Institute Agenda


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Day One Monday June 1
Day Two Tuesday June 2
Day Three Wednesday June 3
Day Four Thursday June 4
8:00 am - 5:30 pm

The 2020 I/DD Executive Summit

Executive Summit

Ray Wolfe, J.D.

Senior Associate, OPEN MINDS

Raymond “Ray” Wolfe, J.D. brings over 40 years of experience in the health and human services sector to the OPEN MINDS team. Mr. Wolfe currently serves as a Senior Associate, a position in which he utilizes his expertise to successfully lead varying projects for OPEN MINDS. His areas of expertise include financial analysis and management, mergers and acquisitions, performance improvement, and strategic planning.

Before joining OPEN MINDS, Mr. Wolfe served in a 22 year tenure with Pittsburgh Mercy Health System in Pittsburgh, Pennsylvania. Most recently, Mr. Wolfe served as the organization’s Chief Operating Officer (COO) where he was responsible for oversight of all system operations, strategic planning, and performance management. Under his direction Pittsburgh Mercy achieved over $850K in value-based reimbursement contract quality bonus awards, integrated three organizations through merger/acquisition, and adopted a new performance management program for managers.

Before acting as Pittsburgh Mercy’s COO, Mr. Wolfe served as the organization’s Chief Financial Officer (CFO) and was responsible for the development of internal costing methodologies, contract rate negotiations, and financial forecasting activities. In addition, he coordinated an integrated care program with local partner hospitals to develop a series of diversion and respite programs, as well as, specialized primary care, integrated care management and high utilizer teams, while maintaining 15 straight years profitability.

Mr. Wolfe was promoted to CFO after serving as the Director of Fiscal and Information Security/Compliance for the health system. In this role, he was responsible for managing the transition of service contracts from fee-for-service (FFS), leading all compliance activities, and implementing a next generation electronic health record (EHR) system.

Prior to his time at Pittsburgh Mercy Health System, Mr. Wolfe served as Chief Fiscal Officer with the Summit Center for Human Development in Clarksburg, West Virginia, where he was responsible for reporting and budgeting functions and preparing Summit Center’s programs for FFS billing.

Previously, Mr. Wolfe served in billing and collections for two Pennsylvania-based hospitals. First, as an Accounts Receivables Manager for Brownsville General Hospital in Brownsville, PA, where he managed the accounting and billing system transition systems. Later as a Patient Account Manager for St. Francis Medical Center in Pittsburgh, PA, where he improved collections to hit 95% rate through the implementation of new billing software and department reorganization.

Prior to working in the health and human services market, Mr. Wolfe spent five years practicing as a Lawyer with at Law Offices of Arch A. Moore in Moundsville, WV. In this role he provided general legal practice, created and established bylaws for multiple corporation, and handled West Virginia licensing of first vision insurance plan.

Mr. Wolfe earned his Juris Doctor from the West Virginia University School of Law in Morgantown, WV and his Bachelor’s degree with a focus in Political Science and Sociology from West Liberty University, in Wheeling, WV, where he graduated Magna Cum Laude.

×

1:00 pm - 4:00 pm

Succeeding With Value-Based Reimbursement: An OPEN MINDS Executive Seminar On Organizational Competencies & Management Best Practices For Value-Based Contracting

Executive Seminar

Ken Anderson

Senior Associate, OPEN MINDS

Kenneth J. Anderson brings to the OPEN MINDS team over 40 years of experience in leadership and management focusing on Medicaid and Medicare programs operated by states, counties and health plans.   Prior to joining OPEN MINDS, Mr. Anderson served as the Vice President of Public Sector Business Development of Optum.  In this role, Mr. Anderson was responsible for Medicaid and Medicare business development activities with states, counties, and health plans.   Mr. Anderson worked with a variety of Optum services including behavioral health management, person-centered care management, and medical-behavioral integration.  And, he was also accountable for developing customer relationships, solution design, proposal development and implementation processes.

In addition to those business development roles, Mr. Anderson was also was involved with internal planning regarding the impact of Medicaid expansion.   He had an active role with analysis of market approaches for  serving people with I/DD conditions, people with criminal justice involvement,  and housing programs.   Mr. Anderson was recognized as Optum’s  “Top Producer” three times with an average annual sales of over $100M.

