海角社区

Insights

海角社区 Insights - Webinars

Show All | Podcast | Blogs | Webinars | Weekly Roundup | Videos | Case Studies | Reports | News | Spotlight

Filter by topic:

Receive timely expert insights on topics you care about.

Select Topics

111 Results found.

Webinar

Webinar Replay- Beyond the Bill: How Pair Team and MCOs Are Meeting Community Needs Under HR 1

Watch Now

This webinar was held on October 2, 2025.

As Medicaid evolves under HR 1, Managed Care Organizations face increasing pressure to meet new engagement requirements while ensuring vulnerable communities don鈥檛 fall through the cracks. This shifting landscape demands scalable, innovative care models that go beyond compliance 鈥� focusing instead on meaningful connections, coordinated support, and whole-person care.

In this session, Jami Snyder, former HHSC Commissioner of TX and Medicaid Director of AZ, joined Neil Batlivala, CEO and Co-Founder of Pair Team, and Dr. Nate Favini, Chief Medical & Strategy Officer, to explore how Pair Team and its MCO partners are meeting this moment. Learn how their model combines technology, care coordination, and community-based partnerships to engage hard-to-reach members and address social drivers of health.

We heard real-world examples of how payers and partners can come together in smarter, more connected ways. By aligning efforts and building trust, they can drive better outcomes and create stronger community connections for the people who need support the most.

Learning Objectives:

  • Briefly break down HR 1鈥檚 most critical provisions and what they mean for Medicaid and MCO operations.
  • Discover how Pair Team and MCOs are co-designing solutions leveraging technology.
  • Identify best practices for engaging populations facing barriers such as behavioral health needs, housing instability, and transportation challenges.

Featured Speakers:

Carter Kimble, Principal (Moderator) Health Management Associate
Jami Snyder, Former HHSC Commissioner, Texas; Former Medicaid Director, Arizona
Neil Batlivala, Founder and Chief Executive Officer Pair Team
Nate Favini, MD,MS, Chief Medical Officer Pair Team

Webinar

Medicaid 1115 Justice Involved Reentry Demonstration Opportunities: Engaging Key Stakeholders

Register Now

This webinar will explore how states, local agencies, and community organizations can maximize Medicaid鈥檚 new 1115 demonstration authority to improve reentry outcomes for justice-involved individuals. Presenters will discuss practical strategies for assessing health and social needs, building strong collaborations with community providers, and implementing effective Medicaid enrollment processes. Attendees will gain insights into designing and operationalizing reentry programs that promote continuity of care, reduce recidivism, and support successful community reintegration. This session is ideal for State Medicaid agencies, carceral facilities, correctional healthcare companies, health plans, community-based organizations, and federally qualified health centers.

Learning Objectives:

  • Understand the health and resource needs of returning citizens (health, behavioral health and social issues).
  • Identify key partners and formalize collaborations to strengthen the quality of transitions, care and support provided to individuals transitioning to the community.
  • Develop Medicaid enrollment strategies that apply to your state and local framework.
Webinar

Webinar Replay – Beyond Bundles: Preparing Hospitals for Success in TEAM and the Next Generation of Value-Based Models

Watch Now

This webinar was held on September 30, 2025.

Hospitals and health systems are under growing pressure to succeed in new value-based models that demand both operational transformation and strategic alignment. In this webinar, advisors from 海角社区, Wakely, an 海角社区 Company and Nixon Peabody broke down the latest regulatory and contractual developments, explored lessons learned from the Comprehensive Care for Joint Replacement (CJR) model, and discussed how organizations can prepare for upcoming opportunities.

Speakers shared practical insights on:

  • The regulatory, operational, and actuarial considerations hospitals must navigate
  • Key takeaways from bundled payment initiatives like CJR
  • How to leverage data and design strategies to build partnerships that position organizations for success in new Medicare models

This session was designed for hospital executives, provider organizations, payers, and policy leaders seeking to better understand how emerging value-based models will shape the future of care delivery and payment.

Featured Speaker:

Whitney Phelps, J.D., Partner Nixon Peabody

Webinar

Webinar Replay – Navigating Medicaid Managed Care Shifts: Financial Pressures, Federal Policy, and Medicaid MCO Implications

Watch Now

This webinar was held on September 17, 2025.

