Agenda
7:00 am – 9:00 am
Coffee Break
7:00 am – 5:45 pm
Registration and Information Desk Open
8:45 am – 11:00 am
Welcome and Opening Sessions
-
8:45 am – 9:00 am, Key Ballroom 1-8, Level 2
Welcome
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9:00 am – 9:30 am, Key Ballroom 1-8, Level 2
CMS Priorities for Medicare
,CMS’ Center for Medicare lead will share her vision and priorities to support the continuing growth and evolution of the Medicare Advantage and Part D programs.
-
Learn more about Meena Seshamani, MD, PhD
Meena Seshamani, MD, PhD,Deputy Administrator and Director, Center for Medicare
, Centers for Medicare & Medicaid Services (CMS) -
Learn more about Mike Tuffin
Mike Tuffin,President & CEO
, AHIP
-
Learn more about Meena Seshamani, MD, PhD
-
9:30 am – 10:10 am, Key Ballroom 1-8, Level 2
Congressional Priorities for Medicare Advantage
,A panel of D.C. insiders will offer insights on Congressional priorities for the MA program in 2024 and beyond.
-
Learn more about Sage Eastman
Sage Eastman,Partner
, Mehlman Consulting -
Learn more about Jane B. Lucas
Jane B. Lucas,Partner
, Alston & Bird LLP -
Learn more about Josie Villanueva
Josie Villanueva,Vice President
, Fulcrum Public Affairs LLC -
Learn more about Aron Griffin
Aron Griffin,Senior Vice President, Federal Affairs
, AHIP
-
Learn more about Sage Eastman
-
10:10 am – 11:00 am, Key Ballroom 1-8, Level 2
Filling the Gaps in the Behavioral Health Workforce
,In this session, a panel of experts will explore approaches and solutions for filling the gaps in the behavioral health workforce and promoting access to care by addressing workforce development and recruitment, workforce training and the need for greater diversity among clinicians, and integration of behavioral health into the broader health care system to meet the growing demand for mental health services.
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Learn more about Chuck Ingoglia
Chuck Ingoglia,President & CEO
, National Council for Mental Wellbeing -
Learn more about Douglas Nemecek, MD, MBA, BA, CHIE
Douglas Nemecek, MD, MBA, BA, CHIE,Chief Medical Officer, Behavioral Health
, Evernorth Health Services -
Learn more about Kristin Russell, MD, MBA
Kristin Russell, MD, MBA,Chief Medical Officer
, Neighborhood Health Plan of Rhode Island -
Learn more about Kate Berry
Kate Berry,Senior Vice President, Clinical Innovation & Strategic Partnership
, AHIP
-
Learn more about Chuck Ingoglia
11:00 am – 6:30 pm
Exhibit Hall Open
11:00 am – 11:45 am
Coffee Break with Solutions Providers
11:45 am – 12:30 pm
Concurrent Sessions
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Concurrent Series 1
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Medicare Advantage & Part DMA & Part D Program Audits: Best Practices & Lessons Learned
- Location
- Key Ballroom 9-10, Level 2
- Speakers
-
- Babette S. Edgar, PharmD, MBA, BluePeak Advisors
- Danielle Jackson, Blue Cross and Blue Shield of North Carolina
- Kayla Connor, AHIP
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Medicaid Managed Care & Medicare-Medicaid Dual EligiblesMedicaid Redeterminations: State of Play
- Location
- Peale, Level 1
- Speakers
-
- Chris Dickerson, ASA, MAAA, Edrington Health Consulting
- Kate Honsberger, NORC at the University of Chicago
- Matt Salo, Salo Health Strategies
- Anna Dunbar-Hester, AHIP
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Commercial Market & Employer-Provided CoverageImpacts of ERISA Preemption
- Location
- Johnson, Level 1
- Speakers
-
- Melissa Bartlett, The ERISA Industry Committee (ERIC)
- Laura Hobbs, American Action Forum (AAF)
- Adam Beck, AHIP
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Advancing Health EquityLeveraging Value-Based Contracts and Technology to Improve Total Health EquityPresented by
- Location
- Key Ballroom 11-12, Level 2
- Speakers
-
- Michael Dulin, MD, PhD, Gray Matter Analytics
- Cleveland (Mickey) Slade, CareFirst BlueCross BlueShield
-
12:30 pm – 1:45 pm
Lunch & Learns
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1:00 pm – 1:45 pm
Lunch will begin at 12:30 pm. Speaking Sessions will begin promptly at 1:00 pm.
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The Power of Food as Medicine: Best Practices to Improve Member Health OutcomesPresented by
- Location
- Peale, Level 1
- Speakers
-
- Karla Argandona, Inland Empire Health Plan (IEHP) Community Health
- Catherine Macpherson, MS, RDN, Mom’s Meals
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Building Member Trust & Engagement with Community Based Social Support GroupsPresented by
- Location
- Johnson, Level 1
- Speakers
-
- Chiquela Harrison, Wider Circle
- Claude Pinnock, MD, MPH, Wider Circle
- Karen S. Amstutz, MD, MBA, AmeriHealth Caritas
-
Caregiver Activation: Strategies to Drive Improved Outcomes and Well-BeingPresented by
- Location
- Holiday 1, Level 2
- Speakers
-
- Wes Donohoe, Helpful
- Kelley Hill, Helpful
- Trisha Smith, Helpful
-
Mobile Strategies to Transform Member Onboarding and Improve Access to CarePresented by
- Location
- Key Ballroom 9-10, Level 2
- Speakers
-
- Lisa Franklin, CareFirst BlueCross BlueShield
- Ryan Stalvey, Prospect Medical Systems
- Dan Sweeney, Relay Network
-
A Whole-Person Approach to Manage Frailty & Aging in Place for Older AdultsPresented by
- Location
- Key Ballroom 11-12, Level 2
- Speakers
-
- S.V. Krishnan, Sagility
- Krithika Srivats, MSOTR, Sagility
-
1:45 pm – 2:30 pm
Dessert Break with Solutions Providers
2:30 pm – 4:15 pm
Concurrent Sessions
-
2:30 pm – 3:15 pm
Concurrent Session Series 2
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Medicaid Managed Care & Medicare-Medicaid Dual EligiblesAdvancing Medicaid Long-Term Services & Supports
- Location
- Johnson, Level 1
- Speakers
-
- Richard Fredrickson, Centene Corporation
- Merrill Friedman, Elevance Health
- Karen Kimsey, Speire Healthcare Strategies
- Camille Dobson, MPA, ADvancing States
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Advancing Health EquityImproving Health Equity Through Better Data Collection
- Location
- Key Ballroom 9-10, Level 2
- Speakers
-
- Samantha Artiga, MHSA, KFF
- Alex S. Keuroghlian, MD, MPH, The Fenway Institute
- Elizabeth Lukanen, MPH, State Health Access Data Assistance Center (SHADAC)
- LaShawn McIver, MD, MPH, AHIP
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Whole Person Care Delivery & InnovationCell and Gene Therapies: Regulatory Updates and Coverage Policies
- Location
- Peale, Level 1
- Speakers
-
- Jack Rollins, National Association of Medicaid Directors (NAMD)
- Yutong Sun, Quantile Health
- Mark Trusheim, Tufts Medical Center
- Sean Dickson, JD, MPH, AHIP
-
Market Strategy & Operational InnovationSimplifying Operations to Improve Member EngagementPresented by
- Location
- Key Ballroom 11-12, Level 2
- Speakers
-
- Tom Cohen, Softheon
- Sheri Johnson, UCare
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Market Strategy & Operational InnovationHow Digital Health Supplemental Benefits Can Close Care Gaps and Improve QualityPresented by
- Location
- Holiday 1, Level 2
- Speakers
-
- Joel Brill, MD, FACP, Hello Heart
- Dwight Pattison, Quality Performance Advantage, LLC
-
-
3:30 pm – 4:15 pm
Concurrent Session Series 3
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Medicaid Managed Care & Medicare-Medicaid Dual EligiblesCurrent and Emerging Trends in Medicaid Managed Care
- Location
- Peale, Level 1
- Speakers
-
- John Giles, MPA, Centers for Medicare & Medicaid Services (CMS)
- Rhys Jones, AHIP
-
Commercial Market & Employer-Provided CoverageUpdates on Risk Adjustment in the Individual Market
- Location
- Johnson, Level 1
- Speakers
-
- Michael Cohen, Wakely Consulting Group
- Brian Webb, National Association of Insurance Commissioners
- Alexis Murray, AHIP
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Advancing Health EquityBest Practices to Collect Sexual Orientation and Gender Identity Data (SOGI)
- Location
- Holiday 1, Level 2
- Speakers
-
- Alex S. Keuroghlian, MD, MPH, The Fenway Institute
- Michelle Jester, MA, PMP, AHIP
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Market Strategy & Operational InnovationVirtual Care Strategies to Address Emerging Trends in 2024Presented by
- Location
- Key Ballroom 11-12 , Level 2
- Speakers
-
- Nabomita Dutta, Teladoc Health
- Chelsea Moore, Blue Cross Blue Shield of Michigan
- Alex Owens, MD, MPH, Teladoc Health
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Whole Person Care Delivery & InnovationLeveraging Home-Based Care to Improve Outcomes and STAR RatingsPresented by
- Location
- Key Ballroom 9-10, Level 2
- Speakers
-
- Yvette LeFebvre, DO, Evernorth Home-Based Care
- Brendan Kerrigan, Evernorth Health Services
-
4:30 pm – 5:45 pm
General Session
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4:30 pm – 5:00 pm, Key Ballroom 1-8 , Level 2
2024 Marketplace Priorities: View from CCIIO
,The Deputy Director for Policy in CMS’ Center for Consumer Information and Insurance Oversight will discuss the agencies’ priorities for the individual health insurance marketplaces in 2024.