Mr. Anderson has also served as the Vice President of Public Sector Quality Improvement & Implementations at Optum Health, Public Sector.  In this role, Mr. Anderson lead public sector managed care program implementations and quality initiatives.   He ensured the coordination of services between stakeholders, as well as managing programs to meet customer expectations.   Mr. Anderson also served as the Vice President, Public Sector for United Behavioral Health’s operations in Washington State.   He was responsible for managing the Project Director’s for United’s contracts in the King County (Seattle), Clark County (Vancouver), and Spokane County including budget development, customer relations, and program management.

Before working with United Health Group and Optum, Mr. Anderson was the Managed Care Administrator for California’s Solano County.  In that role, he was responsible for the management of the capitated Medicaid mental health system, two primary care clinics, a dental clinical, family planning and perinatal services, and public health funds for indigent individuals.    He led a department-wide initiative to integrate service delivery across these funding streams.

Mr. Anderson earned his Master of Arts in Psychology from Chapman College, in Orange, California.  He earned his Bachelor of Arts in Math from Colorado College in Colorado Springs, Colorado.

×

Drew Di Giovanni

Senior Associate, OPEN MINDS

Drew DiGiovanni, MPH, FACMPE, brings over thirty years of marketing, management, and strategy experience to the  OPEN MINDS team.  This broad knowledge has contributed to his success in service innovation, service line development, and market positioning.

Mr. DiGiovanni previously served as the Vice President of Quality for Premise Health/ CHS Services.  In this role Mr. DiGiovanni led the development and implementation of a performance management program 150 clinic locations in thirty-eight states.  When the organization completed a merger with Take Care, he led the integration plan for 500 service locations.   Throughout his tenure with Premise Health, Mr. DiGiovanni was also responsible for patient satisfaction, clinical quality, risk management, facilities and compliance auditing, operational efficiency and workflow redesign, policy management and document control, and patient safety programming.

Prior to his work with Premise Health, Mr. DiGiovanni served as the Director of Education and Distance Learning for the Medical Group Management Association (MGMA).  During his tenure, he directed a revenue center of over ten million dollars and maintained consistent increase in revenue with a ten to fifteen percent growth yearly.

In this role, Mr. DiGiovanni developed a comprehensive curriculum in ambulatory care administration, with focus on operational efficiency, finance, compliance, and executive leadership.   He also created a professional bootcamp for MGMA.

Earlier in his career, Mr. DiGiovanni served in multiple roles with the Mendocino Community Health Clinic in Ukiah, California including Director of Marketing & Strategic Planning, Director of Operations and Director of Support Services.

In addition to his commercial experience, Mr. DiGiovanni was also an  Associate Professor position at Regis University in Denver.   He developed and taught courses in marketing for for physicians and administrators in the university’s Healthcare MBA program.  Mr. DiGiovanni also co-developed the online curriculum for Healthcare Marketing for the institution.

×

7:30 am - 8:30 am

Registration & Executive Networking Breakfast

Networking

Check-in at the registration desk to get your name badge and program materials, then join us in the exhibit hall for breakfast. Take some time to meet your fellow attendees, talk to our sponsors, and prepare for the day ahead.


8:30 am - 9:00 am

Welcome & Announcement Of The Results From The 2020 OPEN MINDS National Innovation Survey: Innovation Adoption Among Specialty Provider Organizations

Introduction

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.

 

×

9:00 am - 10:00 am

Innovation By Design: Capturing Value In Healthcare

Keynote Address

Carl Clark, M.D.

President & Chief Executive Officer, Mental Health Center of Denver

As the President & CEO of the Mental Health Center of Denver, Dr. Clark inspires a culture of innovation and well-being by delivering strengths-based, person-centered, culturally- proficient services as well as employing trauma-informed, evidence-based practices. Under his leadership, the Mental Health Center of Denver has recently been named a finalist for a 2018 World Changing Idea Award from Fast Company Magazine, and won the 2018 Excellence in Behavioral Healthcare Management Award from the National Council for Behavioral Health. The Mental Health Center of Denver is proud to be a Denver Post Top Work Place for 7 years running.

×

10:15 am - 11:30 am

Thought Leader Discussion Session With Carl Clark, M.D., President & Chief Executive Officer, Mental Health Center Of Denver

Breakout Session

Join us for a follow-up session with our keynote speaker, Carl Clark, M.D., President & Chief Executive Officer, Mental Health Center of Denver. Use this time to ask questions and continue the morning's discussion with Dr. Clark and OPEN MINDS Chief Executive Officer, Monica E. Oss.