Medicaid managed care organizations face mounting pressure as enrollment patterns shift, federal policy evolves, and state budgets tighten. In this webinar, experts from 海角社区IS, Wakely, and 海角社区 shared exclusive analysis of Medicaid Managed Care Organization (MCO) financial performance, explored the implications of HR 1 and other federal policies, and offered State and MCO perspectives.

Learning Objectives

  • Interpret 2024 Medicaid MCO financial trends and historical benchmarks to anticipate future market performance.
  • Assess how federal policy changes, including HR 1, are reshaping Medicaid enrollment and creating new fiscal pressures for States and MCOs.
  • Evaluate state considerations around risk corridors, medical loss ratios (MLRs), and similar mechanisms in a challenging budget environment.
  • Identify strategies and planning initiatives that promote resilience, sustainability, and adaptation for Medicaid managed care organizations in a shifting landscape.

This webinar was for Medicaid managed care leaders, state officials, vendors, budget officers, and investors navigating financial pressures and policy shifts.

Webinar

Webinar Replay – Work That Works: Creating Sustainable Employment Pathways for Medicaid-Enrolled Communities

Watch Now


This webinar was held on August 14, 2025.

As Medicaid increasingly intersects with the social drivers of health, states have a unique opportunity to strengthen economic mobility for Medicaid-enrolled populations through strategic localized employment initiatives in partnership with municipalities, healthcare systems, and managed care providers. This webinar explored how state Medicaid agencies can lead and support the development of workforce pathways that are sustainable, inclusive, and tailored to the needs of underserved communities.

Learning Objectives:

  • Learn how collaboration and partnerships reduce employment barriers.
  • Explore how data-driven design improves health outcomes.
  • Identify ways to integrate workforce development into Medicaid.
Webinar

Medicaid, Money & Mission: Unlocking Community Reinvestment Opportunities in Georgia

Watch Now

This webinar was July 22, 2025.

This is a powerful and practical town hall designed to inform Georgia鈥檚 community-based organizations (CBOs) with the knowledge to access new funding opportunities through the new community reinvestment requirements in Georgia Medicaid. Learn how 海角社区 can help you to build strategic partnerships with managed care organizations (MCOs) to support your mission鈥攁nd position your organization for success amid upcoming federal Medicaid work requirements.

Learning Ojectives:

  • What the current federal landscape means for CBOs
  • What community reinvestment means under Georgia Medicaid
  • What Medicaid work requirements could mean for the people you serve
  • How to prepare your organization to respond, engage, and grow

Featured Speaker:

Lynnette Rhodes, Chief Health Policy Officer Georgia Department of Community Health

Webinar

Webinar Replay – Digital Quality Measures: Opportunities to Electronically Share Digital Quality Measurement Data With Stakeholders

Watch Now

This webinar was held on July 16, 2025.

As federal and state governments continue to evolve regulations and reimbursement models, healthcare providers are under increasing pressure to do more with fewer resources. Digital innovation, particularly through digital quality measures or dQMs, is a key strategy for easing administrative burdens while enhancing care delivery. This webinar explored how emerging policies and regulations are shaping the digital quality landscape鈥攁nd what healthcare organizations can do now to prepare for continued transformation.

Learning Objectives:

  • Understand the current and emerging federal and state legislative landscape impacting digital quality measures and their role in shaping healthcare operations.
  • Identify key benefits and challenges of implementing digital quality measures, including their potential to reduce administrative burden and support real-time data sharing.
  • Explore actionable strategies for healthcare organizations to proactively align with evolving mandates and leverage digital quality measures to improve outcomes and remain competitive.

Featured Speakers:

Eric Schneider, MD, M.Sc., Executive Vice President, Quality Measurement and Research Group National Committee for Quality Assurance (NCQA)

Webinar

Webinar Replay – The Future of the ACA Individual Market: Policy Shifts and the Proposals Before Congress

Watch Now

This webinar was held on July 10, 2025.

Watch for an in-depth discussion on the future of the individual market and the impacts of potential Congressional and regulatory changes to the Affordable Care Act (ACA). This webinar explored findings from a new Wakely report which estimates that ACA enrollment could decrease by 11 to 13 million as a result of these pending changes, representing a 47% to 57% decline. The report also projects that market average premiums could increase between 7% and 11.5% on top of claims trend. The report鈥檚 analysis considers a range of influential factors, including provisions in the House budget reconciliation bill, the Marketplace Integrity and Affordability regulation, and the scheduled expiration of enhanced premium tax credits in 2026. 海角社区, Wakely, and Leavitt Partners experts unpacked the current federal and state policy landscape and their potential effects on coverage access, affordability, and the long-term viability of the individual market.

