Agenda
4:00 pm – 6:00 pm
Registration and Information Desk Open
8:30 am – 6:30 pm
Registration and Information Desk Open
8:30 am – 12:00 pm
Welcome Refreshments
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 EquityPresented by
- Location
- Bandol 2
- Speakers
-
- Srikanth Lakshminarayanan, Sagility
- Krithika Srivats, MSOTR, Sagility
- Kevin Terrell, BirchAI
-
Unlocking the Next Era of Value-Based Specialty CarePresented by
- Location
- Bandol 1
- Speakers
-
- Craig Hunter, MPP, Carelon
- John William Machalek, Carelon
- Foram Mehta, MS, RPh, Carelon
- Abby Milloy, MBA, MPH, Elevance Health
- Gautam M. Shah, MBA, Carelon
-
Cost-Effective Heart Health: Implications of GLP-1 Label ExpansionPresented by
- Location
- Hermitage
- Speakers
-
- Edo Paz, MD, Hello Heart
- Darren E. Wethers, MD, CPE, FACP, ATRIO Health Plans
-
Insights into CMS’ Prior Auth Rule: How to Leverage AI and AutomationPresented by
- Location
- Fleurie
- Speakers
-
- Rajesh “Raj” Godavarthi, MCG Health
- Larry McEntire II, MCG Health
-
Leveraging Lab Data to Ensure Access for Underserved PopulationsPresented by
- Location
- Musigny
- Speakers
-
- Kelly Chtcheprov, Labcorp
- Laura Doyle, Labcorp
- Hiba George, Labcorp
- Yvette Jenkins, Labcorp
-
Designing Virtual Care to Boost Health EquityPresented by
- Location
- Castillon
- Speakers
-
- Carolyn Jasik, MD, Omada Health
- Kameron Matthews, MD, JD, FAAFP, Cityblock Health
-
Enabling Growth through Digital Transformation and ModernizationPresented by
- Location
- Meursault
- Speakers
-
- Keith Arnold, Optum Advisory
- Matthew Kinney, Optum
- Matthew Matousek, Optum
- K.R Prabha, Optum
-
Technology, Trends and Business InsightsDriving Health Forward: Research Insights from Consumers, Employers and IndustryPresented by
- Location
- Pomerol
- Speaker
-
- Urvashi Patel, PhD, Evernorth Research Institute
-
1:00 pm – 3:45 pm
Keynote Sessions
-
1:00 pm – 1:10 pm, Lafite Ballroom
Welcome
-
Learn more about Mike Tuffin
Mike Tuffin,President & CEO
, AHIP
-
Learn more about Mike Tuffin
-
1:10 pm – 1:30 pm, Lafite Ballroom
Modernizing the U.S. Public Health Infrastructure: A Vision for the Future - Part One
-
Learn more about Mandy K. Cohen, MD, MPH
Mandy K. Cohen, MD, MPH,Director, Centers for Disease Control and Prevention (CDC) and Administrator, Agency for Toxic Substances and Disease Registry
, -
Learn more about Bechara Choucair, MD
Bechara Choucair, MD,Executive Vice President & Chief Health Officer
, Kaiser Permanente
-
Learn more about Mandy K. Cohen, MD, MPH
-
1:30 pm – 2:10 pm, Lafite Ballroom
Modernizing the U.S. Public Health Infrastructure: A Vision for the Future - Part Two
-
Learn more about Dave A. Chokshi, MD
Dave A. Chokshi, MD,Chair, Common Health Coalition; Sternberg Family Professor of Leadership
, City College of New York -
Learn more about Mandy K. Cohen, MD, MPH
Mandy K. Cohen, MD, MPH,Director, Centers for Disease Control and Prevention (CDC) and Administrator, Agency for Toxic Substances and Disease Registry
, -
Learn more about Dan Hanfling, MD
Dan Hanfling, MD,Director, Strategic Private Sector Pandemic Preparedness, Office of Pandemic Preparedness & Response Policy
, The White House -
Learn more about Michelle A. Williams, ScD
Michelle A. Williams, ScD,Joan and Julius Jacobson Professor of Epidemiology & Public Health
, Harvard T.H. Chan School of Public Health -
Learn more about Bechara Choucair, MD
Bechara Choucair, MD,Executive Vice President & Chief Health Officer
, Kaiser Permanente
-
Learn more about Dave A. Chokshi, MD
-
2:10 pm – 2:30 pm, Lafite Ballroom
Building an Equitable Health Landscape
-
Learn more about LaShawn McIver, MD, MPH
LaShawn McIver, MD, MPH,Senior Vice President & Chief Health Equity Officer
, AHIP
-
Learn more about LaShawn McIver, MD, MPH
-
2:30 pm – 3:20 pm, Lafite Ballroom
Making Prescription Drugs Affordable and Accessible for Everyone
-
Learn more about Merith Basey, MSc
Merith Basey, MSc,Executive Director
, Patients For Affordable Drugs™ -
Learn more about Vin Gupta, MD, MSt, MPA
Vin Gupta, MD, MSt, MPA,Chief Medical Officer
, Amazon Pharmacy -
Learn more about Adam Kautzner, PharmD
Adam Kautzner, PharmD,President
, Evernorth Care Management & Express Scripts® -
Learn more about Lauren E. Aronson
Lauren E. Aronson,Executive Director
, Campaign for Sustainable Rx Drug Pricing (CSRxP)
-
Learn more about Merith Basey, MSc
-
3:20 pm – 3:45 pm, Lafite Ballroom
Empowering Local Health: How Walgreens is Driving Consumer-Centric Care
-
Learn more about Mary Langowski
Mary Langowski,Executive Vice President & President, U.S. Healthcare
, Walgreens Boots Alliance, Inc. -
Learn more about Bruce Japsen
Bruce Japsen,Senior Contributor, Healthcare
, Forbes
-
Learn more about Mary Langowski
3:45 pm – 7:15 pm
Exhibit Hall Open
3:45 pm – 4:30 pm
Coffee Break with Solutions Providers
3:50 pm – 4:25 pm
Presentation Theater
-
3:50 pm – 4:05 pm
-
The Imperative for Modernizing Utilization Management and Care CoordinationPresented by
- Location
- Presentation Theater #1: Booth 1035
- Speakers
-
- Vikas Garg, ZS
- Vimbai Madimu, ZS
- Sheryl Markowitz, MSW, LCSW, LISW-S, Longevity Health Plan
-
Adapting to the Shifting Landscape: Navigating Utilization Regulation ChangesPresented by
- Location
- Presentation Theater #2: Booth 1935
- Speakers
-
- Yousuf J. Ahmad, DrPH, MHSA, MS, MBA, FACHE, FACMPE, AssureCare
- Mayur Yermaneni, MD, MS, AssureCare
-
-
4:10 pm – 4:25 pm
-
Consumers Want Health Technology. How to Bridge the Digital Equity GapPresented by
- Location
- Presentation Theater #1: Booth 1035
- Speaker
-
- Jenny Ramseth, MBA, Best Buy Health
-
4:30 pm – 6:15 pm
Concurrent Sessions
-
4:30 pm – 5:15 pm
Series 1
-
Addressing Equity, Prevention, and Community Health ImprovementAssessing the Measurable Impact of Equity on Outcomes
- Location
- Musigny
- Speakers
-
- Kendell LeBray, MPH, HCSC
- Kelli Tice, MD, GuideWell and Florida Blue
- Vindell Washington, MD, MS, Verily Life Sciences
- LaShawn McIver, MD, MPH, AHIP
-
Advancing Alternative Payment Models and Value-Based Care StrategiesValue-Based Contracting Success with Well-Managed TCOC BenchmarkingPresented by
- Location
- Fleurie
- Speakers
-
- Brian Anderson, Milliman
- Marcos Dachary, Milliman
-
Care Management and Delivery System TransformationUsing Precision Medicine to Transform Oncology Treatment and Patient ExperiencePresented by
- Location
- Bandol 1
- Speakers
-
- Roger A. Brito, MD, CVS Health
- David Coffee, PharmD, MBA, CVS Health
-
AI, Data Analytics, and Actionable IntelligenceLeveraging AI to Deliver Personalized Whole Health
- Location
- Bandol 2
- Speakers
-
- Charles DeShazer, MD, Cigna Healthcare
- Vardini Vishwanathan, Elevance Health
- Joydeep (Joy) Mukherjee, Johns Hopkins Health Plans
-
Improving Accessibility, Affordability, and Transparency of Health CareGenetic Test Management: Paving the Way for InnovationPresented by
- Location
- Meursault
- Speakers
-
- Gabriel Bien-Willner, MD, PhD, Palmetto
- Gary McCabe, Quest Diagnostics
- Emily Swafford, Optum
-
Next-Generation Consumer Experience and EngagementInvesting in CX to Improve Overall Member Experience and Outcomes
- Location
- Hermitage
- Speakers
-
- Stacy Byers, Highmark Health
- Hakan Kardes, Alignment Health
- Ingrid Lindberg
-
Technology, Trends and Business InsightsRealizing Synergies to Integrate Quality and Risk InterventionsPresented by
- Location
- Pomerol
- Speakers
-
- Hemanth Doma, MBA, Inovalon
- Kathryn Eshelman, MD, MPH, Inovalon
- Lalith Mehta, MBA, Inovalon
- Bryce Williams, Inovalon
-
Market Strategy & Operational InnovationRegulatory Upheaval – Managing the Pace of Change
- Location
- Castillon
- Speakers
-
- Ryan DeMerlis, Deloitte & Touche LLP
- Todd M. Gower, MBA, L.A. Care Health Plan
- Acacia Reed, MBA, L.A. Care Health Plan
- Mark Hamelburg, AHIP
-
-
5:30 pm – 6:15 pm
Series 2
-
Addressing Equity, Prevention, and Community Health ImprovementAdvancing Health Equity Using Data, Analytics & Personalized CommunicationPresented by
- Location
- Musigny
- Speakers
-
- Chris Bozic, Personify Health
- Nancy Smith, Personify Health
-
Advancing Alternative Payment Models and Value-Based Care StrategiesAccelerating the Transition to Value: Aligning Payment for Improved Outcomes
- Location
- Bandol 1
- Speakers
-
- Alicia M. Berkemeyer, Arkansas Blue Cross and Blue Shield
- Mark Friedberg, MD, MPP, Blue Cross Blue Shield of Massachusetts
-
Care Management and Delivery System TransformationPayer-Provider Collaboration to Address Chronic Condition Management
- Location
- Castillon
- Speakers
-
- Jenny Bogard, MPH, National Hypertension Control Roundtable
- Scott Flinn, MD, Blue Shield of California
- Sara Spilseth, MD, HealthPartners
- Chris Regal, AHIP
-
AI, Data Analytics, and Actionable IntelligenceDemystifying Artificial Intelligence – Use Cases and Key ConsiderationsPresented by
- Location
- Bandol 2
- Speaker
-
- Robert Laumeyer, Availity
-
Improving Accessibility, Affordability, and Transparency of Health CareGene and Cell Therapies – New Care and Financing Models
- Location
- Meursault
- Speakers
-
- Lee A. Fleisher, MD, Rubrum Advising
- Kristyn Greifer, MD, Sentara Health Plans
- Michael Sherman, MD, MBA, MS, RA Ventures
- Sean Dickson, JD, MPH, AHIP
-
Next-Generation Consumer Experience and EngagementMeeting Next-Gen Workforce Needs: Packaging Health Benefits Around Life EventsPresented by
- Location
- Fleurie
- Speakers
-
- Ben Isgur, Fidelity Health℠
- Erin Lenox, Blue Cross Blue Shield of Massachusetts
- Sandra Lynn, Fidelity Health℠
-
Technology, Trends and Business InsightsEnd Siloed Health Care: Embracing Digital Solutions for Whole-Person HealthPresented by
- Location
- Pomerol
- Speakers
-
- Christopher Carey, Calm
- Douglas Nemecek, MD, MBA, BA, CHIE, Evernorth Health Services
-
Market Strategy & Operational InnovationMarketplace Trends and the Shift to Individual Coverage
- Location
- Hermitage
- Speakers
-
- Peter M. Marino, Neighborhood Health Plan of Rhode Island
- Alessa Quane, Oscar Health
- Nathanael J. Watters, Ambetter Health
-
6:15 pm – 7:15 pm
Reception with Solutions Providers
6:15 pm – 7:15 pm
Book Signing
-
, Social Hub / Booth #1427
Health Consuming – From Health Consumer to Health Citizen
,Complimentary books are available for the first 100 attendees.
