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Conferences

AHIP 2024

Dates:
Jun 11 - 13, 2024
Location:
Las Vegas, NV

Experience what’s next in health care at AHIP 2024 (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.

Agenda Filters

Sessions

4:00 pm - 6:00 pm Jun 10 • 2024

4:00 pm – 6:00 pm
, Registration and Information Desk Open

Convention Lounge

9:00 am - 7:15 pm Jun 11 • 2024

8:30 am – 6:30 pm
, Registration and Information Desk Open

Convention Lounge
Registration Desk will also be open 4pm – 6pm PT on Monday, June 10
Presented by Optum – An AHIP Select Member

8:30 am – 12:00 pm
, Welcome Refreshments

Convention Lounge

11:30 am – 12:45 pm
, Lunch & Learns

  • 12:00 pm – 12:45 pm

    Lunch will begin at 11:30 am. Speaking Sessions will begin promptly at 12:00 pm.

    • Leveraging Omnichannel Strategies & Next-Gen Technology to Advance Health Equity

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

      Artificial intelligence and next gen technology can create opportunities to identify, engage, and support members through a lifecycle of interactions with health insurance providers. Join this session to learn about omni-channel strategies and technology-led approaches to increase early identification, mitigate barriers to care, and improve health equity initiatives.

    • Unlocking the Next Era of Value-Based Specialty Care

      Presented by Carelon
      Location
      Bandol 1
      Speakers
      Details

      Many health insurance providers are faced with current limitations of traditional value-based specialty-care models. Join this session to learn how innovative health insurance providers are scaling the next era of value-based specialty care models, especially within oncology, that integrate whole-person member engagement, clinical pathways, advanced analytics, and arm-in-arm provider partnerships. Uncover new strategies for value-based specialty care that can impact better outcomes.

    • Cost-Effective Heart Health: Implications of GLP-1 Label Expansion

      Presented by Hello Heart
      Location
      Hermitage
      Speakers
      Details

      The recent GLP-1 label expansion to reduce risk of serious cardiovascular complications will require health insurance providers to reevaluate their coverage of these medications. Explore the policy implications and evaluate cost-effective approaches to manage cardiovascular disease. Learn about a new study of over 100,000 patients who used a digital heart health tool and saw major reductions in blood pressure and cholesterol, as well as significant weight loss and high engagement among seniors.

    • Insights into CMS’ Prior Auth Rule: How to Leverage AI and Automation

      Presented by MCG
      Location
      Fleurie
      Speakers
      Details

      The recent CMS Interoperability and Prior Authorization Final Rule creates unique challenges for health insurance providers given requirements to build, implement, and maintain HL7 FHIR-enabled APIs. Join this session to learn how to integrate AI and interoperability to manage data more effectively. Gain insights into actionable strategies to reduce administrative burden, accelerate processing times, and promote a more patient-centric health care model.

    • Leveraging Lab Data to Ensure Access for Underserved Populations

      Presented by Labcorp
      Location
      Musigny
      Speakers
      Details

      Lab data can help cultivate healthier, thriving communities by identifying at-risk and underserved populations. Join this session to learn about collaborations with health insurance providers, health systems and community partners to reach patients, advance patient-centric measures and target gaps in care. Learn how internal policies, care protocols and clinical decision mapping with data from individual, community and population health levels can improve outcomes for at-risk individuals.

    • Designing Virtual Care to Boost Health Equity

      Presented by Omada
      Location
      Castillon
      Speakers
      Details

      Join us to explore how virtual and value-based care strategies can effectively reduce disparities and enhance access. Speakers will highlight opportunities for advancing health equity and using a framework to evaluate virtual care through an equity lens. Learn how advances in technology can facilitate innovative, holistic care models to reach members where they are, improving access and health outcomes.

    • Enabling Growth through Digital Transformation and Modernization

      Presented by Optum – An AHIP Select Member
      Location
      Meursault
      Speakers
      Details

      Health insurance providers require infrastructure and strategies to support the unique and evolving needs of their members and providers. Join this discussion to better understand which platforms and tools can be most effective to accelerate digital transformation, and gain insights into scalable strategies that enable growth in a competitive and regulatory environment.

    • Technology, Trends and Business Insights

      Driving Health Forward: Research Insights from Consumers, Employers and Industry

      Presented by Evernorth Health Services
      Location
      Pomerol
      Speaker
      Details

      Join this session to glean research insights from an in-depth survey of consumers, employers, and health insurance leaders on their attitudes, priorities, and challenges, across a wide range of pertinent issues. Dig deep into key parallels and differences of health insurance providers’ benefit strategies and prioritization of member needs, and opportunities to close gaps to improve health and align needs and expectations.

1:00 pm – 3:45 pm
, Keynote Sessions

3:45 pm – 7:15 pm
, Exhibit Hall Open

Cristal Ballroom

3:45 pm – 4:30 pm
, Coffee Break with Solutions Providers

Cristal Ballroom

3:50 pm – 4:25 pm
, Presentation Theater

  • 3:50 pm – 4:05 am
    • The Imperative for Modernizing Utilization Management and Care Coordination

      Presented by ZS
      Location
      Presentation Theater #1: Booth 1035
      Speakers
      Details

      As members seek more cost-effective, connected care and regulators push for faster innovation, the imperative for modernizing utilization management and care coordination grows. Fast-evolving tech and increasing regulations demand forward-thinking innovation and agility. This session will unpack the business case for transformation and explore how a member-centric approach to CM and UM and advances in AI and analytics can position early adopters to offer differentiated care and experiences.

    • Adapting to the Shifting Landscape: Navigating Utilization Regulation Changes

      Presented by AssureCare
      Location
      Presentation Theater #2: Booth 1935
      Speakers
      Details

      Health care executives and insurance providers are facing unprecedented challenges due to evolving utilization regulation changes and prior authorization rules. During this session, industry experts will explore the nature of these changes and how they impact health insurance providers. By participating in this session, attendees will acquire an understanding of immediate challenges that can be effectively tackled.

