2016 ANNUAL CONFERENCE

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1 2016 ANNUAL CONFERENCE October 20 & 21, 2016 Hilton Columbus/Polaris 10/4/16 GENERAL SESSIONS The Promise and Peril of Value-Based Payments for Community Behavioral Health Providers Joshua Rubin, MPP, Principal, Health Management Associates Medicaid Behavioral Health Redesign and Policy Update John McCarthy, Director, Ohio Department of Medicaid Addressing Social Determinates: Innovative Approaches in Managed Care (Panel Discussion) Jeff Corzine, UnitedHealthcare; Lisa Hayes, Molina HealthCare; Dr. Hy Kisin, Paramount; Amy Riegel, CareSource; and Steve Young, Buckeye Considerations When Managing Your Managed Care Contracts Suzanne Scrutton, Partner and Jolie Havens, Partner; Vorys, Sater, Seymour and Pease LLP Whistleblower Prevention, Preparation and Response Victor Walton, Jr., Partner; Vorys, Sater, Seymour and Pease LLP Leadership Isn t for Cowards: How to Lead Courageously in a Turbulent Age Mike Staver, CEO, The Staver Group LUNCH & LEARNING SESSIONS DOL s New Overtime Regulations: Impact on Employee Classifications in Behavioral Health Mark Knueve, Partner; Vorys, Sater, Seymour and Pease LLP The March to Legalization How Medical Marijuana Impacts Ohio s Workplaces Catherine Burgett, Attorney at Law and Anne McNab, Senior Associate; Frost Brown Todd LLC Leading Change for Chief Executives Mike Staver, CEO, The Staver Group VENDOR EXHIBIT HALL Vendors will be exhibiting their products & services during the two-day conference. WHO SHOULD ATTEND Chief executive officers, service and program managers, clinical directors, human resources staff, and fiscal staff Two-day conference is open to all provider organizations within the behavioral health and family services field. Please visit to access brochure & online registration. 1

2 AGENDA Thursday, October 20, :00 AM 9:00 AM Registration, Continental Breakfast, Exhibits 9:00 AM 9:15 AM Welcome, Opening Remarks, Presentation of the 2016 Mary E. Pettus Excellence In Public Policy Award 9:15 AM 10:30 AM General Session: The Promise and Peril of Value-Based Payments for Community Behavioral Health Providers Joshua Rubin, MPP, Principal, Health Management Associates 10:30 AM 11:00 AM Break & Exhibits 11:00 AM 12:00 AM General Session: Medicaid Behavioral Health Redesign and Policy Update John McCarthy, Director, Ohio Department of Medicaid 12:00 PM 1:30 PM Lunch & Annual Awards Presentation The Ohio Council will recognize State Senator Randy Gardner and State Senator Shannon Jones. 1:30 PM 3:00 PM General Session: Addressing Social Determinates: Innovative Approaches in Managed Care (Panel Discussion) Jeff Corzine, UnitedHealthcare; Lisa Hayes, Molina HealthCare; Dr. Hy Kisin, Paramount; Amy Riegel, CareSource; and Steve Young, Buckeye 3:00 PM 3:30 PM Break & Exhibits 3:30 PM 5:00 PM General Session: Considerations When Managing Your Managed Care Contracts Suzanne Scrutton, Partner and Jolie Havens, Partner; Vorys, Sater, Seymour and Pease LLP 5:00 PM 6:00 PM Networking Reception 2

