Medicare Advantage Leadership Innovations brings together leaders from the nation’s top MA plans to share Best Practice strategies and results plan-wide. Position your MA plan to quickly respond to evolving regulatory mandates, combat challenges from market disruptors, harness technology innovations while ensuring quality care and controlling costs. The all new content focuses on the 6 pillars of building a top quality, high performing MA plan:

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    1. Industry Firsts: Top Quality Innovations to Boost Plan Performance

  • Person-Centric Value-based MA Models Focused on Core Benefit Design, Healthy Members and Communities
  • The Business Case for Population Health: How Humana Integrates Social Determinants of Health to Reduce Costs, Boost Quality of Care and Enhance Member Experience
  • Quality Innovations for Special Needs Plans – All SNPs: CSNPs, DSNPs, ISNPs
  • Palliative Care & The Hospice Carve-in: Evaluating Unrealistic Expenses, Ensuring Data Transparency, & Improving Care Coordination
  • How In-Home Care Can Reduce Hospital Readmissions and ER Visits
  • “And the Winner Is…” An Awards Presentation for 2020’s Best Performers in Open Enrollment and Benefit Innovations

    • 2. New Product Development – Supplemental Benefits Including Social Determinants of Health (SDoH) and Flexible Benefits in the New Value–Based Care Environment

  • What Consumers Want from Value-adds and (New) Supplemental Benefits
  • Flexible Benefits: Targeting the Right Customers With the Most Relevant Benefits
  • Panel Discussion: Social Determinants of Health -- Focus On Implementation & ROI
  • Integrating Part B Office Administered Medications with Retail Pharmacy Benefits Using Prior Authorization – Plus Preparing for Rebates

    • 3. Boosting Plan Performance Measures: STARS, HEDIS and More

  • Reaching for the Stars: Impacting Performance Ratings for Leaders
  • Integrating Product Development, Member Engagement & Stars to Boost Plan Performance
  • Panel Discussion: Building a 5 Star, Top Quality HEDIS Plan: Top 3 Secret Success Ingredients
  • Cross-Functional Stars Improvement: Moving Beyond Clinical Measures to CAHPS, HOS and Operational Measures

    • 4. Harnessing Technology Innovations to Cut Costs and Drive Quality of Care and Member Satisfaction

  • Telemedicine to Reduce Readmissions and ER Visits
  • 360 Degree MA Plan Integration – Technology & Teamwork

    • 5. Provider and Member Engagement & Incentives

  • Gain Share Risk Model Linked to Quality -- Value Based Contracting, Alternative Payment Model
  • Panel Discussion: Data Sharing Initiatives, Interoperability and Success Stories
  • Engaging Members through Onboarding and Voice of Customer Program

    • 6. Operational Strategies and Tools that Drive Plan Performance

  • Compliance Training in Action: Using Learned Leadership Tools to Affect Positive Change
  • Integrating Risk Adjustment Objectives Plan-Wide: Ensuring Accurate and Meaningful Data Capture, Maximizing Provider Engagement and Understanding Risk Adjustment and Revenue Reconciliation

2020 ALL-STAR SPEAKERS
Faegre Baker Daniels Consulting

Michael S. Adelberg

Principal & Lead, Healthcare Strategy Practice,
Formerly, Director of Medicare Advantage Operations, CMS
Humana

Caraline Coats

Vice President, Bold Goal & Population Health Strategy
SCAN Health Plan

Archie Dey

Director of Customer Experience Insights
Blue Shield of California

Torrie Fields, MPH

Senior Manager, Advanced Illness & Palliative Care, Healthcare Quality & Affordability
UCare

Gregory A. Hanley, FACHE, CPHQ

Vice President, Quality Management & Pharmacy
Oscar Health

Amanda Hazer

Director of Population Health
Oscar Health Insurance

Kurt R. Herzer, MD, PhD, MSc

Director of Population Health
American Telemedicine Association

Megan S. Herber

Director, Faegre Baker Daniels Consulting, Policy Consultant
Harvard Pilgrim Health Care

Noreen Hurley

Program Manager, Star Quality & Performance
SummaCare Health Plan

Tracy Jones

Senior Compliance Coordinator
Cigna

Christine Leo

Vice President, Senior Products
Network Health

Gary Melis

Clinical Pharmacist
UnitedHealthcare

Kevin Moore

Vice President, Policy – Health and Human Services
UPMC Health Plan

Angela Perri

Vice President, Strategic Alignment, Transformation & Consumer Innovation, (Business Transformation Office)
Martin’s Point Health Care

Dawn Peterson

Director of Risk Adjustment
Health Alliance Plan (HAP)

Lori Rund

Vice President, Product Management & Market Intelligence
Health New England

Amy Sepko

Medicare Program Manager
Capital District Physicians’ Health Plan

Michael Spicer

Director of Product Innovation & Research
Clover Health

Khoi Ta

Associate General Counsel
Health Alliance Medical Plan

Randy Walker

Vice President, Provider Network Management & Partnerships
Gateway Health

Dan Weaver

Vice President, Gateway Health Formerly Director of Program Management, Government Business, Quality Improvement, Highmark
2020 Educational Underwriters
  • 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.
  • 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.
Supporting Organizations
  • 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.
  • 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
Delegates!
Who Should Attend:

Medicare Advantage Plans including HMOs, PPOs, ACOs, Provider Sponsored 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

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

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