Skip to Content
Conferences

AHIP 2022

Dates:
Jun 21 - 23, 2022
Location:
Las Vegas, NV

It’s Time to Be Together Again. Experience what’s next, now at AHIP 2022 (Formerly Institute & Expo.) We’re building on AHIP’s decades-long heritage of bringing together the people, ideas, and solutions guiding greater health for years to come.

Las Vegas sign

Agenda Filters

Sessions

8:00 am - 7:00 pm Jun 21 • 2022

8:00 am – 7:00 pm
, Registrations

Convention Lounge
The Registration Desk will also be open from 2:00 pm – 7:00 pm on Monday, June 20.
Presented by Optum – An AHIP Select Sponsor

8:00 am – 1:00 pm
, Welcome Refreshments

Convention Lounge
Presented by caption health

1:45 pm – 3:45 pm
, Keynote Sessions

3:45 pm – 7:00 pm
, Exhibit Hall Opens

Cristal Ballroom
Exhibit Hall with Solutions Providers
Presented by Accenture – An AHIP Select Sponsor

3:45 pm – 4:15 pm
, Break

Cristal Ballroom
Dessert/Coffee Break in the Exhibit Hall with Solutions Providers
Presented by Clarify Health Solutions

3:55 pm – 4:10 pm
, Presentation Theaters

    • Changing the Interoperability Paradigm: Data Sharing, Security & Anonymity

      Presented by CGI
      Location
      Presentation Theater 1 – Booth 127, Cristal Ballroom
      Speakers
      Details

      Some challenges that may occur with interoperability solutions are data security, data sharing and anonymity. One solution to this challenge is to create a data sharing ecosystem based on five tenets: transparency, consensus, ownership, consortium & security. In this session, speakers will discuss a unique virtual network that uses the five tenets, and allows for real-time data access while delivering a higher level of security.

    • How Behavioral Genetics Can Improve Member Engagement and Whole Person Health

      Presented by Newtopia
      Location
      Presentation Theater 2 – Booth 927, Cristal Ballroom
      Speaker
      Details

      This session will demonstrate how personalized insights derived from evidence-based behavioral genetic testing can improve member engagement in a differentiated way. Attendees will learn how leveraging behavioral genetic testing with social determinants of health, personality style, and baseline physical and mental health care can deliver evidence-based outcomes to counter chronic disease.

4:15 pm – 5:55 pm
, Concurrent Sessions

  • 4:15 pm – 5:00 pm
    • Addressing Equity, Prevention, and Community Health Improvement

      Partnering to Align Health and Social Care*

      Location
      Bandol 1
      Speakers
      Details

      This session will explore examples of cross-sector alignment and collaboration to collaboratively address health and social needs to improve care for the people who need it the most and to tackle complex, community-level barriers to good health.

      • *This session will be available on-demand
    • Advancing Alternative Payment Models and Value-Based Care Strategies

      Scaling Innovation: Building Industry Collaboration and Alignment*

      Location
      Musigny 1&2
      Speakers
      Details

      Fragmentation of health information and care adversely impacts quality, cost, and outcomes. In this session, two payer organizations will share their experiences working closely with medical providers, community organizations, technology partners, and industry stakeholders to promote innovation and health care transformation. Panelists will discuss progress toward improving data sharing, promoting health equity, and advancing value-based payment and care delivery models.

      • *This session will be available on-demand
    • Care Management and Delivery Transformation

      Improving Care & Value: Digital Tools, Innovation & Informed Decision Making

      Location
      Hermitage
      Speakers
      Details

      Digital tools can help identify gaps in care, prevent adverse health events, improve chronic care management, and enable better informed treatment between patient’s voice and their providers. Promoting affordability is important to achieving better outcomes. This session will explore the value of digital tools and engagement along with clinical and economic assessments of treatments with the goal of achieving fair access, improved outcomes and lower cost of care.

    • Data, Analytics and Actionable Intelligence

      Best Practices and Tools for MA and Part D Audit Readiness*

      Location
      Meursault 1&2
      Speakers
      Details

      Speakers will provide insight on practical tools and share best practices that MA organizations and Part D plan sponsors can implement to successfully prepare for program audits and improve performance.

      • *This session will be available on-demand
    • Industry Transformation, Disruption and Product Innovation

      Evolving Community Health Care: Maximizing the Role of the Pharmacist

      Presented by Walgreens
      Location
      Fleurie
      Speakers
      Details

      Today’s pharmacists are in an ideal position to bring about significant change as the health care system in the U.S. has been under significant strain. The time is right for focusing on the value the pharmacist can drive. Speakers in this session will highlight innovative solutions being implemented to incorporate the pharmacist’s role in team-based care to drive better outcomes and enhance the patient experience.

    • Improving Accessibility, Affordability, and Transparency of Health Care

      Digital MSK Solutions to Revolutionize Patient Engagement

      Presented by Kaia Health
      Location
      Castillion
      Speakers
      Details

      The patient journey can be complicated and overwhelming, especially for those with chronic or acute pain. Digital patient engagement tools can increase access to comprehensive, high-quality health care services for patients with musculoskeletal (MSK) pain. Speakers in this session will discuss how digital innovation in MSK therapeutics has helped one health insurance provider strengthen its relationship with members, build trust, and drive positive clinical and economic outcomes.

    • Next-Generation Consumer Experience and Engagement

      The Impact of Affirming Health Care for LGBTQ+ Members*

      Presented by Included Health
      Location
      Bandol 2
      Speaker
      Details

      From discrimination and inconsistent knowledge of medical needs to discomfort and uncertainty when searching for a provider, many members of the LGBTQ+ community are not actively engaging with health care, which has a meaningful impact on health outcomes and costs. This session will examine quantitative and qualitative data on the health care experience of members in the LGBTQ+ community. Speakers will discuss what health insurers can do to help improve member health and experience.

      • *This session will be available on-demand
  • 5:10 pm – 5:55 pm
    • Addressing Equity, Prevention, and Community Health Improvement

      Rethinking Well-Being Platforms: Driving Health and Preventive Care*

      Location
      Meursault 1&2
      Speakers
      Details

      Encouraging members to resume preventive care is one of the most urgent challenges health plans face in the late stages of the COVID-19 pandemic. Delays in screenings, immunizations and other health activities can lead to increased illness and more costly care. Learn how health plans are taking innovative approaches to engage members in routine care, condition management, and other health-related, nonclinical activities.

