You’ll be inspired by the best minds in health care and beyond in general sessions focused on trends and larger-picture considerations. See below for some of our keynote speakers, and click here to see the agenda.
Thousands will gather in Nashville to share ideas, new ways of thinking and partnerships. You’ll find an agenda filled with networking events.
End your first day of sessions and networking at Institute & Expo with an energy-filled concert by American country band, Midland.
In the Exhibit Hall, you’ll find solutions health insurance providers are relying on to make health care better for consumers. With 150 companies with products and services ranging from technology to operations and more, solutions are just a few footsteps away.
You’ll find plenty of “roll up your sleeves, let’s figure out the details”
discussions in concurrent sessions broken into eight educational tracks.
Exclusive Loyalty Event with Nashville Songwriters
Every business has a story to tell and who better to help break down creative walls and get you thinking differently than those who tell stories for a living? Simply put, Nashville award-winning singers/songwriters understand the importance of clear-cut messages.
Join us for this special AHIP VIP Loyalty Experience featuring four Nashville songwriters who will perform their own music and tell the stories behind their biggest hits.
Click here for details, including registration eligibility.
Get ready to think creatively about how to best tell your company’s story.
Join us for this special AHIP VIP Loyalty Experience featuring four renowned Nashville songwriters who are engaging, fun, and understand the importance of a clear-cut message that will leave an impact. They’ll perform their own music while telling the stories behind their biggest hits. Get ready to think creatively about how to tell your company’s story to best resonate with the consumers that you serve. Click Here to Learn More.
Registration is limited to loyal Institute & Expo participants who work for AHIP member health insurance providers.
This session will provide an overview on how to transform chronic disease management to achieve the ultimate result for health plans: better value, better outcomes and an improved patient experience. Attendees will learn how to care for the high-need patients of the future through early detection, tech-enabled home care delivery solutions, custom EHRs that put patients at the center of care, and predictive analytics to help patients avoid costly hospitalizations. Attendees will also learn about the impact of integrated kidney care models on dialysis patients, and comprehensive, in-home care team delivery models for polychronic patients.
Skynet? Minority Report? Or just another day at the office for Amazon, Google, and perhaps your competitors? Part primer, part mind-stretcher, this session will orient you to the latest developments in the use of artificial intelligence (AI) in health care, and help you plot a roadmap for your journey. In this session, hear from health plan leaders and AI practitioners from outside health care on how they are using AI today, and how you should think about its use in analytics, care management, and growing membership.
Cancer treatments are developing and launching rapidly, with therapies often costing hundreds of thousands of dollars per year. While new treatment options and scientific developments are a potential boon for patients in the short-term, they can also be challenging to providers trying to keep up with the latest and best choices for their patients. With limited integration, health plans may find it hard to track adherence to the latest guidelines, protect against drug interactions and ensure patients are being prescribed the right regimen at the lowest net price. But thanks to the latest innovations in cost management and holistic patient care, health plans can now adopt integrated, condition-specific strategies to address the full range of cancer care challenges. Join this session to learn the latest market dynamics influencing the oncology space, including pipeline, treatment trends and the cross-benefit management of cancer therapies. The speaker will also address how health plans can build a comprehensive and connected oncology strategy while controlling costs, preserving quality and improving the patient experience.
Most health plans want to increase member engagement in order to improve outcomes and decrease costs. This is no easy feat to achieve, unless you can combine personalized data with provider connections to enhance outcomes and increase member satisfaction. Join this session to learn how you can create an integrated platform for your members, one that offers convenient access to care with top providers and lowers costs through virtual care, thus driving measurable engagement with your members.
Developing and deploying a successful alternative payment model (APM) program requires collaboration and an end-to-end solution that helps you achieve your short-term goals yet is scalable to accommodate and evolve your long-term vision. Join this session to learn strategies to achieve and scale successful APMs. The speaker in this session will discuss the four key phases of the alternative payment model program development process, and provide insights on the key metrics and success factors that can help evolve a health plan’s current APM program. Attendees will leave this session with a blueprint to help them and their team achieve APM success.
In early 2019, several health care companies announced plans for a blockchain-enabled health utility network, with a goal of improving transparency and interoperability in the health care industry. Their collective objective is to create an inclusive blockchain network that can benefit multiple members of the health care ecosystem in a highly secure, shared environment, thus enabling health care companies to build, share, and deploy solutions that drive digital transformation. Join this session for an update on their approach to leveraging blockchain technologies to address some of the industry’s biggest challenges.
The industry has acknowledged the need to improve the quality of information in health plan provider directories. Consumers expect current information about the providers in their networks, and providers want easier ways to share this information with health plans. Artificial intelligence (AI) has proven to be the next frontier in improving the quality and accuracy of provider directories. Join this session to learn how AI is being used to remedy data quality issues within provider directories, and the next steps the health care community must take to make this an industry-wide reality.