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Learn more about Jeff Wu JD, MBA
Jeff Wu JD, MBA,Deputy Director, Policy, Center for Consumer Information & Insurance Oversight (CCIIO),
, Centers for Medicare & Medicaid Services (CMS) -
Learn more about Jeanette Thornton
Jeanette Thornton,Executive Vice President, Policy & Strategy
, AHIP
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Learn more about Jeff Wu JD, MBA
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5:00 pm – 5:45 pm, Key Ballroom 1-8, Level 2
Health Care Leadership Agenda: Vision for the Future
,A panel of health insurance provider leaders will share their long-term vision for building a resilient and sustainable health care system while ensuring greater equity of access. They will also discuss the role health insurance providers can play in driving affordability and high-value care.
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Learn more about Pat Geraghty
Pat Geraghty,President & CEO
, GuideWell Mutual Holding Corporation and Florida Blue -
Learn more about Krista M. Hoglund, ASA, MAAA
Krista M. Hoglund, ASA, MAAA,CEO
, Security Health Plan -
Learn more about John Kao
John Kao,Founder & CEO
, Alignment Health -
Learn more about Talya Schwartz, MD
Talya Schwartz, MD,President & CEO
, MetroPlusHealth -
Learn more about Mike Tuffin
Mike Tuffin,President & CEO
, AHIP
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Learn more about Pat Geraghty
5:45 pm – 6:45 pm
Reception with Solutions Providers
8:00 am – 9:00 am
Coffee Break
8:00 am – 5:00 pm
Registration and Information Desk Open
8:45 am – 10:30 am
General Session
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8:45 am – 9:15 am, Key Ballroom 1-8, Level 2
FDA Policy Priorities for 2024
,The FDA Commissioner will discuss his vision and priorities for continuing to modernize and reform the U.S. Food and Drug Administration’s oversight of drugs, medical devices, and combination products.
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Learn more about Robert M. Califf, MD, MACC
Robert M. Califf, MD, MACC,Commissioner of Food and Drugs
, U.S. Food and Drug Administration (FDA) -
Learn more about Mike Tuffin
Mike Tuffin,President & CEO
, AHIP
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Learn more about Robert M. Califf, MD, MACC
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9:15 am – 9:45 am, Key Ballroom 1-8, Level 2
Achieving Transformation at Scale: Future of Employer-Provided Health Coverage
,The speaker will discuss how employers can take the lead on health care innovation and shape the future of health care.
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Learn more about Dan Mendelson
Dan Mendelson,CEO, Morgan Health
, JPMorgan Chase & Co. -
Learn more about Sohini Gupta, JD
Sohini Gupta, JD,Executive Vice President, Government Affairs & Innovations
, AHIP
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Learn more about Dan Mendelson
-
9:45 am – 10:30 am, Key Ballroom 1-8, Level 2
Trends in Prescription Drug Affordability, Innovation and Access
,A panel of experts will discuss current and emerging trends in prescription drug spending and offer perspectives on drug policy solutions to incentivize innovation, competition and increase access and affordability.
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Learn more about Lauren Aronson
Lauren Aronson,Partner
, Mehlman Consulting -
Learn more about Rena M. Conti, PhD
Rena M. Conti, PhD,Associate Professor
, Boston University Questrom School of Business -
Learn more about Daniel Ollendorf, PhD, MPH
Daniel Ollendorf, PhD, MPH,Chief Scientific Officer & Director, Health Technology Assessment (HTA) Methods and Engagement
, Institute for Clinical and Economic Review (ICER) -
Learn more about Hemi Tewarson, JD, MPH
Hemi Tewarson, JD, MPH,Executive Director
, National Academy for State Health Policy (NASHP) -
Learn more about Tony Barrueta
Tony Barrueta,Senior Vice President, Government Relations
, Kaiser Permanente
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Learn more about Lauren Aronson
10:30 am – 6:00 pm
Exhibit Hall Open
10:30 am – 11:15 am
Coffee Break with Solutions Providers
11:15 am – 12:00 pm
Concurrent Sessions
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Concurrent Series 4
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Medicare Advantage & Part DValue of Medicare Advantage
- Location
- Peale, Level 1
- Speakers
-
- Catherine Field, Humana
- Terri Swanson, CVS Health
- Mark Hamelburg, AHIP
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Commercial Market & Employer-Provided CoverageEmployer Perspectives on Value-Based Arrangements
- Location
- Johnson, Level 1
- Speakers
-
- Guy D’Andrea, Catalyst for Payment Reform
- Emma Hoo, Purchaser Business Group on Health (PBGH)
- Aisha Pittman, National Association of ACOs
- Mollie Gelburd, JD, AHIP
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Whole Person Care Delivery & InnovationBest Practices to Support Aging in Place
- Location
- Key Ballroom 9-10, Level 2
- Speakers
-
- Nazlim Hagmann, MD, MPH, Commonwealth Care Alliance
- Keavney Klein, JD, Kaiser Permanente
- Rachna Pandya, MPH, Kaiser Permanente
- Michelle Soper, MHS, Commonwealth Care Alliance (CCA)
- Lynn Nonnemaker, PhD, AHIP
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Market Strategy & Operational InnovationLeveraging Responsible AI to Advance Health EquityPresented by
- Location
- Key Ballroom 11-12, Level 2
- Speaker
-
- Ankoor Shah, MD, Accenture
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Market Strategy & Operational InnovationHarnessing Member Conversation Data with AI to Improve Star RatingsPresented by
- Location
- Holiday 1, Level 2
- Speaker
-
- Amy Brown, Authenticx
-
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
-
Current Issues in Medicaid: Insights from State Medicaid Directors
- Location
- Peale, Level 1
- Speakers
-
- Kelly Cunningham, Illinois Department of Healthcare & Family Services
- Jay Ludlam, NC Department of Health and Human Services
- Kate McEvoy, National Association of Medicaid Directors (NAMD)
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FDA Unique Device Identification: What Do You Need to Know?
