THE MOST IMPORTANT MEDICARE EVENT WITH PRACTICAL REAL WORLD SOLUTIONS FROM 22+ TOP RATED MA PLANS
Medicare Advantage Leadership Innovations brings together our nation's top-rated MA plans to show you the latest innovations in the critical success areas in Medicare Advantage:

Starting with an incisive analysis of how the latest CMS mandates impact MA plans, the agenda then focuses on:

  • Building a 5-star Organization
  • Expanding Medication Adherence & MTM
  • Boosting Member & Provider Engagement
  • Transitioning to Value-Based Payments from
    Fee-for-Service
  • Enhancing Risk Adjustment Revenue Management
  • Creating Marketing and Community Partnerships
  • Reducing Costs of Treating Chronic Conditions
  • Developing a Quality/Compliance Program
  • Creating Benefit Design, Cost Shares and Pricing
2018 ALL-STAR SPEAKERS
Florida Blue

Sam Young

Senior Medical Director
Priority Health

Sallie Prins

Senior Manager, Medicare Management
UPMC Medical Center Insurance Services Division

Amy Helwig

Vice President, Quality Improvement and Performance
UPMC Health Plan

Michael Parkinson

Senior Medical Director
Tufts Health Plan

Jonathan Harding

Senior Medical Director for Senior Products
Cigna

Christine Leo

Vice President, Senior Products
Gateway Health Plan

Adam Mintz

Vice President Sales & Marketing
Freedom Health, Optimum Health

Mital Panara

Vice President, Revenue Management
Cambia Health Solutions

Kristine Walhof

Program Director, Medicare Star Ratings
Martin's Point Health Plan

Rebekah Dube

Vice President, Senior Products
UCare

Jessica Assefa

Medicare Stars Program Manager
Cleveland Clinic

James McMahon

Senior Director, Product Development, Market and Network Services
Providence Health Assurance

Keri Steege

Medicare Compliance Officer/Director of Medicare Compliance
Providence Health Assurance & Providence Health Plan

Lisa Jensen

Director of Payment Integrity
Capital District Physicians' Health Plan, Inc.

Puneet Budhiraja ASA MAAA

Medicare / Chief Actuary
Humana

Larry Costello

Regional President, Senior Products
Aetna

Alena M. Baquet-Simpson

M.D., Senior Medical Director
Cambia Health Solutions

Kathleen Faulk

General Manager, Government Programs
Priority Health

Lawrence Kuk

Director, Network Engagement
Blue Cross Blue Shield Blue Care Network of Michigan

Nita Firestone

Director of Program Oversight & Communication
Capital District Physicians' Health Plan, Inc.

Rajesh Munjuluri ASA MAAA

Medicare Actuary
SCAN Health Plan

Donna Sutton

Healthcare Informatics, Director of Medicare Star Quality Programs
iCare-Independent Care Health Plan

Linda S. Ellis, MD, MJ, MA, VP

Chief Medical Officer
Molina Healthcare

Donovan Lemelin

Director of Operations, Medicare Pharmacy
CareMore

Piyush Gupta

Regional Medical Officer
Highmark

Daniel Weaver

Director of Programs, Government Quality

2018 AGENDA HIGHLIGHTS
Operational & Cultural Changes To Drive Innovation, Efficiency, Quality And Cost Savings
  • Creating & Building Culture & Processes for a High Performing Plan
  • How Benefit Design, Cost Shares and Pricing Can Drive Star Ratings, Quality, Risk Revenue, Retention & Sales
Alternative Payment Model Innovations
  • Pricing Transparency
  • Real-time Payments
  • Mandatory, Voluntary Episodes/Bundles
Member & Provider Engagement & Marketing Innovations
  • Maximize Opportunities to Expand Medicare and Dual Medicare Memberships With Innovative Marketing, Direct Mail, and Community Partnerships
  • Cleveland Clinic & Humana MA Partnership
  • Innovative Prescription for Wellness Program that Works
Star Ratings, Quality Assurance & Cost Effective Care
to Boost Outcomes & Increase Plan Performance
  • Population Health Innovations: Integrating Data Analytics And Medical And Behavioral Interventions
  • Partnerships to Manage High-Risk Populations
  • Preventing Readmissions: Discharge Planning & Care Transitions
  • Boosting Your Star Ratings & Other Performance Scores
  • Reducing Costs of Treating Chronic Conditions
  • Medication Adherence Measures & MTM Completion Rates Impact on Star Rating
  • Advance Care, Palliative Care and End of Life Support When It's Needed Most
Risk Adjustment Revenue Management Innovations
  • Developing a Quality/Compliance Program Under Risk Adjustment
  • RAPS/EDS, RADV & Other Operational Challenges
  • What's Working: Relevant Prospective and Retrospective Analytics to Drive Action
  • Integrating Star Ratings & Risk Adjustment
Who Should Attend:

Medicare Advantage Plans including HMOs, PPOs, ACOs, Private Fee-for-Service Plans, SNPS

CXOs, SVPs, VPs, and Senior Executives in charge of Government Programs, Medicare; Chief Medical Officers

Payment Innovations ●Product Design ● Episodes of Care ● Value-based Risk Sharing ● Operations ● Strategy ● Business Development ● Marketing ● Member Engagement ● Population Health ● Risk Adjustment ● Revenue Management ● High Risk Populations ● Star Ratings & Quality Assurance ● Provider Network Management & Contracting ●Palliative Care

Hospitals/Health Systems Serving the MA Market

Who Should Attend:

Solution Providers and Consultants Specializing in

Star Ratings & Quality Assurance ● Marketing ● Member Engagement ● Risk Adjustment ● Revenue Management ● Provider Network Management & Contracting ● Provider Engagement ● Care Management ● Non Emergency Transportation ● Medication Therapy Management ● Fraud and Abuse ● Data Analytics ● Population Health ● Behavioral Health ● Home Health ● Claims Management ● Food Nutrition Services ● Hearing Services ● Disease and Case Management

Educational Underwriter
  • Strategic Solutions Network (SSN), based in Boca Raton, FL, is the parent company of the Medicare Risk Adjustment & Revenue Management Management, Plus Quality and Star Ratings and a series of related conferences.
Supporting Organizatations
  • Strategic Solutions Network (SSN), based in Boca Raton, FL, is the parent company of the Medicare Risk Adjustment & Revenue Management Management, Plus Quality and Star Ratings and a series of related conferences.
  • Strategic Solutions Network (SSN), based in Boca Raton, FL, is the parent company of the Medicare Risk Adjustment & Revenue Management Management, Plus Quality and Star Ratings and a series of related conferences.
RAVE REVIEWS FROM
PAST SSN MEDICARE ATTENDEES: