Rise

Track A: Special Needs Plans Success

Vendor Collaboration, Communication, and Oversite

• Explore the benefits of utilizing technology and AI to improve current processes 
• Assess the importance of building a strong relationship with vendor partners assisting to achieve organizational goals 
• Evaluate communication techniques to set goals and expectations to ensure a strong working relationship 
• Implement an oversite program to ensure accuracy and identify errors that can be fixed before manifesting 

Dennis P.H. Mihale, MD, MBA, CHCQM, FABQAURP 
Industry Specialists 

Duane F. Wisk, DO, MPH, FACOEM, Adjunct Assistant Professor of Medicine, The Warren Alpert Medical School,  
Brown University 
Managing Partner,  
GlobalMed Physicians, PLLC 

Doug Golub, CEO,  
Data Potato LLC 

Track B: Care Giver Support and Guidance

Education and Guidance for Caregivers

• Assess the importance of education and guidance for caregivers on the health care outcomes of the member
• Implement trainings that can help improve medication adherence, nutritional guidance, and physical exercise to improve the health of the member
• Analyze different tools and apps that can help offer education and guidance for the caregiver

Joshua Habib, Chief Operating Officer,  
Together Senior Health 

Caroline Wilson McDonald, Principal 
Prizm Health Advisory 

Track A: Special Needs Plans Success

Tools & Technology Spotlight

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.

Bill Friedman, Vice President of Payer and Provider Engagement
Wider Circle

Track A: Special Needs Plans Success

Supplemental Benefits for the Chronically Ill (SSBCI) Regulation Changes and Utilization

• Understand the new reporting requirements for SSBCI including the documentation and submission process to ensure compliance 
• Assess the new processes for communication with members that are not utilizing SSBCI including mid-year mailings and communication strategies 
• Analyze which benefits are most valuable for membership to ensure benefit offerings will be utilized 
• Discuss SDoH impact on benefits for members and which benefits are most valuable 

Will Dede, Health Policy Manager, Government Business Policy Unit, Public Policy & Issues Management 
Elevance Health 

Track B: Care Giver Support and Guidance

Benefits of Support Groups for Caregivers

• Analyze the emotional and psychological benefit of creating support groups for caregivers
• Assess the process of creating and maintaining support groups for the benefit of valuable caregivers
• Create and implement agendas and tools that can be utilized by caregivers during their support group meetings

Laura Sheriff, RN, MSN, CPC, CRC, Risk Adjustment Consultant, Vice President, Risk Adjustment
Southwestern Health Resources tern Health Resources

Track A: Special Needs Plans Success

Audit Readiness for Success

• Understand every detail of a program audit to prepare your team for a successful audit
• Assess the new utilization management focused audits and which types of documentation are needed to remain compliant
• Hear from industry leaders on best practices to prepare and thrive throughout the audit experience

Elizabeth Sutton, MPH, Risk Management Lead | GRO – Quality, Care Management & CMU 
Care Management – Risk 
Humana 

Ja-Nee’ Mooney RN, BSN, CCM, Director of Care Management 
Belong Health 

Track B: Care Giver Support and Guidance

Mental Health and Wellness of Caregivers

• Assess the importance of mental health and wellness for caregivers and its potential impact on the member they care for 
• Analyze different types of stress or anxiety that they may succumb to as a caregiver 
• Identify tools that can be shared with caregivers that can help improve mental health and wellbeing 

Shannon Decker, MD, PhD., MBA, M.Ed., Risk Adjustment Expert,  
VBC One 

Track A: Special Needs Plans Success

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.

Imran Cronk, Founder & Chief Strategy Officer 
Ride Health 

Track A: I-SNP and IDD Improvement

Cost Reduction and Market Growth Strategies to Achieve I-SNP Success

• Discuss the enormous expense associated with the I-SNP population and identify ways to reduce costs while delivering quality care
• Capitalize on valuable data to improve post-acute care and long-term care while remaining within your budget
• Explore opportunities for I-SNP growth and the process of increasing membership and all that entails

Rick Grindrod, CEO  
Provider Partners Health Plan 

Fred Bentley, Managing Director 
ATI Advisory 

Track B: Care Giver Support and Guidance

Navigating the Future of Medicaid with Innovative SDoH Solutions

• Assess the value of transportation services to members to eliminate missed opportunities for health care improvement

• Understand the impact SDoH has on prenatal health care

• Explore collaborative partnerships that can be created to improve member experience and outcomes

   

  Moderator
  Laura Sheriff, RN, MSN, CPC, CRC, Risk Adjustment Consultant, Vice President, Risk Adjustment
  Southwestern Health Resources

  Panelist
  Mindi Knebel, Chief Executive Officer,
  Kaizen Health

Track A: I-SNP and IDD Improvement

Developing an Aligned I-SNP

• Understand the intricate process or aligning Medicare and Medicaid to improve your I-SNP operational outcomes
• Understand strategies when contracting with the state and differences between states
• Assess the growing number of members that are eligible and in need of long-term care facilities

Jill Sumner, Principal 
Lyle Health LLC 

Track B: Care Giver Support and Guidance

Dementia and Alzheimer’s Care Training for Caregivers

• Educate caregivers on different types of care that can be provided for members with dementia
• Guide caregivers on different processes and strategies to reduce the psychological pressure of caring for someone with a debilitating illness
• Develop and implement a care management plan for the member which also supports the needs of the caregiver

Laura Sheriff, RN, MSN, CPC, CRC, Risk Adjustment Consultant, Vice President, Risk Adjustment
Southwestern Health Resources tern Health Resources

Joshua Habib, Chief Operating Officer,  
Together Senior Health 

Track A: I-SNP and IDD Improvement

Understand Intellectual and Developmental Disabilities Impact on Membership

• Define the distinctive characteristics of the IDD community in order to support person-centered targeting, care planning and program development
• Understand the challenges and best practices for caring for people with IDD in order to create value for members, families/caregivers, provider networks and health plans themselves
• Educate and activate their provider network to integrate principles and best practices for delivering IDD-Tailored Care

Moderator
Shannon Decker, MD, PhD., MBA, M.Ed., Risk Adjustment Expert,
VBC One

Panelists
Kerry Delaney, CEO
Partners Health Plan and Care Design NY

Steven Merahn, MD, Medical Director
Partners Health Plan and Care Design NY

Track B: Care Giver Support and Guidance

Preparing for End of Life

• Educate caregiver on signs that end of life may be near such as loss of appetite, unusual fatigue, and heightened confusion or anxiety
• Prepare the care giver for the emotional stress of end of life of the member
• Discuss the actions that must be taken once the member has passed, including who to contact, documentation, and psychological support for the caregiver

Dave Thimons, MD, President and CEO 
Personal Care Medical Associates