- Location
- Johnson, Level 1
- Speakers
-
- Indira Konduri, U.S. Food & Drug Administration (FDA)
- Mollie Gelburd, JD, AHIP
-
Making the Case for Coverage: GLP-1s for Cardiometabolic CarePresented by
- Location
- Key Ballroom 11-12, Level 2
- Speakers
-
- Alicia MacLeod, Vida Health
- Jordan Taggart, Vida Health
- Gretchen Zimmerman, RD, CDCES, CSOWM, Vida Health
-
Leveraging a Patient-Centric Approach to Solve Gaps in CarePresented by
- Location
- Holiday 1, Level 2
- Speakers
-
- Andrey Ostrovsky, MD, FAAP, Social Innovation Ventures
- Sara Ratner, Nomi Health
- Deirdra (Dee) Yocum, CareSource
-
Achieving Improved Engagement and Outcomes Through Innovative PartnershipsPresented by
- Location
- Key Ballroom 9-10, Level 2
- Speakers
-
- Jessica Erb, MPH, Tivity Health
- Maria Ghazal, JD, Healthcare Leadership Council
- Michael Lutz, MBA, Avalere
- Laurie Whitsel, PhD, FAHA, American Heart Association
-
1:15 pm – 2:00 pm
Dessert Break with Solutions Providers
2:00 pm – 3:45 pm
Concurrent Sessions
-
2:00 pm – 2:45 pm
Concurrent Sessions Series 5
-
Medicare Advantage & Part DImpacts of Inflation Reduction Act on Part D Program*
- Location
- Peale, Level 1
- Speakers
-
- Brooks Conway, FSA, MAAA, Oliver Wyman
- Leigh Purvis, AARP
- Sergio Santiviago, CVS Health
- Courtney Perlino, AHIP
-
Commercial Market & Employer-Provided CoverageACA Marketplace: Lessons Learned from State Exchanges
- Location
- Johnson, Level 1
- Speakers
-
- Pat Kelly, Your Health Idaho
- Lindsay M. Lang, JD, HealthSource RI
- Devon Trolley, Pennsylvania Health Insurance Exchange Authority (Pennie)
- Kelley Schultz, AHIP
-
Advancing Health EquityAddressing Health-Related Social Needs Through 1115 Waivers
- Location
- Holiday 1, Level 2
- Speakers
-
- Amanda Cassel Kraft, Commonwealth Care Alliance (CCA)
- Amit Shah, MD, CareOregon
- Michelle Jester, MA, PMP, AHIP
-
Market Strategy & Operational InnovationThe CMS Health Equity Index: New Measure, New ApproachesPresented by
- Location
- Key Ballroom 11-12, Level 2
- Speakers
-
- Elizabeth Benz, Network Health
- Christie Teigland, PhD, Inovalon
-
-
3:00 pm – 3:45 pm
Concurrent Sessions Series 6
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Medicare Advantage & Part DMA & Part D Advance Rate Notice: Implications for 2025 and Beyond
- Location
- Key Ballroom 11-12, Level 2
- Speakers
-
- Tom Kornfield, MAST Health Policy Solutions
- Rachel Stewart, ASA, MAAA, Wakely
- Lynn Nonnemaker, PhD, AHIP
-
Medicaid Managed Care & Medicare-Medicaid Dual EligiblesMACPAC: Perspectives on the Continuing Evolution of Medicaid
- Location
- Peale, Level 1
- Speakers
-
- Melanie Bella, Cressey & Company
- Tim Hill, American Institutes for Research (AIR)
- Kate Massey, MPA, Medicaid and CHIP Payment and Access Commission (MACPAC)
- John J. Kaelin, Centene Corp
-
Advancing Health EquityProgressing Towards Health Equity: Insights from Health Insurance Providers
- Location
- Johnson, Level 1
- Speakers
-
- Crystal Clark, MD, UPMC
- Pleasant Radford, Jr., MBA, CHIE, UCare
- Shalini Raichur, MPH, CPH, AHIP
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Whole Person Care Delivery & InnovationAddressing the Opioid Crisis Through Innovative Population Health Programs
- Location
- Key Ballroom 9-10, Level 2
- Speakers
-
- Vanessa T. Bobb, MD, PhD, FAPA, CHIE, Capital District Physicians' Health Plan, Inc. (CDPHP)
- Joshua Kaufman, MD, Capital District Physicians' Health Plan, Inc. (CDPHP)
- Sandrine Pirard, MD, PhD, MPH, Carelon Behavioral Health
- Dheeraj Raina, MD, MBA, Carelon Behavioral Health
- Chris Regal, AHIP
-
Market Strategy & Operational InnovationOptimizing Member Experience Through Tailored Digital InterventionsPresented by
- Location
- Holiday 1, Level 2
- Speakers
-
- Lisette Roman, mPulse
- Reva Sheehan, mPulse
-
4:00 pm – 5:30 pm
General Session
-
4:00 pm – 4:45 pm, Keynote 1-8, Level 2
Health Equity Investment, Innovation and Scale: Moving from Vision to Impact
,Our collective efforts have ushered in significant progress in addressing health equity within our health care system. Now, the focus shifts to not only implementing and executing these visionary ideas but also ensuring their sustained impact. Speakers in this session will explore health equity investment, innovation, and scale, as we transition from conceptualizing the vision to creating a sustainable impact for the health care system of the future.
-
Learn more about Karen Dale, RN, MSN
Karen Dale, RN, MSN,Market President & Chief Diversity, Equity & Inclusion Officer
, AmeriHealth Caritas -
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 Alexander Li, MD
Alexander Li, MD,Chief Health Equity Officer
, L.A. Care Health Plan -
Learn more about LaShawn McIver, MD, MPH
LaShawn McIver, MD, MPH,Senior Vice President & Chief Health Equity Officer
, AHIP
-
Learn more about Karen Dale, RN, MSN
4:45 pm – 6:00 pm
Reception with Solutions Providers
6:00 pm – 6:00 pm
Exhibit Hall Closes
8:00 am – 9:00 am
Coffee Break
8:00 am – 3:00 pm
Registration and Information Desk Open
8:45 am – 10:15 am
General Session
-
8:45 am – 9:15 am, Key Ballroom 1-8, Level 2
CMS Priorities for Medicaid
,CMS’ Center for Medicaid and CHIP Services lead will review the status of the Medicaid program, the Administration’s priorities for Medicaid in the coming year, and the likely evolution of initiatives that Medicaid programs and Medicaid plans will face together.
-
Learn more about Daniel Tsai
Daniel Tsai,Deputy Administrator and Director, Center for Medicaid and CHIP Services (CMCS)
, Centers for Medicare & Medicaid Services (CMS) -
Learn more about Mark Hamelburg
Mark Hamelburg,Senior Vice President, Federal Programs
, AHIP
-
Learn more about Daniel Tsai
-
9:15 am – 9:45 am, Key Ballroom 1-8, Level 2
CMS Priorities for Dual Eligibles
,In this session, the Director of the CMS Medicare-Medicaid Coordination Office will discuss CMS initiatives and priorities including opportunities to advance integrated care through programs serving Medicare-Medicaid dual eligible enrollees.
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Learn more about Tim Engelhardt
Tim Engelhardt,Director, CMS Medicare-Medicaid Coordination Office (MMCO)
, Centers for Medicare & Medicaid Services (CMS) -
Learn more about Rhys Jones
Rhys Jones,Vice President, Medicaid Advocacy
, AHIP
-
Learn more about Tim Engelhardt
-
9:45 am – 10:15 am, Key Ballroom 1-8, Level 2
2024 Policy Priorities for Supporting Employer-Provided Coverage
,Join this session with a senior official at the Department of Labor to gain insights into key initiatives aimed at enhancing and safeguarding employee benefits and promoting policies to improve affordability and strengthen employer-provided coverage.
-
Learn more about Lisa M. Gomez
Lisa M. Gomez,Assistant Secretary for Employee Benefits Security, Employee Benefits Security Administration (EBSA),
, Department of Labor (DOL) -
Learn more about Jeanette Thornton
Jeanette Thornton,Executive Vice President, Policy & Strategy
, AHIP
-
Learn more about Lisa M. Gomez
10:15 am – 10:45 am
Coffee Break
10:45 am – 11:30 am
Concurrent Sessions
-
Concurrent Sessions Series 7
-
Medicare Advantage & Part DCurrent Legal Issues in MA & Part D
- Location
- Key Ballroom 11-12, Level 2
- Speakers
-
- Jason E. Christ, Epstein, Becker & Green
- Elinor A. Hiller, Alston & Bird LLP
- Mike Spector, AHIP
-
Medicaid Managed Care & Medicare-Medicaid Dual EligiblesMMCO: New Developments for Dual Eligibles
- Location
- Johnson, Level 1
- Speakers
-
- Lindsay Barnette, Centers for Medicare & Medicaid Services (CMS)
- Marla Rothouse, Centers for Medicare & Medicaid Services (CMS)
- Rhys Jones, AHIP
-
Commercial Market & Employer-Provided CoverageSurprise Billing: Update and Legal Issues
- Location
- Key Ballroom 9-10, Level 2
- Speakers
-
- Loren Adler, Brookings Institution
- Nicholas W. Bath Jr., Manatt Health
- Patricia Kelmar, JD, U.S. Public Interest Research Group (PIRG)
- Marcy Buckner, AHIP
-
Advancing Health EquityAdvancing Health Equity Through Housing
- Location
- Holiday 1, Level 2
- Speakers
-
- Barbara DiPietro, PhD, National Health Care for the Homeless Council, Inc.