  • 4:10 pm – 4:25 pm
    • Consumers Want Health Technology. How to Bridge the Digital Equity Gap

      Presented by Best Buy Health
      Location
      Presentation Theater #1: Booth 1035
      Speaker
      Details

      Digital literacy has become a cornerstone for health equity. It sheds light on how access to digital tools, skills, and devices can empower members and improve their health. Join us to delve into the challenges and opportunities of digital literacy and equity and discuss how expanding home-based care programs can enhance connectivity and empower members. In addition, we will examine how technology and flexible service teams can help bridge gaps and provide support to high-need populations.

    • GLP-1’s Changed the Obesity Game.  Are You Stuck Using Last Season’s Plays?

      Presented by Solera Health
      Location
      Presentation Theater #2: Booth 1935
      Speaker
      Details

      Americans have had courtside seats to the social media-driven frenzy for GLP-1’s as weight loss therapies. Easy access to tele-prescribers has completely changed how and when people seek out and purchase costly pharmaceuticals. Meanwhile, health insurance providers bear the burden of those excess costs. But it is possible to manage spend for GLP-1s - while ensuring those who will benefit most from these drugs can access them. Join us to explore what’s needed to optimize your program.

4:30 pm – 6:15 pm
, Concurrent Sessions

  • 4:30 pm – 5:15 pm

    Series 1

    • Addressing Equity, Prevention, and Community Health Improvement

      Assessing the Measurable Impact of Equity on Outcomes

      Location
      Musigny
      Speakers
      Details

      In the ever-evolving landscape of health care, achieving and sustaining health equity remains a critical goal. This session will delve into the strategies and approaches that health insurance providers can employ to sustain and advance their efforts to achieve health equity.

    • Advancing Alternative Payment Models and Value-Based Care Strategies

      Value-Based Contracting Success with Well-Managed TCOC Benchmarking

      Presented by Milliman
      Location
      Fleurie
      Speakers
      Details

      As the health care industry advances value-based care (VBC), stakeholders will face a complex landscape. Intricacies and cost containment intersect with the need to improve patient outcomes and share risk. In this dynamic environment, the role of well-managed total cost of care (TCOC) benchmarks are pivotal to rein in medical and pharmacy spend. From managing risk to aligning incentives, we’ll delve into the critical role these benchmarks play and how they have evolved over the past 30 years.

    • Care Management and Delivery System Transformation

      Using Precision Medicine to Transform Oncology Treatment and Patient Experience

      Presented by CVS Health
      Location
      Bandol 1
      Speakers
      Details

      Improving oncology treatment hinges on improving the delivery of evidence-based, patient-centric care. Explore how to enable physicians with tech-powered, evidence-based oncology treatment pathways by integrating advanced utilization management tools with patient care. Gain valuable insights into how one health insurance provider improved precision dosing and preferred drug list strategies to optimize pharmacy spending and oncology treatment pathways.

    • AI, Data Analytics, and Actionable Intelligence

      Leveraging AI to Deliver Personalized Whole Health

      Location
      Bandol 2
      Speakers
      Details

      Delivering whole health requires a holistic approach to support members across the continuum of physical and behavioral health, pharmacy and SDOH needs. Join this discussion to learn how to leverage AI and LLMs proactively identify high-risk members, create treatment options or suggest next best action, and identify member sentiment, ultimately resulting in personalized, whole person care.

    • Improving Accessibility, Affordability, and Transparency of Health Care

      Genetic Test Management: Paving the Way for Innovation

      Presented by Optum – An AHIP Select Member
      Location
      Meursault
      Speakers
      Details

      Genetic testing is projected to grow nearly 10% annually through 2032. However, lab-developed tests lack regulatory oversight and a standardized coding set, with many falling into non-specific CPT codes. Join this session to learn how discrete test identification can drive transparency in the claims process, improving patient outcomes and efficiencies for health insurance providers.

    • Next-Generation Consumer Experience and Engagement

      Investing in CX to Improve Overall Member Experience and Outcomes

      Location
      Hermitage
      Speakers
      Details

      Health insurance providers are recognizing the importance of investing in Customer Experience (CX) to bolster member retention and to improve health outcomes. Join this discussion to gain actionable insights on employing digital health to prioritize CX initiatives, resulting in measurable improvements in member loyalty, satisfaction, and outcomes.

    • Technology, Trends and Business Insights

      Realizing Synergies to Integrate Quality and Risk Interventions

      Presented by Inovalon lateral 2020
      Location
      Pomerol
      Speakers
      Details

      In today’s landscape, uncoordinated outreach programs could result in unnecessary administrative burdens, suboptimal targeting, member and provider abrasion, poorer outcomes, and lower financial realization. Join this session to learn how to apply analytics to ensure that outreach programs positively impact quality and close gaps in care. Gain insights into achieving better health outcomes for members while improving sustainability.

    • Market Strategy & Operational Innovation

      Regulatory Upheaval – Managing the Pace of Change

      Location
      Castillon
      Speakers
      Details

      The rapid pace of regulatory change is impacting all health care sectors, and becoming increasingly challenging to navigate evolving compliance demands and adapt operations accordingly. Join this session for a forecast of the regulatory environment and perspectives on strategic and operational approaches to thrive amidst ongoing change.

  • 5:30 pm – 6:15 pm

    Series 2

    • Addressing Equity, Prevention, and Community Health Improvement

      Advancing Health Equity Using Data, Analytics & Personalized Communication

      Presented by Personify Health
      Location
      Musigny
      Speakers
      Details

      Due to a variety of complex factors such as SDOHs, advancing health equity presents a significant challenge for health care professionals. This session will explore the use of data, analytics, and personalized communication to help close the health equity gap by focusing on data-driven methods to enhance health outcomes. Learn how to apply these strategies effectively and gain insights on how to cultivate healthier communities through personalized member engagement.

    • Advancing Alternative Payment Models and Value-Based Care Strategies

      Accelerating the Transition to Value: Aligning Payment for Improved Outcomes

      Location
      Bandol 1
      Speakers
      Details

      Join this session to learn from health insurance providers sharing strategies and best practices to expedite the transition to value-based care. Gain insights into enhanced quality measurement methodologies that drive improved patient outcomes while ensuring financial sustainability.

