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DTSTART;TZID=America/Detroit:20260520T130000
DTEND;TZID=America/Detroit:20260520T140000
DTSTAMP:20260504T164725Z
CREATED:20260409T025335Z
LAST-MODIFIED:20260504T164725Z
UID:1657-1779282000-1779285600@payertrends.org
SUMMARY:Health Plan Strategies For Managing Behavioral Health Benefits: Insights From A National Survey
DESCRIPTION:ABOUT THIS EVENT \n\n\n\n\nAs demand for behavioral health services continues to grow\, health plans are under increasing pressure to expand access\, improve outcomes\, and manage total cost of care. Balancing these priorities has become more complex as utilization rises\, workforce shortages persist\, and expectations for performance and accountability continue to increase.1 \n\n\n\nThis discussion examines findings from a national survey of health plan practices for managing behavioral health benefits. Drawing on these insights\, the conversation will explore how plans are expanding access through non-traditional care models\, advancing measurement and accountability for outcomes\, and evolving care delivery and payment models to better manage total cost of care. \n\n\n\nParticipants will gain insight into: \n\n\n\n\nHow health plans are managing behavioral health benefits today\n\n\n\nWhich strategies are gaining traction across access\, outcomes\, and cost\n\n\n\nHow emerging models are reshaping benefit design and care delivery decisions in the years ahead\n\n\n\n\nReference: \n\n\n\nLovett\, L. (2024\, July 19). Behavioral health utilization is a driving factor in driving up commercial health care spend. Behavioral Health Business. https://bhbusiness.com/2024/07/19/behavioral-health-utilization-is-a-driving-factor-in-driving-up-commercial-health-care-spend/ \n\n\n\n\n\n\nFEATURING \n\n\n\n\n\n\n\n\n\n\n\nStuart Buttlaire\, Ph.D.\, Vice President of Clinical Excellence & Leadership\, OPEN MINDS* \n\n\n\nStuart Buttlaire brings over 35 years of executive\, clinical\, and policy experience to OPEN MINDS. Dr. Buttlaire has experience in both the public and private sectors of healthcare providing leadership and direction in healthcare delivery. His career has focused on advancing integrated behavioral health and addiction medicine through strategic innovation\, system redesign\, quality improvement\, and sustainable policy reform. \n\n\n\nPreviously\, Dr. Buttlaire was the Regional Director of Behavioral Health and Addiction Medicine for Kaiser Permanente. In this role\, Dr. Buttlaire oversaw a $200 million portfolio serving 4.6 million members across 23 emergency departments and 33 medical centers. \n\n\n\n\n\nBriana Duffy\, National Market President\, Carelon Behavioral Health\, Advisory Board Member\, OPEN MINDS \n\n\n\nBriana Duffy brings more than 30 years of experience leading transformation within the behavioral health and social services industry to the OPEN MINDS team. Her experience spans leading growth\, transformation and system innovation across behavioral and population health. \n\n\n\nMs. Duffy is also the National Market President at Carelon Behavioral Health\, a leading behavioral healthcare company that provides a wide range of services focused on mental health and substance use treatment. In this role\, she serves 40 million members across federal\, state\, and employer health plans. \n\n\n\n\n\nSteven McFadden\, PharmD\, BCPS\, CSP\, Otsuka America Pharmaceutical\, Inc.* \n\n\n\nSteven is a Board-Certified Pharmacotherapy Specialist (BCPS) with extensive experience as a clinical pharmacist at Humana Pharmacy Solutions. As a member of Humana’s clinical formulary team\, Steven provided strategic clinical recommendations and contributed to formulary design; while also developing Utilization Management criteria\, including Prior Authorization and Step Therapy protocols. \n\n\n\n\n\n\n\nREGISTRATION \n\n\n\n\n		 \n		\n		By registering for this event you are stating you have read and agree to the OPEN MINDS Privacy Policy & Terms of Use.\n\n\nI certify that I am a formulary decision maker. I understand that any services and information provided on this website are supplied as a professional courtesy and I must continue to form my own conclusions and make my own decisions. I am also aware that Otsuka Pharmaceutical Development & Commercialization\, Inc.\, Otsuka America Pharmaceutical\, Inc. and their designees (“Otsuka”) intend to regularly revise this website and reserve the right to decline membership to individuals who Otsuka determines do not meet the aforementioned certification requirements.\n\n\nBy providing my name\, email address\, and other information\, I am giving Otsuka and companies working with Otsuka permission to send me information from this website. Otsuka will not sell or transfer my personal information to any unaffiliated third party\, without my prior written consent. Otsuka may monitor my use of the website to provide me with complimentary information about relevant educational programs based on my use of the website. Otsuka will retain your personal information and user data in perpetuity to maintain continued membership and to optimize your experience within the platform. You may request the removal of your information and data at any time through marketaccess@openminds.com. I agree that\, should I use any material provided through the website I will attribute the source of that information to “Trends In Behavioral Health sponsored by Otsuka Pharmaceutical Development & commercialization\, Inc.” For additional information about how Otsuka uses my personal information\, how to amend or delete my information\, and how to opt out of future communications\, please read Otsuka’s Privacy policy. By clicking “Go To Website” and submitting my information\, I agree to the terms provided above\, and the terms provided in Otsuka’s Terms of Use and Privacy Policy.\n\n \n		\n		\n\n\n\n\n\n\n\n*Dr. Stuart Buttlaire and Briana Duffy are paid consultants of Otsuka America Pharmaceutical\, Inc. (OAPI). Dr. Steven McFadden is an employee of OAPI.