Carl Clark, M.D.

President & Chief Executive Officer, Mental Health Center of Denver

As the President & CEO of the Mental Health Center of Denver, Dr. Clark inspires a culture of innovation and well-being by delivering strengths-based, person-centered, culturally- proficient services as well as employing trauma-informed, evidence-based practices. Under his leadership, the Mental Health Center of Denver has recently been named a finalist for a 2018 World Changing Idea Award from Fast Company Magazine, and won the 2018 Excellence in Behavioral Healthcare Management Award from the National Council for Behavioral Health. The Mental Health Center of Denver is proud to be a Denver Post Top Work Place for 7 years running.

×

Vision & Sustainable Strategy In A Changing Landscape: Finding Your Next Big Thing

Breakout Session

Ray Wolfe, J.D.

Senior Associate, OPEN MINDS

Raymond “Ray” Wolfe, J.D. brings over 40 years of experience in the health and human services sector to the OPEN MINDS team. Mr. Wolfe currently serves as a Senior Associate, a position in which he utilizes his expertise to successfully lead varying projects for OPEN MINDS. His areas of expertise include financial analysis and management, mergers and acquisitions, performance improvement, and strategic planning.

Before joining OPEN MINDS, Mr. Wolfe served in a 22 year tenure with Pittsburgh Mercy Health System in Pittsburgh, Pennsylvania. Most recently, Mr. Wolfe served as the organization’s Chief Operating Officer (COO) where he was responsible for oversight of all system operations, strategic planning, and performance management. Under his direction Pittsburgh Mercy achieved over $850K in value-based reimbursement contract quality bonus awards, integrated three organizations through merger/acquisition, and adopted a new performance management program for managers.

Before acting as Pittsburgh Mercy’s COO, Mr. Wolfe served as the organization’s Chief Financial Officer (CFO) and was responsible for the development of internal costing methodologies, contract rate negotiations, and financial forecasting activities. In addition, he coordinated an integrated care program with local partner hospitals to develop a series of diversion and respite programs, as well as, specialized primary care, integrated care management and high utilizer teams, while maintaining 15 straight years profitability.

Mr. Wolfe was promoted to CFO after serving as the Director of Fiscal and Information Security/Compliance for the health system. In this role, he was responsible for managing the transition of service contracts from fee-for-service (FFS), leading all compliance activities, and implementing a next generation electronic health record (EHR) system.

Prior to his time at Pittsburgh Mercy Health System, Mr. Wolfe served as Chief Fiscal Officer with the Summit Center for Human Development in Clarksburg, West Virginia, where he was responsible for reporting and budgeting functions and preparing Summit Center’s programs for FFS billing.

Previously, Mr. Wolfe served in billing and collections for two Pennsylvania-based hospitals. First, as an Accounts Receivables Manager for Brownsville General Hospital in Brownsville, PA, where he managed the accounting and billing system transition systems. Later as a Patient Account Manager for St. Francis Medical Center in Pittsburgh, PA, where he improved collections to hit 95% rate through the implementation of new billing software and department reorganization.

Prior to working in the health and human services market, Mr. Wolfe spent five years practicing as a Lawyer with at Law Offices of Arch A. Moore in Moundsville, WV. In this role he provided general legal practice, created and established bylaws for multiple corporation, and handled West Virginia licensing of first vision insurance plan.

Mr. Wolfe earned his Juris Doctor from the West Virginia University School of Law in Morgantown, WV and his Bachelor’s degree with a focus in Political Science and Sociology from West Liberty University, in Wheeling, WV, where he graduated Magna Cum Laude.

×

11:45 am - 1:00 pm

Managing To A 10% Margin: Strategies For Increasing & Maintaining Your Organization’s Margins

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.

×

Is Your Organization Relevant? Demonstrating Value For A Competitive Advantage

Breakout Session

Drew Di Giovanni

Senior Associate, OPEN MINDS

Drew DiGiovanni, MPH, FACMPE, brings over thirty years of marketing, management, and strategy experience to the  OPEN MINDS team.  This broad knowledge has contributed to his success in service innovation, service line development, and market positioning.

