Thank you for your interest in the ACAP Leadership Academy! To register your interest, please complete the below survey by December 23, 2021. Please note that a letter of support from the health plan CEO is requested; please upload this letter on the survey or send this letter to Enrique Martinez-Vidal via email at emartinez-vidal@communityplans.net

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* 1. ACAP Member Plan Name:

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* 2. Applicant Name:

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* 3. Applicant Email:

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* 4. Applicant Job Title:

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* 5. Please provide us with a summary of your current and recent professional and work experience.

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* 6. Please tell us what you hope to gain from participation in the Academy, including specific topics or issues for which you would like more information or greater perspective (e.g., issues related to Medicaid policy/financing; health plan operations; and/or management/leadership strategies).

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* 7. As we work to structure programming for this cohort, please rate the topics below based on your interest. 

  Very Interested Somewhat Interested Not Interested
Medicaid Overview: Medicaid policy, regulatory structure, eligible populations, enrollment, services, waivers, and benefits
Safety Net Health Plan Operations (including claims and medical management, provider relations, IT)
The Role of Safety Net Health Plans and Social Determinants of Health
Delivery and Payment System Transformation and Innovation
The Role of Health Plans in Supporting Health Equity
The Role of Quality in Improving Member Outcomes and Plan Operations
Strategies for Leading Safety Net Health Plans in Current Dynamic Environments
The Role of Stakeholders in Maximizing the Impact of Community Plans
Managerial Aspects of Working for Safety Net Health Plans. (e.g., retaining junior staff, working with difficult peers, keeping a supervisor engaged/managing up, improving workplace culture)
Medicaid Managed Care as a Business Model
Regulatory Structures and Waivers
Medicaid Managed Care Financing (e.g., rate development process, budget analysis/forecasting)

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* 8. From the list below, please select your area of expertise and/or job oversight. Check all that apply. 

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* 9. Please upload a letter of support from your plan CEO.

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* 10. Do you have any additional questions regarding the ACAP Leadership Academy? ACAP staff will email you separately with a response.

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