Welcome to MAYhem! The Receding Tide of Telehealth in the Crashing Waves of Medicaid Redetermination

April marked Medicaid Awareness month and we were breaking barriers on stages, convening in DC for policy issues, monitoring capital market trends? with uncertainty in the start-up market?first quarter and watching as the tidal waters of Medicaid redetermination?kept swelling.? ?As the healthcare conference season gains momentum in May, the challenges faced by the most vulnerable populations, particularly in the context of Medicaid redetermination, demand our urgent attention. Amid this flurry of activity, recent decisions by major players like Walmart and UnitedHealth Group to scale back their telehealth and retail healthcare services underscore the shifting landscape of healthcare accessibility and the critical need for sustained, meaningful dialogue and partnerships.

The Unintended Consequences of Medicaid Redetermination

As we navigate through the post-pandemic era, the Medicaid redetermination process presents significant challenges and opportunities. With over 20?million disenrollments already, the complexity of this nationwide initiative is clear. For the millions of Americans affected, particularly the vulnerable and underserved communities, the need for a streamlined, understanding, and inclusive approach is urgent. This is where HealthTech for Medicaid (HT4M) and its partners can play a pivotal role in transforming challenges into opportunities for improved healthcare access.

The Challenge at Hand

Medicaid redetermination has plunged many into uncertainty, largely due to procedural complexities and lack of clear communication. Members often find themselves disenrolled without a clear understanding of why, struggling with renewal notices, and grappling with language barriers. State systems overwhelmed by the sheer volume of redeterminations contribute further to the chaos, leading to long wait times and unmet needs for assistance. Many who find themselves without coverage are unable to access essential medications and healthcare services, pushing them towards emergency services instead of preventive care. The bureaucratic maze, characterized by long wait times and lack of assistance, further alienates those in dire need. This situation not only exacerbates the health vulnerabilities but also strains the healthcare system at large.

The Call to Action: Beyond Thought Leadership to Tangible Partnerships

As industry leaders, policymakers, healthcare providers, and advocates gather during this pivotal conference season, there is a golden opportunity to transform our approach to healthcare accessibility, especially for the most vulnerable. The retreat from expansive healthcare ventures like those attempted by Walmart and UnitedHealth should not signify an end but rather a pivot towards more sustainable, inclusive healthcare models. ? Here’s how we can move the needle:

• Enhanced Collaboration Across Sectors: We need to foster stronger partnerships between healthcare providers, non-profits, government agencies, and the tech sector to create integrated solutions that address the barriers faced by the unsheltered and other vulnerable groups. This includes simplifying the redetermination process and ensuring that state systems are equipped to handle unique challenges.? Health Tech for Medicaid is here to partner and assist.
• Innovative Use of Technology: While major corporations reassess their telehealth strategies, there's room to harness technology to aid Medicaid redetermination processes. This could involve developing intuitive online systems that help users complete applications and understand eligibility requirements without bureaucratic hurdles.? If you have a tech solution we need to be aware of, send?us a note.
• Focused Dialogue on Procedural Disenrollment: Conferences and summits should dedicate sessions to discussing procedural disenrollment, sharing best practices, and exploring legislative adjustments needed to protect against unwarranted loss of coverage.? I personally made it a point that any stage I was on from January 2023 until the “unwinding” proposed to end in June of this year, I would create a dialogue about redetermination.? How can we better focus the dialogue? Send us any thoughts or ideas here.
• Empowering Local Communities: Local health organizations and community leaders are often on the front lines of this battle. Supporting grassroots initiatives with funding and resources to provide direct assistance to those navigating the redetermination process can make a substantial difference.
• Policy Advocacy: We must advocate for policies that reduce the rate of procedural disenrollments and ensure that redetermination processes do not disproportionately impact those who are already at a disadvantage.? Recently in a policy meeting in DC focused on older adults, we pushed our multidisciplinary audience to think about the perspectives of the caregiver and person trying to navigate these complicated systems.? How could we do more together??

A United Front in Healthcare

The stories of individuals who we have heard from over the past year and the systemic challenges highlighted by recent industry shifts call for a unified approach to healthcare that prioritizes accessibility and equity. This conference season, let’s commit to more than just thought leadership—let’s engage in genuine dialogue and forge partnerships that not only discuss but directly address and solve the pressing issues facing our healthcare system. ? Your voice and action can drive change. Join us in this critical conversation and be a part of the solution. Together, we can ensure that no one is left behind in our journey towards a healthier, more equitable society.? Come join us at the many conferences we will be con-sponsoring and supporting in May!

With warmest regards,

Adimika Arthur

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UPCOMING EVENTS

CMS: Impacts of the AHEAD Model in New York

Join HealthTech 4 Medicaid (HT4M), COPE Health Solutions, Accountable for Health and Ropes & Gray?in New York this Thursday, May 2nd?for a dynamic panel discussion exploring the implications of the new States Advancing All-Payer Health Equity Approaches and Development Model (AHEAD) on New York State Medicaid's global budget. The AHEAD Model, recently announced by the Centers for Medicare & Medicaid Services (CMS), aims to drive health care transformation and align multi-payer initiatives to improve population health and reduce costs.

Our speakers will delve into the strategic considerations and potential impacts of AHEAD on New York State's Medicaid program, focusing on key areas such as primary care investment, care coordination, and health equity. We'll explore how AHEAD's total cost of care approach intersects with New York State's Medicaid goals and initiatives, including the Global Capitation model and other payment reforms.