- Ray Prushnok, UPMC Health Plan
- Michelle Jester, MA, PMP, AHIP
-
11:30 am – 1:00 pm
Networking Lunch
1:00 pm – 1:45 pm
Concurrent Sessions
-
Concurrent Sessions Series 8
-
Medicare Advantage & Part DMA & Part D Marketing Rules: CMS Oversight & Expectations
- Location
- Key Ballroom 11-12, Level 2
- Speakers
-
- Kelli D. Back, JD, Law Office of Kelli D. Back, LLC
- Lindsey Copeland, Medicare Rights Center
- Michael Hoak, Humana Inc
- Liza Assatourians, JD, AHIP
-
Medicaid Managed Care & Medicare-Medicaid Dual EligiblesAll Hands-on-Deck: Keeping People Covered Through Unwinding
- Location
- Key Ballroom 9-10, Level 2
- Speakers
-
- Toby Douglas, Kaiser Permanente
- Joseph M. Glinka, Highmark Wholecare
- Courtnay Thompson, Select Health of South Carolina
- Miranda Creviston Motter, JD, AHIP
-
Commercial Market & Employer-Provided CoverageExpanding Site Neutral Payment: Updates and Implications
- Location
- Holiday 1, Level 2
- Speakers
-
- Maureen Hensley-Quinn, National Academy for State Health Policy (NASHP)
- Erica Socker, PhD, Arnold Ventures
- Rosemary Englert, AHIP
-
2:00 pm – 4:30 pm
General Session
-
2:00 pm – 2:30 pm, Key Ballroom 1-8, Level 2
View from HHS
-
Learn more about Andrea Palm
Andrea Palm,Deputy Secretary
, U.S. Department of Health & Human Services (HHS) -
Learn more about Jeanette Thornton
Jeanette Thornton,Executive Vice President, Policy & Strategy
, AHIP
-
Learn more about Andrea Palm
-
2:30 pm – 3:00 pm, Key Ballroom 1-8, Level 2
CMS Priorities for 2024 and Beyond
,CMS’ Principal Deputy Administrator will highlight the agency’s priorities and collaborative opportunities for the 2024 plan year and beyond.
-
Learn more about Jonathan Blum
Jonathan Blum,Principal Deputy Administrator and Chief Operating Officer,
, Centers for Medicare & Medicaid Services (CMS) -
Learn more about Mark Hamelburg
Mark Hamelburg,Senior Vice President, Federal Programs
, AHIP
-
Learn more about Jonathan Blum
-
3:00 pm – 3:45 pm, Key Ballroom 1-8, Level 2
Delivering on the Promise of AI to Improve Health Outcomes
,Health insurance providers and health care stakeholders have a significant role in leveraging artificial intelligence (AI) to fulfill the promise of improving health outcomes for patients. Speakers in this session will provide perspectives on how health care organizations can cut through the hype around generative AI to adopt solutions that are both practical and effective.
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Learn more about Jordan Crenshaw
Jordan Crenshaw,Senior Vice President, Chamber Technology Engagement Center
, U.S. Chamber of Commerce -
Learn more about Graham Dufault
Graham Dufault,General Counsel
, ACT | The App Association -
Learn more about Jennifer S. Geetter
Jennifer S. Geetter,Partner
, McDermott Will & Emery LLP -
Learn more about Robert L. Traynham, PhD
Robert L. Traynham, PhD,Chief Business Officer
, AHIP
-
Learn more about Jordan Crenshaw
-
3:45 pm – 4:30 pm, Key Ballroom 1-8, Level 2
Health Care and the 2024 Elections
,A seasoned political journalist and analyst will offer perspectives on the intersection between health care policy and politics leading up to the presidential election.
-
Learn more about A.B. Stoddard
A.B. Stoddard,Columnist for
, The Bulwark -
Learn more about Robert L. Traynham, PhD
Robert L. Traynham, PhD,Chief Business Officer
, AHIP
-
Learn more about A.B. Stoddard
4:30 pm – 4:30 pm
Conference Adjourns
Agenda Filters
Sessions
7:00 am - 6:45 pm Mar 12 • 2024
7:00 am – 9:00 am
,
Coffee Break
7:00 am – 5:45 pm
,
Registration and Information Desk Open
8:45 am – 11:00 am
,
Welcome and Opening Sessions
-
8:45 am – 9:00 am, Key Ballroom 1-8, Level 2
Welcome
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9:00 am – 9:30 am, Key Ballroom 1-8, Level 2
CMS Priorities for Medicare
,CMS’ Center for Medicare lead will share her vision and priorities to support the continuing growth and evolution of the Medicare Advantage and Part D programs.
-
Meena Seshamani, MD, PhD,Deputy Administrator and Director, Center for Medicare
, Centers for Medicare & Medicaid Services (CMS) -
Mike Tuffin,President & CEO
, AHIP
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-
9:30 am – 10:10 am, Key Ballroom 1-8, Level 2
Congressional Priorities for Medicare Advantage
,A panel of D.C. insiders will offer insights on Congressional priorities for the MA program in 2024 and beyond.
-
Sage Eastman,Partner
, Mehlman Consulting -
Jane B. Lucas,Partner
, Alston & Bird LLP -
Josie Villanueva,Vice President
, Fulcrum Public Affairs LLC -
Aron Griffin,Senior Vice President, Federal Affairs
, AHIP
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-
10:10 am – 11:00 am, Key Ballroom 1-8, Level 2
Filling the Gaps in the Behavioral Health Workforce
,In this session, a panel of experts will explore approaches and solutions for filling the gaps in the behavioral health workforce and promoting access to care by addressing workforce development and recruitment, workforce training and the need for greater diversity among clinicians, and integration of behavioral health into the broader health care system to meet the growing demand for mental health services.
-
Chuck Ingoglia,President & CEO
, National Council for Mental Wellbeing -
Douglas Nemecek, MD, MBA, BA, CHIE,Chief Medical Officer, Behavioral Health
, Evernorth Health Services -
Kristin Russell, MD, MBA,Chief Medical Officer
, Neighborhood Health Plan of Rhode Island -
Kate Berry,Senior Vice President, Clinical Innovation & Strategic Partnership
, AHIP
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-
11:00 am – 6:30 pm
,
Exhibit Hall Open
11:00 am – 11:45 am
,
Coffee Break with Solutions Providers
11:45 am – 12:30 pm
,
Concurrent Sessions
-
Concurrent Series 1
-
Medicare Advantage & Part D
MA & Part D Program Audits: Best Practices & Lessons Learned
- Location
- Key Ballroom 9-10, Level 2
- Speakers
-
- Babette S. Edgar, PharmD, MBA, BluePeak Advisors
- Danielle Jackson, Blue Cross and Blue Shield of North Carolina
- Kayla Connor, AHIP
Details
Speakers will provide insight on practical tools and share best practices that MA organizations and Part D plan sponsors can implement to successfully prepare for program audits and improve performance.
-
Medicaid Managed Care & Medicare-Medicaid Dual Eligibles
Medicaid Redeterminations: State of Play
- Location
- Peale, Level 1
- Speakers
-
- Chris Dickerson, ASA, MAAA, Edrington Health Consulting
- Kate Honsberger, NORC at the University of Chicago
- Matt Salo, Salo Health Strategies
- Anna Dunbar-Hester, AHIP
Details
We will hear from national experts on the current landscape of Medicaid redeterminations, digging in on the policy, political, and rate setting impacts.
-
Commercial Market & Employer-Provided Coverage
Impacts of ERISA Preemption
- Location
- Johnson, Level 1
- Speakers
-
- Melissa Bartlett, The ERISA Industry Committee (ERIC)
- Laura Hobbs, American Action Forum (AAF)
- Adam Beck, AHIP
Details
ERISA preemption has a significant impact on health insurance providers as it helps to streamline administrative processes and ensure uniformity in plan administration. Join this session to hear from experts on how efforts in several states to erode ERISA preemption may adversely impact labor markets, disadvantage employees based on where they live or work, cause employers to cut back on benefit coverage, and raise the cost of health insurance and retirement plans. -
Advancing Health Equity
Leveraging Value-Based Contracts and Technology to Improve Total Health Equity
Presented by- Location
- Key Ballroom 11-12, Level 2
- Speakers
-
- Michael Dulin, MD, PhD, Gray Matter Analytics
- Cleveland (Mickey) Slade, CareFirst BlueCross BlueShield
Details
To address health equity disparities, health insurance providers are deploying new strategies to eliminate obstacles to high quality care. Join this session to explore how one health insurance provider is utilizing data analytics to gain insight into social determinants of health and gaps in care to help match outreach and interventions to each patient’s needs. Learn how employing value-based arrangements with providers can maximize timely, preventative care and improve total health equity.
-
12:30 pm – 1:45 pm
,
Lunch & Learns
-
1:00 pm – 1:45 pm
Lunch will begin at 12:30 pm. Speaking Sessions will begin promptly at 1:00 pm.