URL:https://payertrends.org/event/health-plan-strategies-for-managing-behavioral-health-benefits-insights-from-a-national-survey/
CATEGORIES:Webinar
END:VEVENT
BEGIN:VEVENT
DTSTART;TZID=America/Detroit:20260401T130000
DTEND;TZID=America/Detroit:20260401T140000
DTSTAMP:20260304T185924Z
CREATED:20260304T032730Z
LAST-MODIFIED:20260304T185924Z
UID:1556-1775048400-1775052000@payertrends.org
SUMMARY:Medicaid In Motion: What’s Changing In The Behavioral Health Market
DESCRIPTION:ABOUT THIS EVENT \n\n\n\n\nMedicaid policy shifts are increasingly shaping how health plans design behavioral health benefits\, manage networks\, and meet performance expectations. As states expand coverage requirements and strengthen accountability standards\, and continuity of care\, health plans are starting to rethink care coordination models\, operational infrastructure\, and cost management strategies.1 \n\n\n\nThis discussion will examine the current Medicaid policy landscape through the lens of health plan decision-making. Subject Matter Experts will explore how evolving policy requirements are affecting benefit design\, network strategy\, and care management approaches; including expectations around care for high-need populations\, such as individuals transitioning from correctional settings back into the community\, and how these dynamics intersect with the broader financial and operational priorities. \n\n\n\nParticipants will gain insight into: \n\n\n\n\nHow Medicaid policy shifts are influencing health plan behavioral health strategy and benefit management decisions\n\n\n\nThe role continuity of care expectations play in health plan performance\, access\, and care coordination under Medicaid\n\n\n\nKey considerations health plans are weighing as they balance policy compliance\, cost control\, and quality outcomes\n\n\n\n\nReference: \n\n\n\nOrtaliza\, J.\, McGough\, M.\, Cox\, C.\, Pestania\, K.\, Rudowitz\, R.\, & Burns\, A. (2025\, August 11). How will the one big beautiful bill act affect the ACA\, Medicaid\, and the uninsured rate?. KFF. https://www.kff.org/affordable-care-act/how-will-the-2025-budget-reconciliation-affect-the-aca-medicaid-and-the-uninsured-rate/ \n\n\n\n\n\n\nFEATURING \n\n\n\n\n\n\n\n\n\n\n\nPaul Duck\, Chief Strategy Officer\, OPEN MINDS* \n\n\n\nPaul M. Duck brings over 30 years of experience in leadership and management focusing on managed care\, health information technology organizations\, strategy\, business development\, and market expansion\, and customer experience optimization to the OPEN MINDS team. \n\n\n\nPrior to joining OPEN MINDS\, Mr. Duck served as the Vice President\, Strategy & Development at Beacon Health Options. In this role\, Mr. Duck led the organization’s strategy and business development efforts – responsible for a 30% increase in net revenue and initiated over $1 billion in revenue generation. Mr. Duck was active in national behavioral health initiatives as an executive of Beacon Health Options\, including participating as a speaker at national and state association meetings. \n\n\n\n\n\nMargaret Mays\, Ph.D.\, Senior Associate\, OPEN MINDS* \n\n\n\nMargaret Mays brings over 20 years of health care industry experience to the OPEN MINDS team. Ms. Mays currently serves as a Senior Associate at OPEN MINDS. Her areas of expertise include health plan contracting and reimbursement\, quality program design and metrics-based programs\, training development\, health care processing systems\, policy development\, and accreditation/regulatory requirements. \n\n\n\nPrior to joining the OPEN MINDS team\, Dr. Mays served as the Vice President\, Staff Accreditation\, at Beacon Health Options. \n\n\n\n\n\nAnna Basoff\, PharmD\, Director\, Managed Market Liaison\, Otsuka America Pharmaceutical\, Inc.* \n\n\n\nPrior to joining Otsuka\, Dr. Basoff gained her Doctor of Pharmacy (PharmD) from Rutgers University. After graduating\, she joined Horizon Blue Cross & Blue Shield of NJ as a clinical pharmacist where she worked on initiatives that included MTM (medication therapy management)\, digital health\, and adherence. In the past\, she has also worked as a pharmacist for Walgreens.  \n\n\n\n\n\n\n\nREGISTRATION \n\n\n\n\n		 \n		\n		By registering for this event you are stating you have read and agree to the OPEN MINDS Privacy Policy & Terms of Use.\n\n\nI certify that I am a formulary decision maker. I understand that any services and information provided on this website are supplied as a professional courtesy and I must continue to form my own conclusions and make my own decisions. I am also aware that Otsuka Pharmaceutical Development & Commercialization\, Inc.\, Otsuka America Pharmaceutical\, Inc. and their designees (“Otsuka”) intend to regularly revise this website and reserve the right to decline membership to individuals who Otsuka determines do not meet the aforementioned certification requirements.\n\n\nBy providing my name\, email address\, and other information\, I am giving Otsuka and companies working with Otsuka permission to send me information from this website. Otsuka will not sell or transfer my personal information to any unaffiliated third party\, without my prior written consent. Otsuka may monitor my use of the website to provide me with complimentary information about relevant educational programs based on my use of the website. Otsuka will retain your personal information and user data in perpetuity to maintain continued membership and to optimize your experience within the platform. You may request the removal of your information and data at any time through marketaccess@openminds.com. I agree that\, should I use any material provided through the website I will attribute the source of that information to “Trends In Behavioral Health sponsored by Otsuka Pharmaceutical Development & commercialization\, Inc.” For additional information about how Otsuka uses my personal information\, how to amend or delete my information\, and how to opt out of future communications\, please read Otsuka’s Privacy policy. By clicking “Go To Website” and submitting my information\, I agree to the terms provided above\, and the terms provided in Otsuka’s Terms of Use and Privacy Policy.\n\n \n		\n		\n\n\n\n\n\n\n\n*Paul Duck and Dr. Margaret Mays are paid consultants of Otsuka America Pharmaceutical\, Inc. (OAPI). Dr. Anna Basoff is an employee of OAPI.
