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10:00 am – 6:00 pm
, Registration and Information Desk Open

Pre-Function C, Level 1
Registration Desk will also be open 2 pm – 6 pm on Monday, June 12*
Presented by Optum – An AHIP Select Member

10:00 am – 7:00 pm
, Bag and Luggage Check

Exhibit Hall B, Level 1
KEYNOTE SESSION BAG POLICY • Small bags, no larger than 12” x 12” x 6”, are permitted and subject to visual screening. • Larger bags, including backpacks and luggage, are not allowed in Keynote Sessions.
Presented by AHIP

10:00 am – 1:00 pm
, Welcome Refreshments

Pre-Function C, Level 1
Presented by AHIP

11:30 am – 12:45 pm
, Lunch & Learns

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

    • Addressing Equity, Prevention, and Community Health Improvement

      Building for Maternal Health Equity: Addressing Barriers to Preventative Care

      Presented by Aeroflow Healthcare
      Location
      B114, Level 1
      Speakers
      Details

      The maternal health crisis is perpetuated by siloed interventions and a lack of integrated care. Join this discussion to hear experts discuss the underlying social, economic, and systemic factors contributing to maternal morbidity and mortality rates and disparities. Learn how thoughtfully designed, prevention-based interventions can ensure health equity, access and engagement with quality maternal health care.

    • Advancing Alternative Payment Models and Value-Based Care Strategies

      Enhancing Value-Based Care through Digital Transformation

      Presented by Milliman
      Location
      B115, Level 1
      Speakers
      Details

      The pace of change is accelerating, and transitioning to fee-for-value is no exception. Join this session to hear actionable advice and insights on integrating enterprise data, using APIs and data lakes, formulating cloud strategies, and leveraging interoperability, analytics, and benchmarks. Learn how these approaches can improve reporting, risk workflows, contracting positions, network design, and overall efficiency, enhancing both revenue and patient care.

    • Care Management and Delivery System Transformation

      Increasing Primary Care Access: Integration of Virtual and In-Person Care

      Presented by Accolade, Inc
      Location
      B110, Level 1
      Speakers
      Details

      About 6 in 10 adult Americans have a chronic disease, yet 25% don't have a primary care physician (PCP). While employers strive to engage employees in their health, it can take employees 24 days to schedule a PCP appointment. Yet virtual tools create new opportunities for patients to access primary care. Explore how integrating virtual and in-person care can transform access and proactive outreach, offer personalized care experiences, and improve engagement and outcomes.

    • Data, Analytics and Actionable Intelligence

      Leveraging AI and Clinical Data to Accelerate Prior Authorizations

      Presented by Availity
      Location
      C123, Level 1
      Speakers
      Details

      To improve the member experience, health plan leaders need access to data that currently does not flow freely through the health care ecosystem. Capabilities to maximize the benefit of clinical data are now available and being adopted widely. This session will address the two most significant data challenges in health care: the use of clinical data and the application of data to automate authorizations and drive enhanced business intelligence with AI.

    • Improving Accessibility, Affordability, and Transparency of Health Care

      Prior Auth Automation: Insights from Implementing EHR-Based Authorizations

      Presented by MCG Health
      Location
      A109, Level 1
      Speakers
      Details

      Achieving successful interoperability requires preparation for future CMS prior authorization requirements. Learn from several prior authorization implementations, including using the HL7 Da Vinci Project Implementation Guides from HL7® FHIR® for automating prior authorization processes. An expert panel of health insurance providers will discuss the challenges and successes of implementing new interoperability standards.

    • Next-Generation Consumer Experience and Engagement

      The Cost of Doing Nothing: Driving More Accountability with Your Vendors and Partners

      Presented by Vida Health
      Location
      B119, Level 1
      Speakers
      Details

      With rising costs and a greater desire to drive more equitable care, health insurance provider leaders are trying to balance their budgets while maximizing value from their current vendors, partners, and providers. Whether closing gaps in care or putting more rigor behind outcomes, leaders should evaluate whether changes are necessary to achieve better quality care. This session will address how you can drive more accountability with your vendors and partners.

