2017 Presentations


Day One Tuesday June 6
Day Two Wednesday June 7
8:30 am - 9:00 am
Welcome & Announcement of The 2017 OPEN MINDS Innovation Survey Results

Opening Remarks

  • Monica E. Oss

    Chief Executive Officer, OPEN MINDS

    Monica E. Oss, M.S., Chief Executive Officer and Senior Associate, is the founder of OPEN MINDS. For the past two decades, Ms. Oss has led the OPEN MINDS team and its research on health and human service market trends and its national consulting practice. Ms. Oss is well known for her numerous books and articles focused on the strategic and marketing implications of the evolving health and human service field. She has unique expertise in payer financing models, provider rate setting, and service pricing. She has led numerous engagements with state Medicaid plans, county governments, private insurers, managed care programs, service provider organizations, technology vendors, neurotechnology and pharmaceutical organizations, and investment banking firms – with a focus on the implications of financing changes on delivery system design.

     

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9:00 am - 10:00 am
Humana’s Digital Transformation: Redefining The Consumer Health Care Experience

Keynote Address

  • Jeff Reid

    Executive Vice President, Digital Center Of Excellence, Humana

    Jeff Reid, Enterprise Vice President of the Digital Center of Excellence, is an executive leader in the continued evolution of digital at Humana, including the web, mobile, and social platforms. Jeff is responsible for developing and executing Humana’s digital strategy by focusing on creating simple, connected and personalized digital experiences that empower our members to achieve their best health.

    Before joining the Digital Center of Excellence in July 2014, Jeff was Vice President of Digital Marketing, Strategy and Channels for TIAA-CREF Financial Services, where he led enterprise digital efforts and achieved the highest channel customer satisfaction in firm history. Jeff also previously served as an executive at The Hartford. He held several roles related to digital, including management of the flagship website TheHartford.com, alongside mobile channels, and the employee intranet site iConnect. Prior to that, Jeff served 16 years at UPS, where he was responsible for managing UPS’s Global Digital Channel, including 104 country websites translated into 32 different languages. He defined UPS’s online channel strategy, execution and measurement.

    Jeff holds a Master’s Degree in Business Administration from the Moore School of Business at the University of South Carolina. His expertise stems from over 21 years of digital marketing and channel experience in several diverse industries including healthcare, financial, and business services. He loves being a husband, a father to two, and taking care of his West Highland White Terrier, Cooper.

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10:15 am - 11:30 am
Thought Leader Discussion Session With Jeff Reid

Breakout Session

  • Jeff Reid

    Executive Vice President, Digital Center Of Excellence, Humana

    Jeff Reid, Enterprise Vice President of the Digital Center of Excellence, is an executive leader in the continued evolution of digital at Humana, including the web, mobile, and social platforms. Jeff is responsible for developing and executing Humana’s digital strategy by focusing on creating simple, connected and personalized digital experiences that empower our members to achieve their best health.

    Before joining the Digital Center of Excellence in July 2014, Jeff was Vice President of Digital Marketing, Strategy and Channels for TIAA-CREF Financial Services, where he led enterprise digital efforts and achieved the highest channel customer satisfaction in firm history. Jeff also previously served as an executive at The Hartford. He held several roles related to digital, including management of the flagship website TheHartford.com, alongside mobile channels, and the employee intranet site iConnect. Prior to that, Jeff served 16 years at UPS, where he was responsible for managing UPS’s Global Digital Channel, including 104 country websites translated into 32 different languages. He defined UPS’s online channel strategy, execution and measurement.

    Jeff holds a Master’s Degree in Business Administration from the Moore School of Business at the University of South Carolina. His expertise stems from over 21 years of digital marketing and channel experience in several diverse industries including healthcare, financial, and business services. He loves being a husband, a father to two, and taking care of his West Highland White Terrier, Cooper.

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  • Monica E. Oss

    Chief Executive Officer, OPEN MINDS

    Monica E. Oss, M.S., Chief Executive Officer and Senior Associate, is the founder of OPEN MINDS. For the past two decades, Ms. Oss has led the OPEN MINDS team and its research on health and human service market trends and its national consulting practice. Ms. Oss is well known for her numerous books and articles focused on the strategic and marketing implications of the evolving health and human service field. She has unique expertise in payer financing models, provider rate setting, and service pricing. She has led numerous engagements with state Medicaid plans, county governments, private insurers, managed care programs, service provider organizations, technology vendors, neurotechnology and pharmaceutical organizations, and investment banking firms – with a focus on the implications of financing changes on delivery system design.

     

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Connecting The Dots From Data To Value

Knowledge Partner

  • Ravi Ganesan

    President & CEO, Core Solutions, Inc.

    When Ravi Ganesan started Core Solutions nearly a decade ago, he began the venture as a developer of custom solutions for select organizations in behavioral health and human services. Since then, he has used his passion for entrepreneurship and a rich background in consulting and software development to grow the company into a premier provider for clients of all types and sizes across the country.
    Prior to founding the company, Ravi was a systems architect and software developer with Management Concepts, Inc., an IT consulting firm. Before this, Ravi launched his career in the Greater Philadelphia region at New York Life, the nation’s oldest and largest mutual life insurance company. While there, he established a technical assistance program initially developed to help insurance agents integrate technology into their businesses, which evolved to include business consulting, marketing and related support activities.
    Ravi received his M.B.A. from St. Joseph’s University in Philadelphia.

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  • Adam Bauer

    Senior Manager, Life Sciences and Health Care, Deloitte Consulting LLP

    Adam is an engaging project leader with over fourteen years of consulting experience in the healthcare industry. He has broad exposure delivering strategic business and technology solutions to human and social services agencies, behavioral health providers, integrated delivery networks, community hospitals, long term care organizations, and payers. Adam holds a strong grasp of end-to-end project management and implementation methodologies across a range of business and clinical software solutions. His recent experience has focused on helping clients who serve the Intellectually / Developmentally Disabled population develop and execute Electronic Health Record selection, implementation, analytics, and optimization strategies.

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  • Ken Carr

    Senior Associate, OPEN MINDS

    Ken Carr brings over 20 years of finance, technology, data analysis and reporting experience in the health and human service field to OPEN MINDS. Before joining the OPEN MINDS team, he served as the Chief Financial Officer of The Centers, a community mental health center in Ocala, Florida. In this position, Mr. Carr led a realignment of the organization’s financial management functions. This included revenue cycle management, EHR bill implementation and reporting, cash management enhancement, and strategic financial analysis.

    Prior to his role at The Centers, Mr. Carr served as Chief Financial Officer of Guild Incorporated, an organization providing residential and community based mental health services in St. Paul, Minnesota. As CFO, Mr. Carr led the financial, billing, IT, quality, informatics, compliance, and facilities activities. During his tenure at Guild Incorporated, Mr. Carr used his expertise in change management and business process improvement to lead the EHR implementation team, align service data reporting and financial performance, and lead the financial and data capture activities for new service initiatives.

    Mr. Carr has also held the positions of Administrative Director and Finance Director at the St. Paul National Testing Laboratory, a biomedical testing facility of the American Red Cross. In those positions he oversaw activities to enhance inventory management, align financial results to industry standards, and improve financial and facilities performance through problem analysis and quality management initiatives. He also was involved in directing human resource functions during laboratory closing near the end of his tenure.

    Mr. Carr earned a Bachelor of Science in Business Administration from the University of South Dakota, and a Master of Divinity Degree from Sioux Falls Seminary. He maintains an active CPA license with the State of South Dakota.

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Readmission Prevention Programs: Service Innovation In A Managed Care Environment

Breakout Session

  • Jim Gargiulo

    Senior Associate, OPEN MINDS

    Jim Gargiulo has more than 35 years of experience in the health and human services field. Mr. Gargiulo brings a strong background in information technology to OEPN MINDS customers. He has extensive background as both a developer of technology and an end user.

    Prior to joining OPEN MINDS, Mr. Gargiulo was an Executive Vice President at Netsmart Technologies Corporation, the largest provider of technology in the health and human services and integrated care space. In that role, he was responsible for the alignment of Netsmart solutions with its more than 1,500 client organizations. In this role he created, managed, and led a team of 50 associates across the country, helped integrate account teams from acquired companies, and represented the company as an industry expert on clinical workflow, revenue management, implementation strategy, medication management, and meaningful use.

    Mr. Gargiulo joined Netsmart at its earliest stages of growth and held various positions during his more than 30 year tenure with the company. These positions included leadership roles in project management, solution consulting, product management, and business development. He was on the team that helped define company’s first EMR solutions and lead some of the company’s largest public sector implementations of the EMR solution – including onboarding of 35 different state agencies with the Netsmart. He also represented Netsmart in its early data standards initiatives with National Institute of Mental Health (NIMH), and led its Y2k conversion efforts. During his tenure with Netsmart, the company grew by more than 3,000% over 15 years.

    Before working with Netsmart, Mr. Gargiulo was the Mental Health & MIS Director for the Delaware County Government. In this role, he deployed contract management and billing systems for the 50+ private non-profit agencies under contract with the County Department of Human Services. He has also held previous positions with the Veterans Administration and Resources for Human Development, conducting research on brain injury and the incidence and prevalence of mental illness in Pennsylvania. Mr. Gargiulo started his career as a residential counselor for children and adolescents with special needs at Elwyn.