URL:https://payertrends.org/event/medicaid-in-motion-whats-changing-in-the-behavioral-health-market/
CATEGORIES:Webinar
END:VEVENT
BEGIN:VEVENT
DTSTART;TZID=America/New_York:20251202T130000
DTEND;TZID=America/New_York:20251202T140000
DTSTAMP:20251030T210815Z
CREATED:20251029T222043Z
LAST-MODIFIED:20251030T210815Z
UID:1408-1764680400-1764684000@payertrends.org
SUMMARY:Technology’s Role In Advancing Outcomes & Reducing The Cost Of Care For The SMI Population
DESCRIPTION:ABOUT THIS EVENT \n\n\n\n\nTechnology is evolving rapidly\, and in the context of care for individuals with serious mental illness (SMI)\, these advancements offer powerful solutions to some of the field’s most persistent challenges. From closing care gaps and improving access\, to enabling remote monitoring and driving treatment adherence\, innovation is reshaping the future of behavioral health.1 \n\n\n\nJoin Steven Remillard\, Manager\, Market Policy\, at Highmark\, a Blue Cross Blue Shield-affiliated organization\, and Sharon Hicks\, MBA\, MSW\, former Chief Operating Officer for Community Care Behavioral Health\, UPMC’s managed behavioral health organization\, for a strategic discussion on the technologies that are already transforming care\, and those with the highest potential to impact outcomes and cost\, for the SMI population. \n\n\n\nDesigned for executive-level health plan decision-makers and policymakers\, this webinar will examine the intersection of digital health solutions\, improved care coordination\, and cost containment strategies for high-acuity populations. \n\n\n\nLearning Objectives: \n\n\n\n\nExplore the timeline of technological advancements and discover innovative strategies for leveraging technology to tackle common challenges in managing the SMI population.\n\n\n\nLearn about the innovative telehealth models that are transforming access to care and improving patient outcomes while addressing workforce shortages.\n\n\n\nExamine alternatives and enhancements to traditional crisis response systems beyond the 988 hotline.\n\n\n\nUnderstand the role of artificial intelligence (AI) in identifying\, diagnosing\, and managing patients with SMI.\n\n\n\n\nJoin us in exploring how technology can promote more effective population health management and work towards lowering the overall cost of care for the SMI population. \n\n\n\nReference: \n\n\n\n\nU.S. Department of Health and Human Services. (2024\, August). Technology and the future of Mental Health Treatment. National Institute of Mental Health. https://www.nimh.nih.gov/health/topics/technology-and-the-future-of-mental-health-treatment\n\n\n\n\n\n\n\nFEATURING \n\n\n\n\n\n\n\n\n\n\n\nSteven Remillard\, Advisory Board Member\, OPEN MINDS* \n\n\n\nMr. Steven Remillard brings over 25 years of experience in the health and human service field\, to the OPEN MINDS Consulting Practice. He currently serves as Manager\, Market Policy\, at Highmark. His areas of expertise include value-based purchasing\, integrated care programming\, HEDIS measurement\, data-driven organizational development\, and social determinants of health. \n\n\n\nPrior to joining Highmark\, Mr. Remillard served as a Senior Associate for OPEN MINDS\, where he led strategic planning and value-based reimbursement projects. \n\n\n\n\n\nSharon Hicks\, MBA\, MSW\, Senior Associate\, OPEN MINDS* \n\n\n\nSharon Hicks\, MBA\, MSW\, has more than 35 years of experience in the health and human service field. She has extensive expertise and a wide range of experience in health plan management\, clinical operations management\, and technology. A recognized thought leader among her peers\, Ms. Hicks is a regular keynote speaker at industry conferences and association meetings\, as well as an author of hundreds of articles and resources for professionals in both clinical and executive roles. \n\n\n\nPrior to joining OPEN MINDS\, Ms. Hicks spent decades in a number of executive positions within the University of Pittsburgh Medical Center (UPMC) system. She served as the Chief Operating Officer for Community Care Behavioral Health\, UPMC’s managed behavioral health organization responsible for $800 million in annual revenue. \n\n\n\n\n\nMatt K. John\, PharmD\, MBA\, Managed Market Liaison\, Otsuka America Pharmaceutical\, Inc.* \n\n\n\nMatt is a Managed Market Liaison with Otsuka Pharmaceutical Development & Commercialization\, covering the US North Central region. Matt earned his Doctorate in Pharmacy from the University of Oklahoma\, followed by a Master in Business Administration. \n\n\n\nPrior to joining Otsuka\, Matt held various clinical & leadership roles at Optum Rx\, a subsidiary of UnitedHealth Group. He has an extensive background in managed care supporting Medicare\, Commercial\, and Medicaid lines of business. His areas of expertise include utilization management\, prior authorization\, formulary strategy\, and clinical capability. \n\n\n\n\n\n\n\nREGISTRATION \n\n\n\n\n		 \n		\n		By registering for this event you are stating you have read and agree to the OPEN MINDS Privacy Policy & Terms of Use.\n\n\nI certify that I am a formulary decision maker. I understand that any services and information provided on this website are supplied as a professional courtesy and I must continue to form my own conclusions and make my own decisions. I am also aware that Otsuka Pharmaceutical Development & Commercialization\, Inc.