3 AGENDA Friday, October 21, :00 AM 7:45 AM Yoga Session by Angela Weiskittle (Bring your yoga mat!) 8:00 AM 9:00 AM Registration, Continental Breakfast, Exhibits 9:00 AM 10:00 AM General Session: Whistleblower Prevention, Preparation and Response Victor Walton, Jr., Partner; Vorys, Sater, Seymour and Pease LLP 10:00 AM 10:30 AM Break & Exhibits 10:30 AM 12:00 AM General Session: Leadership Isn t for Cowards: How to Lead Courageously in a Turbulent Age Mike Staver, CEO, The Staver Group 12:00 PM 12:30 PM Break & Grab Box Lunch 12:30 PM 1:15 PM Lunch & Learning Session Part I: 1:15 PM 1:30 PM Break 1. DOL s New Overtime Regulations: Impact on Employee Classifications in Behavioral Health Mark Knueve, Partner; Vorys, Sater, Seymour and Pease LLP 2. The March to Legalization How Medical Marijuana Impacts Ohio s Workplaces Catherine Burgett, Attorney at Law and Anne McNab, Senior Associate; Frost Brown Todd LLC 3. Leading Change for Chief Executives Mike Staver, CEO, The Staver Group 1:30 PM 2:15 PM Lunch & Learning Sessions Part II: 1. DOL s New Overtime Regulations: Impact on Employee Classifications in Behavioral Health Mark Knueve, Partner; Vorys, Sater, Seymour and Pease LLP 2. The March to Legalization How Medical Marijuana Impacts Ohio s Workplaces Catherine Burgett, Attorney at Law and Anne McNab, Senior Associate; Frost Brown Todd LLC 3. Leading Change for Chief Executives Mike Staver, CEO, The Staver Group Lunch & Learning Sessions offer an interactive experience facilitated by a subject matter expert. These 45 minute sessions will include a brief presentation on the session topic and are intended to spark discussion, dive into questions, and facilitate sharing of practical strategies, tips, and lessons learned among participants in the session. So grab your lunch and join a conversation on the topic of your choice! 3

4 EXHIBITORS Aetna Better Health of Ohio Alkermes Askesis Development Group BBC Technology Solutions Brown & Brown Insurance Buckeye Health Plan CapGrow Partners CareSource Chestnut Ridge Foam, Inc. Clark Schaefer Hackett CliftonLarsonAllen CommQuest Services, Inc. CompManagement Core Solutions, Inc. Credible Behavioral Health Software Enterprise Fleet Management Genoa, a QoL Healthcare Company Genomind InSight Telepsychiatry, LLC Janssen Pharmaceuticals, Inc. Keelsra Business Services McGohan Brabender, Inc. Molina Healthcare Mutual of America Life Insurance Company Neil Kennedy Recovery Centers Netsmart New Story OrionNet Systems, LLC Paramount Advantage Pinnacle Partners Prism Health System ProComp Software Qualifacts Systems Rural Health Telecom Streamline Healthcare Solutions Sunridge Solutions, LLC The Emily Program The SpyGlass Group, LLC This End Up Furniture Co. UnitedHealthcare Community Plan of Ohio and Optum Valant Workforce Directions, Inc. 4