    As an involved community member, Mr. Gargiulo has participated in a number of industry governing boards. He served as an Executive Board Member for the Software and Technology Vendor Association (SATVA) and as a member of the Substance Abuse and Mental Health Services Administration’s (SAMHSA) 2000 Data Standards Decision Support Committee.

    Mr. Gargiulo received his Bachelor of Arts degree in psychology from the University of Pennsylvania and his Master of Science in research and evaluation from Drexel University (formerly the Hahnemann Medical College).

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  • Paul Duck

    Vice President, Strategy & Development, Beacon Health Options

    Mr. Duck is a senior healthcare executive with over 25 years of experience in behavioral healthcare and has developed a deep understanding of the transformational changes taking place in the healthcare market. He currently serves as Vice President of Strategy and Development for Beacon Health Options – the nation’s largest specialty behavioral managed care company. Prior to joining Beacon, Paul was the Vice President of Business Development for Netsmart.

    He is the past Chairman of the Board of Centerstone of Florida where he directed the affiliation and merger of Manatee Glens with the largest community mental health company in the United States, Centerstone of America.

    He has previous senior executive experience serving as the CEO of a large outpatient radiology company in central Florida where he and the company were awarded by INC magazine as one of America’s fastest growing companies. In addition, he served as CEO of one of the largest orthopedic and ambulatory surgery center company’s in Florida where he was responsible for a massive turnaround.

    Mr. Duck is known for his strong passion for our industry and is also renowned as a thought-leader to state and national audiences.

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  • Melissa Larkin-Skinner, MBA, MA, LMHC

    Chief Executive Officer, Centerstone of Florida

    Melissa is the Chief Executive Officer at Centerstone of Florida, a $34 million non-profit behavioral health organization serving Southwest Florida for the past 62 years. Melissa has a Master’s in Business Administration and a Master’s in Counseling. She is a Licensed mental Health Counselor with nearly 25 years of experience providing services in all aspects of behavioral health. Melissa previously served as Chief Clinical Officer and Vice President of Inpatient and Residential Services. She has operated diverse programs serving children and adults of all ages and levels of care, including inpatient, residential, prevention, outpatient, crisis intervention, community based, and child welfare.

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  • Jennifer Garber, MA, LICSW

    Director of Clinical Operations and Community Initiatives, Medica Behavioral Health

    Jennifer Garber, MA LICSW is the Director of Clinical Operations and Community Initiatives for Medica Behavioral Health (MBH). Jennifer has been with MBH for 9+ years in the role of Director of Clinical Operations; during that time she has had the responsibilities for clinical activities for Commercial, Medicaid and Medicare products in addition to working on key initiatives with providers, community groups and MN DHS, as well as other leaders at Medica. Jennifer has had the privilege of working with mental health, as well as SUD providers, helping to identify any gaps in service delivery, and problem solving with the involved parties to work toward filling those gaps.

    In 2014, the responsibilities for Community Initiatives and Government Programs also became part of Jennifer’s responsibilities. This set of added responsibilities moved Jennifer from being a participant in those community collaboratives, to being one of the primary owners of those activities for MBH. Those collaborations are key in the overall daily work and completely interface with the daily clinical operations.

    An ongoing point of satisfaction that Jennifer values about the work being done at MBH is the focus on getting the individual the service that they will most benefit from, at the time that they need it, in a place that they can access it. Problem solving on behalf of members’ recovery is a privilege and an honor;   working with the providers and collaborators is deeply satisfying and, at times, a bit like working on a jig saw puzzle. Seeing those pieces come together is one of the ultimate experiences of team work.

    Jennifer appreciates that Medica wants to be innovative in working in providing care, and moving the dial on more effective as well as efficient service delivery for members. Being able to be creative in solutioning to bridge service gaps, and to move things forward for overall service delivery is a unique thing about working with Medica on behalf of their members.

    Jennifer has a Master’s degree from Grace Theological Seminary, and an undergraduate degree from University of Iowa. Jennifer is licensed as an Independent Clinical Social Worker. As a practicing clinician, she has worked in an EAP setting, with SPMI adults, on an inpatient dual diagnosis unit with adolescents and their families, and did MH emergency room assessments for a number of years. Jennifer has also worked in another Health Plan setting as a clinical manager.

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11:45 am - 1:00 pm
From Strategy To Action: How To Create & Implement A Great Strategy For Success

Breakout Session

  • Joseph P. Naughton-Travers, EdM

    Senior Associate, OPEN MINDS

    Joseph P. Naughton-Travers, EdM, Senior Associate, has more than 30 years of experience in the health and human service field. In this tenure as senior associate with OPEN MINDS since 1998, he has served as lead of dozens of client initiatives, served as editor of OPEN MINDS publications, and is the author of many groundbreaking articles and presentations.

    Mr. Naughton-Travers brings to OPEN MINDS a broad range of experiences in private and public sector delivery of behavioral health and social services. He started his career as a behavioral health clinician, working in both child welfare and community mental health clinic settings. Subsequently, Mr. Naughton-Travers held a senior business operations management position for a psychiatric hospital system and its community mental health clinics.  Later, he was vice president of a firm specializing in information systems and billing and receivables management for community-based mental health programs.

    Since joining OPEN MINDS, Mr. Naughton-Travers has developed business solutions for provider and professional organizations, state and county government, technology companies, and venture capital firms. His primary areas of expertise include strategic planning and metrics-based management, electronic health record (EHR) and technology selection and implementation, operations improvement, and corporate compliance. For the past decade, over half his consulting practice has focused on aiding organizations in technology selection and implementation, including all aspects of strategic technology planning, functional specifications development, request for proposal development, vendor selection, and contracting.

    He has written numerous articles, including “Winning the Human Resource Wars: Tried, True and New Strategies for Behavioral Health and Social Service Organizations,” “Five Pillars of Management Competency,” “Data Driven Decision Making: Moving to an Organizational Measurement Culture,” “Survival of the Smartest: What is Your Organization’s Information Literacy IQ?,” and “Strategic Human Resource Management: Aligning Compensation with Employee Performance and Organizational Strategy.” Mr. Naughton-Travers is also a nationally recognized speaker, having conducted hundreds of executive and professional executive training events around the nation.

    Mr. Naughton-Travers received his Bachelor’s degree from Miami University of Ohio and his Masters’ of Education in Counseling Psychology from Boston University.

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  • Joe Dan Beavers, CPA, MHA

    President/CEO, LifeSkills, Inc.

    Joe Dan Beavers Is the President/CEO of LifeSkills, Inc. a community mental health center based in Bowling Green, Kentucky.  LifeSkills was founded in 1966 and serves over 11,000 individuals each year through mental health, addiction treatment and intellectual and developmental disabilities programs.  Joe Dan BS from Western Kentucky University in Accounting, a Masters degree in Healthcare Administration from the University of Kentucky and is a Certified Public Accountant.  He also is a board member of the Foundation for a Healthy Kentucky.

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Together Is The Way Forward: Creating Successful Patient-Centered Outcomes Through Creative Payer & Provider Partnerships

Knowledge Partner

  • Darryl Donlin, LCSW, MBA

    Vice President of Network Operations, New Directions Behavioral Health

    Darryl Donlin, LCSW, MBA, is vice president of Network Operations for New Directions Behavioral Health®. He oversees all activities of Network Operations, including provider procurement, network expansion, value-based contracting and database management. Donlin leads network initiatives that shift the current volume-driven payment model to a value-driven model, which helps improve outcomes, enhance the member experience and drive down costs.

    Donlin has served in leadership roles with Horizon Blue Cross Blue Shield of New Jersey, Aetna, CIGNA, and Oxford Health Plans for both behavioral and medical. He has also held positions in pharmacy benefit management and health care IT. His collective experience allows New Directions to develop a comprehensive and innovative network strategy to support company growth.

    Donlin received a Master of Business Administration with a concentration in Health Systems Management from Fairleigh Dickinson University, a Master of Social Work from Marywood College, and a Bachelor of Arts in Psychology/Mass Communications from Lycoming College.

    New Directions offers behavioral health care solutions and services, including Employee Assistance Programs (EAPs), managed behavioral health care, organizational consulting and health coaching programs. The fast-growing company partners with large regional health plans, Fortune 100 companies, employers and labor groups, and third-party administrators to help people live healthy, balanced lives. For more information, visit ndbh.com.

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  • Melissa Norris, BA

    Executive Director, Psychamerica Behavioral Services, LLC / Big Bear Behavioral Health, Inc.

    Melissa Norris, BA, is the Executive Director of Psychamerica Behavioral Services, LLC / Big Bear Behavioral Health, Inc. in Maitland, Florida.

    Management roles in the fields of behavior analysis, foster care case management, juvenile justice, residential facilities and community behavioral health have allowed her to identify the need for multi-agency collaboration and directly observe the successes of such practice.

    Ms. Norris has spent the last ten years enhancing and designing programs, and developing staff who embody the philosophy of collaborative treatment to develop more independent, stable individuals.  She is experienced with COA, CARF, JCO, DCF and Medicaid compliance.

    A Central Florida native, Ms. Norris graduated from University of Central Florida in 1996. Professional recognitions include Office of Family Safety acknowledgement for positive program development and commendation by CARF reviewers as operating a “program to which we would send our own children.”

