Take a few days away from the office this June and immerse yourself in creative thinking and idea sharing with health care professions from around the country.
Choose to dive deeply into a single topic area or two or enjoy a wider range of topics covered in eight educational tracks.
Institute & Expo opens with Lunch & Learn educational sessions, starting at 11:00 am on Wednesday, June 20. Be sure to book your travel to arrive in time to attend one of these powerful sessions, followed by dessert in the Exhibit Hall and our opening General Session.
AHIP thanks its Educational Sponsors:
Explore alternative payment models (APMs), outcome-based specialty drug contracting, value-based insurance design (VBID), and other tactics that support the move from volume- to value-based care. You’ll explore aligning multiple stakeholder incentives, challenges implementing various models, and whether current benchmarks will effectively drive quality.
Learn from successful disruptors and innovative partnerships, including the Amazon/Berkshire/JPMorgan partnership. This track equips you with bold solutions to strengthen your business and consumer strategies, evolve and diversify your product line, and make your brand stand out.
Learn strategies to address the medical, social, and behavioral needs of high-need, high-cost patients. Sessions will address social determinants of health, the opioid crisis, and barriers to a healthier society. Gain insights into how tech, tools, and treatments can help reduce the burden of chronic disease, improve care, and increase well-being.
What leadership challenges and opportunities lie ahead? How can your organization flourish? This track focuses on health care reform’s political, economic, and strategic impacts. Discussion topics include market stabilization and challenges affecting participation in Medicare, Medicaid, and the individual/small group markets.
This track explores strategies to make health care simpler, deliver greater value and create better customer experiences. Sessions focus on behavior data, tools to give your members better control over their coverage, learnings from other industries, and more. When you leave, you’ll understand what’s working, what’s not, and why.
Using technology and other tools to improve clinical care, reduce costs, and increase efficiencies seems so simple. Yet, there are challenges. Sessions in this track will focus on how to introduce and implement advanced tools, making “high-tech” and “high-touch” a reality, tactics to drive customer loyalty through higher engagement, and the innovations you should be watching.
Discover the best data practices to optimize utilization, reduce administrative costs, support better outcomes, and enhance the patient experience. Learn how leaders are combining clinical, financial, and outcomes data to help prevent re-admissions and lower costs, how AI is transforming health care, and how to address disparate data sources.
This track focuses on value-based approaches to drive positive, lasting change. Learn how to create a top-down culture of well-being, how digital tools, telehealth, and incentives affect health insurance providers, effective ways to encourage your members to become more wellness-focused, and how to leverage next-generation population health programs.
Over the past 10 years, bundled payments have grown in popularity due to their ability to improve clinical outcomes while controlling costs. Among the earliest implementations of bundles were “Centers of Excellence” (or CoE) programs, where self-insured employers directly contracted with brand name providers for certain high acuity services. While generally effective, relatively few members would take advantage of these arrangements due to their limited clinical scope and stringent requirements. In this session, speakers will give an overview of best practices to consider when launching bundled payment programs across your provider network. Speakers will also share recent success stories where purchasers have deployed bundles across a wider set of services, thus generating a greater impact on quality and cost.
Leveraging data on members, providers and claims is paramount to affecting member outcomes, clinical efficiency, and influencing provider behavior. This session with explore how integrated analytics and technology platforms enable health insurance providers to optimize data and surface insights through real-world examples.
Health care has entered an era of disruption on many fronts – digital, consumer, and value-based care. Existing industry paradigms and institutions are beginning to give way to powerful market forces demanding lower costs, more accountability, and higher quality from the health care eco-system. The disruption has opened the door for new players and new models, and creative destruction is inevitable. In this session, speakers will discuss how convergence, integration, and technology are reshaping the health care industry, and lead a discussion on what today’s health plans and providers should do to build strategic and sustainable business models.
We all have our favorite companies; these businesses do more than offer the products or services we want — they delight us by making it easy to conduct business with them. Consumers don’t always find it easy to navigate the complex world of health care. They tell us when they don’t like their experiences through surveys, comments, or by switching their health plan. The challenge to creating a delightful consumer experience is in identifying areas of friction and prioritizing where to make changes. How should you readjust your corporate consumer experience strategy, so your members consistently have a successful health care journey? Speakers in this session will discuss how health plans should measure, assess, and then improve their customer experience strategies.
