Past Agenda

Tuesday - June 28, 2022

11:00 AM 12:00 PM

10:00 AM 11:00 AM

9:00 AM 10:00 AM

8:00 AM 9:00 AM

Registration Desk Opens and Networking Breakfast

AUGUSTUS BALLROOM I & II, EMPERORS LEVEL 

11:00 AM 9:15 PM

10:00 AM 8:15 PM

9:00 AM 7:15 PM

8:00 AM 6:15 PM

Exhibit Hall Opens

AUGUSTUS BALLROOM I & II, EMPERORS LEVEL 

12:00 PM 12:10 PM

11:00 AM 11:10 AM

10:00 AM 10:10 AM

9:00 AM 9:10 AM

Welcome Remarks

AUGUSTUS BALLROOM III & IV, EMPERORS LEVEL 

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

12:10 PM 12:50 PM

11:10 AM 11:50 AM

10:10 AM 10:50 AM

9:10 AM 9:50 AM

Keynote Address: The Future of HEDIS and Stars—and How to Get Ready Now

AUGUSTUS BALLROOM III & IV, EMPERORS LEVEL 

• Recognize opportunities for data management
• Improve your plan’s HEDIS best practices
• Prepare for Electronic Clinical Data System (ECDS) measures

Katharine Iskrant, Practice Leader
Healthy People, Inc.

David Meyer, Principal
RISE Policy Committee Member

12:50 PM 1:50 PM

11:50 AM 12:50 PM

10:50 AM 11:50 AM

9:50 AM 10:50 AM

Fireside Chat: Quality and the Pursuit of Health Equity

AUGUSTUS BALLROOM III & IV, EMPERORS LEVEL 

Moderator:
Ana Handshuh, Principal
Cat5 Strategies

Panelists:
Frank Micciche, Vice President of Public Policy and External Relations
NCQA

Ashby Wolfe, MD, MPP, MPH, Regional Chief Medical Officer
Centers for Medicare & Medicaid Services

1:50 PM 2:00 PM

12:50 PM 1:00 PM

11:50 AM 12:00 PM

10:50 AM 11:00 AM

Tools & Technology Spotlight

AUGUSTUS BALLROOM III & IV, EMPERORS LEVEL 

Leading service providers will showcase their offerings in a quick-pitch setting. Evaluate the latest and greatest tech tools to bring back to your organization.

Shining a New Lens on Prospective Activities

Jenna Fitcher, Director, Product Management, Quality
Vital Data Technologies

2:00 PM 2:20 PM

1:00 PM 1:20 PM

12:00 PM 12:20 PM

11:00 AM 11:20 AM

Networking Break

AUGUSTUS BALLROOM I & II, EMPERORS LEVEL 

2:20 PM 3:00 PM

1:20 PM 2:00 PM

12:20 PM 1:00 PM

11:20 AM 12:00 PM

Hot Topic: Contemporary Approaches to Improving Member Engagement

AUGUSTUS BALLROOM III & IV, EMPERORS LEVEL 

• Learn how to create holistic integrated customer engagement strategies, prevent disenrollment, and take advantage of creative new retention strategies
• Find out the latest ideas for reaching and delighting your members where they are at, leading to improved satisfaction and health outcomes
• Leverage vendor relationships to do more and think outside the box of traditional gap closure

Jenn Kerfoot, Chief Experience Officer
FarmboxRx

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

3:00 PM 3:10 PM

2:00 PM 2:10 PM

1:00 PM 1:10 PM

12:00 PM 12:10 PM

Tools & Technology Spotlights

AUGUSTUS BALLROOM III & IV, EMPERORS LEVEL 

Leading service providers will showcase their offerings in a quick-pitch setting. Evaluate the latest and greatest tech tools to bring back to your organization.

Modernizing Member Engagement and Experience

Kent Holdcroft, Chief Growth Officer 
Healthmine

3:10 PM 4:20 PM

2:10 PM 3:20 PM

1:10 PM 2:20 PM

12:10 PM 1:20 PM

Networking Lunch

AUGUSTUS BALLROOM I & II, EMPERORS LEVEL 

Concurrent Sessions 4:20 PM - 5:00 PM 3:20 PM - 4:00 PM 2:20 PM - 3:00 PM 1:20 PM - 2:00 PM

4:20 PM 5:00 PM

3:20 PM 4:00 PM

2:20 PM 3:00 PM

1:20 PM 2:00 PM

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.