    • Technology, Trends and Business Insights

      2023 State of Health Care: Dynamic Forces Reshaping the Industry

      Presented by Advisory Board
      Location
      A106, Level 1
      Speakers
      Details

      The health care industry is currently facing an increasingly dynamic business climate, dominated by rising costs and inflation, tightening margins, and staffing challenges. The array of urgent, disruptive market forces today mean that leaders must navigate an unusually high number of short-term crises and opportunities. Join this discussion to learn how leaders' strategic choices now will have an outsized impact on their trajectory toward long-term goals.

1:15 pm – 3:45 pm
, Keynote Session

3:45 pm – 7:15 pm
, Exhibit Hall Open

Halls C-D, Level 1
Exhibit Hall Open with Solutions Providers

3:45 pm – 4:30 pm
, Break

Halls C-D, Level 1
Coffee & Dessert Break in the Exhibit Hall with Solutions Providers
Presented by CERiS

4:00 pm – 4:15 pm
, Presentation Theater

    • Closing Laboratory Information Gaps to Increase Point of Care Clinical Insights

      Presented by Labcorp
      Location
      Presentation Theater #1: Booth1137 (Halls C-D, Level 1)
      Speaker
      Details

      Lab values are estimated to fuel 70% of clinical decisions, but accessing patient lab results residing outside an organization’s EHR can be challenging and burdensome for clinicians. Explore the benefits of a single view of patient lab values by consolidating data from both the EHR and a national unified and standardized lab database at the point of care. Learn how to reduce the information gap and help clinicians more effectively and efficiently manage patients and close care gaps.

    • Improving Health and Proving ROI – Demonstrating Measurable Results with RCT

      Presented by Mobe Health
      Location
      Presentation Theater #2: Booth1737 (Halls C-D, Level 1)
      Speaker
      Details

      With the explosion of vendors offering solutions to lower medical and Rx claims costs, and the high number of variables influencing total cost of care, measuring ROI and proving which solutions work is critical. Join this session to explore a practical approach to design and execute a Randomized Controlled Trial in your organization to gain insight into what actually improves outcomes. Learn how to use a measurement methodology that can measure claims savings, ROI and demonstrate true value.

4:30 pm – 6:10 pm
, Concurrent Sessions

  • 4:30 pm – 5:15 pm

    CONCURRENT SESSIONS (Series 1)

    • Addressing Equity, Prevention, and Community Health Improvement

      Prepare for the CMS Health Equity Index: Deep Dive on Disparities

      Presented by Inovalon lateral 2020
      Location
      A106, Level 1
      Speakers
      Details

      Advancing health equity is the first pillar of the CMS strategic plan. As such, the development of a Health Equity Index (HEI) is a key initiative to enhance Medicare Advantage Star Ratings. Join this session to explore how the HEI will be calculated and techniques MA plans can employ to understand performance on component measures. Gain insights to identify disparities in populations with social risks and best practices to address systemic inequities in care delivery.

    • Advancing Alternative Payment Models and Value-Based Care Strategies

      Using Venture Capital and Innovative Partnerships to Achieve High-Value Care

      Location
      C123, Level 1
      Speakers
      Details

      How do you operationalize value-based agreements and improve care for millions across states? This session will explore how one health insurance provider is leveraging innovative partnerships to strengthen access to high quality, affordable health care. Speakers will provide unique insights on executing successful, value-based care on a multistate scale, making value-based care work in rural communities, and partnering with health startups to create innovative solutions for their members.

    • Care Management and Delivery System Transformation

      The Payer’s Role in Addressing Adolescent Mental Health

      Location
      B114, Level 1
      Speakers
      Details

      This session will examine the complexities of adolescent mental health and how health insurance providers can assist stakeholders in both managing them and overcoming barriers to care. With many members serving as parents or caregivers, supporting young people’s mental health has become critical, particularly in the digital age and amidst the growing suicide crisis. Learn about the unique opportunities’ payers have to tackle these issues by increasing mental health resources and promoting total health.