Mr. DiGiovanni previously served as the Vice President of Quality for Premise Health/ CHS Services.  In this role Mr. DiGiovanni led the development and implementation of a performance management program 150 clinic locations in thirty-eight states.  When the organization completed a merger with Take Care, he led the integration plan for 500 service locations.   Throughout his tenure with Premise Health, Mr. DiGiovanni was also responsible for patient satisfaction, clinical quality, risk management, facilities and compliance auditing, operational efficiency and workflow redesign, policy management and document control, and patient safety programming.

Prior to his work with Premise Health, Mr. DiGiovanni served as the Director of Education and Distance Learning for the Medical Group Management Association (MGMA).  During his tenure, he directed a revenue center of over ten million dollars and maintained consistent increase in revenue with a ten to fifteen percent growth yearly.

In this role, Mr. DiGiovanni developed a comprehensive curriculum in ambulatory care administration, with focus on operational efficiency, finance, compliance, and executive leadership.   He also created a professional bootcamp for MGMA.

Earlier in his career, Mr. DiGiovanni served in multiple roles with the Mendocino Community Health Clinic in Ukiah, California including Director of Marketing & Strategic Planning, Director of Operations and Director of Support Services.

In addition to his commercial experience, Mr. DiGiovanni was also an  Associate Professor position at Regis University in Denver.   He developed and taught courses in marketing for for physicians and administrators in the university’s Healthcare MBA program.  Mr. DiGiovanni also co-developed the online curriculum for Healthcare Marketing for the institution.

×

1:00 pm - 2:30 pm

Lunch On Your Own

Networking

The institute hotel is located in the heart of New Orleans, steps away from many world class restaurants and local favorites. Stop by the registration desk for a listing of restaurants.


2:30 pm - 3:45 pm

Building The Leadership Team For Tomorrow: Balancing Skills & Culture

Breakout Session

Ken Anderson

Senior Associate, OPEN MINDS

Kenneth J. Anderson brings to the OPEN MINDS team over 40 years of experience in leadership and management focusing on Medicaid and Medicare programs operated by states, counties and health plans.   Prior to joining OPEN MINDS, Mr. Anderson served as the Vice President of Public Sector Business Development of Optum.  In this role, Mr. Anderson was responsible for Medicaid and Medicare business development activities with states, counties, and health plans.   Mr. Anderson worked with a variety of Optum services including behavioral health management, person-centered care management, and medical-behavioral integration.  And, he was also accountable for developing customer relationships, solution design, proposal development and implementation processes.

In addition to those business development roles, Mr. Anderson was also was involved with internal planning regarding the impact of Medicaid expansion.   He had an active role with analysis of market approaches for  serving people with I/DD conditions, people with criminal justice involvement,  and housing programs.   Mr. Anderson was recognized as Optum’s  “Top Producer” three times with an average annual sales of over $100M.

Mr. Anderson has also served as the Vice President of Public Sector Quality Improvement & Implementations at Optum Health, Public Sector.  In this role, Mr. Anderson lead public sector managed care program implementations and quality initiatives.   He ensured the coordination of services between stakeholders, as well as managing programs to meet customer expectations.   Mr. Anderson also served as the Vice President, Public Sector for United Behavioral Health’s operations in Washington State.   He was responsible for managing the Project Director’s for United’s contracts in the King County (Seattle), Clark County (Vancouver), and Spokane County including budget development, customer relations, and program management.

Before working with United Health Group and Optum, Mr. Anderson was the Managed Care Administrator for California’s Solano County.  In that role, he was responsible for the management of the capitated Medicaid mental health system, two primary care clinics, a dental clinical, family planning and perinatal services, and public health funds for indigent individuals.    He led a department-wide initiative to integrate service delivery across these funding streams.

Mr. Anderson earned his Master of Arts in Psychology from Chapman College, in Orange, California.  He earned his Bachelor of Arts in Math from Colorado College in Colorado Springs, Colorado.

×

Improving Your Decision Making Skills: How To Be A Nimble Leader

Breakout Session

Drew Di Giovanni

Senior Associate, OPEN MINDS

Drew DiGiovanni, MPH, FACMPE, brings over thirty years of marketing, management, and strategy experience to the  OPEN MINDS team.  This broad knowledge has contributed to his success in service innovation, service line development, and market positioning.