Pulling directly from case studies of 60,000 primary, preventive and urgent care house calls, this session will reveal how major payers have seen cost savings of more than $1,000 per patient by re-establishing house call-based primary care.
In this session, learn how the nation’s three largest health plans are engaging members through a virtual shared decision platform that provides direct access to expert specialists, in order to vastly improve quality, reduce cost, and deliver a premium member experience. While previous shared decision resources have shown promise, they have lacked the broad-based applicability and appeal needed to drive meaningful patient engagement. By providing quick, direct access to experts via a video platform, a virtual concierge service could become the gold standard for health plans looking to engage members in their own complex care decisions.
How well do value-based models work? What strategies are payers piloting and seeking to expand? What episode types are payers targeting with bundled payment programs? Which alternative payment models are working at scale and why? These questions and more will be answered when the results of a new national study are unveiled for this first time during this session.
Join this session to learn how (and why) an integrated approach to sales and marketing can improve the consumer experience and promote health plan profitability. Attendees will hear how to design and execute a successful strategy across the entire member lifecycle using an integrated, omnichannel approach.
This session will identify major trends that will affect Medicare and Medicaid in the near and distant future.
This session will focus on innovative approaches health insurance providers are using to address the emerging challenges posed by rising drugs costs and lack of competition in the generic drug marketplace. Speakers will explore challenges and opportunities in creating market-based solutions to help repair and stabilize the U.S. generic drug market.
As the burden of health care spending continues to mount, patients have a growing incentive to shop around for high quality care at competitive prices—but they’re going to need help. This session will highlight strategies to guide consumers toward high-value health care. Topics for discussion will include the use of reference pricing to spur cost-conscious purchasing for drugs and other procedures; innovative transparency tools health plans can use to facilitate shopping for care; and ways employers can engage employees in their health care choices and encourage shopping for value.
Addressing our nation’s opioid crisis calls for a multifaceted response involving many health care stakeholders –providers, pharmaceutical companies, pharmacies, government officials, and health insurance providers. This session will explore a robust opioid utilization management approach for promoting the safe use and appropriate prescribing of opioids. The speaker will discuss ways a clinically appropriate strategy aligned with CDC recommendations reduces unnecessary opioid prescribing.
Relationships matter more than ever, and brands are influenced by relationships maintained and company kept. Thus, companies have more responsibility with the innovations they present, and how they impact society through social/corporate contracts to grow business and address social responsibilities. This session will provide an insightful look at how five technology trends will shape relationships within the health care industry in the next few years: Citizen AI, Extended Reality, Data Veracity, Frictionless Business and Internet of Thinking.
In this session, attendees will learn more about the recent CMS Rule regarding the expanded definition of supplemental benefits, how benefit design can support care-at-home as the first choice, including where to expand coverage for services, how to eliminate waste, and ideas for restructuring member cost-sharing to incentivize home health care.
Consumers expect their experience with a health plan to resemble their interactions with other frequently-used services; there’s a strong demand for convenience, accuracy, quick results and personalization. The challenge for health plans is to meet those expectations with improved consumer experiences while simultaneously lowering operational costs. This session will cover how new applications of artificial intelligence, coupled with the vast amounts of claims and clinical data health plans have in their data stores, have the potential to meet this challenge.
Emerging payment and delivery reforms hold promise in advancing the efficient delivery of high-quality, personalized care. However, as with most transformative change, transitioning to value-based models of care delivery and payment has been met with some challenges. This session will explore achievements to date, identify key drivers that have impacted health care’s transition to value, and predict what lies ahead.
As uncertainty around federal health care policy complicates the health care industry’s trajectory, longstanding issues around costs and access to care are compelling health insurance providers and other stakeholders to proceed with care. These same concerns are pushing American consumers to become bolder and more informed than ever—especially when it comes to their health coverage. This session will explore the consumerist-led disruption of conventional health care. The speakers will examine how health insurance providers can meet the demands of today’s thoughtful and engaged health care consumer through more transparent products, services, and business practices. You will hear how one of the nation’s most respected insurers utilizes technology to take more control of their member-focused approach, and leverages digital storytelling, digital experiences and social media to reach members across generations. Join us to learn how to develop richer and more impactful relationships with your members and key allies.
Achieving health care equity is one of our nation’s most challenging priorities. This session will explore innovative quality improvement initiatives that have addressed disparities in care for racial, linguistic or ethnic minorities, as well as socially or geographically-isolated communities. Speakers will share multifaceted, multi-stakeholder approaches to coordinate health care and social services to best serve those in need.