-
Learn more about Jane Sarasohn-Kahn, MA, MHSA
Jane Sarasohn-Kahn, MA, MHSA,Health Economist & Trend Weaver, THINK-Health and Health Populi blog
,
-
Learn more about Jane Sarasohn-Kahn, MA, MHSA
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 OutcomesPresented by
- Location
- Presentation Theater #1: Booth 1035
- Speaker
-
- Sarah Turrin, Color Health
-
Improving Outcomes by Enabling 24/7 Access to Quality AnalyticsPresented by
- Location
- Presentation Theater #2: Booth 1935)
- Speakers
-
- Kathryn Eshelman, MD, MPH, Inovalon
- Patrick Kovalik, Snowflake
-
-
6:40 pm – 6:55 pm
-
Precision Diabetes Care: Using Digital Health for Tailored Treatment StrategiesPresented by
- Location
- Presentation Theater #1: Booth 1035
- Speaker
-
- Vindell Washington, MD, MS, Verily Life Sciences
-
Bridging the Benefit: How the Health Care System Can Realign Around PatientsPresented by
- Location
- Presentation Theater #2: Booth 1935
- Speakers
-
- Cynthia Meiners, GoodRx
- Mark Stetson, GoodRx
-
-
7:00 pm – 7:15 pm
-
Engaging the Un-Engageable: How Behavioral Health Networks Reduce Payer CostsPresented by
- Location
- Presentation Theater #2: Booth 1935
- Speakers
-
- Mike Rhoades, Alera Health
- Sandy Stein, MD, Banner Health Plans
-
8:00 am – 5:30 pm
Registration and Information Desk Open
8:45 am – 10:35 am
Keynote Sessions
-
8:45 am – 9:30 am, Lafite Ballroom
GLP-1 Drugs: A Paradigm Shift in Obesity Prevention and Treatment
-
Learn more about Melanie R. Jay, MD, MS
Melanie R. Jay, MD, MS,Director
, NYU Langone Comprehensive Program on Obesity Research -
Learn more about Timothy Law, DO, MBA
Timothy Law, DO, MBA,Chief Medical Officer
, Highmark Inc. -
Learn more about Amy Meister, DO, MRO
Amy Meister, DO, MRO,Chief Medical Officer
, WeightWatchers -
Learn more about David Rind, MD, MSc
David Rind, MD, MSc,Chief Medical Officer
, Institute for Clinical and Economic Review (ICER)
-
Learn more about Melanie R. Jay, MD, MS
-
9:30 am – 10:15 am, Lafite Ballroom
Reimagining American Health Care: A Bold Vision for the Future
-
Learn more about Sachin H. Jain, MD, MBA, FACP
Sachin H. Jain, MD, MBA, FACP,CEO
, SCAN Group & SCAN Health Plan -
Learn more about Dan Mendelson
Dan Mendelson,CEO, Morgan Health
, JPMorgan Chase & Co. -
Learn more about Andrea Walsh
Andrea Walsh,President and CEO
, HealthPartners -
Learn more about Bruce Japsen
Bruce Japsen,Senior Contributor, Healthcare
, Forbes
-
Learn more about Sachin H. Jain, MD, MBA, FACP
-
10:15 am – 10:35 am, Lafite Ballroom
Radical Collaboration to Transform Health Care
-
Learn more about Marc Harrison, MD
Marc Harrison, MD,Co-founder & CEO
, Health Assurance Transformation Corporation (HATCo) -
Learn more about Lynne Chou O’Keefe
Lynne Chou O’Keefe,Founder & Managing Partner
, Define Ventures
-
Learn more about Marc Harrison, MD
10:35 am – 6:45 pm
Exhibit Hall Open
10:35 am – 11:15 am
Coffee Break with Solutions Providers
10:35 am – 11:15 am
Book Signing
-
, Social Hub / Booth #1427
Dead Wrong: Diagnosing and Healing Healthcare’s Misinformation Illness
,Complimentary books are available for the first 100 attendees.
-
Learn more about Geeta Nayyar, MD, MBA
Geeta Nayyar, MD, MBA,Chief Medical Officer, Technologist, & WSJ Best Selling Author
,
-
Learn more about Geeta Nayyar, MD, MBA
-
, Social Hub / Booth #1427
Possibility Unleashed: Pathbreaking Lessons for Making Change Happen in Your Organization and Beyond
,Complimentary books are available for the first 100 attendees.
-
Learn more about Marc Harrison, MD
Marc Harrison, MD,Co-founder & CEO
, Health Assurance Transformation Corporation (HATCo)
-
Learn more about Marc Harrison, MD
10:40 am – 11:15 am
Presentation Theater
-
10:40 am – 10:55 am
-
Revolutionizing Maternal HealthcarePresented by
- Location
- Presentation Theater #1: Booth 1035
- Speakers
-
- Jamie Jenkins, PhD, MBA, Pager Health
- Jennifer Wear, League
-
What's New in Genetic Testing UM - Does Your Solution Keep Up?Presented by
- Location
- Presentation Theater #2: Booth 1935
- Speaker
-
- Joanne Meister, MS, CGC, InformedDNA
-
-
11:00 am – 11:15 am
-
Priming Pay for Performance Success with Data AnalyticsPresented by
- Location
- Presentation Theater #1: Booth 1035
- Speakers
-
- Cleveland (Mickey) Slade, CareFirst BlueCross BlueShield
- Sheila Talton, Gray Matter Analytics
-
The Health Equity Index – Impact on Star Ratings and PerformancePresented by
- Location
- Presentation Theater #2: Booth 1935
- Speakers
-
- Annie Mayol, FTI Consulting
- Juan Montanez, FTI Consulting
- Ugo Okpewho, FTI Consulting
-
11:15 am – 12:00 pm
Concurrent Sessions
-
Series 3
-
Addressing Equity, Prevention, and Community Health ImprovementDeploying Digital Health to Improve Health Equity and AccessPresented by
- Location
- Hermitage
- Speakers
-
- Adimika Arthur, Health Tech for Medicaid (HT4M)
- Jenny Carrillo, PhD, Ovia Health
- Dawn R.S. Steiner, MD, MS-HQS, FACOG, Centene Corporation, LLC
- Darlice Rocha, MPH, Independence Blue Cross
-
Advancing Alternative Payment Models and Value-Based Care StrategiesDriving Progress in Value-Based Specialty Care
- Location
- Fleurie
- Speakers
-
- Bobby Green, MD, Thyme Care
- Luz Ramos, MD, MBA, CMD, FACP, AGSF, Independence Blue Cross
- Jeremy Wigginton, MD, MBA, FAAFP, Capital Blue Cross
- Mollie Gelburd, JD, AHIP
-
Care Management and Delivery System TransformationAdvancing Excellence: Transforming the Integrated Care ExperiencePresented by
- Location
- Pomerol
- Speakers
-
- Rutu Ezhuthachan, MD, MMM, FAAP, Meridian Health Plan of Illinois, Inc.