      • *This session will be available on-demand
    • Care Management and Delivery Transformation

      Leveraging Equity Quality Measures to Reduce Disparities and Improve Outcomes*

      Presented by Inovalon lateral 2020
      Location
      Bandol 1
      Speakers
      Details

      What are the benefits of moving beyond data silos and sharing information to improve outcomes and drive efficiencies? Our panel discussion will focus on the question -- How does integrating quality and risk impact your ability to identify disparities and improve health equity? Our panelists will consider the advantages of looking beyond the existing quality measures to create an index which could help to identify disparities and improve health equity.

      • *This session will be available on-demand
    • Data, Analytics and Actionable Intelligence

      Leveraging Data Analytics to Identify Fraud Leads

      Location
      Fleurie
      Speaker
      Details

      Join this session to learn how analytics can be used to identify fraud, waste, and abuse and receive investigative leads. Speakers in this session will discuss the business and legal considerations that accompany a fraud, waste, and abuse prevention program, including ROI, technological advances, and provider retention. Attendees will also learn how to identify and address fraud by generating comprehensive strategies to combat health care fraud, waste, and abuse.

    • Improving Accessibility, Affordability, and Transparency of Health Care

      Price Transparency Realized

      Presented by Milliman
      Location
      Hermitage
      Speakers
      Details

      Hospital price transparency data is now being used by health care organizations to better understand network prices and the hospital market landscape. In July 2022, the payer transparency data is scheduled to be released, creating a comprehensive set of public-facing network price data for all health care services. Speakers in this session will discuss how organizations are utilizing the hospital price transparency data now, and what to expect for the future.

    • Next-Generation Consumer Experience and Engagement

      Behavioral Science-Centered Approaches to Improving Health for All*

      Presented by Vitality
      Location
      Musigny 1&2
      Speakers
      Details

      This session will provide learnings from industry leaders about harnessing powerful behavioral health tools to provide innovative solutions that address today’s complex health issues. Attendees will learn how companies can use tools to effectively increase member engagement through personalized experiences, data insights, and efficient incentives. The speakers will share their successes and challenges, leaving participants with a deep understanding of how to implement behavioral health programs.

      • *This session will be available on-demand
    • Technology, Trends and Business Insights

      The Benefit Utilization Imperative

      Presented by First Dollar
      Location
      Castillion
      Speaker
      Details

      Health plan members have multiple payment options (e.g., HSA, FSA, supplemental benefits, rewards programs and cash), but navigating these programs can be complex. In this session, speakers will highlight a recent study that explains how members think about health care benefits and payments, and how this impacts their relationship with health plans. Attendees will also learn how technology can streamline member and payment experiences, drive benefit utilization, and improve member retention.

6:00 pm – 7:00 pm
, Receptions

Cristal Ballroom
Opening Reception in the Exhibit Hall with Solutions Providers (Sponsored by Optum and Walmart Health)

6:05 pm – 7:00 pm
, Presentation Theaters

  • 6:05 pm – 6:20 pm
    • Comprehensive Fertility and Family-Forming Benefits That Set Your Plan Apart

      Presented by Carrot Fertility - vertical
      Location
      Presentation Theater 1 – Booth 127, Cristal Ballroom
      Speakers
      Details

      As more organizations look to add fertility benefits, health plans have an opportunity to both anticipate and exceed expectations by offering a solution that supports all fertility and family-forming journeys. Speakers in this session will discuss how health plans can anticipate the need for inclusive benefits, and how these benefits can provide value for employer groups and their employees.

    • Technology Solutions for Managing Behavioral Health

      Presented by IBM
      Location
      Presentation Theater 2 – Booth 927, Cristal Ballroom
      Speaker
      Details

      Studies show that spending on mental health services in the U.S., spurred by the COVID-19 pandemic, has increased by 50% in the last two years. The resulting implications for the health care ecosystem, patients, employers, and society at large call for new approaches to tackle this emerging crisis. Join this session to learn the trends, challenges, and potential opportunities for technology-enabled solutions.

  • 6:25 pm – 6:40 pm
    • The Power of Proactive Social Care

      Presented by Activate Care
      Location
      Presentation Theater 1 – Booth 127, Cristal Ballroom
      Speaker
      Details

      This session will highlight solutions to improve health and social outcomes at scale by giving your organization the tools to navigate members to and through care. This session will address an innovative intervention model that deploys local resources to proactively address SDOH challenges and provide whole person care. The speaker will also highlight new uses for data in making SDOH interventions more effective.

    • Bridging the Gap Between Payers and Providers

      Presented by healow Insights
      Location
      Presentation Theater 2 – Booth 927, Cristal Ballroom
      Speaker
      Details

      Join this session to learn how technology can bridge the gap in today’s health care delivery system by automating the exchange of actionable data between payers and providers without disrupting workflows. This innovative solution supports stakeholders in their journey towards value-based care delivery, and can help payers and providers meet supplemental data acquisition goals that could improve clinical outcomes.

  • 6:45 pm – 7:00 pm
    • Enhancing Member Experience by Applying Cutting Edge Technology to Data Quality

      Presented by HiLabs
      Location
      Presentation Theater 1 – Booth 127, Cristal Ballroom
      Speaker
      Details

      Data quality has a significant impact on the member experience. Errors in provider directory, claims, and clinical data impact access, cost, and quality of care. New advances in data science make discovering and solving these data quality issues possible at scale. Attendees will learn about artificial intelligence adapted specifically to health care, and how downstream data error discovery can be linked to root causes upstream, creating vast opportunities for enterprise-wide value creation.

    • Revolutionize Health Care Delivery Operations with a Collaborative Approach

      Presented by XSOLIS
      Location
      Presentation Theater 2 – Booth 927, Cristal Ballroom
      Speaker
      Details

      This session will show how payers and providers can leverage a shared framework for case review and authorization to solve for waste, error, friction, and delays not answered through EMRs. Attendees will see a new approach to utilization management that combines AI, technology, and people for intelligent decisions.

