST

Part 2: Aligning Your Board To The New Sustainability Challenge: An OPEN MINDS Seminar On Non-Profit Management

Executive Seminar
As the health care industry faces extreme disruption in the wake of COVID-19, board members and executives must work together to understand the changing market and map a plan for recovery and resilience. Do a deep dive into the new challenges and opportunities for nonprofit health and human service organizations and the changing role of the board in a time of competition and new business models. Learn how to update your board on the altered landscape and the need for updated strategies for sustainability. Understand the requisites for the new “best practice board”—skills to support modern health care in a value-based environment; the ability to preserve purpose and know when to redefine it; and the ability to monitor finance, business, compliance, and ethics.
2:30 pm - 3:30 pm EST

Specialty Primary Care Models That Work For Consumers With Complex Needs

From The Field
The rapid expansion of retail health care, increasing health plan investment in primary care practices, and changing delivery models enabled by technology are all contributing to shifting perceptions about where and how primary care is delivered for specialty populations. Review the trends reshaping the primary care market for complex consumers and the foundations of emerging specialty primary care models. Understand what health plans are looking for—best practice models that integrate care coordination with long-term services and supports, medical, pharmacy, behavioral health, and social services. Discuss the implications of the market shift for specialty provider organizations. Review case studies from organizations that have developed specialty primary care models for complex consumer populations.  
3:30 pm - 3:45 pm EST

Home-Based Services - Opportunities In The Post-Pandemic Health & Human Service System An Executive Discussion With Kevin Scalia, Executive Vice President, Corporate Development, Netsmart & Monica E. Oss, CEO, OPEN MINDS

Executive Discussion
Does more virtual services mean we’ll have more home-based care? It looks like that could be one of the outcomes of the pandemic. Certainly the use of tech-enabled services has gone up—and will continue after the end of the pandemic crisis. The increase in virtual services (both telehealth and digital remote monitoring tools) could be accompanied by more in-home services. This would allow specialty provider organizations to move to a new hybrid care model while dramatically reducing office space expenses. See how the shift to greater use of home-based service models presents both competitive threats and new opportunities for specialty provider organizations.
4:00 pm - 5:00 pm EST

Navigating The Crisis – Best Leadership Practices To Survive & Emerge As A Market Leader

Keynote Address Sponsored By Qualifacts Systems, Inc.
The mounting costs and uncertainties of reopening after lockdowns are keeping most provider organization executives up at night. But simply waiting to see how things shake out, or “hoping it will be fine,” can be fatal. Operating a facility at partial capacity with full costs is a formula for red ink. The big question is what does the curve to profitability look like? How big will the losses be in the reopening period and how long will it be to break even? Learn best practices for managing the mechanics and the financials for reopening. Understand why thinking differently—in terms of populations, services, and service delivery—is a must for managing through uncertainty. And see how to map out a strategy, a detailed operating plan, and good cash flow projections to make thinking differently a successful reality.

Click to visit

Login to access The OPEN MINDS Circle Library. Not a member? Create your free account now!

Close

Support Request

Need help now?

Call our toll-free phone number 877-350-6463