- Donna Milavetz, MD, Regence Health Plans
- Vidya Raman-Tangella, Teladoc Health
-
AI, Data Analytics, and Actionable IntelligenceImproved Demographic Data Standards to Advance Health Equity
- Location
- Castillon
- Speakers
-
- Ivy Diaz, MPH, Health Net
- Madelynn Valu, MPH, RD, Civitas Networks for Health
- Michelle Jester, MA, PMP, AHIP
-
Improving Accessibility, Affordability, and Transparency of Health CareTrue Clinical Data & Interoperability – Shaping Member Experience and OutcomesPresented by
- Location
- Musigny
- Speakers
-
- Andrew Borgschulte, Surescripts
- Terry Douglas, Surescripts
- Matt Hartzler, Surescripts
-
Next-Generation Consumer Experience and EngagementTailored Wellness: Crafting Segment-Specific Products for Enhanced Engagement
- Location
- Bandol 2
- Speakers
-
- Gary Culp, Cigna Healthcare
- Dawn Maroney, Alignment Health Plan
- Karen Schulte, SCAN Health Plan
-
Technology, Trends and Business InsightsBuilding the Infrastructure Stack and Technology to Support Innovation
- Location
- Meursault
- Speakers
-
- Svetlana Bender, PhD, GuideWell and Florida Blue
- Catherine Hix, Humana
- Jeff Park, Waltz Health
- Danielle Lloyd, MPH, AHIP
-
Market Strategy & Operational InnovationClosing Time-Sensitive Care Gaps: The Next Level of Aggregating and Sharing DataPresented by
- Location
- Bandol 1
- Speakers
-
- Michael Keyes, MBA, PointClickCare
- Glenn Raley, Humana Inc
-
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 PopulationsPresented by
- Location
- Meursault
- Speakers
-
- Keith Maccannon, AmeriHealth Caritas District of Columbia
- Catherine Macpherson, MS, RDN, Mom’s Meals
-
Solving for Provider Data Quality through National Collective ActionPresented by
- Location
- Bandol 1
- Speakers
-
- Stacy Eiselstein, BlueCross BlueShield of Tennessee
- Tyler Ford, CAQH
- Shane Hochradel, Elevance Health
- Mike Kane, UnitedHealth Group
- Amy Martinez, Blue Cross NC
-
Advancing Population Health Efforts to Improve Health OutcomesPresented by
- Location
- Fleurie
- Speaker
-
- Lia Rodriguez, MD, FAAP, CVS Healthspire™
-
Collaborating on Outcomes: Surfacing Clinical Member Data in the Moment of CarePresented by
- Location
- Pomerol
- Speakers
-
- Greg LeGrow, athenahealth
- Glenn Raley, Humana Inc
-
Unified Member Experience to Improve Accessibility and AffordabilityPresented by
- Location
- Hermitage
- Speaker
-
- Kevin Deutsch, Softheon
-
A Booming Opportunity: Consumer-Centric Experiences for Medicare AdvantagePresented by
- Location
- Castillon
- Speakers
-
- Jennifer Brooks-Mason, SCAN Health Plan
- Andrew Dubowec, League
-
A Payer & Provider Partnership: Affordable Path to Quality Behavioral HealthcarePresented by
- Location
- Musigny
- Speakers
-
- Jen Foley, Spring Health
- Doug Henry, PhD, Alleghany Health Network
- Todd Hill, Spring Health
- Robyn Lloyd, Spring Health
-
The Future of Product and Benefit Management: A Defining Strategic AssetPresented by
- Location
- Bandol 2
- Speakers
-
- Chris Joyce, PwC
- Shibu Samuel, MBA, Blue Cross Blue Shield of Michigan
-
1:15 pm – 2:00 pm
Dessert Break with Solutions Providers
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
-
Learn more about Margaret Larkins-Pettigrew, MD
1:20 pm – 1:55 pm
Presentation Theater
-
1:20 pm – 1:35 pm
-
A New Model for Digital Health – Moving to Clear ROIPresented by
- Location
- Presentation Theater #1: Booth 1035
- Speakers
-
- Jennifer Chambers, MD, MBA, FACP, Health Care Originals, Inc.
- Frank Cheung, FSA, MAAA, Accorded
- Sharon Samjitsingh, MS, PMP, PMI-RMP, PMI-SP, Health Care Originals, Inc.
-
Listen Up: The Power of Harnessing Conversation Data to Improve Member RetentionPresented by
- Location
- Presentation Theater #2: Booth 1935
- Speaker
-
- Amy Brown, Authenticx
-
-
1:40 pm – 1:55 pm
-
Smashing Value-Based Care Analytics Bottlenecks: Scaling Actuarial CapabilitiesPresented by
- Location
- Presentation Theater #1: Booth 1035
- Speaker
-
- Ernie Valente, PhD, Accorded
-
Reduce Overall Friction with a Shared Service ModelPresented by
- Location
- Presentation Theater #2: Booth 1935
- Speaker
-
- Divya Pillai, AHM, Sutherland
-
2:00 pm – 4:45 pm
Concurrent Sessions
-
2:00 pm – 2:45 pm
Series 4
-
Targeting SDOH at Scale to Positively Impact Health EquityPresented by
- Location
- Fleurie
- Speakers
-
- Darin Buxbaum, Wider Circle
- Thomas Carlough, PharmD, Wider Circle
- Kathleen McQuade Ellmore, Engagys
-
Advancing Alternative Payment Models and Value-Based Care StrategiesThe Future of Sustainable Value-Based Care: Best Practices for Implementation
- Location
- Musigny
- Speakers
-
- Travis Broome, MPH, MBA, Aledade
- Elyse Pegler, Aetna
- Stephen Parodi, MD, The Permanente Federation
- Danielle Lloyd, MPH, AHIP
-
Care Management, Delivery Transformation and ValueDriving Engagement through a Loyalty-Centric, Member First ApproachPresented by
- Location
- Meursault
- Speakers
-
- Brett Hanson, Optum
- Chris Hause, Kaiser Permanente
- Julia Herr, Optum
-
AI, Data Analytics, and Actionable IntelligenceAI-Enabled Care to Positively Reframe Mental Health and Improve AccessPresented by
- Location
- Pomerol
- Speakers
-
- Lisa Burt, Aon
- Suzanne Kunis, NovaWell
- Clayton Nicholas, MBA, CredibleMind
- Solome Tibebu, Behavioral Health Tech
-
Improving Accessibility, Affordability, and Transparency of Health CarePatient Preferences When Selecting Providers to Inform Networks and Directories
- Location
- Castillon
- Speakers
-
- Kathleen Gallagher, MPH, Patient Advocate Foundation
- Pleasant Radford, Jr., MBA, CHIE, UCare
- Michelle Jester, MA, PMP, AHIP
-
Next-Generation Consumer Experience and EngagementReimagining Touch Points for Engagement and Retention
- Location
- Bandol 1
- Speakers
-
- Camille Harrison, GuideWell
- Nicholas Kraft, Capital District Physicians’ Health Plan, Inc. (CDPHP®)
- Ingrid Lindberg
-
Technology, Trends and Business InsightsMarket Outlook – Emerging Trends Impacting Payers in 2024 and Beyond
- Location
- Bandol 2
- Speakers
-
- Sonny Goyal, Blue Cross and Blue Shield of North Carolina
- Sam Yamoah, Cambia Health Solutions
- Jeanette Thornton, AHIP
-
Market Strategy & Operational InnovationNext-Generation Provider Networks: Identifying Hidden Costs, Maximizing ImpactPresented by
- Location
- Hermitage
- Speakers
-
- Steve Levin, Quest Analytics
- Subhash Seelam, Quest Analytics, LLC
-
-
3:00 pm – 3:45 pm
Series 5
-
Addressing Equity, Prevention, and Community Health ImprovementAdvancing Health Equity Through Data
- Location
- Hermitage
- Speakers
-
- Nancy Chiles Shaffer, PhD, Centers for Medicare & Medicaid Services (CMS)
- William Gordon, MD, Centers for Medicare & Medicaid Services (CMS)
- Danielle Lloyd, MPH, AHIP
-
Advancing Alternative Payment Models and Value-Based Care StrategiesValue-Based OB Care: Partnering for Whole Person Health and Improved OutcomesPresented by
- Location
- Fleurie
- Speakers
-
- Matt Eakins, MD, Lucina
- Angela Glyder, RN, Unified Women's Healthcare
- Kevin Kearns, MD, Sunshine Health Plan
- Aaron Sudbury, MD, FACOG, Florida Woman Care
-
Care Management and Delivery System TransformationAddressing the Functional Needs of Aging Populations
- Location
- Musigny
- Speakers
-
- Kortney Cruz, Independence Blue Cross
- Krischa Winright, Blue Cross Blue Shield of Michigan
- Kayla Connor, AHIP
-
AI, Data Analytics, and Actionable IntelligenceEffective AI Utilization: Use Cases to Reduce Friction for Consumers & Providers
- Location
- Meursault
- Speakers
-
- Chris Coogan, Cambia Health Solutions
- Margaret Helms, HealthPartners
- Vardini Vishwanathan, Elevance Health
-
Improving Accessibility, Affordability, and Transparency of Health CareFrom Friction to Flow: High-Value Care with New Provider Engagement ApproachesPresented by
- Location
- Bandol 2
- Speakers
-
- Terry Boch, Clarify Health
- Nick Lefeber, Blue Cross Blue Shield of Rhode Island
- Abby Milloy, MBA, MPH, Elevance Health
-
Next-Generation Consumer Experience and EngagementPartnering to Empower Community-Centered CarePresented by
- Location
- Pomerol
- Speaker
-
- Jane Lyons, Walgreens
-
Technology, Trends and Business InsightsThe Future of Pain Management: Digital Therapeutics & Accessible Care DeliveryPresented by
- Location
- Castillon
- Speakers
-
- Debbie Dexter, Kaia Health
- Nicole Fellows, MS, PT, DPT, Kaia Health
-
Market Strategy & Operational InnovationIndustry Trends and Insights: The Employee Health Benefits That Matter Most
- Location
- Bandol 1
- Speakers
-
- Scott Burton, Providence Health Plan
- Carole Mendoza, Voya Financial
- Tracy Watts, Mercer
- Todd Woodruff, Salt & Straw Ice Cream
- Adam Beck, AHIP
-
-
4:00 pm – 4:45 pm
Series 6
-
Addressing Equity, Prevention, and Community Health ImprovementBuilding Equity Bridges: Integrating Network and Tech to Drive Improved OutcomesPresented by
- Location
- Fleurie
- Speakers
-
- Moses Adedoyin, MBA, GuideWell and Florida Blue
- Mike Cantor, MD, JD, Aeroflow Health
- Susan Jang, GuideWell and Florida Blue
- Jennifer Jordan, Aeroflow Health
- Brittany Melhado, GuideWell
- Anne Wanlund, Canopie
-
Advancing Alternative Payment Models and Value-Based Care StrategiesMaking Value-Based Care Work for Behavioral Health
- Location
- Castillon
- Speakers
-
- Gregory Harris, MD, MPH, DLFAPA, CHIE, Blue Cross Blue Shield of Massachusetts
- Katherine Hobbs, MD, MPH, Author Health
- Stephen Mihalack, PMP, FACHE, Magellan Health
- Joe Parks, MD, National Council for Mental Wellbeing
- Chris Regal, AHIP
-
Care Management and Delivery System TransformationAccessing Real-Time Clinical Information to Improve Efficiency and Satisfaction*
- Location
- Musigny
- Speakers
-
- Jeremy Erwin MD, MBA, Magnolia Health
- Joydeep (Joy) Mukherjee, Johns Hopkins Health Plans
- Kate Berry, AHIP
-
AI, Data Analytics, and Actionable IntelligenceRobust Governance to Ensure Responsible Deployment of AI and Generative AI
- Location
- Bandol 1
- Speakers
-
- Onyinyechi U. Daniel, PhD, Highmark Health
- Edward Lee, MD, Nabla
- Samantha Burch, AHIP
-
Improving Accessibility, Affordability, and Transparency of Health CareA Prescription for Affordability: Strategies for Managing Drug Spend
- Location
- Bandol 2
- Speakers
-
- Mary Beth Erwin, Blue Cross and Blue Shield of Massachusetts (BCBSMA)
- Sharon K. Jhawar, PharmD, MBA, BCGP, SCAN Health Plan
- Laurie L. Lincoln, PharmD, BCPS, Capital District Physicians’ Health Plan, Inc. (CDPHP®)
- Amit Kaur, PharmD, BCACP
-
Next-Generation Consumer Experience and EngagementBetter GLP-1 Management within Existing Clinical Frameworks & Coverage PoliciesPresented by
- Location
- Pomerol
- Speakers
-
- Richard Frank, MD, Vida Health
- Sara Izadi, Capital Rx
-
Technology, Trends and Business InsightsNavigating Mental Health Solutions: Improving Care Across Diverse PopulationsPresented by
- Location
- Meursault
- Speakers
-
- Douglas Nemecek, MD, MBA, BA, CHIE, Evernorth Health Services
- Omar Manejwala, MD, DarioHealth
- Jamie Zajac, DC, Colorado Access
-
Market Strategy & Operational InnovationMember Engagement Modernization: Connectivity & Interaction at ScalePresented by
- Location
- Hermitage
- Speakers
-
- Chi Bui, Blue Shield of California
- Jill Chapman, Blue Shield of California
- Steve Gillin, Relay Network
-
5:00 pm – 5:45 pm
Keynote Session
-
, Lafite Ballroom
Balancing Technological Innovation with Human Connection
-
Learn more about Abraham Verghese, MD
Abraham Verghese, MD,New York Times Bestselling Author, Practicing Physician, Professor
, Stanford University -
Learn more about Reed Tuckson, MD, FACP
Reed Tuckson, MD, FACP,Co-Founder of the Black Coalition Against COVID & Co-Founder of the Coalition for Trust in Health & Science
,
-
Learn more about Abraham Verghese, MD
5:45 pm – 6:45 pm
Reception with Solutions Providers
5:45 pm – 6:45 pm
Book Signing
-
, Social Hub / Booth #1427
The Covenant of Water
,Complimentary books are available for the first 100 attendees.
