Past Agenda

The Value of Integrating Quality throughout the Health Plan

Track A

AUGUSTUS BALLROOM III & IV, EMPERORS LEVEL 

• Identify and implement new ways to increase buy-in and raise engagement from stakeholders from across the entire health plan
• Recognize and address common pitfalls where fragmented teams and systems can undermine quality program effectiveness
• Understand innovative strategies for implementing a cohesive culture of quality awareness to improve member experience and program results

Karrie Baker, Manager, HEDIS
Premera Blue Cross

Ashley McNairy, MA, PMC IV, Product Director
Cotiviti, Inc.

Why an Early Prospective HEDIS Review is Critical to Your Success in 2022

Track B

AUGUSTUS BALLROOM V, EMPERORS LEVEL 

• Create supplemental administrative data for missing numerator events found in the chart for both hybrid and administrative measures
• Achieve a higher starting rate for hybrid measures, allowing you to focus resources on the highest-burden measures during the HEDIS reporting season
• Identify members and providers to target for outreach
• Focus on problematic providers that may require special outreach during the NCQA HEDIS project

Elissa Toder, VP of Quality Improvement Strategies
Reveleer

Jessica Columbus, LVN, CCS-P, CRC, CPHQ, AVP, STARs & Risk Adjustment
Apex Health

Claudeen Barber, Director, Clinical Operations, Quality
Ascension Care Management

Maximize Synergies Between Risk Adjustment and Quality

Track A

AUGUSTUS BALLROOM III & IV, EMPERORS LEVEL 

• Examine strategies and best practices for partnering to review risk areas and care gaps to meet joint goals, including the use of SDoH indicators
• Improve efficiency and reduce provider abrasion by reducing overlap in record requests and other touchpoints through digital retrieval
• Describe successful approaches to staff training to enhance interdepartmental alignment

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

Kristy Smith, HEDIS Program Manager
Martin's Point

Lyle Mioduszewski, RN, Vice President, Population Health
Ciox Health

Panel: From Acting to Impacting: Marrying Value-Based Care with Population Health Management to Improve Quality Performance

Track B

AUGUSTUS BALLROOM V, EMPERORS LEVEL 

• Understand a provider’s perspective in a value-based ecosystem
• Explore how to build trust with providers and payers through data completeness
• Create an environment and technical infrastructure to engender payer/provider partnership in care
• Examine the positive impact of effective VBC programs, patients, providers, and payers

Moderator:
Michael Curran, Vice President, Product Management
CitiusTech

Panelists:
Anna Kay, Executive Director
inVio Health Network

Cherie Shortridge, VP Government Programs Practice (Stars & Compliance)
FluidEdge Consulting

Panel: Innovative Strategies to Raise Satisfaction and Improve Quality for Part D Measures

Track A

AUGUSTUS BALLROOM III & IV, EMPERORS LEVEL 

• Recognize the impact of pharmacy on member experience
• Learn the latest techniques for keeping pharmacy top-of-mind within your organization and with your members
• Describe ways to address inequities and disparities in care to improve health outcomes and member satisfaction

Moderator
Jill Strassler, VP Solutions Management
Pulse8

Panelists
Micah Cost, PharmD, MS, Chief Executive Officer
Pharmacy Quality Alliance

Dr. Robert LoNigro, HCP-IPA  
President, HealthCare Partners, MSO
EVP Health Care Operations, HealthCare Partners, IPA

Holly Zorz, Team Lead Medicare, Quality improvement
Paramount Health Care

Improve Star Ratings by Transforming Member Feedback into Actionable Insights

Track B

AUGUSTUS BALLROOM V, EMPERORS LEVEL 

• Explain the growing importance of the member experience as it relates to Star Ratings
• Identify common characteristics of organizations that deliver positive experiences for their members, including driving trust and building change through compassion
• Use the Voice of the Member to capture signals and leveraging insights to drive actionable change across your organization in real time

Rex Wallace, Principal
Rex Wallace Consulting, LLC

Toni Land, MBA, BSN, CPXP, Solutions Principal & Head of Healthcare Experience
Medallia

Panel: Measuring Quality Outcomes in Benefit Design

Track A

AUGUSTUS BALLROOM III & IV, EMPERORS LEVEL 

• Describe why—and how—to communicate benefits to connect members with interventions to improve quality
• Discuss the intersection of quality and plan benefits such as hearing, nutrition, transportation, dental, OTCs, therapeutic massage, and more
• Share quality program results inside—and outside—of your plan

Moderator:
David Larsen, Payer Solutions Senior Advisor
Press Ganey

Panelists:
Elizabeth Strachota Benz, Vice President Quality and Clinical Integration
Network Health

Ana Handshuh, Principal
Cat5 Strategies

Spotlight of Innovation: Smart Annual Exam

Track B

AUGUSTUS BALLROOM V, EMPERORS LEVEL 

• Discover the benefits of an EHR-agnostic, value-based care-targeted annual exam
• Describe the importance of the underlying data connectivity and analytics to the success of this workflow
• Explore how prospective workflows help reduce reliance on retrospective review

Kacey Serrano, Director, Medicare Stars and Risk Adjustment
Arkansas Blue Cross Blue Shield

Josh Hetler, Executive VP, Product Strategy
DataLink Software

Spotlight on Innovation: Food as a Trojan Horse to Quality Improvement

Track A

AUGUSTUS BALLROOM III & IV, EMPERORS LEVEL 

• Explore how a national MA plan took an innovative approach to addressing both quality and health equity
• Discover how to innovate, test new interventions and measure success (outside of ROI), as a path to product development
• Hear a short case study of an individual member journey, showing exceptional overall member experience, improved outcomes and behavior change
• Learn how a health plan can offer Whole Person Health programs anchored by food (QIA, SSBCI, R&I, VBID, SNP MOC)

Moderator:
Rex Wallace, Principal
Rex Wallace Consulting, LLC

Panelists:
Lauren Driscoll, Founder and CEO
NourishedRx

Emily McGrath, Associate Director, Population Health
Humana

Some Assembly Required: Avoiding Unpleasant Surprises on the Path to Digital Measures

Track B

AUGUSTUS BALLROOM V, EMPERORS LEVEL 

• Take away tips for avoiding digital measure hiccups with CCDs, unstructured data, searches, and more
• Learn how to navigate holes in the digital measure portfolio
• Avoid setting your pants on FHIR

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

Panelists:
Brent Zenobia, Ph.D., Chief Strategist
Novillus

Katharine Iskrant, Practice Leader
Healthy People, Inc

Closing Remarks

Track A

AUGUSTUS BALLROOM III & IV, EMPERORS LEVEL 

Ana Handshuh, Principal
Cat5 Strategies

Closing Remarks

Track B

AUGUSTUS BALLROOM V, EMPERORS LEVEL 

Rachael Jones, Senior Vice President, Performance Analytics & Quality
Cotiviti