5 PROGRAM DAY ONE General Sessions The Promise and Peril of Value-Based Payments for Community Behavioral Health Providers Joshua Rubin, MPP, Principal Health Management Associates (NY Office) This presentation will explain the mechanics of value-based payments (VBP) for behavioral health providers, highlighting both the opportunity and threat they represent to the community behavioral healthcare sector. It will also offer behavioral health providers some practical advice about how to prepare to leverage VBP structures for the benefit of their clients and their organizations. A policy expert and deft administrator, Josh Rubin brings an impressive depth and breadth of mental hygiene services knowledge and expertise to HMA. Prior to joining HMA Josh was vice president and chief operating officer of the Mental Health Association of New York City (MHA-NYC), a leader in services, advocacy and education for people with mental illness and their families. He directed the agency s day-to-day operations, including those of its subsidiary, Link2Health Solutions, Inc. They provided a wide range of behavioral health services, including residential, rehabilitation, child and adolescent, family support and technologically mediated services including the National Suicide Prevention Lifeline, the national Disaster Distress Helpline, New York City s LifeNet, New York State s HopeLine and the NFL Lifeline. Prior to joining MHA-NYC, Josh was director of policy and planning for YAI Network, where he led advocacy efforts and helped develop an international training and consulting business that facilitated the creation of the first group homes for people with developmental disabilities in Jordan. Before joining YAI he served as assistant commissioner for Mental Hygiene Policy for the City of New York Department of Health and Mental Hygiene. During his years of service, Josh also served as the assistant commissioner for Chemical Dependency Services, the Division of Mental Hygiene s chief policy officer and chief administrative officer, and as special assistant to the executive deputy commissioner for Mental Hygiene Services. Before his government service he was on the staff of the Coalition of Voluntary Mental Health Agencies. He also served on New York City s Community Services Board from 2008 to Josh received a Master in Public Policy degree from the John F. Kennedy School of Government at Harvard University and a bachelor s degree in religion and the humanities from the University of Chicago. Josh lives in Washington Heights with his wife and two young children, with whom he spends his free time visiting playgrounds and coaching T-ball. Medicaid Behavioral Health Redesign and Policy Update John McCarthy, Director Ohio Department of Medicaid Director McCarthy will provide an update on Medicaid Behavioral Health Redesign and Medicaid policy initiatives. In addition to discussing the BH Redesign and integration of behavioral health services into managed care, he will provide an overview of Medicaid payment innovation initiatives, and challenges and opportunities in Medicaid policy, including options to sustain Medicaid expansion. State Medicaid Director John McCarthy oversees the Ohio Department of Medicaid (ODM), Ohio s first cabinet-level state Medicaid agency. Through its network of more than 83,000 active providers, Ohio Medicaid makes coordinated, person-centered care available to residents in all regions of Ohio. The department has become a cornerstone of the Governor s Office of Health Transformation (OHT), which Governor John R. Kasich created in In conjunction with the Office of Health Transformation Director Greg Moody, Director McCarthy and his team have implemented a series of innovative policy initiatives that have modernized the Medicaid program by improving the quality of health services at a substantial value to Ohio s taxpayers. 5

6 Under McCarthy s leadership, Ohio Medicaid has: saved Ohio taxpayers more than $3 billion in state fiscal years 2012 and In the three years prior to the start of the Kasich Administration, spending for the State s Medicaid program grew at an annual average of 8.9 percent. By 2013, the annual rate of growth had shrunk to just 3.3 percent; implemented Ohio Benefits, the state s new integrated eligibility determination system. The state-of-the-art, online portal will soon replace the 30+ year old Client Registry Information System Enhanced (CRISE); successfully amended Ohio s Medicaid State Plan to extend eligibility to more individuals and families in need; launched the Medicaid Information Technology System (MITS), a sophisticated Medicaid claims processing system to boost efficiency and communications with health care providers across Ohio; become just the third state to reach an agreement with the Centers for Medicare and Medicaid Services (CMS) over the integration and coordination of care for individuals enrolled in both Medicaid and Medicare; and implemented a new managed care program across the State that provides more choice to Ohio s two million Medicaid managed care beneficiaries. Addressing Social Determinates: Innovative Approaches in Managed Care (Panel Discussion) Jeff Corzine, UnitedHealthcare; Lisa Hayes, Molina HealthCare; Dr. Hy Kisin, Paramount; Amy Riegel, CareSource; and Steve Young, Buckeye This panel presentation will highlight supportive services and/or innovative initiatives being developed by managed care organizations that are targeted at addressing social determinates such as housing, food insecurity, community development, and employment. Realizing that health and wellness includes more than just health care, payers are developing innovative services and investing resources in supportive services and programs in order to improve population health outcomes and ultimately reduce the total cost of care. These new and innovative programs offer new or additional benefits for families and clients enrolled in managed care and creates opportunities for behavioral health providers to build non-traditional partnerships with managed care organizations. Jeffrey Corzine, MS Vice-President, Strategic Account Development UnitedHealthcare Community Plan of Ohio, Inc. Jeff Corzine has over 30 years of experience with health insurance and managed care product development, health care policy & regulatory compliance in both government and commercial venues. He received his undergraduate degree in History and a Master of Science in Preventive Medicine from The Ohio State University. Jeff has worked in several private sector and regulatory roles in Medicaid and commercial healthcare insurance markets in both Ohio and Indiana. He has more than seventeen years of service in Ohio state government in various roles with both the Ohio Departments of Medicaid (ODM) (formerly the Ohio Dept. of Job & Family Services) and Insurance (ODI). He has worked for a start-up Medicaid health plan in southern Ohio and for Nationwide Insurance in their health plan division as a marketing manager with responsibility for public sector new business development. At ODM, Jeff served in a number of roles including oversight of managed care plans, oversight of long term care facilities reporting, disability determination and surveillance & utilization review. While at ODI, he served as Assistant Director of Life and Health Services under Governor Bob Taft. 6

