Rise

Welcome Remarks

Dr. Shannon Decker, PhD, MBA, MBA, M.Ed., M.Ed, Principal,
VBC One

Analyze CMS Changes Impacting Special Needs Plans

• Explore the impact of CMS changes to risk adjustment coding on special needs plans membership with higher risk scores 
• Discuss HCC codes that have been removed and added to calculate which are most impactful to SNPS membership 
• Analyze how CMS adjustments to RADV audit extrapolation could filter through to SNPS plans 
• Assess CMS changes to the Model of Care and how we must adapt to ensure accuracy 
• Assess the changes to the Health Risk Assessment and HEDIS requirement focused on SDoH 

Will Dede, MPP, Associate Director, Health Policy,
SNP Alliance

Caroline Wilson McDonald, Principal
Prizm Health Advisory, LLC

Christine Aguiar Lynch, Vice President of Medicare and Managed Long-Term Care Services and Supports
Association for Community Affiliated Plans (ACAP)

Creation and Implementation of the Enrollee Advisory Committee

• Analyze proven best practices for creating and implementing an Enrollee Advisory Committee to ensure compliance with CMS 
• Assess how to recruit members to join the committee and what requirements and qualities you are searching for when selecting committee members 
• Explore compliant ways to incentivize members for their time on the committee to improve retention  

Anna Lynch, Director of Medicare Network Performance
CareOregon

Sharon R. Williams, CMCE, Chief Executive Officer
Williams Jaxon Consulting, LLC

Meg Polevoi, D-SNP Program Director
Prominence Health Plan

MMP Sunset: Assess the Transition Process to SNP Integration

• Discuss CMS requirements related to transition from MMP to Integrated Special Needs Plan 
• Explore step-by-step guide for completing transition successfully and compliantly 
• Analyze common pitfalls that must be avoided to ensure seamless transition  

Cleanthe (Cleo) Kordomenos, Senior Analyst | Medicaid, LTSS, and Integrated Programs
ATI Advisory

Ken Preede, Vice President of Federal Affairs
Commonwealth Care Alliance

Capitalize on Congress Interactions to Positively Impact Special Needs Plans

• Utilize communication tactics to ensure congress maintains attention on improving SNPs 
• Examine how congress can promote SNPs and influence policies for the benefit of SNPs members 
• Evaluate the next steps for SNPs progression and how it is being addressed by congress  

Will Dede, MPP, Associate Director, Health Policy,
SNP Alliance

Lisa Watkins, Health Policy Director,
Elevance Health

Tools & Technology Spotlights

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.

Dave Rawlins, COO
MyndVR

Special Needs Plan and Providers Perspectives on Partnership and Collaboration

• Discuss the perspective of the provider of working with alongside special needs plans with unique membership 
• How successful partnership with providers can contribute to SNP expansion and growth  
• Alignment of care strategies between SNP and provider organizations to improve clinical outcomes  
• Understand the educational needs for the provider to help successfully manage this population 
• Evaluate areas that can be improved to increase the value of the partnership between plans and 

Kimberly Moran, AVP of Facility Based Products,
Elderplan Health Plans/Metropolitan Jewish Health Systems

Jason Synakowski, Director of Facility Based Products
Elderplan Health Plans/Metropolitan Jewish Health Systems

Laura Paduano DNP-ANP-BC, CDEO, Director of ISNP Clinical Services & Quality Management
Elderplan Health Plans/Metropolitan Jewish Health Systems

Dominique Valentin, DNP, ANP-C, MSNE, BSN-C, Assistant Director, IE-SNP & Geriatric Complex Cre Clinical Services
Elderplan Health Plans/Metropolitan Jewish Health Systems

Anna Kimelfeld , DNP , ANP , PMHNP , RN, AVP of I/IE-SNP & Geriatric Complex Cre Clinical Services
Elderplan Health Plans/Metropolitan Jewish Health Systems

Face-to-Face Requirement- Experience So Far

• Assess the changes that were made to meet the Face-to-Face Requirement and explore the experience so far 
• Analyze obstacles to overcome when implementing new strategies to meet the requirement 
• Analyze CMS updates to reporting impacting the Face-to Face Requirement to ensure you are compliant 

Elizabeth Sutton, MPH, Senior Risk Management Professional, HCS Risk Management
Home Solutions: Process Audit Compliance & Risk Management
Humana

Meghan Morais, Associate Director,
Humana Care Management Risk Management

Shannon Jones, Senior Risk Management Professional
Humana

Tools & Technology Spotlights

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.

