Institute & Expo 2017

  • June 07 – 09, 2017
  • Austin, TX
  • About
  • Agenda
  • Plan Your Trip
  • Sponsors &
    Exhibitors
  • register now
about

Austin, TX

During Uncertain Times in Health Care, There Are Even More Reasons to Attend Institute & Expo.

Focused on thinking differently and re-imagining health care, Institute & Expo delivers solid answers, ideas and inspiration. You’ll head back to the office with more clarity on priorities to drive your organization’s long-term success.

What’s your reason for joining us in Austin? 

1. THE HEALTH CARE ENVIRONMENT

The health care landscape is fluid, and so is Institute & Expo. You’ll find sessions filled with the most current information, as we nimbly work with speakers up to the conference.

2. TOPICS THAT MATTER

From general sessions to concurrents and breakfast briefings you’ll take home real-time knowledge on topics that aren’t going away.

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3. SPEAKERS LEADING CHANGE

Leaders from leading companies fill the agenda. Anthem, Harvard Pilgrim, Scripps, PatientsLikeMe, Michael J. Fox Foundation, Eli Lilly and Company, Turntable Health, Leavitt Partners and GSD&M are just a start.

4. INFLUENCER SERIES

New this year, enjoy sessions that combine the global thinking of general sessions with the details offered in concurrent sessions

5. ROI

Attending a conference takes resources – both time and budget. Institute & Expo is designed to deliver solid returns that would be hard to gain on your own.

From a range of sessions, networking events and product demos, you’ll have access to the smartest thinking and newest ideas available.

6. VALUE

Boost your ROI when you take advantage of various discounts, including early registration rates and team discounts available to AHIP Health Plan members.

7. EXHIBIT HALL

With nearly 200 exhibitors showcasing tools and solutions changing health care, you’ll have ample time to see demos, ask questions, and leave with contacts for important follow up discussions.

8. STAY AHEAD

Don’t Get Left Behind. Thousands of health care professionals from around the country will be networking, sharing ideas, and focusing on what’s next. They understand why attending in-person conferences is so critical to success.

NEED MORE REASONS?

Listen to why others attend AHIP conferences year after year. Watch now https://www.youtube.com/watch?v=DThq9nyVmOY.

Need to convince your boss? Click here.

Be Part of the Discussions.

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Early Registration

Save $300 when you register by May 5. Institute & Expo is one of the best investments you’ll make this year.

WHY YOU SHOULD ATTEND

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Learn

Learn from fearless innovators, champions of change, and trusted voices.

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Lead

Make an impact. Help us shape the national conversation about health care.

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Connect

Engage a robust network of experts, customers, partners, and suppliers.

agenda
  • Overview
  • June 07
  • June 08
  • June 09

Select Event Track

  • Data Analytics & Insight
  • Industry Disruption & Innovation
  • Consumer Experience
  • Advancing APMs
  • Technologies & Business Solutions
  • Prevention, Health & Well-being
  • Complex Conditions
  • Navigating Health Care 2.0
  • Consumer and Patient Experience
about

Select Event Track

  • Data Analytics & Insight
  • Industry Disruption & Innovation
  • Consumer Experience
  • Advancing APMs
  • Technologies & Business Solutions
  • Prevention, Health & Well-being
  • Complex Conditions
  • Navigating Health Care 2.0
  • Consumer and Patient Experience

ins_316_247_institute17_agenda_download_icon_656px_1

Each year, Institute & Expo draws big-picture visionaries and mission-focused stakeholders to share ideas in a mix of general and concurrent sessions, and breakfast briefings.


General Sessions

The agenda is filled with leaders from health care and other industries who will deliver powerful, inspiring sessions. Take a look at the full agenda, by day, to learn about the general session speakers.

Concurrent Sessions

Concurrent Session Tracks are all about learning best practices, making connections, and growing your success.  Customize your Institute & Expo experience when you mix and match sessions from eight educational tracks.

Institute & Expo 2017

June 07
7:00 am
5:30 pm

Institute & Expo Registration and Information Desk Open

Sponsored by Optum

The registration and information desk will also be open Tuesday, June 6 from 2:00 pm – 6:00 pm.

7:30 am
12:30 pm

CEO Forum (registration limited; separate registration fee)

viewevent_button_pink

10:00 am
11:30 am

Institute & Expo Registration in the Solar Atrium

Featured musician Ben Cina has performed with Third Eye Blind, Pat Green, The Doobie Brothers, Ben Kweller as well as many other talented musicians throughout his career.

11:15 am
1:15 pm

Institute & Expo Luncheon in the Exhibit Hall

Acoustic Lounge sponsored by AHIP SmartBrief Newsletters.

Featured musician Ali Holder has fronted two bands: the folk-leaning Ali Holder & the Broken Hearted, and R&B band Ali Holder & the Raindoggs.

11:15 am
7:00 pm

Exhibit Hall Open

1:15 pm
1:15 pm

General Session Welcome

Conference Moderator

Susan Dentzer

President and CEO

Network for Excellence in Health Innovation

View Speaker Biography

1:15 pm
2:00 pm

Reinventing Health Care for the Future

General Session

Joseph R. Swedish

Chairman; President and Chief Executive Officer

Anthem, Inc.

View Speaker Biography

2:00 pm
2:45 pm

Making Health Care Accessible and Affordable for All Americans

General Session

Governor Mike Leavitt

Founder & Chairman, Leavitt Partners; former Governor of Utah and Secretary of Health and Human Services in the Bush Administration

View Speaker Biography

2:45 pm
3:30 pm

The Future of Precision Medicine

General Session

Eric J. Topol, MD

Author, The Patient Will See You Now and The Creative Destruction of Medicine; and Director, Scripps Translational Science Institute

View Speaker Biography

3:45 pm
4:30 pm

Influencer Series

ins_317_284_institute_influencer_series_icon_98x98_1cLearn, share, connect and engage with health care thought leaders in AHIP’s Influencer Series. In these sessions, attendees will hear from five transformational figures who are influencing the way we think about health care in specific topic areas.

3:45 pm
4:30 pm

Advancing the Framework for Payment Reform and Benefit Design to Improve Health Care

Influencer Series:
Advancing APMs

Michael E. Chernew, PhD

Leonard D. Schaeffer Professor of Health Care Policy and Director, Healthcare Markets and Regulation Lab

Harvard Medical School

View Speaker Biography

3:45 pm
4:30 pm

Lessons Learned from the ACA and the Path Forward

Influencer Series:
Navigating Health Care 2.0

Nancy-Ann M. DeParle

Partner and Co-Founder

Consonance Capital Partners

View Speaker Biography

3:45 pm
4:30 pm

Brain Science and the Design of Behavior Change, Habits, and Engagement

Influencer Series:
Prevention, Health & Well-being

We have learned more about the brain and behavior in the past 5 years than in the previous 5,000 years—offering the potential and power to reach, influence, and improve health and well-being at-scale. However, this quantum leap has yet to transform the industry largely due to the lag in translating the science into practice. In this session, a noted behavior-change expert will offer perspectives and shortcuts on using brain science to design for better engagement, habits, and behaviors.

Kyra Bobinet, MD, MPH

CEO, engagedIN and Author

View Speaker Biography

3:45 pm
4:30 pm

Creating a Customer-Obsessed Culture: What Health Care Can Learn From Other Industries

Influencer Series:
Consumer Experience

Carol Kruse

Senior Vice President and Chief Marketing Officer

Cambia Health Solutions

View Speaker Biography

3:45 pm
4:30 pm

The Health Insurer of the Future: Thriving Amid Uncertainty

Influencer Series:
Industry Disruption & Innovation
4:45 pm
5:30 pm

Are You One Breach Away from Losing a Health Care Consumer?

Concurrent Session:
Data Analytics & Insight

Powered by Accenture
Consumers trust health care organizations to protect their digital data. By examining digital trust and the impact of breaches, health plans will gain insight as to how consumer trust is earned and cultivated. This session will present the latest research on consumers’ attitudes toward health care data, digital trust, data sharing and breaches, allowing attendees to better understand and assess risks, build resilient and secure infrastructure, and construct plans to respond proactively to consumers should a breach occur.

Reza Chapman

Managing Director

Accenture

View Speaker Biography

John Schoew

Managing Director

Accenture

View Speaker Biography

4:45 pm
5:30 pm

Reinventing Utilization Management: Faster, Smarter and Automated

Concurrent Session:
Technologies & Business Solutions

Powered by Change Healthcare
This session will outline a proactive strategy for transforming Utilization Management (UM). Attendees will learn how cloud-based technology can be integrated into the provider and payer workflow to enable the automation of the prior authorization process at the point-of-care. Through this automation, health plans can reduce the administrative costs of both manually processing authorization requests, and the redoing of medical reviews they receive from providers. Automation also increases transparency into a health plan’s authorization criteria, allowing providers to proactively focus on complex cases that require exceptions. Instead of being guardians of cost, health plans can become collaborative partners, working with hospitals to reduce denials, and objectively determine the most appropriate, medically necessary care as early as possible.

Nilo Mehrabian

Vice President, Product Management, Decision Management

Change Healthcare

View Speaker Biography

4:45 pm
5:30 pm

The Aging of the Baby Boomer Generation and Implications for Health Care

Concurrent Session:
Complex Conditions

People live longer and, over time, have increasingly complex health issues such as multiple chronic conditions. This trend will drive important changes in the health care system. By 2030, it is anticipated that the number of Boomers with multiple chronic conditions will quadruple. Meeting these future health care challenges will require new approaches to care delivery, more effective consumer engagement and empowerment so individuals are better able to manage their health, and a greater focus on wellness and prevention. Speakers in this session will provide the latest trends and emerging health care approaches for how the health care system is anticipating the Boomer revolution.

Gretchen E. Alkema, PhD, LCSW

Vice President, Policy and Communications

The SCAN Foundation

View Speaker Biography

Ed Greissing

Executive Director, Lynda and Stewart Resnick Center For Public Health

Milken Institute

View Speaker Biography

4:45 pm
5:30 pm

Medicaid Moving Forward: Where the Conceptual Meets the Practical

Concurrent Session:
Navigating Health Care 2.0

Joseph Moser

Director of Medicaid

Indiana Family and Social Services Administration

View Speaker Biography

Chris Priest

Deputy Director for Medical Services

Michigan Department of Health and Human Services

View Speaker Biography

4:45 pm
5:30 pm

Opioid Use Disorder: Addressing the Challenge

Concurrent Session:
Prevention, Health & Well-being

Powered by Optum
Opioid use disorder is now officially declared an epidemic in the United States, with over 4.5 million Americans currently affected. However, through the integration of specialized behavioral health and pharmacy management programs, you can help curb the inappropriate prescribing and consumption of these medications; increase member education regarding their appropriate use; and enhance the treatment and recovery of individuals with opioid use disorder. In this session, you will also learn how analytics and innovative clinical approaches can be leveraged to better identify and intervene with high-risk members to ensure they receive the proper care and support they need.