7 Lisa Hayes Associate Vice President of Managed Long Term Supports and Services Molina Healthcare, Inc. Lisa Hayes is the Associate Vice President of Managed Long Term Supports and Services for Molina Healthcare, Inc. She has twenty years experience working in healthcare operations and contracting; seven of those as Director of Disability and Senior Access services where she focused on helping Molina shape its healthcare delivery system to meet the needs of older adults and people with disabilities moving into more coordinated systems of care. As the culture of managed care continues to evolve, providing whole-person care, and more home and community based supports, Lisa provides subject matter expertise on new initiatives, state contract support, identifying strategic opportunities and developing best practices that contribute to the triple aim. Hy Kisin, Ph.D. Clinical Director, Behavioral Health Paramount Health Care Dr. Kisin is the Clinical Director, Behavioral Health at Paramount Health Care. He provides guidance in the development and implementation of Paramount s Behavioral Health Utilization (UM), Case Management (CM), and Quality Improvement (QI) programs. He also provides overall leadership and oversight to the Paramount Behavioral Health programs and teams. Amy Riegel Manager, Life Services CareSource Amy Riegel is the Manager, Life Services at CareSource. She plays an integral role in building a new division of CareSource that will transition current Medicaid members off of government subsidies into a high quality life. Life Services will accomplish this goal through assisting members to build a solid structure of economic and social supports that when coupled with the health supports currently in place will give members a new path for their future. Stephan Young, LISW-S Director of Clinical Operations Cenpatico Behavioral Health Mr. Young is currently the Director of Clinical Operations at Cenpatico Behavioral Health, in Cincinnati, Ohio. He is responsible for the delivery of clinical services and personnel management for Cenpatico in Ohio managing four sites and directly involved in the development of strategic and operational goals including budget planning and implementation of program expansion. 7

8 Considerations When Managing Your Managed Care Contracts Suzanne Scrutton, Partner and Jolie Havens, Partner Vorys, Sater, Seymour and Pease LLP How behavioral health services are provided and paid for is increasingly being integrated into managed care models for both public and private payers. In the very near future, Ohio s Medicaid behavioral health benefit will transition to being administered by Medicaid managed care plans. Understanding how the managed care model impacts service delivery and business operations is essential in the evolving health care marketplace. This session will provide an overview of the new federal Medicaid managed care rule governing Medicaid managed care contracts, examine elements of managed care contracts, explain various reimbursement and risk sharing concepts, and offer practical guidance to behavioral health providers on how best to position their business for these important negotiations. Suzanne is a partner in the Vorys Columbus office and a member of the health care group. She has experience representing providers in the fields of long term care, behavioral health and developmental disabilities. Suzanne has extensive experience with regulatory issues, Medicaid reimbursement and regulations, as well as contract negotiations with various payor sources. Jolie is a partner in the Vorys Columbus office and the chair of the health care group. She practices throughout the country, with a focus on health care compliance and provider reimbursement, in the context of creation of new provider sites; mergers, acquisitions, and other industry consolidation and integration models; and expanding provider operations. PROGRAM DAY TWO General Sessions Whistleblower Prevention, Preparation and Response Victor A. Walton, Jr., Partner Vorys, Sater, Seymour and Pease LLP This presentation provides practical tips for identifying and managing potential whistleblowers within your organization and provides best practices for organizational policies, compliance practices, and responding to the legal and ethical concerns when a complaint is raised. The presentation will discuss the Supreme Court s recent Escobar decision and addresses the potential impact for behavioral health provider organizations. Victor is a partner in the Vorys Cincinnati office and a member of the litigation group. His practice focuses on commercial litigation. He has significant experience defending government contractors and health care entities in proceedings brought under the False Claims Act by the government or whistleblowers. Victor's work includes complex litigation, including defense of financial institutions and corporations in commercial disputes including multiple class action defense in accounting, consumer, employment and commercial class actions. He has considerable experience in health care, pharmaceutical, lender liability, construction and privacy litigation and represents a broad array of clients in civil and criminal government investigations as well as conducting corporate internal investigations. 8