Health plans seek new, innovative strategies to treat the small number of medical conditions that account for a large, fast-growing share of total health care spending. Managing care for treatment of complex medical conditions (cancer, heart disease, chronic kidney disease, infertility, musculoskeletal issues, etc.) is integral to ensuring members can make informed decisions regarding their health. Join this panel discussion to learn how a holistic, multi-disciplinary approach to treating complex conditions can improve clinical outcomes for members and contain costs for health insurance providers.
It’s not difficult to imagine the next generation consumer experience. The challenge lies in making it happen. This session will explore next generation patient experience that’s focused on people’s lifelong needs for health and health partners. An experience that’s imagined with empathy, designed around people, and enabled by technology. Drawing on case studies and lessons gleaned in health care and other industries, speakers will share the challenges and opportunities of delivering new customer experiences at scale. Learn how to evolve old business models and invent new ones; lead cultural change; create new partnerships and build new capabilities; and move quickly, manage risk and see opportunity in uncertainty.
This session will discuss how health insurance providers can leverage technology and design thinking to diminish payment integrity challenges while navigating change. Learn current strategies to improve process automation to streamline, simplify, and reform claims management today while preparing for the evolving reimbursement landscape.
Learn what the future holds for pharmacy benefit management during this interactive panel discussion. Attendees will learn about a long-awaited, equitable financial business model, and the true partners that will drive change by empowering stakeholders and delivering value-based outcomes across the care continuum.
Payment transformation requires vision, commitment, and aligned partnerships to develop the next-generation of reimbursement models. Speakers in this session will explore how a payment model affects the health of the community, and how physician, physician organization/IPA, and hospital payment transformation models fit together. They will discuss what it takes to develop, implement and achieve the next-generation primary care physician payment model that enables a health plan, its physician network, and its consumers to thrive in a non-FFS (fee-for-service) environment. Speakers will also analyze how successful physician-incentive models are aligned to reward clinical quality, patient safety, well-being improvement and cost management, rather than volume of services.
This session will explore the value that the Medicare Advantage (MA) program brings to over 20 million enrollees. The session will also include a discussion of how MA plans are delivering better care and outcomes to the Medicare population, and ways in which the program can grow stronger. Speakers will examine trends in the program, challenges in treating this population and how and why MA has become such a popular option.
Speakers in this session will discuss process and platform consolidation strategies in order to streamline internal operations, create consistent consumer experiences, and allow for novel product targeting. Speakers will explore the blueprint behind these changes, and provide a technical guide for building the tools to support collaboration across segments.
Having the right tools, customer support and clinical support in place is key for your health plan to achieve a five-star quality rating. In this session, learn five key areas you should evaluate to improve your PBM (pharmacy benefit management) performance and align your goals.
Innovative customer experiences require a degree of personalized engagement, including a focus on the individual’s communication preferences, behaviors, and attitudes. In this session, attendees will explore how personalized, timely engagement improves member experience and outcomes. Through a real-world case study, the speakers will demonstrate the benefits of utilizing an integrated, omni-channel approach to design and execute successful customer journeys across the entire customer lifecycle. Join us to learn how you can increase member retention this year.
In this session, learn how health insurers can use customer relationship management (CRM) technology to prioritize highest risk member tasks, improve care staff efficiencies, reduce the cost of care, and drive collaboration across the care ecosystem. Discover how your organization can reinvent the way you keep members informed and engaged in their care. Plus, get an exciting first-look at a new product launching at Institute.
Today’s digital care continuum demands new approaches to care coordination. In order to overcome challenges due to legacy infrastructure and point solutions, health plans should consider an agile platform approach. Attend this session to learn how an agile platform can create a service-based architecture at your health care organization, streamline interactions with providers, and ultimately, deliver greater value to members. The speaker will also discuss ways to super-charge new product introduction by increases of 2-3 times per year.
While precision medicine is typically viewed as a research endeavor and value-based care as an operational initiative, they are intrinsically linked and highly synergistic. This session explores the challenges and opportunities found at the intersection of precision medicine and value-based care, and how payers can navigate their convergence.
