[October] Preparing CBOs to Partner with Health Plans—New Procedures and Payment
Preparing CBOs to Partner with Health Plans—New Procedures and Payment
October 13, 2022 12:00-1:00 ET
The services and supports being offered through health and human service community-based organizations (CBOs) are increasingly included in health plans (MCOs, commercial insurance). These services and supports address many factors that contribute to a person’s overall well-being—including and beyond physical health. It is important that CBOs are seen as vital partners by health plans for their ability to help design, coordinate, and deliver services, as well as ensure the individuals in their communities receive holistic care that addresses the individual’s overall health and well-being.
Today, most CBOs need to work with health plans and the designated MCOs in their areas as part of their service delivery network. This webinar is designed to provide an executive overview of the changing role of health plans in the health and human service sector, so CBOs are better equipped to understand the landscape and their own role. It also will cover the organizational competencies needed to partner and participate with managed care and in the changing health plan reimbursement models.
This session is part of Social Current and OPEN MINDS’ collaboration on organizational value-based reimbursement competency assessment and preparedness.
The changing role of health plans in the health and human service sector
Organizational competencies important for partnering with health plans
Opportunities through Social Current and OPEN MINDS to support your preparation
Who Should Participate:
Monica E. Oss
Monica E. Oss, M.S., is the founder of OPEN MINDS and serves as its CEO, executive editor of its publications and websites, and executive lead of its consulting engagements. For the past three decades, 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.
Oss has extensive experience in developing and implementing growth strategies for a wide array of organizations in the field. She has expertise in industry trend analysis, reimbursement and rate setting, and creating actionable plans for market success. In her role, she has led numerous engagements with state Medicaid plans, county governments, private insurers and health plans, service provider organizations, technology vendors, neurotechnology and pharmaceutical organizations, and investment banking firms—with a focus on the implications of financing changes on delivery system design.
Prior to founding OPEN MINDS, Oss served as an executive with a national managed behavioral health organization, with responsibility for market development and actuarial analysis and capitation-based rate setting. She also held a position as vice president of the U.S. risk management and underwriting division of an international insurance company.
Oss has been the keynote speaker at the conferences of dozens of national associations and has been published in a wide range of professional journals and trade publications. She has provided congressional and state legislative testimony on issues as diverse as the financial impact of parity and payer medication access policies.
Oss has led a range of industry research and consultation initiatives, serving as principal investigator on research projects that include examination of national managed care enrollment and service patterns; development of provider rate structures for government entities; creation of return-on-investment models for technology investments; design of performance-based compensation models within public and private health plans; and analysis of the economic impact of changes in benefit design, adoption of evidence-based practices, and new technologies.
Kimberly Bond, MS, LMFT
Executive Vice President
Kimberly Bond, MS, LMFT, brings over 30 years of experience providing behavioral health treatment in the public and community settings to the OPEN MINDS team. She currently serves as the executive vice president, payer/provider market. In this role, Bond provides executive oversight and leadership to all Provider and Payer client engagements for OPEN MINDS.
Prior to joining OPEN MINDS, Bond served concurrently as a program coordinator III and clinical manager of adult services and a program coordinator II and clinical manager of recovery services for the Ozark Guidance Center. In these roles, she was responsible for the administrative and clinical oversight of the adult outpatient and adult intensive mental health services on the Springdale campus, as well as the adult recovery/co-occurring services, including domestic violence and anger management treatment.
Prior, Bond served as the executive vice president of Center Point Inc., a large substance abuse provider agency in California. In this role, she was responsible for the clinical and administrative supervision of all community-based programs as well as the women and children’s residential programs. In addition, Bond also managed budgets, interacted with funding agencies, and built positive relationships with all stakeholders. She was also in charge of proposal and grant writing, staff management, and training, facilities’ licensing and certifications renewals. Additionally, she prepared and submitted monthly, quarterly, semi-annual, and annual reports to various funders.
Previously, Bond served as the president and CEO of Mental Health Systems Inc. She was very instrumental in growing the agency from $12 million in annual revenue to over $100 million and becoming one of the largest providers of behavioral health services in California. In this role, Bond was responsible for the strategic, clinical, financial, and administrative health of the organization, including direct supervision of senior executive staff. In addition, she ensured contract compliance of the organization’s 125 different contracts across federal and state agencies and eight counties.
Bond received her bachelor’s in psychology, with honors, and her master’s in counseling education from San Diego State University. She is licensed as a Marriage and Family Therapist in both California and Arkansas.