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AHIP
Conferences

AHIP 2025

Dates:
Jun 16 - 18, 2025
Location:
Las Vegas, NV

REGISTRATION IS NOW CLOSED - Be part of AHIP’s flagship event that brings together the people, ideas, and solutions guiding greater health for years to come. **On-site registration is not available.**

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Sessions 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

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

    • Behavioral Health and Medical Costs: Leveraging Innovation for Better Outcomes

      Presented by Optum – An AHIP Select Member
      Speakers
      Details

      The growing need to support mental health and substance use disorders among diverse populations is pushing health plans to be more strategic in facilitating access to behavioral health services. Recent innovations have created new opportunities to address both niche and widespread needs. However, plans often struggle to deliver these innovations effectively. Gain insights into sophisticated contracting strategies to ensure comprehensive coverage and successful delivery of behavioral services to members.

    • New Interoperability Solutions to Close Care Gaps and Drive Improved Outcomes

      Presented by Surescripts, LLC
      Speakers
      Details

      Health plans often lack the clinical insights and integrations needed to effectively close gaps in care for high-risk members. Providing high quality data and communicating needed actions within provider workflows is essential to improve outcomes. Explore how new interoperability solutions can streamline data exchange to ensure that providers have timely, accurate information to deliver better care, and ultimately improve member outcomes.

    • Delivering Integrated Behavioral Health for Plans, Care Teams, and Members

      Presented by CredibleMind
      Speakers
      Details

      Mental health symptom prevalence remains stubbornly high and is responsible for rising costs and poor quality of life. Although care teams and health plan leaders seek to transform behavioral health access, 3 in 4 members prefer to address symptoms on their own, and those seeking care often don’t know where to start. Join this discussion to explore new integrated behavioral health models to better serve members, and improve navigation and quality outcomes.

    • Leveraging Data to Improve Health Equity, Member Engagement and Gaps in Care

      Presented by LexisNexis Risk Solutions
      Speakers
      Details

      Member journeys that are informed by members’ social and economic challenges can be further enhanced with targeted, personalized interventions. However, reliable and up-to-date contact data is critical to reach members in order to provide relevant support in an efficient manner. Join this session to learn how health plans can leverage clean contact data to reduce communication and care gaps, facilitate preventive outreach and adherence, and drive better outcomes.

    • Reimagining Utilization Management Ecosystems: A Path to CMS Rule Compliance

      Presented by MCG Health
      Speakers
      Details

      Solving for compliance with the CMS Interoperability and Prior Authorization Final Rule is much more than an IT project, it requires significant changes to authorization processes and a reimagining of UM ecosystems. Join this session to discuss lessons learned from implementing provider APIs with various payers across diverse care settings. Gain insights from real-world experience that will enable health plan executives to anticipate challenges and navigate the best path to compliance.

    • Assessing Health Care Program Investments: Key Methods to Measure Effectiveness

      Presented by Milliman, Inc.
      Speakers
      Details

      With growing investments in health care programs and value-based care, measuring effectiveness is critical for payers and providers alike. Explore best practices from actuarial, clinical, and program evaluation perspectives and evaluate real-world impact using RTCs, observational studies, and alternative models. Learn to select the right evaluation method, navigate ethical and financial challenges, and leverage real world data to drive improved outcomes and support value-based decisions.

    • Guiding Members to Virtual Care in a System Built for Local Geographic Access

      Presented by Oshi Health
      Speakers
      Details

      Virtual specialty care networks are addressing major population health priorities – from provider shortages and preventive care gaps, to avoiding urgent care escalations, to improving outcomes and health economics. If only members knew about them. Marketing virtual care programs is complicated by legal, structural and technology barriers. Join this panel discussion with population health leaders to learn how to inform and guide members to virtual value-based care options in key moments of need.

    • Achieving Data-Driven Improvements on Time-Sensitive HEDIS Measures

      Presented by InterSystems
      Speakers
      Details

      Providing time-sensitive care for qualifying events tracked by HEDIS is critical, especially for high-risk members at vulnerable points in their care journey. Learn how to collaborate with providers and use near real-time visit data to automate identification of qualifying events for time-sensitive HEDIS measures. Explore an award-winning case study of how a health plan used interoperability and clinical data to improve HEDIS adherence.

1:00 pm – 3:30 pm
, Keynote Sessions

3:30 pm – 7:30 pm
, Exhibit Hall Open

3:30 pm – 4:15 pm
, Coffee Break with Solutions Providers

Presented by CCS Medical – An AHIP Select Member

3:35 pm – 4:10 pm
, Presentation Theater

  • 3:35 pm – 3:50 pm

    • AI-agents in Action: Revolutionizing Navigation Driving Personalized Care

      Presented by Pager
      Speakers
      Details

      The way members access care today is fragmented, overwhelming, and impersonal. It’s time to move beyond outdated tools. With AI-driven agents at the core, health plans can guide members to the right care in real time—across triage, provider search, benefits, and solutions. Combining AI with clinical support, this hybrid model builds trust and drives better outcomes. Discover how leading health plans are redefining care navigation with intelligent, personalized guidance.