Mr. DiGiovanni previously served as the Vice President of Quality for Premise Health/ CHS Services.  In this role Mr. DiGiovanni led the development and implementation of a performance management program 150 clinic locations in thirty-eight states.  When the organization completed a merger with Take Care, he led the integration plan for 500 service locations.   Throughout his tenure with Premise Health, Mr. DiGiovanni was also responsible for patient satisfaction, clinical quality, risk management, facilities and compliance auditing, operational efficiency and workflow redesign, policy management and document control, and patient safety programming.

Prior to his work with Premise Health, Mr. DiGiovanni served as the Director of Education and Distance Learning for the Medical Group Management Association (MGMA).  During his tenure, he directed a revenue center of over ten million dollars and maintained consistent increase in revenue with a ten to fifteen percent growth yearly.

In this role, Mr. DiGiovanni developed a comprehensive curriculum in ambulatory care administration, with focus on operational efficiency, finance, compliance, and executive leadership.   He also created a professional bootcamp for MGMA.

Earlier in his career, Mr. DiGiovanni served in multiple roles with the Mendocino Community Health Clinic in Ukiah, California including Director of Marketing & Strategic Planning, Director of Operations and Director of Support Services.

In addition to his commercial experience, Mr. DiGiovanni was also an  Associate Professor position at Regis University in Denver.   He developed and taught courses in marketing for for physicians and administrators in the university’s Healthcare MBA program.  Mr. DiGiovanni also co-developed the online curriculum for Healthcare Marketing for the institution.

×

4:00 pm - 5:00 pm

The Payer Perspective: An OPEN MINDS Forum On Innovative Treatment Programs     

Town Hall


5:00 pm - 6:30 pm

Executive Networking Reception

Networking

Wrap up the day by taking time to network with your colleagues and partners. Take some time to discuss the day's events while enjoying a drink and hors d'oeuvres.


8:00 am - 9:00 am

Registration & Executive Networking Breakfast

Networking

Check-in at the registration desk to get your name badge and program materials, then join us in the exhibit hall for breakfast. Take some time to meet your fellow attendees, talk to our sponsors, and prepare for the day ahead.


9:00 am - 10:00 am

Emerging Models & New Benefits For Individuals Dually Eligible For Medicare & Medicaid

Keynote Address

Allison Rizer, MHP, MBA

Vice President of Strategy & Health Policy, UnitedHealthcare

Allison Rizer, MHS, MBA is Vice President of Strategy & Health Policy at UnitedHealthcare where she focuses on issues related to Medicare-Medicaid integration. In this capacity, Allison addresses and anticipates the evolving policy landscape in an effort to promote sustainable solutions to serve individuals dually eligible for Medicare and Medicaid. She is a champion of policy and program design efforts both internally and externally that minimize burdens and barriers for dual eligibles navigating the complex healthcare and social services systems.

Prior to joining UnitedHealthcare, Allison worked with The Lewin Group, a healthcare and human services policy consulting firm. While at Lewin, Allison’s work focused on vulnerable, aging populations. She led numerous projects with the Centers for Medicare & Medicaid Services, the Assistant Secretary for Planning and Evaluation, and the Office on Women’s Health involving the Medicare population and older lesbian and bisexual women. Her work at Lewin strived to improve health outcomes and programmatic experiences for these individuals.

Allison has a Master of Health Science in Health Policy from Johns Hopkins University School of Public Health and a Master of Business Administration with a focus on Healthcare from University of St. Thomas.

×

10:15 am - 11:30 am

Thought Leader Discussion Session With Allison Rizer, MHP, MBA, Vice President of Strategy & Health Policy, UnitedHealthcare

Breakout Session

Join us for a follow-up session with our keynote speaker, Allison Rizer, MHP, MBA, Vice President of Strategy & Health Policy, UnitedHealth Care. Use this time to ask questions and continue the morning's discussion with Allison Rizer and OPEN MINDS Senior Associate, Joe Naughton-Travers.

Allison Rizer, MHP, MBA

Vice President of Strategy & Health Policy, UnitedHealthcare

Allison Rizer, MHS, MBA is Vice President of Strategy & Health Policy at UnitedHealthcare where she focuses on issues related to Medicare-Medicaid integration. In this capacity, Allison addresses and anticipates the evolving policy landscape in an effort to promote sustainable solutions to serve individuals dually eligible for Medicare and Medicaid. She is a champion of policy and program design efforts both internally and externally that minimize burdens and barriers for dual eligibles navigating the complex healthcare and social services systems.

