You’ll be inspired by the best minds in health care and beyond in general sessions focused on trends and larger-picture considerations. See below for some of our keynote speakers, and click here to see the agenda.
Thousands will gather in Nashville to share ideas, new ways of thinking and partnerships. You’ll find an agenda filled with networking events.
End your first day of sessions and networking at Institute & Expo with an energy-filled concert by American country band, Midland.
In the Exhibit Hall, you’ll find solutions health insurance providers are relying on to make health care better for consumers. With 150 companies with products and services ranging from technology to operations and more, solutions are just a few footsteps away.
You’ll find plenty of “roll up your sleeves, let’s figure out the details”
discussions in concurrent sessions broken into eight educational tracks.
Exclusive Loyalty Event with Nashville Songwriters
Every business has a story to tell and who better to help break down creative walls and get you thinking differently than those who tell stories for a living? Simply put, Nashville award-winning singers/songwriters understand the importance of clear-cut messages.
Join us for this special AHIP VIP Loyalty Experience featuring four Nashville songwriters who will perform their own music and tell the stories behind their biggest hits.
Click here for details, including registration eligibility.
Get ready to think creatively about how to best tell your company’s story.
Join us for this special AHIP Encores Experience featuring four renowned Nashville songwriters who are engaging, fun, and understand the importance of a clear-cut message that will leave an impact. They’ll perform their own music while telling the stories behind their biggest hits. Get ready to think creatively about how to tell your company’s story to best resonate with the consumers that you serve. Click Here to Learn More.
Registration is limited to loyal Institute & Expo participants who work for AHIP member health insurance providers.
This session will provide an overview on how to transform chronic disease management to achieve the ultimate result for health plans: better value, better outcomes and an improved patient experience. Attendees will learn how to care for the high-need patients of the future through early detection, tech-enabled home care delivery solutions, custom EHRs that put patients at the center of care, and predictive analytics to help patients avoid costly hospitalizations. Attendees will also learn about the impact of integrated kidney care models on dialysis patients, and comprehensive, in-home care team delivery models for polychronic patients.
Skynet? Minority Report? Or just another day at the office for Amazon, Google, and perhaps your competitors? Part primer, part mind-stretcher, this session will orient you to the latest developments in the use of artificial intelligence (AI) in health care, and help you plot a roadmap for your journey. In this session, hear from health plan leaders and AI practitioners from outside health care on how they are using AI today, and how you should think about its use in analytics, care management, and growing membership.
Cancer treatments are developing and launching rapidly, with therapies often costing hundreds of thousands of dollars per year. While new treatment options and scientific developments are a potential boon for patients in the short-term, they can also be challenging to providers trying to keep up with the latest and best choices for their patients. With limited integration, health plans may find it hard to track adherence to the latest guidelines, protect against drug interactions and ensure patients are being prescribed the right regimen at the lowest net price. But thanks to the latest innovations in cost management and holistic patient care, health plans can now adopt integrated, condition-specific strategies to address the full range of cancer care challenges. Join this session to learn the latest market dynamics influencing the oncology space, including pipeline, treatment trends and the cross-benefit management of cancer therapies. The speaker will also address how health plans can build a comprehensive and connected oncology strategy while controlling costs, preserving quality and improving the patient experience.
Today’s health care ecosystem will be disrupted by radically interoperable data and the empowered consumer. In this session, speakers will discuss how interoperability will be the catalyst for establishing capabilities that support a future where empowered consumers — who are focused on their well-being and demanding more customized products and insurance offerings — will drive the future of health.
There are thousands of potential health indicators from which to choose. Which signals are important and how do we make them useful? Join this session to learn how to incorporate socio-behavioral determinants of health (SBDoH) to more effectively manage risk, match members to the right care, design better networks, and establish new value-based models. The speaker will explore challenges in applying SBDoH to member risk management, and discuss why SBDoH are important for more precise and actionable risk stratification.
Most health plans want to increase member engagement in order to improve outcomes and decrease costs. This is no easy feat to achieve, unless you can combine personalized data with provider connections to enhance outcomes and increase member satisfaction. Join this session to learn how you can create an integrated platform for your members, one that offers convenient access to care with top providers and lowers costs through virtual care, thus driving measurable engagement with your members.
