Agenda

September 21, 2021

8:00AM – 9:00AM CT
Conference Registration Desk Opens and Networking Breakfast
8:00AM – 6:00PM CT
Exhibit Hall Opens

9:00AM – 10:45AM CT

Pre-Conference Workshop: Candid Conversations: Understand the Link Between Product Design, Quality Measures and Risk Adjustment

• Reflect on the impact of quality measures and risk adjustment on product design and adjust your approach
• Learn best practices and lessons learned from virtual healthcare and supplemental benefits and discuss future approaches
• Discuss how ongoing risk adjustment activities contribute to revenue projections and how being more risk averse will bring long-term success and profitability
• Explore how to successfully manage risk for the identified high-risk patients through design features that target outreach and remote patient monitoring
• Asses the demographic makeup of your membership as it relates to adverse risk selection

Dr. Shannon Decker, M.Ed., MBA, PhD., Vice President, Clinical Performance
Brown & Toland Physicians

Sion Hughes, Consultant, Market and Provider Strategy
Wakely Consulting Group, LLC

10:45AM – 11:00AM CT
Networking Break

11:00AM – 11:10AM CT

Chairperson Welcome Remarks

Dr. Shannon Decker, M.Ed., MBA, PhD., Vice President, Clinical Performance
Brown & Toland Physicians

11:10AM – 12:00PM CT

Keynote Panel Discussion: Stay Agile and Find Opportunity as Healthcare Evolves

• Hear from health plans on best practices to stay flexible and find opportunity amid uncertainty
• Assess the impact of the new administration on the future of Medicare product and how to prepare
• Explore ways to disrupt your market and cause change

Moderator:
Dr. Shannon Decker, M.Ed., MBA, PhD., Vice President, Clinical Performance
Brown & Toland Physicians

Panelists:
Naomi Irvin, Chief of Staff – Government Markets
Blue Cross NC

Hank Osowski, Managing Partner
Strategic Health Group

12:00PM – 12:45PM CT

Part D Disruption and the Impact on Product Design

• Deep dive into results and lessons learned from regulatory changes to Part D including the senior savings model
• Discuss how to tackle the increasing costs of the Specialty Drug pipeline how the new administration will address drug pricing and the impact on health plans
• Learn tips for a crafting a successful formulary design to attract members and meet your budget

Rajesh Munjuluri, Medicare Actuary
Capital District Physicians Health Plan (CDPHP)

Danica Holliston, Medicare Product Manager
Regence BCBS

12:45PM – 1:45PM CT
Networking Lunch

1:45PM – 2:30PM CT

Part C Regulatory Changes: Response Strategy & Lessons Learned

• Explore regulatory changes to Part C and the impact for health plans
• Discuss challenges of the CHRONIC Care Act and how health plans are responding through innovative benefit offerings
• Gain insight into CMS policy regulations in response to COVID-19 and how it can be a catalyst for future changes to MA

Andy Higgins, Director, Product Development, Senior Markets
Highmark, Inc

Ana Handshuh, Principal
CAT5 Strategies
Chair
RISE Revenue & Quality Community

2:30PM – 3:15PM CT

Panel Discussion: Develop a Benefit Design to Attract, Differentiate & Increase Profitability

• Select a benefit design to meet your goals, exceed member expectations and increase profitability, market penetration and enrollments
• Understand regional differences and what to consider when considering market expansion
• Explore if value-based contracts are a viable approach to increase revenue and determine your approach

Moderator:
Hank Osowski, Managing Partner
Strategic Health Group

Panelists:

Michael Parker, Chief Operating Officer
NationsBenefits

Andy Higgins, Director, Product Development, Senior Markets
Highmark, Inc

Scott Malan, Director, Product Development
Trinity Health

3:15PM – 3:35PM CT
Networking Break

3:35PM – 4:20PM CT

Design a Winning Supplemental Benefits Strategy

• Hear from plans on innovative approaches to impact membership and determine your approach to differentiate yourself from the competition
• Understand the key differences and tradeoffs in supplement benefit options to tailor your strategy to improve health outcomes and reduce the cost of care
• Learn best practices for vendor selection and strategies to structure and manage the contracting process with ease

Rebecca Ballou, Regional Sales Leader, Southeast Region
Amplifon Hearing Health Care

Tom Pelegrin, Senior Vice President & Chief Revenue Officer
Convey Health Solutions

4:20PM – 5:05PM CT

Developing a Data Framework for Evaluating Supplemental Benefit Efficacy

  • Learn how innovative supplemental benefit solutions providers continue to drive significant growth in the Medicare Advantage market
  • Review what ideal payer-vendor data sharing frameworks and continuous efficacy measurement programs look like
  • Discover how payers and vendors can work together to measure efficacy, iterate, and optimize benefit design
  • Learn how the industry can advance from selling ROI to validating ROI longitudinally

Sion Hughes, Consultant, Market and Provider Strategy
Wakely Consulting Group, LLC

Tim Murray, FSA, MAAA, Director and Senior Consulting Actuary
Wakely Consulting Group, LLC.