This session will provide an overview of the evidence behind the effectiveness of allied health services (such as chiropractic, acupuncture, and massage therapies) in musculoskeletal pain management. Attendees will learn why disconnected siloes of care have failed pain patients, and how the formation of an ecosystem that surrounds and guides the member to a variety of evidence-based, non-pharmacologic pain management options can improve outcomes and member satisfaction.
Speakers in this session will outline strategies for educating and empowering patients to take a more active role in their care. A panel of clinical, business, and government leaders will discuss their experience, including their challenges and successes, in implementing patient engagement programs in both fee-for-service and value-based care contracts. Attendees will also learn how to increase front-line provider participation, reduce the cost of preference-sensitive utilization, engage geographically dispersed populations, and reduce overall costs.
Implementing value-based care reimbursement models are complex, particularly if health plans attempt to individually coordinate and manage the components that go into a bundled payment or other alternative payment model arrangements. In this session, speakers will demonstrate how bundling these payment components together under a best-of-breed strategy, and offering them to health insurers as a single, comprehensive, go-to-market solution, accelerates the transition and makes it easier for plans adopt value-based reimbursement.
As the health care industry grapples with collecting and sharing high-quality provider data, a cross-industry alliance of diverse stakeholders recently convened to collaboratively review research, share experiences, and discuss priorities and solutions for tackling seemingly impervious provider data challenges. This session will include insights from years of research on provider information, as well as perspectives from alliance representatives who crafted the roadmap for the industry to finally solve the provider data dilemma.
Health plans, in collaboration with providers, can ensure high-quality care and achieve medical cost savings by implementing value-based specialty care management strategies. This session will explore–from both the clinician and payer perspectives–the challenges, opportunities, and lessons learned associated with value-based specialty care programs in an evolving care delivery landscape.
This session introduces how digital therapeutics fit in the rapidly expanding digital health ecosystem. By leveraging mobile technology, and validated by clinical outcomes, digital therapeutics can automate the support and coaching needed by individuals navigating the complexity of a chronic condition on their own when away from their care team. This session will explore the potential of a digital therapeutic to deliver sustainable health and economic benefits for a top cost driver: diabetes.
How do innovative organizations engage patients deeply in the process of realizing better health? Using their work with vulnerable and complex patients to provide whole-person care, including their social needs, speakers in this session will focus on specific ways health care organizations are joining communities where health inequities are concentrated to address the social determinants of health. They will also explore how these emerging partnerships are working across sectors to address housing, transportation, food insecurity, and child development in the practice and policy arenas. Speakers will also summarize lessons learned and provide recommendations for success.
Health care stakeholders are continuously seeking new methods to reduce inefficiencies, provide patients with the health care or medicines they need in a more convenient manner, and streamline business processes to improve the consumer experience through enhanced technologies. Moreover, they are also working to identify new techniques to better align incentives, coordinate care, and move towards value-based approaches to care. This session will explore ways in which new combinations, alliances, and partnerships between system stakeholders have the potential to blur traditional lines, drive disruption, and benefit health care consumers.
Innovation is happening at companies of all shapes, sizes, and industries. Health care is taking note and taking action to make health care better. This session will explore one health care system’s journey to transform the health care experience. The speaker will discuss an organization-wide performance improvement initiative designed to make the organization the best place to work, practice medicine, and receive care. Hear how igniting and engaging the workforce through a commitment to purposeful experience design, leadership development and process improvement has driven positive results in every aspect of the organization.
The digital age has provided the world at large with unprecedented access to services and information. Machines, data and people are converging. Innovations in digitization, analytics, artificial intelligence (AI), and automation are creating performance and productivity opportunities for business, the economy, and more broadly, for society. Data is growing faster than ever before. As the interface for our personal experience continues to shift, what will the future of privacy and data protection look like? Will AI revolutionize personalized health? How will health care transform over the next twelve years? This session will examine the future of technology in 2030, when personalization drives experience, and we download “habits” and “environments.” How will health insurance providers be impacted, and why does it matter? Join us to learn the answers to these questions and more.
Many people believe the United States has the best health care in the world. Unfortunately, when independent researchers crunch the numbers and compare nation’s, the U.S. ranks near the bottom on every outcome measure — except cost. This session will explore the truth about our nations performance, the reasons for the difference in perception versus reality and what American doctors and hospitals can learn from counterparts in other countries. The speaker will provide scenarios for where disruption might derive and what will happen to the U.S. health care system if we don’t improve in the near future.