    • Care Management and Delivery System Transformation

      Payer-Provider Collaboration to Address Chronic Condition Management

      Location
      Castillon
      Speakers
      Details

      This session will highlight takeaways and lessons learned from a payer taskforce convened by a multi-stakeholder coalition to improve hypertension control rates. Speakers will explore the value of hypertension control programs to health insurance providers and identify ways payers and providers can work together to improve hypertension rates nationally.

    • AI, Data Analytics, and Actionable Intelligence

      Demystifying Artificial Intelligence – Use Cases and Key Considerations

      Presented by Availity
      Location
      Bandol 2
      Speaker
      Details

      Join this session to demystify AI and understand the differences between analytical AI and generative AI. Gain insights into the types of health care use cases that are best for AI deployment, and key considerations before investing in an AI solution.

    • Improving Accessibility, Affordability, and Transparency of Health Care

      Gene and Cell Therapies – New Care and Financing Models

      Location
      Meursault
      Speakers
      Details

      Given a burgeoning pipeline of new therapies under review at the FDA, health insurance providers are exploring new care and financing models. Join a panel of experts to explore strategic insights into innovative payment structures and risk-sharing arrangements to navigate the complexities of coverage for cutting-edge gene and cell therapies.

    • Next-Generation Consumer Experience and Engagement

      Meeting Next-Gen Workforce Needs: Packaging Health Benefits Around Life Events

      Presented by Fidelity
      Location
      Fleurie
      Speakers
      Details

      In a competitive labor market, employers and in turn, health insurance providers, strive to meet members’ needs across a broad spectrum of life stages. In a recent survey, forty-seven percent of employees anticipate at least one major life event that will influence how they use health benefits (e.g. caring for a loved one or navigating parenthood). Join this session to discuss strategies to package health benefits around life events to improve end-to-end navigation and member engagement.

    • Technology, Trends and Business Insights

      End Siloed Health Care: Embracing Digital Solutions for Whole-Person Health

      Presented by Calm
      Location
      Pomerol)
      Speakers
      Details

      When a mental health condition is co-morbid with a chronic condition, the total cost of care can be 2-8X more than a chronic condition alone. Yet mental and physical health are often siloed by the health care system. Explore how evidence-based digital technologies can help create a holistic health experience. Learn how the health care ecosystem can unify care for mental and physical health to improve quality and affordability through accessible, preventive, and engaging solutions.

    • Market Strategy & Operational Innovation

      Marketplace Trends and the Shift to Individual Coverage

      Location
      Hermitage
      Speakers

6:15 pm – 7:15 pm
, Reception with Solutions Providers

Cristal Ballroom
Opening Night Reception

6:20 pm – 7:15 pm
, Presentation Theater

  • 6:20 pm – 6:35 pm
    • Access in Cancer Care: Meeting Patients Where They Are for Better Outcomes

      Presented by Color
      Location
      Presentation Theater #1: Booth 1035
      Speaker
      Details

      Next year, more members will be diagnosed with cancer and encounter challenges like long wait times, fragmented care, and scant support. The most impactful ways to serve members includes detecting cancer early and better managing cancer patients– but today, both of these areas are hindered by access issues. Join this session to learn how designing with access at the forefront and how meeting people where they are can bridge gaps, enhance care management, and improve overall cohort well-being.

  • 6:40 pm – 6:55 pm
    • Precision Diabetes Care: Using Digital Health for Tailored Treatment Strategies

      Presented by Verily Life Sciences
      Location
      Presentation Theater #1: Booth 1035
      Speaker
      Details

      New approaches to metabolic care management are evolving, with the expanding use of GLP-1s, digital tools, and CGMs, along with a shift to more personalized care. This talk will help health insurance providers make sense of the changes in metabolic health management and how integrated solutions are combining clinical expertise, health coaching, and digital tools to help improve outcomes. Gain insight into the future role of AI technologies to drive more precise and equitable care and deliver improved value.

    • Bridging the Benefit: How the Health Care System Can Realign Around Patients

      Presented by GoodRx
      Location
      Presentation Theater #2: Booth 1935
      Speakers
      Details

      Strong market forces have been pressing for decades to manage cost in the health care space generally and the prescription space specifically. In the push to have people take on more responsibility, there have been unintended consequences beyond the cost shift – creating an ecosystem that is fragmented and complex to navigate. Attendees will learn how to align stakeholders and solutions around patients to reduce friction and build a stronger safety net underneath them.

  • 7:00 pm – 7:15 pm
    • Engaging the Un-Engageable: How Behavioral Health Networks Reduce Payer Costs

      Presented by Alera Health
      Location
      Presentation Theater #2: Booth 1935
      Speakers
      Details

      Amidst soaring costs and premature mortality rates for members with co-occurring health, behavioral health, and social issues, the necessity for integrated care is paramount. Join industry leaders from Alera Health and Banner Health Plans as they discuss strategies used for building, incentivizing, and enabling such systems, emphasizing member activation and engagement. Participants will be presented with case studies and performance outcomes that outline effective implementation.

6:15 pm – 7:15 pm
, Book Signing

8:00 am - 7:00 pm Jun 12 • 2024

8:00 am – 5:30 pm
, Registration and Information Desk Open

Convention Lounge
Presented by Optum – An AHIP Select Member

8:45 am – 10:35 am
, Keynote Sessions

10:35 am – 6:45 pm
, Exhibit Hall Open

Cristal Ballroom

10:35 am – 11:15 am
, Coffee Break with Solutions Providers

Cristal Ballroom

10:35 am – 11:15 am
, Book Signing

10:40 am – 11:15 am
, Presentation Theater

  • 10:40 am – 10:55 am
    • Revolutionizing Maternal Healthcare

      Presented by Pager
      Location
      Presentation Theater #1: Booth 1035
      Speakers
      Details

      The United States faces a maternal health crisis with alarmingly high mortality rates, especially among marginalized communities. There is an urgent need to mitigate disparities and improve access to quality care for expectant mothers. This session provides actionable strategies that bridge critical gaps in care, drive positive health outcomes, and ultimately transform maternal health care.

    • What's New in Genetic Testing UM - Does Your Solution Keep Up?