Developing and deploying a successful alternative payment model (APM) program requires collaboration and an end-to-end solution that helps you achieve your short-term goals yet is scalable to accommodate and evolve your long-term vision. Join this session to learn strategies to achieve and scale successful APMs. The speaker in this session will discuss the four key phases of the alternative payment model program development process, and provide insights on the key metrics and success factors that can help evolve a health plan’s current APM program. Attendees will leave this session with a blueprint to help them and their team achieve APM success.
In early 2019, several health care companies announced plans for a blockchain-enabled health utility network, with a goal of improving transparency and interoperability in the health care industry. Their collective objective is to create an inclusive blockchain network that can benefit multiple members of the health care ecosystem in a highly secure, shared environment, thus enabling health care companies to build, share, and deploy solutions that drive digital transformation. Join this session for an update on their approach to leveraging blockchain technologies to address some of the industry’s biggest challenges.
The industry has acknowledged the need to improve the quality of information in health plan provider directories. Consumers expect current information about the providers in their networks, and providers want easier ways to share this information with health plans. Artificial intelligence (AI) has proven to be the next frontier in improving the quality and accuracy of provider directories. Join this session to learn how AI is being used to remedy data quality issues within provider directories, and the next steps the health care community must take to make this an industry-wide reality.
This session will provide a snapshot of how continuous glucose monitoring systems can improve the lives of people with diabetes. The speaker will discuss recent studies of how continuous glucose monitoring has improved health outcomes for diabetes patients, and the subsequent cost-savings impact on payer organizations. The speaker will also examine the shifting care for insulin-using patients under this life-changing technology, and how the management of diabetes will be transformed with continuous glucose monitoring systems.
New technologies and the imperatives of an aging population are enabling and supporting more in-home patient care. In this session, a panel of health care executives will share effective strategies and care models that address the complex medical, behavioral and social needs of high-risk and high-cost patients. Areas of focus will include new clinical models for care at home, the impact of social determinants of health (SDOH), and using artificial intelligence and advanced analytics to make the patient’s home the most effective and efficient setting for chronic and post-acute care.
Join this session to learn how one health plan is leveraging machine learning (ML) technologies for their complex care programs. Speakers will discuss the methodologies they developed for building and training performant models, technologies for scaling model development, and the uses of these models to identify members who are ideal candidates for specific care programs. Speakers will also discuss their future roadmap for ML-driven complex care, both in terms technology and clinical development.
This session will explore how health insurance providers and other organizations are changing the way they do business to better serve the needs of patients and consumers.
With social determinants playing a large factor in a person’s care, how can managed care organizations leverage the advancements of technology and human touch services to improve member engagement and care management? In this session, attendees will look through the lens of an ACO, social worker, and a technology provider, in order to explore how senior Medicare and Medicaid beneficiaries can benefit from today’s technology while aging in place and maintaining their independence.
While there are powerful tools to reduce unnecessary utilization – e.g. the case-by-case assessment of medical necessity offered by traditional utilization management protocols – wasteful care remains a blind spot in medicine because existing tools do not account for the inherent nuance involved in clinical decision making, and often foster an adversarial relationship between health plans and physicians. Join this session to hear a health plan client and a practicing physician leader discuss the importance of incorporating Appropriate Use Measures into quality and value-based payment programs. Speakers will also showcase a successful model to partner with physicians to implement Appropriate Use Measures, and share how visibility into individual practice patterns relative to peers is driving self-correction in practice.
Consumers desire digital experiences that are convenient and personalized, while payers seek relationships with members that turn them into brand advocates. But how do health plans improve the member experience beyond the user interface? In this session, speakers will discuss methods for setting, quantifying and prioritizing member goals, in a way that cuts the noise and drives the most crucial high-value goals to the surface to improve the customer experience and drive ROI. They will also discuss how one health plan is using the power of next-generation CX technology and digital capabilities to better understand their members’ needs and strengthen their relationships with members, in order to drive behavior change and improve health outcomes.