Whether your members are calling the call center or performing self-service activities within the member portal, it is important they have an optimal customer experience. This session will reveal how a next-generation customer experience platform can enable health plans to deploy a member portal and call center solution in under four months. Learn how one health plan was able to leverage this truly configurable customer experience technology quickly, and with minimal implementation costs.
With the enactment of the Bipartisan Budget Act of 2018, changes in both the definition of supplemental benefits for chronically ill beneficiaries and “uniformity” requirements in the Medicare Advantage program have opened the doors to targeted interventions for enrollees with serious illness. These changes afford Medicare Advantage plans greater flexibility to innovate by tailoring programs to better serve the unique needs of beneficiaries living with chronic conditions. This session aims to support strategic planning and implementation activities by outlining options and proven strategies for driving high value care for beneficiaries with serious illness. Drawing on best practices gathered across the country, speakers will provide a roadmap for integrating benefit and care model design, enhancing case management’s impact, and creating an effective network.
Although the opioid epidemic is a public health crisis affecting the entire nation, it has particularly affected people insured through Medicaid. A study showed that nearly one-quarter of people with Medicaid coverage filled a prescription for opioids in 2015, more than 25% of Medicaid members received the same drug from multiple prescribers, and 34% of Medicaid patients were prescribed an opioid with benzodiazepines and/or muscle relaxant. This session will provide an overview of a successful health plan strategy to improve outcomes for Medicaid patients amid the national opioid crisis. Attendees will learn about the problems facing health plans located in regions hardest hit by the opioid epidemic, and how developing a multi-faceted plan, that leverages data and technology in combination with personal engagement, can improve clinical and financial outcomes within a network.
Our fragmented health care system has seen unchecked cost increases for decades with only modest improvement in quality of care. While health care utilization has remained flat over the last few years, total health care costs have risen substantially. This increase in spending is not a byproduct of health care consumption, but rather the result of an increase in prices and a failure to routinely adhere to evidence-based diagnostic/therapeutic options. For years health care industry experts—and recently even top non-industry executives—have been seeking solutions to our broken health care system. But no solution, as well funded as it may be, will be sustainable until the country rethinks the traditional health care delivery model. Most other industries operate in more of a free-market environment and are better at continually improving the number and quality of options and lowering prices by introducing efficiencies. Speakers in this session will discuss how enhancing competition by giving more employees and their families the power to choose among innovative integrated health delivery system networks or the traditional open access network could lead to dramatic impacts on cost and quality outcomes in U.S. health care.
This panel featuring prominent California health care leaders and advocates will reflect on the opportunities and challenges that the state currently faces. Participants will learn about local and statewide policies and specific models of care that have demonstrated success with California’s large, diverse population. Our panelists will share effective practices and research that have emerged as well as lessons from MediCal 2020 and Whole-Person Care Pilots. They will also discuss sustainability for the state’s policies and what other communities and states can learn and template from California.
Capturing the disease burden of a member population can help determine which clinical and care management interventions could be successful. NLP (Natural Language Processing) can enhance clinical decision-making, by transforming data collected in a text format into computable, machine-readable inputs. In this session, speakers will discuss how NLP offers an additional pathway to identify at-risk populations, and how it can assist clinicians and caregivers in clinical decision-making to improve overall health outcomes.
Efforts to rein in the cost of pharmaceuticals, particularly specialty drugs, will prove essential to managing the high costs associated with health care. Outcomes-based contracts have the potential to align the interests of patients, health plans, manufacturers, and society around the shared goal of ensuring the appropriate use of health care resources, while preserving access to care and incentives for innovation. In this session, speakers will discuss the challenges and opportunities in developing outcomes-based reimbursement contracts for gene therapy, and provide insight on the value-based insurance design (V-BID) principles that align patient-facing incentives with outcomes-oriented arrangements.
In this session, speakers will discuss how and why health plans are harnessing data, analytics and clinical expertise to focus on medical expense behavior. By utilizing new technology and techniques, innovative health plans are transforming their payment integrity model from a group of disparate departments to a strategic center of excellence (CoE), thus uncovering medical expense savings opportunities in the process.
In this session, learn how technology developed with empathy can comb through mountains of data, and distill it into meaningful, actionable information, while also taking into account the day-to-day challenges facing consumers. Speakers in this session will also discuss patient-centric technology solutions for health plan managers, how to integrate and access data across the health care ecosystem, and why an analysis of social determinants can help drive cost-effective solutions for your members.
