A11 - Agency Fiscal Crisis: Navigating Funding and Financial Pressures and Strategizing for the Future

Monday, April 27, 2026

11:00 AM - 12:00 PM MDT

Location: Bluebird 3G

Significant fiscal pressures loom for the US healthcare sector – particularly those areas that focus on critical mental health, IDD, crisis, and other social service supports. This session focuses on how organizations in communities across America can pivot and adjust their models for stability and growth in continuing to provide and enhance outcomes through services, social stability, and economic justifications that keep communities thriving.

Learning Objectives:

Explore Federal and State financing changes, including Medicaid and other grant funding, as well as data-driven models of Commercial insurers over their insured populations
Define economic factors that drive fiscal pressures and strategies to mitigate pressures, including formal partnerships / scale, internal management of captive insurance (employee benefits) models and other drivers of cost.
Identify specific examples of cost reimbursement models, like CCBHC, and methodologies by which agencies can manage cost and maximize revenue.

Disclosure(s):

Derek Hoy, MA/MBA: No financial relationships to disclose

Breakout Presenter(s)

Derek Hoy, MA/MBA

CFO
Northwestern Counseling & Support Services, Inc. (NCSS)
St. Albans, Vermont

Disclosure(s): No financial relationships to disclose

Slides