7:00 am - 7:00 pm Jun 22 • 2022

7:00 am – 7:00 pm
, Registrations

8:30 am – 10:15 am
, Keynote Sessions

10:15 am – 7:00 pm
, Exhibit Hall Opens

Cristal Ballroom
Exhibit Hall with Solutions Providers
Presented by Accenture – An AHIP Select Sponsor

10:15 am – 11:00 am
, Break

Cristal Ballroom
Coffee Break in the Exhibit Hall with Solutions Providers
Presented by Clarify Health Solutions

10:20 am – 10:55 am
, Presentation Theaters

  • 10:20 am – 10:35 am
    • Accelerating Enterprise-Wide Artificial Intelligence Adoption

      Presented by Exponential AI
      Location
      Presentation Theater 1 – Booth 127, Cristal Ballroom
      Speakers
      Details

      AI (Artificial Intelligence) has the power to transform enterprise-wide processes and drive measurable business impact for payers. Join this session to learn how to unlock AI’s value as a decision intelligence platform for making real-time, integrated, contextual, and continuously-evolving decisions across core transactional processes at scale. Speakers will discuss examples of how leading payers apply and benefit from this innovative decision intelligence model.

    • Deliver Personalized Behavioral Health Care at Scale

      Presented by Evernorth
      Location
      Presentation Theater 2 – Booth 927, Cristal Ballroom
      Speaker
      Details

      Join this session to learn how payers can deliver personalized behavioral health care at scale by incorporating innovation, data, and measurement to achieve quality care. This session will highlight an ecosystem of missed connections, and discuss how health insurance providers can improve access to affordable, equitable and high-quality care in a timely, personalized manner.

  • 10:40 am – 10:55 am
    • Food is Medicine: Break the Cycle of Food Insecurity & Related Health Conditions

      Presented by Freshly
      Location
      Presentation Theater 1 – Booth 127, Cristal Ballroom
      Speakers
      Details

      Engaging the most vulnerable and food insecure populations across geographies, providing access to healthy meals, and supporting them through nutrition therapy accelerates population health improvements. In this session, attendees will learn how a preventative care approach can help break the cycle of nutrition insecurity and alleviate the downstream impacts of inadequate nutrition on populations.

    • Delivering AI-Empowered Service in the Moments That Matter

      Presented by talkdesk
      Location
      Presentation Theater 2 – Booth 927, Cristal Ballroom
      Speaker
      Details

      Member experience has never been more important as consumer expectations rise, and tailored digital interactions become the norm in other industries. Members value informed and empowered service staff, channel choice, and convenient automation. Join this session to learn from new research on member preferences and best practices on how to build a personalized and unified member journey that turns experience into a competitive advantage.

11:00 am – 11:45 am
, Concurrent Sessions

  • 11:00 am – 11:45 am

    Concurrent Sessions

    • Addressing Equity, Prevention, and Community Health Improvement

      Promoting Health Equity through Dedicated Community Outreach Initiatives

      Location
      Hermitage
      Speakers
      Details

      This session will explore health equity gaps in the U.S. that were exacerbated by the pandemic and outline how the payer industry can have a positive impact through dedicated community outreach efforts. Speakers will discuss best practices and strategies aimed at combatting health disparities and their impact on BIPOC communities, including promoting mental health resources, addressing chronic disease management and providing ongoing access to COVID-19 treatment and prevention.

    • Advancing Alternative Payment Models and Value-Based Care Strategies

      The Technology and Teams Driving Value-Based Transformation*

      Presented by Clarify Health Solutions
      Location
      Bandol 1
      Speakers
      Details

      Data analytics and artificial intelligence are becoming key investment areas to drive success in value-based programs. In this session, speakers who are shaping the future of value-based contracting, design, management, and engagement will discuss the technology and teams driving true value-based transformation.

      • *This session will be available on-demand
    • Care Management and Delivery Transformation

      Now Where Does Virtual Care Fit? Value on the Continuum of Whole-Person Health*

      Presented by Teladoc Health – An AHIP Select Member
      Location
      Bandol 2
      Speakers
      Details

      During the height of the pandemic, virtual care was a lifeline for everyone—consumers and clinicians alike. But, as people return to “in-person” care settings, where does virtual care fit? During this session, speakers will discuss how organizations are thinking about the value of virtual care along the continuum of whole-person health, when a hybrid approach makes sense, and how primary care is being reimagined to improve chronic conditions and enable value-based care.

      • *This session will be available on-demand
    • Data, Analytics and Actionable Intelligence

      How an Enterprise Clinical Data Strategy Drives Business Transformation

      Location
      Fleurie
      Speakers
      Details

      Integrating clinical data into health plan operations presents both a new opportunity and a new imperative. While digital clinical data is highly available, the lack of standardization, disparate sources of data, and sheer volume demand the right technology infrastructure and an enterprise approach. Speakers in this session will discuss their organization’s journey to transform clinical data into an enterprise asset.

    • Industry Transformation, Disruption and Product Innovation

      Patient-First Health: An Analytics-Powered Approach to Integrated Care

      Presented by Genpact
      Location
      Castillion
      Speakers
      Details

      Patients are now empowered with information and options for how and where their health care dollar is spent. In this session, speakers will explore how leading payers and providers benefit from sharing member and clinical data. They will also discuss how they unlock predictive insights with AI and machine learning to take a data-driven approach to delivering high-quality, affordable care and better patient experiences.

    • Next-Generation Consumer Experience and Engagement

      Reshape Your Patient Management Strategy*

      Presented by 3M
      Location
      Meursault 1&2
      Speaker
      Details

      Care management resources are often limited, which makes the decision of how to prioritize them crucial. Join this session to learn how to create better outcomes through directed care, drive appropriate patient engagement to eliminate waste, and view your members holistically to successfully improve overall quality of care and lower costs.

      • *This session will be available on-demand
    • Technology, Trends and Business Insights

      Behavioral Science: The Key to Member Engagement in Your Digital Solution

      Presented by Tytocare
      Location
      Pomerol
      Speakers
      Details

      Health care insurers are increasingly moving to virtual-first and hybrid offerings. For these programs to succeed, member adoption will be important. This session will discuss the role of behavioral design in creating digital solutions with high adoption and engagement rates across different populations. Speakers will highlight diverse examples of member journeys that have transformed to digital and hybrid models.

11:45 am – 1:15 pm
, Lunch & Learns

  • 12:15 pm – 1:15 pm

    Lunch will begin at 11:45 am. Speaking Sessions will begin promptly at 12:15 pm.