In a market of increasing choices and consumer empowerment, Net Promoter Scores have declined overall for health insurers. Join this session for a scan of critical consumer insights that will help shape the industry over the next few years.
In the current climate of industry disruption, health insurance providers can position themselves competitively by choosing the right business model(s). In recent interviews with more than 30 health plan CEOs, industry leaders discussed the trajectory for health care, why industry transformation is necessary, and the implications for managing the pace and degree of change within the payer landscape. Speakers in this session will discuss findings from these interviews, which reveal the future role of the health insurer, and strategies to secure a winning position in today’s market.
For over a decade, the triple aim has been used by policy makers and other leaders in health care delivery to focus their goals in reforming the health care delivery system. Despite making progress, sustainable and projected quality outcomes have yet to come to fruition. In this persona-based fireside chat, we will explore how miscommunication and misalignment of the three stakeholders in the spectrum is hindering the ability for substantial change. We will look through the lens of the patient, the provider, and the payer to discover opportunities in both pharmacy and health care administration to increase visibility and reduce siloes for improvements toward quality care.
People don’t engage in experiences with your brand without bringing their own lives with them—their own context, histories, perceptions, emotions and expectations. This session will explore the processes health insurance providers need to consider and utilize when creating emotionally engaging experiences. Speakers will discuss how you can map the emotional connections a customer has with your brand and what impact storytelling has on these emotional connections. They will also share how you measure a customer’s emotional connection and use that metric to further your CX agenda and brand. Join us to learn how to leverage storytelling and emotional connections to strengthen and improve customer experiences and brand loyalty.
Investors, entrepreneurs, and payers are working to bring fundamental change to the insurance industry, committing millions of dollars and hours. But are we going far enough? Is the current group of start-ups and established players capable of inciting the necessary revolution? What are the most significant concerns — and the greatest opportunities — facing these established players and new entrants? Speakers in this session will address these concerns, and provide the perspective needed in order to move the industry forward.
Value-based care and consumerism are challenging health plans and providers to think differently about how they communicate with each other. As a result, there is a need for greater interoperability that enables expanded information sharing between payers and providers at critical points of care, as well as across the spectrum of care. In this session, panelists will share how the National Council for Prescription Drug Programs (NCPDP) SCRIPT standard and multi-stakeholder projects like Argonaut and DaVinci are bringing together health insurers and providers to facilitate the transfer of prescription data, and drive interoperability through the adoption of HL7’s Fast Healthcare Interoperability Resources (FHIR) technology standard. Speakers will share practical examples of how employing data format standards can support value-based care initiatives, and address specific challenges with delivering greater prescription price transparency, electronic prior authorizations and streamlined clinical data exchange at critical points in care.
As much as 80% of health is determined by factors other than physical health care. How can society adopt a holistic approach to care that incorporates mental, social, and physical health to achieve better health outcomes at lower cost? How can we reduce the fragmentation in health care delivery that prevents the creation of a culture of health? What are roles and responsibilities of providers, patients, payers, community organizations, and other stakeholders? This session will address how health providers are breaking down silos in health care, and integrating physical and behavioral health to achieve whole-person care.
Health plans are striving to exceed the expectations of savvy consumers and realize value by improving quality and controlling costs. Virtual care delivery can do just this. During this session, you’ll learn how to “meet your members where they are” with a convenient, world-class, personalized member experience driven by “surround sound member engagement”, that integrates data with advances in technology, artificial intelligence, and analytics to provide the right virtual care delivery offering at the right time across the entire spectrum of care.
State Medicaid programs are on the front lines of efforts to transform the health care delivery system from volume to value. To drive this change, states often leverage Section 1115 Medicaid demonstration waivers to test new care delivery and payment approaches by relaxing certain federal Medicaid program rules. This session will examine emerging waiver trends that are shaping and refining state Medicaid programs, including community engagement and other requirements for Medicaid eligibility and other innovations.
Combining machine learning with precise clinical recommendations allows health insurers and providers to proactively engage members before a health crisis occurs, in order to significantly improve outcomes and operational efficiency. Speakers in this session will discuss how health plans can use machine learning to better target members who are at risk of critical health events. Speakers will also address how using these innovative methods can empower physicians to provide more proactive care.
