ACHP is hosting its Clinical Collaborative Meeting virtually through Zoo on Wednesday, April 28, 2021 from 11:00am to 4:30pm EST. Keynote Speaker, Rachel Sachs, JD, will be presenting “A Possible Pill for Rising Drug Prices: Medicare Part D Redesign.” This session will cover the various options and proposals regarding redesigning Medicare Part D, implications for ACHP member plans and how Part D redesign fits within the larger drug pricing conversation. Attendees will have time to ask questions of the speaker, a scholar of innovation policy who has written extensively on the topic in Health Affairs.  ACHP Member Plan panels will discuss “What’s Needed to Raise the Bar on Maternal Health?” in which attendees will hear about innovative payment and delivery models. Examples that have emerged during ACHP's RWJF work and will be highlighted during this session include initiatives to address mental health conditions, care programs for high-risk mothers and bundled payment. “ACHP Members in Alliance with Rural Communities to Address Chronic Disease Risk” with ACHP plan members from SelectHealth, Pacifica, and Michael Fallahkhair from HRSA, will highlight the evidence base for and methods of co-design; methods of selecting and engaging community partners; and key steps for implementing co-development methods. Content will be targeted at the rural context but will provide applicable advice and tangible takeaways for all participants.  

Following this, we will concurrently offer “Gray Hair and Exceptional Care: Advancing Support of Seniors with Complex Needs,” with Cheryl Phillips of SNP Alliance and “A Possible Pill for Rising Drug Prices: Medicare Part D Redesign,” with Rachel Sachs, Washington University School of Law. The former will explore innovative models for older adults with complex care needs. A brief overview of the shift from traditional institutional care to Home and Community-Based Services will lay the foundation for an exploration of models including the PACE program and various SNPs including C-SNPs, IE-SNPs and D-SNPs. Attention will be paid to the growing crisis of elderly homelessness and the potential role of health plans to address it. The session will conclude with a look towards the future, both limiting factors and opportunities to transform care.  The second, concurrent session will cover the various options and proposals of redesigning the Medicare Part D benefit, implications for ACHP member plans and the feasibility of passage and implementation. Attendees will have time to ask questions of the speaker, a scholar of innovation policy who has written extensively on the topic in Health Affairs.  Our final session, “Saving Kidney Function:  Early Detection to Management of End-Stage Renal Disease,” will feature panelists from KP, Geisinger, and Scott & White Health Plans. Panelists will share experiences with innovative chronic kidney disease (CKD) and end-stage renal disease (ESRD) vendor partnerships as well as in-house programs, including data analytics for early detection and the expansion of peritoneal dialysis options.