Learning Objectives:

  • Interpret the projected coverage and premium impacts
  • Understand the role of expiring premium tax credits
  • Assess potential responses and strategies

Download the webinar transcript here.

Download the webinar Q&A here.

Webinar

Webinar Replay – The State of Maternal Health: Challenges, Shifts, and What鈥檚 Needed Now

Watch Now

This webinar was held on July 9, 2025.

This webinar explored the current state of maternal health in the U.S., with a focus on persistent disparities, recent policy and funding shifts, and the practical realities facing programs on the ground. Kimberly Seals highlighted how external support, and strategic partnerships can help organizations navigate constraints, sharpen their approach, and strengthen impact in a rapidly changing environment.

Learning Objectives:

  • Understand key policy and funding shifts impacting maternal health.
  • Learn strategies to align mission and operations during resource constraints.
  • Explore the value of external partners in advancing maternal health goals.
  • Gain practical tools to sustain and strengthen maternal health programs.

Featured Speaker:

Kimberly Seals, MPH, Founder Public Health Savvy

Webinar

Webinar Replay: Innovative Transportation Strategies to Expand Access, Improve Member Outcomes and Reduce Cost

Watch Now

This webinar was held on June 26, 2025.

Non-Emergency Medical Transportation (NEMT) is a vital Medicaid benefit designed to ensure that individuals without access to reliable transportation receive critical healthcare services, especially for those with chronic conditions. This session explored the foundational purpose of NEMT and its role in ensuring members access the care they need, improving care outcomes, and advancing health equity by addressing transportation barriers. We examined how services are currently delivered鈥攔anging from traditional ride scheduling to managed transportation brokers鈥攁nd discussed the growing role of technology and innovation in streamlining operations, enhancing member experience, and curbing fraud, waste, and abuse. Attendees also gained insight into how the NEMT landscape is evolving in response to Medicaid reforms, value-based care initiatives, and the integration of social determinants of health (SDOH).

Learning Objectives:

  • Understand the role of NEMT in expanding healthcare access
  • Learn what NEMT is, who it serves, and how it helps reduce access barriers for Medicaid and vulnerable populations
  • Explore current delivery models and ways to innovate for better results and lower costs
  • Discuss how technology 鈥� such as GPS tracking, app-based scheduling, real-time data sharing, and AI鈥� can improve service delivery and reduce fraud, waste, and abuse
  • Gain a view into the future trends in the NEMT industry
  • Understand how policy shifts, integration with social services, and market trends are shaping the future of NEMT

Featured Speakers:

Sufian Chowdhury, Founder and CEO Kinetik

Peter J. Hicks, Executive Director Non-Emergency Medical Transportation Accreditation Commission

Tammy Mihm, Director of Compliance Oversight NEMT TennCare

Webinar

Webinar Replay – Ask the Experts: Medicaid Town Hall

Watch Now

This webinar was held June 30, 2025.

Watch our Medicaid Town Hall hosted by HMA. Our experts answered your questions live on a wide range of timely and critical topics, including:

  • Key policies and insights about the ongoing 2025 federal budget reconciliation negotiations, including changes to Medicaid eligibility policies, financing, and cost-sharing rules.
  • New executive branch priorities to address program integrity and agency regulations and guidance reshaping provider tax rules and state-directed payment arrangements.
  • The evolving landscape of Medicaid Section 1115 demonstrations, including updated federal monitoring approaches and new state initiatives.
  • Medicaid managed care trends, payment innovation, and emerging strategies to address whole-person care focused on maternal health and behavioral health needs.
Webinar

Webinar Replay – Ask 海角社区 Experts: Behavioral Health Town Hall

Watch Now

This webinar was held on May 29, 2025.

In this dynamic and interactive Behavioral Health Town Hall hosted by 海角社区 (海角社区), our experts will be available to answer your questions live on a wide range of critical topics, including:

  • Federal policy, personnel, and funding changes;
  • Emerging strategies for addressing social determinants of health, substance use disorder and crisis coordination (including 988);
  • Behavioral health revenue cycle management and alternative payment models; and
  • Innovations in addressing workforce shortages, integrated service delivery, digital mental health tools, and best practices for community mental health service delivery.

Ready to talk?