Webinar: Improving Care and Lowering Costs: The Use of Clinical Data by Medicaid Managed Care Organizations

April 26, 2018, 02:00:00 PM EST

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To manage the costs of Medicaid, states are increasingly interested in contracting with managed care organizations (MCOs) to deliver healthcare services to Medicaid beneficiaries. eHealth Initiative (eHI) and Foundation recently conducted interviews with executives from leading Medicaid MCOs to better gauge their progress in developing and implementing clinical data strategies.

Join eHI for a webinar featuring industry leaders who will review the results of the interviews and share real world examples of how MCOs are using clinical data to support their physician networks, manage risk, and improve their members’ care.

Our panel will discuss:

Common sources of clinical data collected by MCOs
Transitioning from a culture of claims data to a culture of clinical data
The biggest challenges faced by MCOs in the collection, use, and exchange of clinical data
The role that clinical data plays in value-based contracts and in managing performance risk of networks against value-based payment goals

Panelists

**Gary Christensen**
General Manager, States - Public Sector
InterSystems

Mr. Christensen joined Intersystems in 2014 to provide executive-level assistance to State and regional customers in their efforts both to implement HIE and to develop products and services to drive better care, reduced costs, and healthier populations.

Previously, Mr. Christensen spent five years as the COO/CIO for the Rhode Island Quality Institute (RIQI), where he led the implementation of Intersystems’ HealthShare platform as RI’s statewide HIE. RIQI is a center of collaborative innovation that advances health and healthcare transformation.

Before becoming involved in healthcare, Mr. Christensen spent eighteen years in Financial Services IT.

**John A. Johnson,**
MD, MBA, FACP
Chief Medical Officer
Virginia Premier Health Plan, Inc.

Dr. Johnson joined Virginia Premier Health Plans (VPHP) as the new Chief Medical Officer in June 2017. Dr. Johnson leads medical and behavioral health management as well as clinical and quality-related activities for all product lines. Dr. Johnson is responsible for utilization management, care coordination, long-term support services, quality improvement, accreditation, credentialing, pharmacy, appeals and grievances, health services, behavioral health services and medical policy.

Prior to Virginia Premier, Dr. Johnson served as the Senior Medical Director for WellCare of Georgia for three years. In that role, he was responsible for overseeing the clinical direction of medical services, quality improvement and performance outcomes for over 580,000 Managed Medicaid members and 38,000 Medicare Advantage members. Under Dr. Johnson’s leadership, WellCare successfully won its procurement bid for the State of Georgia’s new Managed Medicaid contract.

Prior to WellCare, Dr. Johnson was with Blue Cross Blue Shield of Georgia serving as Medical Director supporting utilization review and care management for over 600,000 state employees under the State Health Benefit Plan (SHBP). Earlier in his career, Dr. Johnson owned and operated an Internal Medicine practice in Atlanta, Georgia for over 14 years where he focused on treating patients with acute and chronic medical conditions.

John has been married to his lovely wife, Donna, for 16 years and he has also served his country as a Colonel in the United States Army Reserves Medical Corps for 21 years.