    • Addressing Equity, Prevention, and Community Health Improvement

      Transforming the Future of Dermatology Through Genomic Innovation

      Presented by DermTech
      Location
      Pomerol
      Speakers
      Details

      This session will explore how gene expression profiling (GEP) technology enhances melanoma detection by identifying high-risk lesions at their earliest stages. Attendees will hear the results of a recent validation study that establishes a high sensitivity and negative predictive value of GEP, and how these results were confirmed in a real-world intended-use population. The speaker will also discuss how GEP can reduce the cost of unnecessary biopsies and excisions performed on benign lesions.

    • Advancing Alternative Payment Models and Value-Based Care Strategies

      Why Enhancing Payer-Provider Collaboration is Essential

      Presented by Athenahealth
      Location
      Hermitage
      Speakers
      Details

      Gaps in care via traditional claims take ample time to address – if they surface at all. Learn how collaboration between payers and providers via bidirectional data exchange surfaces gaps in care clinicians can act on in real time, at the point of care, within their current workflows. The end result can enhance both clinical and financial outcomes, support value-based care and re-shift focus to where it belongs: on the patient for a healthier tomorrow.

    • Care Management and Delivery Transformation

      Reshaping Care at Home with Innovative and Digital Care Models*

      Presented by Accenture – An AHIP Select Sponsor
      Location
      Bandol 1
      Speakers
      Details

      During the pandemic, many consumers preferred care options that would allow them to receive care at home. While the care-at-home market continues to be highly fragmented, payers and providers are evaluating new eco-system partnerships to enable patient-centered care. In this session, speakers will discuss innovations in care models to deliver and manage care at home, and address how patient care may vary across different conditions, socio-economic segments and backgrounds.

      • *This session will be available on-demand
    • Data, Analytics and Actionable Intelligence

      Realigning Provider Incentives, Data, and Technology for Closing Gaps in Care

      Presented by Bamboo Health
      Location
      Fleurie
      Speaker
      Details

      Health insurance providers need more than just a data vendor partner. While real-time data is necessary to understand where and why members are getting care across the continuum, it may not always be sufficient on its own to enable providers to effectively make clinical decisions, influence outcomes, and close care gaps. In this session, speakers will challenge the status quo of data technologies, and conceptualize a strategy for providing value on top of real-time data.

    • Industry Transformation, Disruption and Product Innovation

      Digital Therapeutics: The Missing Approach for Mental Health

      Presented by Big Health
      Location
      Castillion
      Speakers
      Details

      Over the past two years, nearly half of adult Americans have experienced a mental health issue due to the turbulence of the pandemic. Despite market innovations, several barriers to care (cost, accessibility, stigma, etc.) still exist and can prevent people from getting the care they need. Join this session to hear unique views of the mental health market, considerations for health plans and integrated health systems, and how the digital therapeutics market can address behavioral care.

    • Improving Accessibility, Affordability, and Transparency of Health Care

      Reimagining Laboratory Benefit Management*

      Presented by Optum – An AHIP Select Sponsor
      Location
      Musigny 1&2
      Speakers
      Details

      Thirteen billion lab tests are performed every year, making lab testing a very highly used medical benefit. However, clinical efficacy data for laboratory tests is not always readily available and can raise questions about whether utilization is appropriate, potentially leading to unnecessary interventions and costs. Learn how you can better manage the lab benefit, realize significant cost savings and improve care quality, by aligning routine and genetic lab testing with clinical guidelines.

      • *This session will be available on-demand
    • Next-Generation Consumer Experience and Engagement

      A Cloud-Based Solution for Enrollment, Billing and Claims

      Presented by Oracle
      Location
      Meursault 1&2
      Speaker
      Details

      In this session, speakers will discuss enrollment, billing and claims issues from inflexible systems, inaccurate data, and lack of visibility of the member journey. Attendees will learn how a cloud-based solution solves these issues, how it helps health insurers and providers, and how it benefits members. Discover how to streamline member enrollments and claims processing, improve pricing and billing capabilities, and optimize data interoperability for a “golden record” of the member.

    • Technology, Trends and Business Insights

      Unleashing More Effective Utilization Management*

      Presented by Olive
      Location
      Bandol 2
      Speakers
      Details

      An industry leading health insurance provider recognized that prior authorization was a complex process that left both their provider network and plan members dissatisfied. Join this session for an in-depth discussion and learn about their journey to transform UM (utilization management), from vision to the implementation of AI technology, and how this decision to take back control of their UM programs led to more efficient programs and an improved member and provider experience.

      • *This session will be available on-demand

1:15 pm – 1:45 pm
, Break

Cristal Ballroom
Dessert/Coffee Break in the Exhibit Hall with Solutions Providers
Presented by Clarify Health Solutions

1:25 pm – 1:40 pm
, Presentation Theaters

    • Driving Operational Excellence with Enterprise Conversational AI

      Presented by Kore AI
      Location
      Presentation Theater 1 – Booth 127, Cristal Ballroom
      Speaker
      Details

      Conversational AI platforms are creating operational advantages throughout organizations by developing experiences that deliver extraordinary outcomes. This session will discuss the capabilities of an enterprise conversational AI platform, and provide insights on how to evaluate enterprise conversational AI platform providers. Attendees will learn how to attract and retain patients, members and employees, and improve patient access and health outcomes using AI technology.

    • Combat Clinical Trial Fraud Using Analytics

      Presented by Shift Technology
      Location
      Presentation Theater 2 – Booth 927, Cristal Ballroom
      Speakers
      Details

      This session will explore the rise and impact of clinical trial fraud for Alzheimer’s Disease (AD) treatments in the Medicare program following CMS’ recent policy announcement on coverage of certain monoclonal antibody treatments. Participants in this session will learn more about the landscape of Alzheimer's clinical trials, the red flags of a fake clinical trial, and how advanced analytics can help to identify suspected fraud.

1:45 pm – 4:25 pm
, Concurrent Sessions

  • 1:45 pm – 2:30 pm
    • Addressing Equity, Prevention, and Community Health Improvement

      Addressing SDOH to Achieve Health Equity for Members*

      Location
      Bandol 1
      Speakers
      Details

      Speakers in this session will explore different ways that social barriers and resulting health disparities manifest in their member’s lives. They will review a range of initiatives and innovative strategies that health plans are using to identify these social barriers and how they use that information to inform care and services to improve well-being and to advance health equity across a range of communities.