David Calabrese, RPh, MHP

Vice President and Chief Pharmacy Officer

OptumRx

View Speaker Biography

Martha R. Temple

President and CEO for Behavioral Health

Optum

View Speaker Biography

4:45 pm
5:30 pm

Assessing the Nation’s Progress in APM Adoption

Concurrent Session:
Advancing APMs

Patrick Conway, MD, MSc

Deputy Administrator for Innovation and Quality Director, Center for Medicare and Medicaid Innovation

Centers for Medicare & Medicaid Services (CMS)

View Speaker Biography

4:45 pm
5:30 pm

Unleashing the Power of Data to Activate Health Care Consumers

Concurrent Session:
Data Analytics & Insight

Powered by Welltok
The health care industry is still struggling to fully leverage data to empower and engage consumers in their health. Yet data is key to understanding and supporting a consumer’s personal health journey – from prevention and general health and well-being to episodic sickcare. This session will explore what “data-driven” really means in health care, why combining clinical and consumer data is imperative to drive engagement, and how predicting consumers’ needs and wants will help health plans achieve consumer-centric nirvana.

Jeffrey H. Margolis

Chairman and CEO

Welltok

View Speaker Biography

5:30 pm
7:00 pm

Institute & Expo Opening Night Reception in the Exhibit Hall

Sponsored by Zelis Healthcare

Acoustic Lounge sponsored by AHIP SmartBrief Newsletters.

Featured musician Brennen Leigh has had her songs recorded by  artists such as Whitney Rose, Austin’s The Carper Family, Norway’s Liv Marit Wedvik, and American country legend, Grammy winner Lee Ann Womack.

June 08
7:00 am
5:45 pm

Institute & Expo Registration and Information Desk Open

Sponsored by Optum

7:30 am
8:30 am

Breakfast Briefings

Breakfast will begin at 7:30 a.m. Briefings (speaking sessions) will begin promptly at 7:45 a.m.

7:30 am
8:30 am

Perspectives on Consumer Experience from the Front Lines to the Back Office: A Day in the Life

Breakfast Briefing:
Consumer Experience

Powered by Zipari, Inc.
For health plans, the term “consumer experience” often conjures up an image of a member shopping for a plan, looking for a provider or comparing costs for a drug or procedure. With the help of consumer tools and a CRM system specifically designed for health plans, the total consumer experience from the front lines and the back office can be enhanced to bring better value to members. This session will walk through ‘a day in the life’ of consumers, and learn their perspectives on improving the consumer experience.

Mark Nathan

Co-Founder and Chief Executive Officer

Zipari Inc.

View Speaker Biography

7:30 am
8:30 am

Health Engagement 2.0: Realigning Programs to Meet Member Needs

Breakfast Briefing:
Prevention, Health & Well-being

Powered by Health Dialog Services Corporation
Member-centric health care programs are built on the premise that delivering the right care at the right time can lead to better clinical outcomes, lower costs, and improve member satisfaction and retention. But knowing how (and when) to engage each member to improve their health is not always easy. Challenged with managing a diverse and highly dispersed population with a high prevalence of chronic disease, one organization implemented a program that leverages new technologies, analytics, and behavioral science methodologies to deliver a personalized member experience. This session will provide insight on how health plans can use advancements in analytics, mobile technology, digital health, and behavioral science to deliver more personalized, cost-effective, and measurable patient engagement programs.

Jessica Kazmaier

Vice President, Total Rewards

Rite Aid Corporation

View Speaker Biography

Karen Staniforth

Chief Operating Officer

Health Dialog Services Corporation

View Speaker Biography

7:30 am
8:30 am

Outcomes-Based Contracts: Current Status and Perspectives of Health Plans and Innovators

Breakfast Briefing:
Advancing APMs

Powered by Inovalon
As payment moves from volume to value, Outcomes-Based Contracts (OBCs) between health plans and innovators are becoming increasingly popular as a means of achieving greater value and affordability in the adoption of new medical products. However, contract design and administration are challenging. This panel will share insights and experience from first movers who have negotiated and operationalized OBCs, and will discuss how alignment can best be achieved between entities in defining value, as well as the potential future for broader adoption of OBCs.

Chelsea King

Director, Product Innovation

Inovalon

View Speaker Biography

Christie Teigland, PhD

Vice President, Advanced Analytics

Avalere

View Speaker Biography

7:30 am
8:30 am

The Changing HSA Landscape

Breakfast Briefing:
Navigating Health Care 2.0

Powered by HSA Bank
Congress and the Administration continue to signal a shift to policies that favor increased use of Health Savings Accounts (HSAs) as an option to provide Americans with a tool to increase personal responsibility and control in health care purchasing. In this session, speakers will share insights on the potential impacts of expansion of HSAs under the new Administration. Topics to be discussed in this session include proposals for continued improvements or enhancements to the existing HSA structure, expansion ideas such as the creation of a Medicare HSA option, elevating funding limits, and expanding the definition of High Deductible Health Plans (HDHPs), which will broaden the availability of HSAs to more Americans.

Jason Kessler

Senior Vice President, Product Management

HSA Bank

View Speaker Biography

Kevin Robertson

Senior Vice President

HSA Bank

View Speaker Biography

Sanders McConnell

Vice President, Business Development, Health Plans

HSA Bank

View Speaker Biography

7:30 am
8:30 am

Outcome-Aligned Partnerships That Integrate Care Delivery for Individuals with Advanced Illness

Breakfast Briefing:
Complex Conditions

Powered by VITAS Healthcare
Recognition of gaps within the care continuum is key to ensure patient-centered quality care. Patients with advanced illness commonly experience gaps in care, which may lead to care not consistent with their wishes and/or values, particularly during periods of transition. Patients with advanced illness who no longer respond to curative treatments get a better care experience through coordinated care and advance care planning. All parties, including health plans, benefit from effective acute and post-acute care partnerships that identify patients with advanced illness who no longer respond to curative treatments. In this session, stakeholders across the continuum present examples of successful partnerships with palliative care and hospice groups to improve quality benchmarks, enhance patient experience, mitigate risk, and improve care for patients with progressive serious illness.

Jeffrey T. King, RN, MBA

Vice President of Healthcare Services

Molina Healthcare

View Speaker Biography

Joseph Shega, MD

Senior Vice President & National Medical Director

VITAS Healthcare

View Speaker Biography

Shellie Williams, MD

Assistant Professor of Medicine

University of Chicago

View Speaker Biography

7:30 am
8:30 am

The Doctor and the Bot: Digital Forces Transforming Health Care Operating Models and the Work Ahead

Breakfast Briefing:
Technologies & Business Solutions

Powered by Cognizant
The adoption of AI (artificial intelligence) and digital technologies is enabling new business models, and has the potential to change the way we work and live. According to recent research, most payers believe workers will collaborate with smart machines to augment job effectiveness and optimize costs, paving the way for the interplay of smart machines and humans to an ever greater degree. If health plans want to keep pace with change, they will need to revise their operating models using a system of intelligence that combines software, hardware, data and human input to rewire internal and external business processes. While there is no single framework for navigating the unprecedented pace of change, there is a growing set of lessons learned and best practices that health plans can leverage to navigate the digital shift. Speakers in this session will explore a framework health plans can use for adapting current processes, and building a winning business model for the digital age.

Ben Pring

Vice President, Director of the Center for the Future of Work

Cognizant

View Speaker Biography

Bill Shea

Vice President, Healthcare Business Consulting

Cognizant

View Speaker Biography

7:30 am
8:30 am

Innovating Payer-Provider Collaborations to Improve Care Quality

Breakfast Briefing:
Industry Disruption & Innovation

Powered by GE Healthcare
Payers are working tirelessly to collaborate with providers to achieve greater adherence to care protocols in order to capture higher quality at lower cost. Meanwhile, providers are facing new payment models, and are increasingly looking for ways to manage the care of patient populations in a value-focused environment. This session will demonstrate methods health plans can employ to work seamlessly with the provider community to establish cost-effective, bi-directional clinical communications that facilitate the sharing of clinical documentation between payers and providers without manual effort. Join this session to learn how payers and providers can use technology to collaborate with each other, in order to make a real impact to patient care and the bottom line.

Shiv Gopalkrishnan

General Manager, Enterprise Financial Management

GE Healthcare

View Speaker Biography

Neelima Akula

Product Manager

GE Healthcare

View Speaker Biography

8:30 am
9:30 am

Changing Health Care from the Outside In: How Far Have We Come and What’s Needed Next?

General Session

Jamie Heywood

Co-Founder and Chairman

PatientsLikeMe

View Speaker Biography

Deborah W. Brooks

Co-Founder & Executive Vice Chairman

The Michael J. Fox Foundation for Parkinson’s Research (MJFF)

View Speaker Biography

9:45 am
10:30 am

Technology for People: The Era of the Intelligent Digital Health Enterprise

Concurrent Session:
Industry Disruption & Innovation

Powered by Accenture
People change the way they work and live to adapt to each new technology capability. As technology becomes more sophisticated and personalized, it’s no longer people who are adapting to technology; rather, the technology is adapting to people. In this age of human empowerment, people are putting technology to work to disrupt themselves. This session will provide insight on the five trends — fueled by the “Technology for People” theme — essential to success in today’s digital economy.

Kaveh Safavi, MD, JD

Senior Managing Director, Health Industry

Accenture

View Speaker Biography

9:45 am
10:30 am

Managing the Value Equation through PAC Optimization

Concurrent Session:
Advancing APMs

Powered by CareCentrix
Post-Acute Care (PAC) is playing an increasingly important role in managing health plan costs and quality. Today, over 40% of a health plan’s total spend is attributable to PAC expenditures. To manage this spend means implementing a number of strategies to optimize SNF utilization and length of stay, maximize the effective use of home health care services, and reduce hospital readmissions which account for more than 50% of a health plan’s PAC costs. Contracting strategies, such as bundled payment agreements, that break down post-acute care siloes and impediments to PAC optimization will be a critical to a health plan’s value improvement strategy. Join this session to hear from a panel of health plan participants as they introduce a collaborative, comprehensive PAC management model based on value-based care principles and proven results.

Gary Jacobs

Executive Vice President, Strategic Relationships

CareCentrix

View Speaker Biography

9:45 am
10:30 am

Using Innovative Technology and Analytics to Drive Decision Making

Concurrent Session:
Technologies & Business Solutions

Powered by Optum
This session will highlight innovative technology, business solutions and analytics that drive operational inefficiencies and reduce total cost of ownership. You’ll learn how to leverage insights from your operational dashboard to streamline business processes, influence corporate strategies, and drive better decision making.

Jody L. Carter

Senior Director, Consulting

Optum

View Speaker Biography

Donna Holmes

Vice President, Payer Consulting

Optum

View Speaker Biography

Christine Williams

Executive Director, Consulting

Optum

View Speaker Biography

9:45 am
10:30 am

Innovations in Advanced Care: Empowering Patients and Providers to Promote Quality, Person-Centered Care

Concurrent Session:
Complex Conditions

Brad Stuart, MD

Chief Medical Officer

Coalition to Transform Advanced Care (C-TAC)

View Speaker Biography

Angelo Volandes, MD

President, ACP Decisions; Faculty, Harvard Medical School and Massachusetts General Hospital

View Speaker Biography

9:45 am
10:30 am

Reducing Over-Treatment in the Era of Health Care Reform

Concurrent Session:
Prevention, Health & Well-being

Erik Rifkin, PhD

Adjunct Associate Research Scientist, School of Public Health

Johns Hopkins University

View Speaker Biography

Andy Lazris, MD

Founder and Medical Director

Personal Physician Care

View Speaker Biography

9:45 am
10:30 am

Precision Analytics: How to Power Clinical Interventions

Concurrent Session:
Data Analytics & Insight

Fueled by innovations ranging from precision medicine to value-based care to population health management, robust and meaningful precision analytics hold the potential power to transform a health care organization and unlock new sources of value. With advances in how health data is captured, organized, and analyzed, it is possible to target individuals most likely to benefit from a clinical intervention. Learn how one health plan is using precision analytics and other data elements to target specific chronic conditions, identify care gaps, support care management, reduce repeat ED and inpatient admissions, and ultimately improve the overall ROI of its clinical interventions.