\, Otsuka America Pharmaceutical\, Inc. and their designees (“Otsuka”) intend to regularly revise this website and reserve the right to decline membership to individuals who Otsuka determines do not meet the aforementioned certification requirements.\n\n\nBy providing my name\, email address\, and other information\, I am giving Otsuka and companies working with Otsuka permission to send me information from this website. Otsuka will not sell or transfer my personal information to any unaffiliated third party\, without my prior written consent. Otsuka may monitor my use of the website to provide me with complimentary information about relevant educational programs based on my use of the website. Otsuka will retain your personal information and user data in perpetuity to maintain continued membership and to optimize your experience within the platform. You may request the removal of your information and data at any time through marketaccess@openminds.com. I agree that\, should I use any material provided through the website I will attribute the source of that information to “Trends In Behavioral Health sponsored by Otsuka Pharmaceutical Development & commercialization\, Inc.” For additional information about how Otsuka uses my personal information\, how to amend or delete my information\, and how to opt out of future communications\, please read Otsuka’s Privacy policy. By clicking “Go To Website” and submitting my information\, I agree to the terms provided above\, and the terms provided in Otsuka’s Terms of Use and Privacy Policy.\n\n \n		\n		\n\n\n\n\n\n\n\n*Steven Remillard and Sharon Hicks are paid consultants of Otsuka America Pharmaceutical\, Inc. (OAPI). Dr. Matt K. John is an employee of OAPI.
URL:https://payertrends.org/event/technologys-role-in-advancing-outcomes-reducing-the-cost-of-care-for-the-smi-population/
CATEGORIES:Webinar
END:VEVENT
BEGIN:VEVENT
DTSTART;TZID=America/New_York:20250930T130000
DTEND;TZID=America/New_York:20250930T140000
DTSTAMP:20250912T194649Z
CREATED:20250909T173217Z
LAST-MODIFIED:20250912T194649Z
UID:1176-1759237200-1759240800@payertrends.org
SUMMARY:The Integration Advantage – Emerging Care Models For Complex Behavioral & Physical Health Needs
DESCRIPTION:ABOUT THIS EVENT \n\n\n\n\nIntegrated care is no longer an idea—it’s an effective strategy for improving outcomes and reducing costs\, particularly for individuals with co-occurring behavioral and physical health conditions. Over the past decade\, evidence has shown that coordinated care models can drive better clinical results\, enhance access\, lower total cost of care\, and improve patient experience.1 \n\n\n\nJoin Cathy Gilbert\, formerly Vice President II\, Network Development at Magellan Healthcare Inc.\, and Christy Dye\, formerly Chief Executive Officer\, Partners In Recovery\, an integrated provider organization in Phoenix\, Arizona for this complimentary executive-level webinar examining the evolution of integrated care and its impact on individuals with complex needs\, including serious mental illness (SMI). \n\n\n\nDesigned for health plan executives and policymakers\, this session will provide a deeper understanding of the current challenges and opportunities in integrated care. \n\n\n\nLearning Objectives: \n\n\n\n\nDiscover how integrated care can influence treatment outcomes\, patient satisfaction\, coordination of services\, and overall impact to healthcare cost.\n\n\n\nExamine different integration models for chronic complex behavioral health conditions and primary care\, their clinical effectiveness\, and how they increase access to care.\n\n\n\nDelve into case studies to identify key challenges and best practices in integrating primary care with chronic complex behavioral health services\, as well as the impact of these models on health plan costs.\n\n\n\n\nReference: \n\n\n\n\nCare Coordination. Agency for Healthcare Research and Quality. (2024\, November). https://www.ahrq.gov/ncepcr/care/coordination.html\n\n\n\n\n\n\n\nFEATURING \n\n\n\n\n\n\n\n\n\n\n\nCathy Gilbert\, Senior Associate\, OPEN MINDS* \n\n\n\nCathy Gilbert brings over 20 years of health care industry experience to the OPEN MINDS team. Ms. Gilbert currently serves as a Senior Associate at OPEN MINDS. Her areas of expertise include advanced project leadership skills\, training development\, health care processing systems\, policy development\, and implementation to ensure compliance with accreditation requirements. \n\n\n\nBefore joining OPEN MINDS\, Ms. Gilbert served as the Vice President II\, Network Development at Magellan Healthcare Inc. During her role there she directed a national team to support network development and provider relations for health plans\, employers\, Medicare\, and Medicaid. Also\, Ms. Gilbert led a network operations team responsible for credentialing\, provider data maintenance\, rate management\, and contract administration for all networks. She supported responses for sales opportunities and represented the network at client and sales meetings. \n\n\n\n\n\nChristy Dye\, Senior Associate\, OPEN MINDS* \n\n\n\nChristy Dye is a data-focused healthcare executive who brings over 30 years of experience supporting provider organizations\, state agencies\, and communities in achieving their business\, operational\, and quality goals in health and human services to OPEN MINDS as a Senior Associate. Christy’s career has included working as a state Medicaid leader\, a national expert in substance abuse treatment systems\, health information exchange and interoperability\, and as chief executive for Arizona’s leading integrated primary/behavioral healthcare provider. \n\n\n\nPrior to OPEN MINDS\, Ms. Dye served as Chief Business Development Officer for Health Current\, (division of Contexture)\, Arizona’s statewide health information exchange (HIE). While there\, Ms. Dye developed provider education and training programs in using clinical and administrative data to improve patient outcomes and manage value-based reimbursement contracts. She led the Health Current HIE research data initiative in partnership with Arizona State University and also served as co-principal investigator for a National Institute of Mental Health project at ASU focused on information sharing for behavioral health populations. \n\n\n\n\n\nTammi Ocumpaugh\, PharmD\, Managed Market Liaison\, Otsuka America Pharmaceutical\, Inc.