Agenda
9:00 am – 6:00 pm
Break
-
,
Registration and Help Desk Open
Presented byEmail Registrations@ahip.org
for questions.
10:20 am – 10:30 am
Spotlight Sessions
-
-
Sponsored by Mom’s MealsPresented by
-
10:30 am – 12:45 pm
Keynote Sessions
-
10:30 am – 10:45 am,
Welcome and Opening Keynote
-
Learn more about Matt Eyles
Matt Eyles,President & CEO
, AHIP
-
Learn more about Matt Eyles
-
10:45 am – 11:30 am,
Health Policy Outlook from Washington
,A panel of D.C. insiders will offer insights on prospective health policy priorities and issues for the coming year and beyond.
-
Learn more about Lori Denham
Lori Denham,Partner
, Kountoupes Denham Carr & Reid -
Learn more about Steve Haro
Steve Haro,Principal
, Mehlman, Castignetti, Rosen & Thomas -
Learn more about Elena G. Tompkins
Elena G. Tompkins,Principal
, Tompkins Strategies, LLC
-
Learn more about Lori Denham
-
11:30 am – 12:15 pm,
Leading Forward: Ensuring Equity and Access in a Post-Pandemic World
,A panel of health insurance provider CEOs will explore strategies and solutions to promote health and build a more inclusive and equitable health care system as we come out of the pandemic. They will also discuss the role health insurance providers can play in improving health equity and access to high-value care.
-
Learn more about George M. Aloth, JD
George M. Aloth, JD,President & CEO
, CareFirst Community Health Plan District of Columbia (CHPDC) -
Learn more about Ellen M. Duffield, FAHM, MBA, CHIE
Ellen M. Duffield, FAHM, MBA, CHIE,President & CEO
, Highmark Wholecare (formerly Gateway Health Plan) -
Learn more about Pat Wang
Pat Wang,President & CEO
, Healthfirst -
Learn more about Ruth E. Williams-Brinkley, RN, FACHE
Ruth E. Williams-Brinkley, RN, FACHE,President
, Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc.
-
Learn more about George M. Aloth, JD
-
12:15 pm – 12:45 pm,
COVID Treatment Therapies, Vaccines and Long-Term Investments: The Road Ahead
,The speaker will discuss what lies ahead as the nation continues to grapple with COVID-19 and its impact on health care and beyond.
-
Learn more about Jeffrey Zients
Jeffrey Zients,Coordinator of the COVID-19 Response and Counselor to the President
,
-
Learn more about Jeffrey Zients
12:45 pm – 1:30 pm
Break
1:30 pm – 3:00 pm
Concurrent Sessions
-
1:30 pm – 2:15 pm
Concurrent Sessions
-
Government Health Programs Policy, Operations, and Emerging Trends*CMS Proposed Part D PBM DIR Changes: What Are Potential Impacts?
- Speakers
-
- Brooks Conway, FSA, MAAA, Oliver Wyman
- Laura Crawn, Express Scripts
- David Schwartz, CareFirst BlueCross BlueShield
-
Employer-Sponsored Health Coverage, Marketplace Policy, and Emerging TrendsLegal Challenges to the No Surprises Act
- Speakers
-
- Katy Johnson, American Benefits Council (ABC)
- Katie M. Keith, JD, MPH, Georgetown University Law Center
-
Health Equity, SDOH, and Community HealthThe Road to Health Equity is Paved with Socio-Clinical Risk AdjustmentPresented by
- Speaker
-
- Sandeep Wadhwa, MD, MBA, 3M Health Information Systems
-
Technology, Business Solutions and Product InnovationsOmnichannel Personalization to Drive Outcomes and Reduce CostsPresented by
- Speakers
-
- Shannon Eubank, Zipari
- Dani Tedesco, Zipari
-
-
2:15 pm – 3:00 pm
Concurrent Sessions
-
Government Health Programs Policy, Operations, and Emerging TrendsTime to Double Down on Your Medicaid Strategy!Presented by
- Speakers
-
- Tejaswita Karve, Optum Advisory Services
- Loren Koerber, Optum Advisory Services
- Daniel O’Brien, Optum
-
Health Equity, SDOH, and Community HealthOvercoming Attitudes and Barriers to Behavioral Health for Low-Income CommunitiesPresented by
- Speakers
-
- Nikole Benders-Hadi, MD, Included Health
- Marie Mika, PhD, Included Health
-
Care Management, Delivery Transformation and ValueProviding a Patient Focused Pain Management SolutionPresented by
- Speakers
-
- Cindy Frost, Tivity Health