      Presented by HealthHelp
      Location
      Presentation Theater #2: Booth 1935
      Speaker
      Details

      There have been many changes in the last few years in the genetic testing space, including an explosion of CPT and PLA codes, FDA approval of an increasing number of genetic therapeutics and companion diagnostic tests, and state-mandated biomarker testing. Has your organization kept pace? We will highlight some ways to stay current in your coverage while keeping down costs.

  • 11:00 am – 11:15 am
    • Priming Pay for Performance Success with Data Analytics

      Presented by Gray Matter Analytics
      Location
      Presentation Theater #1: Booth 1035
      Speakers
      Details

      Join us to learn more about alternative payment model contract management and how data analytics can drive maximum earnings, manage cost and improve member health. Discover how CareFirst's integration of data analytics into its pay-for-performance program has resulted in achievements in cost containment, earnings optimization, and precise reporting.

    • The Health Equity Index – Impact on Star Ratings and Performance

      Presented by FTI Consulting
      Location
      Presentation Theater #2: Booth 1935
      Speakers
      Details

      The introduction of the Health Equity Index (HEI) into the Star Ratings system is likely to impact every Medicare Advantage plan. Learn how the HEI works, the Star Ratings measures which will be impacted by the HEI, the members that MA plans will need to focus on serving to meet HEI goals, and how MA plans can optimize HEI-driven scoring. Join FTI’s experts as they discuss the strategies that MA plans can employ to adapt and succeed under this federal initiative.

11:15 am – 12:00 pm
, Concurrent Sessions

  • Series 3

    • Addressing Equity, Prevention, and Community Health Improvement

      Deploying Digital Health to Improve Health Equity and Access

      Presented by Ovia Health – An AHIP Select Member
      Location
      Hermitage
      Speaker
      Details

      Join a discussion exploring how digital health solutions can promote health equity, improve access and reduce outcomes disparities. Gain insights on how to deploy digital health solutions to identify risk factors, improve patient engagement, and provide access to quality care for everyone.

    • Advancing Alternative Payment Models and Value-Based Care Strategies

      Driving Progress in Value-Based Specialty Care

      Location
      Fleurie
      Speakers
      Details

      Join an insightful session focused on developing successful value-based arrangements for specialty care. Explore innovative strategies and approaches and to define quality metrics designed to optimize outcomes and enhance patient satisfaction within specialty care domains.

    • Care Management and Delivery System Transformation

      Advancing Excellence: Transforming the Integrated Care Experience

      Presented by Teladoc Health
      Location
      Pomerol
      Speakers
      Details

      Today's discourse on whole person care often overlooks the pitfalls of relying on disjointed solutions, leading to inefficiencies, inequities, and frustrations in the member care experience. Join this candid conversation about next-generation integrated care and what this means for a whole-person consumer experience, health outcomes, member engagement, and measurable results.

    • AI, Data Analytics, and Actionable Intelligence

      Improved Demographic Data Standards to Advance Health Equity

      Location
      Castillon
      Speakers
      Details

      Accurate and standardized demographic data is foundational to focus on health equity. This session will highlight work organizations have taken, in collaboration with their stakeholders, to modernize data standards for race, ethnicity, language, sexual orientation, gender, disability, military experience, and spirituality, so that data is more inclusive and actionable. It will also showcase how health plans have implemented modernized demographic data for health equity.

    • Improving Accessibility, Affordability, and Transparency of Health Care

      True Clinical Data & Interoperability – Shaping Member Experience and Outcomes

      Presented by Surescripts 2022
      Location
      Musigny
      Speakers
      Details

      The broader availability and use of clinical data has the potential to deliver value to health insurance providers and members alike. Join this session to explore data-driven market dynamics, including clinical data interoperability from external sources and expansion of internal clinical data sources and tools. Learn how both dynamics can impact care insights, cost of care, and outcomes.

    • Next-Generation Consumer Experience and Engagement

      Tailored Wellness: Crafting Segment-Specific Products for Enhanced Engagement

      Location
      Bandol 2
      Speakers
      Details

      Discover innovative strategies and best practices for developing personalized insurance products that resonate with diverse demographics and audiences. Join this session to learn how segmentation analysis and customized benefits can drive better health outcomes and member satisfaction.

    • Technology, Trends and Business Insights

      Building the Infrastructure Stack and Technology to Support Innovation

      Location
      Meursault
      Speakers
      Details

      An infrastructure stack can help health insurance providers leverage the power of technology to drive innovation, streamline operations, and stay competitive. In this session, speakers will address the latest developments with payer infrastructure to enable innovation and discuss the strategic considerations necessary to ensure future viability in an ever-evolving landscape.

    • Market Strategy & Operational Innovation

      Closing Time-Sensitive Care Gaps: The Next Level of Aggregating and Sharing Data

      Presented by PointClickCare
      Location
      Bandol 1
      Speakers
      Details

      HEDIS performance data highlights opportunities to increase the success of quality improvement efforts. Join this discussion to explore how to address care gaps by aggregating real-time admission, discharge and transfer data with summaries from continuity of care documents. Learn strategies to use new technologies and interoperability to enable care management and provider networks to collaboratively close time-sensitive gaps in care.

12:00 pm – 1:15 pm
, Lunch & Learns

  • 12:30 pm – 1:15 pm

    Lunch will begin at 12:00 pm. Speaking Sessions will begin promptly at 12:30 pm

    • Food as Medicine: Impacting Outcomes across MCO Populations

      Presented by Mom's Meals - webinar
      Location
      Meursault
      Speakers
      Details

      Food as Medicine initiatives, particularly medically tailored meals, can significantly impact key metrics such as readmissions, potentially preventable admissions, EMS utilization and total cost of care. Join this discussion to learn about outcomes and ROI findings from mature managed care programs for pregnant persons, enrollees recently discharged, and enrollees with diabetes and other chronic conditions. Program implementation, including operational and member insights, will also be shared.

    • Solving for Provider Data Quality through National Collective Action

      Presented by CAQH
      Location
      Bandol 1
      Speakers
      Details

      Despite billions of dollars in investment and ongoing attempts to address provider data quality as individual health plans and providers, progress has been elusive, hindering efficiency and experiences. The problem requires a moonshot approach. Join this session to learn about a pioneering effort with leading health insurance providers to leverage collective action to align provider processes and approaches for transformative data improvement.