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  • Timothy Snyder, Jr.

    Vice President, Marketing, OPEN MINDS

    Tim Snyder, Vice President of Marketing and Senior Associate, has been a member of the OPEN MINDS team since 2008. With an extensive background in promotional marketing, business development, strategic planning, and website development, he brings a wide variety of expertise to the OPEN MINDS team. In addition to developing and overseeing all marketing, public relations, and sales strategies for OPEN MINDS’ award-winning information services department, Mr. Snyder serves as a senior associate for the consulting practice—leading both strategic marketing and website development projects.

    Previously, Mr. Snyder served as OPEN MINDS’ Marketing & Sales Manager. He has also lead initiatives in business development and product development. Prior to joining OPEN MINDS, Mr. Snyder worked as an independent marketing consultant for multiple organizations—specializing in online marketing strategy, campaign design and execution, event promotion, and social media integration. He has also worked as a webmaster and graphic designer for various organizations in the health and human service field—specializing in social media marketing and search engine optimization.

    Mr. Snyder is a 2008 graduate of the AACSB Internationally accredited John L. Grove College of Business at Shippensburg University of Pennsylvania, where he earned a Bachelor’s Degree in Business Marketing and Management Leadership.

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ACOs & Chronic Care Management: Opportunities For Behavioral Health Organizations In Population Health Management

Breakout Session

  • Steve Ramsland, Ed.D.

    Senior Associate, OPEN MINDS

    Steven Ramsland, Ed.D. has more than 25 years of experience in the development and delivery of health and human service programs. He has held senior leadership positions in the development of several innovative service systems including Medicare Shared Savings Program ACOs, a primary care provider network, several national managed behavioral health initiatives, and innovative community programming.

    Dr. Ramsland recently served as chief executive officer at Redwood Community Health, a network of 17 community health centers, with over 40 sites in northern California. The organization provides primary care, behavioral health and oral health to over 240,000 patients each year. While at Redwood he managed the implementation of an ACO, a capitated Medicaid managed care contract, and a pay-for-performance quality improvement program.

    Prior to this, he was the executive director of Buckelew Programs, a leading provider of community-based, recovery-oriented behavioral health programs in Northern California. The organization provides supported housing and employment, and recovery supports, as well as two social enterprise businesses.

    Dr. Ramsland was previously vice president and practice leader for United Behavioral Health’s Public Sector Practice (now Optum).   In that role, he analyzed opportunities and implemented strategies to expand public sector business – and collaborated with executive leadership at United to design and build organizational capabilities in public sector behavioral health, disease management, and consumer-directed care to support revenue growth.

    In addition to his work with Optum, Dr. Ramsland also served as the chief development officer and Public Sector President for Comprehensive Behavioral Care, and as vice president, Government Programs, for ValueOptions. He has worked with government policy leaders throughout the nation to develop new, recovery-oriented approaches to delivering behavioral health and integrated medical services. He was also the Chief Executive Officer of a community mental health center, SERV Behavioral Health in New Jersey.

    Dr. Ramsland earned a Doctoral Degree in Psychology from Rutgers University, a Master’s Degree in Psychology from Duquesne University, and a Bachelor’s Degree in Psychology and English from Trinity College.

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  • Rebecca Plonsky, LICSW

    Vice President of Development for Integrated Behavioral Health-East and Southwest Region, Prospect CharterCARE, LLC

    Rebecca Plonsky, LICSW, Vice President of Development for Integrated Behavioral Health, East and Southwest Region works for Prospect CharterCARE, LLC. In her current role, Rebecca is results driven and provides system wide leadership and strategic direction for integrated behavioral health. She is responsible for integrated behavioral health business growth and development, quality and reporting oversight, and psychiatrist and physician recruitment for the east and southwest regions. Her efforts focus on enhancing clinical and operational excellence, driving innovative payment arrangements, and improving patient recovery capital and health outcomes. Over the past 18 months, Rebecca led the opening of a Long Term Behavioral Health Unit, an Outpatient Addiction Services Center, and 2 behavioral health integration sites in primary care. She also assisted in securing state approval for Prospect CharterCARE, LLC to be recognized as Accountable Care Organization.

    Previously, Rebecca advised that state on integrated behavioral health programming for high risk, complex Medicaid members at the Executive Health and Human Services/Xerox Healthcare. She also held a behavioral health management role at Blue Cross Blue Shield of Rhode Island.

    Rebecca continues to work as an independently licensed clinician and maintains a private practice treating late adolescents and adults with mood disorders, substance use, and relational discord. In her free time she enjoys spending time with her 7 year old twin boys and running.

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1:00 pm - 2:15 pm
Improving Quality Through Consumer Engagement In MLTSS

Networking

  • Fady Sahhar, Ph.D.

    President, XtraGlobex, Inc.

    Fady Sahhar is President of XtraGlobex Inc., the company he founded in 2001 to assist healthcare providers, ACO’s and service organizations in building an exceptional and sustainable competitive advantage. The firm focuses on long term services and supports in the aging, physical and intellectual disabilities by leveraging healthcare strategy, policy, communications, and technology.

    Before dedicating himself full-time to XtraGlobex, Fady was the Chief Administrative Officer with Liberty Resources, Inc. in Philadelphia, the country’s largest Center for Independent Living. During his long tenure there, Fady honed his policy and advocacy skills while managing operations serving more than 7,000 consumers annually. He led strategy and quality management and re-launched the Transitions to Freedom campaign to support consumers transitioning into the community.

    Fady has over 30 years of senior management experience working with major multinational companies including Sara Lee, Mobil Oil, Progressive Insurance, Transitions Optical, PPG Industries and Essilor (France). His corporate responsibilities included new product development, strategic planning, marketing management, and global sales. He has developed several global communications networks and launched products in over 45 countries.

    Fady holds an MBA in Marketing, and is a PhD candidate in Global Leadership and Economic Development. He teaches at the MBA level at several universities and conducts training seminars in global leadership, marketing management and business development. In addition to English, he is fluent in French and Arabic.

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  • Ken Carr

    Senior Associate, OPEN MINDS

    Ken Carr brings over 20 years of finance, technology, data analysis and reporting experience in the health and human service field to OPEN MINDS. Before joining the OPEN MINDS team, he served as the Chief Financial Officer of The Centers, a community mental health center in Ocala, Florida. In this position, Mr. Carr led a realignment of the organization’s financial management functions. This included revenue cycle management, EHR bill implementation and reporting, cash management enhancement, and strategic financial analysis.

    Prior to his role at The Centers, Mr. Carr served as Chief Financial Officer of Guild Incorporated, an organization providing residential and community based mental health services in St. Paul, Minnesota. As CFO, Mr. Carr led the financial, billing, IT, quality, informatics, compliance, and facilities activities. During his tenure at Guild Incorporated, Mr. Carr used his expertise in change management and business process improvement to lead the EHR implementation team, align service data reporting and financial performance, and lead the financial and data capture activities for new service initiatives.

    Mr. Carr has also held the positions of Administrative Director and Finance Director at the St. Paul National Testing Laboratory, a biomedical testing facility of the American Red Cross. In those positions he oversaw activities to enhance inventory management, align financial results to industry standards, and improve financial and facilities performance through problem analysis and quality management initiatives. He also was involved in directing human resource functions during laboratory closing near the end of his tenure.

    Mr. Carr earned a Bachelor of Science in Business Administration from the University of South Dakota, and a Master of Divinity Degree from Sioux Falls Seminary. He maintains an active CPA license with the State of South Dakota.

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2:30 pm - 3:45 pm
The Changing Role Of Peer Support Services - A Look To The Future

Breakout Session

  • Ken Carr

    Senior Associate, OPEN MINDS

    Ken Carr brings over 20 years of finance, technology, data analysis and reporting experience in the health and human service field to OPEN MINDS. Before joining the OPEN MINDS team, he served as the Chief Financial Officer of The Centers, a community mental health center in Ocala, Florida. In this position, Mr. Carr led a realignment of the organization’s financial management functions. This included revenue cycle management, EHR bill implementation and reporting, cash management enhancement, and strategic financial analysis.

    Prior to his role at The Centers, Mr. Carr served as Chief Financial Officer of Guild Incorporated, an organization providing residential and community based mental health services in St. Paul, Minnesota. As CFO, Mr. Carr led the financial, billing, IT, quality, informatics, compliance, and facilities activities. During his tenure at Guild Incorporated, Mr. Carr used his expertise in change management and business process improvement to lead the EHR implementation team, align service data reporting and financial performance, and lead the financial and data capture activities for new service initiatives.

    Mr. Carr has also held the positions of Administrative Director and Finance Director at the St. Paul National Testing Laboratory, a biomedical testing facility of the American Red Cross. In those positions he oversaw activities to enhance inventory management, align financial results to industry standards, and improve financial and facilities performance through problem analysis and quality management initiatives. He also was involved in directing human resource functions during laboratory closing near the end of his tenure.

    Mr. Carr earned a Bachelor of Science in Business Administration from the University of South Dakota, and a Master of Divinity Degree from Sioux Falls Seminary. He maintains an active CPA license with the State of South Dakota.