-
The Power of Food as Medicine: Best Practices to Improve Member Health Outcomes
Presented by- Location
- Peale, Level 1
- Speakers
-
- Karla Argandona, Inland Empire Health Plan (IEHP) Community Health
- Catherine Macpherson, MS, RDN, Mom’s Meals
Details
Evidence is mounting on the benefits of food as medicine programs as they gain popularity in managed care. However, few programs report on member outcomes longitudinally. Learn how a comprehensive nutrition program positively impacted dually eligible members with heart failure and achieved health insurance provider cost savings 6 and 12 months after member participation ended. Gain valuable insights on designing a program to support successful long-term behavior change and cost savings.
-
Building Member Trust & Engagement with Community Based Social Support Groups
Presented by- Location
- Johnson, Level 1
- Speakers
-
- Chiquela Harrison, Wider Circle
- Claude Pinnock, MD, MPH, Wider Circle
- Karen S. Amstutz, MD, MBA, AmeriHealth Caritas
Details
Establishing trust is key to effectively engaging members in their care. A peer-to-peer approach that builds community and social support for members can have a significant impact on health outcomes, equity, engagement, cost of care, and retention. Join this session to review outcomes of a national community-based solution for MA, DSNP, and Medicaid populations, and share best practices and results from an actuarially validated methodology.
-
Caregiver Activation: Strategies to Drive Improved Outcomes and Well-Being
Presented by- Location
- Holiday 1, Level 2
- Speakers
-
- Wes Donohoe, Helpful
- Kelley Hill, Helpful
- Trisha Smith, Helpful
Details
This session will explore the multifaceted value of caregiver support. Learn how to activate caregivers with an effective care plan to enhance outcomes and positively impact well-being for both members and caregivers. Join us to examine strategies to develop a well-supported caregiver network to engage and align caregivers with health management goals, leading to enhanced patient care.
-
Mobile Strategies to Transform Member Onboarding and Improve Access to Care
Presented by- Location
- Key Ballroom 9-10, Level 2
- Speakers
-
- Lisa Franklin, CareFirst BlueCross BlueShield
- Ryan Stalvey, Prospect Medical Systems
- Dan Sweeney, Relay Network
Details
Health insurance providers are leveling up standard short message service (SMS) campaigns to personalized mobile experiences that drive members to action. Panelists will discuss mobile strategies, from onboarding to retention, that drive behaviors and usage of plan benefits and identify key parts of a member’s journey that influence critical metrics. Gain insights to improve access to care metrics, drive improvements to Star Ratings, and proactively influence the member experience.
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A Whole-Person Approach to Manage Frailty & Aging in Place for Older Adults
Presented by- Location
- Key Ballroom 11-12, Level 2
- Speakers
-
- S.V. Krishnan, Sagility
- Krithika Srivats, MSOTR, Sagility
Details
Improving care for older adults requires a whole-person approach and early interventions to prevent frailty, which can lead to a higher risk of long-term care. Falls, dementia and social determinants of health deficits worsen frailty. Join this session to learn how a comprehensive, multi-disciplinary clinical care plan can improve health and reduce the risk of long-term care. Explore how to engage older adults with a customized care plan and assistive technology for aging in place.
-
1:45 pm – 2:30 pm
,
Dessert Break with Solutions Providers
2:30 pm – 4:15 pm
,
Concurrent Sessions
-
2:30 pm – 3:15 pm
Concurrent Session Series 2
-
Medicaid Managed Care & Medicare-Medicaid Dual Eligibles
Advancing Medicaid Long-Term Services & Supports
- Location
- Johnson, Level 1
- Speakers
-
- Richard Fredrickson, Centene Corporation
- Merrill Friedman, Elevance Health
- Karen Kimsey, Speire Healthcare Strategies
- Camille Dobson, MPA, ADvancing States
Details
In this session, speakers will review the current trends in long-term services and supports (LTSS) and home and community--based services (HCBS) in Medicaid, progress toward rebalancing from facility to home and community settings, and the outlook for policy and technological developments impacting LTSS in the coming year. -
Advancing Health Equity
Improving Health Equity Through Better Data Collection
- Location
- Key Ballroom 9-10, Level 2
- Speakers
-
- Samantha Artiga, MHSA, KFF
- Alex S. Keuroghlian, MD, MPH, The Fenway Institute
- Elizabeth Lukanen, MPH, State Health Access Data Assistance Center (SHADAC)
- LaShawn McIver, MD, MPH, AHIP
Details
This session will explore the importance and use of health data in addressing health disparities, the barriers that persist in limiting health data, and policy levers that can improve health data collection and utilization at the federal level including changes to data standards and systems, incentives and requirements, education and technical assistance, and regulation.
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Whole Person Care Delivery & Innovation
Cell and Gene Therapies: Regulatory Updates and Coverage Policies
- Location
- Peale, Level 1
- Speakers
-
- Jack Rollins, National Association of Medicaid Directors (NAMD)
- Yutong Sun, Quantile Health
- Mark Trusheim, Tufts Medical Center
- Sean Dickson, JD, MPH, AHIP
Details
Cell and gene therapies hold immense promise for addressing previously untreatable or chronic conditions, however, their high costs pose challenges for the health care system. Speakers in this session will explore the evolving landscape of cell and gene therapies and examine the potential impacts and policy options for these transformative treatments. -
Market Strategy & Operational Innovation
Simplifying Operations to Improve Member Engagement
Presented by- Location
- Key Ballroom 11-12, Level 2
- Speakers
-
- Tom Cohen, Softheon
- Sheri Johnson, UCare
-
Market Strategy & Operational Innovation
How Digital Health Supplemental Benefits Can Close Care Gaps and Improve Quality
Presented by- Location
- Holiday 1, Level 2
- Speakers
-
- Joel Brill, MD, FACP, Hello Heart
- Dwight Pattison, Quality Performance Advantage, LLC
Details
Sweeping changes to the Medicare program, such as the Inflation Reduction Act and the Health Equity Index for Star Ratings are poised to reshape the MA landscape. These changes place increased emphasis on elevating quality ratings amidst lower CMS payment rates. As a result, health insurers are turning to innovative supplemental benefits to address these challenges. Learn how MA leaders can leverage digital health solutions as a valuable supplemental benefit to close care gaps and boost quality.
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-
3:30 pm – 4:15 pm
Concurrent Session Series 3
-
Medicaid Managed Care & Medicare-Medicaid Dual Eligibles
Current and Emerging Trends in Medicaid Managed Care
- Location
- Peale, Level 1
- Speakers
-
- John Giles, MPA, Centers for Medicare & Medicaid Services (CMS)
- Rhys Jones, AHIP
Details
The director of CMS’ Division of Managed Care Policy will review trends and progress in Medicaid and managed Medicaid programs and the Administration’s Medicaid priorities for managed care for the coming year.
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Commercial Market & Employer-Provided Coverage
Updates on Risk Adjustment in the Individual Market
- Location
- Johnson, Level 1
- Speakers
-
- Michael Cohen, Wakely Consulting Group
- Brian Webb, National Association of Insurance Commissioners
- Alexis Murray, AHIP
Details
This panel will discuss current trends and stakeholder perspectives about the ACA’s individual risk adjustment program and highlight potential areas of interest for the future.
-
Advancing Health Equity
Best Practices to Collect Sexual Orientation and Gender Identity Data (SOGI)
- Location
- Holiday 1, Level 2
- Speakers
-
- Alex S. Keuroghlian, MD, MPH, The Fenway Institute
- Michelle Jester, MA, PMP, AHIP
Details
Health insurance providers are increasingly required to collect data on sexual orientation and gender (SOGI) to help identify disparities and inform culturally appropriate care. Hear from one of the nation’s pioneers and experts on SOGI data collection and gain insights to collect SOGI data in patient-centered and respectful ways, incorporate this data collection into workflows, improve communication around SOGI data collection, and promote gender affirming care. -
Market Strategy & Operational Innovation
Virtual Care Strategies to Address Emerging Trends in 2024
Presented by- Location
- Key Ballroom 11-12 , Level 2
- Speakers
-
- Nabomita Dutta, Teladoc Health
- Chelsea Moore, Blue Cross Blue Shield of Michigan
- Alex Owens, MD, MPH, Teladoc Health
Details
Virtual care and other digital tools have the power to democratize health care access for all, including the underserved. Join us to explore how progressive managed care organizations are elevating the use of virtual care to offer a broader range of solutions to a wider range of Medicare, Medicaid, and Marketplace members. You will also gain insights into the emerging trends of 2024 and learn how virtual care and AI can refine personalization and engage hard-to-reach populations.