Prior to joining UnitedHealthcare, Allison worked with The Lewin Group, a healthcare and human services policy consulting firm. While at Lewin, Allison’s work focused on vulnerable, aging populations. She led numerous projects with the Centers for Medicare & Medicaid Services, the Assistant Secretary for Planning and Evaluation, and the Office on Women’s Health involving the Medicare population and older lesbian and bisexual women. Her work at Lewin strived to improve health outcomes and programmatic experiences for these individuals.

Allison has a Master of Health Science in Health Policy from Johns Hopkins University School of Public Health and a Master of Business Administration with a focus on Healthcare from University of St. Thomas.

×

How Big Is Big Enough? Knowing When You Need A Partner To Make Your Strategy A Reality

Breakout Session

Ray Wolfe, J.D.

Senior Associate, OPEN MINDS

Raymond “Ray” Wolfe, J.D. brings over 40 years of experience in the health and human services sector to the OPEN MINDS team. Mr. Wolfe currently serves as a Senior Associate, a position in which he utilizes his expertise to successfully lead varying projects for OPEN MINDS. His areas of expertise include financial analysis and management, mergers and acquisitions, performance improvement, and strategic planning.

Before joining OPEN MINDS, Mr. Wolfe served in a 22 year tenure with Pittsburgh Mercy Health System in Pittsburgh, Pennsylvania. Most recently, Mr. Wolfe served as the organization’s Chief Operating Officer (COO) where he was responsible for oversight of all system operations, strategic planning, and performance management. Under his direction Pittsburgh Mercy achieved over $850K in value-based reimbursement contract quality bonus awards, integrated three organizations through merger/acquisition, and adopted a new performance management program for managers.

Before acting as Pittsburgh Mercy’s COO, Mr. Wolfe served as the organization’s Chief Financial Officer (CFO) and was responsible for the development of internal costing methodologies, contract rate negotiations, and financial forecasting activities. In addition, he coordinated an integrated care program with local partner hospitals to develop a series of diversion and respite programs, as well as, specialized primary care, integrated care management and high utilizer teams, while maintaining 15 straight years profitability.

Mr. Wolfe was promoted to CFO after serving as the Director of Fiscal and Information Security/Compliance for the health system. In this role, he was responsible for managing the transition of service contracts from fee-for-service (FFS), leading all compliance activities, and implementing a next generation electronic health record (EHR) system.

Prior to his time at Pittsburgh Mercy Health System, Mr. Wolfe served as Chief Fiscal Officer with the Summit Center for Human Development in Clarksburg, West Virginia, where he was responsible for reporting and budgeting functions and preparing Summit Center’s programs for FFS billing.

Previously, Mr. Wolfe served in billing and collections for two Pennsylvania-based hospitals. First, as an Accounts Receivables Manager for Brownsville General Hospital in Brownsville, PA, where he managed the accounting and billing system transition systems. Later as a Patient Account Manager for St. Francis Medical Center in Pittsburgh, PA, where he improved collections to hit 95% rate through the implementation of new billing software and department reorganization.

Prior to working in the health and human services market, Mr. Wolfe spent five years practicing as a Lawyer with at Law Offices of Arch A. Moore in Moundsville, WV. In this role he provided general legal practice, created and established bylaws for multiple corporation, and handled West Virginia licensing of first vision insurance plan.

Mr. Wolfe earned his Juris Doctor from the West Virginia University School of Law in Morgantown, WV and his Bachelor’s degree with a focus in Political Science and Sociology from West Liberty University, in Wheeling, WV, where he graduated Magna Cum Laude.

×

Health Plan-Provider Partnerships: Improving Care Through Collaboration

Breakout Session


11:30 am - 1:15 pm

Lunch On Your Own

Networking

The institute hotel is located in the heart of New Orleans, steps away from many world class restaurants and local favorites. Stop by the registration desk for a listing of restaurants.


1:15 pm - 2:30 pm

Creating & Managing The Clinical Models You Need For Value Based Reimbursement

Breakout Session

Drew Di Giovanni

Senior Associate, OPEN MINDS

Drew DiGiovanni, MPH, FACMPE, brings over thirty years of marketing, management, and strategy experience to the  OPEN MINDS team.  This broad knowledge has contributed to his success in service innovation, service line development, and market positioning.