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  • Sue Ann Atkerson, MA, LPC

    Chief Operations Officer, RI International

    Sue Ann Atkerson serves as Chief Operating Officer of RI International, a non-profit focused on bringing recovery principles and peer supports to bear in both crisis facilities and outpatient settings.  Her primary focus is leveraging clinical innovation and best practices to maximize client outcomes.  She is a seasoned behavioral health professional and MBA in-training who has worked in the non-profit public sector for more than twenty years. She has provided numerous presentations and trainings on peer support, co-occurring disorders, evidence-based practice, and behavioral health leadership.

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  • Briana Gilmore

    Director of Planning & Recovery Practice, Community Access

    Briana Gilmore is a passionate advocate for the transformation of the mental health system through public-health oriented reform. She is the recipient of the 2016 Advocacy Champion Award from the NYC Coalition of Behavioral Health Agencies for her dedication to implementing a Self-Directed Service approach and for successful advocacy for Crisis Intervention Team training within the NYPD. Briana joined Community Access as the Director of Planning and Recovery Practice in 2015, where she provides management of peer training, supported education, and advocacy activities, and spearheads national and international technical assistance projects. Before her work in mental health, Briana worked to inform migrant and refugee policy with the United Nations, and gained her Research Master’s degree in International Development and Natural Resource Security from the University of Amsterdam. Briana’s commitment to her work is derived in part from her personal experience of survival of the mental health system.

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  • Harvey Rosenthal

    Executive Director, New York Association of Psychiatric Rehabilitation Services

    Harvey Rosenthal serves as the executive director of the New York Association of Psychiatric Rehabilitation Services (NYAPRS), a peer-provider partnership that has been a state and national change agent for the past 3 decades. Harvey has over 40 years of experience working to promote public mental health policies and practices that advance the recovery, rehabilitation, rights, and full community inclusion of individuals with psychiatric disabilities and/or diagnoses. His advocacy has helped to transform state and national mental health systems, increase access to community-based housing, employment and peer support services, and advance numerous recovery and criminal justice related mental health reforms.

    Harvey has helped create several nationally acclaimed and replicated self-help, employment, and transformational training innovations. He has also worked to fight stigma, discrimination, and human rights violations and to expand informed choice protections and cultural competence. Harvey’s work has been frequently recognized by numerous New York State and national groups, including the highest honors from Mental Health America, ACMHA: The College for Behavioral Health Leadership, the U.S. Psychiatric Rehabilitation Association, and the National Coalition for Mental Health Recovery. His interest in his work is personal, beginning with a psychiatric hospitalization at age 19.

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Providing Effective Collaborative Care In Major Depressive Disorder: Strategies & Resources From Otsuka’s Frameworks In Health & Quality Program

Knowledge Partner

  • Heidi Waters

    Director of Outcomes Management, Otsuka Pharmaceutical Companies, U.S.

    Heidi Waters currently serves as Director of Outcomes Management/Health Outcomes at Otsuka Pharmaceutical Development & Commercialization, Inc.  In that role, she partners with payers and providers to develop unbranded health services research to improve the process of care and optimize outcomes for consumers with serious mental illness and other conditions that Otsuka products help treat.  Prior to joining Otsuka, Heidi worked for Ethicon as Global Franchise Director, Health Economics and Director, Health Economics for Centicor Ortho Biotech, both Johnson & Johnson companies.  Heidi also has experience working in drug safety, both at J&J and Wyeth. Prior to joining the pharmaceutical industry, Heidi served as Quality Improvement Director for Magellan Behavioral Health, where she was responsible for conducting quality improvement initiatives, developing preventive health programs, and trending utilization data for both Medicaid and commercial lines of business.

    Heidi has a PhD in Health Services from Walden University, a Master’s degree in Counseling from the University of Pennsylvania, and an MBA from LaSalle.  Heidi’s dissertation research focused on integrated care for consumers with serious mental illness.

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  • Monica E. Oss

    Chief Executive Officer, OPEN MINDS

    Monica E. Oss, M.S., Chief Executive Officer and Senior Associate, is the founder of OPEN MINDS. For the past two decades, Ms. Oss has led the OPEN MINDS team and its research on health and human service market trends and its national consulting practice. Ms. Oss is well known for her numerous books and articles focused on the strategic and marketing implications of the evolving health and human service field. She has unique expertise in payer financing models, provider rate setting, and service pricing. She has led numerous engagements with state Medicaid plans, county governments, private insurers, managed care programs, service provider organizations, technology vendors, neurotechnology and pharmaceutical organizations, and investment banking firms – with a focus on the implications of financing changes on delivery system design.

     

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Finding New Opportunities With Health Plans: How To Market To Managed Care

Breakout Session

  • Steve Ramsland, Ed.D.

    Senior Associate, OPEN MINDS

    Steven Ramsland, Ed.D. has more than 25 years of experience in the development and delivery of health and human service programs. He has held senior leadership positions in the development of several innovative service systems including Medicare Shared Savings Program ACOs, a primary care provider network, several national managed behavioral health initiatives, and innovative community programming.

    Dr. Ramsland recently served as chief executive officer at Redwood Community Health, a network of 17 community health centers, with over 40 sites in northern California. The organization provides primary care, behavioral health and oral health to over 240,000 patients each year. While at Redwood he managed the implementation of an ACO, a capitated Medicaid managed care contract, and a pay-for-performance quality improvement program.

    Prior to this, he was the executive director of Buckelew Programs, a leading provider of community-based, recovery-oriented behavioral health programs in Northern California. The organization provides supported housing and employment, and recovery supports, as well as two social enterprise businesses.

    Dr. Ramsland was previously vice president and practice leader for United Behavioral Health’s Public Sector Practice (now Optum).   In that role, he analyzed opportunities and implemented strategies to expand public sector business – and collaborated with executive leadership at United to design and build organizational capabilities in public sector behavioral health, disease management, and consumer-directed care to support revenue growth.

    In addition to his work with Optum, Dr. Ramsland also served as the chief development officer and Public Sector President for Comprehensive Behavioral Care, and as vice president, Government Programs, for ValueOptions. He has worked with government policy leaders throughout the nation to develop new, recovery-oriented approaches to delivering behavioral health and integrated medical services. He was also the Chief Executive Officer of a community mental health center, SERV Behavioral Health in New Jersey.

    Dr. Ramsland earned a Doctoral Degree in Psychology from Rutgers University, a Master’s Degree in Psychology from Duquesne University, and a Bachelor’s Degree in Psychology and English from Trinity College.

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  • Matthew O. Hurford, M.D.

    Chief Medical Officer, Community Care Behavioral Health Organization

    Matthew O. Hurford, M.D. is the Chief Medical Officer (CMO) of Community Care Behavioral Health Organization, a subsidiary of the UPMC Insurance Services Division, and one of the country’s largest not-for-profit behavioral health managed care organization. Headquartered in Pittsburgh, Community Care serves over 900,000 Medicaid beneficiaries across Pennsylvania by facilitating the ongoing evolution of the behavioral health system toward one that embraces the journey of healing, transformation, and empowerment.

    As CMO of Community Care, Dr. Hurford is responsible for the clinical and quality operations of Community Care through oversight of the departments of Clinical Management, Psychiatry, Psychology, Quality Management, and Pharmacy. He also provides executive leadership for new business opportunities and program development in areas including physical health/behavioral health integration and innovative healthcare payment models.

    Prior to joining Community Care, Dr. Hurford served as the Chief Medical Officer of the City of Philadelphia’s Department of Behavioral Health and Intellectual Disability Services (DBHIDS) and Community Behavioral Health (CBH), a not-for-profit behavioral health managed care organization.

    Dr. Hurford graduated from Swarthmore College and received his medical degree from Temple University School of Medicine where he was elected into the Alpha Omega Alpha National Honor Medical Society. Following graduation, Dr. Hurford completed his internship and residency in psychiatry at The Hospital of the University of Pennsylvania where he was named Chief Resident. He is currently a Clinical Associate at the University of Pennsylvania Department of Psychiatry's Center for Mental Health Policy and Services Research. His research interests focus on the interface of physical and mental illness as well as the implementation of evidence-based practices.

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  • Alyssa L. Rose, JD/MSW

    Director, Network Strategy, Beacon Health Options

    Bio coming soon!

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4:00 pm - 5:00 pm
What Do Payers Want? A Town Hall Discussion On The Innovative Proposals Payers Are Looking For From Provider Partners

Town Hall Discussion

  • Joseph P. Naughton-Travers, EdM

    Senior Associate, OPEN MINDS

    Joseph P. Naughton-Travers, EdM, Senior Associate, has more than 30 years of experience in the health and human service field. In this tenure as senior associate with OPEN MINDS since 1998, he has served as lead of dozens of client initiatives, served as editor of OPEN MINDS publications, and is the author of many groundbreaking articles and presentations.

    Mr. Naughton-Travers brings to OPEN MINDS a broad range of experiences in private and public sector delivery of behavioral health and social services. He started his career as a behavioral health clinician, working in both child welfare and community mental health clinic settings. Subsequently, Mr. Naughton-Travers held a senior business operations management position for a psychiatric hospital system and its community mental health clinics.  Later, he was vice president of a firm specializing in information systems and billing and receivables management for community-based mental health programs.

    Since joining OPEN MINDS, Mr. Naughton-Travers has developed business solutions for provider and professional organizations, state and county government, technology companies, and venture capital firms. His primary areas of expertise include strategic planning and metrics-based management, electronic health record (EHR) and technology selection and implementation, operations improvement, and corporate compliance. For the past decade, over half his consulting practice has focused on aiding organizations in technology selection and implementation, including all aspects of strategic technology planning, functional specifications development, request for proposal development, vendor selection, and contracting.