    • Advancing Population Health Efforts to Improve Health Outcomes

      Presented by CVS Health
      Location
      Fleurie
      Speakers
      Details

      Gain insights on approaching population health with a lens of how to optimize data, enable multi-modal care, and remain focused on clinically effective outcomes. Learn how health insurance providers, population health organizations, and community resources are collaborating to drive positive health outcomes and efficiencies. Discover how to better empower members to cultivate sustainable, healthy habits for their overall well-being and track individual progress toward their best health.

    • Collaborating on Outcomes: Surfacing Clinical Member Data in the Moment of Care

      Presented by Athenahealth
      Location
      Pomerol
      Speaker
      Details

      Leveraging EHR cloud-based technology can enable the next phase of clinical data exchange, experiential interoperability, where care and diagnosis data present right in the moment of care and electronic prior authorization (EPA) is executed with ease. Learn how EHR cloud-based technology enabled one national health insurance provider to create standard infrastructure that can improve clinical data exchange availability.

    • Unified Member Experience to Improve Accessibility and Affordability

      Presented by Softheon – An AHIP Select Member
      Location
      Hermitage
      Speaker
      Details

      Health insurance accessibility and affordability are more than just policy challenges. Building sustainable operations and member experiences can also result in measurable improvements to accessible, affordable care. Explore trends in member acquisition and retention operations and discuss how to use technologies and outsourcing to improve operations and demonstrate how savings and enhancements can improve access and affordability.

    • A Booming Opportunity: Consumer-Centric Experiences for Medicare Advantage

      Presented by League
      Location
      Castillon
      Speakers
      Details

      With more than half of the nation’s eligible seniors enrolled in Medicare Advantage plans, competition continues to intensify. A crucial question now arises: how can the power of a digital-first experience be harnessed to unlock value and establish a competitive advantage? In this discussion, hear what it takes to launch a consumer-centric experience and deliver personalized care plans that improve satisfaction, engagement and health outcomes.

    • Breaking Barriers: Making Quality Behavioral Health Affordable and Accessible

      Presented by spring health
      Location
      Musigny
      Speakers
      Details

      In a pivotal era for mental health, breaking barriers to enable affordable behavioral health care is crucial. Join this session to explore strategies for smarter spending on behavioral health and synergies created between health insurance providers and behavioral health partners. Gain insights that can improve affordable, accessible, and high-quality care, ultimately reducing total costs and improving clinical outcomes.

    • The Future of Product and Benefit Management: A Defining Strategic Asset

      Presented by PWC
      Location
      Bandol 2
      Speakers
      Details

      Our health care ecosystem is exploding with products, point solutions, and benefit options for members and employers while health insurance providers consider the merits of those products and the wide range of benefits they require. Join us to learn about the market forces that accelerate the complexity and rate of change that health insurance providers face today. Explore practical strategies and actionable solutions to turn a diverse product and benefit catalog into a strategic asset.

1:15 pm – 2:00 pm
, Dessert Break with Solutions Providers

Cristal Ballroom

1:15 pm – 2:00 pm
, Book Signing

  • , Social Hub / Booth #1427

    The Colors of My Heart: Embracing My Blackness Through History, Family, Fear, and Faith

    ,

    Complimentary books are available for the first 100 attendees.

    • Learn more about Margaret Larkins-Pettigrew, MD
      Margaret Larkins-Pettigrew, MD
      ,
      Senior Vice President & Chief Clinical Diversity, Equity, and Inclusion (DEI) Officer, Highmark Health and Allegheny Health Network (AHN);
      , Professor, Academic Chair of Obstetrics & Gynecology, Drexel University School of Medicine

1:20 pm – 1:55 pm
, Presentation Theater

  • 1:20 pm – 1:35 pm
    • A New Model for Digital Health – Moving to Clear ROI

      Presented by Health Care Originals, Inc.
      Location
      Presentation Theater #1: Booth 1035
      Speakers
      Details

      Many digital health initiatives have struggled to produce clear value in outcomes and ROI, leaving early champions wary of engaging on the same terms. The issue: how can we effectively create a new paradigm that finally delivers on the promise of digital health? In this session 3 industry experts – a former health insurance provider executive, a leading actuary, and a patient – will share their perspectives and a roadmap on how to redefine metrics, rethink engagement, reduce costs, and delight members.

  • 1:40 pm – 1:55 pm
    • Reduce Overall Friction with a Shared Service Model

      Presented by Sutherland Global
      Location
      Presentation Theater #2: Booth 1935
      Speakers
      Details

      Complexity and variability. Data accuracy and integrity. Compliance and regulatory requirements. Tech integration. Cost and resource allocation. These are just some challenges our industry faces today in credentialling. Join us to hear success stories from large health insurance providers as they adopt a multi-tenant shared services approach to provider credentialing. Learn how to improve your turnaround time while reducing costs and enhancing the provider experience.

2:00 pm – 4:45 pm
, Concurrent Sessions

  • 2:00 pm – 2:45 pm

    Series 4

    • Targeting SDOH at Scale to Positively Impact Health Equity

      Presented by Wider Circle
      Location
      Fleurie
      Speakers
      Details

      Addressing health equity can lead to improved health outcomes and quality, lower costs, and enhanced member satisfaction and retention. Join this session to explore an innovative model that addresses SDOH and health equity for our most vulnerable members in the communities where they live. Understand how community-based groups can improve communication with members to address inequity as well as encourage members to be more proactive about their health.

    • Advancing Alternative Payment Models and Value-Based Care Strategies

      The Future of Sustainable Value-Based Care: Best Practices for Implementation

      Location
      Musigny
      Speakers
      Details

      Join this session to discuss a partnership advancing value-based care (VBC) arrangements by supporting participants through design, implementation, and evaluation of their own VBC participation. Learn from playbooks which outline the core building blocks of VBC arrangements, including data sharing and payment structures. Learn how the playbooks are implemented in the real world to ensure voluntary alignment and gain insights into collaboration across VBC experiences.

