Impact of Behavioral Health Long Acting Injectables (LAIs) on Medicaid Member Cost

A multi-year study on how Behavioral Health Long Acting Injectables (LAIs) impact cost for adult Medicaid Members in multiple states. This session will discuss the changes in cost and utilization between Pharmacy, Medical and Behavioral Health services. Additionally, clinical benefits of LAIs and real life stories of how LAIs impact members will be discussed. At the conclusion of the session, attendees will be able to describe what a Long Acting Injectable (LAI) is, explain its intended use, evaluate potential cost and utilization impacts for adult Medicaid Members utilizing LAIs and describe member benefits when utilizing LAIs.

Rylan Austin, FSA,MAAA

Staff Vice President at Centene Corporation. Regional Lead Medicaid Actuary currently supporting the Florida, Georgia, South Carolina and CNC North Carolina health plans.

Carole Maytas

Vice President, SMI Operations

Carole Matyas is the Vice President SMI Operations. She oversees the SMI Specialty Plan in Florida and has responsibility for overall operation of the program. Carole is accountable to assure the development of a fully integrated medical/behavioral program that is centered in whole person attention and care. She assists with representing the company externally to assure our members, providers and stakeholders have the information and support they need.

Carole has more than 30 years of behavioral health-related experience, with 20 of those years of experience in health plan operations. She joined WellCare in 2011 as VP Behavioral Health Operations at WellCare Corporate office. Previously she worked for Magellan Health Services, first as a general manager for call center operations, and then as Chief of Clinic Operations, where she led practice management and operations of 23 mental health clinics and a psychiatric urgent care center in Arizona. Her additional experience includes serving as Vice President of Public Sector Operations for Schaller Anderson, a Medicaid managed care organization and helped to develop their integrated model; and as Vice President for Value Options, a managed behavioral health care company whose contracts included carve out managed care for state and government agencies, where Carole was executive lead on a large carve out program in Texas. Carole spent her early career as a licensed social worker providing direct clinical services in a group practice, community mental health and a residential treatment center.

Carole has been recognized by Mental Health America and NAMI Texas for her dedication to mental health advocacy. Carole earned both her undergraduate and Master of Social Work degrees from Marywood University in Scranton, Pennsylvania.

Key:

Complete
Failed
Available
Locked
Total Watching
1 Question
1 Question To view the session, please answer the "Total Watching" survey to let us know how many people are watching with you and then click Enter Live Session (sessions will open 5 minutes before each session begins).
Webcast Session
08/20/2020 at 3:00 PM (EDT)  |  Recorded On: 08/24/2020
08/20/2020 at 3:00 PM (EDT)  |  Recorded On: 08/24/2020
Evaluation
Select the "Complete Evaluation" button to begin.
Select the "Complete Evaluation" button to begin. Please complete the evaluation for this session.