What are the attributes of high-performing primary care, and what are the organizational environments that offer the best opportunities for high-performing care to thrive? Attendees in this session will learn how to target specific patient populations with focused care management. Attendees will also learn how to apply risk-adjusted data using Potentially Preventable Events (PPE) methodologies to target low-value health and spending outcomes. The speaker will discuss practical strategies for combining data-supported physician education, innovative primary care incentives, and collaborative efforts across the continuum of care, in order to focus resources for significant improvement.
It is widely known that the patient/doctor relationship is important in driving loyalty to a plan. Consumers are willing to jump from plan to plan in order to keep their doctor. This session will explore how a health system and health insurance provider are meeting consumer demand for ease and convenience with providers and members. Join us to learn about innovative programs that are building long lasting patient/provider relationships.
Digital therapeutics deliver evidence-based therapeutic interventions to patients and are driven by high-quality software programs to prevent, manage, or treat a broad spectrum of physical, mental, and behavioral conditions. They can be used independently or in conjunction with medications, devices, and other therapies. This session will provide a “state of the industry” overview of digital therapeutics. Speakers will also discuss the real-world experience of one health insurance provider’s implementation of an end to end lifestyle medicine platform. Join us to learn how this new category of medicine could transform personalized patient care, improve customer loyalty, and drive down costs.
Join this session to learn how health insurance providers are focusing their alternative payment design and implementation efforts on how to best support patients and consumers, in order to align payment with the principles of patient-centered care. Panelists will explore the idea that misalignment between payment and patient priorities creates significant barriers to improving care and reducing costs.
According to the Centers for Disease Control and Prevention (CDC), chronic diseases such as heart disease, cancer, and diabetes are the leading causes of death and disability in the United States. They are also leading drivers of the nation’s $3.3 trillion in annual health care costs. Studies show that improving access to better nutrition, especially for those with chronic conditions, is an effective way to reduce medical costs and improve a person’s overall health. Health insurance providers have a unique opportunity to design member programs that can result in better condition management, and address social determinants of health. Speakers in this session will share analysis of the clinical results and cost savings from a successful home-delivered meals program for members with diabetes.
The best chronic condition management programs empower members through effective and supportive behavioral modification. Musculoskeletal issues have higher societal costs than cardiovascular, diabetes or cancer – and back pain is the leading driver, in terms of member disability, health plan cost, and employment cost. Join this session to learn how two very different health plans have deployed a digital therapeutic program to improve member outcomes, and reduce opioid use and utilization of aggressive diagnostics and treatments. The speakers will discuss deployment strategies, clinical and financial metrics for success, member engagement, physician engagement, and innovative ways to leverage plan design.
There is a growing consensus among health care stakeholders that social determinants of health (SDH) are powerful influencers of outcomes, utilization and cost, but less agreement as to how to collect and use this information in patient care, performance measurement, and payment systems. In this session, industry experts will explore two key areas of debate around the use of SDH: leveraging SDH to risk adjust quality measures, and the factors that should be evaluated to accurately capture the full impact of patients’ SDH. Attendees will gain insight into how SDH affects health care utilization, medication access and quality outcomes, as well as learn about implications for population health management through predictive modeling.
The push for accurate provider directories has surfaced one fundamental truth – there is no silver bullet to address provider data quality. As an industry and cross-industry, we must shift our energy towards establishing an industry source of truth that looks beyond provider directory accuracy as a goal. What does this source of truth look like, and how do we get there? This session will provide an industry roadmap that accounts for the key components and stakeholders required to solving this challenge. We will explore the limitations of self-reported data; the realities of roster ingestion; the importance of ongoing validation and augmentation; the role of artificial intelligence, machine learning and claims analytics; the lag with provider engagement; and the promise of other emerging approaches that work off a multitude of data sources and feed a multitude of functional work streams across the enterprise.
Digital is no longer a differentiator. It has become part of everything we do as people and as businesses. However, its impact on individuals’ expectations is changing. People are increasingly expecting health care on their own terms, and they expect digital to support delivery of health care when, where, and how they want it. This session will highlight the five emerging trends that will shape businesses over the next three to five years: DARQ Power, Get to Know Me, Human + Worker, Secure Us to Secure Me, and MyMarkets. Each trend demonstrates how digital maturity is raising expectations, abilities, and risk in health care.
