Category: Interviews

Great discussion with Jessica Lerner of Community Care Plan (Florida). Key topics include: Medicaid procurement trends, engaging community partners, and continuous improvements on HEDIS. Run time: 10 mins

Great conversation with Rex Wallace. Topics include: data security (including the United/Change disaster and the impact on Medicare member trust, CAHPS surveys (and the changes in weighting after this year), and insights on health equity as a component of STARs. Run time: 16mins

Great discussion with Aaron Galeener of Cook County Health Plans (Illinois). Key topics include: Experience during the redeterminations process, experience with HRSN/HE programs and new directions, and working with the adult immigrant population. Run time: 16 mins

Great discussion with Mike Boeder of Chorus Community Health Plans (Wisconsin). Key topics include: Prepping for the rest of the redeterminations process in 2024, multiple initiatives (including doulas, asthma programs, co-location of staff in neighborhoods, medically tailored meals), developing the next version of the 3-5 year strategic plan, and more. Run time: 28 mins

Great discussion with Ken Walters of Community Care Plan (Florida) Key topics include: Getting creative to engage members and providers during the Unwind; and Improving member demographic data with technology. Run time: 15mins

Great discussion with Francoise Culley-Trotman of Aloha Care. Key topics include: 3 successful programs to address health equity; experience during redeterminations; and a grant program to help non profits navigate Medicaid billing requirements. Run time: 17 mins

Great discussion with Anna Dunn of Health Services for Children with Special Needs (HSCSN, DC). Key topics include: Digital transformation – keeping up with reporting requitements and adapting to enrollee expectations; Lessons learned from switching to a team-based approach for engaging enrollees; and tips to be successful with programs to address food insecurity. Run time:…

Great discussion with John Lovelace Of UPMC Health Plan. Key topics include: Success stories in creating and maintaining affordable housing in the community; The role of health plans in workforce development; and the impact of combining food provision with nutrition education. Run time: 18 mins

Great discussion with Yvonne Collins of Cook County Health Plans. Key topics include: Managing the PHE redetermination process effectively; the impact of the pandemic on behavioral health service delivery; and the role of health plans in community disaster preparedness. Run time: 14 mins

Great discussion with Leanne Berge of Community Health Plan of WA. Key topics include: Health equity and understanding SHD/root causes; Integration of social, physical and behavioral health services; utilizing telehealth effectively.. Run time: 14 mins