* \n\n\n\nTammi Ocumpaugh\, PharmD\, has held various clinical roles within health plans\, providers\, and retail. Previously Dr. Ocumpaugh was a Senior Clinical Pharmacist at PacificSource Health Plans. She attended Oregon State University for her Bachelor’s degree and PharmD. Some of Dr. Ocumpaugh’s areas of expertise include managed care including Commercial/Exchange\, Medicaid and Medicare. \n\n\n\n\n\n\n\nREGISTRATION \n\n\n\n\n		 \n		\n		By registering for this event you are stating you have read and agree to the OPEN MINDS Privacy Policy & Terms of Use.\n\n\nI certify that I am a formulary decision maker. I understand that any services and information provided on this website are supplied as a professional courtesy and I must continue to form my own conclusions and make my own decisions. I am also aware that Otsuka Pharmaceutical Development & Commercialization\, Inc.\, Otsuka America Pharmaceutical\, Inc. and their designees (“Otsuka”) intend to regularly revise this website and reserve the right to decline membership to individuals who Otsuka determines do not meet the aforementioned certification requirements.\n\n\nBy providing my name\, email address\, and other information\, I am giving Otsuka and companies working with Otsuka permission to send me information from this website. Otsuka will not sell or transfer my personal information to any unaffiliated third party\, without my prior written consent. Otsuka may monitor my use of the website to provide me with complimentary information about relevant educational programs based on my use of the website. Otsuka will retain your personal information and user data in perpetuity to maintain continued membership and to optimize your experience within the platform. You may request the removal of your information and data at any time through marketaccess@openminds.com. I agree that\, should I use any material provided through the website I will attribute the source of that information to “Trends In Behavioral Health sponsored by Otsuka Pharmaceutical Development & commercialization\, Inc.” For additional information about how Otsuka uses my personal information\, how to amend or delete my information\, and how to opt out of future communications\, please read Otsuka’s Privacy policy. By clicking “Go To Website” and submitting my information\, I agree to the terms provided above\, and the terms provided in Otsuka’s Terms of Use and Privacy Policy.\n\n \n		\n		\n\n\n\n\n\n\n\n*Cathy Gilbert and Christy Dye are paid consultants of Otsuka America Pharmaceutical\, Inc. (OAPI). Dr. Tammi Ocumpaugh is an employee of OAPI.
URL:https://payertrends.org/event/the-integration-advantage-emerging-care-models-for-complex-behavioral-physical-health-needs/
CATEGORIES:Webinar
END:VEVENT
BEGIN:VEVENT
DTSTART;TZID=America/Detroit:20250730T130000
DTEND;TZID=America/Detroit:20250730T140000
DTSTAMP:20250710T221046Z
CREATED:20250710T023152Z
LAST-MODIFIED:20250710T221046Z
UID:1115-1753880400-1753884000@payertrends.org
SUMMARY:Member Engagement Models Reshaping The Economics Of SMI Service Delivery
DESCRIPTION:Webinar\n\n\n\n\n\n\n \n\n\n\n\n\n\nABOUT THIS EVENT \n\n\n\n\nFor health plan executives and policymakers\, improving outcomes for individuals with serious mental illness (SMI) requires more than clinical intervention—it demands meaningful member engagement. Without it\, care plans often falter\, leading to preventable hospitalizations\, increased emergency department utilization\, and escalating costs. \n\n\n\nHealth care spending for adults with an SMI diagnosis is nearly three times higher than for those without. Much of this cost is driven by unmanaged co-occurring conditions and inconsistent treatment adherence\, challenges that can be mitigated through stronger consumer involvement in care planning and execution.1 \n\n\n\nJoin Stuart Buttlaire\, former Regional Director of Behavioral Health and Addiction Medicine at Kaiser Permanente\, and Rick D. Gutierrez\, former Vice President\, Clinical Strategy and Operations at Easterseals Southern California for a complimentary executive webinar examining how emerging consumer engagement models are reshaping both the clinical and financial outcomes of SMI care. Through real-world case examples\, this session will explore the current state of treatment challenges\, utilization trends\, and innovative strategies that are driving measurable improvements in adherence\, access\, and total cost of care. \n\n\n\nLearning Objectives: \n\n\n\n\nDeepen understanding of the challenges and benefits of engaging consumers with serious mental illness (SMI)\, as well as the impact on the cost of care and clinical outcomes in current program models.