Natural disasters, prescription recalls, and even public health crisis can threaten patient safety, access to care and medication adherence. To improve the member experience, health plans must proactively contact thousands of individuals and provide important information about access, benefits and coverage. Rapid response is essential, but can also be challenging. This session will focus on incorporating crisis management into member communication plans through innovative messaging and digital technologies. The speaker will offer best practices and lessons learned from recent natural disasters and prescription recalls, including key considerations specific to all member populations. In addition, attendees will learn how to improve brand perception and loyalty with proactive (and compassionate) engagement programs that prioritize member health and safety.
Research indicates social determinants of health (SDoH) – housing, transportation, financial security, loneliness and more – drive more than 80 percent of health outcomes. Increasingly, health insurance providers are seeking ways to scale their efforts to mitigate their members’ social determinant-related barriers to care. In this session, attendees will learn how nurse care members use an analytics platform to stratify chronically-ill members, identify and address their social determinants of health, and deliver more personalized care.
Health plan leaders should work to redefine the role of analytics in their organizations, and move toward building prescriptive engines integrated into business processes. Join this session to learn how one health plan is innovating their analytics journey to drive augmented intelligence in chosen business functions. Speakers in this session will share learnings from innovative approaches using augmented intelligence, and how the new processes have enhanced the consumer’s experience.
As the health care industry continues to make significant investments in innovations to combat fraud, waste, and abuse, a health plan’s social media presence should not be overlooked. Social media is more than just an information-sharing platform; it has become a new marketplace and a massive data source. The ability to identify, detect, and scrub improper activities and imposter identities on social media — in real time and in conjunction with other solutions — could translate into saved reputations and costs. Join this session to learn about solutions that incorporate a social media protection service as a necessary safeguard to combat fraud and abuse.
End your first day of sessions and networking with an energy filled concert by American country band Midland. What a great setting in which to meet new colleagues and reconnect with others.
Lead vocalist Mark Wystrach fronts Midland’s rich sound that is rounded out with lead guitarist Jess Carson and bass player Cameron Duddy.
Their critically-acclaimed freshman album, ON THE ROCKS (Big Machine Records), features 13 tracks with songwriting credits from each member alongside hitmakers Shane McAnally and Josh Osborne. Launching to rave reviews from notable outlets such as the Los Angeles Times and Rolling Stone Country, ON THE ROCKS was declared “the year’s best Country album” by The Washington Post.
Midland was also named New Vocal Group of the Year at the 2018 ACM Awards.
Proof points exist across industries on the power of artificial intelligence (AI) to transform operations and strategy, and the payer world is no different. In this session, attendees will dive deeply into the two major ways AI stands positioned to deliver value to health insurance providers: first, through linear improvements in traditional health plan functions like reserve setting and fraud prevention; and second, through geometric improvements in pairing predictions with targeted screenings and upstream clinical and social-determinant interventions.
A handful of device connections and data points are not enough to understand the complexity of your patient population. What devices, how many devices, what data, how many data points lead to the best engagement? Speakers in this session will dive into the critical elements and considerations for device and data strategies in health care. Focusing on three key elements of engagement (socialization, personalization, and connection), the speakers will lead a discussion on lessons learned, best practices, and expected outcomes from using data to drive to health outcomes and quality of life.
Health care is moving toward a more retail-oriented model, but lags significantly in consumer satisfaction compared to other industries. Speakers in this session will discuss how they are leveraging digital marketplaces to drive transformation in health care. Speakers will also address how they are working with leading organizations to improve the clinical and financial experience for consumers, thus helping consumers navigate their financial journey and obtain greater flexibility in payment options.
Housing is one of the key social drivers of health status. But interventions to ensure stable housing are complex, expensive, and require collaboration with various stakeholders. In this session, speakers from two Medicaid plans will provide insights into their programs, lessons learned, and initial results.