Richard G. Popiel, MD, MBA

Executive Vice President and Corporate Chief Medical Officer

Cambia Health Solutions

View Speaker Biography

9:45 am
10:30 am

Health Care CX: Managing Consumer Convergence

Concurrent Session:
Consumer Experience

We’re all health care consumers, purchasing everything from aspirin to prescription drugs to fitness wearables. As a health plan members, we’re faced with budgeting monthly premium payments and managing out-of-pocket expenses. When it comes to physician and hospital services, we assume the role of patient. The common thread is that we’re always a customer. And, we’re customers with expectations set by an always-on, convenience-driven world where we have access to more and better information than we’ve ever had before. Managing the health care customer experience at the intersection of these financial and clinical handoffs is challenging every market stakeholder. How can our health care system – payer, provider and retailer – act like a system rather than a fragmented collection of transactions? Speakers in this session will address these convergence issues, and what needs to happen to replace health care consumer confusion and complexity with consumer confidence and contentment.

Lindsay Resnick

Executive Vice President

ReviveHealth

View Speaker Biography

Jill Austin

Chief Marketing Officer

Vanderbilt University Medical Center

View Speaker Biography

Brad Fluegel

Senior Vice President, Chief Healthcare Commercial Market Development Officer

Walgreens Boots Alliance

View Speaker Biography

Neal S. Sofian, MSPH

Director, Member Engagement

Premera Blue Cross

View Speaker Biography

9:45 am
10:30 am

Tackling Health Care Disparities: America’s Chronic Condition

Concurrent Session:
Navigating Health Care 2.0

Thomas Duncan, MBA

President and CEO

Trusted Health Plan

View Speaker Biography

10:30 am
11:30 am

Coffee Break in the Exhibit Hall

11:30 am
12:15 pm

Balancing Innovation and Affordability of Prescription Drugs

General Session

David A. Ricks

President and Chief Executive Officer

Eli Lilly and Company

View Speaker Biography

Eric H. Schultz

President and Chief Executive Officer

Harvard Pilgrim Health Care, Inc.

View Speaker Biography

12:15 pm
1:30 pm

Lunch in the Exhibit Hall

Sponsored by GE Healthcare

Acoustic Lounge sponsored by AHIP SmartBrief Newsletters.

Featured musician Suzanna Choffel auditioned for and appeared on NBCs The Voice, wowing the judges with her renditions of Fleetwood Mac and Bob Marley and earning singular praise from Rolling Stone as “the only artist you’d want to listen to a complete album from.

1:30 pm
2:15 pm

Why Financial Engagement is the Linchpin for Consumer Engagement

Concurrent Session:
Consumer Experience

Powered by Change Healthcare
As consumers continue to play a larger role in their health care decisions and their payment responsibility continues to grow, so does the need for payers to improve transparency and their overall member experience. This session will provide an overview of how health plans can improve consumer engagement through enhanced financial communications — particularly through data sciences and machine learning. Attendees will learn about consumer preferences for health care financial communications and the capabilities health plans need to excel in this area. Speakers in this session will share the results of recent studies, as well as lessons learned from working with health plans on deploying effective strategies.

Stuart Hanson

Senior Vice President & General Manager, Consumer Payment Solutions

Change Healthcare

View Speaker Biography

1:30 pm
2:15 pm

Obesity Prevention and Treatment: How Payers Are Part of the Solution

Concurrent Session:
Prevention, Health & Well-being

Jenny Bogard, MPH

Director of Healthcare Strategies

Alliance for a Healthier Generation

View Speaker Biography

Angie Kalousek Ebrahimi

Senior Manager, Wellness Market Solutions

Blue Shield of California

View Speaker Biography

1:30 pm
2:15 pm

Personalizing Care Management for Patients with Chronic Diseases

Concurrent Session:
Complex Conditions

Personalized medicine is about making the treatment as individualized as the disease, and it has the potential to improve health outcomes and reduce the cost of care. This session will examine a health care delivery program designed to improve population health and provide appropriate access to care while reducing unnecessary emergency, clinic and hospital visits in adults and children, along with the associated costs, one person at a time. Speakers will discuss various ways to manage chronic disease and how this innovative program works in that continuum.

Arthur (Tim) Garson, Jr., MD, MPH

MACC Director, Health Policy Institute, Texas Medical Center and Chairman

Grand-Aides USA and International

View Speaker Biography

Donna M. Green, RN, BS

CEO

Grand-Aides USA and International

View Speaker Biography

Robert Morrow, MD, MBA

Southeast Texas Market President

Blue Cross Blue Shield of Texas

View Speaker Biography

1:30 pm
2:15 pm

How Medicare Advantage Members Benefit from Value-Based Reimbursement Models

Concurrent Session:
Advancing APMs

Roy Beveridge, MD

Senior Vice President & Chief Medical Officer

Humana

View Speaker Biography

Griffin Myers, MD

Co-Founder and Chief Medical Officer

Oak Street Health

View Speaker Biography

1:30 pm
2:15 pm

Disrupting Traditional Primary Care

Concurrent Session:
Industry Disruption & Innovation

Harry Ritter, MD

Vice President of Care Delivery

Oscar Health

View Speaker Biography

Marc-David Munk, MD, MPH, MHCM

Chief Medical Officer

Iora Health

View Speaker Biography

1:30 pm
2:15 pm

Converging Machine Learning and Data Science to Enhance Real-Time Consumer Engagement and Experience

Concurrent Session:
Data Analytics & Insight

Vijay Venkatesan

Group Vice President and Chief Data Officer

Providence Health and Services

View Speaker Biography

2:30 pm
3:15 pm

Design Thinking in Health Care

Concurrent Session:
Industry Disruption & Innovation

Charu Juneja

Design Director, Design Institute for Health

Dell Medical School at The University of Texas at Austin

View Speaker Biography

2:30 pm
3:15 pm

Precision Medicine-Guided Population Health: Bridging the Gap

Concurrent Session:
Advancing APMs

This session will explore how a payer and a health system are applying precision medicine to their population health models for oncology care. Learn about the value-based models they have developed and implemented to ensure collaboration between stakeholders, achieve success among all pillars of the triple aim, and deliver customized care to individual patients with oncologic diagnoses. The speakers will also share quantitative results that reflect the evolutionary nature and process required for success.

Lili Brillstein, MPH

Director, Episodes of Care, Market Innovations

Horizon Blue Cross Blue Shield of New Jersey

View Speaker Biography

Andrew Pecora, MD, FACP, CPE

President, Physician Enterprise and Chief Innovations Officer, Hackensack Meridian Health; Professor of Medicine and Oncology, Georgetown University

View Speaker Biography

2:30 pm
3:15 pm

Doing Well by Doing Good: Serving the Socially Vulnerable Population

Concurrent Session:
Complex Conditions

Given the importance of social determinants on health and health equity, a range of initiatives to address social determinants of health are emerging at the federal, state, local, and provider level. There is growing recognition of the importance of not only integrating and coordinating services across providers and settings within the health care system, but also connecting and integrating health care with social supports and services that address the broad range of social and environmental factors that impact individuals’ and communities’ health and well-being. Speakers in this session will share their perspectives on innovative public-private approaches to address the social determinants of heath and health equity and highlight their plans’ successful strategies to improve care for individuals with complex needs.

John G. Lovelace

President, UPMC for You and President, Government Programs and Individual Advantage

UPMC Health Plan

View Speaker Biography

Nirav R. Shah, MD, MPH

Senior Vice President and Chief Operating Officer, Clinical Operations

Kaiser Foundation Health Plan

View Speaker Biography

2:30 pm
3:15 pm

Potential Impacts of Using Encounter Data to Determine Medicare Advantage Risk Scores

Concurrent Session:
Navigating Health Care 2.0

This session will discuss the potential impacts from using encounter data for risk score calculations, and will help plans understand what actions they can take in response. Until 2016, enrollee risk scores were calculated based on diagnoses submitted by Medicare Advantage plans to CMS via the Risk Adjustment Processing System (RAPS). In 2016, CMS began to calculate enrollee risk scores using diagnoses submitted through the encounter data system (EDS) and then blend this risk score with the one calculated using RAPS. During this session, speakers will discuss the impact of the ‘filtering logic’ that CMS uses to determine allowable diagnoses from encounter data, as well as results of a study that compiled encounter data across a variety of plans to show the financial impact of moving from RAPS to EDS.

Tom Kornfield

Vice President, Public Programs Policy, Federal Programs

AHIP

View Speaker Biography

Julia Lambert

Principal

Wakely Consulting Group

View Speaker Biography

Charlie Mills, FSA, MAAA

Principal & Consulting Actuary

Milliman

View Speaker Biography

2:30 pm
3:15 pm

Net Promoter Score: Keeping Your Finger on the Pulse of Patient-centered Care

Concurrent Session:
Consumer Experience
2:30 pm
3:15 pm

The Doctor is Here to See You Now: How the House Call May Be the Future of Health Care

Concurrent Session:
Prevention, Health & Well-being

Alan Kronhaus, MD

Co-Founder & Chief Executive Officer

Doctors Making House Calls

View Speaker Biography

Gary Piefer, MD, MsMM, CPE, FAAFP

Chief Medical Officer

WhiteGlove Health

View Speaker Biography

2:30 pm
3:15 pm

The Future of Health Care Informatics and Cognitive Analytics

Concurrent Session:
Data Analytics & Insight

Powered by Truven Health Analytics
Combining proven data and analytics intelligence with next generation cognitive computing power can help solve the most pressing business problems. In this session, speakers will do a deep dive into the workflows and care processes that are being optimized, improved and disrupted to see how care managers can broaden their impact through data and technology. Attendees will learn how a large health system generated $39 million in ACO savings and how cognitive analytics can assist and augment existing channels to engage consumers.

Russell Olsen

Vice President, Offering Management

Truven Health Analytics, IBM Watson Health

View Speaker Biography

2:30 pm
3:15 pm

A True System of Engagement: The Next-Generation of CRM Capabilities

Concurrent Session:
Technologies & Business Solutions

Powered by NTT DATA Services
Health plans are utilizing Customer Relationship Management (CRM) capabilities to transition away from manual administrative processes and a transactional approach to a modernized member engagement model. From member enrollment to wellness management, CRM systems provide an opportunity to enable ongoing engagement and improve member management in a cost-effective way. Join this session to learn about next-generation CRM capabilities, how these tools are being used today and which platforms are leading the way, as well as what’s next in areas of consumerism, medical home management, and more.

