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The Northeast Regional Committee convenes administrators, CEOs, medical directors, and other senior leadership of CAPG member groups in the U.S. Northeast. The Committee serves as a forum to share information, support CAPG advocacy, and identify opportunities to collaborate on increasing access, quality and cost effectiveness of healthcare. Challenges unique to the Northeast region are also discussed and addressed.
Presenter: Wren Keber

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As the health care system becomes more complex and health care costs continue to rise, it is important now more than ever that providers and payers work more closely together and engage in meaningful conversations and partnerships. This panel will explore ways payers and providers can work together to produce the best possible clinical outcomes while increasing efficiency in the system, reducing administrative burdens and reducing costs.
Presenter: Wendy Smith

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Don't miss this opportunity to connect with health leaders from across the country! Together, we will exchange information and knowledge regarding best practices, learn about the latest industry tools, research and trends in healthcare, provide resources for community health improvement and wellness, cultural competency, financial management, IT, leadership, career advancement and professional development and we will hear from authorities and experts in public policy, strategy, D&I, government, the C-Suite, executive recruitment and more.
Presenter: Carla D'Angelo and Wren Keber

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Background: The period following discharge as a patient transitions from hospital to home can be a vulnerable time for patients, especially those who are at high risk for hospital readmission. Preventable hospital readmissions often stem from a discontinuity in a patient’s care plan due to confusion surrounding discharge instructions, changes to medication regimen, or […]

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The initial failed launch of CMS’s HealthCare.gov website is cautionary tale of what can go wrong when leadership teams do not have actionable intelligence delivered from a problem solver’s perspective. Plagued by glitches and performance issues, HealthCare.gov was so unreliable during its debut in October 2013 that the government considered scrapping the entire $300 million […]

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Tom Dougherty, FACHE, Executive Vice President, has extensive expertise in risk-based coordinated health care delivery models, health plan network management and administration of hospitals, nursing homes, and home health. COPE Health Solutions draws on Tom’s experience and knowledge for its health system clients that are developing or enhancing their risk-based care and capitation models.  : […]

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Background: In 2010, the Affordable Care Act provided states the option to implement a “health home” (HH) care management model, with the goal of improving care coordination, reducing costs and improving health outcomes for high-need Medicaid members with chronic conditions. In an attempt to bridge resource gaps for a particularly complex segment of the […]

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Overview: On January 9, 2017, Washington State Health Care Authority (HCA) released highly anticipated Special Terms and Conditions (STC) outlining the provisions of the Section 1115 Medicaid demonstration waiver. The five-year waiver is active now through December 31, 2021. Under this demonstration, a delivery system reform incentive payment (DSRIP) program aims to increase access, […]

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Abstract: : Health care reform has evolved over the past few decades, but one constant in this transformation has been Section 1115 waivers. These waivers broadly permit states to conduct “Medicaid research and development” programs to better meet the health care needs of their unique populations. Thus, the onus of health care reform is shifted to […]

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On January 9, 2017 the Washington Healthcare Authority (HCA) reached a pivotal milestone in their partnership with the Centers for Medicare and Medicaid (CMS) to transform the delivery and quality of care served to their Medicaid population. The two parties finalized the Standard Terms and Conditions (STCs) of the 1115 Medicaid waiver, making the waiver […]

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