Managing complex chronic behavioral health conditions, such as Autism, is a top priority for health care organizations looking to deliver quality care while also containing costs. Health plans must prepare to manage benefits with keen attention to how network, evidence-based treatment, and outcomes measurement impact the member experience. Join this session to learn how innovative access solutions, family support programs, and evidence-based clinical care guidelines can positively impact health outcomes. Learnings can be applied broadly to member populations with behavioral health conditions.
Addressing social determinants of health (SDoH) requires action on four interrelated aspects: identifying vulnerable populations; finding local, culturally-sensitive community services to address these vulnerabilities; providing those services; and studying the impact of these service programs on costs and outcomes. This session presents new research assessing health plan engagement in these key areas, as well as insights from several health plans on their approach to measurably impact SDoH among their members.
Since its launch in 2015, the Health Care Payment Learning and Action Network (HCP-LAN) has worked to accelerate the adoption of alternative payment models (APMs) across the health care landscape by creating and sharing foundational learning resources for APM design. As a capstone to this work, the HCP-LAN has developed a practical, easy-to-use tool to help guide the design and implementation of high-performing APMs. The tool is a unique contribution to the field of health care payment reform, developed from direct conversations with 8 national and regional commercial payers, as well as the Centers for Medicare & Medicaid Services (CMS), who are experiencing success with ten different population- and episode-based payment models. Join the panelists to learn more about this interactive, web-based tool, and hear promising practices for shifting from fee-for-service to value-based, person-centered care and key characteristics of high-performing APMs.
The concept of Total Rewards made its debut in the 1990s, as a way for organizations to communicate the value of their compensation, benefits, and work/life programs. While the concept still resonates, today’s employees are looking for more than a transactional “give” and “get” relationship from their employer. Join this session to learn how a corporate focus on total well-being can create new opportunities to engage employees in ways that matter most to them.
Upwards of 75,000 genetic tests currently populate the market, with 10 new tests becoming available each day. Accompanying the exponential growth of precision medicine is an increase in instances of inappropriate coding of genetic tests, which can result in significant billing and payment burdens for physicians and their patients. In this session, the speaker will share common genetic testing billing/payment problems, outline an AMA solution pilot, and let attendees know how they can participate.
Speakers in this session will discuss the trends across various complex disease states, and how a common-sense approach to pharmacy benefit management can benefit both the health plan sponsor and the patient.
This session will provide an overview of emerging machine learning platforms that can be used to manage members through the health care continuum, with the goal of improving their outcomes and lowering the total costs of care. In this session, the speaker will focus on three key areas: precision navigation for matching patients to optimal providers; precision interception for identifying plan members who are most at risk for over-utilization of high-cost interventions; and a precision treatment platform that can identify patterns suggestive of fraud, waste, and abuse in relation to ordered diagnostic and therapeutic interventions. The session will conclude with a perspective from early adopters on how the operational use of these technologies in live deployments establishes significant potential to empower organizations managing health care risks and costs.
Solving interoperability and data liquidity issues across the health care ecosystem is imperative to addressing the needs of the 21st century patient and consumer. In this session, HHS and ONC leadership will discuss recent proposals that support seamless and secure access, exchange, and use of electronic health information. Learn how the administration is working to increase data availability, promote technology interoperability, and leverage artificial intelligence to engage patients in their health care using their data to maintain and improve their health outcomes.
Customer expectations continue to change at a rapid pace, fueled by advancements in technology and coupled with new market entrants and changes in competitive landscapes. Automation, artificial intelligence and access to data present incredible opportunities for companies to innovate quickly and deliver experiences that are easy, create connection and reinforce value. This session will explore how one of the largest providers of insurance in the U.S. deploys a deliberate approach to customer experience and innovation – one that is bringing digital solutions to market while maintaining the kind of caring, personal service that creates satisfaction and loyalty among their customers.
With all the hype around digital health, what have we learned from the failures and successes so far? How are health insurance providers engaging with digital health? And where are things likely to evolve from here? In this session, a leading venture investor will share perspectives on how her organization strategically aligns itself with companies that forward high-value, patient-focused care that supports their commitment to the communities they serve. She will also explore key challenges, opportunities and trends, and how investor sentiment is evolving. Join us for a pragmatic look at what factors you should consider when innovating your digital health strategy over the next 3-5 years.