      • *This session will be available on-demand
    • Care Management and Delivery Transformation

      Digital Innovation in Addiction Treatment: Promising Evidence of Success*

      Location
      Musigny 1&2
      Speakers
      Details

      This session will discuss how a digital-first, team-based approach has reduced barriers for members seeking treatment for substance use disorders (SUD). Through a real-world example showing how services are provided to health plan members, including the role of telehealth, panelists will present compelling evidence for how this approach yields better clinical, functional, and affordability outcomes for people compared to industry benchmarks.

      • *This session will be available on-demand
    • Industry Transformation, Disruption and Product Innovation

      Reimagine Digital Health to Empower Graceful At-Home Aging

      Presented by Connect America
      Location
      Hermitage
      Speaker
      Details

      Most adults want to age gracefully in place, and studies show that people heal faster and better when they can live well at home. This session explores why the next generation of digital health solutions must be truly connective platforms that integrate life-saving technologies with an empathetic human touch. Attendees will learn how this approach can power smarter, more timely care and interventions that deliver better health outcomes and quality of life for aging and vulnerable populations.

    • Improving Accessibility, Affordability, and Transparency of Health Care

      Transparency: Moving to an Open Book Approach in Payment Integrity

      Presented by Healthedge
      Location
      Fleurie
      Speaker
      Details

      The traditional approach to payment integrity can result in vendor dependency, disjointed data, inaccuracy, and waste. Join this session to learn how an innovative technological approach can enable payers to have greater control over their payment integrity processes with the ability to address root cause issues through transparency and authentic partnerships.

    • Next-Generation Consumer Experience and Engagement

      Digital CX in Health Insurance: The Opportunity of Member Engagement*

      Presented by Zipari
      Location
      Meursault 1&2
      Speakers
      Details

      Digital consumer engagement (CX) can offer health insurance providers a way to improve and increase the impact of their member engagement and digital engagement investments. In this session, speakers will describe recent survey results, focusing on important discrepancies between member and payer perspectives and CX outcomes. Speakers will also discuss how digital CX solutions can help payers to drive better health outcomes, strengthen member engagement, and improve organizational efficiencies.

      • *This session will be available on-demand
    • Technology, Trends and Business Insights

      Comprehensive Virtual Behavioral Health: Innovative Paths to Better Care

      Presented by Amwell
      Location
      Castillion
      Speakers
      Details

      Speakers in this session will discuss how payers can deliver personalized digital mental health tools to members with lower acuity conditions, and integrate virtual therapy and psychiatry for higher acuity care; this combination can allow real-time visibility into proven, evidence-based outcomes. Speakers will also demonstrate how automated care can be escalated to virtual care for early interventions, and discuss the clinical effectiveness of online cognitive behavioral therapy (CBT).

  • 2:45 pm – 3:30 pm
    • Addressing Equity, Prevention, and Community Health Improvement

      Home-Delivered Meals and Health Workers: Partners to Support Vulnerable Members*

      Presented by Mom's Meals - webinar
      Location
      Bandol 1
      Speakers
      Details

      Some patients lack the social supports and resources to follow a diet and lifestyle to manage their chronic conditions and improve their health status. In this session, attendees will learn about an innovative 6-month pilot program that combined home-delivered meals, produce, and pantry items with support from community health workers to help members better manage their chronic conditions.

      • *This session will be available on-demand
    • Advancing Alternative Payment Models and Value-Based Care Strategies

      Maternity Value-Based Care Models – What’s Working and What’s Not*

      Location
      Meursault 1&2
      Speakers
      Details

      This session will explore how payers are developing novel approaches to improving outcomes for pregnant individuals and babies and reducing the cost of care. Panelists from health plans will share experiences, challenges, and successes implementing a value-based approach to maternal care; the importance of reducing disparities; and how data and other tools can support these efforts.

      • *This session will be available on-demand
    • Data, Analytics and Actionable Intelligence

      Can We Transform Health Plan Networks into Health Equity Networks?

      Presented by Quest Analytics
      Location
      Fleurie
      Speaker
      Details

      Substantial disparities in health care access and outcomes exist amongst disadvantaged and underserved populations, due to many factors including race, ethnicity, other demographic characteristics, as well as social determinants impacting health and the historical policies which led to them. Join this session to learn how health plans can collaborate with providers and community-based organizations to improve access to affordable, equitable and high-quality care.

    • Industry Transformation, Disruption and Product Innovation

      The Power of Virtual First Care to Improve Our Health Care System*

      Location
      Bandol 2
      Speakers
      Details

      Virtual-first care (V1C) is a new care model centered on convenient, high-quality care that integrates a full suite of services tailored directly to patients’ clinical needs and preferences. Join this session to explore how virtual first care is distinct from traditional ‘virtual care’; emerging best practices for contracting with V1C providers amidst the evolving regulatory landscape; and the path forward for integrating V1C into patient-centric, outcomes-focused networks of care.

      • *This session will be available on-demand
    • Improving Accessibility, Affordability, and Transparency of Health Care

      Bring Patient Insights into Focus with Interoperability

      Presented by Surescripts 2022
      Location
      Hermitage
      Speaker
      Details

      Health insurers are collaborating with clinicians to improve member health, promote safety, and encourage effective care. When patient data is siloed across systems or otherwise hard to access, it can be difficult to coordinate care across providers and with health insurers. Speakers in this session will highlight ways to address care management challenges by facilitating electronic information exchange to support better-informed patient care, both at the point of care and between visits.

    • Next-Generation Consumer Experience and Engagement

      The New Price Transparency Landscape

      Location
      Pomerol
      Speaker
      Details

      What does the world look like for providers and health plans given the required disclosure of transparency information? Hear from an expert who has been on the front lines of supporting both providers and plans in this new world.

    • Technology, Trends and Business Insights

      Collaboration: The Key to Innovation & Sustainable Care Models in a Digital World*

      Location
      Musigny 1&2
      Speakers
      Details

      Effective industry collaboration includes people, process, and technology. Join this session to learn how a health insurer, health system, health information exchange and a technology vendor are partnering to deliver needed virtual behavioral health services and working to build a sustainable care model that focuses on digital health, real-time access to health information, and innovation.

