December 12

Watch Now

These are uncertain times for state and local health and human services programs. Federal healthcare policies are in flux, and the current administration has proposed steep cuts to HHS funding. Serving growing caseloads in this new environment demands ingenuity and ultimately more effective use of scarce program dollars.

Join us for a fast-paced 60-munite webinar where a panel of HHS innovators will show how techniques like early intervention, payment reform, and addressing social and economic issues can improve community health and prosperity. You’ll learn more about:
- Value based and integrative models for improving healthcare
- Multi-generational approaches for addressing poverty
- Community partnerships for enhancing health and quality of life



Nick Macchione

Agency Director, County of San Diego Health and Human Services Agency

With 30 years of experience leading health and human services, Nick Macchione serves as San Diego County’s Director of the Health and Human Services Agency. Macchione oversees a workforce of approximately 14,000 employees and a $2 billion annual budget, which reaches over 1.3 million people. In his role, Macchione is at the forefront of a paradigm shift transforming how government serves the public. As the architect and strategist of “Live Well San Diego,” Macchione is championing a transformative, social movement for prevention, wellness and whole person care. Since its inception in 2010, Macchione has partnered with hundreds of diverse governments, schools, businesses, and community based organizations to collectively unify a region where everyone can be healthy, safe and thriving!

Macchione holds Master’s degrees from Columbia University and NYU specializing in leadership, management and policy.


Raquel Hatter

Deputy Director, Human Services, The Kresge Foundation

Raquel Hatter, Ed. D., is deputy director of the Human Services Program at The Kresge Foundation, which supports the advancement of human services organizations to accelerate social and economic mobility for people with low income. She has spent the past 25 years supporting adults, children and families through a variety of roles.
Most recently, Raquel served as commissioner of the Tennessee Department of Human Services where she identified ways to improve the outcomes for individuals and families across various support systems including child support, TANF, SNAP and vocational rehabilitation. Under her guidance, the department adopted a two-generational approach to poverty which addresses the needs of children and parents simultaneously.


Steven Costantino

Director of Health Care Reform, Delaware Health and Social Services

Steven M. Costantino is currently the Director of Health Care Reform for the Delaware Health and Social Services Department. His emphases will be on driving payment and delivery transformation to more value based and integrative care models across multiple payers of services. He will be directly involved in driving the state innovation model grant program toward implementable payment reform and delivery system reform. He will also be involved in establishing a health care cost benchmark for the State.


Mattie Quinn — Moderator

Staff Writer, Governing