Traditionally, the predominant theory of human behavior was that people more or less made decisions rationally. For centuries, most approaches to changing behavior relied considerably on education or some version of a carrot or stick. But if these tools were sufficient to change behavior, then no one would smoke, everyone would wear their seat belt when in a car, and those aiming to lose weight would easily skip that tempting dessert. Behavioral economics is a relatively new field that combines insights from psychology and economics to make use of the predictable errors in our judgment—the errors that lead us to overeat when we want to lose weight, fail to save enough for retirement, not take our medications as prescribed, or not prescribe medications according to established guidelines. In this session, a leading expert in this field will examine concepts of behavioral economics that challenge the traditional theory of human behavior and discuss how to adjust the model to better drive positive health behavior change.
Portrayed as bloated, wasteful and among the worst in comparison to other industrialized countries, health care in the United States hasn’t gotten a fair shake. In this session, the chief executive of an expansive integrated health system will spotlight the achievements that breed optimism. Greater quality, safety, access and affordability have been augmented by historic breakthroughs in treatments for heart disease and cancer; integration of behavioral health services into primary care; recognizing and acting upon the broad effect of social determinants of health; consumer empowerment focused on measures and outcomes that matter most to patients.
How will health policy and health care reform influence the 2020 elections – and beyond? Two seasoned health policy experts will offer perspectives on the interactions of policy and politics leading up to the presidential election and discuss the trajectory of health care in America moving forward.
Following passage of the Affordable Care Act, the Centers for Medicare & Medicaid Services made a significant investment in demonstrations designed to pay for value over volume. The administration has recently announced several new models to further advance this goal. How effective have these efforts been to date, and what can we expect for the future? In this session, a leading expert in this field will speak about what works, what doesn’t work, and how to transform the health care system to one that pays for value.
Every industry has a crowded market place, but health care is homogenous. Learn how to create a stand out brand and use experiential marketing to differentiate. Hear from the prior CXO of a health plan and PBM as well as the past President of major retail sports company about how they build brands that felt different from the crowd. They both harnessed the power of creating experiences to build their consumer brands and will share lessons learned.
This session will explore the rationale and barriers to delivering the expert-recommended three pillars of best practice musculoskeletal care: exercise therapy, behavioral health, and education. Attendees will learn how an employer evaluated and implemented a comprehensive digital musculoskeletal care solution that achieved significant pain reduction in their employees, cut depression rates in half, and addressed high medical spend by avoiding two out of three surgeries.
The health care industry faces immense pressure to improve access to care, affordability, quality of care, and consumer experience. Robotic Process Automation (RPA) and Artificial Intelligence (AI) are game-changing solutions that allow health insurance providers to automate highly manual and document-heavy processes, and redirect their workforce to higher value activities that directly impact the consumer’s experience. Join this session to learn more about how organizations can use RPA and AI to improve quality measures, support efficiencies and use of health care data.
This session will explore strategies and practical approaches to reduce oncology drug spend, ensure effectiveness of medical care utilization, and improve affordability. Learn how one health plan partnered with providers on the development of a meaningful practice tool focused on potentially avoidable admissions during chemo treatment.
As more provider contracts are tied to value-based care, the need for health plans and providers to hold each other accountable for improving care and affordability has never been more important. Technology can provide health plans with an innovative way to engage providers with the information necessary to make the best prescription decision — both clinically and fiscally — for the patient. Join this session to learn how providing benefit information to providers at the point-of-care can enable a successful transition to value-based care.
During this moderated panel discussion, health plan leaders will explain how integrated virtual care is transforming the way people access health care. Each presenter’s unique story will illuminate instances where their organization is using a virtual care strategy to address the three most significant concerns challenging health care today: access, quality and affordability. Through the development of differentiated offerings reliant on innovative models of care, these organizations are delivering greater convenience, outcomes and value to their members.