- Mary I. O’Connor, MD, Vori Health
- Chun-ju Wang, DO, FAAPMR, CHCQM, Tivity Health
-
Technology, Business Solutions and Product InnovationsOpportunity in Disruption: Navigating the New Health Care LandscapePresented by
- Speaker
-
- Fred Butler Jr., DocuSign, Inc
-
3:00 pm – 3:30 pm
Break
3:30 pm – 4:15 pm
Concurrent Sessions
-
3:30 pm – 4:15 pm
-
Government Health Programs Policy, Operations, and Emerging TrendsState Perspectives on Medicaid Redeterminations and Exchange Transitions
- Speakers
-
- Matt Salo, National Association of Medicaid Directors (NAMD)
- Anne L. Schwartz, PhD, Medicaid and CHIP Payment and Access Commission (MACPAC)
- Kinda Serafi, Manatt Phelps & Phillips, LLP
-
Health Equity, SDOH, and Community HealthCulture-Centered Approaches to Advancing EquityPresented by
- Speakers
-
- Rudy Bozas, Tufts Health Plan, a Point32Health Company
- Greg Buchert, MD, MPH, GSB Health Management Solutions
- Abner Mason, SameSky Health
-
Care Management, Delivery Transformation and ValueWhen Galaxies Collide: How an Integrated Analytics Strategy Improves OutcomesPresented by
- Speakers
-
- Courtney Breece, Inovalon
- James Clement, Inovalon
- Kevin Greer, AmeriHealth Caritas
- Leah Hannum, BlueCross of Idaho
- Paige Kilian, MD, Inovalon
-
Technology, Business Solutions and Product InnovationsOpen Enrollment’s Influence on Member Experience and Health Plan CostsPresented by
- Speaker
-
- Luke Raymond, SilverCloud Health
-
4:30 pm – 5:15 pm
Keynote Sessions
-
4:30 pm – 5:15 pm,
Advancing Value-Based Care in Medicare Advantage
,Speakers will discuss the growing popularity of Medicare Advantage for the diverse enrollee population that it serves. They will also highlight MA plan and provider collaborative efforts that deliver better services, better access to care, and better value for MA enrollees.
-
Learn more about Don Crane, JD
Don Crane, JD,Outgoing President & CEO
, America's Physician Groups (APG) -
Learn more about Elizabeth Malko, MD, MEng, FAAFP
Elizabeth Malko, MD, MEng, FAAFP,Vice President & Chief Medical Officer
, Florida Blue Medicare -
Learn more about William Shrank, MD, MSHS
William Shrank, MD, MSHS,Chief Medical Officer
, Humana Inc.
-
Learn more about Don Crane, JD
Agenda Filters
Sessions
9:00 am – 6:00 pm
,
Break
-
,
Registration and Help Desk Open
,Email Registrations@ahip.org
for questions.
Presented by- Share options
- Share on Facebook
- Share on Twitter
- Share on LinkedIn
10:20 am – 10:30 am
,
Spotlight Sessions
-
-
Sponsored by Mom’s Meals
Presented by
-
10:30 am – 12:45 pm
,
Keynote Sessions
-
10:30 am – 10:45 am,
Welcome and Opening Keynote
-
Matt Eyles,President & CEO
, AHIP
- Share options
- Share on Facebook
- Share on Twitter
- Share on LinkedIn
-
-
10:45 am – 11:30 am,
Health Policy Outlook from Washington
,A panel of D.C. insiders will offer insights on prospective health policy priorities and issues for the coming year and beyond.
-
Lori Denham,Partner
, Kountoupes Denham Carr & Reid -
Steve Haro,Principal
, Mehlman, Castignetti, Rosen & Thomas -
Elena G. Tompkins,Principal
, Tompkins Strategies, LLC
- Share options
- Share on Facebook
- Share on Twitter
- Share on LinkedIn
-
-
11:30 am – 12:15 pm,
Leading Forward: Ensuring Equity and Access in a Post-Pandemic World
,A panel of health insurance provider CEOs will explore strategies and solutions to promote health and build a more inclusive and equitable health care system as we come out of the pandemic. They will also discuss the role health insurance providers can play in improving health equity and access to high-value care.
-
George M. Aloth, JD,President & CEO
, CareFirst Community Health Plan District of Columbia (CHPDC) -
Ellen M. Duffield, FAHM, MBA, CHIE,President & CEO
, Highmark Wholecare (formerly Gateway Health Plan) -
Pat Wang,President & CEO
, Healthfirst -
Ruth E. Williams-Brinkley, RN, FACHE,President
, Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc.