    He has written numerous articles, including “Winning the Human Resource Wars: Tried, True and New Strategies for Behavioral Health and Social Service Organizations,” “Five Pillars of Management Competency,” “Data Driven Decision Making: Moving to an Organizational Measurement Culture,” “Survival of the Smartest: What is Your Organization’s Information Literacy IQ?,” and “Strategic Human Resource Management: Aligning Compensation with Employee Performance and Organizational Strategy.” Mr. Naughton-Travers is also a nationally recognized speaker, having conducted hundreds of executive and professional executive training events around the nation.

    Mr. Naughton-Travers received his Bachelor’s degree from Miami University of Ohio and his Masters’ of Education in Counseling Psychology from Boston University.

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  • Monica Collins

    Sr. Director, System Transformation, Magellan Behavioral Health of Pennsylvania

    Monica Collins is the Sr. Director, System Transformation for Magellan Behavioral Health of Pennsylvania where she is responsible for leading the strategy and planning efforts in system transformation.  Her responsibilities include engaging providers, state agencies and stakeholders in a collaborative approach to develop a high value service delivery system.  She brings more than 20 years of behavioral healthcare experience to this role both from a provider and then a payer perspective.  Monica earned her Masters of Arts in Counseling Psychology from Indiana University of Pennsylvania and her Masters of Business Administration from Southern New Hampshire University. Unique qualifications include certification in Primary and Behavioral Healthcare Integration.

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  • Paul Duck

    Vice President, Strategy & Development, Beacon Health Options

    Mr. Duck is a senior healthcare executive with over 25 years of experience in behavioral healthcare and has developed a deep understanding of the transformational changes taking place in the healthcare market. He currently serves as Vice President of Strategy and Development for Beacon Health Options – the nation’s largest specialty behavioral managed care company. Prior to joining Beacon, Paul was the Vice President of Business Development for Netsmart.

    He is the past Chairman of the Board of Centerstone of Florida where he directed the affiliation and merger of Manatee Glens with the largest community mental health company in the United States, Centerstone of America.

    He has previous senior executive experience serving as the CEO of a large outpatient radiology company in central Florida where he and the company were awarded by INC magazine as one of America’s fastest growing companies. In addition, he served as CEO of one of the largest orthopedic and ambulatory surgery center company’s in Florida where he was responsible for a massive turnaround.

    Mr. Duck is known for his strong passion for our industry and is also renowned as a thought-leader to state and national audiences.

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  • Mark A. Refowitz

    Former Director, County of Orange Health Care Agency & Former Board Chairman, Cal Optima

    Mark Refowitz was appointed to the CalOptima Board of Directors in February 2012, elected Chairman in May of that year and continues to serve in this critical capacity today. The county-organized healthcare system has grown in membership from 375,000 to more than 770,000 low-income children, adults, seniors and persons with disabilities since his appointment. The plan’s annual budget has more than doubled from $1.6 billion to over $3.6 billion in the same period. Under his leadership, the National Committee for Quality Assurance has rated CalOptima as its top Medicaid health plan in California for the past two years. Mark has been an actively engaged member of the Board’s Audit and Finance and Quality Assurance committees.

    He serves on the Health Care Committee and the Healthy Counties Advisory Board of the National Association of Counties (NACo), assignments that require annual appointments by the California State Association of Counties. He is a member of the Board of Directors of the National Association of County Behavioral Health and Disability Directors, a NACo affiliate. Mark has served as the President of the California Mental Health Directors Association and as a member of their governing board for more than a decade. His background also includes a variety of roles on the boards of non-profit organizations.

    He has further demonstrated his commitment to boardroom excellence as a National Association of Corporate Director’s Governance Fellow, having completed that organization’s comprehensive program of study for directors and corporate governance professionals. Mark further enhances these skillsets through ongoing engagement with the director community and access to leading practices.

    Mark was appointed Director of the County of Orange Health Care Agency (HCA) in 2012, a department with approximately 2,700 full-time employees and an annual budget in excess of $620 million. HCA’s organizational structure includes five major service areas: Correctional Health Services, Public Health Services, Behavioral Health Services, Regulatory/Medical Health Services and Administrative Services. The organization has more than 120 funding sources in addition to a wide array of regulatory and direct service mandates. His appointment marks the pinnacle of a professional history with more than 30 years of top management experience in public sector healthcare and social services, including experience in state and county government as well as private managed care.

    This experience includes the positions of Senior Vice President of Development with For Health, Inc. in Costa Mesa, California; Chief Clinical Officer with the Community Care Behavioral Health Organization in Pittsburgh, Pennsylvania; and Assistant Commissioner for Managed Care with the Massachusetts Department of Mental Health in Boston, Massachusetts.

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8:30 am - 9:30 am
Keys To Success With Integrated Care Models For Consumers With Complex Behavioral Disorders

Keynote Address

  • Ian A. Shaffer, M.D., MMM, CPE

    Vice President & Executive Medical Director, Behavioral Health, Healthfirst

    Ian Shaffer, MD, MMM, CPE is Vice President and Executive Medical Director, Behavioral Health for Healthfirst responsible for behavioral health program management.  Prior to this he was Vice President Behavioral Health Program Design and Research for Health Net Federal Services responsible for behavioral health program design and research with a specific focus on the military and veteran populations and their families.  Previously at Health Net, Inc. Shaffer was MHN’s Chief Medical Officer, responsible for setting the company’s clinical policies and guidelines and ensuring clinical excellence. Dr. Shaffer oversaw MHN’s quality improvement and disease management units, and was accountable for the coordination and quality assurance of clinical care.

    In addition, Dr. Shaffer has overseen quality and outcomes monitoring for the Military & Family Life Consultant Program services and collaborated with his Health Net Federal Services colleagues to ensure optimal care and service delivery for TRICARE beneficiaries.

    Prior to joining MHN in 2003, Dr. Shaffer served as executive vice president and chief medical officer of a national managed behavioral health organization, working closely with several Fortune 100 companies. He three times served as chairman of the Association for Behavioral Health and Wellness (ABHW) (formerly the American Managed Behavioral Healthcare Association – AMBHA), and he has also served on several federal government committees, including a three-year term on the National Advisory Committee for the Center for Mental Health Services arm of SAMHSA. He remains involved in national behavioral health policy issues, including parity and autism.

    As the President of Behavioral Health Management Solutions, LLC Dr. Shaffer has provided consultation to a variety of start up and ongoing behavioral health programs that have been redesigning to meet the changing needs of health care delivery and reimbursement.

    Dr. Shaffer, a Life Fellow of the American Psychiatric Association, is a psychiatrist board-certified in psychiatry and addiction medicine, and has received fellowship training in child psychiatry. He received his medical degree from the University of Manitoba and psychiatry and child psychiatry training at the University of Southern California. Dr. Shaffer, a Certified Physician Executive also holds a Master’s degree in Medical Management from Tulane University.

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9:45 am - 11:00 am
The Inside Perspective On Specialty Medical Homes & Health Homes: Learning From The Experience Of Provider Executives

Breakout Session



An Ounce Of Prevention…Strategic Planning With Confidence In Uncertain Times

Knowledge Partner

  • Timothy Snyder, Jr.

    Vice President, Marketing, OPEN MINDS

    Tim Snyder, Vice President of Marketing and Senior Associate, has been a member of the OPEN MINDS team since 2008. With an extensive background in promotional marketing, business development, strategic planning, and website development, he brings a wide variety of expertise to the OPEN MINDS team. In addition to developing and overseeing all marketing, public relations, and sales strategies for OPEN MINDS’ award-winning information services department, Mr. Snyder serves as a senior associate for the consulting practice—leading both strategic marketing and website development projects.

    Previously, Mr. Snyder served as OPEN MINDS’ Marketing & Sales Manager. He has also lead initiatives in business development and product development. Prior to joining OPEN MINDS, Mr. Snyder worked as an independent marketing consultant for multiple organizations—specializing in online marketing strategy, campaign design and execution, event promotion, and social media integration. He has also worked as a webmaster and graphic designer for various organizations in the health and human service field—specializing in social media marketing and search engine optimization.

    Mr. Snyder is a 2008 graduate of the AACSB Internationally accredited John L. Grove College of Business at Shippensburg University of Pennsylvania, where he earned a Bachelor’s Degree in Business Marketing and Management Leadership.

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  • Candace Clevenger

    Chief Executive Officer, Heritage Behavioral Health Center

    Candace Clevenger has been employed with Heritage Behavioral Health Center for the past 26 years and currently serves as Chief Executive Officer.  In her previous role as Chief Financial Officer, Candi provided oversight of the business, human resources, building operations and IT functions of the organization.  In each of these areas, Candi’s vision and core personal values have been instrumental in igniting a passion in others to make the changes necessary to promote growth and stability in our ever-evolving industry.  Candi has presented at several national and regional meetings on compliance and system development. She holds a Masters of Business Administration degree from James Madison University and a Bachelor of Business Administration from Marshall University.