    • Data, Analytics and Actionable Intelligence

      Enterprise Capabilities to Maximize Business Value from Data and Analytics

      Presented by Optum – An AHIP Select Member
      Location
      B115, Level 1
      Speakers
      Details

      Although 65% of health leaders view data and analytics as a competitive differentiator, only 17% of health companies get measurable business impact from their data and analytics strategies. Join this discussion to learn how technology breakthroughs will impact health operations and the critical capabilities needed to harness business value from data and analytics. Gain insights into actionable use cases, including the latest applications of models from Open AI, Google and others.

    • Improving Accessibility, Affordability, and Transparency of Health Care

      Transforming Health Expense Management Hurdles into Financial Wellness Solutions

      Presented by Fidelity
      Location
      B110, Level 1
      Speakers
      Details

      Even a benefit to attract and retain the best workforce can involve confusion and stress when employees face health care issues and must pay for care. Join us to hear research on how employers and their employees are managing health costs and how employers can transform expense management challenges into financial wellness solutions.

    • Next-Generation Consumer Experience and Engagement

      Served With a Smile: Using Pharmacy to Transform the Member Experience

      Location
      B119, Level 1
      Speakers
      Details

      Member engagement strategies often include tactics and modalities to ensure members feel valued and appreciated. By understanding how pharmacy-related initiatives and interventions impact the overall member experience, organizations can improve the way individuals perceive and engage with their health care journeys. Learn how leading organizations are leveraging pharmacy to elevate the member experience, resulting in better health outcomes and an overall positive impact on individuals' lives.

    • Medicare, Medicaid, Duals, and Commercial Markets Updates

      From “What If” to “What Now”: Meeting the Public Health Imperative

      Location
      A109, Level 1
      Speakers
      Details

      In overcoming the challenges of the COVID-19 pandemic, the nation’s health care delivery and public health systems found an undeniable imperative, a well-supported, integrated public health system is essential in times of crisis. Learn why 5 major players in health care have formed a coalition to ensure that our nation’s health care and public health systems have the tools, knowledge, and working relationships needed to respond effectively in future health emergencies.

    • Data, Analytics and Actionable Intelligence

      The Power of Analytics: How Payers Are Reinventing Their Business Models

      Presented by ZS
      Location
      Presentation Theater #2, Booth 1737 – Halls C-D
      Speakers
      Details

      Dynamic market trends—shifting sites of care, public health crises, and changing consumer attitudes, among others—indicate a clear case for change. Health plans will need to reinvent their business models and disrupt themselves to adapt, and true transformation will require investment in the right analytics strategies. Hear insights from senior health plan leaders on using analytics to develop strategies for driving growth and improving value in a competitive landscape.

  • 5:25 pm – 6:10 pm

    CONCURRENT SESSIONS (Series 2)

    • Addressing Equity, Prevention, and Community Health Improvement

      Advancing Equity through Quality Measurement and Accreditation

      Location
      A106, Level 1
      Speakers
      Details

      Quality measurement and accreditation have become key levers in addressing disparities and promoting health equity. COVID-19 has brought into focus the disparities in health and health care in the United States, and spurred a call to urgently address health equity. Speakers in this session will discuss the numerous actions health plans are taking to identify and address disparities and promote health equity.

    • Advancing Alternative Payment Models and Value-Based Care Strategies

      Payer-Provider Partnerships: Re-Imagining the Health Care Supply Chain

      Presented by Vitality
      Location
      C123, Level 1
      Speakers
      Details

      Value-based care (VBC) remains a hot topic in U.S. health care circles, but VBC is only one model to lower costs and bolster payer-provider alignment. Join this discussion to explore various approaches to achieve win-win partnerships across the health care supply chain to improve outcomes, lower costs and ensure margin preservation. A panel of leaders will also examine what is required to achieve meaningful VBC contracting, JV’s and risk-sharing, and what can impede progress.

    • Care Management and Delivery System Transformation

      Leveraging AI to Address Maternal Health: Identification & Risk Stratification

      Presented by Lucina
      Location
      B114, Level 1
      Speakers
      Details

      To improve maternal health outcomes requires that health plans identify, understand, and engage pregnant individuals early. Hear insights on how AI-enabled solutions allow for first trimester identification and targeted risk stratification for high-risk populations. Explore how strategic use of this data can positively impact maternal and neonatal health outcomes and close the disparity gap.

