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Increase Svc Value:Tips for Successful Participation in Medicare Value-Based Payments [1.25HR]

[3046] Increase Your Service Value: Tips for Successful Participation in Medicaid VBP

Education-Training Credits:

  • 1.25 Hr(s) HCSSA Administrator/Alternate

Summary:Texas Medicaid Value-Based Payments

HCSSA Topic(s) Addressed:

  • ß97.259[d][4]agency responsibilities
  • ß97.260[a][5]quality improvement
  • ß97.260[a][7]financial management

Faculty: Matt Ferrara, Director, Office of Quality Oversight, Andy Vasquez, Deputy Associate Commissioner of Quality & Program Improvement., Jami Snyder, Associate Commissioner, Medicaid/CHIP Services, Texas Health & Human Services

Program Description: With over half of all Medicaid beneficiaries receiving services through managed care organizations (MCOs), states have a unique opportunity to use MCO contracts and relationships to accelerate wide-scale adoption of value-based payments (VBP). Texas is jumping on board with this concept and your agency needs the tools to succeed in this new world. It is key for providers to position themselves successfully to contract with MCOs by understanding the data needed to develop mutually agreeable quality based contracts. During this presentation you will hear directly from HHSC about how they are requiring MCOs to develop alternate payment structures between them and their health care providers to encourage innovation, quality and efficiency. Hear directly from Jami Snyder, Associate Commissioner, Medicaid CHIP, who also implemented VBP in Arizona about the approaches Texas is taking to implement VBP through MCO contracts. Donít be left behind!

Presentation Date: 08.09.2017

Learning Outcomes(s): Participants will actively engage in the learning activity and indicate an intent to change or enhance their practice by evaluating MCO pay for quality programs in relation to their agencyís services.

About the Presenter:
Jami Snyder
is the Associate Commissioner for the Medicaid and CHIP Services Department at the Health and Human Services Commission, and serves as the state's Medicaid director. Jami most recently served as Chief Deputy Director for Medicaid and CHIP for HHSC. Prior to that, she served as the Chief Operating Officer for The University of Arizona Health Plans (UAHP), a division of Banner Health. She has over 18 years of experience in both the public and private sectors, including extensive regulatory experience stemming from her tenure with the Arizona Health Care Cost Containment System (AHCCCS) and the Arizona Department of Health Services, where she was charged with overseeing the state's Medicaid-contracted health plans, including compliance with established federal and state managed care regulations and performance in a variety of areas such as network sufficiency, payment modernization, customer service and the provision of self-directed care. Snyder graduated from Gustavus Adolphus College with a Bachelor of Arts in Political Science and has a Master of Arts in Political Science from Arizona State University.

About the Presenter:
Matt Ferrara
is the Director of the Office of Quality Oversight within the Quality and Program Improvement Section at the Texas Health and Human Service Commission (HHSC). This office manages and coordinates quality initiatives within the Texas Medicaid and CHIP programs, as well as across the various Texas Health and Human Service agencies. He has held this position for over 5 years. Prior to his employment at HHSC, Matt worked in the mental health and substance use disorder fields for 13 years for the Texas Commission on Alcohol and Drug Abuse, TDMHMR, and Texas Department of State Health Services. Before state employment, Matt served for 8 years in direct service and executive capacities for a private provider of community based long term service and supports in Central Texas and El Paso. He is a graduate of Texas State University San Marcos with a major in Social Work.

About the Presenter:
Andy Vasquez
has over 20 years of Texas Medicaid experience. During those years he has led teams through several evolutionary changes in Medicaid pharmacy benefits management. He spent the last 10 years serving as director of the Medicaid Vendor Drug Program and now serves as a Medicaid & CHIP Services Deputy Associate Commissioner. He leads five offices that recently joined to form the Quality & Program Improvement Section; working to improve the quality of healthcare for low-income Texans, especially people enrolled in Medicaid and CHIP. Andy is a graduate of the University of Texas at Austin with a Bachelor of Arts in Computer Sciences.

[3046] Increase Your Service Value: Tips for Successful Participation in Medicaid VBP

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This product was added to our catalog on Tuesday 01 August, 2017.
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