Webinar: Opportunity Zone Funds and SDoH Investment: Partnering with MA and Medicaid Plans

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Please join us on Tuesday, March 24, 2020, at 1 PM Eastern as Nightingale Partners’ John Gorman plus Leslie Mullins explore Nightingale’s approach and how Opportunity Zone Funds can partner with Medicare Advantage and Medicaid plans to invest in Social Determinants of Health initiatives, in the HealthcareWebSummit event: Opportunity Zone Funds and SDoH Investment: Partnering with MA and Medicaid Plans.

Webinar: Tuesday, March 24, 2020, at 1:00 PM – 2:00 PM Eastern

  • Overview of Nightingale Partners: Mission, Team, and Business Model
  • Basics of using Opportunity Zone capital for social determinants of health projects
  • The case for SDoH interventions: evidence, benefits and savings
  • Types of projects for Opportunity Zone investment

Faculty: John Gorman, Founder and Chairman, Nightingale Partners; and Leslie Mullins, Consultant

The largest share of health care payments are made by the Medicare and Medicaid programs, and both are moving aggressively to allow insurers and providers to offer a range of services and benefits to address social determinants of health (SDOH). The Medicare agency has recently expanded Medicare Advantage benefits to allow non-medical benefits to be included in benefit design starting in 2019. Multiple states are advancing large Medicaid contracts for at-risk patient identification and intervention, and an SDOH “arms race” is underway across the healthcare industry. Accountable Care Organizations (ACOs) participating in the Medicare Shared Savings Program share many of the same incentives to address SDOH as insurers do.

60% of health expenditures are determined by non-clinical social factors such as access to food, housing and transportation. These SDOH represent barriers to access to high-quality health care in the most cost-effective setting. This is particularly true among low-income and elderly Americans who represent the majority of healthcare costs. Addressing SDOH has been proven to significantly reduce unnecessary emergency department visits and readmissions and drive enormous medical expense savings. It is estimated that least $200B of medical expenses among low-income Americans can be addressed through non-clinical solutions annually.

Based in one of DC's Opportunity Zones (OZs), Nightingale will leverage the OZ statute (passed in 2017 with final regs issued in late December 2019) to make major evidence-based investments in anti-poverty and complex care initiatives in partnership with insurers, such as housing, food security, non-urgent medical transport, community health workers and managed long-term care. Nightingale's unique business model will share savings with insurers to repay its investors and continually reinvest in program expansions to serve more vulnerable patients. The firm's goal is to invest $1 Billion in OZ capital over the next 8 years. Nightingale's lead sponsor is CapZone Impact Investments, a major OZ fund based in Connecticut.

By concentrating efforts in opportunity zones, Nightingale Partners is able to leverage the enormous tax benefits and incentives while investing in communities where the need for social interventions, and the potential for return on investment, is greatest. Nightingale’s mission is to improve the quality of care and reduce unnecessary health care expenditures for our most vulnerable patients through advanced technology, locally-curated social services providers, and innovative financing to address SDOH.

Please join us on Tuesday, March 24, 2020, at 1 PM Eastern as Nightingale Partners’ John Gorman plus Lesiie Mullins explore Nightingale’s approach and how Opportunity Zone Funds can partner with Medicare Advantage and Medicaid plans to invest in Social Determinants of Health initiatives, in the HealthcareWebSummit event: Opportunity Zone Funds and SDoH Investment: Partnering with MA and Medicaid Plans.

Registration Details

  • Individual Registration: $195
  • Individual Registration and Post-event materials - Includes webinar video and presentation pdf file: $240 for attendees
  • Post-event materials for non-attendees - Includes webinar video and presentation pdf file. Available after the event: $260

Register above or download a registration form. You can also register by phone: 209.577.4888. Corporate Site licensing also available. We look forward to your attendance!

MCOL Premium members receive a 50% discount on all Healthcare Web Summit events. Members can get the discount code on the Premium Member Website. Non-members can learn about MCOL Premium memberships and sign-up to get the 50% discount on this and future events.