-
Learn more about Abraham Verghese, MD
Abraham Verghese, MD,New York Times Bestselling Author, Practicing Physician, Professor
, Stanford University
-
Learn more about Abraham Verghese, MD
5:50 pm – 6:05 pm
Presentation Theater
-
-
Optimizing Business Performance with an Intelligent Data FoundationPresented by
- Location
- Presentation Theater #1: Booth 1035
- Speaker
-
- Chanda Pepping, Workday
-
GLP-1’s Changed the Obesity Game. Are You Stuck Using Last Season’s Plays?Presented by
- Location
- Presentation Theater #2: Booth 1935
- Speaker
-
- Ed Liebowitz, Solera Network
-
6:10 pm – 6:25 pm
Presentation Theater
-
-
Decoding Consumer Attitudes: How to Win Hearts & Minds in Health MarketingPresented by
- Location
- Presentation Theater #1: Booth 1035
- Speaker
-
- Jennifer Hickman, Quad
-
Enterprise AI in Health Care: Myth Vs. RealityPresented by
- Location
- Presentation Theater #2: Booth 1935
- Speaker
-
- Monique Hesseling, Cloudera
-
8:00 am – 3:30 pm
Registration and Information Desk Open
8:45 am – 10:15 am
Keynote Sessions
-
8:45 am – 9:30 am, Lafite Ballroom
The Promise of AI in Health Care
-
Learn more about Neil Gomes, MMS, MEd, MBA
Neil Gomes, MMS, MEd, MBA,Senior Vice President & Chief Digital Officer
, AmeriHealth Caritas -
Learn more about David C. Rhew, MD
David C. Rhew, MD,Global Chief Medical Officer & Vice President, Healthcare
, Microsoft -
Learn more about Miriam Vogel
Miriam Vogel,President & CEO, EqualAI; Chair
, National AI Advisory Committee (NAIAC) -
Learn more about Danielle Lloyd, MPH
Danielle Lloyd, MPH,Senior Vice President, Private Market Innovations & Quality Initiatives
, AHIP
-
Learn more about Neil Gomes, MMS, MEd, MBA
-
9:30 am – 10:15 am, Lafite Ballroom
Restoring Trust in Health Care
-
Learn more about David J. Brailer, MD, PhD
David J. Brailer, MD, PhD,EVP & Chief Health Officer
, Cigna Group -
Learn more about Geeta Nayyar, MD, MBA
Geeta Nayyar, MD, MBA,Chief Medical Officer, Technologist, & WSJ Best Selling Author
, -
Learn more about Reed Tuckson, MD, FACP
Reed Tuckson, MD, FACP,Co-Founder of the Black Coalition Against COVID & Co-Founder of the Coalition for Trust in Health & Science
, -
Learn more about Jane Sarasohn-Kahn, MA, MHSA
Jane Sarasohn-Kahn, MA, MHSA,Health Economist & Trend Weaver, THINK-Health and Health Populi blog
,
-
Learn more about David J. Brailer, MD, PhD
10:15 am – 1:15 pm
Exhibit Hall Open
10:15 am – 11:00 am
Coffee Break with Solutions Providers
10:15 am – 11:00 am
Book Signing
-
, Social Hub / Booth #1427
Rough Sleepers: Dr. Jim O’Connell’s Urgent Mission to Bring Healing to Homeless People
,Complimentary books are available for the first 100 attendees.
-
Learn more about James J. O’Connell, MD
James J. O’Connell, MD,President, Boston Health Care for the Homeless Program, and Assistant Professor of Medicine
, Harvard Medical School
-
Learn more about James J. O’Connell, MD
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.
-
Learn more about Zirui Song, MD, PhD
Zirui Song, MD, PhD,Associate Professor of Health Care Policy and Medicine
, Harvard Medical School and Massachusetts General Hospital -
Learn more about Peter M. Marino
Peter M. Marino,President & CEO
, Neighborhood Health Plan of Rhode Island
-
Learn more about Zirui Song, MD, PhD
-
, 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.
-
Learn more about Lauren Easton
Lauren Easton,Senior Vice President, Integrative Program Development & Clinical Innovation
, Commonwealth Care Alliance (CCA) -
Learn more about Amy King
Amy King,Founder & CEO
, Pallet -
Learn more about James J. O’Connell, MD
James J. O’Connell, MD,President, Boston Health Care for the Homeless Program, and Assistant Professor of Medicine
, Harvard Medical School -
Learn more about Robert L. Traynham, PhD
Robert L. Traynham, PhD,Chief Business Officer
, AHIP
-
Learn more about Lauren Easton
-
, 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.
-
Learn more about Don Antonucci
Don Antonucci,Chief Executive Officer
, Providence Health Plan -
Learn more about David C. Rhew, MD
David C. Rhew, MD,Global Chief Medical Officer & Vice President, Healthcare
, Microsoft -
Learn more about Jane Sarasohn-Kahn, MA, MHSA
Jane Sarasohn-Kahn, MA, MHSA,Health Economist & Trend Weaver, THINK-Health and Health Populi blog
, -
Learn more about Marc Watkins, MD, MSPH
Marc Watkins, MD, MSPH,Chief Medical Officer, Kroger Health
, The Kroger Co.
-
Learn more about Don Antonucci
-
, 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.
-
Learn more about Maneesha Ghiya
Maneesha Ghiya,Managing Partner
, FemHealth Ventures -
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 -
Learn more about Cara Repasky
Cara Repasky,Partner
, McKinsey & Company -
Learn more about Cameual Wright, MD, MBA
Cameual Wright, MD, MBA,Vice President, Market Chief Medical Officer
, CareSource -
Learn more about Kate Berry
Kate Berry,Senior Vice President, Clinical Innovation & Strategic Partnership
, AHIP
-
Learn more about Maneesha Ghiya
-
, 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.
-
Learn more about Clark Harshbarger
Clark Harshbarger,Director, Incident Response
, CrowdStrike -
Learn more about Steve Roberts
Steve Roberts,CEO
, Eclipz Cybersecurity -
Learn more about Ari Schwartz
Ari Schwartz,Managing Director, Cybersecurity Services
, Venable LLP -
Learn more about Danielle Lloyd, MPH
Danielle Lloyd, MPH,Senior Vice President, Private Market Innovations & Quality Initiatives
, AHIP
-
Learn more about Clark Harshbarger
12:00 pm – 1:15 pm
Networking Lunch
12:00 pm – 1:15 pm
Book Signing
-
, Social Hub / Booth #1427
Unsettled: How the Purdue Pharma Bankruptcy Failed the Victims of the American Overdose Crisis
,Complimentary books are available for the first 50 attendees.
