Agenda

RaeAnn Grossman, Chief Growth Officer 

DataLink 

• An in-depth analysis of the overall CMS expectations for quality ratings in 2019/20 
• Examine the new Stars measures that will be introduced by CMS 
• Understand operational changes needed due to new measures 
• Recognize the Stars measures that have been removed and understand if you are required to collect and report data 

David S. Nilasena MD, MSPH, MS, Chief Medical Officer, Region VI 
Centers for Medicare & Medicaid Services  

• Examine tools on the market that can bridge the gap 
• Assess how supplemental benefits can help your members 
• Collaborate with community-based organizations 
• Maximize quality with patient centered homes 

Paul Cotton, Director, Federal Affairs

National Committee for Quality Assurance (NCQA)

• Attain key strategic input to formulate a Star’s plan across all touch point teams 
• Hear best practices to ensure cohesive and patient-centric quality of care  
• Obtain buy in from all teams to achieve stars quality and HEDIS scores 

Michael Clift, Director of Stars Strategy and Analytics

Cigna

Cynthia Aguglia, Medicare Stars Administrator, Quality Enhancement

CDPHP

Historically non-compliant members are the most difficult to engage, but they’re also the most critical to motivate due to their potential impact on Star ratings and the disproportionate amount of care costs they represent.

• Learn why one-size-fits-all member engagement doesn’t work and why successful programs focus where it counts
• Discover 5 proven strategies for motivating the unengaged to participate in their own care
• Hear from a health plan currently running a successful multi-year member engagement program on what works, what doesn’t and what they’ve learned in the process

Christine Gage, Sr. Program Performance Strategist

NovuHealth

Cynthia Weiss, Director of Quality, Accreditation and Wellness

AvMed Health Plans

• Recognize how a combined engagement approach increases performance while reducing abrasion.
• Examine different levels and types of communication to engage with providers
• Hear how to implement workflows to create optimal efficiency

Colleen Gianatasio, Risk Adjustment Quality and Education Program Manager

CDPHP

Frances Johnson, Director, Quality Management

Blue Cross and Blue Shield of North Carolina

• Understand how analytics and algorithms help predict member preference as it relates to how, where and when they receive care.
• Learn how unique venues like mobile health clinics can offer members greater choice and convenience in accessing important care and preventive services.
• Hear case study data that supports the strategic objectives of bridging key care gaps

Daniel Castillo, MD, MBA, Chief Medical Officer

Matrix Medical Network

Nadia Ince-Lovelace, Director, Enterprise Quality – STARS Program 

CareSource 

Vicki Schwab, Enterprise Quality Business Operations Manager 

CareSource 

• Understand how value-based care is changing the landscape for health care providers and health payers
• Make It Real: Learn how plans and providers can work together to improve quality ratings
• Hear how Providers and Plans are aligning incentives to manage the critical elements of successfully managing the shift
  
  

Kari Hadley, Senior Director, Quality Product Solutions

Pulse8

Frances Johnson, Director, Quality Management

Blue Cross and Blue Shield of North Carolina

• How to establish areas of your current quality program that can be improved in a changing landscape, regardless of plan size
• Maximize the financial loss data to increase awareness and support from higher up administration and quality team
• Tactics to establish an advanced workflow that gets the best out of your team

Jim Techtmann, SVP – Rewards & Incentive Solutions 

Entertainment CMS  

Kristen Mangum, Stars Lead - Arizona

Cigna-HealthSpring 

• Understand the complexities associated with medical record retrieval for HEDIS
• Gain tips for managing your HEDIS retrieval projects as smoothly as possible

Eugenia Ross, Senior Vice President of Strategy, Product & Marketing  

Ciox Health  

• Hear from the experts of your current budget and staff allocations will support the changes in these measures
• Understand which operational changes may be needed in advance of the introduction of the measures
• Explore technology solutions that can advance your current operation
   

Gary Melis, Clinical Pharmacist 

Network Health 

• Strategies to align physician incentives with health plan efforts to improve patient outcomes  
• Understand how the role of physician incentives can improve HEDIS quality measure performance 
• Create incentive-based contracts that can be used to reinforce the desired outcome
  
  

Michael Clift, Director of Stars Strategy and Analytics

Cigna

Kristen Mangum, Stars Lead - Arizona

Cigna-HealthSpring

Melanie Richey, Vice President, Clinical Solutions

Centauri Health Solutions

• Strategies to reinforce quality of care for the member throughout all touchpoints  
• Maximize patient education, understanding, communication & engagement as the key driver of success 
• Strategies for supporting SDOH to increase quality of care
• Utilize an equity lens to close gaps in care
  
  

Moderator:

Ana Handshuh, Principal

Cat 5

Speakers:

Jennifer Hawkins, Director, Health Plan Quality Assurance

CareOregon

Melanie Weir, Project Principal 

SCAN Health Plan