Gettysburg, Pa. (October 2, 2022) Jim Sorg, Ph.D., Director of Care Integration and Information Technology for Tarzana Treatment Centers and Mary Parra, MPH, FACHE, Practice Manager Internal Medicine with UC San Diego Health, will present The New Role For Primary Care Under CalAIM at the November 17, OPEN MINDS Circle Elite Executive Roundtable. This presentation will be discussing the role of primary care in two different approaches for the delivery of integrated services. In this live webinar attendees will learn the differences between a behaviorally-led integrated care model and a primary care-led integrated care model, both serving the often times complex treatment and coordinated care needs of Medi-Cal beneficiaries.
“Primary care is rapidly expanding to a new whole-person integrated care service delivery model to treat everything from behavioral health to long-term medical conditions,” said OPEN MINDS Chief Executive Officer, Monica E. Oss. “As the marketplace continues to evolve it becomes more crucial for provider organizations to understand the increasing demands that accompany person centered care coming from both consumers and payer organizations.”
The health and human services field is evolving, and nowhere more than in California with the implementation of the CalAIM initiative and system wide transformation to value. Specialty provider organizations and payers have begun to address emerging changes through aligned payer-provider goals and are turning to the lessons learned from California’s whole person care pilots in previous years. Focus on person-centered care approaches for the delivery of coordinated and integrated care is growing as a model for achieving optimal outcomes for Medicaid (Medi-Cal) consumers with complex conditions.
Executive attendees of this session will learn about the new role of primary care as part of whole person care service delivery for persons with behavioral health and medical conditions in the emerging CalAIM system transformation and the two types of integrated care approaches: a behaviorally-led integrated primary care model versus a primary care-led integrated behavioral health services model. The session will also help provide an understanding of the growing public and private payer demand for person-centered and integrated care services that improve client outcomes to reduce the utilization and cost of intensive levels of care.
This one-hour session will be moderated by Richard Louis, III, OPEN MINDS Vice President – Western Region. To register for the 1:00 p.m. ET, November 17 event, visit https://register.gotowebinar.com/register/9162136258268350991.
Jim Sorg, Ph.D., is the Director of Care Integration and Information Technology at Tarzana Treatment Centers, Inc. where he has several areas of focus including access to care, CalAIM Enhanced Care Management and Community Supports, information management, quality assurance, and efforts to further integrate medical and behavioral health care. Dr. Sorg worked as a consultant to behavioral health organizations for many years. He received his Ph.D. from Ohio State University’s School of Public Policy and Management.
Mary Parra, MPH, FACHE, is practice manager, internal medicine at UC San Diego Health and has over 20 years of experience in the health and human services field with expertise in value-based reimbursement strategies, clinical care redesign, marketing and communication, board-level strategic planning, clinical service line business development, hospital performance improvement, managed care contracting/operations, community health center operations, and clinical and administrative staff supervision. Ms. Parra served as Director of Operations with Neighborhood Healthcare in San Diego where she led day-to-day regional operations for medical and dental health centers in San Diego and Riverside Counties. Ms. Parra earned her Master of Public Health Services Administration from San Diego State University, Bachelor’s degree in biological sciences from the University of California at Irvine and is a Fellow at the American College of Healthcare Executives.
OPEN MINDS Vice President – Western Region, Richard Louis, III, has extensive experience as a behavioral health care administrator, business development specialist and innovator of new service lines. Mr. Louis has served as a Psychiatric Hospital Administrator, Charter Medical Corporation and Assistant Director of Behavioral Health at San Bernardino County Department of Behavioral Health in California. Prior to joining OPEN MINDS, Mr. Louis was the Executive Director of Strategic Development – Behavior & Addiction Medicine at Southern California Hospital Systems Inc. – Prospect Medical Group. He was involved with projects focused on health service delivery care integration, new service line and health plan managed care contract development. During his career, Mr. Louis has pioneered the development of a series of innovative and profitable behavioral health treatment and population health management solutions that target high cost and complex behavioral health populations for a variety of payers.
The November 17 Circle Elite Executive Roundtable is offered as part of a weekly series designed to help executive teams navigate the business, organizational, operational, and culture changes of a market in turbulence during (and after) the COVID-19 crisis. Each one-hour briefing outlines a field-tested approach for recovering from the crisis and developing a plan for organizational sustainability. Once an exclusive benefit to Elite members of the OPEN MINDS Circle, these impactful sessions are now available to all OPEN MINDS subscribers and available on demand.
OPEN MINDS is presenting this webinar as the final session of our special California Quarterly Series featuring California case studies focused on innovative treatment, service delivery, population health management and reimbursement strategies, both providers (behavioral health, children’s services, social service, and primary care) and payers (health plans, managed care plans, county behavioral health systems) have undertaken in this changing performance and valued-based landscape.
About OPEN MINDS
OPEN MINDS is a national market intelligence, management consulting, and marketing services firm specializing exclusively in the markets of the health and human service field that serve consumers with chronic conditions and complex support needs. OPEN MINDS’ mission is to provide payers, service provider organizations, and technology and scientific firms that serve these consumers with the market and management knowledge needed to improve their organizational efficiency and effectiveness.