Diabetes has long been one of the most expensive medical conditions. Yet, it is also one of the most amenable to simple, low-cost behavioral interventions. This session will explore specific ways health plans are working to enhance, simplify, and personalize diabetes management and improve health outcomes for the populations they serve.
Improving the health of entire communities requires breaking down traditional silos to provide integrated, coordinated, whole-person care. How should provider organizations and community-based groups work together to align incentives and reduce disparities? This session will explore innovative community partnerships to address social factors impacting health outcomes.
As the shift to value-based care continues, leveraging data can increasingly differentiate the leaders from the rest of the pack. Turning data into the ability to identify an individual patient’s unique needs, refine care plans, speed drug discovery and commercialization, reduce waste, expand the value proposition of medications, and streamline clinician workflow is driving consumer-centric care. In this session, health care stakeholders will offer insight into value-based strategies that are delivering improved outcomes – better quality and lower costs. Join us to learn how health insurers, pharmaceutical organizations, and providers are leveraging real-time data-driven insights to succeed in value-based care.
Disruptive innovation can happen to any industry at any time, so staying ahead of the curve is no longer a differentiator, but a necessity. Organizations that embed purpose at their core have a naturally disruptive mindset. They challenge the status quo and use business as a platform to solve problems that are important to people. This session will examine the core tenets of three companies born out of health technology accelerators that are looking to change the face of health care. Speakers will explore emerging technologies driving change and discuss the challenges and opportunities of bringing new tools and solutions to today’s crowded, transformative health care sector. You will learn about innovations that train physicians using video games, sensor-based technology to prevent and detect falls in the older adult population, and real-time digital assessments and automated care plans to help families and patients better manage Alzheimer’s disease and related dementias.
Millions of Americans, including older adults and people with disabilities or chronic illnesses require long-term services and supports (LTSS) to complete their daily routines. Medicaid is the primary payer across the nation for LTSS and provides coverage through several vehicles and over a continuum of settings. The cost of LTSS and how these services are delivered is going to be an increasingly important question in the years to come. This session will explore the current environment and future of LTSS. Speakers will discuss current issues and trends including MLTSS quality measures, the evolution of long term care from institutional to home and community settings, the Money Follows the Person Demonstration, consumer direction, and the evolution and status of key CMS regulations.
In a world where aging adults will overwhelm the number of caregivers by 2030, the importance of successfully marketing senior technology is critical. In this session, learn how to build awareness and create marketing strategies that resonate for both older adults and their caregivers.
Generally, a telemedicine visit offers a less expensive and more convenient option for patients, as compared to other care alternatives such as the emergency room, urgent care, or in-office primary care physician (PCP) visits. However, questions may remain around the value of the telemedicine visit, such as quality of care received, antibiotic prescription rates, incrementality of telemedicine visits, and re-visit rates for the same condition compared to in-person, PCP visits. In this session, the speakers will address these questions and others, leveraging a quantitative cohort analysis, claims data, and post-visit survey data.
Community outreach can strengthen a health plan’s position with potential members. It is also a valuable opportunity to better understand existing members and pass educational materials along to foster healthy habits. In this session, learn how health plans can root themselves in local communities and create personal relationships that translate into market share.
*Doors for this General Session will open at 3:45 pm and close at 4:15 pm. Wristbands are required for entry into this session, and can be picked up at the Registration Desk on Thursday from 7:00 am to 3:00 pm. All session attendees must be in their seats by 4:15 pm. Bag restrictions will be in place. Small handbags are permitted. All other bags, including briefcases, backpacks and luggage, may be checked at the complimentary Luggage/Bag check, sponsored by Navvis, located in the Ballroom 20 Lobby at the top of the escalator. This General Session is closed to the press and no personal photography or recording is permitted.
This session will describe how transitions of care are being strengthened for members through a program that includes fully-prepared, condition-appropriate, home-delivered meals. Attendees will learn about the results of a recent data analysis, which revealed that members receiving home-delivered meals experienced fewer 30-day readmissions compared to state and regional data. Speakers in this session will provide insights into how meals enhance member engagement and support healthy food access, which is key in tackling social determinants of health. Speakers will also discuss best practices for administering an innovative home-delivered meals program.
To achieve measurable value in today’s healthcare climate, traditional care management methods aren’t satisfactory. In this session, learn how leading health plans are transforming health management to thrive through the challenges ahead.
