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2019 Conference Track: Agency Operations

Agency Operations

Pre-Conference Session

Paying for Outcomes, Defining Value: Getting Beyond the Value-Based Payments Hype

Monday, May 6 | 1:30-4:30 pm | space is limited; requires pre-registration

Value-based payments are all the rage—these alternative payment models have even drawn the attention of new private equity investors to the I/DD market. But, is there any there, there? What do you need to know to ensure your organization is best positioned to take advantage of potential opportunities—or to further disruption?

This Pre-Conference Session will get you up to speed on the value-based payments basics, including developments in the behavioral health market for I/DD, their implications for providers, and latest trends in consolidation and M&A. You’ll hear from payors about their most current thinking, and from organizations that are currently measuring quality outcomes. This engaging discussion will equip you with what you need to be a leading voice in I/DD service delivery when debates about value-based payments inevitably come to your state.


  • Brian Bruenderman, Stoneridge Partners
  • Nicholas Eisenberg, Anthem
  • Angela Rapp Kennedy, CQL: The Council on Quality & Leadership
  • Josh Rubin, Health Management Associates
  • Ryan Shanahan, Centers for Medicare & Medicaid Services
  • Patricia Walker, Anthem

Breakout Sessions

The Intersection Between Outcomes and Fiscal Health: A Case Study from New York

Tuesday, May 7 | 10:30-11:30 am | Concurrent Session

As the I/DD industry throughout the country moves toward managed care, providers need to be concerned about their current financial position and the impact managed care will have. A key piece of the puzzle is the extensive roles played by administrative staff, and often, it's easy for administrative staff to overlook their impact on fiscal health. Since the first consequence of an agency's poor fiscal health is reduced client services, monitoring and understanding fiscal health shouldn’t be the sole purview of the Finance Department. This session will offer ways for administrative staff to benchmark themselves and evaluate overall fiscal health by monitoring emerging trends and addressing signs of risk.


  • Bryant Macaraeg, BKD CPAs & Advisors
  • Brian O’Reilly, BKD CPAs & Advisors

I/DD Health Care: Then, Now & Next

Tuesday, May 7| 1-2 pm | Concurrent Session

Health care for people with I/DD has changed greatly over the past 120 years, and ongoing evolutions continue to have a significant impact on the quality of life of individuals of all abilities. This session will provide historical context on health care for people with I/DD, beginning with the medical model in the early 1900s and progressing through the changes that began in the Kennedy era. Then, presenters will discuss current approaches to community-oriented health care across the country, including specialty clinics and consultative programs. Finally, this session will conclude with a charge for the future of I/DD health care—a charge that includes increased research, improved training of health care providers, the development of an I/DD medical specialty board and a move toward integrated health care.


  • Craig Escude, Health Risk Screening, Inc.
  • Matt Holder, AADMD & Special Olympics

Understanding Barriers to Self-Directed Services and Supports: The Provider Perspective

Tuesday, May 7 | 3:45-4:45 pm | Concurrent Session

To be fully responsive to people with disabilities, many service providers are working to shift their operations and services to provide individualized, self-directed supports. However, the national movement toward self-directed services has been slow, utilized by fewer than 15% of people with disabilities today. This session will share findings from the Optum Spark! Initiative’s national survey of service providers to offer insight into the barriers agencies face while making the transition to self-directed services. The session will highlight concrete organizational and state-level strategies associated with agencies’ capacity to provide self-directed services and offer participants ideas to implement in their own organizations.


  • Caitlin Bailey, National Leadership Consortium on Developmental Disabilities
  • Cory Gilden, National Leadership Consortium on Developmental Disabilities
  • Michael Hammond, Optum

Collaboration at its Finest: College-to-Career Partnerships for Success

Wednesday, May 8 | 9:45-10:45 am | Concurrent Session

The College to Career program (C2C) at Long Beach City College is an innovative postsecondary program for adults with developmental disabilities served by Harbor Regional Center. In C2C, five organizations formed a public-private partnership to provide educational coaching, affordable student housing, independent living and supported employment services to enable students with developmental disabilities to succeed in a non-modified college setting as they work to earn certificates and degrees. In this session, presenters from three of the five organizations will discuss the model and its impact to guide participants in designing their own C2C models.