Andy Arends

Managing Principal, Health Plan Innovation & Consulting

NTT DATA

View Speaker Biography

3:15 pm
4:00 pm

Wellness Break in the Exhibit Hall

4:00 pm
4:45 pm

Managing Members from Enrollment to Encounter – One Identity at a Time

Concurrent Session:
Consumer Experience

Powered by LexisNexis Risk Solutions
Members are the heart of any health plan – yet many plans struggle to identify, aggregate and analyze information on them in a holistic manner. The many facets of a member’s identity can impact compliance, outcomes, risk management and engagement strategies. From verifying who and where they are, to understanding how their social determinants of health influence their future risk, managing member identity is a conversation every health plan should be having. This session will provide innovative approaches to key member identity management topics including master patient indexing, analyzing health risk scores based on social determinants, verifying identity to minimize the risk of medical identity fraud, and improving member outreach and engagement results.

Rick Ingraham

Director, Vertical Markets

LexisNexis Risk Solutions

View Speaker Biography

4:00 pm
4:45 pm

What’s Next in Primary Care Innovation: Lessons from Regional Collaboratives

Concurrent Session:
Advancing APMs

Charles J. Fazio, MD, MS

Senior Vice President and Medical Director

HealthPartners, Inc.

View Speaker Biography

Alicia Berkemeyer

Vice President, Enterprise Primary Care and Pharmacy Programs

Arkansas Blue Cross and Blue Shield

View Speaker Biography

4:00 pm
4:45 pm

Changing the Paradigm: What Innovative Employers are Looking For and How They’re Getting It Done

Concurrent Session:
Industry Disruption & Innovation

Renya Spak, MPH

Partner

Mercer Health and Benefits

View Speaker Biography

4:00 pm
4:45 pm

Key to Wellness and Prevention is Getting the Digital Health Platform Right

Concurrent Session:
Prevention, Health & Well-being
4:00 pm
4:45 pm

Innovations in MLTSS

Concurrent Session:
Navigating Health Care 2.0
4:00 pm
4:45 pm

Applying Innovative Technology to Enhance the Effectiveness of a Specialty Management Model

Concurrent Session:
Technologies & Business Solutions

Powered by CVS Health
By 2020, specialty drugs will represent 55% of all drug costs, with half falling under the medical benefit. Disparate benefit systems can contribute to limited visibility into a health plan’s true specialty drug spend, and lead to complex and fragmented care. Using automated technology to manage across medical and pharmacy benefits can help generate incremental savings opportunities while improving patient outcomes. This session will explore how technology can help transform data into actionable interventions to manage the health of complex populations, improve clinical outcomes, and deliver lowest net cost for health plans.

Trip Hofer

Vice President, Product Development

CVS Specialty

View Speaker Biography

5:00 pm
5:45 pm

Primary Care, Remixed

General Session

Zubin Damania, MD, aka “ZDoggMD”

CEO and Founder of Turntable Health, Physician, Rapper

View Speaker Biography

5:45 pm
7:00 pm

Wine & Cheese in the Exhibit Hall

Acoustic Lounge sponsored by AHIP SmartBrief Newsletters.

Featured musician Tje Austin was a Semi Finalist in 2015 International Songwriting Competition – R&B Category and was featured at the 2014 ASCAP Expo for Pop Songwriting.

June 09
7:00 am
1:30 pm

Institute & Expo Registration and Information Desk Open

Sponsored by Optum

7:30 am
8:30 am

Breakfast Briefings

Breakfast will begin at 7:30 a.m. Briefings (speaking sessions) will begin promptly at 7:45 a.m.

7:30 am
8:30 am

Empowering Care Via Automation: Using Web-based Content and Technology to Optimize the Payer-Provider Workflow

Breakfast Briefing:
Technologies & Business Solutions

Powered by MCG Health
This session will discuss the journey of a health plan optimizing their prior authorization process from a labor-intensive manual effort to one that automates the use of evidence-based guidelines to provide real-time authorizations. Speakers will highlight the impact of simultaneously driving clinical transformation in the provider network and administrative streamlining within the health plan. You will learn about the implementation process, the lessons learned by the organizations, and key metrics illustrating the tremendous success of this endeavor. Speakers will also discuss emerging tools which support the next stage of workflow evolution.

Rebecca Gall, RN

Utilization Management

Children's Community Health Plan

View Speaker Biography

Bill Hughes, MHA

Senior Product Manager

MCG Health

View Speaker Biography

Lynn M. Kryfke, RN, MSN

Director, Health Plan Clinical Services

Children's Community Health Plan

View Speaker Biography

7:30 am
8:30 am

Driving Member Engagement and Improved Compliance Measures with Connectivity into the Retail Pharmacy

Breakfast Briefing:
Consumer and Patient Experience

Powered by RelayHealth Pharmacy Solutions
Patients visit their local pharmacies several times each year – perhaps as often as once every month. Retail pharmacies offer convenient access to services unmatched by any provider. But their impact on truly improving patient outcomes can be limited without the right connectivity to other care providers. Improved patient outcomes can be optimized by the adoption of technology that allows retail pharmacists to not only improve efficiency, but also to electronically collaborate with other members of the patient’s care team. Speakers in this session will address how health plans can utilize connectivity into the retail pharmacy to proactively reach the right members at the right time.

Jan Reed

Director, Health Plans Services

RelayHealth Pharmacy Solutions

View Speaker Biography

Deb Devereaux

Senior Vice President, Pharmacy and Clinical, Quality and Stars Solutions

Gorman Health Group

View Speaker Biography

Lisa Erwin RPh,CGP

Senior Consultant of Pharmacy Services

Gorman Health Group

View Speaker Biography

7:30 am
8:30 am

Developing Innovative Collaboration for Effective Care Coordination

Breakfast Briefing:
Data Analytics & Insight

Powered by HealthEdge
As value-based care continues to impact the provision of key health care services, health plans and providers are seeing an urgent need for improved collaboration centering on the individual member. Value-based care can achieve its desired aims when a common mission is shared along the care continuum, coupled with leveraging data necessary to maximize impact to members. Join this session to learn how health plans and providers, acting as a team on behalf of their members, integrate innovative technology with a high touch, hyper-local approach to care coordination, and demonstrate compelling results.

Barbara Berger

Vice President, Care Management Services

FirstCare Health Plans

View Speaker Biography

Kim Ingram

Chief Nursing Officer

HealthEdge

View Speaker Biography

Harry Merkin

Vice President, Product Marketing

HealthEdge

View Speaker Biography

Adolfo M. Valadez, MD, MPH

Chief Medical Officer

FirstCare Health Plans

View Speaker Biography

7:30 am
8:30 am

Curating A Better Member Experience

Breakfast Briefing:
Consumer Experience

Powered by Teleperformance
Between increased marketplace competition, new digital channels of interaction, and consumer decisions on how and when to engage, health plans must adapt their customer experience practices to meet (or exceed) expectations. As curators of this customer experience, health plans are chartered with improving outcomes for customers – whether those are measured as Net Promoter Scores (NPS) or Consumer Assessment of Healthcare Providers and Systems (CAHPS). Through a panel of service experts from leading health care companies, this session will share a practitioner’s point-of-view on how to achieve service excellence while managing business priorities. Speakers will share best practices, proven methodologies, and do’s and don’ts for achieving higher NPS, CAHPS scores, improved member retention and increased conversions.

John Maczynski

Executive Vice President, Healthcare Practice

Teleperformance

View Speaker Biography

7:30 am
8:30 am

Advancing Clinical Management Strategies by Leveraging Behavioral and Physical Health Risk Scores

Breakfast Briefing:
Complex Conditions

Powered by ODH, Inc.
Successful clinical management requires an integrated approach for identifying and managing the complex care members in a health plan. This session will explore how health plans can leverage their data systems to maximize care management on the front line in clinical settings. Learn how one health plan transforms risk scores into person-centered care management plans to engage high-risk individuals for integrated health improvement.

Monica E. Oss, MS

Chief Executive Officer

OPEN MINDS

View Speaker Biography

Candace Saldarini, MD

Medical Director

ODH, Inc.

View Speaker Biography

7:30 am
8:30 am

Surviving and Thriving in Value-Based Care

Breakfast Briefing:
Advancing APMs

Powered by 3M Health Information Systems
The shift in health care today impacts all participants, from payers to providers to patients. Payment models are changing, performance is being recognized and rewarded, and delivery systems are transforming. When it comes to value-based programs, it’s important that health plans know what is working now and how to recognize additional opportunities to achieve value in the future. And, to survive, programs must be designed for sustainability. This session takes a deep-dive into the areas that have been critical to leading adopter success. Join this session to hear from industry leaders on how they succeed in: partnering with providers to change how care is delivered using a three-tiered primary care strategy approach; aligning physician incentives with managed care organization incentives using targeted metrics and a shared saving program; and improving patients’ health outcomes using financial incentives for providers.

Kevin Egge

Vice President of Provider Contracting and Relations

Blue Cross Blue Shield Louisiana

View Speaker Biography

Victoria Fancher

Director

Affinity Health Plan

View Speaker Biography

Sharyl Jeffries

Vice President Customer Experience

Superior Health Plan

View Speaker Biography

8:30 am
9:15 am

The Battle for the Heart and Mind of the Health Care Consumer: Lessons Learned from Other Industries

General Session

John Mackey

Co-Founder and
Chief Executive Officer

Whole Foods Market

View Speaker Biography

9:15 am
10:00 am

What Do You Stand For? Connecting with Consumers in the New Health Care Economy

General Session

Roy Spence, Jr.

Co-Founder and Chairman

GSD&M

View Speaker Biography

10:15 am
11:00 am

Transforming Oncology Care: Lessons Learned

Concurrent Session:
Advancing APMs

Lee N. Newcomer, MD

Senior Vice President for Oncology and Genetics

UnitedHealthcare

View Speaker Biography

10:15 am
11:00 am

The Canary in the Coal Mine: Using CKD to Enhance Cardiovascular Risk Prediction in Primary Care

Concurrent Session:
Complex Conditions

Jamie Greene, PhD, RN

Program Director for Quality and Clinical Practice, Patient-Centered Medical Home (PCMH)

CareFirst BlueCross BlueShield

View Speaker Biography

Joseph Vassalotti, MD

Chief Medical Officer

National Kidney Foundation

View Speaker Biography

10:15 am
11:00 am

You Built It, But They Didn’t Come: How to Operationalize Your Data Lake

Concurrent Session:
Data Analytics & Insight

Powered by MarkLogic Corporation
Organizations have been implementing Hadoop-based data lakes to combine “big data” for use in analytics for years. But when it comes to operationalizing that information — using the data to help run the business — organizations encounter significant challenges around lack of enterprise features, like security, transactional support, performance, and governance. Analyzing data and operationalizing data are not the same thing. In this session, attendees will learn how a flexible data strategy and architecture that provides efficient integration of high volumes of data will help health plans respond to change, and ensure ROI on IT investments.

Bill Fox

Vice President, Healthcare and Life Sciences

MarkLogic Corporation

View Speaker Biography

10:15 am
11:00 am

Disrupting Health Care from the Inside: Lessons from Amazon

Concurrent Session:
Industry Disruption & Innovation

Aaron Martin

Executive Vice President and Chief Digital Officer

Providence St. Josephs Health

View Speaker Biography

10:15 am
11:00 am

How Payers and Providers are Working Together to Integrate Care for Medicare Beneficiaries

Concurrent Session:
Navigating Health Care 2.0

Charles A. Zonfa, MD

Chief Medical Officer

SummaCare

View Speaker Biography

Mara McDermott

Vice President of Federal Affairs

CAPG

View Speaker Biography

10:15 am
11:00 am

Opting Out of Privacy: Emerging Trends and Issues

Breakfast Briefing:
Prevention, Health & Well-being

Michael J. McCoy, MD

Chief Executive Officer

Physician Technology Services, Inc.