-
Learn more about Ryan Hampton
Ryan Hampton,Community Organizer, Author, Addiction Recovery Advocate & Founder
, Mobilize Recovery
-
Learn more about Ryan Hampton
1:15 pm – 1:15 pm
Exhibit Hall Closes
1:15 pm – 3:00 pm
Concurrent Sessions
-
1:15 pm – 2:00 pm
Series 7
-
Addressing Equity, Prevention, and Community Health ImprovementVital Relationships for Maximizing Payer Health Equity ImpactPresented by
- Location
- Musigny
- Speakers
-
- Jeremy Brooks McKinnon, LMSW, HCA Healthcare
- Heather Falck Major, Independence Blue Cross Foundation
- Kelly McKay-Gist, MSW, LCSW, The St. Louis Integrated Health Network
- Jacobia Solomon, EMBA, AMN Healthcare
-
Advancing Alternative Payment Models and Value-Based Care StrategiesBusiness Model Perspectives on Value-Based Care
- Location
- Bandol 1
- Speakers
-
- Julia Hutchins, MPH, MPP, Community Health Plan of Imperial Valley
- Sarah Moyer, MD, MPH, Humana Healthy Horizons – Kentucky
- Heather Ubran, MD, FACP, CHIE, Aetna
-
Care Management and Delivery System TransformationCare Transformation and Integration to Improve Access to Behavioral Health
- Location
- Bandol 2
- Speakers
-
- Donna Milavetz, MD, Regence Health Plans
- Frank Webster, MD, Health Care Service Corporation (HCSC)
- Chris Regal, AHIP
-
Market Strategy & Operational InnovationAccelerating Business Value: High-Performance Product Portfolio EssentialsPresented by
- Location
- Meursault
- Speakers
-
- Paul Horner, West Monroe
- Mike Peterson, Blue Shield of California
-
-
2:15 pm – 3:00 pm
Series 8
-
Addressing Equity, Prevention, and Community Health ImprovementImproving Equity and Outcomes: Assessing Quality for Behavioral Health
- Location
- Bandol 1
- Speakers
-
- Jennifer Christian-Herman, PhD, Blue Shield of California
- Joe Parks, MD, National Council for Mental Wellbeing
- Chanchal Yadav, MD, MBA, Care1st Health Plan of Arizona
- Jin Hee Yoon-Hudman, MD, Healthfirst
-
Care Management and Delivery System TransformationLeveraging Payer and Provider Collaboration for Better Health Outcomes
- Location
- Bandol 2
- Speakers
-
- Karen S. Amstutz, MD, MBA, AmeriHealth Caritas
- Laurel Soot, MD, FACS, Providence Health Plan
- Josephine Opong-Vaughn, MS, Avera Health Plans
-
Improving Accessibility, Affordability, and Transparency of Health CareStreamlining Prior Authorization: Trends, Challenges, and Opportunities
- Location
- Meursault
- Speakers
-
- Jamie Dudensing, Texas Association of Health Plans (TAHP)
- Wardell Sanders, JD, New Jersey Association of Health Plans
- Miranda Creviston Motter, JD, AHIP
-
Next-Generation Consumer Experience and EngagementYouth, Behavioral Health and Health EquityPresented by
- Location
- Musigny
- Speaker
-
- Gabe Diop, Rula Health
-
3:00 pm – 3:30 pm
Cheers to AHIP 2024
3:30 pm – 4:30 pm
Keynote Sessions
-
3:30 pm – 4:30 pm, Lafite Ballroom
At the Intersection of Mental Health & Addiction: The Power of Personal Stories to Drive Change
-
Learn more about Ryan Hampton
Ryan Hampton,Community Organizer, Author, Addiction Recovery Advocate & Founder
, Mobilize Recovery -
Learn more about Suzanne Kunis
Suzanne Kunis,CEO & Founder
, NovaWell -
Learn more about Kristina Saffran
Kristina Saffran,Co-founder & CEO
, Equip -
Learn more about Stephen Smith
Stephen Smith,Co-founder and CEO
, NOCD
-
Learn more about Ryan Hampton
4:30 pm – 5:15 pm
Closing Keynote Session
-
, Lafite Ballroom
Decision 2024: Insights and Implications for Our Future
-
Learn more about Scott Jennings
Scott Jennings,CNN Senior Political Commentator, Conservative Columnist
, & Former Presidential Advisor -
Learn more about Van Jones
Van Jones,CNN Host, Bestselling Author, & Founder of Dream Machine
, -
Learn more about Mike Tuffin
Mike Tuffin,President & CEO
, AHIP
-
Learn more about Scott Jennings
5:15 pm – 5:15 pm
Conference Adjourns
Agenda Filters
Sessions
4:00 pm - 6:00 pm Jun 10 • 2024
4:00 pm – 6:00 pm
,
Registration and Information Desk Open
9:00 am - 7:15 pm Jun 11 • 2024
8:30 am – 6:30 pm
,
Registration and Information Desk Open
8:30 am – 12:00 pm
,
Welcome Refreshments
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- Location
- Bandol 2
- Speakers
-
- Srikanth Lakshminarayanan, Sagility
- Krithika Srivats, MSOTR, Sagility
- Kevin Terrell, BirchAI
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- Location
- Bandol 1
- Speakers
-
- Craig Hunter, MPP, Carelon
- John William Machalek, Carelon
- Foram Mehta, MS, RPh, Carelon
- Abby Milloy, MBA, MPH, Elevance Health
- Gautam M. Shah, MBA, Carelon
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- Location
- Hermitage
- Speakers
-
- Edo Paz, MD, Hello Heart
- Darren E. Wethers, MD, CPE, FACP, ATRIO Health Plans
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- Location
- Fleurie
- Speakers
-
- Rajesh “Raj” Godavarthi, MCG Health
- Larry McEntire II, MCG Health
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- Location
- Musigny
- Speakers
-
- Kelly Chtcheprov, Labcorp
- Laura Doyle, Labcorp
- Hiba George, Labcorp
- Yvette Jenkins, Labcorp
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- Location
- Castillon
- Speakers
-
- Carolyn Jasik, MD, Omada Health
- Kameron Matthews, MD, JD, FAAFP, Cityblock Health
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- Location
- Meursault
- Speakers
-
- Keith Arnold, Optum Advisory
- Matthew Kinney, Optum
- Matthew Matousek, Optum
- K.R Prabha, Optum
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- Location
- Pomerol
- Speaker
-
- Urvashi Patel, PhD, Evernorth Research Institute
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
-
1:00 pm – 1:10 pm, Lafite Ballroom
Welcome
-
Mike Tuffin,President & CEO
, AHIP
- Share options
- Share on Facebook
- Share on Twitter
- Share on LinkedIn
-
-
1:10 pm – 1:30 pm, Lafite Ballroom
Modernizing the U.S. Public Health Infrastructure: A Vision for the Future - Part One
-
Mandy K. Cohen, MD, MPH,Director, Centers for Disease Control and Prevention (CDC) and Administrator, Agency for Toxic Substances and Disease Registry
, -
Bechara Choucair, MD,Executive Vice President & Chief Health Officer
, Kaiser Permanente
- Share options
- Share on Facebook
- Share on Twitter
- Share on LinkedIn
-
-
1:30 pm – 2:10 pm, Lafite Ballroom
Modernizing the U.S. Public Health Infrastructure: A Vision for the Future - Part Two
-
Dave A. Chokshi, MD,Chair, Common Health Coalition; Sternberg Family Professor of Leadership
, City College of New York -
Mandy K. Cohen, MD, MPH,Director, Centers for Disease Control and Prevention (CDC) and Administrator, Agency for Toxic Substances and Disease Registry
, -
Dan Hanfling, MD,Director, Strategic Private Sector Pandemic Preparedness, Office of Pandemic Preparedness & Response Policy
, The White House -
Michelle A. Williams, ScD,Joan and Julius Jacobson Professor of Epidemiology & Public Health
, Harvard T.H. Chan School of Public Health -
Bechara Choucair, MD,Executive Vice President & Chief Health Officer
, Kaiser Permanente
- Share options
- Share on Facebook
- Share on Twitter
- Share on LinkedIn
-
-
2:10 pm – 2:30 pm, Lafite Ballroom
Building an Equitable Health Landscape
-
LaShawn McIver, MD, MPH,Senior Vice President & Chief Health Equity Officer
, AHIP
- Share options
- Share on Facebook
- Share on Twitter
- Share on LinkedIn
-
-
2:30 pm – 3:20 pm, Lafite Ballroom
Making Prescription Drugs Affordable and Accessible for Everyone
-
Merith Basey, MSc,Executive Director
, Patients For Affordable Drugs™ -
Vin Gupta, MD, MSt, MPA,Chief Medical Officer
, Amazon Pharmacy -
Adam Kautzner, PharmD,President
, Evernorth Care Management & Express Scripts® -
Lauren E. Aronson,Executive Director
, Campaign for Sustainable Rx Drug Pricing (CSRxP)
- Share options
- Share on Facebook
- Share on Twitter
- Share on LinkedIn
-
-
3:20 pm – 3:45 pm, Lafite Ballroom
Empowering Local Health: How Walgreens is Driving Consumer-Centric Care
-
Mary Langowski,Executive Vice President & President, U.S. Healthcare
, Walgreens Boots Alliance, Inc. -
Bruce Japsen,Senior Contributor, Healthcare
, Forbes
- Share options
- Share on Facebook
- Share on Twitter
- Share on LinkedIn
-
3:45 pm – 7:15 pm
,
Exhibit Hall Open
3:45 pm – 4:30 pm
,
Coffee Break with Solutions Providers
3:50 pm – 4:25 pm
,
Presentation Theater
-
3:50 pm – 4:05 pm
-
The Imperative for Modernizing Utilization Management and Care Coordination
Presented by- Location
- Presentation Theater #1: Booth 1035
- Speakers
-
- Vikas Garg, ZS
- Vimbai Madimu, ZS
- Sheryl Markowitz, MSW, LCSW, LISW-S, Longevity Health Plan
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- Location
- Presentation Theater #2: Booth 1935
- Speakers
-
- Yousuf J. Ahmad, DrPH, MHSA, MS, MBA, FACHE, FACMPE, AssureCare
- Mayur Yermaneni, MD, MS, AssureCare
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- Location
- Presentation Theater #1: Booth 1035
- Speaker
-
- Jenny Ramseth, MBA, Best Buy Health
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.
-
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
-
- Kendell LeBray, MPH, HCSC
- Kelli Tice, MD, GuideWell and Florida Blue
- Vindell Washington, MD, MS, Verily Life Sciences
- LaShawn McIver, MD, MPH, AHIP
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- Location
- Fleurie
- Speakers
-
- Brian Anderson, Milliman
- Marcos Dachary, Milliman
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.
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Care Management and Delivery System Transformation
Using Precision Medicine to Transform Oncology Treatment and Patient Experience
Presented by- Location
- Bandol 1
- Speakers
-
- Roger A. Brito, MD, CVS Health
- David Coffee, PharmD, MBA, CVS Health
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.
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AI, Data Analytics, and Actionable Intelligence
Leveraging AI to Deliver Personalized Whole Health
- Location
- Bandol 2
- Speakers
-
- Charles DeShazer, MD, Cigna Healthcare
- Vardini Vishwanathan, Elevance Health
- Joydeep (Joy) Mukherjee, Johns Hopkins Health Plans
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.
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Improving Accessibility, Affordability, and Transparency of Health Care
Genetic Test Management: Paving the Way for Innovation
Presented by- Location
- Meursault
- Speakers
-
- Gabriel Bien-Willner, MD, PhD, Palmetto
- Gary McCabe, Quest Diagnostics
- Emily Swafford, Optum
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.
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Next-Generation Consumer Experience and Engagement
Investing in CX to Improve Overall Member Experience and Outcomes
- Location
- Hermitage
- Speakers
-
- Stacy Byers, Highmark Health
- Hakan Kardes, Alignment Health
- Ingrid Lindberg
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.
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Technology, Trends and Business Insights
Realizing Synergies to Integrate Quality and Risk Interventions
Presented by- Location
- Pomerol
- Speakers
-
- Hemanth Doma, MBA, Inovalon
- Kathryn Eshelman, MD, MPH, Inovalon
- Lalith Mehta, MBA, Inovalon
- Bryce Williams, Inovalon
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.
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Market Strategy & Operational Innovation
Regulatory Upheaval – Managing the Pace of Change
- Location
- Castillon
- Speakers
-
- Ryan DeMerlis, Deloitte & Touche LLP
- Todd M. Gower, MBA, L.A. Care Health Plan
- Acacia Reed, MBA, L.A. Care Health Plan
- Mark Hamelburg, AHIP
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.
