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Leveraging SDOH Outreach to Increase Dual Eligible Penetration

Leveraging SDOH Outreach to Increase Dual Eligible Penetration

Lauren Easton, MSW, L.I.C.S.W.

Vice President, Integrative
Program Development and
Clinical Innovation,
Commonwealth Care Alliance

For over a decade, Lauren Easton, LICSW, has served as a Behavioral Health leader for Commonwealth Care Alliance (CCA). Over the years and in various roles, Lauren has been largely responsible for developing CCA’s behavioral health integration across its care models, for creating a responsive network, and for creating many innovative programs, including CCA’s Crisis Stabilization Units. Lauren embraced the integration of behavioral health and medical care long before the concept became “trendy.” She has made behavioral health integration a hallmark of program development throughout her professional life.

In her current role, Lauren is responsible for the oversight of CCA’s behavioral health services, delivered through its network of behavioral health providers and internal behavioral health specialists to CCA’s 22,000+ members. She is responsible for assisting clinical leadership in improving the level of integration of Primary Care and behavioral health services for CCA members and for guiding network development, cost management, and quality improvement activities. She oversees the Behavioral Health development and expansion of the One Care program and Senior Care Option Program, paying particular attention to the significant mental health needs of this population.

Lauren holds a master’s degree from Simmons College School of Social Work. She also attended Boston University and the University of Massachusetts, where she completed a double Major in psychology and education.

Sean Libby

President, BeneLynk

Sean has worked at the intersection of managed care and government benefit programs for the past 19 years. He is responsible for Benelynk’s product development, new business acquisition, and strategic growth initiatives. Prior to BeneLynk, Sean served as the President of Freedom Disability and Alpha Disability, one of the nation’s largest Social Security Disability and Veterans Advocacy companies. Before that, Sean served as Vice President, Sales for SSC Disability, providing government program benefit services for Managed Care Organizations.

He is recognized by the Social Security Administration as a non-attorney representative (EDPNA) and has personally represented claimants in hearings for Social Security Disability Insurance and Supplemental Security Income throughout the country.

​Sean is an expert on a wide variety of government benefit programs and has been quoted in Bloomberg, Business Week, and other national publications. He regularly publishes articles on managed care and government benefits for BeneLynk’s blog.

​Sean is a graduate of Middlebury College and has a master’s degree from Yale University.

Pamela Tropiano, RN, BSN, MPA, CCM

Vice President, Healthcare
Services, Molina Healthcare
of Ohio, Inc.

Pamela is a  senior executive health services leader with over 39 years of experience in nursing, 21+ in health care and health plan administration. Her experience includes executive leadership of health plan clinical service areas including case management, disease management /population health, utilization management, quality management/improvement, and 24-hour nurse triage; as well as designing innovative programs to help better serve the needs of Medicaid Medicare members while driving financial efficiency. Pamela also has direct clinical experience in palliative care, hospice care, home care, pain management, and case management practice.  She is a licensed nurse in three states:  Ohio, Florida, and Arizona.

She joined the Molina Healthcare of Ohio team in October 2019 and has been focused on leading and working alongside the clinical teams ensuring individual members receive necessary care and services.

Leveraging SDOH Outreach to Increase Dual Eligible Penetration

The more than 12 million Americans who are dually eligible for Medicare and Medicaid often have significant social needs along with chronic medical and behavioral health conditions. This panel will examine how addressing SDOH helps Dual Eligible Special Needs Plans to improve access to care, boost health outcomes, and reduce healthcare costs.

Topics include:

  • Combining technology with the human touch
  • Segmenting your population by key determinants
  • Using SDOH Z-Codes to prioritize patient outreach
  • Designing programs to change behavior
  • Determining ROI

Lauren Easton, MSW, L.I.C.S.W.

Vice President, Integrative
Program Development and
Clinical Innovation,
Commonwealth Care Alliance

Sean Libby

President, BeneLynk

Pamela Tropiano, RN, BSN, MPA, CCM

Vice President, Healthcare
Services, Molina Healthcare
of Ohio, Inc.

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