      • *This session is closed to press
  • 3:40 pm – 4:25 pm
    • Addressing Equity, Prevention, and Community Health Improvement

      Unlock the Strategic, Financial, and Community Value of Advancing Health Equity*

      Presented by Optum – An AHIP Select Sponsor
      Location
      Bandol 1
      Speakers
      Details

      This session will explore implications of health inequities and what organizations can do to address them. Beyond the human toll, health inequities cost billions in excess medical care and untapped productivity. Attendees will learn about benefits of reducing inequities in one’s community, financial impact of structural bias, and data sets that can build a complete picture. The session will show how health equity investments support long-term strategic and financial sustainability.

      • *This session will be available on-demand
    • Advancing Alternative Payment Models and Value-Based Care Strategies

      The Transformation of Kidney Care Delivery and Payment Models

      Presented by Fresenius Health Partners
      Location
      Hermitage
      Speaker
      Details

      New kidney care delivery and payment models are being implemented across the care continuum for renal disease. Speakers in this session will describe the care coordination services and close provider collaboration needed to achieve the best outcomes for patients with renal disease. Attendees will also learn how to evaluate value-based care (VBC) programs and pick the best partner.

    • Care Management and Delivery Transformation

      Technology Trends in Care Re-design*

      Location
      Bandol 2
      Speakers
      Details


      Medicare Advantage (MA) members should be able to access personalized, convenient care through virtual and in-home services. They also should have access to an assigned care team that will design a plan based on their needs, values, and goals. The speakers will discuss the care model aims for their organization’s personalized, convenient care that includes both virtual and in-home components.


      • *This session will be available on-demand
    • Data, Analytics and Actionable Intelligence

      Extracting Dental Resource Consumption from Your Medical Budget

      Presented by Codoxo
      Location
      Fleurie
      Speaker
      Details

      Each year, millions of dollars are paid erroneously for dental services that are not covered benefits under the medical plan. Budgets and bottom lines take a big hit without the right technology, data, or clinical staff to catch this behavior early. Attendees will see how integrated data sets paired with advanced AI not only help detect outlier dental billing behavior but equips well-trained clinical staff to deep clean billing practices and protect their medical resources.

    • Industry Transformation, Disruption and Product Innovation

      Deliver Meaningful Experiences at Scale

      Presented by Virgin Pulse
      Location
      Castillion
      Speakers
      Details

      Payers agree that personalization is necessary for meeting member and client expectations, but implementing personalization strategies at scale can be difficult. Join this session to hear from multiple health insurers--all at different points on their growth journeys--about how they are leveraging an innovative partnership and digital health solutions to create personalized wellbeing strategies that are positively impacting health outcomes, community impact and growth.

    • Improving Accessibility, Affordability, and Transparency of Health Care

      HCBS: Where Are We Post-COVID?*

      Location
      Musigny 1&2
      Speakers
      Details

      The COVID pandemic resulted in disruptions in how people receive health care. In terms of home and community-based services (HCBS), the people who rely on HCBS and providers and health plans that deliver them experienced some special challenges. In this session, HCBS and disability experts will discuss some of the innovations developed by plans and providers to meet those challenges and key takeaways and the lessons learned.

      • *This session will be available on-demand
    • Next-Generation Consumer Experience and Engagement

      CX Opportunities in a Post-Pandemic World*

      Location
      Meursault 1&2
      Speakers
      Details

      Speakers in this session will explore how CX leaders are reinventing their strategies to meet customer expectations in the post-pandemic 'New Normal'.

      • *This session will be available on-demand
    • Technology, Trends and Business Insights

      From Vendor to Partner: Strategies to Support Consultative Client Relationships

      Presented by IBM Watson Health
      Location
      Pomerol
      Speakers
      Details

      Payers have an opportunity to grow their strategic consulting relationships with their employer clients, who seek a closer view of the factors that impact employee health so they can drive better outcomes and design stronger benefits programs. In this session, speakers will discuss the critical data and analytics capabilities of employer reporting, and strategies payers should use to demonstrate value to clients, improve employee satisfaction, and strengthen long-term partnerships.

4:35 pm – 5:15 pm
, Keynote Sessions

5:15 pm – 7:00 pm
, Receptions

Cristal Ballroom
Reception in the Exhibit Hall with Solutions Providers
Presented by AHIP

5:40 pm – 6:35 pm
, Presentation Theaters

  • 5:40 pm – 5:55 pm
    • Building a Member-Centric Platform for Health Care Disruption

      Presented by Red Hat (AHIP 2022)
      Location
      Presentation Theater 1 – Booth 127, Cristal Ballroom
      Speaker
      Details

      The companies that have changed our culture have one thing in common; they have created new consumer-centric operating models and disrupted the status quo. In this session, learn how payer organizations are leveraging open-source solutions to build a member-centric platform, enabling innovation while driving out complexity. Attendees will learn how to treat “everything as code” while building and operating common, reusable components for software development and infrastructure.

    • Inspire Trusted Contact Center Engagement

      Presented by salesforce
      Location
      Presentation Theater 2 – Booth 927, Cristal Ballroom
      Speakers
      Details

      The future of health relies on payers efficiently engaging members, providers, and all other stakeholders through timely, personalized interactions. In this session, learn how payers can use customer relationship management (CRM) technology to personalize outreach, automate workflows, enhance customer service and elevate care. Speakers will discuss how to create exceptional experiences for members and providers at every point of contact, and how your organization can achieve service excellence.

  • 6:00 pm – 6:15 pm
    • Engage Members in Mental Health Care with a Digital-First, Self-Help Solution

      Presented by Koa Health
      Location
      Presentation Theater 1 – Booth 127, Cristal Ballroom
      Speaker
      Details

      Learn how the latest innovations in digital-first mental health solutions can help you engage individuals across the care continuum—including the large portion of members that will never seek face-to-face care due to stigma and access to care. Powered by a proprietary AI recommendation engine, these self-help tools support the most common mental health challenges – burnout, difficult emotions, stress, loneliness, social anxiety – and have clinically validated results.

    • Empower Your Members by Addressing Substance Use Disorder

      Presented by Quit Genius
      Location
      Presentation Theater 2 – Booth 927, Cristal Ballroom
      Speaker
      Details

      Currently, 20% of U.S. deaths are attributed to tobacco, alcohol and other drugs, and illicit substance use and addiction are currently two of the largest preventable causes of death. This session will explore what COVID has taught us about the accelerating substance use disorder epidemic, the social and economic factors that contribute to substance use disorder, and how health insurance providers can assist their employer clients with innovative addiction treatment resources.