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5:30 pm – 6:15 pm
Series 2
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Addressing Equity, Prevention, and Community Health Improvement
Advancing Health Equity Using Data, Analytics & Personalized Communication
Presented by- Location
- Musigny
- Speakers
-
- Chris Bozic, Personify Health
- Nancy Smith, Personify Health
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.
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Advancing Alternative Payment Models and Value-Based Care Strategies
Accelerating the Transition to Value: Aligning Payment for Improved Outcomes
- Location
- Bandol 1
- Speakers
-
- Alicia M. Berkemeyer, Arkansas Blue Cross and Blue Shield
- Mark Friedberg, MD, MPP, Blue Cross Blue Shield of Massachusetts
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.
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Care Management and Delivery System Transformation
Payer-Provider Collaboration to Address Chronic Condition Management
- Location
- Castillon
- Speakers
-
- Jenny Bogard, MPH, National Hypertension Control Roundtable
- Scott Flinn, MD, Blue Shield of California
- Sara Spilseth, MD, HealthPartners
- Chris Regal, AHIP
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.
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AI, Data Analytics, and Actionable Intelligence
Demystifying Artificial Intelligence – Use Cases and Key Considerations
Presented by- Location
- Bandol 2
- Speaker
-
- Robert Laumeyer, Availity
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.
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Improving Accessibility, Affordability, and Transparency of Health Care
Gene and Cell Therapies – New Care and Financing Models
- Location
- Meursault
- Speakers
-
- Lee A. Fleisher, MD, Rubrum Advising
- Kristyn Greifer, MD, Sentara Health Plans
- Michael Sherman, MD, MBA, MS, RA Ventures
- Sean Dickson, JD, MPH, AHIP
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.
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Next-Generation Consumer Experience and Engagement
Meeting Next-Gen Workforce Needs: Packaging Health Benefits Around Life Events
Presented by- Location
- Fleurie
- Speakers
-
- Ben Isgur, Fidelity Health℠
- Erin Lenox, Blue Cross Blue Shield of Massachusetts
- Sandra Lynn, Fidelity Health℠
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.
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Technology, Trends and Business Insights
End Siloed Health Care: Embracing Digital Solutions for Whole-Person Health
Presented by- Location
- Pomerol
- Speakers
-
- Christopher Carey, Calm
- Douglas Nemecek, MD, MBA, BA, CHIE, Evernorth Health Services
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.
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Market Strategy & Operational Innovation
Marketplace Trends and the Shift to Individual Coverage
- Location
- Hermitage
- Speakers
-
- Peter M. Marino, Neighborhood Health Plan of Rhode Island
- Alessa Quane, Oscar Health
- Nathanael J. Watters, Ambetter Health
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6:15 pm – 7:15 pm
,
Reception with Solutions Providers
6:15 pm – 7:15 pm
,
Book Signing
-
, Social Hub / Booth #1427
Health Consuming – From Health Consumer to Health Citizen
,Complimentary books are available for the first 100 attendees.
-
Learn more about Jane Sarasohn-Kahn, MA, MHSA
Jane Sarasohn-Kahn, MA, MHSA,Health Economist & Trend Weaver, THINK-Health and Health Populi blog
,
- Share options
- Share on Facebook
- Share on Twitter
- Share on LinkedIn
-
Learn more about Jane Sarasohn-Kahn, MA, MHSA
6:20 pm – 7:15 pm
,
Presentation Theater
-
6:20 pm – 6:35 pm
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Access in Cancer Care: Meeting Patients Where They Are for Better Outcomes
Presented by- Location
- Presentation Theater #1: Booth 1035
- Speaker
-
- Sarah Turrin, Color Health
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.
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Improving Outcomes by Enabling 24/7 Access to Quality Analytics
Presented by- Location
- Presentation Theater #2: Booth 1935)
- Speakers
-
- Kathryn Eshelman, MD, MPH, Inovalon
- Patrick Kovalik, Snowflake
Details
Health care quality, risk, care gaps, and population health insights cannot afford to be buried in preparation, management, and unification efforts to get results. Join us to learn how health insurance providers can leverage 24/7 access to their quality performance data and realize insights from a complete patient-centric longitudinal and clinical view.
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6:40 pm – 6:55 pm
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Precision Diabetes Care: Using Digital Health for Tailored Treatment Strategies
Presented by- Location
- Presentation Theater #1: Booth 1035
- Speaker
-
- Vindell Washington, MD, MS, Verily Life Sciences
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.
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Bridging the Benefit: How the Health Care System Can Realign Around Patients
Presented by- Location
- Presentation Theater #2: Booth 1935
- Speakers
-
- Cynthia Meiners, GoodRx
- Mark Stetson, GoodRx
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.
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7:00 pm – 7:15 pm
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Engaging the Un-Engageable: How Behavioral Health Networks Reduce Payer Costs
Presented by- Location
- Presentation Theater #2: Booth 1935
- Speakers
-
- Mike Rhoades, Alera Health
- Sandy Stein, MD, Banner Health Plans
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.
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8:00 am - 7:00 pm Jun 12 • 2024
8:00 am – 5:30 pm
,
Registration and Information Desk Open
8:45 am – 10:35 am
,
Keynote Sessions
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8:45 am – 9:30 am, Lafite Ballroom
GLP-1 Drugs: A Paradigm Shift in Obesity Prevention and Treatment
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Melanie R. Jay, MD, MS,Director
, NYU Langone Comprehensive Program on Obesity Research -
Timothy Law, DO, MBA,Chief Medical Officer
, Highmark Inc. -
Amy Meister, DO, MRO,Chief Medical Officer
, WeightWatchers -
David Rind, MD, MSc,Chief Medical Officer
, Institute for Clinical and Economic Review (ICER)
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-
-
9:30 am – 10:15 am, Lafite Ballroom
Reimagining American Health Care: A Bold Vision for the Future
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Sachin H. Jain, MD, MBA, FACP,CEO
, SCAN Group & SCAN Health Plan -
Dan Mendelson,CEO, Morgan Health
, JPMorgan Chase & Co. -
Andrea Walsh,President and CEO
, HealthPartners -
Bruce Japsen,Senior Contributor, Healthcare
, Forbes
- Share options
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- Share on LinkedIn
-
-
10:15 am – 10:35 am, Lafite Ballroom
Radical Collaboration to Transform Health Care
-
Marc Harrison, MD,Co-founder & CEO
, Health Assurance Transformation Corporation (HATCo) -
Lynne Chou O’Keefe,Founder & Managing Partner
, Define Ventures
- Share options
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-
10:35 am – 6:45 pm
,
Exhibit Hall Open
10:35 am – 11:15 am
,
Coffee Break with Solutions Providers
10:35 am – 11:15 am
,
Book Signing
-
, Social Hub / Booth #1427
Dead Wrong: Diagnosing and Healing Healthcare’s Misinformation Illness
,Complimentary books are available for the first 100 attendees.
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Geeta Nayyar, MD, MBA,Chief Medical Officer, Technologist, & WSJ Best Selling Author
,
- Share options
- Share on Facebook
- Share on Twitter
- Share on LinkedIn
-
-
, Social Hub / Booth #1427
Possibility Unleashed: Pathbreaking Lessons for Making Change Happen in Your Organization and Beyond
,Complimentary books are available for the first 100 attendees.
-
Marc Harrison, MD,Co-founder & CEO
, Health Assurance Transformation Corporation (HATCo)
- Share options
- Share on Facebook
- Share on Twitter
- Share on LinkedIn
-
10:40 am – 11:15 am
,
Presentation Theater
-
10:40 am – 10:55 am
-
Revolutionizing Maternal Healthcare
Presented by- Location
- Presentation Theater #1: Booth 1035
- Speakers
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- Jamie Jenkins, PhD, MBA, Pager Health
- Jennifer Wear, League
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.
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What's New in Genetic Testing UM - Does Your Solution Keep Up?
Presented by- Location
- Presentation Theater #2: Booth 1935
- Speaker
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- Joanne Meister, MS, CGC, InformedDNA
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.
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11:00 am – 11:15 am
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Priming Pay for Performance Success with Data Analytics
Presented by- Location
- Presentation Theater #1: Booth 1035
- Speakers
-
- Cleveland (Mickey) Slade, CareFirst BlueCross BlueShield
- Sheila Talton, Gray Matter Analytics
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.
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The Health Equity Index – Impact on Star Ratings and Performance
Presented by- Location
- Presentation Theater #2: Booth 1935
- Speakers
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- Annie Mayol, FTI Consulting
- Juan Montanez, FTI Consulting
- Ugo Okpewho, FTI Consulting
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.
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11:15 am – 12:00 pm
,
Concurrent Sessions
-
Series 3
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Addressing Equity, Prevention, and Community Health Improvement
Deploying Digital Health to Improve Health Equity and Access
Presented by- Location
- Hermitage
- Speakers
-
- Adimika Arthur, Health Tech for Medicaid (HT4M)
- Jenny Carrillo, PhD, Ovia Health
- Dawn R.S. Steiner, MD, MS-HQS, FACOG, Centene Corporation, LLC
- Darlice Rocha, MPH, Independence Blue Cross
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.
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Advancing Alternative Payment Models and Value-Based Care Strategies
Driving Progress in Value-Based Specialty Care
- Location
- Fleurie
- Speakers
-
- Bobby Green, MD, Thyme Care
- Luz Ramos, MD, MBA, CMD, FACP, AGSF, Independence Blue Cross
- Jeremy Wigginton, MD, MBA, FAAFP, Capital Blue Cross
- Mollie Gelburd, JD, AHIP
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.
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Care Management and Delivery System Transformation
Advancing Excellence: Transforming the Integrated Care Experience
Presented by- Location
- Pomerol
- Speakers
-
- Rutu Ezhuthachan, MD, MMM, FAAP, Meridian Health Plan of Illinois, Inc.
- Donna Milavetz, MD, Regence Health Plans
- Vidya Raman-Tangella, Teladoc Health
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.
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AI, Data Analytics, and Actionable Intelligence
Improved Demographic Data Standards to Advance Health Equity
- Location
- Castillon
- Speakers
-
- Ivy Diaz, MPH, Health Net
- Madelynn Valu, MPH, RD, Civitas Networks for Health
- Michelle Jester, MA, PMP, AHIP
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.
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Improving Accessibility, Affordability, and Transparency of Health Care
True Clinical Data & Interoperability – Shaping Member Experience and Outcomes
Presented by- Location
- Musigny
- Speakers
-
- Andrew Borgschulte, Surescripts
- Terry Douglas, Surescripts
- Matt Hartzler, Surescripts
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.