\n\n\n\nDiscover innovative approaches and models that enhance engagement\, demonstrate positive clinical outcomes in SMI treatment\, and decrease cost of care.\n\n\n\nGain insights from case studies highlighting successful strategies and the lessons learned from implementation of SMI program models.\n\n\n\nExplore the cost implications for health plans and how improved consumer engagement can reduce overall healthcare cost and improve clinical outcomes.\n\n\n\n\nReference: \n\n\n\nHeather Saunders\, R. E. (2025\, April 11). 5 key facts about Medicaid coverage for adults with mental illness. KFF. https://www.kff.org/mental-health/issue-brief/5-key-facts-about-medicaid-coverage-for-adults-with-mental-illness/ \n\n\n\n\n\n\nFEATURING \n\n\n\n\n\n\n\n\n\n\n\nStuart Buttlaire\, Ph.D.\, Vice President\, Clinical Excellence and Leadership\, OPEN MINDS* \n\n\n\nStuart Buttlaire brings over 35 years of executive\, clinical\, and policy experience to OPEN MINDS. Dr. Buttlaire has experience in both the public and private sectors of healthcare providing leadership and direction in healthcare delivery. His career has focused on advancing integrated behavioral health and addiction medicine through strategic innovation\, system redesign\, quality improvement\, and sustainable policy reform. \n\n\n\nPreviously\, Dr. Buttlaire was the Regional Director of Behavioral Health and Addiction Medicine for Kaiser Permanente. In this role\, Dr. oversaw a $200 million portfolio serving 4.6 million members across 23 emergency departments and 33 medical centers. He led development and operations across inpatient\, ambulatory\, emergency\, call center\, and contracted community services\, supporting more than 2\,500 mental health and substance use disorder providers.  \n\n\n\n\n\nRick D. Gutierrez\, Ph.D.\, Senior Associate\, OPEN MINDS* \n\n\n\nRick Gutierrez\, Ph.D. brings over 20 years of clinical and operational experience to the OPEN MINDS team. His unique blend of experience has allowed him to drive impactful outcomes in the developmental disability and behavioral health fields. \n\n\n\nPrior to joining OPEN MINDS\, Dr. Gutierrez served as Vice President\, Clinical Strategy & Operations at Easterseals Southern California. In this role he oversaw the outpatient Applied Behavior Analysis provider network and Enhanced Care Management in partnership with Kaiser Permanente. Dr. Gutierrez also oversaw START Crisis services\, behavioral services for all residential services\, negotiation and management of contracts with network providers and payers\, and intake and customer service functions including revenue cycle management\, benefits and eligibility\, and authorization teams. In addition\, he developed and monitored the implementation of a strategic plan in collaboration with the Chief Clinical Officer. \n\n\n\n\n\nArden Arslanyan\, PharmD\, Director\, Managed Market Liaison\, Otsuka America Pharmaceutical\, Inc.* \n\n\n\nArden Arslanyan\, PharmD\, has held various clinical roles within Express Scripts supporting Medicare\, Commercial\, and Workers’ Comp lines of business. He attended Nova Southeastern University and completed a post-doctoral fellowship program in medical information in conjunction with Rutgers and Janssen Scientific Affairs. \n\n\n\n\n\n\n\nREGISTRATION \n\n\n\n\n		 \n		\n		By registering for this event you are stating you have read and agree to the OPEN MINDS Privacy Policy & Terms of Use.\n\n\nI certify that I am a formulary decision maker. I understand that any services and information provided on this website are supplied as a professional courtesy and I must continue to form my own conclusions and make my own decisions. I am also aware that Otsuka Pharmaceutical Development & Commercialization\, Inc.\, Otsuka America Pharmaceutical\, Inc. and their designees (“Otsuka”) intend to regularly revise this website and reserve the right to decline membership to individuals who Otsuka determines do not meet the aforementioned certification requirements.\n\n\nBy providing my name\, email address\, and other information\, I am giving Otsuka and companies working with Otsuka permission to send me information from this website. Otsuka will not sell or transfer my personal information to any unaffiliated third party\, without my prior written consent. Otsuka may monitor my use of the website to provide me with complimentary information about relevant educational programs based on my use of the website. Otsuka will retain your personal information and user data in perpetuity to maintain continued membership and to optimize your experience within the platform. You may request the removal of your information and data at any time through marketaccess@openminds.com. I agree that\, should I use any material provided through the website I will attribute the source of that information to “Trends In Behavioral Health sponsored by Otsuka Pharmaceutical Development & commercialization\, Inc.” For additional information about how Otsuka uses my personal information\, how to amend or delete my information\, and how to opt out of future communications\, please read Otsuka’s Privacy policy. By clicking “Go To Website” and submitting my information\, I agree to the terms provided above\, and the terms provided in Otsuka’s Terms of Use and Privacy Policy.\n\n \n		\n		\n\n\n\n\n\n\n\n*Stuart Buttlaire and Rick D. Gutierrez are paid consultants of Otsuka America Pharmaceutical\, Inc. (OAPI). Arden Arslanyan is an employee of OAPI.