8:00 am - 4:00 pm Jun 23 • 2022

8:00 am – 4:00 pm
, Registrations

8:45 am – 9:45 am
, Keynote Sessions

10:00 am – 10:45 am
, Influencer Series

  • 10:00 am – 10:45 am
    • Reinventing Chronic Care After COVID-19*

      Location
      Bandol 1
      Speaker
      Details

      This session will explore how health care delivery changed for the better during the pandemic and what it could mean for chronic care and outcomes. Learn a new framework for where health care needs to go post-pandemic and the role health insurance providers can play in the change ahead. Develop a clear vision for what chronic care will look like in the post-coronavirus era and the impact these changes will have on the health insurance industry.

      * Receive a complimentary copy of Dr. Nundy’s book, Care After COVID: What the Pandemic Revealed is Broken in Healthcare and How to Reinvent It. Complimentary books are available for the first 50 session participants.

      • *This session will be available on-demand
    • Exploring New Determinants: Bereavement, Loneliness, & Downstream Health

      Location
      Musigny 1&2
      Speakers
      Details

      Grief and loneliness have emerged as significant determinants of health. Hear about the impacts that grief and loneliness have on survivors and what health plans can do to support their members and their staff, whether through emotional support and connection or by addressing their socioeconomic needs that emerge from tangible resource losses resulting from bereavement.

    • Addressing Health Care Workforce Well-Being and Sustainability

      Location
      Meursault 1&2
      Speaker
    • Designing for Care, Love and Trust in Medicine*

      Location
      Bandol 2
      Speaker
      Details

      This session will explore the application of the principles and methods of health design thinking. Discover how we can redesign the future of medicine through co-design, prototyping and creativity. Learn how you can develop a culture of human-centered design at your organization.

      * Receive a complimentary copy of Dr. Ku’s book, Health Design Thinking: Products and Services for Better Health, Second Edition. Complimentary books are available for the first 50 session participants.

      • *This session will be available on-demand
    • Leveraging Consumer Demand to Transform Health Care

      Location
      Hermitage
      Speakers
      Details

      Whether it’s combating rising health care costs, gaining access to crucial data to drive beneficial health outcomes, or improving member and provider experiences, it’s important for insurance and health care providers alike to look for creative ways to address the “quadruple aim” framework. Speakers will discuss how to acknowledge the needs of vulnerable communities at-scale, take a tech-enabled approach even within a legacy industry, and address consumer demands in a rapidly evolving world.

10:45 am – 1:30 pm
, Exhibit Hall Opens

Cristal Ballroom
Exhibit Hall with Solutions Providers
Presented by Accenture – An AHIP Select Sponsor

10:45 am – 11:30 am
, Break

Cristal Ballroom
Coffee Break in the Exhibit Hall with Solutions Providers
Presented by Clarify Health Solutions

11:30 am – 12:15 pm
, Concurrent Sessions

    • Addressing Equity, Prevention, and Community Health Improvement

      Birth Equity: Essential Strategies for a New Day in Maternal Outcomes

      Presented by Oviahealth
      Location
      Musigny 1&2
      Speakers
      Details

      There are still considerable health disparities for women of color in the U.S., especially in relation to maternal morbidity and mortality. But where do the gaps in care still exist and what can payers do to bridge them? In this session, experts will discuss ways payers can better identify high-risk maternity cases, and deliver personalized, evidence-based education and clinical pathways proven to reduce adverse maternity events for BIPOC communities like preterm births, preeclampsia and more.

    • Advancing Alternative Payment Models and Value-Based Care Strategies

      Success in Value-Based-Care Arrangements: A Provider’s Perspective

      Presented by FTI Consulting
      Location
      Hermitage
      Speakers
      Details

      Numerous value-based care arrangements exist between payers and providers, but not all are successful. To be successful, providers must understand how to manage risk, in addition to providing quality care. In this session, learn what it takes to be successful in value-based care arrangements, and what pain points exist, from the viewpoint of a provider.

    • Care Management and Delivery Transformation

      Beyond Physical Care: A Multi-Dimensional Approach to Tackling MSK Pain

      Presented by Hinge Health
      Location
      Castillion
      Speaker
      Details

      Chronic musculoskeletal (MSK) pain is a leading driver of costs today. Diagnosis and treatment for these conditions does not always get to the root cause of patients’ chronic pain. For people with chronic back pain, often no clear physical cause of the pain can be identified. This session will examine the neuroscience behind MSK pain, how MSK pain is closely related to mental health, and why providers and payers using a more holistic approach to care will result in better outcomes for patients.

    • Data, Analytics and Actionable Intelligence

      Maximizing Payer-to-Payer Exchange*

      Location
      Bandol 1
      Speakers
      Details

      The Interoperability and Patient Access final rule required payers to exchange certain clinical data at the patient’s request to facilitate the creation of a cumulative health record. While the requirement is on hold, come get ahead of the curve by learning about industry efforts to leverage HL7® FHIR® to improve transitions between payers and promote efficient care.

      • *This session will be available on-demand
    • Industry Transformation, Disruption and Product Innovation

      From Population to Precision Health: A Whole Person Approach to Diabetes Care

      Presented by DayTwo
      Location
      Fleurie
      Speaker
      Details

      The speaker will discuss how microbiome science, AI, and virtual care can improve outcomes for conditions like diabetes, prediabetes, and clinical obesity. The speaker will also provide insights on how a precision health model can provide a sustainable path forward in the management of chronic disease and whole-person health.

    • Improving Accessibility, Affordability, and Transparency of Health Care

      Incorporating Social Risk Adjustment into Payment: Challenges and Opportunities*

      Location
      Bandol 2
      Speakers
      Details

      This session will explore issues around adjusting health care payments based on the social risk factors and needs of patients, including how to measure social needs of individuals and communities, accountability for social risk payments, and how to allocate funds.

      • *This session will be available on-demand
    • Technology, Trends and Business Insights

      Reducing Administrative Burden in Admission Authorizations

      Presented by MCG
      Location
      Meursault 1&2
      Speakers
      Details

      Speakers in this session will discuss a project that automated manual authorization submissions and made emergent inpatient admission authorizations fully electronic. The speakers will also explore feedback received from these early adopters and realized savings from both parties.