    • Care Management, Delivery Transformation and Value

      Driving Engagement through a Loyalty-Centric, Member First Approach

      Presented by Optum – An AHIP Select Member
      Location
      Meursault
      Speakers
      Details

      Health care rewards programs have often delivered flat, cookie cutter experiences for members. The lack of a loyalty-first focus has led members to view programs as transactional, resulting in limited on-going engagement. Given changing member dynamics, successful programs have evolved to provide a consumer-centric, holistic approach to wellbeing to drive value for members. Gain insights to understand how merging high-value benefits, experiences, and incentives can drive valuable engagement.

    • AI, Data Analytics, and Actionable Intelligence

      AI-Enabled Care to Positively Reframe Mental Health and Improve Access

      Presented by CredibleMind
      Location
      Pomerol
      Speakers
      Details

      The mental health crisis is a driving force for innovative solutions. Join this session to discuss how to integrate evidence-based self-care with clinical services to improve access and outcomes. Explore AI-powered methods for mental health care, aiming to activate members with concepts of flourishing, while enhancing clinical operational efficiency by leveraging an advanced mental health care framework.

    • Improving Accessibility, Affordability, and Transparency of Health Care

      Patient Preferences When Selecting Providers to Inform Networks and Directories

      Location
      Castillon
      Speakers
      Details

      Research lacks on patient preferences in providers, whether shared identity or beliefs, medical training and experience, communication skills, cultural competencies, or office environment and access. This session will highlight research two health care organizations have conducted to illuminate these preferences, how findings can inform insurance networks and directories, and proactive strategies health plans can take to better promote network information and competencies that patients value.

    • Next-Generation Consumer Experience and Engagement

      Reimagining Touch Points for Engagement and Retention

      Location
      Bandol 1
      Speakers
      Details

      Driving sustainable growth in a competitive market requires health insurance providers to reimagine consumer touch points to foster member engagement and retention. Join this session to discover innovative approaches to explore how to capitalize on feedback and touch points from consumers as inputs for new products and services. Gain insights to leverage consumer experience insights into internal operations, including product development, provider relations, and sales approaches.

    • Technology, Trends and Business Insights

      Market Outlook – Emerging Trends Impacting Payers in 2024 and Beyond

      Location
      Bandol 2
      Speakers
    • Market Strategy & Operational Innovation

      Next-Generation Provider Networks: Identifying Hidden Costs, Maximizing Impact

      Presented by Quest Analytics
      Location
      Hermitage
      Speakers
  • 3:00 pm – 3:45 pm

    Series 5

    • Addressing Equity, Prevention, and Community Health Improvement

      Advancing Health Equity Through Data

      Location
      Hermitage
      Speakers
      Details

      CMS has created a framework for health equity, which is intended to implement and operationalize policies and programs that support health for all people served by their programs. Speakers in this session will discuss how CMS is working to improve collection efforts through standardized reporting and data gathering, and why these efforts are necessary in building a more equitable future in health care.

    • Advancing Alternative Payment Models and Value-Based Care Strategies

      Value-Based OB Care: Partnering for Whole Person Health and Improved Outcomes

      Presented by Lucina
      Location
      Fleurie
      Speakers
      Details

      Value-based care requires health care practitioners to optimize utilization of resources and to ensure that cost of care is aligned with health outcomes. Gain insights into best practices of a value-based care agreement to improve obstetrical care and health outcomes for patients. Learn how to structure a shared savings partnership model that leverages technology to provide best-in-class outcomes for both the patient and baby.

    • Care Management and Delivery System Transformation

      Addressing the Functional Needs of Aging Populations

      Location
      Musigny
      Speakers
      Details

      With CMS prioritizing advancing the health equity agenda, payers are being asked to do more to equitably improve health outcomes equitably. Hear how two health insurance providers are engaged in several initiatives to improve health equity for senior members. Attendees will learn how to create solutions that tackle discrete use cases, address health disparities, and actively explore ways to collect information and remove barriers to senior engagement.

    • AI, Data Analytics, and Actionable Intelligence

      Effective AI Utilization: Use Cases to Reduce Friction for Consumers & Providers

      Location
      Meursault
      Speakers
      Details

      AI offers the potential to transform and streamline consumer experiences within the health care ecosystem. Join this session to explore how to apply generative AI to the enterprise and real-world use cases of AI to mitigate friction for both consumers and providers. Learn how AI can be harnessed to streamline processes, enhance communication, and optimize care pathways, ultimately fostering smoother experiences and improved outcomes for all stakeholders involved in the health care ecosystem.

    • Improving Accessibility, Affordability, and Transparency of Health Care

      From Friction to Flow: High-Value Care with New Provider Engagement Approaches

      Presented by Clarify Health Solutions
      Location
      Bandol 2
      Speakers
      Details

      While known friction points may hamper provider relations, some innovative plans are engaging their provider partners using deep patient and provider insights to build trust and improve outcomes. Join this panel discussion to hear health insurance executives share successful provider engagement strategies and their results to improve member experience and outcomes, address population health, and control costs.

    • Next-Generation Consumer Experience and Engagement

      Empowering Engagement through Community-Centered Care

      Presented by Walgreens webinar 2022
      Location
      Pomerol
      Speakers
      Details

      Rising medical costs and care navigation challenges lead some patients to delay treatments. Join this discussion to discover innovative approaches for tackling engagement and enriching the patient experience through local connections. Learn how collaborative strategies between health insurance providers and other community health partners can drive positive health outcomes and increase patient access to care.

    • Technology, Trends and Business Insights

      The Future of Pain Management: Digital Therapeutics & Accessible Care Delivery

      Presented by Kaia Health
      Location
      Castillon
      Speaker
      Details

      As the health care landscape evolves, pain management remains a critical challenge for patients, health insurance providers, and care providers, particularly in ensuring equitable access to effective care. Join this session to explore the intersection of digital therapeutics and accessible care delivery, exploring how innovative technologies can transcend traditional barriers in pain management.

    • Market Strategy & Operational Innovation

      Industry Trends and Insights: The Employee Health Benefits That Matter Most

      Location
      Bandol 1
      Speakers
      Details

      Employers today must navigate more choices, but also new challenges, in choosing health benefit options for their employees. In this session, attendees will gain valuable insights on what to consider when evaluating employee health benefits. Panelists will discuss the latest industry trends and the factors that influence employers when selecting health benefits, including cost and quality of care.