The Health Care Cost Institute’s (HCCI) public profile has grown rapidly over the past few years, establishing it as a thought leader on cost and utilization trends in the commercially-insured population. To assemble its best in class dataset that enables these insights, HCCI creates mutually beneficial relationships with health plans. Speakers in this session will discuss how HCCI works with health plans to share insights, provide value through QE-powered analytics, enable external research and to support compliance with all- or multi-payer claims database efforts.
This session will explore how health plans are utilizing the retail clinic experience and/or other forms of convenience care to promote access and affordability, improve the consumer and patient experience, and engender brand loyalty.
This session will provide a look at the health care industry’s progress toward accurate point-of-service payments and the track to get there. Strategies incorporating enhanced real-time technology and long-term collaboration (with providers and partners) will be examined in order to transform payment processes for payers. Attendees will learn how commitment to these principles and a design-thinking mindset can help move the industry further toward delivering the successful future payment structure that both providers and beneficiaries seek.
Every year, 3.6 million Americans miss doctor appointments due to a lack of reliable transportation. In this session, you will learn how health care organizations are using ridesharing and/or supplementing their non-emergency medical transportation (NEMT) benefits to improve member satisfaction and outcomes by removing transportation as a barrier to care. This session will cover how ridesharing has evolved to become a viable option for NEMT. The speaker(s) will also provide a glimpse into where ridesharing companies are looking to expand, in order to help improve overall patient health outcomes.
Join this session to hear how the results of an innovative, virtual experience can impact your clinical outcomes, and develop more satisfied and accountable members. The speakers will share their experience with strategies that drive meaningful change to cost, quality, and the total member experience.
Social isolation and loneliness are emerging as urgent health issues. This session will highlight three health plans who are reframing the conversation around mental wellness and using innovative care management strategies to demonstrate their commitment to the communities they serve.
The revolution in voice-enabled interfaces is becoming a standard part of our everyday lives, shifting the way brands and consumers interact. In this session, speakers will discuss how voice technology is changing the way people access and comprehend care to improve health outcomes successfully, and the experience from the consumer’s viewpoint.
As our population ages and more and more people have conditions that require palliative care, it is paramount to push for innovations that will help patients, physicians, and family caregivers navigate a complex health care system and care for individuals with special needs or serious health conditions. Speakers in this session will discuss opportunities for working together towards an inclusive approach that makes palliative care more understandable and accessible for people and families across the age spectrum. Speakers will share information about the innovative solutions and strategies they are driving around patient-centered palliative models that align care with personal wishes, reduce economic burdens, address social determinants of health inequities, and improve quality of life for patients and their family caregivers.
Health insurance providers are bombarded by what seems like an endless supply of point solutions, creating confusion for members who must figure out how to navigate to each unique program they need. This session will explore a data-driven, machine learning and consumer activation strategy that creates a personalized experience for each member, and provides analytics to show your organization whose attention you are getting (or not), with insights into what needs to change.
This session will explore plan strategies and integrated approaches for addressing the physical, behavioral, and social needs of special populations.
This session will examine how Provider Directory Accuracy informs Network Adequacy. As emphasized in the CMS 2020 Call Letter, you can no longer measure one without the other. The speakers will demonstrate the importance of having a completely integrated solution that blends the two and allows you to monitor and trend both sides of the equation. Also, you’ll learn how the market is migrating to a blended solution that allows for the integration of cost, quality metrics, and efficiency measures to execute value-based contracting and mitigate risk factors such as surprise billing – positively impacting your member satisfaction, STARS ratings and more.
Innovative new treatments and advanced therapies have provided a fundamental shift in oncology care. The shift in care has transformed outcomes for patients with diseases once thought incurable, and done so with fewer, less adverse, long-term side effects. While it’s exciting news for stakeholders (patients, providers and payers), better care and outcomes come at an all-time high cost, and the expense continues to climb. In this session, attendees will learn more about technology solutions that are driving the evolution of patient-centric cancer care, by providing transparency and access to information that enables patients, providers and payers to become true partners in health care decisions.
Primary care is a key component to a healthy and productive, long life. While research shows that positive health care outcomes are strongly linked to the availability of primary care physicians (PCP) and a continuum of care, primary care isn’t working for a large and growing portion of the population; nearly 30% of American adults don’t have a PCP. In this session, learn how a virtual primary care program can improve access and member satisfaction, while decreasing costs for both members and health plan partners.