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Whole Person Care Delivery & Innovation
Leveraging Home-Based Care to Improve Outcomes and STAR Ratings
Presented by- Location
- Key Ballroom 9-10, Level 2
- Speakers
-
- Yvette LeFebvre, DO, Evernorth Home-Based Care
- Brendan Kerrigan, Evernorth Health Services
Details
This session will highlight CMS’s recent changes to STAR ratings, including new measures and changes to how various factors are weighted. Join us to learn how leading health insurance providers are using an integrated strategy with home-based care to ensure optimal outcomes and address whole person care, and how to leverage best practices to enhance and improve your STAR ratings.
-
4:30 pm – 5:45 pm
,
General Session
-
4:30 pm – 5:00 pm, Key Ballroom 1-8 , Level 2
2024 Marketplace Priorities: View from CCIIO
,The Deputy Director for Policy in CMS’ Center for Consumer Information and Insurance Oversight will discuss the agencies’ priorities for the individual health insurance marketplaces in 2024.
-
Jeff Wu JD, MBA,Deputy Director, Policy, Center for Consumer Information & Insurance Oversight (CCIIO),
, Centers for Medicare & Medicaid Services (CMS) -
Jeanette Thornton,Executive Vice President, Policy & Strategy
, AHIP
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-
5:00 pm – 5:45 pm, Key Ballroom 1-8, Level 2
Health Care Leadership Agenda: Vision for the Future
,A panel of health insurance provider leaders will share their long-term vision for building a resilient and sustainable health care system while ensuring greater equity of access. They will also discuss the role health insurance providers can play in driving affordability and high-value care.
-
Pat Geraghty,President & CEO
, GuideWell Mutual Holding Corporation and Florida Blue -
Krista M. Hoglund, ASA, MAAA,CEO
, Security Health Plan -
John Kao,Founder & CEO
, Alignment Health -
Talya Schwartz, MD,President & CEO
, MetroPlusHealth -
Mike Tuffin,President & CEO
, AHIP
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-
5:45 pm – 6:45 pm
,
Reception with Solutions Providers
8:00 am - 6:30 pm Mar 13 • 2024
8:00 am – 9:00 am
,
Coffee Break
8:00 am – 5:00 pm
,
Registration and Information Desk Open
8:45 am – 10:30 am
,
General Session
-
8:45 am – 9:15 am, Key Ballroom 1-8, Level 2
FDA Policy Priorities for 2024
,The FDA Commissioner will discuss his vision and priorities for continuing to modernize and reform the U.S. Food and Drug Administration’s oversight of drugs, medical devices, and combination products.
-
Robert M. Califf, MD, MACC,Commissioner of Food and Drugs
, U.S. Food and Drug Administration (FDA) -
Mike Tuffin,President & CEO
, AHIP
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-
9:15 am – 9:45 am, Key Ballroom 1-8, Level 2
Achieving Transformation at Scale: Future of Employer-Provided Health Coverage
,The speaker will discuss how employers can take the lead on health care innovation and shape the future of health care.
-
Dan Mendelson,CEO, Morgan Health
, JPMorgan Chase & Co. -
Sohini Gupta, JD,Executive Vice President, Government Affairs & Innovations
, AHIP
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-
9:45 am – 10:30 am, Key Ballroom 1-8, Level 2
Trends in Prescription Drug Affordability, Innovation and Access
,A panel of experts will discuss current and emerging trends in prescription drug spending and offer perspectives on drug policy solutions to incentivize innovation, competition and increase access and affordability.
-
Lauren Aronson,Partner
, Mehlman Consulting -
Rena M. Conti, PhD,Associate Professor
, Boston University Questrom School of Business -
Daniel Ollendorf, PhD, MPH,Chief Scientific Officer & Director, Health Technology Assessment (HTA) Methods and Engagement
, Institute for Clinical and Economic Review (ICER) -
Hemi Tewarson, JD, MPH,Executive Director
, National Academy for State Health Policy (NASHP) -
Tony Barrueta,Senior Vice President, Government Relations
, Kaiser Permanente
- Share options
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-
10:30 am – 6:00 pm
,
Exhibit Hall Open
10:30 am – 11:15 am
,
Coffee Break with Solutions Providers
11:15 am – 12:00 pm
,
Concurrent Sessions
-
Concurrent Series 4
-
Medicare Advantage & Part D
Value of Medicare Advantage
- Location
- Peale, Level 1
- Speakers
-
- Catherine Field, Humana
- Terri Swanson, CVS Health
- Mark Hamelburg, AHIP
Details
Speakers in this session will discuss the growth, popularity and value of the Medicare Advantage program that serves millions of older adults and people with disabilities.
-
Commercial Market & Employer-Provided Coverage
Employer Perspectives on Value-Based Arrangements
- Location
- Johnson, Level 1
- Speakers
-
- Guy D’Andrea, Catalyst for Payment Reform
- Emma Hoo, Purchaser Business Group on Health (PBGH)
- Aisha Pittman, National Association of ACOs
- Mollie Gelburd, JD, AHIP
Details
Adoption of value-based payment arrangements in the commercial insurance market lags behind other lines of business. Since nearly half of Americans receive coverage through their employer, employers are a critical partner to drive systemwide transformation toward care models that focus on quality and affordability. Join this session to hear panelists discuss how the employer market is unique and how value-based payment arrangements can be successfully implemented in the employer market. -
Whole Person Care Delivery & Innovation
Best Practices to Support Aging in Place
- Location
- Key Ballroom 9-10, Level 2
- Speakers
-
- Nazlim Hagmann, MD, MPH, Commonwealth Care Alliance
- Keavney Klein, JD, Kaiser Permanente
- Rachna Pandya, MPH, Kaiser Permanente
- Michelle Soper, MHS, Commonwealth Care Alliance (CCA)
- Lynn Nonnemaker, PhD, AHIP
Details
Join this session to explore innovative strategies health insurance providers are employing to facilitate aging in place. Learn how health plans are adapting population health models and addressing individualized needs by implementing place-based supports and delivering advanced care at home. -
Market Strategy & Operational Innovation
Leveraging Responsible AI to Advance Health Equity
Presented by- Location
- Key Ballroom 11-12, Level 2
- Speaker
-
- Ankoor Shah, MD, Accenture
Details
Artificial intelligence (AI), especially generative AI, has the potential to transform health care by reimagining clinical work, improving efficiency and productivity, and enhancing care delivery. But how can it be responsibly leveraged to advance health equity? What are the best practices that health insurance providers should follow to prevent unintended consequences? Join this discussion to learn how a responsible AI approach can unlock better access, experience, and outcomes for members.
-
Market Strategy & Operational Innovation
Harnessing Member Conversation Data with AI to Improve Star Ratings
Presented by- Location
- Holiday 1, Level 2
- Speaker
-
- Amy Brown, Authenticx
Details
Artificial intelligence (AI) is unlocking new ways to analyze data and aggregate insights, creating a path for Medicare Advantage leaders to improve and maintain Star Ratings. Join this session to learn how to leverage valuable data from member conversations that can lead to improved outcomes and business impact. Uncover how Medicare-specific AI models can establish metrics, uncover emerging trends, and identify the biggest issues facing members, the brand, and employees.
-
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
-
Current Issues in Medicaid: Insights from State Medicaid Directors
- Location
- Peale, Level 1
- Speakers
-
- Kelly Cunningham, Illinois Department of Healthcare & Family Services
- Jay Ludlam, NC Department of Health and Human Services
- Kate McEvoy, National Association of Medicaid Directors (NAMD)
Details
This session will explore trends and emerging issues in Medicaid programs and priorities of state Medicaid directors. Learn how health insurance providers can partner with states to improve outcomes for Medicaid beneficiaries. -
FDA Unique Device Identification: What Do You Need to Know?
- Location
- Johnson, Level 1
- Speakers
-
- Indira Konduri, U.S. Food & Drug Administration (FDA)
- Mollie Gelburd, JD, AHIP
Details
The FDA established the unique device identification (UDI) system to adequately identify medical devices sold in the United States from manufacturing through distribution to patient use. Increased use of the UDI could allow payers and providers to improve patient safety and enhance care coordination. Join this session to learn about the benefits of UDI implementation across the health care system for better care delivery and medical device interventions. -
Making the Case for Coverage: GLP-1s for Cardiometabolic Care
Presented by- Location
- Key Ballroom 11-12, Level 2
- Speakers
-
- Alicia MacLeod, Vida Health
- Jordan Taggart, Vida Health
- Gretchen Zimmerman, RD, CDCES, CSOWM, Vida Health
Details
GLP-1s and other anti-obesity medications are changing the treatment landscape for patients and providers. Although literature shows these drugs can be life changing, these products are not universally accessible, including to Medicare and Medicaid beneficiaries. Join us to explore how a managed solution combining behavior change and pharmacotherapy can achieve high-quality outcomes, improve cardiometabolic care, offset near term Rx costs and produce long term medical cost savings.