  • 4:00 pm – 4:45 pm

    Series 6

    • Addressing Equity, Prevention, and Community Health Improvement

      Building Equity Bridges: Integrating Network and Tech to Drive Improved Outcomes

      Presented by Aeroflow Healthcare
      Location
      Fleurie
      Speaker
      Details

      Join us for an insightful discussion on identifying and bridging the gap for underserved patients. Learn how to leverage technological advancements with existing networks to effectively address equity challenges. Through a comprehensive analysis, gain valuable insights and actionable strategies to drive equitable outcomes.

    • Advancing Alternative Payment Models and Value-Based Care Strategies

      Making Value-Based Care Work for Behavioral Health

      Location
      Castillon
      Speakers
      Details

      Although value-based care programs are gaining traction, behavioral health poses unique challenges to measure quality, outcomes, and value. Explore strategic considerations of collaborative approaches to deliver effective mental health and substance abuse treatment to ensure improved outcomes and a sustainable financial model.

    • Care Management and Delivery System Transformation

      Accessing Real-Time Clinical Information to Improve Efficiency and Satisfaction

      Location
      Musigny
      Speakers
      Details

      Join this session to explore how health insurance providers can access real-time clinical data to streamline clinical workflows to enhance patient satisfaction. Hear perspectives on methodologies to better harness timely clinical data, optimize workflows, and assist in making informed decisions swiftly to drive efficiency and optimize member satisfaction.

    • AI, Data Analytics, and Actionable Intelligence

      Robust Governance to Ensure Responsible Deployment of AI and Generative AI

      Location
      Bandol 1
      Speakers
      Details

      AI and generative AI have the potential to completely transform health care, from improved customer experience to process optimization and employee productivity. Yet health insurance provider executives need to develop governance frameworks to ensure deployment of responsible AI. Join this discussion to explore ethical and regulatory considerations and best practices to ensure transparent, accountable, and equitable AI implementation.

    • Improving Accessibility, Affordability, and Transparency of Health Care

      A Prescription for Affordability: Strategies for Managing Drug Spend

      Location
      Bandol 2
      Speakers
      Details

      In a world where prescription drugs, especially specialty drugs, continue to be a lead driver of health care costs, health insurance leaders need to assess the value of prescription drugs and explore innovative strategies to improve affordability. Join this panel discussion to learn best practices from a range of health insurance providers on the new challenges in various markets, strategies to optimize formularies and innovative solutions to ensure value and affordability.

    • Next-Generation Consumer Experience and Engagement

      Better GLP-1 Management within Existing Clinical Frameworks & Coverage Policies

      Presented by Vida Health
      Location
      Pomerol
      Speaker
      Details

      The obesity epidemic presents an urgent challenge for health insurance providers. As GLP-1s become the go-to treatment to battle obesity, health insurance providers need to navigate the complexities of integrating these expensive therapies into comprehensive, affordable cardiometabolic care strategies. Join this session to delve deep into multifaceted challenges, from ensuring equitable access and managing costs of GLP-1s to aligning with evolving clinical guidelines and patient expectations.

    • Technology, Trends and Business Insights

      Navigating Mental Health Solutions: Improving Care Across Diverse Populations

      Presented by Sanofi
      Location
      Meursault
      Speakers
      Details

      Health insurance providers have no shortage technology-enabled mental health options, but identifying the right solutions is challenging when the scope of needs diversifies and intensifies beyond depression and anxiety. Join us to explore strategies to improve outcomes across diverse population needs and identify success metrics that can guide decision making. Gain insights and lessons learned on how to evaluate the mental health landscape to meet access and engagement goals.

    • Market Strategy & Operational Innovation

      Member Engagement Modernization: Connectivity & Interaction at Scale

      Presented by Relay Network
      Location
      Hermitage
      Speakers
      Details

      In today’s health care landscape, health insurance providers are uniquely positioned to influence the experiences of their members. Using modern engagement tools, in-the-moment interactions can enhance care management and medication adherence, ultimately leading to care gap closures and improved quality scores. In this session, learn about strategies to engage hard-to-reach members and enable effective connections.

5:00 pm – 5:45 pm
, Keynote Session

5:45 pm – 6:45 pm
, Reception with Solutions Providers

Cristal Ballroom

5:45 pm – 6:45 pm
, Book Signing

6:10 pm – 6:25 pm
, Presentation Theater

    • Decoding Consumer Attitudes: How to Win Hearts & Minds in Health Marketing

      Presented by Quad/Graphics
      Location
      Presentation Theater #1: Booth 1035
      Speaker
      Details

      Health-insurance marketing will be a big part of the $19.7B projected spend on health advertising in 2024. How can marketers develop messaging that cuts through the noise? It starts with understanding consumer attitudes. Join us as we share three distinct consumer segments Quad identified through primary research. Learn what each segment uniquely values most from their health insurance. Discover how to apply segmentation and predictive models for more engaging messaging and improved results.

    • Enterprise AI in Health Care: Myth Vs. Reality

      Presented by Cloudera
      Location
      Presentation Theater #2: Booth 1935
      Speaker
      Details

      There is a lot of hype around artificial intelligence (AI) in health care. But what is really happening and who in the health care industry is doing what with this new technology? Join this session to learn what AI projects are being implemented and why, and what the outcomes are. Gain insights into AI projects and use cases that health insurance providers, clinicians, and the broader health care ecosystem have implemented, and lessons learned from early adopters.

8:00 am - 5:15 pm Jun 13 • 2024

8:00 am – 3:30 pm
, Registration and Information Desk Open

Convention Lounge
Presented by Optum – An AHIP Select Member

8:45 am – 10:15 am
, Keynote Sessions

10:15 am – 1:15 pm
, Exhibit Hall Open

Cristal Ballroom

10:15 am – 11:00 am
, Coffee Break with Solutions Providers

Cristal Ballroom

10:15 am – 11:00 am
, Book Signing

11:00 am – 12:00 pm
, Influencer Series

  • , Pomerol

    Impact of Private Equity on Patient Health Care

    ,

    Private equity firms are increasingly using leveraged buyouts, and other funding sources to acquire hospitals, specialty practices, and other health-related businesses. Investors argue these efforts will expand access to care, drive innovation, and create jobs. Critics say such acquisitions can further consolidate the health care market, increase costs, circumvent antitrust regulations, and threaten quality and oversight. Join this session to explore the impact of private equity on patient care.