4:20 PM 5:00 PM

3:20 PM 4:00 PM

2:20 PM 3:00 PM

1:20 PM 2:00 PM

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

 

Concurrent Sessions 5:00 PM - 5:40 PM 4:00 PM - 4:40 PM 3:00 PM - 3:40 PM 2:00 PM - 2:40 PM

5:00 PM 5:40 PM

4:00 PM 4:40 PM

3:00 PM 3:40 PM

2:00 PM 2:40 PM

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

5:00 PM 5:40 PM

4:00 PM 4:40 PM

3:00 PM 3:40 PM

2:00 PM 2:40 PM

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

5:40 PM 6:00 PM

4:40 PM 5:00 PM

3:40 PM 4:00 PM

2:40 PM 3:00 PM

Networking Break

AUGUSTUS BALLROOM I & II, EMPERORS LEVEL 

Concurrent Sessions 6:00 PM - 6:40 PM 5:00 PM - 5:40 PM 4:00 PM - 4:40 PM 3:00 PM - 3:40 PM

6:00 PM 6:40 PM

5:00 PM 5:40 PM

4:00 PM 4:40 PM

3:00 PM 3:40 PM

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

6:00 PM 6:40 PM

5:00 PM 5:40 PM

4:00 PM 4:40 PM

3:00 PM 3:40 PM

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

Concurrent Sessions 6:40 PM - 7:20 PM 5:40 PM - 6:20 PM 4:40 PM - 5:20 PM 3:40 PM - 4:20 PM

6:40 PM 7:20 PM

5:40 PM 6:20 PM

4:40 PM 5:20 PM

3:40 PM 4:20 PM

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

6:40 PM 7:20 PM

5:40 PM 6:20 PM

4:40 PM 5:20 PM

3:40 PM 4:20 PM

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

Concurrent Sessions 7:20 PM - 8:00 PM 6:20 PM - 7:00 PM 5:20 PM - 6:00 PM 4:20 PM - 5:00 PM

7:20 PM 8:00 PM

6:20 PM 7:00 PM

5:20 PM 6:00 PM

4:20 PM 5:00 PM

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

7:20 PM 8:00 PM

6:20 PM 7:00 PM

5:20 PM 6:00 PM

4:20 PM 5:00 PM

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

 

Concurrent Sessions 8:00 PM - 8:15 PM 7:00 PM - 7:15 PM 6:00 PM - 6:15 PM 5:00 PM - 5:15 PM

8:00 PM 8:15 PM

7:00 PM 7:15 PM

6:00 PM 6:15 PM

5:00 PM 5:15 PM

Closing Remarks

Track A

AUGUSTUS BALLROOM III & IV, EMPERORS LEVEL 

Ana Handshuh, Principal
Cat5 Strategies

8:00 PM 8:15 PM

7:00 PM 7:15 PM

6:00 PM 6:15 PM

5:00 PM 5:15 PM

Closing Remarks

Track B

AUGUSTUS BALLROOM V, EMPERORS LEVEL 

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

8:15 PM 9:15 PM

7:15 PM 8:15 PM

6:15 PM 7:15 PM

5:15 PM 6:15 PM

Networking Cocktail Reception

AUGUSTUS BALLROOM I & II, EMPERORS LEVEL 

Wednesday - June 29, 2022

10:45 AM 11:45 AM

9:45 AM 10:45 AM

8:45 AM 9:45 AM

7:45 AM 8:45 AM

Registration Desk Opens and Networking Breakfast

AUGUSTUS BALLROOM I & II, EMPERORS LEVEL 

10:45 AM 4:30 PM

9:45 AM 3:30 PM

8:45 AM 2:30 PM

7:45 AM 1:30 PM

Exhibit Hall Opens

AUGUSTUS BALLROOM I & II, EMPERORS LEVEL 

11:00 AM 11:40 AM

10:00 AM 10:40 AM

9:00 AM 9:40 AM

8:00 AM 8:40 AM

Special Breakfast Session: Rising Stars Video Podcast Production

AUGUSTUS BALLROOM III & IV, EMPERORS LEVEL 

• Participate in an engaging conversation with two customer experience executives about how they leverage structure, governance, and analytics to be more customer-centric
• Explore the parts of the journey that most impact whether your members stay with your plan or leave
• Discuss the unique retention and experience headwinds facing plans that are expanding into new markets

Rex Wallace, Principal
Rex Wallace Consulting, LLC

Blake Amos, Customer Retention and Experience Director
Cigna

Archie Dey, Director of Consumer Experience and Insights
SCAN Health Plan

Mick Twomey, Chief Executive Officer
Hyperlift

11:45 AM 12:00 PM

10:45 AM 11:00 AM

9:45 AM 10:00 AM

8:45 AM 9:00 AM

Welcome Remarks

AUGUSTUS BALLROOM III & IV, EMPERORS LEVEL 

Ana Handshuh, Principal
Cat5 Strategies

12:00 PM 12:40 PM

11:00 AM 11:40 AM

10:00 AM 10:40 AM

9:00 AM 9:40 AM

A Member-Centric Approach to Prevention and Quality

AUGUSTUS BALLROOM III & IV, EMPERORS LEVEL 

• Recognize how to keep your focus on patient care and member satisfaction in an ever-changing pandemic environment
• Use member-friendly health and diagnostic solutions to identify disease risk at earlier stages
• Describe effective coordination of post-intervention care across both traditional provider landscape and health plan programs and resources

Thomas Dowdle, Director Quality Improvement and PHM Oversight
Cigna

Addison Giannini, Senior Vice President, Payor Solutions
BioIQ

Robert Mordkin, MD, FACS, Chief Medical Officer
LetsGetChecked

12:40 PM 1:20 PM

11:40 AM 12:20 PM

10:40 AM 11:20 AM

9:40 AM 10:20 AM

Panel Discussion: Effective Engagement Strategies for Clinicians and Clinical Leadership