9 Leadership Isn t for Cowards: How to Lead Courageously in a Turbulent Age Mike Staver, CEO The Staver Group We live in an age when it is more and more challenging to manage all of the information, demands and challenges that are coming at us. It takes real courage to stand firm in what you believe and then to get your followers to understand what really matters and how to execute effectively. Your ability to influence your followers is key to every step of creating significant results, particularly during turbulent times. Courage is the key element in that leadership process. Participants will learn: The real definition of courage The three most important steps you will ever take The power of commitment What your followers do, really do, when you are not around The primary motivator of all people The three things every leader can do to insure leadership failure The importance of high gain activity and how to do more of it Six steps that will insure effective execution Mike Staver is an internationally respected coach and speaker. He has been interviewed for many publications on his signature peaking and writing topic Leadership Isn t for Cowards and how to build high performance firms and his new book with the same title was just released. With a master s degree in counseling psychology and a bachelor s degree in business administration, he has found a way to make complex ideas simple, memorable and immediately applicable. He is a Certified Speaking Professional (CSP), a designation held by fewer than 10% of the members belonging to the International Federation for Professional Speakers. Mike is a best selling author and award winning speaker. Most recently he was chosen as one of the 40 hottest business speakers in America by Meetings and Conventions magazine. Lunch & Learning Sessions Lunch & Learning Sessions offer an interactive experience facilitated by a subject matter expert. These 45 minute sessions will include a brief presentation on the session topic and are intended to spark discussion, dive into questions, and facilitate sharing of practical strategies, tips, and lessons learned among participants in the session. So grab your lunch and join a conversation on the topic of your choice! DOL s New Overtime Regulations: Impact on Employee Classifications in Behavioral Health Mark Knueve, Partner Vorys, Sater, Seymour and Pease LLP In 2016, the Department of Labor issued long-awaited new regulations on overtime compensation. Some things changed dramatically, while other things did not change as much as expected. This session will describe the new regulations, the relevant changes, and how they impact your behavioral health organization and, specifically, how the new regulations impact employee classification as exempt or nonexempt. Mark is a partner in the Vorys Columbus office and a member of the labor and employment practice group. He represents primarily employers and assists them in litigation matters, focusing on complex employment litigation such as wage and hour class actions and collective actions. He is involved in the preparation of employment-related documents, including employment policies and contracts. Mark also participates in employment-related arbitrations, as well as employer counseling, training and noncompete matters. 9

10 The March to Legalization How Medical Marijuana Impacts Ohio s Workplaces Catherine Burgett, Attorney at Law and Anne McNab, Senior Associate Frost Brown Todd LLC This interactive session will focus on the legalization of medical marijuana in Ohio and how the law impacts employers and employees while detailing compliance requirements and best practices. It will facilitate discussion among participants about strategies to navigate Ohio s new medical marijuana law as both an employer and provider of behavioral health services. As a member with the firm, Catherine divides her time between a traditional labor practice and employment work. Her labor practice includes working with clients to improve labor relations and resolve labor disputes; creating and assisting with corporate campaigns and representation elections; helping companies stay union-free; handling unfair labor practice charges; representing companies through the labor arbitration process; and negotiating collective bargaining agreements. Catherine's employment practice includes employment litigation; wage and hour litigation; discrimination, harassment, and retaliation investigations and litigation; drafting and litigating employment contracts; creating and implementing corporate training programs; advising and assisting companies in negotiating the WARN Act; drafting and enforcing workplace policies; and serving as counsel on all aspects of employer-employee relations. Anne is an Associate in Frost Brown Todd s Columbus office. Anne s practice focuses on the representation of employers in a broad spectrum of labor and employment matters including employment litigation, traditional labor work, and advising employers with their day-to-day personnel issues. Anne represents employers in both federal and state court, handling discrimination and harassment lawsuits, cases involving wrongful termination and breach of contract, and lawsuits arising under the Fair Labor Standards Act and the Family and Medical Leave Act. Anne also enjoys counseling employers with their daily employment concerns, including leave and disciplinary issues, termination, reasonable accommodations, personnel policies and employee handbooks, and non-competition agreements. Anne also represents employers in workers compensation hearings before the Industrial Commission of Ohio and subsequent appeals. Leading Change for Chief Executives Mike Staver, CEO The Staver Group Change is difficult may be one of the biggest lies people buy. Change is only difficult when you believe that the change is going to produce negative or undesirables results. People are afraid of the unknown is another myth people routinely believe. People CAN NOT fear what they don t know. They can only fear what they do know. Being flexible and tolerant of change involves the willingness and ability to trust that you will be able to handle it. You may not like it, enjoy it, or want it, but there is no doubt you can handle it. Dealing with change always starts with a mindset of acceptance and a complete belief that things tend to work out for people with that mindset. This session will focus on strategies for strong effective leader during times of change. 10

