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Beyond Medication Adherence: Unleashing the Power of Member Engagement to Elevate Outcomes

Beyond Medication Adherence: Unleashing the Power of Member Engagement to Elevate Outcomes

Sebastian Seiguer

CEO and Co-founder,
Scene Health

Sebastian is the CEO and co-founder of Scene (previously emocha), a medication engagement company that provides personalized, breakthrough medication support by combining video technology, clinical coaching, and validated interventions to radically improve medication adherence rates. In 2014, Sebastian spun Scene out of Johns Hopkins with Dr. Bob Bollinger and other medication adherence experts to help communities served by public health departments, health plans including Medicaid and Medicare, and health systems. Scene is now the standard of care for infectious disease adherence monitoring and is scaling quickly. Sebastian started his career as an attorney with Allen & Overy in London before launching his first company in Munich, Germany, in 2000. He earned his law degree from Columbia Law School and his MBA in Health Care from Johns Hopkins University.

Tom Manetti

Associate Vice President,
Quality Products,
CareSource

Since November 2021, Tom Manetti has led the Enterprise Stars, Consumer Experience, Pharmacy Quality, Marketplace Quality and Rewards teams for CareSource. He oversees quality and process improvement with a focus on outcomes to drive a 4 Star or greater goal as well as be an advocate for Members throughout the organization with Consumer Experience.  Tom has more than 20 years of experience in managed healthcare in Medicare, Medicaid , Marketplace, and Tricare. He is an Air Force veteran with extensive experience in inpatient and outpatient behavioral health. He has previously worked at Centene/Wellcare, Anthem, USC and other managed care organizations in both a market capacity and as an enterprise leader.

Tom earned his Masters in Public Health, specializing in Community Health Organization, from the University of California Los Angeles (UCLA).

Suzanne Moxham

Director of Quality,
Accreditation, & Government
Programs, CareFirst BlueCross BlueShield

Suzanne started her career as a nurse more than 21 years ago. Eventually, Suzanne landed in Quality Improvement, which requires her to use her clinical knowledge and experience to drive improvement in health outcomes for members. She has a true passion for working with Medicaid populations. The healthcare system is complex and difficult to navigate, even for those with experience. The mantra she always shares with her teams is “to do the right thing for the right reasons.” Her goal is to have everyone put the members’ needs first and to remember everyone is someone’s grandmother.

Before working at CareFirst, Suzanne held Quality Improvement roles at MedStar Family Choice and helped positions at Executive Healthcare Resources. She also worked as a nurse at Upper Chesapeake Medical Center. and  She received her bachelor’s in nursing from Johns Hopkins University.

Molly McGraw

Manager, Clinical Pharmacy,
UPMC Health Plan

Molly is a residency-trained clinical pharmacist with over 15 years of professional pharmacy experience and currently works as a Manager of Clinical Pharmacy at UPMC Health Plan. In her current role, she oversees clinical pharmacists on the Care Management Pharmacy team and assists in the development and implementation of various population health and quality programs, including condition management, transitions of care, HEDIS, and CMS Stars.

Molly earned her pharmacy degree from Duquesne University (Pittsburgh, PA) and completed residency training in Acute Care and Critical Care Pharmacy.

Beyond Medication Adherence: Unleashing the Power of Member Engagement to Elevate Outcomes

Medication adherence is critical to a health plan’s ability to improve health outcomes and lower total costs. Non-adherence takes the lives of 125,000 Americans annually and costs the healthcare system nearly $300 billion annually in additional medical visits and hospitalizations.

Many chronic diseases, such as diabetes or hypertension, can be successfully prevented and managed with drugs – meaning medication adherence can directly impact patient outcomes more than the specific treatment itself.

In addition, developing and deploying a robust, year-round medication adherence strategy helps health plans achieve their Triple Aim goals for upcoming performance periods, advance health equity and improve health outcomes.

However, increasingly, standard medication adherence techniques no longer work. The most crucial step in medication adherence is engagement, or getting consumers involved in their healthcare.

Our expert panel will explore the reasons behind medication non adherence and share innovative and actionable strategies to promote medication adherence to improve health outcomes.

Topics include:

  • Elements for building an effective adherence program
  • How medication adherence impacts HEDIS measures and Medicare Advantage Star Ratings
  • Design high-impact strategies for messaging and engagement
  • Building trusting relationships with members
  • Identifying and addressing root causes and barriers to adherence
  • Advancing equity and reducing disparities in medication adherence

Sebastian Seiguer

CEO and Co-founder,
Scene Health

Tom Manetti

Associate Vice President,
Quality Products,
CareSource

Suzanne Moxham

Director of Quality,
Accreditation, & Government
Programs, CareFirst BlueCross BlueShield

Molly McGraw

Manager, Clinical Pharmacy,
UPMC Health Plan

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— Gerard Isenberg, MD, Chief Medical Quality Officer, University Hospital Cleveland Medical Center

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