AUGUSTUS BALLROOM III & IV, EMPERORS LEVEL 

• Consider new ways to lead, influence, and work with providers to get results in both integrated and non-integrated networks
• Overcome barriers to engage physicians and drive performance with a purpose organization at stake
• Consider innovative new frameworks for provider engagement and deploy emotional intelligence to optimize results

Moderator:
Ryan Dodson, Risk Adjustment Provider Liaison
Choice Medical Group

Panelists:
Jatin Dave, MD, MPH, Chief Medical Officer, MassHealth
Director, Office of Clinical Affairs, Commonwealth Medicine

Noris Reyes, Chief Operating Officer
PrimeHealth Physicians

1:20 PM 1:40 PM

12:20 PM 12:40 PM

11:20 AM 11:40 AM

10:20 AM 10:40 AM

Networking Break

AUGUSTUS BALLROOM I & II, EMPERORS LEVEL 

1:40 PM 2:20 PM

12:40 PM 1:20 PM

11:40 AM 12:20 PM

10:40 AM 11:20 AM

Do You Know Who Your Veterans Are? Leveraging VA Charts for Quality Improvement

AUGUSTUS BALLROOM III & IV, EMPERORS LEVEL 

• Get to know your Medicare Advantage veterans
• Discover the value of documenting VA care
• Understand military service as a Social Determinant of Health

Sean Libby, President
BeneLynk

Kacey L. Serrano, MPA, CPC, CRC, Director, Medicare Stars and Risk Adjustment
Arkansas Blue Cross and Blue Shield

Jason Sloan, VP, Medicare Advantage Stars and Risk Programs
BlueCross BlueShield of South Carolina

2:20 PM 2:50 PM

1:20 PM 1:50 PM

12:20 PM 12:50 PM

11:20 AM 11:50 AM

What Members Want: Data and Insights on What Drives Member Engagement

AUGUSTUS BALLROOM III & IV, EMPERORS LEVEL 

• Bridge the trust gap to foster credibility and increase member participation
• Incorporate the right clinical and educational messaging to establish value
• Utilize member data to tailor communications and create a more personal experience

Jeremy Stone, Senior VP, Population Health Solutions
Everly Health

Luis A. Cerda, Star Ratings Consultant
Rex Wallace Consulting, LLC

2:50 PM 3:30 PM

1:50 PM 2:30 PM

12:50 PM 1:30 PM

11:50 AM 12:30 PM

Race and Ethnicity Data Strategies

AUGUSTUS BALLROOM III & IV, EMPERORS LEVEL 

• Examine strategies and best practices for obtaining direct and indirect race and ethnicity data for use in Health Equity reporting
• Discuss benchmarking for completeness and first-year measure strategies
• Describe successful approaches to race and ethnicity data enrichment

Courtney Breece, Associate Vice President, Payer Products, Analytics
Inovalon

Jenice James, Senior Manager, Product
Inovalon

Michel Faust, Director of Performance Improvement
Presbyterian Health Plan

3:30 PM 4:30 PM

2:30 PM 3:30 PM

1:30 PM 2:30 PM

12:30 PM 1:30 PM

Networking Lunch

AUGUSTUS BALLROOM I & II, EMPERORS LEVEL 

4:30 PM 5:10 PM

3:30 PM 4:10 PM

2:30 PM 3:10 PM

1:30 PM 2:10 PM

Deep Dive: Get to Know the New and Revised Quality Measures

AUGUSTUS BALLROOM III & IV, EMPERORS LEVEL 

• Describe new measures related to transitions of care and follow-up after ED visits
• Recognize how to identify gaps for revamped readmissions measures
• Understand the latest revisions to quality measures such as diabetes nephropathy and more

Melissa Smith, EVP Consulting and Professional Services
Healthmine

Alyson Spencer, Sr. Director, Clinical Quality
Blue Shield of California

5:10 PM 5:50 PM

4:10 PM 4:50 PM

3:10 PM 3:50 PM

2:10 PM 2:50 PM

Panel: Data-driven Approaches to Social Determinants of Health

AUGUSTUS BALLROOM III & IV, EMPERORS LEVEL 

• Discuss the challenges involved in interoperability and sharing data across entities and collecting it from multiple sources—and how to mitigate them
• Describe tested techniques for using data to tailor services and remove barriers
• Utilize data to identify at-risk members and customize interventions to improve quality outcomes

Moderator
Carissa Stajnrajh, Vice President of Clinical Strategy
Insightin Health

Panelists
Amber Smits, Quality Revenue and Health Equity Program Manager
Network Health

Anne Davis, VP of Government Markets & Strategy
Wellth

Phil Harker, Chief Growth Officer
SameSky Health

Marlene McIntyre, VP, Quality Solutions Government Services
Change Healthcare

5:50 PM 6:00 PM

4:50 PM 5:00 PM

3:50 PM 4:00 PM

2:50 PM 3:00 PM

Closing Remarks

AUGUSTUS BALLROOM III & IV, EMPERORS LEVEL 

Ana Handshuh, Principal
Cat5 Strategies