  • Steve Goclowski, California MENTOR
  • Shauna Hagemann, Long Beach City College
  • Antoinette Perez, Harbor Regional Center

It's About Privacy: A Tour Through How HIPAA Impacts Everyday Operations, Including EVV 

Wednesday, May 8 | 9:45-10:45 am | Concurrent Session

This session will focus on the basic aspects of HIPAA that impact—and trip up—providers each and every day, including mobile devices, free email services, consents, breach reporting and more. Learn how HIPAA intersects with the EVV requirements under the 21st Century CURES Act and how to ensure your organization stays in compliance.


  • Gary Jones, Jones Law Firm & Midwest Compliance Solutions

Survival of the Fittest: Business Tools for Competitive Edge

Wednesday, May 8 | 9:45-10:45 am | Concurrent Session

Most nonprofits have not been exposed to the models for-profit businesses use to understand markets and competition. As a result, they don't always see the ways changing landscapes are affecting their work, making it difficult to make mid-course corrections and easy to fall victim to missteps. Participants in this session will glean two valuable tools—the Port 5 Forces model and the Voice of the Customer—to help them conduct focused environmental scans and evaluate how best to position themselves for success.


  • Mariana Baldini, KenCrest

Bridging the Gap: HCBS Outcome Measurement

Wednesday, May 8 | 1:15-2:15 pm | Concurrent Session

As focus intensifies on value-based purchasing and other alternative payment models, what tools are available for providers, states and managed care entities to measure quality outcomes? What are the most useful metrics? Are they applicable at the provider level? Which tools are available for providers to benchmark their performance against others? These questions and more prompted the University of Minnesota's Institute on Community Inclusion to establish the Center on Outcome Measurement. Participate in this session to hear from panelists about measurement tools and how they can be adapted in your agency's context.


  • Mary Lee Fay, NASDDDS
  • Amy Hewitt, Institute on Community Integration, University of Minnesota
  • Angela Rapp Kennedy, CQL: The Council on Quality & Leadership

Challenges and the Future of ICF/IIDs

Wednesday, May 8 | 1:15-2:15 pm | Concurrent Session

As more state-operated Intermediate Care Facilities (ICF) close or downsize, community providers are increasingly expected to fill newly created voids by providing specialized supports and close supervision for individuals with complex medical and mental health needs, intense behavioral challenges and forensic concerns that were previously under the purview of ICFs. Faced with challenges related to inadequate funding, a workforce in crisis, barriers to technological advancements and increased pressure to facilitate relationship-building for people in their communities, what can community providers do to tailor their service offerings to individuals' diverse needs? What is the role of ICFs in this changing environment? And what does the future hold? This session will explore these questions and more.


  • Mark Diorio, Consultant to ANCOR
  • Than Johnson, Champaign Residential Services, Inc.

Lessons Learned from the HCBS Business Acumen Learning Collaboratives

Wednesday, May 8 | 1:15-2:15 pm | Concurrent Session

This session will provide participants insights from two learning collaboratives convened as part of the HCBS Business Acumen grant. The first collaborative, the Business Acumen Learning Collaborative, was comprised of teams from five states that identified individual goals for system or organizational change. The second collaborative, the Business Development Learning Collaborative, comprised of teams from three states that worked through an organizational preparedness process for entering the environment of integrated care systems. In this session, participants in the learning collaboratives will share their insights on how to maximize returns on their organization's investments and how to foster operational sustainability.


  • George Klauser, Altair ACO
  • Donna Martin, ANCOR
  • Wendy Witcig, Missouri Department of Mental Health