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Leveraging a Patient-Centric Approach to Solve Gaps in Care
Presented by- Location
- Holiday 1, Level 2
- Speakers
-
- Andrey Ostrovsky, MD, FAAP, Social Innovation Ventures
- Sara Ratner, Nomi Health
- Deirdra (Dee) Yocum, CareSource
Details
Closing gaps in care continues to be a critical concern for the U.S. health care system. Join this session to gain insights on using data analytics to create a robust, patient-centric program and examine the regulatory environment for dual eligible populations and patients with multiple chronic conditions. Learn how to solve for multiple points of failure within complex care to not only increase patient engagement and success, but ultimately challenge and improve the entire ecosystem.
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Achieving Improved Engagement and Outcomes Through Innovative Partnerships
Presented by- Location
- Key Ballroom 9-10, Level 2
- Speakers
-
- Jessica Erb, MPH, Tivity Health
- Maria Ghazal, JD, Healthcare Leadership Council
- Michael Lutz, MBA, Avalere
- Laurie Whitsel, PhD, FAHA, American Heart Association
Details
The future of health care will require new partnerships to support innovative member engagement strategies. Effective solutions will be community-focused and culturally sensitive, both in-person and through digital channels. Join this session to gain insights into creative intervention strategies, reimbursement options, and opportunities to address health equity. Speakers will share highlights from a recent survey of health insurance providers and examine methods to maximize member engagement.
-
1:15 pm – 2:00 pm
,
Dessert Break with Solutions Providers
2:00 pm – 3:45 pm
,
Concurrent Sessions
-
2:00 pm – 2:45 pm
Concurrent Sessions Series 5
-
Medicare Advantage & Part D
Impacts of Inflation Reduction Act on Part D Program*
- Location
- Peale, Level 1
- Speakers
-
- Brooks Conway, FSA, MAAA, Oliver Wyman
- Leigh Purvis, AARP
- Sergio Santiviago, CVS Health
- Courtney Perlino, AHIP
Details
*This session is closed to the Press.
Speakers will discuss the Inflation Reduction Act (IRA) implementation priorities and impacts on Part D plans.
-
Commercial Market & Employer-Provided Coverage
ACA Marketplace: Lessons Learned from State Exchanges
- Location
- Johnson, Level 1
- Speakers
-
- Pat Kelly, Your Health Idaho
- Lindsay M. Lang, JD, HealthSource RI
- Devon Trolley, Pennsylvania Health Insurance Exchange Authority (Pennie)
- Kelley Schultz, AHIP
Details
The ACA Marketplaces reached a record high number of sign-ups during 2024 open enrollment, with over 20 million people enrolling in coverage in the Federally facilitated and State-based Marketplaces. Join this session to explore unique efforts, successful strategies, and key learnings from State-based Marketplaces to grow enrollment and support coverage transitions through Medicaid unwinding. Examine the impact temporary enhanced subsidies have had on access to affordable health care.
-
Advancing Health Equity
Addressing Health-Related Social Needs Through 1115 Waivers
- Location
- Holiday 1, Level 2
- Speakers
-
- Amanda Cassel Kraft, Commonwealth Care Alliance (CCA)
- Amit Shah, MD, CareOregon
- Michelle Jester, MA, PMP, AHIP
Details
More states are looking to Medicaid 1115 waivers to address health-related social needs by building data infrastructure, fees for non-clinical services, and partnerships with community-based organizations. Hear from health insurance providers in states with transformational Medicaid 1115 waivers to gain insights on those models and the roles of health plans, what is going well with implementation, and what challenges they have faced. -
Market Strategy & Operational Innovation
The CMS Health Equity Index: New Measure, New Approaches
Presented by- Location
- Key Ballroom 11-12, Level 2
- Speakers
-
- Elizabeth Benz, Network Health
- Christie Teigland, PhD, Inovalon
Details
Join us as we explore innovative solutions to identify and reduce disparities among socially and economically disadvantaged groups. Explore key elements of the Health Equity Index, how to use data-driven approaches to anticipate how your plan will score and identify areas with largest disparities that can most improve outcomes. Gain insights from one health insurance provider that is proactively preparing for the changes to MA Star Ratings, including reward factor calculations.
-
-
3:00 pm – 3:45 pm
Concurrent Sessions Series 6
-
Medicare Advantage & Part D
MA & Part D Advance Rate Notice: Implications for 2025 and Beyond
- Location
- Key Ballroom 11-12, Level 2
- Speakers
-
- Tom Kornfield, MAST Health Policy Solutions
- Rachel Stewart, ASA, MAAA, Wakely
- Lynn Nonnemaker, PhD, AHIP
Details
In this session, experts will discuss key elements of the 2025 Advance Notice and Regulations for MA and Part D and share insights on the impact and implications for plans.
-
Medicaid Managed Care & Medicare-Medicaid Dual Eligibles
MACPAC: Perspectives on the Continuing Evolution of Medicaid
- Location
- Peale, Level 1
- Speakers
-
- Melanie Bella, Cressey & Company
- Tim Hill, American Institutes for Research (AIR)
- Kate Massey, MPA, Medicaid and CHIP Payment and Access Commission (MACPAC)
- John J. Kaelin, Centene Corp
Details
In this session, speakers from the Medicaid and CHIP Payment and Access Commission (MACPAC) will comment on the status of the Medicaid program and MACPAC’s initiatives and priorities for 2024. -
Advancing Health Equity
Progressing Towards Health Equity: Insights from Health Insurance Providers
- Location
- Johnson, Level 1
- Speakers
-
- Crystal Clark, MD, UPMC
- Pleasant Radford, Jr., MBA, CHIE, UCare
- Shalini Raichur, MPH, CPH, AHIP
Details
Health insurance providers are uniquely positioned to implement innovative strategies both within their organizations, communities, and structural systems to advance health equity and address the unmet social needs of their members. With a focus on sharing lessons learned, this session will explore novel approaches health insurance providers have taken to advance health equity both within their organizations, and among the members and communities they serve. -
Whole Person Care Delivery & Innovation
Addressing the Opioid Crisis Through Innovative Population Health Programs
- Location
- Key Ballroom 9-10, Level 2
- Speakers
-
- Vanessa T. Bobb, MD, PhD, FAPA, CHIE, Capital District Physicians' Health Plan, Inc. (CDPHP)
- Joshua Kaufman, MD, Capital District Physicians' Health Plan, Inc. (CDPHP)
- Sandrine Pirard, MD, PhD, MPH, Carelon Behavioral Health
- Dheeraj Raina, MD, MBA, Carelon Behavioral Health
- Chris Regal, AHIP
Details
Progress in combating the opioid epidemic has been slow. Join this session to explore population health-based approaches to improve access to treatment and the quality of care delivered through technologies, innovative clinical models and predictive data analytics. Learn how to facilitate the adoption of telehealth solutions and employ predictive algorithms to address the opioid overdose and SUD epidemics.
-
Market Strategy & Operational Innovation
Optimizing Member Experience Through Tailored Digital Interventions
Presented by- Location
- Holiday 1, Level 2
- Speakers
-
- Lisette Roman, mPulse
- Reva Sheehan, mPulse
Details
The use of AI and predictive models in health care offers the promise to improve health outcomes at scale. Join this discussion to learn how to build personalized care journeys that factor in risk propensity and social determinants of health. Gain insights on how to use predictive analytics and omnichannel digital outreach to deliver highly tailored, personalized experiences throughout the care continuum.
-
4:00 pm – 5:30 pm
,
General Session
-
4:00 pm – 4:45 pm, Keynote 1-8, Level 2
Health Equity Investment, Innovation and Scale: Moving from Vision to Impact
,Our collective efforts have ushered in significant progress in addressing health equity within our health care system. Now, the focus shifts to not only implementing and executing these visionary ideas but also ensuring their sustained impact. Speakers in this session will explore health equity investment, innovation, and scale, as we transition from conceptualizing the vision to creating a sustainable impact for the health care system of the future.