This session will dissect a new partnership-based business model rooted in scalable infrastructure, secure data sharing, personalized prevention care strategies, and outcomes-focused interventions. Explore how to prevent chronic disease through integrated partnerships that utilize technology to drive better-targeted, more effective behavior change.
Today, consumers are increasingly involved in the plan and care selection of their health care experience, though they expect their health care experience to be like other transactions in terms of simplicity, personalization, seamlessness, and transparency. How can health insurance providers increase consumer loyalty, keep consumers engaged and coming back—online and in person—and help them make better and more cost-effective choices and decisions to manage their health? This session will explore platforms that offer on-demand health care and frictionless transactions and showcase how patients can be treated more like consumers by meeting their needs for convenience and access.
Hurricane Irma. Hurricane Maria. The California Wildfires. This session will highlight first-hand experiences from recent natural disaster and extreme weather events which severely disrupted traditional business operations and care delivery. Speakers will share lessons learned and describe challenges they faced while implementing business continuity plans. They will also discuss opportunities to improve collaborative approaches to meet members evolving health needs and strengthen relationships that foster collaboration throughout all phases of disaster response and recovery.
Inaccurate provider directories can impede a consumer’s access to care. In this session, learn how and why two companies have partnered to create a solution that improves provider data accuracy. This can be achieved by combining provider data review processes with ongoing monitoring. During this session, you’ll gain best practices from industry experts on deploying a defendable, fully transparent process of ongoing compliance of provider data along with network adequacy compliance monitoring.
What does the future hold for the individual health insurance market? How can states foster innovation in coverage, improve market stability, and lower costs to better serve consumers? What are the challenges and opportunities of running a state health care exchange right now? Join us to learn the answers to these questions and more.
Type 2 diabetes is one of the most expensive chronic conditions in America and is steadily growing in prevalence. Typical organizations pay around $16,000 per year in medical and pharmaceutical costs per employee with diabetes. Join this session to learn how adding a new category of care for type 2 diabetes patients — diabetes reversal – can provide your organization with significant cost savings per enrolled patient over the first 24 months. The speaker will review the results of the largest and longest study ever published on type 2 diabetes reversal, and highlight the health improvements patients can have in A1c levels, medication reductions, weight loss and cardiovascular risk scores once their diabetes is reversed.
The San Diego Convention Center is located on a beautiful waterfront setting with an international reputation for five-star service. Set at the edge of the sea, San Diego’s thriving downtown scene is home to sophisticated art, dining and nightlife, surrounded by natural coastal beauty. Everything you need is a short stroll away with hotels, restaurants, shopping and entertainment all close by. The Gaslamp Quarter is also conveniently located across the street from the San Diego Convention Center, offering an array of food options, theater and historic architecture.
With the conference ending mid-day on Friday, what a great opportunity to spend the weekend exploring San Diego. Here are just some ideas of activities to do in the area:
Book now! For a limited time, select hotels have rooms available at the Institute & Expo 2018 group rate. Click on the link to check for hotel availability https://aws.passkey.com/e/49589902.
Room rates are for arrival on Wednesday, June 20, 2018 and departure on Friday, June 22, 2018 with limited availability for arrival on Tuesday, June 19, 2018 and departure Saturday, June 23, 2018. This is a guideline and not a guarantee of availability.
DEPOSITS AND CANCELLATIONS
All room reservations must be accompanied with a two (2) night pre-payment of Room and Tax due at the time of Reservation, guaranteed with a major credit card. If the reservation is cancelled within 14-21 days prior to arrival, the individual will forfeit the two-night deposit. If reservation is cancelled within 13 days prior to arrival, the individual will be charged the entire length of stay.
Existing Reservations at the following hotels:
To make changes or modify a current reservation, you must contact the hotel directly where the room was booked.
Marriott Marquis San Diego Marina
333 W. Harbor Drive
San Diego, CA 92101
Marriott Reservations 1-800-228-9290 or 1-619-234-1500 ext. 6800
San Diego Marriott Gaslamp Quarter
660 K Street, South Bldg., Suite 500
San Diego, CA 92010
Marriott Reservations 1-800-228-9290 or 1-619-234-1500 ext. 6800
Hilton San Diego Bayfront
1 Park Blvd
San Diego, CA 92101
Hilton Reservations – 1-800-774-1500
Hilton San Diego Gaslamp Quarter
401 K Street
San Diego, CA 92101
Hilton Reservations – 1-800-774-1500
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