View Speaker Biography

11:15 am
12:00 pm

Caring for Patients with Complex Mental Health and Medical Needs

Concurrent Session:
Complex Conditions

The prevalence of behavioral health and substance use disorders has gained increased recognition, including frequent co-morbidity with chronic medical conditions. This impacts the outcome of both the behavioral health and medical components, and requires integrated care approaches and strategies to address. The concept of patient complexity encompasses the influences of multiple chronic conditions, demographics, and psychosocial issues on outcomes. This session features a panel of health plan clinical leaders to discuss the impacts of these health issues, emerging models to care for patients with complex needs, ongoing challenges, and opportunities to drive innovation.

Sherry Dubester, MD, MS

Vice President, Behavioral Health and Clinical Programs

Anthem, Inc.

View Speaker Biography

Douglas A. Nemecek, MD, MBA

Chief Medical Officer, Behavioral Health and National Medical Officer for Coverage Policy

Cigna Corp

View Speaker Biography

11:15 am
12:00 pm

Understanding the Market Expectations of ACOs: An Employer Perspective

Concurrent Session:
Advancing APMs

Brian J. Marcotte

President & CEO

National Business Group on Health®

View Speaker Biography

11:15 am
12:00 pm

What Can Health Care Learn from Netflix? Leveraging Predictive Analytics to Personalize Care

Concurrent Session:
Data Analytics & Insight

Pamela Peele, PhD

Chief Analytics Officer

UPMC Health Plan

View Speaker Biography

11:15 am
12:00 pm

Stabilizing the Individual Insurance Market: Considerations Moving Forward

Concurrent Session:
Navigating Health Care 2.0

Avik Roy

President

Foundation for Research on Equal Opportunity (FREOPP)

View Speaker Biography

12:00 pm
1:30 pm

Uncertain Times: Leadership Lessons for an Unprecedented Political Era – A Conversation with Doris Kearns Goodwin and David Gergen

Doris Kearns Goodwin

Presidential Historian and Pulitzer Prize-Winning Author

View Speaker Biography

David Gergen

Senior Political Analyst, CNN

View Speaker Biography

12:00 pm
1:30 pm

Closing Luncheon Program

Featured musician South Austin Moonlighters is a band that blends blues, folk, soul, rock, and country, who can flip the switch from slow melodic country to gravelly rocking blues without a hitch.

1:30 pm
1:30 pm

Adjourn

June 07
4:45 pm
5:30 pm

Are You One Breach Away from Losing a Health Care Consumer?

Concurrent Session:
Data Analytics & Insight

Powered by Accenture
Consumers trust health care organizations to protect their digital data. By examining digital trust and the impact of breaches, health plans will gain insight as to how consumer trust is earned and cultivated. This session will present the latest research on consumers’ attitudes toward health care data, digital trust, data sharing and breaches, allowing attendees to better understand and assess risks, build resilient and secure infrastructure, and construct plans to respond proactively to consumers should a breach occur.

Reza Chapman

Managing Director

Accenture

View Speaker Biography

John Schoew

Managing Director

Accenture

View Speaker Biography

4:45 pm
5:30 pm

Unleashing the Power of Data to Activate Health Care Consumers

Concurrent Session:
Data Analytics & Insight

Powered by Welltok
The health care industry is still struggling to fully leverage data to empower and engage consumers in their health. Yet data is key to understanding and supporting a consumer’s personal health journey – from prevention and general health and well-being to episodic sickcare. This session will explore what “data-driven” really means in health care, why combining clinical and consumer data is imperative to drive engagement, and how predicting consumers’ needs and wants will help health plans achieve consumer-centric nirvana.

Jeffrey H. Margolis

Chairman and CEO

Welltok

View Speaker Biography

June 08
9:45 am
10:30 am

Precision Analytics: How to Power Clinical Interventions

Concurrent Session:
Data Analytics & Insight

Fueled by innovations ranging from precision medicine to value-based care to population health management, robust and meaningful precision analytics hold the potential power to transform a health care organization and unlock new sources of value. With advances in how health data is captured, organized, and analyzed, it is possible to target individuals most likely to benefit from a clinical intervention. Learn how one health plan is using precision analytics and other data elements to target specific chronic conditions, identify care gaps, support care management, reduce repeat ED and inpatient admissions, and ultimately improve the overall ROI of its clinical interventions.

Richard G. Popiel, MD, MBA

Executive Vice President and Corporate Chief Medical Officer

Cambia Health Solutions

View Speaker Biography

1:30 pm
2:15 pm

Converging Machine Learning and Data Science to Enhance Real-Time Consumer Engagement and Experience

Concurrent Session:
Data Analytics & Insight

Vijay Venkatesan

Group Vice President and Chief Data Officer

Providence Health and Services

View Speaker Biography

2:30 pm
3:15 pm

The Future of Health Care Informatics and Cognitive Analytics

Concurrent Session:
Data Analytics & Insight

Powered by Truven Health Analytics
Combining proven data and analytics intelligence with next generation cognitive computing power can help solve the most pressing business problems. In this session, speakers will do a deep dive into the workflows and care processes that are being optimized, improved and disrupted to see how care managers can broaden their impact through data and technology. Attendees will learn how a large health system generated $39 million in ACO savings and how cognitive analytics can assist and augment existing channels to engage consumers.

Russell Olsen

Vice President, Offering Management

Truven Health Analytics, IBM Watson Health

View Speaker Biography

June 09
7:30 am
8:30 am

Developing Innovative Collaboration for Effective Care Coordination

Breakfast Briefing:
Data Analytics & Insight

Powered by HealthEdge
As value-based care continues to impact the provision of key health care services, health plans and providers are seeing an urgent need for improved collaboration centering on the individual member. Value-based care can achieve its desired aims when a common mission is shared along the care continuum, coupled with leveraging data necessary to maximize impact to members. Join this session to learn how health plans and providers, acting as a team on behalf of their members, integrate innovative technology with a high touch, hyper-local approach to care coordination, and demonstrate compelling results.

Barbara Berger

Vice President, Care Management Services

FirstCare Health Plans

View Speaker Biography

Kim Ingram

Chief Nursing Officer

HealthEdge

View Speaker Biography

Harry Merkin

Vice President, Product Marketing

HealthEdge

View Speaker Biography

Adolfo M. Valadez, MD, MPH

Chief Medical Officer

FirstCare Health Plans

View Speaker Biography

10:15 am
11:00 am

You Built It, But They Didn’t Come: How to Operationalize Your Data Lake

Concurrent Session:
Data Analytics & Insight

Powered by MarkLogic Corporation
Organizations have been implementing Hadoop-based data lakes to combine “big data” for use in analytics for years. But when it comes to operationalizing that information — using the data to help run the business — organizations encounter significant challenges around lack of enterprise features, like security, transactional support, performance, and governance. Analyzing data and operationalizing data are not the same thing. In this session, attendees will learn how a flexible data strategy and architecture that provides efficient integration of high volumes of data will help health plans respond to change, and ensure ROI on IT investments.

Bill Fox

Vice President, Healthcare and Life Sciences

MarkLogic Corporation

View Speaker Biography

11:15 am
12:00 pm

What Can Health Care Learn from Netflix? Leveraging Predictive Analytics to Personalize Care

Concurrent Session:
Data Analytics & Insight

Pamela Peele, PhD

Chief Analytics Officer

UPMC Health Plan

View Speaker Biography

June 07
3:45 pm
4:30 pm

The Health Insurer of the Future: Thriving Amid Uncertainty

Influencer Series:
Industry Disruption & Innovation
June 08
7:30 am
8:30 am

Innovating Payer-Provider Collaborations to Improve Care Quality

Breakfast Briefing:
Industry Disruption & Innovation

Powered by GE Healthcare
Payers are working tirelessly to collaborate with providers to achieve greater adherence to care protocols in order to capture higher quality at lower cost. Meanwhile, providers are facing new payment models, and are increasingly looking for ways to manage the care of patient populations in a value-focused environment. This session will demonstrate methods health plans can employ to work seamlessly with the provider community to establish cost-effective, bi-directional clinical communications that facilitate the sharing of clinical documentation between payers and providers without manual effort. Join this session to learn how payers and providers can use technology to collaborate with each other, in order to make a real impact to patient care and the bottom line.

Shiv Gopalkrishnan

General Manager, Enterprise Financial Management

GE Healthcare

View Speaker Biography

Neelima Akula

Product Manager

GE Healthcare

View Speaker Biography

9:45 am
10:30 am

Technology for People: The Era of the Intelligent Digital Health Enterprise

Concurrent Session:
Industry Disruption & Innovation

Powered by Accenture
People change the way they work and live to adapt to each new technology capability. As technology becomes more sophisticated and personalized, it’s no longer people who are adapting to technology; rather, the technology is adapting to people. In this age of human empowerment, people are putting technology to work to disrupt themselves. This session will provide insight on the five trends — fueled by the “Technology for People” theme — essential to success in today’s digital economy.

Kaveh Safavi, MD, JD

Senior Managing Director, Health Industry

Accenture

View Speaker Biography

1:30 pm
2:15 pm

Disrupting Traditional Primary Care

Concurrent Session:
Industry Disruption & Innovation

Harry Ritter, MD

Vice President of Care Delivery

Oscar Health

View Speaker Biography

Marc-David Munk, MD, MPH, MHCM

Chief Medical Officer

Iora Health

View Speaker Biography

2:30 pm
3:15 pm

Design Thinking in Health Care

Concurrent Session:
Industry Disruption & Innovation

Charu Juneja

Design Director, Design Institute for Health

Dell Medical School at The University of Texas at Austin

View Speaker Biography

4:00 pm
4:45 pm

Changing the Paradigm: What Innovative Employers are Looking For and How They’re Getting It Done

Concurrent Session:
Industry Disruption & Innovation

Renya Spak, MPH

Partner

Mercer Health and Benefits

View Speaker Biography

June 09
10:15 am
11:00 am

Disrupting Health Care from the Inside: Lessons from Amazon

Concurrent Session:
Industry Disruption & Innovation

Aaron Martin

Executive Vice President and Chief Digital Officer

Providence St. Josephs Health

View Speaker Biography

June 07
3:45 pm
4:30 pm

Creating a Customer-Obsessed Culture: What Health Care Can Learn From Other Industries

Influencer Series:
Consumer Experience

Carol Kruse

Senior Vice President and Chief Marketing Officer

Cambia Health Solutions

View Speaker Biography

June 08
7:30 am
8:30 am

Perspectives on Consumer Experience from the Front Lines to the Back Office: A Day in the Life

Breakfast Briefing:
Consumer Experience

Powered by Zipari, Inc.
For health plans, the term “consumer experience” often conjures up an image of a member shopping for a plan, looking for a provider or comparing costs for a drug or procedure. With the help of consumer tools and a CRM system specifically designed for health plans, the total consumer experience from the front lines and the back office can be enhanced to bring better value to members. This session will walk through ‘a day in the life’ of consumers, and learn their perspectives on improving the consumer experience.