Need a Printable Form? Download a registration form you can fax or mail.

Cure for the Common Webinar

In addition to the main faculty presentation, this event includes a fun whiteboard drawing format opening video, a brief moderated faculty interview, and concluding live audience questions and answers. The day before the event, you'll receive login information, including downloadable companion presentation slides.

Just after the event, you'll receive a follow-up request for feedback, also offering an opportunity to provide any final questions that can be forwarded to the faculty. Also, if you need support before, during or after the event, you can contact HealthcareWebSummit staff at any time.

Learning Objectives

After attending this webinar, attendees will be able to:

  • Appreciate the growth of the MA and Medicaid member population and the challenges and opportunities this presents
  • Understand the necessity of addressing SDOH as well as the financial opportunity inherent in doing so
  • Consider the implications of changes in supplemental benefits regulations
  • Examine how MA and Medicaid plans benefit from investing in non-medical services for their members, especially for their highest utilizers
  • Garner a basic understanding of opportunity zones and their tax benefits
  • Examine Nightingale’s unique approach for marrying OZ capital with SDOH interventions
  • Engage in interactive learning through online question submission, attendee feedback and opportunity for post-event follow up questions.

Who Should Attend

Interested attendees would include:

  • C-Suite Executives
  • Social Determinants of Health Executives and Staff
  • Medicare Advantage Executives
  • Medicaid Plan Executives
  • Government Program Executives
  • ACO Executives
  • Community Based Organization Executives
  • Legal & Regulatory Executives and Staff
  • Policy, Reform and Transformation Executives and Staff
  • Planning and Strategic Executives and Staff
  • Business Intelligence Staff
  • Other Interested Parties

 Attendees would represent organizations including:

  • Health Plans
  • Hospitals and Health Systems
  • Accountable Care Organizations
  • Provider Networks
  • Community Based Organizations
  • Government Agencies
  • Solutions Providers
  • Associations, Institutes and Research Organizations
  • Media
  • Other Interested Organizations

Faculty

John Gorman

John Gorman,

Founder and Chairman
Nightingale Partners

John is Founder and Chairman of Nightingale Partners, and is the Founder and former Executive Chairman of Gorman Health Group, at the time the industry’s leading consulting practice which spawned almost a dozen entrepreneurial ventures in government health programs.

John’s work focuses on Medicare, Medicaid, and Affordable Care Act strategy, governance, and turnaround of distressed health plans. Prior to founding the firm, John served as Assistant to the Director of Health Care Financing Administration’s (HCFA, now CMS) Office of Managed Care, where he provided day-to-day management and served as the external liaison for the Medicare and Medicaid managed care programs.

 During the 1993 debate on national health care reform, John was chief lobbyist on health care financing issues for the National Association of Community Health Centers, an organization of federally-funded primary care clinics for the medically underserved. John’s career in Washington began as Press Secretary and Staff Director for U.S. Representative John Conyers, Jr. (D-MI), then Chairman of the Government Operations Committee.

 John serves on the Board of Directors of Henry Ford Health System’s Health Alliance Plan in his birthplace of Detroit, MI, and serves as a Senior Advisor to Premier, Inc., the hospital purchasing cooperative, on Medicare Advantage and Medicaid matters.

David A. Wofford

Leslie Mullins
Consultant

 

Leslie Mullins, Consultant, has more than 30 years of multi-faceted expertise in Medicare, Medicaid, and specialty managed care. Leslie specializes in strategy, market analysis, and project management, with emphasis on policy and analytics.

Leslie has assisted new plans in applying for and receiving state licensure and has successfully led large workforces in clinical operations, call center operations, and community health work. She has served in various leadership positions, including Vice President of Operations for a Special Needs Plan (SNP) and Vice President of Finance at Magellan Health Services.

Most recently, Leslie served as a lead contract consultant at Gorman Health Group. A Finance and Marketing MBA graduate from Indiana University, Leslie is currently a JD candidate at the UDC David A. Clark School of Law.