Monday, July 15, 2024
7:00 |
Registration & Networking Continental BreakfastSponsored by |
8:00 |
Chairpersons’ Opening Remarks
Thomasina Anane,Director of Market Competitiveness,Alliance of Community Health Plans |
Operationalizing Health Equity & Social Determinants of Health for Scalability & ROI |
8:10 |
Activating Equity-Informed Continuous Improvement
Melissa Smith, Founder, Senior Advisor,Newton Smith Group |
8:40 |
Panel Discussion: Navigating the Health Equity Index and Addressing SDOH: Strategies for Success in StarsJoin a meaningful discussion exploring the intricacies of the health equity index (HEI) and how health plans are strategically preparing to leverage strengths in addressing social determinants of health to advance health equity as part of MA Stars. Panelists will discuss their unique perspectives of the health equity index and anticipated challenges. Discover insights into the transformative power of addressing social determinants of health and health disparities, leading to positive outcomes for patients and the health care system. Walk away with knowledge and understanding of how initiatives can champion equity and drive sustainable change for greater quality of care. Moderator:Thomasina Anane, Director of Market Competitiveness,Alliance of Community Health Plans Panelists:Keslie Crichton,Chief Sales Officer, Benelynk Shelly McCombs, MPH,Sr. Manager Quality Improvement Operations and Accreditation, Health New England Natalie Pirkola, PharmD, MBA, MASPHM, MSIS,Vice President, Pharmacy and Population Health HAP |
9:15 |
Engage with CBOs to Drive Wellness, Build Trust & Retention
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Data Driven Strategies to Meet Members Where They Are |
9:45 |
Networking Refreshment Break
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10:15 |
Case Study: Using Data to Drive in-Person Member Communications to Address Barriers to Care
Gregory A. Hanley, MBA, FACHE, CPHQ, Vice President, Health Services Quality and Operations,UCare |
10:45 |
Falls are All in Your head: How Improving Brain Health Can Reduce Fall RiskMost people think about fall risk as an issue involving the body and the environment. But it turns out that the brain has a central role in keeping us on our feet. And that means that brain health - and brain training - can play an important role in fall prevention programs. In this session, we'll talk about the science of brain health and fall risk - and what MA plans can do to reduce falls in their populations with a brain training program. Henry Mahncke, CEO, Posit Science |
11:15 |
Developing Retail Centers to Reach Underserved Populations – The Ground Game to Build Trust and Reach Members Where They Are
Naomi Irvin, Chief of Staff, Government Markets, Blue Cross and Blue Shield of North Carolina |
12:15 |
Networking Lunch
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1:15 |
Panel Discussion: Meeting Members Where They Are — Increasing Access
to Care &
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Leadership Growth & Operational Innovations to Balance Potential Revenue Decreases |
1:50 |
A Profitable Growth Case Study – Focus on Operational Costs and Margins
Gregg Kimmer PresidentATRIO Health Plans |
2:20 |
Implementing a Financial Turnaround: Positioning Your Plan for Financial Success!With the prospect of lower revenue for the next few years, maintaining plan profitability will be continue to be challenging. For plans looking for a financial turnaround or just to improve their current performance, having a defined strategy will be critical. Come learn some of the best industry practices to define your strategy, including how to benchmark your current performance, identify key areas of opportunity, implement your plan, and monitor the results. Adam Barnhart, FSA, MAAA, Principal and Consulting Actuary, Milliman |
2:50 |
Improve Your Plan’s Competitiveness, Revenue, Sales & Retention &
Reduce Costs:
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3:20 |
Networking Refreshment Break |
STARs Quality, HEDIS® & Risk Collaborations to Increase Performance Scores |
3:50 |
Improving Performance in Quality, Stars and Risk Adjustment with a Wholistic Member Approach
Leah Hannum, Director of Risk Adjustment, Government Funding Operations,Blue Cross of Idaho Maria Sánchez de Varona, Director, Medicare Stars Program, Blue Cross of Idaho |
4:20 |
Managing Vendors for Success in Stars and ROI
Kena Hahn, MHA, Director, Medicare Stars & Outpatient Care Coordination, Health Alliance |
4:50 – 5:50 |
Networking Reception |
Tuesday, July 16, 2024
8:00 |
Networking Continental Breakfast
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9:00 |
Chairpersons’ RemarksThomasina Anane,Director of Market Competitiveness,Alliance of Community Health Plans |
Spotlight on D-SNPS & C-SNPs – Cross-functional Collaborations to Launch & Manage Operations & Grow Market Share |
9:05 |
Winning with C-SNPs – A Collaborative and Value-Based Focus on Furthering Your Plan Portfolio with C-SNPs
Meg Jordan,SNP SME, Formerly with, Prominence Health |
9:35 |
“Please Stay”: Different Approaches to Retaining Dual Eligible-SNP (D-SNP) MembersD-SNP members are increasingly valuable to MA health plans. Retaining these members can be difficult when members are allowed to switch plans every quarter and competitors offer improved benefit packages. This presentation will review several approaches to communicating with Dual-SNP members and keeping them in your health plan. The presentation will cover:
Brian Wilson, Director Medicare Marketing, Cigna Healthcare |
Supplemental Benefits – 360 Product Design, Marketing, Engagement & Service Strategies |
10:05 |
Panel Discussion: Supplemental Benefits – From Benefit Design to Member Engagement & Retention – Choosing the Right Benefits Members will Actually UseAs Medicare Advantage plans continue to expand supplemental benefit offerings beyond the table stakes of the industry, it's crucial for payers to stay ahead of the curve in order to better serve their member's needs. This panel will explore strategies for designing attractive supplemental benefits packages that support membership growth and retention. We'll dive into data-driven approaches for selecting the right supplemental benefits in addition to gaining insights to driving engagement through effective communications and utilizing supplemental benefits as a tool for member retention, growth, and Stars improvement. Whether you're looking to enhance your existing supplemental offerings or building a benefits package from scratch, this session will equip you with innovative tactics from within the industry. Moderator:Andrew Bell, Medicare Stars Practice Leader, ProspHire Panelists:Naomi Irvin, Chief of Staff, Government Markets, Blue Cross and Blue Shield of North Carolina Rick Gordon, MBA, Senior Director of Operations & Integration, Operations Strategy Development, Business Process Improvement, Sentara Health Plans Brandi Smith Brunson, Senior Manager Medicare Product, Cigna Healthcare |
10:40 |
Networking Refreshment Break |
Pharmacy Leadership: Addressing Dramatic Industry-wide Changes |
11:10 |
Implementing the Medicare Prescription Payment Plan: Strategies for Smooth SailingThis session will review how Medicare Advantage plans can successfully navigate the 2025 M3P IRA changes. Tips on how plans can successfully implement & ensure compliance with M3P requirements. Eileen Murphy, PharmD, Director of Pharmacy Services, Security Health Plan |
The Connected Member Experience – Sales, Marketing, Retention & Engagement Tools & Strategies |
11:40 |
Empower Service for Retention and Outcomes: Integrating Medicare Advocacy in an Omni-channel Call Center EnvironmentIn today's interconnected world, maintaining strong customer relationships and connecting members to resources become more critical to retaining business and improving outcomes. Learn about how Blue Cross & Blue Shield Rhode Island is pioneering strategies and solutions designed to enhance customer retention and foster health plan engagement with vulnerable and at-risk members within an omni-channel contact center environment. The session will focus on:
Jason Furlan,Director Medicare Concierge, Blue Cross & Blue Shield of Rhode Island |
12:10 |
Close of Conference
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