Ellen Rudy, Ph.D., VP Health and Social Impact
Papa

5:05PM – 5:15PM CT

Chairperson Closing Remarks

Dr. Shannon Decker, M.Ed., MBA, PhD., Vice President, Clinical Performance
Brown & Toland Physicians

5:15PM – 6:15PM CT
Networking Cocktail Reception

September 22, 2021

8:00AM – 9:00AM CT
Registration Desk Opens and Networking Breakfast
8:00AM – 1:35PM CT
Exhibit Hall Opens

9:00AM – 9:10AM CT

Welcome Remarks and Day One Takeaways

Dr. Shannon Decker, M.Ed., MBA, PhD., Vice President, Clinical Performance
Brown & Toland Physicians

9:10AM – 10:00 AM CT

Panel Discussion: The Impact of COVID-19 on The Future of Product Design

• Discuss how COVID-19 forever altered the benefits framework and what it means for the future of product design
• Hear best practices and lessons learned from health plans on innovative approaches offered during the disruption of care in 2020
• Assess how benefit structures will be modified by post pandemic care including remote monitoring, virtual healthcare and beyond

Moderator:
Rafael Gonzalez, Esq., Partner
Cattie & Gonzalez, PLLC

Panelists:
Hannah Neylon, Manager, Government Products and Relations
Network Health

Daniel Hounchell, Vice President, Product Management, Health Plans
Dean Health Plan, Inc

10:00AM – 10:45AM CT

Develop an Effective Roadmap for Virtual Care

  • Discuss lessons and potential changes on telehealth flexibilities to build a successful cost-effective telehealth plan for members
  • Explore ways to incentivize providers and tailor your telehealth strategy to gain a competitive edge
  • Learn from health plans on success strategies to virtually engage different generations and close the technology gap

Bahar Sedarati, MD.,CPE, Lead Medical Director, Clinical Performance & Operation, Pacific Desert Region & Physician Advisor, Enterprise Virtual health
Humana

Dr. Shannon Decker, M.Ed., MBA, PhD., Vice President, Clinical Performance
Brown & Toland Physicians

10:45AM – 11:05AM CT
Networking Break

11:05AM – 11:50AM CT

Build Customer Loyalty to Improve Enrollment & Retention

• Identify key product offerings, communication outreach strategies to improve member satisfaction
• Discuss how to authentically engage members and tips to build customer loyalty and increase retention
• Understand the complexity of operationalizing give backs and what to consider before integration

Naomi Irvin, Chief of Staff – Government Markets
Blue Cross NC

11:50AM – 12:35PM CT

Invest in Digital Tools to Gain a Competitive Edge

• Measure the degree of changes required to drive enrollment and simulate the impact of benefits design changes in real-time
• Quantify the influence of Benefit Design, Provider Networks, & Marketing against consumer selection
• Discuss how to balance costs across key supplemental and mandatory benefits
• Derive results from data science for more informed decisions while filing bids

Jereme Ayers, Chief Growth Officer
HealthworksAI

Anirudh Bhutani, Lead Data Scientist
HealthworksAI

12:35PM – 1:35PM CT
Networking Lunch

1:35PM – 2:20PM CT

Panel Discussion: Best Practices for the Inclusion of ESRD Population

Moderator:
Stuart Levine, MD MHA, Operating Partner
Chicago Pacific Founders

Panelists:
Stephanie Templeton, MBA, RD, LDN, Clinical Programs Senior Advisor
Cigna Medicare Advantage

Ryan Davis, Medicare Market & Operations, Senior Manager
Centene Corporation

2:20PM – 3:05PM CT

Panel Discussion: Close Gaps in Care with a Social Determinants of Health Approach

• Understand the benefits and challenges of incorporating a successful social determinants of health approach into your plan design to determine your strategy
• Hear from health plans on evaluation strategies to prove the value and profitability of a social determinants of health approach
• Learn best practices for preventative care and how to leverage community partnerships to close gaps in care

Moderator:

Ana Handshuh, Principal
CAT5 Strategies
Chair
RISE Revenue & Quality Community

Panelists:
Jessica Kinowski, MPH, Clinical Program Senior Advisor
Cigna Medicare - Clinical Program Management Team

Jessica Sanders, Manager and Government Programs Product Consultant
Blue Cross Blue Cross Blue Shield of Michigan

3:05PM – 3:50PM CT

Panel Discussion: Effectively Integrate Behavioral Health into Your Product Design

• Hear from health plans on innovative approaches to address behavioral health to meet members’ needs including telehealth alternatives
• Discuss the challenges of incorporating behavioral health into your product design and tips for effective integration
• Learn how to effectively promote mental health to your enrollees

Moderator:
Hans Wiik, FACHE, MPH, RPh, President
Hans Wiik Health Group, LLC

Panelists:
Stuart Levine, MD MHA, Operating Partner
Chicago Pacific Founders

Ryan Davis, Medicare Market & Operations, Senior Manager
Centene Corporation

3:50PM – 4:00PM CT

Chairperson Closing Remarks

Dr. Shannon Decker, M.Ed., MBA, PhD., Vice President, Clinical Performance
Brown & Toland Physicians

4:00PM CT
Close of Conference