Agenda
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, MPA
Vin Gupta, MD, 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 Aronson
Lauren Aronson,Partner
, Mehlman Consulting
-
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
-
Agenda Filters
Sessions
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, MPA,Chief Medical Officer
, Amazon Pharmacy -
Adam Kautzner, PharmD,President
, Evernorth Care Management & Express Scripts® -
Lauren Aronson,Partner
, Mehlman Consulting
- 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.
-
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.
-
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.
-
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.
-
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.
-
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.
-
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.
-
-
5:30 pm – 6:15 pm
Series 2
-
Addressing Equity, Prevention, and Community Health Improvement
Advancing Health Equity Using Data, Analytics & Personalized Communication
Presented by- 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
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- 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
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- 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
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- 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
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- 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
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- 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
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- 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
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- 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
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Reception with Solutions Providers
6:15 pm – 7:15 pm
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Book Signing
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, Social Hub / Booth #1427
Health Consuming – From Health Consumer to Health Citizen
,Complimentary books are available for the first 100 attendees.
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Learn more about Jane Sarasohn-Kahn, MA, MHSA
Jane Sarasohn-Kahn, MA, MHSA,Health Economist & Trend Weaver, THINK-Health and Health Populi blog
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Learn more about Jane Sarasohn-Kahn, MA, MHSA
6:20 pm – 7:15 pm
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Presentation Theater
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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
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- 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
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- 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
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- 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
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- 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
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- 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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