URL:https://payertrends.org/event/member-engagement-models-reshaping-the-economics-of-smi-service-delivery/
CATEGORIES:Webinar
END:VEVENT
BEGIN:VEVENT
DTSTART;TZID=America/New_York:20250513T130000
DTEND;TZID=America/New_York:20250513T140000
DTSTAMP:20250520T020529Z
CREATED:20250328T100959Z
LAST-MODIFIED:20250520T020529Z
UID:845-1747141200-1747144800@payertrends.org
SUMMARY:What’s Next For Health Plans & Their Behavioral Health Benefits In 2025?
DESCRIPTION:Webinar\n\n\n\n\n\n\n \n\n\n\n\n\n\nABOUT THIS EVENT \n\n\n\n\nWhat are the big issues for payers/health plans in the year ahead? And how will those ‘big issues’ reshape how payers/health plans are managing behavioral health services? \n\n\n\nJoin us for this one-of-a-kind fireside chat on the current pressing issues faced by payers and health plans in the year ahead – and how those issues will change how they manage behavioral health benefits. \n\n\n\nThis lively discussion will look at the implications of enhanced parity requirements\, NCQA HEDIS measures\, high medical loss ratios\, and more – across the Medicaid\, Medicare\, and commercial markets. Our experts will discuss what they are seeing as changes to behavioral health benefits and reimbursement for behavioral health services occur as health plans focus on improving the performance of their delivery systems. \n\n\n\n\n\n\nFEATURING \n\n\n\n\n\n\n\n\n\n\n\nMonica Oss\, Chief Executive Officer\, OPEN MINDS* \n\n\n\nMonica E. Oss\, M.S. is the founder of OPEN MINDS and serves as its chief executive officer\, executive editor of its publications and web sites\, and executive lead of its consulting engagements. For the past three decades\, Ms. Oss has led the OPEN MINDS team and its research on health and human service market trends and its national consulting practice. She is well known for her numerous books and articles focused on the strategic and marketing implications of the evolving health and human service field – and its focus on the verticals of the field serving consumers with chronic conditions and complex support needs. \n\n\n\n\n\nPaul Duck\, Chief Strategy Officer\, OPEN MINDS* \n\n\n\nPaul M. Duck brings over 30 years of experience in leadership and management focusing on managed care\, health information technology organizations\, strategy\, business development\, and market expansion\, and customer experience optimization to the OPEN MINDS team. \n\n\n\nPrior to joining OPEN MINDS\, Mr. Duck served as the Vice President\, Strategy & Development at Beacon Health Options. In this role\, Mr. Duck led the organization’s strategy and business development efforts – responsible for a 30% increase in net revenue and initiated over $1 billion in revenue generation. Mr. Duck was active in national behavioral health initiatives as an executive of Beacon Health Options\, including participating as a speaker at national and state association meetings. \n\n\n\n\n\nBrad Harrison\, Managed Market Liaison\, Otsuka America Pharmaceutical\, Inc.* \n\n\n\nBrad Harrison has a comprehensive background in managed care\, specialty care\, and wellness. He has a Bachelor of Science\, Pharmacy from University of Oklahoma College of Pharmacy and received his Pre Pharmacy Studies degree from Baylor University. He is a licensed pharmacist in Texas. \n\n\n\n\n\n\n\nREGISTRATION \n\n\n\n\n		 \n		\n		By registering for this event you are stating you have read and agree to the OPEN MINDS Privacy Policy & Terms of Use.\n\n\nI certify that I am a formulary decision maker. I understand that any services and information provided on this website are supplied as a professional courtesy and I must continue to form my own conclusions and make my own decisions. I am also aware that Otsuka Pharmaceutical Development & Commercialization\, Inc.\, Otsuka America Pharmaceutical\, Inc. and their designees (“Otsuka”) intend to regularly revise this website and reserve the right to decline membership to individuals who Otsuka determines do not meet the aforementioned certification requirements.\n\n\nBy providing my name\, email address\, and other information\, I am giving Otsuka and companies working with Otsuka permission to send me information from this website. Otsuka will not sell or transfer my personal information to any unaffiliated third party\, without my prior written consent. Otsuka may monitor my use of the website to provide me with complimentary information about relevant educational programs based on my use of the website. Otsuka will retain your personal information and user data in perpetuity to maintain continued membership and to optimize your experience within the platform. You may request the removal of your information and data at any time through marketaccess@openminds.com. I agree that\, should I use any material provided through the website I will attribute the source of that information to “Trends In Behavioral Health sponsored by Otsuka Pharmaceutical Development & commercialization\, Inc.” For additional information about how Otsuka uses my personal information\, how to amend or delete my information\, and how to opt out of future communications\, please read Otsuka’s Privacy policy. By clicking “Go To Website” and submitting my information\, I agree to the terms provided above\, and the terms provided in Otsuka’s Terms of Use and Privacy Policy.\n\n \n		\n		\n\n\n\n\n\n\n\n*Monica Oss and Paul Duck are paid consultants of Otsuka America Pharmaceutical\, Inc. (OAPI). Brad Harrison is an employee of OAPI.