    • Industry Disruption and Product Innovation

      Delivering Impact: Meeting Members’ Mental Health Needs through Virtual Care

      Presented by Included Health
      Location
      B115, Level 1
      Speakers
      Details

      Mental health has been a critical issue over the past several years, yet there is still much progress to be made. Hear insights from a health insurance provider on meeting members—especially those in their MA population—where they are by offering high-quality, affordable and accessible virtual mental health services. Learn to implement innovative tactics to drive utilization of virtual care to support mental health needs.

    • Improving Accessibility, Affordability, and Transparency of Health Care

      Short Term Meals Programs Can Yield Long-Term Results

      Presented by Mom's Meals 2022 logo
      Location
      B110, Level 1
      Speakers
      Details

      Increasingly, health insurance providers are addressing food instability to help members better manage chronic conditions. Hear a panel of experts discuss an analysis of member claims data 9 months and 12 months after a meals intervention demonstrating reductions in ED and IP utilization, length of stay and cost of care. Learn how to design an effective food as medicine intervention program and analyze claims to measure impact on utilization, cost of care, and medication adherence.

    • Technology, Trends and Business Insights

      Optimizing Your Testing Environment to Impact Efficiency and Productivity

      Presented by Healthedge
      Location
      A109, Level 1
      Speakers
      Details

      Health plans struggle with operational testing due to expense and effort required to hire resources, purchase automation tools, obtain test data, build test cases and execute. Join this session to optimize testing to improve productivity, auto-adjudication rates, and gain transferable testing data to repurpose for future use. Hear lessons learned from a health insurance provider on creating an ideal testing environment with proven best practices, automation tools, and transferable testing data.

    • Medicare, Medicaid, Duals, and Commercial Markets Updates

      Medicare Advantage: Driving Consumer Engagement and Member Satisfaction

      Location
      B119, Level 1
      Speakers
      Details

      Medicare Advantage plans are responding to beneficiaries' rising expectations for a digital, omnichannel experience. Join this session to learn how a leading health insurance provider embraces data and member engagement to drive innovation and evolve their products and services to meet their members' unique needs and preferences, allowing for a personalized and improved care experience.

6:10 pm – 7:15 pm
, Reception with Solutions Providers

Halls C-D, Level 1
Opening Night Reception in the Exhibit Hall with Solutions Providers
Presented by Walmart Health

6:15 pm – 6:50 pm
, Presentation Theater

  • 6:15 pm – 6:30 pm

    • Data-Driven Approaches to Succeed in Medicare Advantage

      Presented by EXL Service
      Location
      Presentation Theater #2: Booth1737 (Halls C-D, Level 1)
      Speaker
      Details

      Health insurance providers need to leverage their data to achieve a sustainable business model, reduce costs, and improve outcomes across their entire population, including Medicare Advantage. Join this session to examine how organizations can deploy data-driven approaches with prospective analytics and digitally enabled technology underpinning their operations. Learn how a data-driven approach can increase membership, reduce expenses and improve consumer experience.

  • 6:35 pm – 6:50 pm

    • Best Practices in Leveraging Clinical Validation for Payment Integrity

      Presented by MedReview
      Location
      Presentation Theater #1: Booth1137 (Halls C-D, Level 1)
      Speaker
      Details

      Deploying clinical validation best practices is a challenging yet critical endeavor for health insurance providers. Join this session to hear a case study examining how one health insurance provider went from the brink of insolvency to achieving payment integrity savings. Learn from best practices in DRG clinical validation and how to benchmark the outcomes of a successful payment integrity program.

    • Whole Person Care: Team-Based Care Approaches to Deliver Better Health

      Presented by Walmart Health
      Location
      Presentation Theater #2: Booth1737 (Halls C-D, Level 1)
      Speaker
      Details

      Meeting patients where they are and empowering them to take better control of their health can improve outcomes for millions of Americans while saving time and money for employers and employees. Join this session to discuss how limited access can lead to poor health outcomes and learn how to employ solutions for team-based care. Discover how a ‘whole person’ approach to health can give people the care they need — where and when they need it.