- Share options
- Share on Facebook
- Share on Twitter
- Share on LinkedIn
-
-
12:15 pm – 12:45 pm,
COVID Treatment Therapies, Vaccines and Long-Term Investments: The Road Ahead
,The speaker will discuss what lies ahead as the nation continues to grapple with COVID-19 and its impact on health care and beyond.
-
Jeffrey Zients,Coordinator of the COVID-19 Response and Counselor to the President
,
- Share options
- Share on Facebook
- Share on Twitter
- Share on LinkedIn
-
12:45 pm – 1:30 pm
,
Break
1:30 pm – 3:00 pm
,
Concurrent Sessions
-
1:30 pm – 2:15 pm
Concurrent Sessions
-
Government Health Programs Policy, Operations, and Emerging Trends
*CMS Proposed Part D PBM DIR Changes: What Are Potential Impacts?
- Speakers
-
- Brooks Conway, FSA, MAAA, Oliver Wyman
- Laura Crawn, Express Scripts
- David Schwartz, CareFirst BlueCross BlueShield
Details
With CMS’ proposed rule for Contract Year 2023 Policy and Technical Changes to the Medicare Advantage and Medicare Prescription Drug Benefit Programs, the agency included significant revisions to the use of Direct and Indirect Remuneration (DIR) by plan sponsors in the program. This session will explore the ramifications of implementing this proposal for plans and the Medicare prescription drug program if finalized, from the public policy, operational, and actuarial perspectives.
*This Concurrent Session is closed to the media and will not be available on demand.
-
Employer-Sponsored Health Coverage, Marketplace Policy, and Emerging Trends
Legal Challenges to the No Surprises Act
- Speakers
-
- Katy Johnson, American Benefits Council (ABC)
- Katie M. Keith, JD, MPH, Georgetown University Law Center
Details
Speakers in this session will provide an overview of the long-standing issue the No Surprises Act was enacted by Congress to solve; the Federal regulations promulgated to operationalize the program; and the litigation landscape involving (in particular) the factors to be used by arbitrators in addressing payment disputes between health insurance plans and providers.
-
Health Equity, SDOH, and Community Health
The Road to Health Equity is Paved with Socio-Clinical Risk Adjustment
Presented by- Speaker
-
- Sandeep Wadhwa, MD, MBA, 3M Health Information Systems
Details
The concept of social determinants of health can be used to augment existing health care risk adjustment tools, which are often used in setting payment rates or calculating performance on quality measures. This session will discuss strategies for incorporating social needs, behavioral and functional health into risk adjustment to address social needs and impact health equity.
-
Technology, Business Solutions and Product Innovations
Omnichannel Personalization to Drive Outcomes and Reduce Costs
Presented by- Speakers
-
- Shannon Eubank, Zipari
- Dani Tedesco, Zipari
Details
A recent survey asked 1,500 Medicare and Medicaid members about their consumer experiences (CX) and digital consumer experiences with their health plans. Their responses were analyzed to identify significant themes within each population, and to determine how these differ from or align with commercial health plan members. This session gives health insurance providers current and market-specific insights into CX trends to help prioritize digital CX efforts most likely to drive positive outcomes.
-
-
2:15 pm – 3:00 pm
Concurrent Sessions
-
Government Health Programs Policy, Operations, and Emerging Trends
Time to Double Down on Your Medicaid Strategy!
Presented by- Speakers
-
- Tejaswita Karve, Optum Advisory Services
- Loren Koerber, Optum Advisory Services
- Daniel O’Brien, Optum
Details
Medicaid enrollment continues to grow: the program now serves over 80 million people, including 10.8 million dual-eligible enrollees. One in four Americans are covered by Medicaid, and many have complex, costly conditions. This session will offer best practices to help grow your Medicaid business by serving complex populations and explore how enhancing member experience is tied to positive health outcomes.
-
Health Equity, SDOH, and Community Health
Overcoming Attitudes and Barriers to Behavioral Health for Low-Income Communities
Presented by- Speakers
-
- Nikole Benders-Hadi, MD, Included Health
- Marie Mika, PhD, Included Health
Details
This session will explore perceptions, barriers to care, and utilization patterns of behavioral health services amongst different segments of low-income populations. Gain actionable insights for successfully engaging low-income populations and helping to reduce stigma around behavioral health care.