Mr. DiGiovanni previously served as the Vice President of Quality for Premise Health/ CHS Services.  In this role Mr. DiGiovanni led the development and implementation of a performance management program 150 clinic locations in thirty-eight states.  When the organization completed a merger with Take Care, he led the integration plan for 500 service locations.   Throughout his tenure with Premise Health, Mr. DiGiovanni was also responsible for patient satisfaction, clinical quality, risk management, facilities and compliance auditing, operational efficiency and workflow redesign, policy management and document control, and patient safety programming.

Prior to his work with Premise Health, Mr. DiGiovanni served as the Director of Education and Distance Learning for the Medical Group Management Association (MGMA).  During his tenure, he directed a revenue center of over ten million dollars and maintained consistent increase in revenue with a ten to fifteen percent growth yearly.

In this role, Mr. DiGiovanni developed a comprehensive curriculum in ambulatory care administration, with focus on operational efficiency, finance, compliance, and executive leadership.   He also created a professional bootcamp for MGMA.

Earlier in his career, Mr. DiGiovanni served in multiple roles with the Mendocino Community Health Clinic in Ukiah, California including Director of Marketing & Strategic Planning, Director of Operations and Director of Support Services.

In addition to his commercial experience, Mr. DiGiovanni was also an  Associate Professor position at Regis University in Denver.   He developed and taught courses in marketing for for physicians and administrators in the university’s Healthcare MBA program.  Mr. DiGiovanni also co-developed the online curriculum for Healthcare Marketing for the institution.

×

One Foot In Two Canoes: Managing Service Lines For Value Based Reimbursement & Fee-For Service - At The Same Time!

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.

×

2:30 pm - 3:00 pm

Networking & Raffle Prize Drawing

Networking


3:00 pm - 4:00 pm

Transforming Organizational Performance: Using Data To Find Advantage & Sustainability

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.

 

×

8:00 am - 4:00 pm

The OPEN MINDS Children’s Services Executive Summit: The Future Of Medical Homes

Executive Summit

Ken Anderson

Senior Associate, OPEN MINDS

Kenneth J. Anderson brings to the OPEN MINDS team over 40 years of experience in leadership and management focusing on Medicaid and Medicare programs operated by states, counties and health plans.   Prior to joining OPEN MINDS, Mr. Anderson served as the Vice President of Public Sector Business Development of Optum.  In this role, Mr. Anderson was responsible for Medicaid and Medicare business development activities with states, counties, and health plans.   Mr. Anderson worked with a variety of Optum services including behavioral health management, person-centered care management, and medical-behavioral integration.  And, he was also accountable for developing customer relationships, solution design, proposal development and implementation processes.

In addition to those business development roles, Mr. Anderson was also was involved with internal planning regarding the impact of Medicaid expansion.   He had an active role with analysis of market approaches for  serving people with I/DD conditions, people with criminal justice involvement,  and housing programs.   Mr. Anderson was recognized as Optum’s  “Top Producer” three times with an average annual sales of over $100M.

Mr. Anderson has also served as the Vice President of Public Sector Quality Improvement & Implementations at Optum Health, Public Sector.  In this role, Mr. Anderson lead public sector managed care program implementations and quality initiatives.   He ensured the coordination of services between stakeholders, as well as managing programs to meet customer expectations.   Mr. Anderson also served as the Vice President, Public Sector for United Behavioral Health’s operations in Washington State.   He was responsible for managing the Project Director’s for United’s contracts in the King County (Seattle), Clark County (Vancouver), and Spokane County including budget development, customer relations, and program management.

Before working with United Health Group and Optum, Mr. Anderson was the Managed Care Administrator for California’s Solano County.  In that role, he was responsible for the management of the capitated Medicaid mental health system, two primary care clinics, a dental clinical, family planning and perinatal services, and public health funds for indigent individuals.    He led a department-wide initiative to integrate service delivery across these funding streams.

Mr. Anderson earned his Master of Arts in Psychology from Chapman College, in Orange, California.  He earned his Bachelor of Arts in Math from Colorado College in Colorado Springs, Colorado.

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1:00 pm - 4:00 pm

How To Develop A New Service Line: An OPEN MINDS Seminar On Building A Diversification Strategy & Conducting A Feasibility Analysis

Executive Seminar

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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