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Karen Dale, RN, MSN,Market President & Chief Diversity, Equity & Inclusion Officer
, AmeriHealth Caritas -
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 Alexander Li, MD
Alexander Li, MD,Chief Health Equity Officer
, L.A. Care Health Plan -
LaShawn McIver, MD, MPH,Senior Vice President & Chief Health Equity Officer
, AHIP
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4:45 pm – 6:00 pm
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Reception with Solutions Providers
6:00 pm – 6:00 pm
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Exhibit Hall Closes
8:00 am - 4:30 pm Mar 14 • 2024
8:00 am – 9:00 am
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Coffee Break
8:00 am – 3:00 pm
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Registration and Information Desk Open
8:45 am – 10:15 am
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General Session
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8:45 am – 9:15 am, Key Ballroom 1-8, Level 2
CMS Priorities for Medicaid
,CMS’ Center for Medicaid and CHIP Services lead will review the status of the Medicaid program, the Administration’s priorities for Medicaid in the coming year, and the likely evolution of initiatives that Medicaid programs and Medicaid plans will face together.
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Learn more about Daniel Tsai
Daniel Tsai,Deputy Administrator and Director, Center for Medicaid and CHIP Services (CMCS)
, Centers for Medicare & Medicaid Services (CMS) -
Mark Hamelburg,Senior Vice President, Federal Programs
, AHIP
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Learn more about Daniel Tsai
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9:15 am – 9:45 am, Key Ballroom 1-8, Level 2
CMS Priorities for Dual Eligibles
,In this session, the Director of the CMS Medicare-Medicaid Coordination Office will discuss CMS initiatives and priorities including opportunities to advance integrated care through programs serving Medicare-Medicaid dual eligible enrollees.
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Tim Engelhardt,Director, CMS Medicare-Medicaid Coordination Office (MMCO)
, Centers for Medicare & Medicaid Services (CMS) -
Rhys Jones,Vice President, Medicaid Advocacy
, AHIP
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9:45 am – 10:15 am, Key Ballroom 1-8, Level 2
2024 Policy Priorities for Supporting Employer-Provided Coverage
,Join this session with a senior official at the Department of Labor to gain insights into key initiatives aimed at enhancing and safeguarding employee benefits and promoting policies to improve affordability and strengthen employer-provided coverage.
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Lisa M. Gomez,Assistant Secretary for Employee Benefits Security, Employee Benefits Security Administration (EBSA),
, Department of Labor (DOL) -
Jeanette Thornton,Executive Vice President, Policy & Strategy
, AHIP
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10:15 am – 10:45 am
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Coffee Break
10:45 am – 11:30 am
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Concurrent Sessions
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Concurrent Sessions Series 7
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Medicare Advantage & Part D
Current Legal Issues in MA & Part D
- Location
- Key Ballroom 11-12, Level 2
- Speakers
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- Jason E. Christ, Epstein, Becker & Green
- Elinor A. Hiller, Alston & Bird LLP
- Mike Spector, AHIP
Details
Legal experts will review the current landscape of legal issues affecting the policy and regulatory agenda for Medicare Advantage and Part D plans.
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Medicaid Managed Care & Medicare-Medicaid Dual Eligibles
MMCO: New Developments for Dual Eligibles
- Location
- Johnson, Level 1
- Speakers
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- Lindsay Barnette, Centers for Medicare & Medicaid Services (CMS)
- Marla Rothouse, Centers for Medicare & Medicaid Services (CMS)
- Rhys Jones, AHIP
Details
In this session, staff from the CMS Medicare-Medicaid Coordination Office will review current and planned initiatives to improve integration of care and services for people who are dually eligible for Medicare and Medicaid, and the outlook for integrated care delivery models like dual eligible special needs plans (D-SNPs). -
Commercial Market & Employer-Provided Coverage
Surprise Billing: Update and Legal Issues
- Location
- Key Ballroom 9-10, Level 2
- Speakers
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- Loren Adler, Brookings Institution
- Nicholas W. Bath Jr., Manatt Health
- Patricia Kelmar, JD, U.S. Public Interest Research Group (PIRG)
- Marcy Buckner, AHIP
Details
The No Surprises Act continues to protect millions of consumers each year, with health insurance provider networks growing despite a continued reliance on the law’s arbitration process by some health care providers. Speakers in this session will discuss lessons learned since the law was enacted, as well as the latest litigation, enforcement, and implementation challenges. -
Advancing Health Equity
Advancing Health Equity Through Housing
- Location
- Holiday 1, Level 2
- Speakers
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- Barbara DiPietro, PhD, National Health Care for the Homeless Council, Inc.
- Ray Prushnok, UPMC Health Plan
- Michelle Jester, MA, PMP, AHIP
Details
Housing quality, availability, and stability greatly impact health, but many health care organizations are unsure of how best to promote health through housing interventions. This session will present best practice strategies and policy opportunities that health care organizations and health insurance providers can employ to advance health and health equity through housing.
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11:30 am – 1:00 pm
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Networking Lunch
1:00 pm – 1:45 pm
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Concurrent Sessions
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Concurrent Sessions Series 8
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Medicare Advantage & Part D
MA & Part D Marketing Rules: CMS Oversight & Expectations
- Location
- Key Ballroom 11-12, Level 2
- Speakers
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- Kelli D. Back, JD, Law Office of Kelli D. Back, LLC
- Lindsey Copeland, Medicare Rights Center
- Michael Hoak, Humana Inc
- Liza Assatourians, JD, AHIP
Details
In this session, speakers will provide insight on the new Medicare marketing rules and share best practices to protect Medicare enrollees from misleading or inappropriate marketing activities.
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Medicaid Managed Care & Medicare-Medicaid Dual Eligibles
All Hands-on-Deck: Keeping People Covered Through Unwinding
- Location
- Key Ballroom 9-10, Level 2
- Speakers
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- Toby Douglas, Kaiser Permanente
- Joseph M. Glinka, Highmark Wholecare
- Courtnay Thompson, Select Health of South Carolina
- Miranda Creviston Motter, JD, AHIP
Details
This session will highlight the learnings, challenges and best practices of health insurance providers to ensure that Medicaid beneficiaries are not inappropriately disenrolled from coverage as normal eligibility determination operations have resumed. Learn about innovative work and broad stakeholder efforts to mitigate gaps in care through Medicaid unwinding. -
Commercial Market & Employer-Provided Coverage
Expanding Site Neutral Payment: Updates and Implications
- Location
- Holiday 1, Level 2
- Speakers
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- Maureen Hensley-Quinn, National Academy for State Health Policy (NASHP)
- Erica Socker, PhD, Arnold Ventures
- Rosemary Englert, AHIP
Details
Join a discussion on how site neutral payments can help reduce costs for patients and increase value across the health care system. Hear from panelists on how site neutral payments have received bipartisan support in Congress and state legislatures and how a broad range of stakeholders support opportunities to drive affordability through site neutral payments.
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2:00 pm – 4:30 pm
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General Session
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2:00 pm – 2:30 pm, Key Ballroom 1-8, Level 2
View from HHS
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Andrea Palm,Deputy Secretary
, U.S. Department of Health & Human Services (HHS) -
Jeanette Thornton,Executive Vice President, Policy & Strategy
, AHIP
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2:30 pm – 3:00 pm, Key Ballroom 1-8, Level 2
CMS Priorities for 2024 and Beyond
,CMS’ Principal Deputy Administrator will highlight the agency’s priorities and collaborative opportunities for the 2024 plan year and beyond.
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Jonathan Blum,Principal Deputy Administrator and Chief Operating Officer,
, Centers for Medicare & Medicaid Services (CMS) -
Mark Hamelburg,Senior Vice President, Federal Programs
, AHIP
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3:00 pm – 3:45 pm, Key Ballroom 1-8, Level 2
Delivering on the Promise of AI to Improve Health Outcomes
,Health insurance providers and health care stakeholders have a significant role in leveraging artificial intelligence (AI) to fulfill the promise of improving health outcomes for patients. Speakers in this session will provide perspectives on how health care organizations can cut through the hype around generative AI to adopt solutions that are both practical and effective.
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Jordan Crenshaw,Senior Vice President, Chamber Technology Engagement Center
, U.S. Chamber of Commerce -
Graham Dufault,General Counsel
, ACT | The App Association -
Jennifer S. Geetter,Partner
, McDermott Will & Emery LLP -
Robert L. Traynham, PhD,Chief Business Officer
, AHIP
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3:45 pm – 4:30 pm, Key Ballroom 1-8, Level 2
Health Care and the 2024 Elections
,A seasoned political journalist and analyst will offer perspectives on the intersection between health care policy and politics leading up to the presidential election.
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A.B. Stoddard,Columnist for
, The Bulwark -
Robert L. Traynham, PhD,Chief Business Officer
, AHIP
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