This session will explore the value and key features of a Long Term Services and Supports (LTSS) capability that is fully integrated within a population health management platform. Attendees will learn the benefits of accurate identification and risk stratification among LTSS participants, data integration and sharing, care coordination between multiple entities, LTSS provider network management, and automated processes. This session will also address the need for systems to support multiple services and providers – traditional and non-medical – in order to collect data from entities lacking robust information infrastructures.
This session will provide insights as to how health care complexities directly correlate to consumer dissatisfaction and lack of engagement, and what health plans can do to simplify the consumer experience. This session will also help attendees reimagine engagement strategies from the consumer’s perspective, with the goal of creating truly human experiences in the moments that matter, and to deal with the health plan’s readiness to change.
How many questions do you still have about how to actually get things done? Need advice on how to drive innovation? Have a burning question on how to get your CFO’s attention? This session provides you with the opportunity for up close and personal access to the speakers you’ve heard from previous sessions. First come, first serve seating for an open dialogue with these leaders.
Traditionally, health plans have utilized claims data, clinical data, and pharmacy data to better target and design programs for patients. However, with different types of SDOH data more readily available, health plans and providers can leverage newer sources of data to better formulate insights into health disparities and create appropriate interventions to reduce inequities. Join us to learn what’s now and what’s next.
This session features an overview of new products that will provide the health sector with timelier summaries of existing evidence, particularly around novel and emerging therapeutics and technologies. Learn about the goals of new Healthcare Horizon Scanning System and Emerging Technologies and Therapeutics Report series, followed by a deep dive into the findings of the inaugural emerging technology report on gene therapies.
Payer-sponsored value-based care (VBC) programs are moving from physicians to ancillary providers, but one size does not fit all. This session will cover how programs should be tailored to the providers and patient populations, specifically within populations with complex health care conditions. The session will focus on how a nationwide integrated healthcare provider transformed its business model, clinical practices, contractual arrangements, physician relationships, technological capabilities, and organization to launch a health plan and include more than a quarter of its patients in VBC programs over the course of four years.
Music City Center
201 Fifth Avenue South
Nashville, TN 37203
Nashville, one of America’s leading health care centers, is the ideal location for Institute & Expo. Nashville has helped shape the nation’s health care landscape for the past four decades and continues to improve the delivery of patient care across the globe.
Beyond being a leading health care hub, Nashville has so much more to offer you during Institute & Expo.
Start planning your trip with some additional resources:
For a limited time only, the Omni Nashville has rooms available for the Institute & Expo 2019 at the group rate. Rooms are based on availability and subject to change.
To book at the Omni Nashville – Call Omni Reservations 1-800.THE.OMNI (843-6664); Reference AHIP or Institute & Expo for the discounted rate.
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.
To make changes or modify an existing reservation, you must contact the hotel directly or online where the room was booked.
JW Marriott Nashville
Online – https://www.marriott.com/hotels/travel/bnajw-jw-marriott-nashville/?scid=bb1a189a-fec3-4d19-a255-54ba596febe2
Call – Marriott Reservations 1-800-228-9290
Online – https://www.marriott.com/hotels/travel/bnash-renaissance-nashville-hotel/
Call – Marriott Reservations 1-800-228-9290
Online – https://www.marriott.com/hotels/travel/bnawi-the-westin-nashville/
Call – Marriott Reservations 1-800-228-9290 or 615-248-2800
Online – https://www.omnihotels.com/hotels/nashville/property-details
Call – Omni Reservations 1-800.THE.OMNI (843-6664)
Hilton Nashville Downtown
Online – https://www3.hilton.com/en/hotels/tennessee/hilton-nashville-downtown-BNANSHF/index.html?SEO_id=GMB-HI-BNANSHF
Call – Hilton Reservations – 1-800-774-1500
Hyatt Place Nashville Downtown
Online – https://www.hyatt.com/en-US/hotel/tennessee/hyatt-place-nashville-downtown/bnazd
Call – Hyatt Reservations 1-800-233-1234
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