URL:https://payertrends.org/event/whats-next-for-health-plans-their-behavioral-health-benefits-in-2025/
CATEGORIES:Webinar
END:VEVENT
BEGIN:VEVENT
DTSTART;TZID=America/New_York:20250325T130000
DTEND;TZID=America/New_York:20250325T140000
DTSTAMP:20250520T021130Z
CREATED:20250228T022029Z
LAST-MODIFIED:20250520T021130Z
UID:814-1742907600-1742911200@payertrends.org
SUMMARY:How Social Determinants Of Health Are Shaping Health Plan Strategies For Whole Person Care
DESCRIPTION:Webinar\n\n\n\n\n\n\n \n\n\n\n\n\n\nABOUT THIS EVENT \n\n\n\n\nThe past year has seen significant changes in the policy and practices addressing the social determinants of health (SDOH) of health plan members. On the policy side\, there have been significant changes at Centers for Medicare & Medicaid Services (CMS) in using a broader array of team members to serve Medicare and Medicaid consumers. And\, in response to new CMS guidance\, many state Medicaid plans and Medicaid health plans can now pay for a broader range of social services1. The question is how are these policy changes affecting health plan coverage and reimbursement practices? \n\n\n\nThis webinar will focus on the effects of the recent changes at CMS and the state-specific changes to Medicaid health plans on serving the consumer population with mental illness.  In addition to the perspectives of the health plan executive panel\, the webinar will include related health plan survey data from the Trends In Behavioral Health Series2. \n\n\n\nJoin this fireside chat with our experts to learn more about how policy changes are causing the creation of new and innovative models for serving consumers with complex needs. \n\n\n\nReferences: \n\n\n\n\nCenters for Medicare & Medicaid Services. (n.d.). Social drivers of health and health-related social needs. CMS.gov. https://www.cms.gov/priorities/innovation/key-concepts/social-drivers-health-and-health-related-social-needs\n\n\n\nOtsuka Market Access. (2024\, August 6). Trends in Behavioral Health: A Reference Guide on the US behavioral health financing & delivery system\, 4th Edition. OPEN MINDS. https://payertrends.org/\n\n\n\n\n\n\n\nFEATURING \n\n\n\n\n\n\n\n\n\n\n\nSharon Hicks\, Senior Associate\, OPEN MINDS* \n\n\n\nSharon Hicks\, MBA\, MSW\, has more than 35 years of experience in the health and human service field. During that time\, she performed a variety of functions\, primarily in the public sector mental health market. Her background includes direct care\, hospital administration\, program administration\, health plan management and technology strategy. A recognized thought leader among her peers\, Ms. Hicks is a regular keynote speaker at industry conferences and association meetings\, as well as an author of hundreds of articles and resources for professionals in both clinical and executive roles. \n\n\n\n\n\nMargaret Mays\, Ph.D.\, Senior Associate\, OPEN MINDS* \n\n\n\nMargaret Mays brings over 20 years of health care industry experience to the OPEN MINDS team. Her areas of expertise include health plan contracting and reimbursement\, quality program design and metrics-based programs\, training development\, health care processing systems\, policy development\, and accreditation/regulatory requirements. Prior to her current role\, Dr. Mays served as the Vice President\, Staff Accreditation\, at Beacon Health Options. \n\n\n\n\n\nMadeline Shurtleff\, Managed Market Liaison\, Otsuka America Pharmaceutical\, Inc* \n\n\n\nDr. Shurtleff has extensive knowledge in Medicaid and Medicare pharmacy operations and regulatory requirements. Dr. Shurtleff received her Doctor of Pharmacy (PharmD)\, Business Minor\, and Leadership Minor from the University of Rhode Island. She is a licensed pharmacist in Illinois and Arizona. \n\n\n\n\n*Margaret Mays and Sharon Hicks are paid consultants of Otsuka America Pharmaceutical\, Inc. (OAPI). Madeline Shurtleff is an employee of OAPI. \n\n\n\n\n\n\nREGISTRATION \n\n\n\n\n		 \n		\n		By registering for this event you are stating you have read and agree to the OPEN MINDS Privacy Policy & Terms of Use.\n\n\nI certify that I am a formulary decision maker. I understand that any services and information provided on this website are supplied as a professional courtesy and I must continue to form my own conclusions and make my own decisions. I am also aware that Otsuka Pharmaceutical Development & Commercialization\, Inc.\, Otsuka America Pharmaceutical\, Inc. and their designees (“Otsuka”) intend to regularly revise this website and reserve the right to decline membership to individuals who Otsuka determines do not meet the aforementioned certification requirements.\n\n\nBy providing my name\, email address\, and other information\, I am giving Otsuka and companies working with Otsuka permission to send me information from this website. Otsuka will not sell or transfer my personal information to any unaffiliated third party\, without my prior written consent. Otsuka may monitor my use of the website to provide me with complimentary information about relevant educational programs based on my use of the website. Otsuka will retain your personal information and user data in perpetuity to maintain continued membership and to optimize your experience within the platform. You may request the removal of your information and data at any time through marketaccess@openminds.com. I agree that\, should I use any material provided through the website I will attribute the source of that information to “Trends In Behavioral Health sponsored by Otsuka Pharmaceutical Development & commercialization\, Inc.” For additional information about how Otsuka uses my personal information\, how to amend or delete my information\, and how to opt out of future communications\, please read Otsuka’s Privacy policy. By clicking “Go To Website” and submitting my information\, I agree to the terms provided above\, and the terms provided in Otsuka’s Terms of Use and Privacy Policy.
URL:https://payertrends.org/event/how-social-determinants-of-health-are-shaping-health-plan-strategies-for-whole-person-care/
CATEGORIES:Webinar
END:VEVENT
END:VCALENDAR