    • Tackling Cost and Access Challenges for Cancer Patients

      Presented by OncoHealth
      Speakers
      Details

      Cancer rates continue to rise, and members with cancer face unique challenges that traditional care management often struggles to address. Gain insights into how enhanced cancer care management and virtual supportive care can immediately improve member satisfaction, increase access to care, and optimize value. Health plan and oncology leaders will also share perspectives on oncology trends and how plans can offer unique services to their employers.

  • 3:55 pm – 4:10 pm

    • Cancer Care Reimagined: Health Plans Driving Better Outcomes

      Presented by Color Health
      Speakers
      Details

      Cancer care costs are rising, and health plans face pressure to manage medical spend without sacrificing quality. Cancer is a complex journey—from detection to survivorship. A proactive, coordinated approach is key to improving outcomes. Join this discussion to explore today’s biggest care gaps and share practical strategies to drive better clinical and financial results.

    • Reducing Costs and Enhancing Quality for the Seriously Ill with AI-Driven Care

      Presented by Vynca
      Speaker
      Details

      Health plans face rising costs and care fragmentation for seriously ill members. This session explores how AI-driven care orchestration and hybrid palliative care models reduce acute care utilization and deliver cost-effective, high-quality care aligned with patients’ goals. Gain insights into real-world results from a proven value-based model that blends AI, remote monitoring, and interdisciplinary care to close palliative care gaps—especially in underserved communities.

4:30 pm – 5:15 pm
, Concurrent Sessions

  • 4:30 pm – 5:15 pm

    SERIES 1

    • Promoting Prevention & Population Health

      Achieving Optimal Health for All Populations in an Evolving Environment

      Speakers
      Details

      Explore strategies to improve outcomes for diverse populations amid changing regulatory, economic, and social landscapes. This session will highlight innovative approaches, data-driven insights, and collaborative models that drive sustainable, population-wide impact.

    • AI, Data Analytics & Interoperability

      Portfolio Management of AI – Ensuring Strategic Alignment with Enterprise Goals

      Speakers
      Details

      Learn how health plans can effectively manage their portfolio of AI initiatives to ensure strategic alignment with enterprise-wide goals and regulatory expectations. This session will explore governance models, prioritization frameworks, and real-world examples that drive value, accountability, and responsible AI adoption.

    • Advancing Value & Transforming Care Delivery

      Strengthening Primary Care: Assessing Payvider Models for Sustainability

      Speakers
      Details

      Payvider models are reshaping the primary care landscape by aligning financial incentives with care quality and access. This session will examine how these integrated approaches are enhancing care coordination, improving patient outcomes, and driving greater value. Explore lessons learned, key success factors, and what it takes to build sustainable, high-performing models that truly strengthen primary care.

    • Medicare, Medicaid, & Commercial Markets

      Navigating Politics and Policy Shaping the Future of Medicare Advantage

      Speakers
      Details

      This session will explore the evolution of Medicare Advantage (MA) over the last decade and key political and policy issues currently impacting the program. Speakers will also discuss opportunities and challenges affecting the future growth of MA and the ability of MA plans to innovate and adapt to the changing health care landscape.  

    • Advancing Value & Transforming Care Delivery

      Elevating Patient, Provider, and Payer Outcomes in an Oncology Medical Home

      Presented by Carelon
      Speakers
      Details

      Current incentives for cancer treatment are not well aligned between providers, payers, and patients. Join this session to explore an Oncology Medical Home model that combines data-driven provider, patient, and payer solutions that aligns incentives through enhanced patient and practice support. Learn how this model can foster streamlined care coordination, improved patient outcomes, and provider-payer alignment while containing total cost of care.

    • Closing Gaps in Coverage & Care

      How Closing Gaps in Communication Leads to Closing Gaps in Care

      Presented by Relay Network
      Speakers
      Details

      In today’s landscape, even the most well-intentioned digital tools can create complexity for members. What if the key to engagement is reducing content overload and focusing on channel enhancement – leveraging tools that remove friction and meet the member where they are? Explore how to reimagine the member experience by simplifying communications and personalizing outreach to drive member behavior, leading to improved satisfaction, increased digital adoption, and critical care gap closure.

    • Market Trends & Business Insights

      Beyond Prescriptions: The Value of Personalized Nutrition and Lifestyle Support

      Presented by CVS Healthspire Payor Solutions
      Speakers
      Details

      As the demand for GLP-1s continues to surge, health plans are navigating the challenges of balancing patient outcomes with cost, access, and long-term sustainability. Join this discussion to explore actionable insights into the evolving landscape of obesity treatment and how to create a comprehensive program to address patient needs. Learn how to develop effective lifestyle interventions that significantly enhance member outcomes and satisfaction for improved health.

