2022 Leadership Academy Application Survey

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.

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

Very Interested

Somewhat Interested

Not Interested

Medicaid Overview: Medicaid policy, regulatory structure, eligible populations, enrollment, services, waivers, and benefits

Medicaid Overview: Medicaid policy, regulatory structure, eligible populations, enrollment, services, waivers, and benefits Very Interested

Medicaid Overview: Medicaid policy, regulatory structure, eligible populations, enrollment, services, waivers, and benefits Somewhat Interested

Medicaid Overview: Medicaid policy, regulatory structure, eligible populations, enrollment, services, waivers, and benefits Not Interested

Safety Net Health Plan Operations (including claims and medical management, provider relations, IT)

Safety Net Health Plan Operations (including claims and medical management, provider relations, IT) Very Interested

Safety Net Health Plan Operations (including claims and medical management, provider relations, IT) Somewhat Interested

Safety Net Health Plan Operations (including claims and medical management, provider relations, IT) Not Interested

The Role of Safety Net Health Plans and Social Determinants of Health

The Role of Safety Net Health Plans and Social Determinants of Health Very Interested

The Role of Safety Net Health Plans and Social Determinants of Health Somewhat Interested

The Role of Safety Net Health Plans and Social Determinants of Health Not Interested

Delivery and Payment System Transformation and Innovation

Delivery and Payment System Transformation and Innovation Very Interested

Delivery and Payment System Transformation and Innovation Somewhat Interested

Delivery and Payment System Transformation and Innovation Not Interested

The Role of Health Plans in Supporting Health Equity

The Role of Health Plans in Supporting Health Equity Very Interested

The Role of Health Plans in Supporting Health Equity Somewhat Interested

The Role of Health Plans in Supporting Health Equity Not Interested

The Role of Quality in Improving Member Outcomes and Plan Operations

The Role of Quality in Improving Member Outcomes and Plan Operations Very Interested

The Role of Quality in Improving Member Outcomes and Plan Operations Somewhat Interested

The Role of Quality in Improving Member Outcomes and Plan Operations Not Interested

Strategies for Leading Safety Net Health Plans in Current Dynamic Environments

Strategies for Leading Safety Net Health Plans in Current Dynamic Environments Very Interested

Strategies for Leading Safety Net Health Plans in Current Dynamic Environments Somewhat Interested

Strategies for Leading Safety Net Health Plans in Current Dynamic Environments Not Interested

The Role of Stakeholders in Maximizing the Impact of Community Plans

The Role of Stakeholders in Maximizing the Impact of Community Plans Very Interested

The Role of Stakeholders in Maximizing the Impact of Community Plans Somewhat Interested

The Role of Stakeholders in Maximizing the Impact of Community Plans Not Interested

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)

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) Very Interested

Medicaid Managed Care as a Business Model

Medicaid Managed Care as a Business Model Very Interested

Medicaid Managed Care as a Business Model Somewhat Interested

Medicaid Managed Care as a Business Model Not Interested

Regulatory Structures and Waivers

Regulatory Structures and Waivers Very Interested

Regulatory Structures and Waivers Somewhat Interested

Regulatory Structures and Waivers Not Interested

Medicaid Managed Care Financing (e.g., rate development process, budget analysis/forecasting)

Medicaid Managed Care Financing (e.g., rate development process, budget analysis/forecasting) Very Interested

Medicaid Managed Care Financing (e.g., rate development process, budget analysis/forecasting) Somewhat Interested

Medicaid Managed Care Financing (e.g., rate development process, budget analysis/forecasting) Not Interested

2022 Leadership Academy Application

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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.

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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.