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Engaging Complex & Hard-to-Reach Medicare Members Amidst CMS Uncertainty

Engaging Complex & Hard-to-Reach Medicare Members Amidst CMS Uncertainty

Sheila Yahyazadeh

Chief External Operations
Officer, CareFirst
Community Health Plan
Maryland

Eve Gelb

Chief Innovation Officer,
Gold Coast Health Plan

Eve Gelb has 30 years’ operations and innovation experience improving the health and social outcomes of vulnerable populations in health plans and community-based organizations. She has particular expertise in models serving people with Medicare and Medicaid.

Eve joined Gold Coast Health Plan (GCHP) in 2023, as Chief Innovation Officer.  In this role, Eve helps drive excellence, innovation, and quality care for GCHP’s more than 240,000 Medi-Cal members and builds new products and services. She leads the execution and integration of complex, mission-critical and strategic initiatives that will ultimately lead to better outcomes for the members, greater access to quality care, and a superior member experience.

Prior to joining GCHP, she held progressive roles at SCAN Health Plan, working with nearly every part of the organization while operating with a strong sense of mission and commitment to members and the community.  She joined SCAN Health Plan in 1997 as a trainer in health care services and concluded her time with the organization as Senior Vice President of Duals, people with both Medicare and Medi-Cal coverage. In her senior leadership roles at SCAN Health Plan, Eve was responsible for the strategy, development and implementation of programs that improve health and social outcomes and equity.  She oversaw population health and health equity strategy and ran operations for care management, care coordination, quality management, utilization management and the community service arm of the organization, Independence at Home. These areas deliver the model of care, a person-centered approach that focuses on the unique needs of each member.

In addition to work experience, she currently serves as the immediate past board chair for the SNP Alliance, a national leadership organization with the mission to improve the lives of people with complex needs through specializes managed care. She also serves on the board of WISE and Healthy Aging, a senior services organization and Su Casa, a domestic violence prevention organization and as consultant to a variety of health care organizations.

She holds a Master of Public Health at Tulane University and her Bachelor of Arts at the University of California, Los Angeles.

 

Andrew Parker

Founder & CEO, Papa

Throughout his career, Andrew Parker has focused on healthcare innovation that brings care to the consumer. In 2017, he founded Papa, a configurable care network addressing the social needs of older adults, underserved populations, and families. Under his leadership, Papa has scaled nationally, partnering with Medicare Advantage, managed Medicaid, Special Needs Health Plans, and employer benefits, and has been recognized as one of the leading digital health companies in the world. Prior to Papa, Andrew was part of the founding team at MDLIVE, a virtual care provider acquired by Evernorth in 2021. His contributions to healthcare innovation have earned him recognition as one of Fortune’s 10 Innovators Shaping the Future of Health and one of Goldman Sachs’ Most Exceptional Entrepreneurs. Andrew lives in Miami with his wife, Romi, and their dog, Chewie.

Engaging Complex & Hard-to-Reach Medicare Members Amidst CMS Uncertainty

As CMS regulations shift, how can you continue to impact complex members? Join us as we explore innovative approaches to member engagement that drive better health outcomes and reduce costs. In this episode, we will hear how plans are leveraging social support, in-home care, and tailored services to reach vulnerable members.

Don’t miss this timely conversation: hear how you can be reaching the unreachable and personalizing Medicare engagement in a shifting CMS landscape.

Sheila Yahyazadeh

Chief External Operations
Officer, CareFirst
Community Health Plan
Maryland

Eve Gelb

Chief Innovation Officer,
Gold Coast Health Plan

Andrew Parker

Founder & CEO, Papa

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