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Next-Generation Consumer Experience and Engagement
Tailored Wellness: Crafting Segment-Specific Products for Enhanced Engagement
- Location
- Bandol 2
- Speakers
-
- Gary Culp, Cigna Healthcare
- Dawn Maroney, Alignment Health Plan
- Karen Schulte, SCAN Health Plan
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.
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Technology, Trends and Business Insights
Building the Infrastructure Stack and Technology to Support Innovation
- Location
- Meursault
- Speakers
-
- Svetlana Bender, PhD, GuideWell and Florida Blue
- Catherine Hix, Humana
- Jeff Park, Waltz Health
- Danielle Lloyd, MPH, AHIP
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.
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Market Strategy & Operational Innovation
Closing Time-Sensitive Care Gaps: The Next Level of Aggregating and Sharing Data
Presented by- Location
- Bandol 1
- Speakers
-
- Michael Keyes, MBA, PointClickCare
- Glenn Raley, Humana Inc
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.
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12:00 pm – 1:15 pm
,
Lunch & Learns
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12:30 pm – 1:15 pm
Lunch will begin at 12:00 pm. Speaking Sessions will begin promptly at 12:30 pm
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Food as Medicine: Impacting Outcomes across MCO Populations
Presented by- Location
- Meursault
- Speakers
-
- Keith Maccannon, AmeriHealth Caritas District of Columbia
- Catherine Macpherson, MS, RDN, Mom’s Meals
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.
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Solving for Provider Data Quality through National Collective Action
Presented by- Location
- Bandol 1
- Speakers
-
- Stacy Eiselstein, BlueCross BlueShield of Tennessee
- Tyler Ford, CAQH
- Shane Hochradel, Elevance Health
- Mike Kane, UnitedHealth Group
- Amy Martinez, Blue Cross NC
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.
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Advancing Population Health Efforts to Improve Health Outcomes
Presented by- Location
- Fleurie
- Speaker
-
- Lia Rodriguez, MD, FAAP, CVS Healthspire™
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.
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Collaborating on Outcomes: Surfacing Clinical Member Data in the Moment of Care
Presented by- Location
- Pomerol
- Speakers
-
- Greg LeGrow, athenahealth
- Glenn Raley, Humana Inc
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.
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Unified Member Experience to Improve Accessibility and Affordability
Presented by- Location
- Hermitage
- Speaker
-
- Kevin Deutsch, Softheon
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.
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A Booming Opportunity: Consumer-Centric Experiences for Medicare Advantage
Presented by- Location
- Castillon
- Speakers
-
- Jennifer Brooks-Mason, SCAN Health Plan
- Andrew Dubowec, League
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.
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A Payer & Provider Partnership: Affordable Path to Quality Behavioral Healthcare
Presented by- Location
- Musigny
- Speakers
-
- Jen Foley, Spring Health
- Doug Henry, PhD, Alleghany Health Network
- Todd Hill, Spring Health
- Robyn Lloyd, Spring Health
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.
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The Future of Product and Benefit Management: A Defining Strategic Asset
Presented by- Location
- Bandol 2
- Speakers
-
- Chris Joyce, PwC
- Shibu Samuel, MBA, Blue Cross Blue Shield of Michigan
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.
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1:15 pm – 2:00 pm
,
Dessert Break with Solutions Providers
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.
-
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
- Share options
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-
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- Location
- Presentation Theater #1: Booth 1035
- Speakers
-
- Jennifer Chambers, MD, MBA, FACP, Health Care Originals, Inc.
- Frank Cheung, FSA, MAAA, Accorded
- Sharon Samjitsingh, MS, PMP, PMI-RMP, PMI-SP, Health Care Originals, Inc.
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.
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Listen Up: The Power of Harnessing Conversation Data to Improve Member Retention
Presented by- Location
- Presentation Theater #2: Booth 1935
- Speaker
-
- Amy Brown, Authenticx
Details
Every day, millions of conversations are happening across all segments of health care. Member conversations hold valuable insights that lead to improved member retention and real revenue impact. Join for a discussion on the powerful impact conversation data provides at both a micro and macro level.
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1:40 pm – 1:55 pm
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Smashing Value-Based Care Analytics Bottlenecks: Scaling Actuarial Capabilities
Presented by- Location
- Presentation Theater #1: Booth 1035
- Speaker
-
- Ernie Valente, PhD, Accorded
Details
Join this session to gain insights from actuaries and medical economists on advancing value-based care and learn how new technologies can automate and support analytics teams. Learn to better understand the underlying actuarial dynamics that cause inefficiencies across organizations and the tangible steps required to increase productivity and take on risk with greater confidence.
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Reduce Overall Friction with a Shared Service Model
Presented by- Location
- Presentation Theater #2: Booth 1935
- Speaker
-
- Divya Pillai, AHM, Sutherland
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- Location
- Fleurie
- Speakers
-
- Darin Buxbaum, Wider Circle
- Thomas Carlough, PharmD, Wider Circle
- Kathleen McQuade Ellmore, Engagys
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.
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Advancing Alternative Payment Models and Value-Based Care Strategies
The Future of Sustainable Value-Based Care: Best Practices for Implementation
- Location
- Musigny
- Speakers
-
- Travis Broome, MPH, MBA, Aledade
- Elyse Pegler, Aetna
- Stephen Parodi, MD, The Permanente Federation
- Danielle Lloyd, MPH, AHIP
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.
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Care Management, Delivery Transformation and Value
Driving Engagement through a Loyalty-Centric, Member First Approach
Presented by- Location
- Meursault
- Speakers
-
- Brett Hanson, Optum
- Chris Hause, Kaiser Permanente
- Julia Herr, Optum
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.
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AI, Data Analytics, and Actionable Intelligence
AI-Enabled Care to Positively Reframe Mental Health and Improve Access
Presented by- Location
- Pomerol
- Speakers
-
- Lisa Burt, Aon
- Suzanne Kunis, NovaWell
- Clayton Nicholas, MBA, CredibleMind
- Solome Tibebu, Behavioral Health Tech
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.
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Improving Accessibility, Affordability, and Transparency of Health Care
Patient Preferences When Selecting Providers to Inform Networks and Directories
- Location
- Castillon
- Speakers
-
- Kathleen Gallagher, MPH, Patient Advocate Foundation
- Pleasant Radford, Jr., MBA, CHIE, UCare
- Michelle Jester, MA, PMP, AHIP
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.
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Next-Generation Consumer Experience and Engagement
Reimagining Touch Points for Engagement and Retention
- Location
- Bandol 1
- Speakers
-
- Camille Harrison, GuideWell
- Nicholas Kraft, Capital District Physicians’ Health Plan, Inc. (CDPHP®)
- Ingrid Lindberg
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.
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Technology, Trends and Business Insights
Market Outlook – Emerging Trends Impacting Payers in 2024 and Beyond
- Location
- Bandol 2
- Speakers
-
- Sonny Goyal, Blue Cross and Blue Shield of North Carolina
- Sam Yamoah, Cambia Health Solutions
- Jeanette Thornton, AHIP
Details
In an evolving health care landscape, strategy officers at health care organizations are shaping the future by focusing on innovation and patient-centered models. This session will explore how they are leveraging data, technology, and collaborative partnerships to improve health outcomes and operational efficiency. Attendees will gain insights into emerging trends, the impact of regulatory changes, and the role of strategic foresight in navigating the complexities of the health care industry.
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Market Strategy & Operational Innovation
Next-Generation Provider Networks: Identifying Hidden Costs, Maximizing Impact
Presented by- Location
- Hermitage
- Speakers
-
- Steve Levin, Quest Analytics
- Subhash Seelam, Quest Analytics, LLC
Details
Structuring networks that align with business goals can be a daunting challenge. Often, health insurance providers grapple with network extremes accepting sizable hidden costs and barriers to high performance. Join this discussion to explore the business implications of broad and narrow networks. Learn how to uncover the PMPM costs of network extremes, avoid hidden costs, and the practical measures and benchmarking insights that can connect networks with business goals.
-
-
3:00 pm – 3:45 pm
Series 5
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Addressing Equity, Prevention, and Community Health Improvement
Advancing Health Equity Through Data
- Location
- Hermitage
- Speakers
-
- Nancy Chiles Shaffer, PhD, Centers for Medicare & Medicaid Services (CMS)
- William Gordon, MD, Centers for Medicare & Medicaid Services (CMS)
- Danielle Lloyd, MPH, AHIP
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.
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Advancing Alternative Payment Models and Value-Based Care Strategies
Value-Based OB Care: Partnering for Whole Person Health and Improved Outcomes
Presented by- Location
- Fleurie
- Speakers
-
- Matt Eakins, MD, Lucina
- Angela Glyder, RN, Unified Women's Healthcare
- Kevin Kearns, MD, Sunshine Health Plan
- Aaron Sudbury, MD, FACOG, Florida Woman Care
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.
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Care Management and Delivery System Transformation
Addressing the Functional Needs of Aging Populations
- Location
- Musigny
- Speakers
-
- Kortney Cruz, Independence Blue Cross
- Krischa Winright, Blue Cross Blue Shield of Michigan
- Kayla Connor, AHIP
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.
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AI, Data Analytics, and Actionable Intelligence
Effective AI Utilization: Use Cases to Reduce Friction for Consumers & Providers
- Location
- Meursault
- Speakers
-
- Chris Coogan, Cambia Health Solutions
- Margaret Helms, HealthPartners
- Vardini Vishwanathan, Elevance Health
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.
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Improving Accessibility, Affordability, and Transparency of Health Care
From Friction to Flow: High-Value Care with New Provider Engagement Approaches
Presented by- Location
- Bandol 2
- Speakers
-
- Terry Boch, Clarify Health
- Nick Lefeber, Blue Cross Blue Shield of Rhode Island
- Abby Milloy, MBA, MPH, Elevance Health
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.
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Next-Generation Consumer Experience and Engagement
Partnering to Empower Community-Centered Care
Presented by- Location
- Pomerol
- Speaker
-
- Jane Lyons, Walgreens
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.
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Technology, Trends and Business Insights
The Future of Pain Management: Digital Therapeutics & Accessible Care Delivery
Presented by- Location
- Castillon
- Speakers
-
- Debbie Dexter, Kaia Health
- Nicole Fellows, MS, PT, DPT, Kaia Health
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.
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Market Strategy & Operational Innovation
Industry Trends and Insights: The Employee Health Benefits That Matter Most
- Location
- Bandol 1
- Speakers
-
- Scott Burton, Providence Health Plan
- Carole Mendoza, Voya Financial
- Tracy Watts, Mercer
- Todd Woodruff, Salt & Straw Ice Cream
- Adam Beck, AHIP
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.