11 CONTUING PROFESSIONAL EDUCATION Conference Learning Objectives: Objective 1: Participants will learn about health care policy and clinical practice change necessary to offer quality behavioral health care that supports health, wellness, and recovery as new payment models evolve; Medicaid integrates the administration of behavioral health benefits into a managed care model; and addressing social determinates create opportunities for innovation. Objective 2: Participants will learn how federal and state changes in the health care marketplace will require innovation in administrative practices to support clinical and integrated service delivery to manage new reimbursement model, including managed care; to build and sustain service access and capacity; manage human resources and sustain workforce; update corporate compliance practices; develop value and outcomes based organizational culture; and lead through disruptive transformation with courage. Objective 3: Participants will understand state policy initiatives designed to improve and address behavioral health services needs of Ohioans with mental illness and substance use disorders. CEU s have been approved for Social Workers & Counselors (RCS058802). MCE s have been approved for Psychologists ( ). The Ohio Council of Behavioral Health & Family Services Providers is approved by the Ohio Psychological Association- MCE Program to offer continuing education for psychologists. The Ohio Council, # , maintains responsibility for the program. Recognized Clock Hours (RCH s) for Chemical Dependency Professionals have been applied for. CPE s have been approved for Accountants by the Accountancy Board of Ohio (CPE.248). REGISTRATION FEES Two-Day Fee One-Day Fee Ohio Council 1 st Staff Member $340 $240 Ohio Council Additional Staff Member(s) $280 $240 Non-Ohio Council Member(s) $415 $315 Note: Breakfast, lunch, reception, and break refreshments are included along with conference materials. Deadline for registrations is Friday, October 14, No refunds will be made after this date. However, substitutions are welcome. For no shows who pre-register but do not pay, a $50 service fee (for one day registrations) and a $100 service fee (for two day registrations) will apply (to cover the cost of hotel food & beverage). ONLINE REGISTRATION For online registration, please click here or visit the Ohio Council s website at SPECIAL ACCOMMODATIONS Please call the Ohio Council office at (614) or send an to by October 14, 2016 if you need special accommodations. HOTEL ACCOMMODATIONS The hotel room block for this conference is SOLD OUT and a discounted room rate is no longer available at the Hilton Columbus/Polaris. If you need assistance with hotel accommodations, please send an to 11

12 LOCATION Hilton Columbus/Polaris 8700 Lyra Drive Columbus, Ohio For Reservations: or click here for online reservations Treat yourself to a luxurious stay at the Hilton Columbus/Polaris. The full-service, 100% non-smoking, upscale suburban hotel is ideally located on the north side of Columbus, directly off Ohio Interstate I-71 at Exit 121. The hotel is positioned near the thriving Polaris Centers of Commerce and the Polaris Mall. DIRECTIONS: If you're traveling I-270 or I-70, proceed to I-71 North to Exit 121 which is Polaris Parkway. Turn left (West) onto Polaris Parkway and proceed to the first traffic light, Lyra Drive. Turn right at Lyra Drive. 12

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