Webinar: Value-Based Care and Medicaid – Will It Become The Next Big Thing?

Jan. 22, 2025 at 1:00p.m. Eastern/10:00 a.m. Pacific - 90 minutes

Overview

Value-based care has been a tremendous catalyst in Medicare and some commercial health plans, but Medicaid has lagged behind with such initiatives.

The reasons for this are numerous. Among them are Medicaid’s low reimbursement rate compared to Medicare and commercial payers and ongoing enrollee churn (the resumption of the redetermination process last year after the pandemic caused more than 20 million to be cut from the rolls).

There have been some modest value-based care initiatives, but they are often “veneers” which make very modest improvements but do not fundamentally shift how care is delivered or significantly improve its quality. 

This begs the question: Will value-based care ever be a significant component of Medicaid managed care? And if it does, what would it look like?

Please join us for this 90 minute event on Jan. 22, 2025 at 1:00p.m. Eastern/10:00 a.m. Pacific to discuss this topic with Michael Poku, M.D., Chief Clinical Officer for Equality Health; Shyamali Choudhury, Vice President of Partnerships, Pomelo Care and Rob Houston, Director of Delivery System and Payment Reform, Center for Health Care Strategies.

Learning Objectives

• How Medicaid and its individual beneficiaries could benefit from value-based care
• What value-based care in Medicaid has looked like so far for both rank-and-file enrollees and dual-eligibles
• Examples of Medicaid “veneers” in value-based care
• Examples of bolder, more successful value-based care initiatives
• The pressures put on payers at both the state and federal level to adopt value-based care initiatives
• What the future of Medicaid and value-based care might look like

Potential Audience

• Health plan executives
• Medicaid program managers and officials
• Healthcare academics and researchers
• Hospital Executives
• Physicians and Physician Executives
• Public Policy Leaders
• Patient and Consumer Advocates

Faculty

Shyamali Choudhury, Vice President of Partnerships, Pomelo Care

Ms. Choudhury leads health plan partnerships for Pomelo Care, a 24/7 virtual medical practice improving maternal and infant outcomes. Pomelo’s care team augments in-person obstetric care through fully-employed midwives, OBs, pediatricians, physician assistants, therapists, registered dietitians, nurses, doulas, and lactation counselors. Pomelo's impact on maternal health has been presented at ACOG, Postpartum Support International, SMFM, and AAP.

Prior to joining Pomelo, Ms. Choudhury was senior director of business development for Flatiron Health. She has also worked for Pfizer and Brookings Institution. She earned a master’s degree in economic and social policy from Georgetown University and a bachelor’s degree from Washington University.

Michael Poku, M.D., Chief Clinical Officer for Equality Health

Dr. Michael Poku is an accomplished healthcare executive with extensive experience in clinical leadership, medical informatics, and value-based care. Prior to serving as the Chief Clinical Officer for Equality Health, he was Senior Medical Director at Oak Street Health overseeing multiple clinical teams and driving innovative models of value-based care delivery, resulting in improved patient outcomes and increased operational efficiency. His expertise lies in enterprise-wide strategy, clinical delivery innovation, medical cost management, and the development of technology-enabled and data-informed clinical tools and processes.

Dr. Poku continues to practice holding academic faculty positions at various health systems. Throughout his career, Dr. Poku has authored numerous publications on topics such as care coordination, healthcare analytics, patient relationship management, and several topics at the intersection of healthcare and technology.

Dr. Poku received his medical degree from Vanderbilt University School of Medicine and holds an MBA from Harvard Business School. He trained at Johns Hopkins Hospital in internal medicine where he focused on primary care medicine and urban health; he is also board certified in clinical informatics.

Rob Houston, Director of Delivery System and Payment Reform, Center for Health Care Strategies

Rob Houston is the director of delivery system and payment reform at the Center for Health Care Strategies. In this role, he oversees CHCS’ work on projects involving the design and implementation of population-based payment, value-based payment, and delivery system reform models, including accountable care organizations.

During his time at CHCS, Mr. Houston has provided technical assistance on issues related to delivery system and payment reform to more than 35 state Medicaid agencies, and many provider organizations, health plans, and community-based organizations. He has also authored numerous publications related to PBP, VBP, and ACO development.

Previously, Mr. Houston worked as senior director of ACO network and value-based payment for the NYC Health + Hospitals ACO, and provided consulting support to Robert Wood Johnson Partners and the Rutgers Center for State Health Policy on issues pertaining to ACO development.

Rebecca Whitaker, Research Director, Margolis Institute for Health Policy at Duke University

Rebecca Whitaker, PhD, MSPH, is a research director with Duke-Margolis focused on state and regional healthcare transformation with a particular emphasis on North Carolina’s health reform activities. In this role, Rebecca helps lead the Institute’s research and policy analysis related to care delivery and payment reform.

Rebecca brings extensive experience in health services research, policy analysis, and program and policy implementation focused on Medicaid, social drivers of health, safety net delivery systems, and underserved populations.

Prior to joining Duke-Margolis, Dr. Whitaker served as Director of Health Policy & Governmental Affairs at the North Carolina Community Health Center Association, where she led the Association’s state and federal policy agenda and guided North Carolina health centers through large-scale payment and care delivery reforms, including Affordable Care Act implementation. During this time, she was also a Jim Bernstein Community Health Leadership Fellow through North Carolina’s Foundation for Health Leadership and Innovation.

Registration Details

• Live Webinar: $249
• Webinar Recording: $249
• Live Webinar and video Recording: $349 for attendees

Register above or you can also register by phone: 209.577.4888. For Corporate Site licensing information please email adamg@mcol.com. 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 by logging onto the Premium Member Website and then going to the Premium Member HealthWebsummit page. 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 presentation, this webinar will include a moderated audience Q&A. Within one business day of your registration, you'll receive login information. You will receive reminder emails 1 day and 1 hour before the live event.

One day after the live webinar, you'll receive a follow-up email which will include a link to the presentation slides. You’re also welcome to provide feedback via this email as well as submit additional questions to be forwarded to the speakers. For support before, during or after the event, please contact HealthcareWebSummit office at 209.577.4888.