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-
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- Location
- Fleurie
- Speakers
-
- Moses Adedoyin, MBA, GuideWell and Florida Blue
- Mike Cantor, MD, JD, Aeroflow Health
- Susan Jang, GuideWell and Florida Blue
- Jennifer Jordan, Aeroflow Health
- Brittany Melhado, GuideWell
- Anne Wanlund, Canopie
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.
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Advancing Alternative Payment Models and Value-Based Care Strategies
Making Value-Based Care Work for Behavioral Health
- Location
- Castillon
- Speakers
-
- Gregory Harris, MD, MPH, DLFAPA, CHIE, Blue Cross Blue Shield of Massachusetts
- Katherine Hobbs, MD, MPH, Author Health
- Stephen Mihalack, PMP, FACHE, Magellan Health
- Joe Parks, MD, National Council for Mental Wellbeing
- Chris Regal, AHIP
Details
Although value-based care programs are gaining traction, there can be unique challenges to measure quality, outcomes, and value for behavioral health. This session will explore strategic considerations of collaborative approaches to deliver effective mental health care and substance abuse treatment, to ensure improved outcomes and a sustainable financial model.
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Care Management and Delivery System Transformation
Accessing Real-Time Clinical Information to Improve Efficiency and Satisfaction*
- Location
- Musigny
- Speakers
-
- Jeremy Erwin MD, MBA, Magnolia Health
- Joydeep (Joy) Mukherjee, Johns Hopkins Health Plans
- Kate Berry, AHIP
Details
*This session is closed to press.
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.
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AI, Data Analytics, and Actionable Intelligence
Robust Governance to Ensure Responsible Deployment of AI and Generative AI
- Location
- Bandol 1
- Speakers
-
- Onyinyechi U. Daniel, PhD, Highmark Health
- Edward Lee, MD, Nabla
- Samantha Burch, AHIP
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.
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Improving Accessibility, Affordability, and Transparency of Health Care
A Prescription for Affordability: Strategies for Managing Drug Spend
- Location
- Bandol 2
- Speakers
-
- Mary Beth Erwin, Blue Cross and Blue Shield of Massachusetts (BCBSMA)
- Sharon K. Jhawar, PharmD, MBA, BCGP, SCAN Health Plan
- Laurie L. Lincoln, PharmD, BCPS, Capital District Physicians’ Health Plan, Inc. (CDPHP®)
- Amit Kaur, PharmD, BCACP
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.
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Next-Generation Consumer Experience and Engagement
Better GLP-1 Management within Existing Clinical Frameworks & Coverage Policies
Presented by- Location
- Pomerol
- Speakers
-
- Richard Frank, MD, Vida Health
- Sara Izadi, Capital Rx
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.
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Technology, Trends and Business Insights
Navigating Mental Health Solutions: Improving Care Across Diverse Populations
Presented by- Location
- Meursault
- Speakers
-
- Douglas Nemecek, MD, MBA, BA, CHIE, Evernorth Health Services
- Omar Manejwala, MD, DarioHealth
- Jamie Zajac, DC, Colorado Access
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.
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Market Strategy & Operational Innovation
Member Engagement Modernization: Connectivity & Interaction at Scale
Presented by- Location
- Hermitage
- Speakers
-
- Chi Bui, Blue Shield of California
- Jill Chapman, Blue Shield of California
- Steve Gillin, Relay Network
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.
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5:00 pm – 5:45 pm
,
Keynote Session
-
, Lafite Ballroom
Balancing Technological Innovation with Human Connection
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Abraham Verghese, MD,New York Times Bestselling Author, Practicing Physician, Professor
, Stanford University -
Reed Tuckson, MD, FACP,Co-Founder of the Black Coalition Against COVID & Co-Founder of the Coalition for Trust in Health & Science
,
- Share options
- Share on Facebook
- Share on Twitter
- Share on LinkedIn
-
5:45 pm – 6:45 pm
,
Reception with Solutions Providers
5:45 pm – 6:45 pm
,
Book Signing
-
, Social Hub / Booth #1427
The Covenant of Water
,Complimentary books are available for the first 100 attendees.
-
Abraham Verghese, MD,New York Times Bestselling Author, Practicing Physician, Professor
, Stanford University
- Share options
- Share on Facebook
- Share on Twitter
- Share on LinkedIn
-
5:50 pm – 6:05 pm
,
Presentation Theater
-
-
Optimizing Business Performance with an Intelligent Data Foundation
Presented by- Location
- Presentation Theater #1: Booth 1035
- Speaker
-
- Chanda Pepping, Workday
Details
In the face of rising costs, industry consolidation, and evolving regulations, business transformation is more important for health insurance providers than ever before. Join us to explore case studies involving responsible AI and ML, organizational agility, and deep business insights – all starting from a common data foundation. Learn from real-world examples of how human capital and financial management insights have led to greater performance.
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GLP-1’s Changed the Obesity Game. Are You Stuck Using Last Season’s Plays?
Presented by- Location
- Presentation Theater #2: Booth 1935
- Speaker
-
- Ed Liebowitz, Solera Network
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.
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6:10 pm – 6:25 pm
,
Presentation Theater
-
-
Decoding Consumer Attitudes: How to Win Hearts & Minds in Health Marketing
Presented by- Location
- Presentation Theater #1: Booth 1035
- Speaker
-
- Jennifer Hickman, Quad
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.
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Enterprise AI in Health Care: Myth Vs. Reality
Presented by- Location
- Presentation Theater #2: Booth 1935
- Speaker
-
- Monique Hesseling, Cloudera
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.
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8:00 am - 5:15 pm Jun 13 • 2024
8:00 am – 3:30 pm
,
Registration and Information Desk Open
8:45 am – 10:15 am
,
Keynote Sessions
-
8:45 am – 9:30 am, Lafite Ballroom
The Promise of AI in Health Care
-
Neil Gomes, MMS, MEd, MBA,Senior Vice President & Chief Digital Officer
, AmeriHealth Caritas -
David C. Rhew, MD,Global Chief Medical Officer & Vice President, Healthcare
, Microsoft -
Miriam Vogel,President & CEO, EqualAI; Chair
, National AI Advisory Committee (NAIAC) -
Danielle Lloyd, MPH,Senior Vice President, Private Market Innovations & Quality Initiatives
, AHIP
- Share options
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- Share on Twitter
- Share on LinkedIn
-
-
9:30 am – 10:15 am, Lafite Ballroom
Restoring Trust in Health Care
-
David J. Brailer, MD, PhD,EVP & Chief Health Officer
, Cigna Group -
Geeta Nayyar, MD, MBA,Chief Medical Officer, Technologist, & WSJ Best Selling Author
, -
Reed Tuckson, MD, FACP,Co-Founder of the Black Coalition Against COVID & Co-Founder of the Coalition for Trust in Health & Science
, -
Learn more about Jane Sarasohn-Kahn, MA, MHSA
Jane Sarasohn-Kahn, MA, MHSA,Health Economist & Trend Weaver, THINK-Health and Health Populi blog
,
- Share options
- Share on Facebook
- Share on Twitter
- Share on LinkedIn
-
10:15 am – 1:15 pm
,
Exhibit Hall Open
10:15 am – 11:00 am
,
Coffee Break with Solutions Providers
10:15 am – 11:00 am
,
Book Signing
-
, Social Hub / Booth #1427
Rough Sleepers: Dr. Jim O’Connell’s Urgent Mission to Bring Healing to Homeless People
,Complimentary books are available for the first 100 attendees.
-
James J. O’Connell, MD,President, Boston Health Care for the Homeless Program, and Assistant Professor of Medicine
, Harvard Medical School
- Share options
- Share on Facebook
- Share on Twitter
- Share on LinkedIn
-
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.
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Zirui Song, MD, PhD,Associate Professor of Health Care Policy and Medicine
, Harvard Medical School and Massachusetts General Hospital -
Peter M. Marino,President & CEO
, Neighborhood Health Plan of Rhode Island
- Share options
- Share on Facebook
- Share on Twitter
- Share on LinkedIn
-
-
, 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.
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Lauren Easton,Senior Vice President, Integrative Program Development & Clinical Innovation
, Commonwealth Care Alliance (CCA) -
Amy King,Founder & CEO
, Pallet -
James J. O’Connell, MD,President, Boston Health Care for the Homeless Program, and Assistant Professor of Medicine
, Harvard Medical School -
Robert L. Traynham, PhD,Chief Business Officer
, AHIP
- Share options
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- Share on Twitter
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-
-
, 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.
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Don Antonucci,Chief Executive Officer
, Providence Health Plan -
David C. Rhew, MD,Global Chief Medical Officer & Vice President, Healthcare
, Microsoft -
Learn more about Jane Sarasohn-Kahn, MA, MHSA
Jane Sarasohn-Kahn, MA, MHSA,Health Economist & Trend Weaver, THINK-Health and Health Populi blog
, -
Marc Watkins, MD, MSPH,Chief Medical Officer, Kroger Health
, The Kroger Co.
- Share options
- Share on Facebook
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-
-
, 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.
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Maneesha Ghiya,Managing Partner
, FemHealth Ventures -
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 -
Cara Repasky,Partner
, McKinsey & Company -
Cameual Wright, MD, MBA,Vice President, Market Chief Medical Officer
, CareSource -
Kate Berry,Senior Vice President, Clinical Innovation & Strategic Partnership
, AHIP
- Share options
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-
-
, 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.
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Clark Harshbarger,Director, Incident Response
, CrowdStrike -
Steve Roberts,CEO
, Eclipz Cybersecurity -
Ari Schwartz,Managing Director, Cybersecurity Services
, Venable LLP -
Danielle Lloyd, MPH,Senior Vice President, Private Market Innovations & Quality Initiatives
, AHIP
- Share options
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-
12:00 pm – 1:15 pm
,
Networking Lunch
12:00 pm – 1:15 pm
,
Book Signing
-
, Social Hub / Booth #1427
Unsettled: How the Purdue Pharma Bankruptcy Failed the Victims of the American Overdose Crisis
,Complimentary books are available for the first 50 attendees.
-
Ryan Hampton,Community Organizer, Author, Addiction Recovery Advocate & Founder
, Mobilize Recovery
- Share options
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-
1:15 pm – 1:15 pm
,
Exhibit Hall Closes
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- Location
- Musigny
- Speakers
-
- Jeremy Brooks McKinnon, LMSW, HCA Healthcare
- Heather Falck Major, Independence Blue Cross Foundation
- Kelly McKay-Gist, MSW, LCSW, The St. Louis Integrated Health Network
- Jacobia Solomon, EMBA, AMN Healthcare
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.
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Advancing Alternative Payment Models and Value-Based Care Strategies
Business Model Perspectives on Value-Based Care
-