  • , Bandol 2

    Housing is Health Care: Meeting People Where They Are

    ,

    Housing stability is directly correlated with health outcomes, especially for populations with multiple, chronic conditions. Panelists in this session will highlight innovative approaches to augment the intersection between housing and health care and how insurance providers can foster other innovations in this space.

  • , Musigny

    Health Care 2030: Are We Consumers, CEOs, Health Citizens, or Castaways?

    ,

    The session will explore four alternative future health care scenarios for 2030 and implications for the patient-person. The scenarios are based on two key driving forces that are quite uncertain for 2030: the source of health care financing (public sector vs. private and commercial) and the social ethos in the U.S. – whether community-driven or individualistic. Join a real time brainstorming session on four alternative futures with a panel of experts from sectors in retail and consumer goods, technology, and health care delivery.

  • , Bandol 1

    Closing the Women’s Health Gap

    ,

    Women’s health encompasses the full range of sexual and reproductive health and beyond. Unfortunately, there are disparities in how women receive care that persist. Drug research doesn’t typically include women, which can result in less venture funding for relevant startups. Panelists will offer perspectives on the benefits and challenges pertaining to women's health care today and explore the value proposition for health insurance providers and other stakeholders to help to close the gap.

  • , Meursault

    Navigating the Cybersecurity Landscape: Safeguarding Health Data in the Digital Age

    ,

    The health care cybersecurity landscape is rapidly evolving given the ever-increasing amount of personal data generated, mounting technological complexity, and targeted actions by bad actors prompting the need for even more sophisticated and integrated security solutions. A panel of experts will explore the intersection of unprecedented technological advancements and escalating cybersecurity challenges in the digital age that warrant attention from individuals and organizations alike.

12:00 pm – 1:15 pm
, Networking Lunch

Cristal Ballroom
In the Exhibit Hall with Solutions Providers

12:00 pm – 1:15 pm
, Book Signing

1:15 pm – 1:15 pm
, Exhibit Hall Closes

The Exhibit Hall is Closed for the rest of the conference.

1:15 pm – 3:00 pm
, Concurrent Sessions

  • 1:15 pm – 2:00 pm

    Series 7

    • Addressing Equity, Prevention, and Community Health Improvement

      Vital Relationships for Maximizing Payer Health Equity Impact

      Presented by AMN Healthcare Language Services
      Location
      Musigny
      Speakers
      Details

      In this panel discussion, discover strategies for building successful health equity partnerships and overcoming common challenges. Learn from real-world examples provided by top health care leaders to enhance your organization's health equity initiatives. Don’t miss this opportunity to gain valuable perspectives and drive meaningful change.

    • Advancing Alternative Payment Models and Value-Based Care Strategies

      Business Model Perspectives on Value-Based Care

      Location
      Bandol 1
      Speakers
      Details

      Join this session to address how to meaningfully advance value-based care programs in multiple markets including commercial and Medicare Advantage markets. Learn from proven methods to create the right incentives and infrastructure to transition toward outcomes-driven reimbursement and ensure a sustainable partnership between payers and providers.

    • Care Management and Delivery System Transformation

      Care Transformation and Integration to Improve Access to Behavioral Health

      Location
      Bandol 2
      Speakers
    • Market Strategy & Operational Innovation

      Accelerating Business Value: High-Performance Product Portfolio Essentials

      Presented by West Monroe Partners
      Location
      Meursault
      Speakers
      Details

      Increasing competitive pressure, a changing ecosystem, and increasing customer expectations have made the digital & product suite experience a make-or-break in today’s market. Delve into the lessons learned of transitioning to a high-performing product portfolio organization and how to improve clarity in the business and customer outcomes they are driving as an organization.

  • 2:15 pm – 3:00 pm

    Series 8

    • Addressing Equity, Prevention, and Community Health Improvement

      Improving Equity and Outcomes: Assessing Quality for Behavioral Health

      Location
      Bandol 1
      Speakers
      Details

      Enhancing equity and outcomes in behavioral health requires a holistic approach to assess quality through the lens of accessibility, cultural competency, and patient-centered care. Join this session to learn how to not only improve outcomes, but also address disparities, and increase access to behavioral health services.

    • Care Management and Delivery System Transformation

      Leveraging Payer and Provider Collaboration for Better Health Outcomes

      Location
      Bandol 2
      Speakers
      Details

      Speakers will share best practices for establishing effective relationships between payers and providers, navigating complex regulations, and aligning incentives to achieve common goals. Whether you are a payer, provider, or simply interested in health care innovation, this session will provide valuable insights on how to drive transformational change through strategic partnerships.

    • Improving Accessibility, Affordability, and Transparency of Health Care

      Streamlining Prior Authorization: Trends, Challenges, and Opportunities

      Location
      Meursault
      Speakers
      Details

      Prior authorization is one of many tools used to promote safe, timely, evidence-based, affordable, and efficient care. Efforts to streamline prior authorization processes in health care aim to improve the patient experience and reduce administrative burden on the health care workforce. Join this session to explore current and emerging trends, challenges, and opportunities related to proposed state regulatory reforms, their interplay with federal reforms, and approaches to streamline prior authorization processes.

    • Next-Generation Consumer Experience and Engagement

      Youth, Behavioral Health and Health Equity

      Presented by Rula
      Location
      Musigny
      Speaker
      Details

      The behavioral health crisis among youth is a mounting concern and health insurance providers are working to improve behavioral health care access for children and adolescents and to ensure health equity. Join this session to gain insights and explore lessons learned from employers and health systems. Discover how to connect young people with needed behavioral health care to address disparities and achieve behavioral health equity.

3:00 pm – 3:30 pm
, Cheers to AHIP 2024

Lafite Ballroom

3:30 pm – 4:30 pm
, Keynote Sessions