Mark Nathan

Co-Founder and Chief Executive Officer

Zipari Inc.

View Speaker Biography

9:45 am
10:30 am

Health Care CX: Managing Consumer Convergence

Concurrent Session:
Consumer Experience

We’re all health care consumers, purchasing everything from aspirin to prescription drugs to fitness wearables. As a health plan members, we’re faced with budgeting monthly premium payments and managing out-of-pocket expenses. When it comes to physician and hospital services, we assume the role of patient. The common thread is that we’re always a customer. And, we’re customers with expectations set by an always-on, convenience-driven world where we have access to more and better information than we’ve ever had before. Managing the health care customer experience at the intersection of these financial and clinical handoffs is challenging every market stakeholder. How can our health care system – payer, provider and retailer – act like a system rather than a fragmented collection of transactions? Speakers in this session will address these convergence issues, and what needs to happen to replace health care consumer confusion and complexity with consumer confidence and contentment.

Lindsay Resnick

Executive Vice President

ReviveHealth

View Speaker Biography

Jill Austin

Chief Marketing Officer

Vanderbilt University Medical Center

View Speaker Biography

Brad Fluegel

Senior Vice President, Chief Healthcare Commercial Market Development Officer

Walgreens Boots Alliance

View Speaker Biography

Neal S. Sofian, MSPH

Director, Member Engagement

Premera Blue Cross

View Speaker Biography

1:30 pm
2:15 pm

Why Financial Engagement is the Linchpin for Consumer Engagement

Concurrent Session:
Consumer Experience

Powered by Change Healthcare
As consumers continue to play a larger role in their health care decisions and their payment responsibility continues to grow, so does the need for payers to improve transparency and their overall member experience. This session will provide an overview of how health plans can improve consumer engagement through enhanced financial communications — particularly through data sciences and machine learning. Attendees will learn about consumer preferences for health care financial communications and the capabilities health plans need to excel in this area. Speakers in this session will share the results of recent studies, as well as lessons learned from working with health plans on deploying effective strategies.

Stuart Hanson

Senior Vice President & General Manager, Consumer Payment Solutions

Change Healthcare

View Speaker Biography

2:30 pm
3:15 pm

Net Promoter Score: Keeping Your Finger on the Pulse of Patient-centered Care

Concurrent Session:
Consumer Experience
4:00 pm
4:45 pm

Managing Members from Enrollment to Encounter – One Identity at a Time

Concurrent Session:
Consumer Experience

Powered by LexisNexis Risk Solutions
Members are the heart of any health plan – yet many plans struggle to identify, aggregate and analyze information on them in a holistic manner. The many facets of a member’s identity can impact compliance, outcomes, risk management and engagement strategies. From verifying who and where they are, to understanding how their social determinants of health influence their future risk, managing member identity is a conversation every health plan should be having. This session will provide innovative approaches to key member identity management topics including master patient indexing, analyzing health risk scores based on social determinants, verifying identity to minimize the risk of medical identity fraud, and improving member outreach and engagement results.

Rick Ingraham

Director, Vertical Markets

LexisNexis Risk Solutions

View Speaker Biography

June 09
7:30 am
8:30 am

Curating A Better Member Experience

Breakfast Briefing:
Consumer Experience

Powered by Teleperformance
Between increased marketplace competition, new digital channels of interaction, and consumer decisions on how and when to engage, health plans must adapt their customer experience practices to meet (or exceed) expectations. As curators of this customer experience, health plans are chartered with improving outcomes for customers – whether those are measured as Net Promoter Scores (NPS) or Consumer Assessment of Healthcare Providers and Systems (CAHPS). Through a panel of service experts from leading health care companies, this session will share a practitioner’s point-of-view on how to achieve service excellence while managing business priorities. Speakers will share best practices, proven methodologies, and do’s and don’ts for achieving higher NPS, CAHPS scores, improved member retention and increased conversions.

John Maczynski

Executive Vice President, Healthcare Practice

Teleperformance

View Speaker Biography

June 07
3:45 pm
4:30 pm

Advancing the Framework for Payment Reform and Benefit Design to Improve Health Care

Influencer Series:
Advancing APMs

Michael E. Chernew, PhD

Leonard D. Schaeffer Professor of Health Care Policy and Director, Healthcare Markets and Regulation Lab

Harvard Medical School

View Speaker Biography

4:45 pm
5:30 pm

Assessing the Nation’s Progress in APM Adoption

Concurrent Session:
Advancing APMs

Patrick Conway, MD, MSc

Deputy Administrator for Innovation and Quality Director, Center for Medicare and Medicaid Innovation

Centers for Medicare & Medicaid Services (CMS)

View Speaker Biography

June 08
7:30 am
8:30 am

Outcomes-Based Contracts: Current Status and Perspectives of Health Plans and Innovators

Breakfast Briefing:
Advancing APMs

Powered by Inovalon
As payment moves from volume to value, Outcomes-Based Contracts (OBCs) between health plans and innovators are becoming increasingly popular as a means of achieving greater value and affordability in the adoption of new medical products. However, contract design and administration are challenging. This panel will share insights and experience from first movers who have negotiated and operationalized OBCs, and will discuss how alignment can best be achieved between entities in defining value, as well as the potential future for broader adoption of OBCs.

Chelsea King

Director, Product Innovation

Inovalon

View Speaker Biography

Christie Teigland, PhD

Vice President, Advanced Analytics

Avalere

View Speaker Biography

9:45 am
10:30 am

Managing the Value Equation through PAC Optimization

Concurrent Session:
Advancing APMs

Powered by CareCentrix
Post-Acute Care (PAC) is playing an increasingly important role in managing health plan costs and quality. Today, over 40% of a health plan’s total spend is attributable to PAC expenditures. To manage this spend means implementing a number of strategies to optimize SNF utilization and length of stay, maximize the effective use of home health care services, and reduce hospital readmissions which account for more than 50% of a health plan’s PAC costs. Contracting strategies, such as bundled payment agreements, that break down post-acute care siloes and impediments to PAC optimization will be a critical to a health plan’s value improvement strategy. Join this session to hear from a panel of health plan participants as they introduce a collaborative, comprehensive PAC management model based on value-based care principles and proven results.

Gary Jacobs

Executive Vice President, Strategic Relationships

CareCentrix

View Speaker Biography

1:30 pm
2:15 pm

How Medicare Advantage Members Benefit from Value-Based Reimbursement Models

Concurrent Session:
Advancing APMs

Roy Beveridge, MD

Senior Vice President & Chief Medical Officer

Humana

View Speaker Biography

Griffin Myers, MD

Co-Founder and Chief Medical Officer

Oak Street Health

View Speaker Biography

2:30 pm
3:15 pm

Precision Medicine-Guided Population Health: Bridging the Gap

Concurrent Session:
Advancing APMs

This session will explore how a payer and a health system are applying precision medicine to their population health models for oncology care. Learn about the value-based models they have developed and implemented to ensure collaboration between stakeholders, achieve success among all pillars of the triple aim, and deliver customized care to individual patients with oncologic diagnoses. The speakers will also share quantitative results that reflect the evolutionary nature and process required for success.

Lili Brillstein, MPH

Director, Episodes of Care, Market Innovations

Horizon Blue Cross Blue Shield of New Jersey

View Speaker Biography

Andrew Pecora, MD, FACP, CPE

President, Physician Enterprise and Chief Innovations Officer, Hackensack Meridian Health; Professor of Medicine and Oncology, Georgetown University

View Speaker Biography

4:00 pm
4:45 pm

What’s Next in Primary Care Innovation: Lessons from Regional Collaboratives

Concurrent Session:
Advancing APMs

Charles J. Fazio, MD, MS

Senior Vice President and Medical Director

HealthPartners, Inc.

View Speaker Biography

Alicia Berkemeyer

Vice President, Enterprise Primary Care and Pharmacy Programs

Arkansas Blue Cross and Blue Shield

View Speaker Biography

June 09
7:30 am
8:30 am

Surviving and Thriving in Value-Based Care

Breakfast Briefing:
Advancing APMs

Powered by 3M Health Information Systems
The shift in health care today impacts all participants, from payers to providers to patients. Payment models are changing, performance is being recognized and rewarded, and delivery systems are transforming. When it comes to value-based programs, it’s important that health plans know what is working now and how to recognize additional opportunities to achieve value in the future. And, to survive, programs must be designed for sustainability. This session takes a deep-dive into the areas that have been critical to leading adopter success. Join this session to hear from industry leaders on how they succeed in: partnering with providers to change how care is delivered using a three-tiered primary care strategy approach; aligning physician incentives with managed care organization incentives using targeted metrics and a shared saving program; and improving patients’ health outcomes using financial incentives for providers.

Kevin Egge

Vice President of Provider Contracting and Relations

Blue Cross Blue Shield Louisiana

View Speaker Biography

Victoria Fancher

Director

Affinity Health Plan

View Speaker Biography

Sharyl Jeffries

Vice President Customer Experience

Superior Health Plan

View Speaker Biography

10:15 am
11:00 am

Transforming Oncology Care: Lessons Learned

Concurrent Session:
Advancing APMs

Lee N. Newcomer, MD

Senior Vice President for Oncology and Genetics

UnitedHealthcare

View Speaker Biography

11:15 am
12:00 pm

Understanding the Market Expectations of ACOs: An Employer Perspective

Concurrent Session:
Advancing APMs

Brian J. Marcotte

President & CEO

National Business Group on Health®

View Speaker Biography

June 07
4:45 pm
5:30 pm

Reinventing Utilization Management: Faster, Smarter and Automated

Concurrent Session:
Technologies & Business Solutions

Powered by Change Healthcare
This session will outline a proactive strategy for transforming Utilization Management (UM). Attendees will learn how cloud-based technology can be integrated into the provider and payer workflow to enable the automation of the prior authorization process at the point-of-care. Through this automation, health plans can reduce the administrative costs of both manually processing authorization requests, and the redoing of medical reviews they receive from providers. Automation also increases transparency into a health plan’s authorization criteria, allowing providers to proactively focus on complex cases that require exceptions. Instead of being guardians of cost, health plans can become collaborative partners, working with hospitals to reduce denials, and objectively determine the most appropriate, medically necessary care as early as possible.

Nilo Mehrabian

Vice President, Product Management, Decision Management

Change Healthcare

View Speaker Biography

June 08
7:30 am
8:30 am

The Doctor and the Bot: Digital Forces Transforming Health Care Operating Models and the Work Ahead

Breakfast Briefing:
Technologies & Business Solutions

Powered by Cognizant
The adoption of AI (artificial intelligence) and digital technologies is enabling new business models, and has the potential to change the way we work and live. According to recent research, most payers believe workers will collaborate with smart machines to augment job effectiveness and optimize costs, paving the way for the interplay of smart machines and humans to an ever greater degree. If health plans want to keep pace with change, they will need to revise their operating models using a system of intelligence that combines software, hardware, data and human input to rewire internal and external business processes. While there is no single framework for navigating the unprecedented pace of change, there is a growing set of lessons learned and best practices that health plans can leverage to navigate the digital shift. Speakers in this session will explore a framework health plans can use for adapting current processes, and building a winning business model for the digital age.