    • Consumer Experience & Engagement

      Managing Experience in a Volatile Consumer Marketplace

      Presented by Press Ganey
      Speakers
      Details

      As consumer expectations evolve, health plans are working harder than ever to build trust, enhance satisfaction, and deliver exceptional experiences. Hear from leaders that will dive into the data from a 2025 Market Intelligence survey and gain insights into trends in consumer experience and resulting implications for quality and Stars programs. Learn firsthand how health plans are working to improve consumer sentiment in a volatile consumer marketplace.

  • 5:30 pm – 6:15 pm

    SERIES 2

    • Closing Gaps in Coverage & Care

      Leveraging Data to Achieve Whole Person Health

      Speakers
      Details

      Learn how health plans can harness modernized data strategies—including enhanced self-reported data collection—to drive whole person health. Explore innovative use cases that demonstrate how to leverage person-centered data to improve outcomes and close gaps in care.

    • Advancing Value & Transforming Care Delivery

      Best Practices to Build High-Impact Value-Based Partnerships

      Speakers
      Details

      Explore best practices for building high-impact value-based partnerships through the lens of a four-state transformation model driving improved care delivery and payment innovation. Gain insights into partnership frameworks, scalable strategies, and lessons learned to help health plan leaders achieve successful value-based care models.

    • Market Trends & Business Insights

      Reimagining Benefit Design to Deliver Whole-Person Health

      Speakers
      Details

      As expectations shift, health plans and employers are rethinking benefit design to support the full spectrum of employee well-being—physical, mental, financial, and beyond. This session will explore how innovative benefit strategies can drive healthier populations, stronger organizational performance, and a more resilient workforce. Hear how leading organizations are aligning benefits with evolving employee needs to build a health-first culture that delivers long-term value.

    • AI, Data Analytics & Interoperability

      Transforming Payment Integrity: The Path to Payment Precision

      Presented by Optum – An AHIP Select Member
      Speakers
      Details

      Payment integrity in health care is at a critical inflection point—facing unprecedented challenges, but also extraordinary opportunity. Join this discussion to unpack key trends and explore opportunities to begin the shift from traditional payment integrity toward payment precision. Discover how real-time interventions at claim submission can help make healthcare payment transactions more accurate the first time, every time, to drive more affordable and seamless healthcare for everyone.

    • Promoting Prevention & Population Health

      Building Sustainable Primary Care Partnerships for Older Populations

      Speakers
      Details

      Examine how health plans can build sustainable primary care partnerships tailored to the unique needs of older populations. This session will delve into the architectural elements and effective partnership structures between plans and providers that support continuity, coordination, and long-term value for older adults.

    • Consumer Experience & Engagement

      Ambient Listening GenAI: Optimizing Care Delivery and Member Experience

      Presented by Kyndryl
      Speakers
      Details

      Health care payers and providers are increasingly leveraging ambient listening GenAI to address clinician burnout and to improve member experience. Discover how health care payers can best implement these technologies to transform care delivery by enhancing workflows, productivity, and satisfaction for members and clinicians.

    • Emerging Tech & Digital Health Innovation

      Leveraging Data & Evidence-Based Models to Address the Maternal Health Crisis

      Presented by Pomelo Care
      Speaker
      Details

      Access, quality, chronic disease, disparities, mental health, and a fragmented system fuel the maternal health crisis. Yet health plans, providers, and employers can collaborate to tackle these complex issues during pregnancy and postpartum. Join this session to explore these themes, their intersections, and collaborative strategies to improve outcomes and reduce costs. Learn how evidence-based interventions, team-based care models, and digital health can advance maternal and infant health.

6:15 pm – 7:30 pm
, Reception with Solutions Providers

6:20 pm – 6:55 pm
, Presentation Theater

  • 6:20 pm – 6:35 pm

    • Helping Prepare Employees for Health Care Costs Now and in Retirement

      Presented by Fidelity Investments
      Speaker
      Details

      Many employees may not be prepared for current and future health care costs. In a first of its kind initiative, Fidelity Health Thought Leadership surveyed health professionals to understand clinicians' views on employee benefits. One key finding is clinicians report cost as the biggest concern for employees. Join us to explore ways to bridge the gap between the reality of financial preparedness for health costs and employees' expectations.

    • Leveraging Technology to Drive Cost Savings and Improve the Member Experience

      Presented by Best Buy Health
      Speaker
      Details

      Discover how health plans are using technology-enabled care-at-home solutions to lower costs and enhance the member experience. This session explores real-world strategies for reducing utilization, improving engagement, and delivering more connected, consumer-friendly care.

  • 6:40 pm – 6:55 pm

    • Using AI-Enhanced Chronic Care to Improve Member Outcomes

      Presented by Verily
      Speaker
      Details

      Health plans are looking to AI-enabled chronic care solutions to scale support for members with diabetes, obesity, and heart disease. This session will explore how AI, when integrated with clinical expertise and human coaching, can drive meaningful change in nutrition and lifestyle behaviors. Gain insights into how dynamic care models engage members and improve outcomes, and how to evaluate AI-enhanced care strategies that support your goals.