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  • Tim Macken

    Chief Operating Officer, Heritage Behavioral Health Center

    Tim Macken has been employed with Heritage Behavioral Health Center for the past 21 years and currently serves as the organization’s Chief Operating Officer.  In this capacity, Tim provides oversight and guidance to Heritage's clinical operations with a more specific focus on MI and SA outpatient and medical services.  Additionally, he provides a substantial amount of time in the training to of clinical staff throughout the organization.  Tim has presented at national and regional conferences and trainings on topics related to clinical documentation requirements and the substantiation of medical necessity in service provision and documentation.  For 11 years prior to his work at Heritage, Tim held a variety of clinical and administrative positions in the Michigan mental health system of care.  He holds a Masters of Arts in Counseling Psychology degree from Western Michigan University and a Bachelor of Science in Psychology from Grand Valley State University.

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  • Mary McClimon

    Senior Vice President and Chief Administrative Officer, Heritage Behavioral Health Center

    Mary McClimon has been employed with Heritage Behavioral Health Center for the past 20 years and currently serves as Chief Administrative Officer.  Mary plays a pivotal role in the design, development, and implementation of Heritage’s EHR, from the billing as well as clinical features of the record.  As the key developer of reports, her efforts have significantly improved the efficiency, accuracy, relevance and use of data pulled from the EHR.  Mary continually finds new and creative ways to look at and analyze data for improved internal auditing and monitoring.  She has served on Heritage’s compliance committee since its inception in 2001.  Mary has presented at the OPEN MINDS Technology & Innovation Conference and National Council for Behavioral Health, as well as being a regular presenter at The Echo Group’s annual conference.

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Thought Leader Discussion Session With Dr. Ian A. Shaffer

Breakout Session

  • Ian A. Shaffer, M.D., MMM, CPE

    Vice President & Executive Medical Director, Behavioral Health, Healthfirst

    Ian Shaffer, MD, MMM, CPE is Vice President and Executive Medical Director, Behavioral Health for Healthfirst responsible for behavioral health program management.  Prior to this he was Vice President Behavioral Health Program Design and Research for Health Net Federal Services responsible for behavioral health program design and research with a specific focus on the military and veteran populations and their families.  Previously at Health Net, Inc. Shaffer was MHN’s Chief Medical Officer, responsible for setting the company’s clinical policies and guidelines and ensuring clinical excellence. Dr. Shaffer oversaw MHN’s quality improvement and disease management units, and was accountable for the coordination and quality assurance of clinical care.

    In addition, Dr. Shaffer has overseen quality and outcomes monitoring for the Military & Family Life Consultant Program services and collaborated with his Health Net Federal Services colleagues to ensure optimal care and service delivery for TRICARE beneficiaries.

    Prior to joining MHN in 2003, Dr. Shaffer served as executive vice president and chief medical officer of a national managed behavioral health organization, working closely with several Fortune 100 companies. He three times served as chairman of the Association for Behavioral Health and Wellness (ABHW) (formerly the American Managed Behavioral Healthcare Association – AMBHA), and he has also served on several federal government committees, including a three-year term on the National Advisory Committee for the Center for Mental Health Services arm of SAMHSA. He remains involved in national behavioral health policy issues, including parity and autism.

    As the President of Behavioral Health Management Solutions, LLC Dr. Shaffer has provided consultation to a variety of start up and ongoing behavioral health programs that have been redesigning to meet the changing needs of health care delivery and reimbursement.

    Dr. Shaffer, a Life Fellow of the American Psychiatric Association, is a psychiatrist board-certified in psychiatry and addiction medicine, and has received fellowship training in child psychiatry. He received his medical degree from the University of Manitoba and psychiatry and child psychiatry training at the University of Southern California. Dr. Shaffer, a Certified Physician Executive also holds a Master’s degree in Medical Management from Tulane University.

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  • Monica E. Oss

    Chief Executive Officer, OPEN MINDS

    Monica E. Oss, M.S., Chief Executive Officer and Senior Associate, is the founder of OPEN MINDS. For the past two decades, Ms. Oss has led the OPEN MINDS team and its research on health and human service market trends and its national consulting practice. Ms. Oss is well known for her numerous books and articles focused on the strategic and marketing implications of the evolving health and human service field. She has unique expertise in payer financing models, provider rate setting, and service pricing. She has led numerous engagements with state Medicaid plans, county governments, private insurers, managed care programs, service provider organizations, technology vendors, neurotechnology and pharmaceutical organizations, and investment banking firms – with a focus on the implications of financing changes on delivery system design.

     

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11:15 am - 12:30 pm
The Shift From Residential: The Changing Addiction Treatment Landscape

Breakout Session

  • Robert J. Budsock, MS, LCADC

    President & CEO, Integrity House

    Robert J. Budsock is the President and CEO of Integrity House, a nonprofit organization that provides a full range of addictions treatment and recovery support for individuals diagnosed with substance use disorders in the state of New Jersey. At its Essex, Hudson, Ocean and Morris County locations, Integrity House offers a holistic approach to addictions treatment that includes residential treatment, outpatient treatment, supportive housing, and prevention programs that are integrated with vocational and educational services as well as medical services that focus on health and wellness.

    Robert has been with Integrity House since 1984, starting his career in clinical services. He has worked in all aspects of the Integrity House program and has a wealth of knowledge in both the clinical and administrative arenas. He possesses a passion for the life-saving work that is being done, and is a tireless advocate and persistent champion for individuals and families who struggle with addiction. In his span at Integrity, Robert has held vital roles including Director, Senior Vice President, and Chief Operating Officer.

    As CEO, Robert has led major transformation efforts that resulted in strengthening Integrity’s financial stability and administrative infrastructure.  His vision for expanding the reach of the Integrity’s work has been consistently demonstrated through his many efforts including facilitating the visit of President Obama in 2015, the collaboration with Rutgers University Medical School to form a psychiatric residency program, the implementation of a collegiate partnership with Essex County College and the continued growth and success of annual fundraising activities. In addition to his 30+ years of service at Integrity House, he has extensive experience working in the field of substance use disorders that includes consultancy work with the Barnabas and Trinitas Hospital behavioral healthcare systems.

    Robert also serves as a Board member for various organizations including the New Jersey Association of Mental Health and Addiction Agencies, World Federation of Therapeutic Communities, Healthy Greater Newark Accountable Care Organization and the Greater Newark Healthcare Coalition.

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  • Maks Danilin

    Strategic Account Executive, Aware Recovery Care, Inc.

    Maks Danilin’s personal journey through recovery has exposed him to various modalities of substance abuse and mental health treatment throughout the United States. His experiences and education have allowed Maks to develop and improve SUD care, specifically within the state of Connecticut. Maks has been involved in the field of addiction and substance abuse treatment for the past 8 years. He has worked for Turning Point Extended Care in New Haven, Connecticut and with Dr. Bono and Dr. Allen at the Shoreline Recovery Center in Branford, Connecticut, and currently is an executive at Aware Recovery Care. Aware Recovery Care ( ARC ) delivers intensive home-based treatment for a full year. Maks holds degrees in International Business Management and Finance, and is currently continuing his education with a Masters degree in health care management. Maks understands, both personally and professionally, the challenges and strengths of various forms of addiction treatment. He specializes in working closely with senior executives improving their operational management processes. He is intimately involved in Aware’s strategic operations, client outreach, and business development. Today, Maks collaborates with providers, executives, and regulators to spread awareness of the advantages of quality home-based addiction treatment and frequently shares Aware Recovery Care’s treatment model and best practices through various speaking engagements around the country.

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  • Amy Gallagher, Psy.D.

    Vice President, Whole Health, LLC, a subsidiary of Mind Springs Health, Inc.

    Amy Gallagher, Psy.D., Licensed Psychologist, is the Vice President of Whole Health, LLC, a subsidiary of Mind Springs Health, Inc. in Grand Junction, CO. As Vice President, she is responsible for training and supervising a multi-county team of Community Health Workers and Health Coaches and with building strong relationships between the payer plan, medical offices, and other agencies. Previously, she directed an APPIC-membered, pre-doctoral psychology internship program. Her research interests include integrated care initiatives, health care reform, affective supervision and consultation, and autistic spectrum disorders.

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  • Anthony J. Mele, Psy.D.

    Chief Clinical Officer, Sovereign Health

    Dr. Anthony Mele, a licensed psychologist, brings almost twenty-five years of clinical expertise and executive leadership on both the provider and payer sides of behavioral healthcare. His wide range of clinical expertise includes the assessment and treatment of co-occurring mental health and substance abuse disorders in adolescents and adults. Dr. Mele is a frequent presenter on the co-occurrence of Borderline Personality Disorder and Substance Use Disorder and the integration of neuroplasticity and traditional psychotherapy to manage chronic behavioral health conditions.

    Dr. Mele has extensive experience creating and leading start-up behavioral health organizations ranging from Medicare-certified networks to e-therapy companies and behavioral health managed care companies. Dr. Mele’s executive leadership experience in managed behavioral and physical healthcare includes serving as the founding Chief Clinical Officer of a national behavioral health managed care organization and as the national director of Wellness and Preventive Health for the nation’s largest health insurance managed care organization. In these positions, Dr. Mele integrated e-therapy and disease management / wellness initiatives.

    Prior to joining Sovereign Health, Dr. Mele established a behavioral health company that grew into a network of outpatient geriatric behavioral health services and served as the company’s founding Executive Director. As the Executive Director, Dr. Mele led its expansion into a network serving patients across the lifespan in over 40 locations.