Don't miss this insightful discussion featuring experts at the forefront of health care innovation and policy, as we navigate the evolving landscape of Medicaid transformation and its implications for New York State.

Details:

Date:?May 2nd

Location:?Jay Suites, Rolling Stones Room, New York, NY

Find additional event details?here.

Register to attend

State Medicaid: Health IT in California

As California works to expand coverage to underserved populations, health IT can play a pivotal role in ensuring equitable access to care. Health Tech for Medicaid is partnering with the California Medical Association for the CMA HIT Summit, which will bring together thought leaders from across California and the nation to explore how to make that vision a reality. "Health IT in the Safety Net" will take place May 7-8 at the Grand Hyatt at SFO in San Francisco.?

Building off the success of last year's sold-out summit, CMA expects a diverse and engaged set of attendees that will include physicians, medical groups and IPAs, health plans, health information organizations (HIOs) and others who will take the learnings from this conference to change how care is delivered in this state.

Summit topics include:

• Federal Government Perspective
• Breakouts: Safety-Net Providers, Health Plans, Innovators
• Artifical Intelligence & the Safety Net
• DHCS's Equity & Practice Transformation (EPT) Directed Payment Program
• Value-Baed Care in Safety-Net Settings

Details:

?Date: May 7th-8th

?Location: Grand Hyatt SFO in San Francisco

Find additional event details?here.?Click?here?to see our tentative agenda.?

Use code HT4M?for $50 off registration.

Register to attend CMA HIT SUMMIT

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Check out the most recent PopHealth Podcast below, featuring HT4M's Executive Director, Adimika Arthur. Adimika shares the importance of Health IT on health equity and ensuring a safety net for those that may otherwise struggle to get the care they need.

Investment and Innovation for Older Adults

Now in its 21st year, the?What’s Next Longevity Venture Summit?continues its mission to bring together top industry entrepreneurs, investors, thought leaders, analysts, media, and innovators, all to help you advance your business and expand your network of experts in the longevity economy.

The theme for the 2024 Longevity Venture Summit is?Net New: Investment, AI, & Innovation in the Longevity Marketplace. This year we are developing sessions and selecting speakers that will ensure our continued commitment to the collaboration of forward-looking entrepreneurs and investors.

It’s more than an event—it’s an opportunity to shape the future of innovation in aging and healthcare!?

Details:

Date:?June 11-12, 2024

Location:?The Fairmont San Francisco

Find speakers and additional event details?here.

Register to attend below!?Use the code?HT4M20 for a 20% discount.

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HT4M @?HLTH Europe 2024

?? Join us at HLTH Europe - Europe's Premier Health Event! ??

We're excited to continue our partnership with HLTH Foundation for HLTH Europe! Taking place at the RAI Convention Centre in Amsterdam from June 17th to 20th, 2024, this event promises to be a game-changer in the world of healthcare.

? What Makes HLTH Europe Special? HLTH Europe is not just a conference; it's a convergence of the entire European health ecosystem. With over 3,500 attendees and health leaders from 50+ countries, it's a unique opportunity to connect with decision-makers across providers, payers, government, pharma, startups, investors, and health tech.

?? Networking Opportunities: Forge connections with like-minded professionals, engage in discussions, and explore groundbreaking ideas that shape the future of healthcare.

?? What to Expect: From digital health to biotech, and from DTx to healthcare IT innovations, HLTH Europe covers it all. Immerse yourself in diverse conversations and gain insights into the latest trends and breakthroughs.

?? Sponsorship Opportunities: Are you looking to showcase your brand and contribute to the success of HLTH Europe? Explore sponsorship opportunities by contacting us at [email protected].

Join the Conversation: Whether you're a healthcare professional, industry expert, or simply passionate about the future of healthcare, HLTH Europe has a community and a conversation waiting for you.

See You in Amsterdam! Save the dates and get ready for an immersive and impactful experience at HLTH Europe. We look forward to welcoming you!

?? Register Now: Don't miss your chance to be part of this transformative experience! Secure your spot by registering here.

Details:

Date:?17 - 20 June 2024

Location:?RAI Convention Centre, Amsterdam

Find additional event details?here.

Use code HE24_HT4M150 for?€150 off your ticket.

Register to attend HLTH Europe

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Be Part of Something Bigger with HT4M Membership

At HT4M, we're not just an organization; we're a movement driving transformative change in Medicaid. As a member, you become a vital part of our mission to reshape the future of healthcare. Here's what you can expect: Unlock

New Opportunities:??Gain exclusive access to curated events, workshops, and discussions with key industry leaders. Our members receive special invitations to engage in meaningful conversations and collaborations that shape the future of Medicaid.

Amplify Your Impact:?Your voice matters. Influence the future of Medicaid through policy advocacy, strategic partnerships, and collaborative initiatives. Join us in advocating for equitable healthcare policies and solutions that drive positive change for Medicaid beneficiaries and communities nationwide.

Ignite Innovation:?Dive into a vibrant community of changemakers dedicated to tackling healthcare's most pressing challenges. Connect with fellow members, entrepreneurs, and thought leaders to explore innovative solutions and foster partnerships that drive innovation in Medicaid.

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NEW MEMBER WELCOME

We are excited to welcome Imagine Pediatrics as a member of HealthTech 4 Medicaid! Imagine Pediatrics provides 24/7 virtual-first care in the home for children with complex medical conditions and special health care needs, so they can spend less time in the hospital and more time at home and in their communities.

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