12:15 pm – 1:30 pm
, Break

Cristal Ballroom
Lunch in the Exhibit Hall with Solutions Providers
Presented by AHIP

1:30 pm – 1:30 pm
, Exhibit Hall Closes

Cristal Ballroom

1:30 pm – 3:10 pm
, Concurrent Sessions

  • 1:30 pm – 2:15 pm
    • Addressing Equity, Prevention, and Community Health Improvement

      Innovative Social Care Funding Opportunities in An Evolving Policy Landscape

      Presented by Unite Us
      Location
      Hermitage
      Speaker
      Details

      Health insurers, government entities, philanthropic-, and community-based organizations desire shared infrastructure to effectively drive funding into social care programs to better serve our communities’ most vulnerable members and address persistent health equity gaps. Speakers in this session will discuss the barriers and facilitators to funding social care initiatives, and will detail how technology can play a critical role in creating sustainable funding streams to facilitate social care.

    • Advancing Alternative Payment Models and Value-Based Care Strategies

      Real Evidence for Value-Based Contracts: A Mental Health Integration Case Study*

      Location
      Bandol 1
      Speakers
      Details

      Healthcare’s move to value has been mostly focused on three areas: value-based payment models for providers, outcomes-based contracts for pharmaceuticals, and value-based insurance design for members. Another value is at-risk vendor contracts for solutions that improve health and reduce cost. In this session, learn how to quantify the total cost of care savings through a behavioral health integration platform to help ensure every person with a mental health condition gets the care they need.

      • *This session will be available on-demand
    • Care Management and Delivery Transformation

      How Using Virtual Care Increases Value for Members with Chronic Disease

      Presented by Accolade, Inc
      Location
      Castillion
      Speakers
      Details

      Join this session to learn how a virtual connectedness model can improve issues related to access to care, condition support and achieving better outcomes for members managing chronic conditions. The speakers will discuss how health insurance providers are expanding their health services, and showing that virtual care can provide a complementary experience to traditional in-person care.

    • Data, Analytics and Actionable Intelligence

      Leveraging Advanced Analytics to Increase Engagement and Drive Behavior Change

      Presented by CVS Health
      Location
      Fleurie
      Speaker
      Details

      By creating a real-time view of the member, a health insurance provider can unlock insights, tap into key moments of health, and create individualized care experience interventions. Join this session to learn how technology and personalized interventions can lead to an improvement in behavior changes. Attendees will learn how to close gaps in care through an omni-channel approach and pharmacist-led interventions for high-risk members.

    • Improving Accessibility, Affordability, and Transparency of Health Care

      View from Washington and Impact on Health Insurance Provider Planning*

      Location
      Bandol 2
      Speaker
      Details

      Join this session to explore what the next 6-9 months might look like in terms of the legislative and regulatory landscape, and how it might impact how health insurance providers do business.

      • *This session will be available on-demand
    • Technology, Trends and Business Insights

      Using Sensor-Generated Data to Inform Decisions for New Medical Products*

      Location
      Musigny 1&2
      Speakers
      Details

      The life sciences industry has spent years developing evidentiary best practices to ensure that regulators accept evidence from digital endpoints in support of new medical product approvals. To date, the evidence needed to support payers considering data from digital endpoints in estimating value provided by new medical products has been largely overlooked. Learn how payers can best prepare to receive these new data for use in determining value for new drugs, devices, and other medical products.

      • *This session will be available on-demand
  • 2:25 pm – 3:10 pm
    • Addressing Equity, Prevention, and Community Health Improvement

      Supporting Aging-in-Place for the Nation’s Most Vulnerable*

      Location
      Meursault 1&2
      Speakers
      Details

      Learn how two health plans with extensive experience serving low-income and high-needs older adults have partnered to launch a new organization that specializes in providing personalized care to older adults who wish to remain living in their homes and communities for as long as possible. Speakers will discuss their strategy and innovations focused on “aging in place,” the genesis of a new integrated care delivery organization based on shared mission, and how they see the industry evolving.


      • *This session will be available on-demand
    • Advancing Alternative Payment Models and Value-Based Care Strategies

      Achieving Outcomes with VBID for Hospice*

      Location
      Bandol 1
      Speakers
      Details

      This session will discuss payers’ perspectives implementing the hospice benefit component of the Value-Based Insurance Design program for Medicare Advantage enrollees, including experiences, challenges, and strategies going forward.

      • *This session will be available on-demand
    • Care Management and Delivery Transformation

      Early, Accurate and Actionable: The Value of Diagnostic Imaging

      Presented by GE Healthcare
      Location
      Hermitage
      Speakers
      Details

      Diagnostic imaging provides quality data points in the patients’ treatment continuum, beginning from the initial diagnosis to guiding appropriate decisions. In recent years, imaging has evolved, allowing for earlier interventions and avoidance of unnecessary medication use or ineffective treatments. Join this session to learn the value of diagnostic imaging and policy changes.

    • Data, Analytics and Actionable Intelligence

      Leveraging AI to Create Brand-Defining Network Opportunities

      Presented by Veda Data
      Location
      Fleurie
      Speakers
      Details

      In this session, speakers will discuss how to improve provider relationships and achieve value-based care through provider data automation and improved data accuracy. Attendees will see real, tangible ways to go beyond compliance benchmarks, reduce points of friction, and quantify new levels of success in ways that can refocus the conversation to what’s next for health care.


    • Technology, Trends and Business Insights

      Modernizing Payer and Provider Collaboration Through Cloud Technology

      Presented by PointClickCare
      Location
      Castillion
      Speaker
      Details


      In this session, speakers will explore how technology and interoperability can optimize timely patient-centered care through real-time care coordination, streamline the identification of priority patients and the delivery of timely follow-up care, and close time-sensitive care gaps. Attendees will gain a tangible understanding of how health insurance providers are leveraging technology to address the challenges of time-sensitive care coordination.

3:10 pm – 3:30 pm
, Break

Lafite Ballroom
“Happy Hour” Break

3:30 pm – 5:00 pm
, Keynote Sessions

5:00 pm – 5:00 pm
, Adjourns

Conference Adjourns