Ben Pring

Vice President, Director of the Center for the Future of Work

Cognizant

View Speaker Biography

Bill Shea

Vice President, Healthcare Business Consulting

Cognizant

View Speaker Biography

9:45 am
10:30 am

Using Innovative Technology and Analytics to Drive Decision Making

Concurrent Session:
Technologies & Business Solutions

Powered by Optum
This session will highlight innovative technology, business solutions and analytics that drive operational inefficiencies and reduce total cost of ownership. You’ll learn how to leverage insights from your operational dashboard to streamline business processes, influence corporate strategies, and drive better decision making.

Jody L. Carter

Senior Director, Consulting

Optum

View Speaker Biography

Donna Holmes

Vice President, Payer Consulting

Optum

View Speaker Biography

Christine Williams

Executive Director, Consulting

Optum

View Speaker Biography

2:30 pm
3:15 pm

A True System of Engagement: The Next-Generation of CRM Capabilities

Concurrent Session:
Technologies & Business Solutions

Powered by NTT DATA Services
Health plans are utilizing Customer Relationship Management (CRM) capabilities to transition away from manual administrative processes and a transactional approach to a modernized member engagement model. From member enrollment to wellness management, CRM systems provide an opportunity to enable ongoing engagement and improve member management in a cost-effective way. Join this session to learn about next-generation CRM capabilities, how these tools are being used today and which platforms are leading the way, as well as what’s next in areas of consumerism, medical home management, and more.

Andy Arends

Managing Principal, Health Plan Innovation & Consulting

NTT DATA

View Speaker Biography

4:00 pm
4:45 pm

Applying Innovative Technology to Enhance the Effectiveness of a Specialty Management Model

Concurrent Session:
Technologies & Business Solutions

Powered by CVS Health
By 2020, specialty drugs will represent 55% of all drug costs, with half falling under the medical benefit. Disparate benefit systems can contribute to limited visibility into a health plan’s true specialty drug spend, and lead to complex and fragmented care. Using automated technology to manage across medical and pharmacy benefits can help generate incremental savings opportunities while improving patient outcomes. This session will explore how technology can help transform data into actionable interventions to manage the health of complex populations, improve clinical outcomes, and deliver lowest net cost for health plans.

Trip Hofer

Vice President, Product Development

CVS Specialty

View Speaker Biography

June 09
7:30 am
8:30 am

Empowering Care Via Automation: Using Web-based Content and Technology to Optimize the Payer-Provider Workflow

Breakfast Briefing:
Technologies & Business Solutions

Powered by MCG Health
This session will discuss the journey of a health plan optimizing their prior authorization process from a labor-intensive manual effort to one that automates the use of evidence-based guidelines to provide real-time authorizations. Speakers will highlight the impact of simultaneously driving clinical transformation in the provider network and administrative streamlining within the health plan. You will learn about the implementation process, the lessons learned by the organizations, and key metrics illustrating the tremendous success of this endeavor. Speakers will also discuss emerging tools which support the next stage of workflow evolution.

Rebecca Gall, RN

Utilization Management

Children's Community Health Plan

View Speaker Biography

Bill Hughes, MHA

Senior Product Manager

MCG Health

View Speaker Biography

Lynn M. Kryfke, RN, MSN

Director, Health Plan Clinical Services

Children's Community Health Plan

View Speaker Biography

June 07
3:45 pm
4:30 pm

Brain Science and the Design of Behavior Change, Habits, and Engagement

Influencer Series:
Prevention, Health & Well-being

We have learned more about the brain and behavior in the past 5 years than in the previous 5,000 years—offering the potential and power to reach, influence, and improve health and well-being at-scale. However, this quantum leap has yet to transform the industry largely due to the lag in translating the science into practice. In this session, a noted behavior-change expert will offer perspectives and shortcuts on using brain science to design for better engagement, habits, and behaviors.

Kyra Bobinet, MD, MPH

CEO, engagedIN and Author

View Speaker Biography

4:45 pm
5:30 pm

Opioid Use Disorder: Addressing the Challenge

Concurrent Session:
Prevention, Health & Well-being

Powered by Optum
Opioid use disorder is now officially declared an epidemic in the United States, with over 4.5 million Americans currently affected. However, through the integration of specialized behavioral health and pharmacy management programs, you can help curb the inappropriate prescribing and consumption of these medications; increase member education regarding their appropriate use; and enhance the treatment and recovery of individuals with opioid use disorder. In this session, you will also learn how analytics and innovative clinical approaches can be leveraged to better identify and intervene with high-risk members to ensure they receive the proper care and support they need.

David Calabrese, RPh, MHP

Vice President and Chief Pharmacy Officer

OptumRx

View Speaker Biography

Martha R. Temple

President and CEO for Behavioral Health

Optum

View Speaker Biography

June 08
7:30 am
8:30 am

Health Engagement 2.0: Realigning Programs to Meet Member Needs

Breakfast Briefing:
Prevention, Health & Well-being

Powered by Health Dialog Services Corporation
Member-centric health care programs are built on the premise that delivering the right care at the right time can lead to better clinical outcomes, lower costs, and improve member satisfaction and retention. But knowing how (and when) to engage each member to improve their health is not always easy. Challenged with managing a diverse and highly dispersed population with a high prevalence of chronic disease, one organization implemented a program that leverages new technologies, analytics, and behavioral science methodologies to deliver a personalized member experience. This session will provide insight on how health plans can use advancements in analytics, mobile technology, digital health, and behavioral science to deliver more personalized, cost-effective, and measurable patient engagement programs.

Jessica Kazmaier

Vice President, Total Rewards

Rite Aid Corporation

View Speaker Biography

Karen Staniforth

Chief Operating Officer

Health Dialog Services Corporation

View Speaker Biography

9:45 am
10:30 am

Reducing Over-Treatment in the Era of Health Care Reform

Concurrent Session:
Prevention, Health & Well-being

Erik Rifkin, PhD

Adjunct Associate Research Scientist, School of Public Health

Johns Hopkins University

View Speaker Biography

Andy Lazris, MD

Founder and Medical Director

Personal Physician Care

View Speaker Biography

1:30 pm
2:15 pm

Obesity Prevention and Treatment: How Payers Are Part of the Solution

Concurrent Session:
Prevention, Health & Well-being

Jenny Bogard, MPH

Director of Healthcare Strategies

Alliance for a Healthier Generation

View Speaker Biography

Angie Kalousek Ebrahimi

Senior Manager, Wellness Market Solutions

Blue Shield of California

View Speaker Biography

2:30 pm
3:15 pm

The Doctor is Here to See You Now: How the House Call May Be the Future of Health Care

Concurrent Session:
Prevention, Health & Well-being

Alan Kronhaus, MD

Co-Founder & Chief Executive Officer

Doctors Making House Calls

View Speaker Biography

Gary Piefer, MD, MsMM, CPE, FAAFP

Chief Medical Officer

WhiteGlove Health

View Speaker Biography

4:00 pm
4:45 pm

Key to Wellness and Prevention is Getting the Digital Health Platform Right

Concurrent Session:
Prevention, Health & Well-being
June 09
10:15 am
11:00 am

Opting Out of Privacy: Emerging Trends and Issues

Breakfast Briefing:
Prevention, Health & Well-being

Michael J. McCoy, MD

Chief Executive Officer

Physician Technology Services, Inc.

View Speaker Biography

June 07
4:45 pm
5:30 pm

The Aging of the Baby Boomer Generation and Implications for Health Care

Concurrent Session:
Complex Conditions

People live longer and, over time, have increasingly complex health issues such as multiple chronic conditions. This trend will drive important changes in the health care system. By 2030, it is anticipated that the number of Boomers with multiple chronic conditions will quadruple. Meeting these future health care challenges will require new approaches to care delivery, more effective consumer engagement and empowerment so individuals are better able to manage their health, and a greater focus on wellness and prevention. Speakers in this session will provide the latest trends and emerging health care approaches for how the health care system is anticipating the Boomer revolution.

Gretchen E. Alkema, PhD, LCSW

Vice President, Policy and Communications

The SCAN Foundation

View Speaker Biography

Ed Greissing

Executive Director, Lynda and Stewart Resnick Center For Public Health

Milken Institute

View Speaker Biography

June 08
7:30 am
8:30 am

Outcome-Aligned Partnerships That Integrate Care Delivery for Individuals with Advanced Illness

Breakfast Briefing:
Complex Conditions

Powered by VITAS Healthcare
Recognition of gaps within the care continuum is key to ensure patient-centered quality care. Patients with advanced illness commonly experience gaps in care, which may lead to care not consistent with their wishes and/or values, particularly during periods of transition. Patients with advanced illness who no longer respond to curative treatments get a better care experience through coordinated care and advance care planning. All parties, including health plans, benefit from effective acute and post-acute care partnerships that identify patients with advanced illness who no longer respond to curative treatments. In this session, stakeholders across the continuum present examples of successful partnerships with palliative care and hospice groups to improve quality benchmarks, enhance patient experience, mitigate risk, and improve care for patients with progressive serious illness.

Jeffrey T. King, RN, MBA

Vice President of Healthcare Services

Molina Healthcare

View Speaker Biography

Joseph Shega, MD

Senior Vice President & National Medical Director

VITAS Healthcare

View Speaker Biography

Shellie Williams, MD

Assistant Professor of Medicine

University of Chicago

View Speaker Biography

9:45 am
10:30 am

Innovations in Advanced Care: Empowering Patients and Providers to Promote Quality, Person-Centered Care

Concurrent Session:
Complex Conditions

Brad Stuart, MD

Chief Medical Officer

Coalition to Transform Advanced Care (C-TAC)

View Speaker Biography

Angelo Volandes, MD

President, ACP Decisions; Faculty, Harvard Medical School and Massachusetts General Hospital

View Speaker Biography

1:30 pm
2:15 pm

Personalizing Care Management for Patients with Chronic Diseases

Concurrent Session:
Complex Conditions

Personalized medicine is about making the treatment as individualized as the disease, and it has the potential to improve health outcomes and reduce the cost of care. This session will examine a health care delivery program designed to improve population health and provide appropriate access to care while reducing unnecessary emergency, clinic and hospital visits in adults and children, along with the associated costs, one person at a time. Speakers will discuss various ways to manage chronic disease and how this innovative program works in that continuum.

Arthur (Tim) Garson, Jr., MD, MPH

MACC Director, Health Policy Institute, Texas Medical Center and Chairman

Grand-Aides USA and International

View Speaker Biography

Donna M. Green, RN, BS

CEO

Grand-Aides USA and International

View Speaker Biography

Robert Morrow, MD, MBA

Southeast Texas Market President

Blue Cross Blue Shield of Texas

View Speaker Biography

2:30 pm
3:15 pm

Doing Well by Doing Good: Serving the Socially Vulnerable Population

Concurrent Session:
Complex Conditions

Given the importance of social determinants on health and health equity, a range of initiatives to address social determinants of health are emerging at the federal, state, local, and provider level. There is growing recognition of the importance of not only integrating and coordinating services across providers and settings within the health care system, but also connecting and integrating health care with social supports and services that address the broad range of social and environmental factors that impact individuals’ and communities’ health and well-being. Speakers in this session will share their perspectives on innovative public-private approaches to address the social determinants of heath and health equity and highlight their plans’ successful strategies to improve care for individuals with complex needs.