-
Care Management, Delivery Transformation and Value
Providing a Patient Focused Pain Management Solution
Presented by- Speakers
-
- Cindy Frost, Tivity Health
- Mary I. O’Connor, MD, Vori Health
- Chun-ju Wang, DO, FAAPMR, CHCQM, Tivity Health
Details
With more than 50% of adults in the U.S. managing pain on a regular basis, and with musculoskeletal (MSK) treatment as a leading health care spend, the time is now to transform the way we deliver MSK treatment to patients. Learn how combining state of the art virtual tools, a nationwide network of non-surgical treatment practitioners, and a physical activity program that incorporates movement therapy can help payors drive down costs, increase patient engagement, and optimize member experience.
-
Technology, Business Solutions and Product Innovations
Opportunity in Disruption: Navigating the New Health Care Landscape
Presented by- Speaker
-
- Fred Butler Jr., DocuSign, Inc
Details
The health care industry is ripe for modernization across its segments. Digital transformation will play a key role in satisfying regulatory requirements and exceeding consumer expectations. This session will review emerging trends of the current environment, highlight disruptive influences including new legislation, and explore innovative solutions.
-
3:00 pm – 3:30 pm
,
Break
3:30 pm – 4:15 pm
,
Concurrent Sessions
-
3:30 pm – 4:15 pm
-
Government Health Programs Policy, Operations, and Emerging Trends
State Perspectives on Medicaid Redeterminations and Exchange Transitions
- Speakers
-
- Matt Salo, National Association of Medicaid Directors (NAMD)
- Anne L. Schwartz, PhD, Medicaid and CHIP Payment and Access Commission (MACPAC)
- Kinda Serafi, Manatt Phelps & Phillips, LLP
Details
The COVID-19 public health emergency will likely end this year; and with that, states will once again begin conducting redeterminations of eligibility for the nearly 83 million people enrolled in Medicaid. Experts on this panel will explore the challenges states will face and their options for verifying ongoing eligibility for all their Medicaid enrollees, transitioning people no longer eligible to other coverage, and potential impacts on continuity of care for Medicaid enrollees.
-
Health Equity, SDOH, and Community Health
Culture-Centered Approaches to Advancing Equity
Presented by- Speakers
-
- Rudy Bozas, Tufts Health Plan, a Point32Health Company
- Greg Buchert, MD, MPH, GSB Health Management Solutions
- Abner Mason, SameSky Health
Details
This session explores a real-world example of how taking a culture-centered approach to engaging Medicaid members of diverse backgrounds resulted in a marked improvement in one health plan’s 90-day member retention rates and helped to advance the plan’s health equity initiatives. Join us to learn how to remove barriers to health and form meaningful relationships with members from diverse cultures that traditionally have been difficult to reach.
-
Care Management, Delivery Transformation and Value
When Galaxies Collide: How an Integrated Analytics Strategy Improves Outcomes
Presented by- Speakers
-
- Courtney Breece, Inovalon
- James Clement, Inovalon
- Kevin Greer, AmeriHealth Caritas
- Leah Hannum, BlueCross of Idaho
- Paige Kilian, MD, Inovalon
Details
This session will explore the current universe of siloed quality and risk programs and the merits of moving to an integrated approach. Speakers will discuss how an integrated analytics strategy can empower providers and positively impact member experience and outcomes. Join us to learn key steps for fostering successful organizational change and support of an integrated program.
-
Technology, Business Solutions and Product Innovations
Open Enrollment’s Influence on Member Experience and Health Plan Costs
Presented by- Speaker
-
- Luke Raymond, SilverCloud Health
Details
This session will focus on the impact open enrollment has to reduce leading drivers of healthcare costs for chronic and co-morbid mental health conditions, with emphasis on Medicare and Medicaid given the higher rates of chronic health conditions in these populations. Attendees will learn how digital health tools can empower members to create positive changes in their behavior and mental health while also enabling health plans to address the rising costs related to chronic conditions.
-
4:30 pm – 5:15 pm
,
Keynote Sessions
-
4:30 pm – 5:15 pm,
Advancing Value-Based Care in Medicare Advantage
,Speakers will discuss the growing popularity of Medicare Advantage for the diverse enrollee population that it serves. They will also highlight MA plan and provider collaborative efforts that deliver better services, better access to care, and better value for MA enrollees.
-
Don Crane, JD,Outgoing President & CEO
, America's Physician Groups (APG) -
Elizabeth Malko, MD, MEng, FAAFP,Vice President & Chief Medical Officer
, Florida Blue Medicare -
William Shrank, MD, MSHS,Chief Medical Officer
, Humana Inc.
- Share options
- Share on Facebook
- Share on Twitter
- Share on LinkedIn
-