    As Chief Clinical Officer for Sovereign Health, Dr. Mele provides Clinical and Executive leadership to a national network of behavioral health facilities who are transforming how behavioral health is conceputalized and treated through a state of the art behavioral health network serving hundreds of patients across the United States.

    Sovereign Health, a national behavioral healthcare system accredited by the Joint Commission, believes that the brain’s ability to heal itself offers the best hope for a future free from addiction. Our clinical outcomes place us among the highest performing similarly accredited organizations. We offer a wide continuum of treatment levels, each of which is based on integration of developmental psychology, neuroplasticity, and neurobiology. We integrate cutting-edge research in brain wellness and remediation with traditional psychotherapy techniques. Sovereign serves a wide range of clinical conditions. We are separately licensed as a mental health organization in addition to providing dual diagnosis treatment. We serve individuals with eating disorders, elevated emotional dysregulation, and those in need of recovery from pain medication addiction. We provide special gender-specific treatment to men and women between the ages of 40 and 65. Our adolescent treatment centers serve boys and girls between the ages of 13 and 17 who have primary mental health or dual diagnosis conditions. We are particularly proud of our adolescent eating disorder program and our transgender/gender diversity program. While many programs offer Dialectical Behavioral Therapy, Motivational Interviewing, and other similar cognitively-based interventions, Sovereign’s treatment approach deconstructs these techniques in order to align the patient’s cognitive capacity with the most efficacious application of cognitive interventions.

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  • Jim Gargiulo

    Senior Associate, OPEN MINDS

    Jim Gargiulo has more than 35 years of experience in the health and human services field. Mr. Gargiulo brings a strong background in information technology to OEPN MINDS customers. He has extensive background as both a developer of technology and an end user.

    Prior to joining OPEN MINDS, Mr. Gargiulo was an Executive Vice President at Netsmart Technologies Corporation, the largest provider of technology in the health and human services and integrated care space. In that role, he was responsible for the alignment of Netsmart solutions with its more than 1,500 client organizations. In this role he created, managed, and led a team of 50 associates across the country, helped integrate account teams from acquired companies, and represented the company as an industry expert on clinical workflow, revenue management, implementation strategy, medication management, and meaningful use.

    Mr. Gargiulo joined Netsmart at its earliest stages of growth and held various positions during his more than 30 year tenure with the company. These positions included leadership roles in project management, solution consulting, product management, and business development. He was on the team that helped define company’s first EMR solutions and lead some of the company’s largest public sector implementations of the EMR solution – including onboarding of 35 different state agencies with the Netsmart. He also represented Netsmart in its early data standards initiatives with National Institute of Mental Health (NIMH), and led its Y2k conversion efforts. During his tenure with Netsmart, the company grew by more than 3,000% over 15 years.

    Before working with Netsmart, Mr. Gargiulo was the Mental Health & MIS Director for the Delaware County Government. In this role, he deployed contract management and billing systems for the 50+ private non-profit agencies under contract with the County Department of Human Services. He has also held previous positions with the Veterans Administration and Resources for Human Development, conducting research on brain injury and the incidence and prevalence of mental illness in Pennsylvania. Mr. Gargiulo started his career as a residential counselor for children and adolescents with special needs at Elwyn.

    As an involved community member, Mr. Gargiulo has participated in a number of industry governing boards. He served as an Executive Board Member for the Software and Technology Vendor Association (SATVA) and as a member of the Substance Abuse and Mental Health Services Administration’s (SAMHSA) 2000 Data Standards Decision Support Committee.

    Mr. Gargiulo received his Bachelor of Arts degree in psychology from the University of Pennsylvania and his Master of Science in research and evaluation from Drexel University (formerly the Hahnemann Medical College).

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Does The Medicaid Health Home Model Work? The Payer Perspective On The Future Of Specialty Care Coordination Programs

Breakout Session

  • Athena Mandros

    Market Intelligence Manager, OPEN MINDS

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  • Alyssa Brown, J.D.

    Acting Deputy Director, Planning Administration, Maryland Office of Health Care Financing

    Alyssa Brown joined the Maryland Medicaid Program in 2013 and currently serves as Chief of the Evaluation, Research, and Data Analytics Division of the Planning Administration.  In this role, Ms. Brown oversees the evaluation of existing programs and new initiatives being piloted by the Medicaid Program, including Maryland's Chronic Health Homes, the HealthChoice program, and the state's recent Behavioral Health Integration efforts, as well as other evaluations requested by the Centers for Medicare and Medicaid (CMS) and the Maryland General Assembly.

    Ms. Brown received her Bachelor's degree from Michigan State University and her J.D. from the University of Baltimore School of Law.

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  • Alan Rice, LCSW

    Population Health Specialist, VNSNY CHOICE - Select Health HIV SNP

    Coming Soon!

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  • Steven Sehr, MD

    Medical Director, Behavioral Health, AmeriHealth Caritas Iowa

    Steven Sehr, MD is the Behavioral Health Medical Director for AmeriHealth Caritas Iowa Medicaid health plan. AmeriHealth Caritas Iowa covers approximately 220,000 Iowa Medicaid members including those members with severe and chronic mental illness and members receiving services for disabilities such as intellectual disabilities and brain injuries. He oversees all health plan activities related to behavioral health issues and the integration of physical health and behavioral health services for the plan.

    Steven Sehr is a board certified child psychiatrist with almost 30 years of experience in the Managed Behavioral Healthcare field. He was the CEO and Medical Director of Mesa Mental Health, a New Mexico based MBHO for over 20 years. He has also served as Medical Director for two Regional Behavioral Health Agencies in the Arizona Medicaid system, which included oversight of the Quality Management, Utilization and Care Management and Pharmacy Benefit Management for the plan.

    He has been with AmeriHealth Caritas Iowa since April 2016, when the plan began formal operations.

    Dr Sehr received his medical degree at the University of New Mexico. He also received his psychiatric training at the University of New Mexico. He is board certified in both General Psychiatry and Child Psychiatry.

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Preparing Specialty Provider Organizations For Value-Based Reimbursement: An Overview Of Competencies Required For Success

Breakout Session

  • Ken Carr

    Senior Associate, OPEN MINDS

    Ken Carr brings over 20 years of finance, technology, data analysis and reporting experience in the health and human service field to OPEN MINDS. Before joining the OPEN MINDS team, he served as the Chief Financial Officer of The Centers, a community mental health center in Ocala, Florida. In this position, Mr. Carr led a realignment of the organization’s financial management functions. This included revenue cycle management, EHR bill implementation and reporting, cash management enhancement, and strategic financial analysis.

    Prior to his role at The Centers, Mr. Carr served as Chief Financial Officer of Guild Incorporated, an organization providing residential and community based mental health services in St. Paul, Minnesota. As CFO, Mr. Carr led the financial, billing, IT, quality, informatics, compliance, and facilities activities. During his tenure at Guild Incorporated, Mr. Carr used his expertise in change management and business process improvement to lead the EHR implementation team, align service data reporting and financial performance, and lead the financial and data capture activities for new service initiatives.

    Mr. Carr has also held the positions of Administrative Director and Finance Director at the St. Paul National Testing Laboratory, a biomedical testing facility of the American Red Cross. In those positions he oversaw activities to enhance inventory management, align financial results to industry standards, and improve financial and facilities performance through problem analysis and quality management initiatives. He also was involved in directing human resource functions during laboratory closing near the end of his tenure.

    Mr. Carr earned a Bachelor of Science in Business Administration from the University of South Dakota, and a Master of Divinity Degree from Sioux Falls Seminary. He maintains an active CPA license with the State of South Dakota.

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  • Robert (Carl) Clark, MD

    President & Chief Executive Officer, Mental Health Center of Denver

    Dr. Carl Clark’s early experience with his father’s bipolar disorder sparked a commitment to helping people with mental illness regain their lives, hopes and aspirations. As President & Chief Executive Officer of the Mental Health Center of Denver, Dr. Clark leads the organization in “focusing on what people can do, not what they can’t do.” He has dedicated his career to improving the well-being of the Denver community and beyond through a focus on health promotion, wellness, resilience and recovery across the life-span.

    Over ten years ago, Dr. Clark challenged the Mental Health Center of Denver to be “The Center of Excellence” with the best and most innovative mental health services in the country. Since then he has led the way in delivering strengths-based, person-centered, culturally-proficient services as well as employing trauma-informed, evidence-based practices.

    Dr. Clark inspires a culture of well-being within the Mental Health Center of Denver. Under his visionary leadership, the Mental Health Center of Denver received the Denver Post Top Work Places Award the past four years in a row and was awarded the Denver Metro Chamber of Commerce Large Non-Profit of the Year in 2013.

    Dr. Clark’s has extensive involvement at the local, State and national levels. Dr. Clark’s colleagues and the Denver community recognize his valuable contributions. Dr. Clark joined the Mental Health Center of Denver in 1989. He became the Medical Director in 1991, Chief Executive Officer in 2000 and President & CEO in 2014.

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12:30 pm - 1:45 pm
Beyond Interoperability: Leveraging Technology & Networks For Information On Demand

Networking

  • AJ Peterson

    Vice President, Interoperability, Netsmart

    AJ Peterson is Vice President of Interoperability for Netsmart. He maintains an efficient client-focused model around connectivity and consumer-engagement technologies, and develops value-based connections among clients, suppliers and partners in the healthcare market.