Steven Buslovich, MD, CMD, MS, Vice President, Senior Care, Value-Based Care,
Point Click Care

Explore the Evolution of Supplemental Benefits for the Chronically Ill (SSBCI)

• Investigate the change of benefits that can be offered to Special Needs members that can improve health outcomes 
• Capitalize on critical data to ensure the best benefit options are being offered 
• Educate members on best practices to use Flex Cards to ensure that benefits are being utilized 
• Use member feedback and guidance on the benefits that would be most useful for them to adjust your offerings 

Marisa Scala-Foley, Director of the Aging and Disability Business Institute,
USAging

Sharon R. Williams, CMCE, Chief Executive Officer
Williams Jaxon Consulting, LLC

Lessons Learned from Recent CMS Audits

• Assess the experience of recent CMS Audits including success stories and areas which need improvement 
• Discuss the process of preparation for the audit, including audit team assembly, communication strategies, documentation required 
• Review information that CMS officials were searching for specifically to identify trends for future audits 

Babette S. Edgar, Pharm.D., MBA, Founder
Blue Peak Advisors

Karen Mason , MBA, Director, Client Services
Blue Peak Advisors

Gretchen Wagner, CIA, CRMA, MA, Associate Vice President, Risk Management and Quality Compliance
Humana

Closing Remarks

Dr. Shannon Decker, PhD, MBA, MBA, M.Ed., M.Ed, Principal,
VBC One

Welcome Remarks and Day One Takeaways

Dr. Shannon Decker, PhD, MBA, MBA, M.Ed., M.Ed, Principal,
VBC One

Unpacking Equity through a Language Access Lens

• Highlight the unique and essential role of an interpreter, practitioners, and how together they honor the voices and stories that are often unheard;
• Identify how power and privilege impacts access to effective communication and information;
• Introduce an interpreting framework to improve communication.

Toc Soneoulay-Gillespie, MSW/Director/Office of Immigrant and Refugee Advancement,
Oregon Department of Human Services

Sharon R. Williams, CMCE, Chief Executive Officer
Williams Jaxon Consulting, LLC

Anna Lynch, Director of Medicare Network Performance
CareOregon

Strategies to Improve Health Outcomes

• Analyze new approaches and strategies to drive positive health outcomes for your membership 
• Explore new techniques and data analytics to reduce admission and readmission into the hospital by predicting health care needs and educating members 
• Discuss SDoH and behavioral health of membership to identify short- and long-term health care improvement for membership 

Daniel Weaver, Executive Vice President of Product Operations and Stars Strategy
NationsBenefits

Pritpal S.Virdee, President
Emergient, Inc.

Member Engagement and Retention Strategies

• Analyze key influencing factors negatively impacting retention to identify solutions to retain members 
• Explore new approaches to member engagement that will increase probability of retention 
• Assess the financial impact of improved retention efforts to prepare budget for increased marketing and retention efforts 

Dennis P.H. Mihale, MD, MBA, CHCQM, Chief Medical Officer
Upward Health

Mindi Knebel, Chief Executive Officer
Kaizen Health

Care Giver Education and Support

• Assess the importance of increased education and guidance for care givers related to best practices, time management, and communication skills 
• Understand that most care givers may have health care needs themselves and it is critical to ensure their wellness and safety 
• Analyze communication and education approaches to ensure success and support a healthy relationship between the plan, care giver, and member 

Lana Djordjevic, Director, Product Development, DSNP,
Priority Health

Kristen Lunde, Director, Medicare Innovation,
ATI Advisory

Cost Reduction: In Home Care and Monitoring

• Analyze the value in capitalizing on in home care on overall cost reduction and health improvement for the member 
• Explore health care that can be conducted in the members home and implement health care plans for specific treatments 
• Evaluate which team members are needed to conduct in home care 
• Examine remote patient monitoring services and solutions that can be utilized for the benefit of the member 

Dr. Shannon Decker, PhD, MBA, MBA, M.Ed., M.Ed, Principal,
VBC One

Industry Leader Conclusion Panel: Lessons Learned

• Assess the impact of changes from CMS in 2022 and how plans have adapted to meet new requirements 
• Examine the increased importance of SDoH, health equity, and supplemental benefits on improved health care outcomes for members 
• Anticipate how the SNPs landscape will change and best practices to prepare to adapt for success 
• Lessons learned from year 1 implementation of a DNSP Plan  
• Optimizing SNP collaboration, support and resources; opportunities gained from SNP Leadership Summit 

Moderator
Lana Djordjevic, Director, Growth & Strategic Markets
Priority Health

Panelists
Susan Alger, LCSW, CCM, Senior Director Care Management
PacificSource

Melodie Farmer, Director of Quality Improvement Programs
PacificSource

Closing Remarks

Dr. Shannon Decker, PhD, MBA, MBA, M.Ed., M.Ed, Principal,
VBC One