John G. Lovelace

President, UPMC for You and President, Government Programs and Individual Advantage

UPMC Health Plan

View Speaker Biography

Nirav R. Shah, MD, MPH

Senior Vice President and Chief Operating Officer, Clinical Operations

Kaiser Foundation Health Plan

View Speaker Biography

June 09
7:30 am
8:30 am

Advancing Clinical Management Strategies by Leveraging Behavioral and Physical Health Risk Scores

Breakfast Briefing:
Complex Conditions

Powered by ODH, Inc.
Successful clinical management requires an integrated approach for identifying and managing the complex care members in a health plan. This session will explore how health plans can leverage their data systems to maximize care management on the front line in clinical settings. Learn how one health plan transforms risk scores into person-centered care management plans to engage high-risk individuals for integrated health improvement.

Monica E. Oss, MS

Chief Executive Officer

OPEN MINDS

View Speaker Biography

Candace Saldarini, MD

Medical Director

ODH, Inc.

View Speaker Biography

10:15 am
11:00 am

The Canary in the Coal Mine: Using CKD to Enhance Cardiovascular Risk Prediction in Primary Care

Concurrent Session:
Complex Conditions

Jamie Greene, PhD, RN

Program Director for Quality and Clinical Practice, Patient-Centered Medical Home (PCMH)

CareFirst BlueCross BlueShield

View Speaker Biography

Joseph Vassalotti, MD

Chief Medical Officer

National Kidney Foundation

View Speaker Biography

11:15 am
12:00 pm

Caring for Patients with Complex Mental Health and Medical Needs

Concurrent Session:
Complex Conditions

The prevalence of behavioral health and substance use disorders has gained increased recognition, including frequent co-morbidity with chronic medical conditions. This impacts the outcome of both the behavioral health and medical components, and requires integrated care approaches and strategies to address. The concept of patient complexity encompasses the influences of multiple chronic conditions, demographics, and psychosocial issues on outcomes. This session features a panel of health plan clinical leaders to discuss the impacts of these health issues, emerging models to care for patients with complex needs, ongoing challenges, and opportunities to drive innovation.

Sherry Dubester, MD, MS

Vice President, Behavioral Health and Clinical Programs

Anthem, Inc.

View Speaker Biography

Douglas A. Nemecek, MD, MBA

Chief Medical Officer, Behavioral Health and National Medical Officer for Coverage Policy

Cigna Corp

View Speaker Biography

June 07
3:45 pm
4:30 pm

Lessons Learned from the ACA and the Path Forward

Influencer Series:
Navigating Health Care 2.0

Nancy-Ann M. DeParle

Partner and Co-Founder

Consonance Capital Partners

View Speaker Biography

4:45 pm
5:30 pm

Medicaid Moving Forward: Where the Conceptual Meets the Practical

Concurrent Session:
Navigating Health Care 2.0

Joseph Moser

Director of Medicaid

Indiana Family and Social Services Administration

View Speaker Biography

Chris Priest

Deputy Director for Medical Services

Michigan Department of Health and Human Services

View Speaker Biography

June 08
7:30 am
8:30 am

The Changing HSA Landscape

Breakfast Briefing:
Navigating Health Care 2.0

Powered by HSA Bank
Congress and the Administration continue to signal a shift to policies that favor increased use of Health Savings Accounts (HSAs) as an option to provide Americans with a tool to increase personal responsibility and control in health care purchasing. In this session, speakers will share insights on the potential impacts of expansion of HSAs under the new Administration. Topics to be discussed in this session include proposals for continued improvements or enhancements to the existing HSA structure, expansion ideas such as the creation of a Medicare HSA option, elevating funding limits, and expanding the definition of High Deductible Health Plans (HDHPs), which will broaden the availability of HSAs to more Americans.

Jason Kessler

Senior Vice President, Product Management

HSA Bank

View Speaker Biography

Kevin Robertson

Senior Vice President

HSA Bank

View Speaker Biography

Sanders McConnell

Vice President, Business Development, Health Plans

HSA Bank

View Speaker Biography

9:45 am
10:30 am

Tackling Health Care Disparities: America’s Chronic Condition

Concurrent Session:
Navigating Health Care 2.0

Thomas Duncan, MBA

President and CEO

Trusted Health Plan

View Speaker Biography

2:30 pm
3:15 pm

Potential Impacts of Using Encounter Data to Determine Medicare Advantage Risk Scores

Concurrent Session:
Navigating Health Care 2.0

This session will discuss the potential impacts from using encounter data for risk score calculations, and will help plans understand what actions they can take in response. Until 2016, enrollee risk scores were calculated based on diagnoses submitted by Medicare Advantage plans to CMS via the Risk Adjustment Processing System (RAPS). In 2016, CMS began to calculate enrollee risk scores using diagnoses submitted through the encounter data system (EDS) and then blend this risk score with the one calculated using RAPS. During this session, speakers will discuss the impact of the ‘filtering logic’ that CMS uses to determine allowable diagnoses from encounter data, as well as results of a study that compiled encounter data across a variety of plans to show the financial impact of moving from RAPS to EDS.

Tom Kornfield

Vice President, Public Programs Policy, Federal Programs

AHIP

View Speaker Biography

Julia Lambert

Principal

Wakely Consulting Group

View Speaker Biography

Charlie Mills, FSA, MAAA

Principal & Consulting Actuary

Milliman

View Speaker Biography

4:00 pm
4:45 pm

Innovations in MLTSS

Concurrent Session:
Navigating Health Care 2.0
June 09
10:15 am
11:00 am

How Payers and Providers are Working Together to Integrate Care for Medicare Beneficiaries

Concurrent Session:
Navigating Health Care 2.0

Charles A. Zonfa, MD

Chief Medical Officer

SummaCare

View Speaker Biography

Mara McDermott

Vice President of Federal Affairs

CAPG

View Speaker Biography

11:15 am
12:00 pm

Stabilizing the Individual Insurance Market: Considerations Moving Forward

Concurrent Session:
Navigating Health Care 2.0

Avik Roy

President

Foundation for Research on Equal Opportunity (FREOPP)

View Speaker Biography

June 09
7:30 am
8:30 am

Driving Member Engagement and Improved Compliance Measures with Connectivity into the Retail Pharmacy

Breakfast Briefing:
Consumer and Patient Experience

Powered by RelayHealth Pharmacy Solutions
Patients visit their local pharmacies several times each year – perhaps as often as once every month. Retail pharmacies offer convenient access to services unmatched by any provider. But their impact on truly improving patient outcomes can be limited without the right connectivity to other care providers. Improved patient outcomes can be optimized by the adoption of technology that allows retail pharmacists to not only improve efficiency, but also to electronically collaborate with other members of the patient’s care team. Speakers in this session will address how health plans can utilize connectivity into the retail pharmacy to proactively reach the right members at the right time.

Jan Reed

Director, Health Plans Services

RelayHealth Pharmacy Solutions

View Speaker Biography

Deb Devereaux

Senior Vice President, Pharmacy and Clinical, Quality and Stars Solutions

Gorman Health Group

View Speaker Biography

Lisa Erwin RPh,CGP

Senior Consultant of Pharmacy Services

Gorman Health Group

View Speaker Biography

What’s Not to Love About Austin?

Austin Convention Center
Austin Convention Center, 500 E Cesar Chavez St, Austin, TX 78701

The Austin Convention Center is located in the heart of downtown Austin. It’s easy to get to, super affordable, great food and entertainment, and considered one of the country’s coolest cities. Throughout the program, we’ll weave in the flavor of Austin, including food, entertainment, and more.

BOOK YOUR HOTEL ROOM TODAY

Reservation deadline is Wednesday, May 10, 2017 or when the room block has sold out.

AHIP has arranged special room rates at various downtown hotels within walking distance to the Austin Convention Center. You’ll find a range of hotels allowing you to choose the one that best fits your needs.

To receive the AHIP-negotiated rates you must register for the AHIP Institute & Expo first.  Once your registration has been confirmed you should receive details to make your room reservation using the hotel’s online Passkey system.  Reservation deadline is Wednesday, May 10, 2017 or when the room block is sold out (whichever comes first).

Other Important Hotel Information:

  • All room rates are subject to the prevailing room tax, which is currently 15% tax and a $4.50 Texas Recovery Fee per night and is subject to change at any time.
  • Rooms at these rates are for arrival on Wednesday, June 7, 2017 and departure on Friday, June 9, 2017 with limited availability for arrival on Tuesday, June 6, 2017 and departure Saturday, June 10, 2017.  This is a guideline and not a guarantee of availability.
  • Government Attendees: A limited number of government per diem rooms are available at JW Marriott Austin at $141.00 per night.  To qualify for this rate, you will need to show valid identification upon check-in. Please email your request to reservations@housing4conventions.com.  You will receive notification that the request has been received within 24 hours.
  • Space is limited. Reservations are made on a first-come, first-served basis.  The AHIP contracted group rate is available to AHIP conference attendees only.
  • Requesting a Sub-Block of Rooms (5 rooms or more).  If you’d like to reserve 5 rooms or more for your group, your request will need pre-approval from AHIP.  Please click here to request a Sub-Block form via email.
  • Requesting Suites:  If you’d like to reserve a suite, your request will need pre-approval from AHIP.  Please click here to request a suite reservation via email.

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.  The guest card will be charged any time after May 10th for the first and last night’s stay by the hotel.

*IMPORTANT MESSAGE: POTENTIAL FRAUD ALERT*

Please be aware that housing poachers may contact members and exhibitors about booking hotel rooms for AHIP Institute & Expo 2017.

AHIP is NOT working with any outside companies to provide housing details.  Here is a list of companies, but not limited to those listed below to be vigilant of:

  • Global Travel Partners
  • Convention Housing Authority
  • Global Housing Services Corporation
  • National Travel Associates

AHIP will communicate primarily through email regarding Institute & Expo 2017 hotel reservations, which should be made through a secure link provided by AHIP. We will not request credit card numbers or housing reservations over the phone. We are currently using the Austin CVB Housing Bureau room reservation portal for hotel reservations. AHIP has not endorsed any private companies other than Austin CVB Housing Bureau to act on our behalf. AHIP is not responsible for any hotel reservations made through any provider other than through AHIP’s secure link which will be provided in the registration confirmation.

If you have made hotel reservations and provided a credit card number to any company, please call your credit card company immediately and request that they investigate the charge.

If you have any questions or need further assistance, please contact registrations@ahip.org.

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Accenture Logo
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Accenture is a leading global professional services company, providing a broad range of services and solutions in strategy, consulting, digital, technology and operations.

Amgen Logo
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Amgen is committed to unlocking the potential of biology for patients

CareCentrix Logo
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CareCentrix drives savings, improved outcomes, and patient satisfaction

Inovalon Logo
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Driven by data, Inovalon identifies gaps in care, quality, data integrity, and financial performance

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McKesson Health Solutions delivers clinical evidence and expert technology to help payers and providers collaborate

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NTT DATA is an end-to-end service provider of IT and business solutions for health

Optum Logo
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Optum combines technology, data and expertise to power modern health care.

RxAdvance Logo
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RxAdvance is a national full-service pharmacy benefit manager

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ikaSystems delivers cloud/SaaS-based business automation and process solutions

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Welltok, Inc. is fundamentally transforming the way population health managers partner with consumers

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Gold LEVEL

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Silver level

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Bronze level

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