    Before joining Netsmart, AJ was an area operations director at Concentra Medical Centers, where he managed medical outpatient facility operations, sales development, customer relationships and personnel development. He has participated in the Office of the National Coordinator’s Data Segmentation for Privacy project, and currently serves on the Advisory Council for Carequality, which provides a national-level, consensus-built, common interoperability framework to enable exchange between and among health data sharing networks.

    He holds a Bachelor of Arts degree in Business Administration from DePaul University.

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2:00 pm - 3:15 pm
Best Management Practices In Integrated Behavioral Health/Primary Care Programs

Breakout Session

  • Steve Ramsland, Ed.D.

    Senior Associate, OPEN MINDS

    Steven Ramsland, Ed.D. has more than 25 years of experience in the development and delivery of health and human service programs. He has held senior leadership positions in the development of several innovative service systems including Medicare Shared Savings Program ACOs, a primary care provider network, several national managed behavioral health initiatives, and innovative community programming.

    Dr. Ramsland recently served as chief executive officer at Redwood Community Health, a network of 17 community health centers, with over 40 sites in northern California. The organization provides primary care, behavioral health and oral health to over 240,000 patients each year. While at Redwood he managed the implementation of an ACO, a capitated Medicaid managed care contract, and a pay-for-performance quality improvement program.

    Prior to this, he was the executive director of Buckelew Programs, a leading provider of community-based, recovery-oriented behavioral health programs in Northern California. The organization provides supported housing and employment, and recovery supports, as well as two social enterprise businesses.

    Dr. Ramsland was previously vice president and practice leader for United Behavioral Health’s Public Sector Practice (now Optum).   In that role, he analyzed opportunities and implemented strategies to expand public sector business – and collaborated with executive leadership at United to design and build organizational capabilities in public sector behavioral health, disease management, and consumer-directed care to support revenue growth.

    In addition to his work with Optum, Dr. Ramsland also served as the chief development officer and Public Sector President for Comprehensive Behavioral Care, and as vice president, Government Programs, for ValueOptions. He has worked with government policy leaders throughout the nation to develop new, recovery-oriented approaches to delivering behavioral health and integrated medical services. He was also the Chief Executive Officer of a community mental health center, SERV Behavioral Health in New Jersey.

    Dr. Ramsland earned a Doctoral Degree in Psychology from Rutgers University, a Master’s Degree in Psychology from Duquesne University, and a Bachelor’s Degree in Psychology and English from Trinity College.

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  • Stacey Carpenter, Psy.D.

    Director of Integrated Behavioral Health, The Family Practice & Counseling Network, a division of Resources for Human Development

    Stacey Carpenter, Psy.D., is a Licensed Psychologist and the Director of Integrated Behavioral Health for Family Practice and Counseling Network (FPCN).  Dr. Carpenter obtained her doctoral degree from Philadelphia College of Osteopathic Medicine and has experience working within medical settings providing brief therapy to adults and children with various diagnoses.  During her fellowship, she was a mental health consultant who conducted social-emotional groups with preschoolers, parent skills training for the parents, and provided therapy for parents and children.  Dr. Carpenter has a certificate in Infant Mental Health from Chatham University. Additionally, she is an adjunct professor at Arcadia within the Infant-Toddler Graduate Certificate program and taught at Cabrini University for eight years in the psychology department.  Dr. Carpenter is a founding member and current President of the Pennsylvania Association for Infant Mental Health (PA-AIMH) which is a non-profit, state-wide organization that assists in educating and connecting providers who work with children (ages 0-5yo) and their families.  For the last seven years she has organized PA-AIMH’s annual conferences that has grown to about 300 participants and includes nationally recognized keynotes and local expert speakers.  Dr. Carpenter is dedicated to educating communities and providers on trauma informed care and improving the social-emotional development among children and families.

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  • Allen Brown

    Chief Executive Officer, Adult & Child Health

    Allen Brown, MSSW, is CEO of Adult and Child Health in Indianapolis, a nonprofit agency employing 700 employees in central Indiana. Organized as a certified community mental health center and licensed child placement agency, Adult and Child is expanding into community health clinic services as an FQHC Look Alike program.  Accredited by the Joint Commission, Adult and Child’s programs for the underserved include behavioral health, primary care, child welfare, supportive housing, and supportive employment.  Prior to joining Adult and Child in 2014, Allen held managed care and community mental health leadership positions in Texas, Colorado, and Georgia.

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Strategic Revenue Diversification: The HealthPath Commercial Health Home Case Study

Breakout Session

  • Joseph P. Naughton-Travers, EdM

    Senior Associate, OPEN MINDS

    Joseph P. Naughton-Travers, EdM, Senior Associate, has more than 30 years of experience in the health and human service field. In this tenure as senior associate with OPEN MINDS since 1998, he has served as lead of dozens of client initiatives, served as editor of OPEN MINDS publications, and is the author of many groundbreaking articles and presentations.

    Mr. Naughton-Travers brings to OPEN MINDS a broad range of experiences in private and public sector delivery of behavioral health and social services. He started his career as a behavioral health clinician, working in both child welfare and community mental health clinic settings. Subsequently, Mr. Naughton-Travers held a senior business operations management position for a psychiatric hospital system and its community mental health clinics.  Later, he was vice president of a firm specializing in information systems and billing and receivables management for community-based mental health programs.

    Since joining OPEN MINDS, Mr. Naughton-Travers has developed business solutions for provider and professional organizations, state and county government, technology companies, and venture capital firms. His primary areas of expertise include strategic planning and metrics-based management, electronic health record (EHR) and technology selection and implementation, operations improvement, and corporate compliance. For the past decade, over half his consulting practice has focused on aiding organizations in technology selection and implementation, including all aspects of strategic technology planning, functional specifications development, request for proposal development, vendor selection, and contracting.

    He has written numerous articles, including “Winning the Human Resource Wars: Tried, True and New Strategies for Behavioral Health and Social Service Organizations,” “Five Pillars of Management Competency,” “Data Driven Decision Making: Moving to an Organizational Measurement Culture,” “Survival of the Smartest: What is Your Organization’s Information Literacy IQ?,” and “Strategic Human Resource Management: Aligning Compensation with Employee Performance and Organizational Strategy.” Mr. Naughton-Travers is also a nationally recognized speaker, having conducted hundreds of executive and professional executive training events around the nation.

    Mr. Naughton-Travers received his Bachelor’s degree from Miami University of Ohio and his Masters’ of Education in Counseling Psychology from Boston University.

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  • Ian Lang

    Executive Director, Continuum Behavioral Health

    Ian Lang is Executive Director of Continuum Behavioral Health, responsible for developing and implementing programs and services for people who seek mental health care that are convenient, accessible, affordable and effective. Ian comes to Continuum from HealthSource RI, Rhode Island’s health insurance exchange, where he served as Director of Marketing and Communications. Previously, he served as Vice President for Advancement and External Relations at The Providence Center. Before joining The Providence Center, he was Campaign Manager for Chafee for Senate (2005-2006) and Chief of Staff for the Massachusetts Department of Public Health. He attended Trinity College where he received a bachelor’s degree. He also holds a Master of Business Administration from University of Rhode Island. He is Chair of the Board of Directors of HousingWorksRI.

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  • Rena Sheehan

    Director, Behavioral Health, Blue Cross & Blue Shield of Rhode Island

    Rena Sheehan, Managing Director Behavioral Health at BCBSRI, leads the development, implementation and oversight of behavioral health programs for BCBSRI.  She works collaboratively with providers to create innovations within the behavioral healthcare system that facilitate cost effective, high quality services. Rena is spearheading behavioral health quality initiatives and is a consistent voice for behavioral health within the delivery system.  Rena is a Licensed Independent Clinical Social Worker with 15 years’ experience working in the community mental health system; as both a practitioner and senior leader.  In prior roles, she led the implementation and oversight of a federal grant to integrate primary care into a community mental health center and facilitated the execution of an open access model.  In addition to her clinical roles, Rena’s experience includes: partnering with providers as a provider relations representative, managing an oversight team to facilitate compliance with CMS and NCQA and developing a behavioral health care management program.  Rena's business and behavioral health education and experience combined with a Six Sigma Green Belt certification, provides the foundation for her commitment to continuous improvement within the healthcare delivery system.

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3:30 pm - 4:30 pm
There Is No "Plan B" Alternative To Value: Creating A Value-Focused Competitive Strategy In A Changing Market

Keynote Address

  • Monica E. Oss

    Chief Executive Officer, OPEN MINDS

    Monica E. Oss, M.S., Chief Executive Officer and Senior Associate, is the founder of OPEN MINDS. For the past two decades, Ms. Oss has led the OPEN MINDS team and its research on health and human service market trends and its national consulting practice. Ms. Oss is well known for her numerous books and articles focused on the strategic and marketing implications of the evolving health and human service field. She has unique expertise in payer financing models, provider rate setting, and service pricing. She has led numerous engagements with state Medicaid plans, county governments, private insurers, managed care programs, service provider organizations, technology vendors, neurotechnology and pharmaceutical organizations, and investment banking firms – with a focus on the implications of financing changes on delivery system design.

     

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