Rise

Welcome Remarks

Teresa Hottle, Director
CareSource

Confronting the Impact of Rate Suppression and Economic Headwinds

• Examine the structural drivers behind rate suppression in Medicaid financing 
• Evaluate inflationary pressures on service utilization and cost trends 
• Explore the 2025 rate negotiation landscape and its implications for Medicaid plans 

Michael Bagel, Associate Vice President, Public Policy
Alliance of Community Health Plans

Telehealth in Medicaid: Overcoming Regulatory Barriers and Expanding Access to Care

• Explore innovative telehealth models aimed at reducing disparities in access to care 
• Identify key opportunities to enhance telehealth reimbursement and quality oversight 
• Analyze the current regulatory framework surrounding telehealth services within Medicaid

Neil Batlivala, CEO
Pairteam

Ruby Mehta, Head of Behavioral Health
City Block

Leveraging Data Analytics for Medicaid Population Health Management

• Review predictive modeling techniques that improve risk stratification and outcomes 
• Identify state-level initiatives using data-driven approaches to enhance quality of care 
• Analyze how data integration can enhance care coordination and reduce disparities 

Sarina Master, Director of Adult Special Populations 
New York State Department of Health 

Elizabeth Montgomery, National VP
National Kidney Foundation

Aligning Policy and Practice: How Social Care Networks Are Driving Medicaid Transformation

• Outline the role of social care networks in closing care gaps and how to build scalable referral models that improve care coordination and health outcomes 
• Learn how New York’s 1115 Medicaid Waiver is being used to drive value-based care, address non-medical drivers of health, and expand community-based services 
• Explore actionable strategies for aligning Medicaid policy, provider incentives, and community- based interventions to drive sustainable health improvements. 

Scott Emery, Chief Strategy Officer
Healthy Alliance

Elena Rosenbaum, Medical Director, MD
Healthy Alliance

Risk Adjustment Methodologies in Medicaid Managed Care

• Evaluate evolving risk adjustment models  
• Review the impact of social determinants of health on risk-adjusted Medicaid populations 
• Identify best practices for optimizing risk adjustment processes to enhance quality of care 

Raphael Cices, Head of BOI, Coding and Billing
Cityblock

Improving Maternal Health Outcomes in Medicaid

• Evaluate integrated care models that promote continuity of care across prenatal, delivery, and postpartum phases 
• Explore clinical innovations, such as home visiting programs and community-based doulas that support Medicaid covered pregnancies 
• Examine strategies for improving maternal health data collection and reporting to enhance outcome tracking and inform evidence-based policy changes 

Tiedra Marshall, Director of Expansion 
Parents as Teachers 

Christa Moss, VP, Clinical & Payer Strategy 
Maven Health Clinic 

Closing Remarks

Joe Lee, Founder and Principal Consultant
Community Health Synergy