This session will provide a snapshot of how continuous glucose monitoring systems can improve the lives of people with diabetes. The speaker will discuss recent studies of how continuous glucose monitoring has improved health outcomes for diabetes patients, and the subsequent cost-savings impact on payer organizations. The speaker will also examine the shifting care for insulin-using patients under this life-changing technology, and how the management of diabetes will be transformed with continuous glucose monitoring systems.
New technologies and the imperatives of an aging population are enabling and supporting more in-home patient care. In this session, a panel of health care executives will share effective strategies and care models that address the complex medical, behavioral and social needs of high-risk and high-cost patients. Areas of focus will include new clinical models for care at home, the impact of social determinants of health (SDOH), and using artificial intelligence and advanced analytics to make the patient’s home the most effective and efficient setting for chronic and post-acute care.
With social determinants playing a large factor in one’s care, how can managed care organizations leverage the advancements of technology and data analytics to improve member engagement and care management, while also optimizing operational efficiencies? This session will explore how Senior Medicare and Medicaid beneficiaries can benefit from today’s technology, while aging in place and maintaining their independence.
Health insurance providers are currently using artificial intelligence (AI) and machine learning to review medical records, optimize care for chronic conditions and identify risk. However, the precedent for leveraging AI for consumer experience has been somewhat limited. Join this session to learn how health insurance providers can leverage AI and a next-generation consumer experience platform to better understand their members’ needs, and strengthen their relationships with members in order to drive behavior change and improve health outcomes.
What are the attributes of high-performing primary care, and what are the organizational environments that offer the best opportunities for high-performing care to thrive? Attendees in this session will learn how to target specific patient populations with focused care management. Attendees will also learn how to apply risk-adjusted data using Potentially Preventable Events (PPE) methodologies to target low-value health and spending outcomes. The speaker will discuss practical strategies for combining data-supported physician education, innovative primary care incentives, and collaborative efforts across the continuum of care, in order to focus resources for significant improvement.
We know that the patient/doctor relationship is so important in driving loyalty to a plan. Consumers are willing to jump from plan to plan in order to keep their doctor. In this session, learn how one health system is meeting consumer demand for ease and convenience with its providers by introducing a Speed Dating approach. You’ll also learn more about their innovative programs that are building long lasting patient/provider relationships.
According to the Centers for Disease Control and Prevention (CDC), chronic diseases such as heart disease, cancer, and diabetes are the leading causes of death and disability in the United States. They are also leading drivers of the nation’s $3.3 trillion in annual health care costs. Studies show that improving access to better nutrition, especially for those with chronic conditions, is an effective way to reduce medical costs and improve a person’s overall health. Health insurance providers have a unique opportunity to design member programs that can result in better condition management, and address social determinants of health. Speakers in this session will share analysis of the clinical results and cost savings from a successful home-delivered meals program for members with diabetes.
There is a growing consensus among health care stakeholders that social determinants of health (SDH) are powerful influencers of outcomes, utilization and cost, but less agreement as to how to collect and use this information in patient care, performance measurement, and payment systems. In this session, industry experts will explore two key areas of debate around the use of SDH: leveraging SDH to risk adjust quality measures, and the factors that should be evaluated to accurately capture the full impact of patients’ SDH. Attendees will gain insight into how SDH affects health care utilization, medication access and quality outcomes, as well as learn about implications for population health management through predictive modeling.
The push for accurate provider directories has surfaced one fundamental truth – there is no silver bullet to address provider data quality. As an industry and cross-industry, we must shift our energy towards establishing an industry source of truth that looks beyond provider directory accuracy as a goal. What does this source of truth look like, and how do we get there? This session will provide an industry roadmap that accounts for the key components and stakeholders required to solving this challenge. We will explore the limitations of self-reported data; the realities of roster ingestion; the importance of ongoing validation and augmentation; the role of artificial intelligence, machine learning and claims analytics; the lag with provider engagement; and the promise of other emerging approaches that work off a multitude of data sources and feed a multitude of functional work streams across the enterprise.
Digital is no longer a differentiator. It has become part of everything we do as people and as businesses. However, its impact on individuals’ expectations is changing. People are increasingly expecting health care on their own terms, and they expect digital to support delivery of health care when, where, and how they want it. This session will highlight the five emerging trends that will shape businesses over the next three to five years: DARQ Power, Get to Know Me, Human + Worker, Secure Us to Secure Me, and MyMarkets. Each trend demonstrates how digital maturity is raising expectations, abilities, and risk in health care.
Research indicates social determinants of health (SDoH) – housing, transportation, financial security, loneliness and more – drive more than 80 percent of health outcomes. Increasingly, health insurance providers are seeking ways to scale their efforts to mitigate their members’ social determinant-related barriers to care. In this session, attendees will learn how nurse care members use an analytics platform to stratify chronically-ill members, identify and address their social determinants of health, and deliver more personalized care.
End your first day of sessions and networking with an energy filled concert by American country band Midland. What a great setting in which to meet new colleagues and reconnect with others.
Lead vocalist Mark Wystrach fronts Midland’s rich sound that is rounded out with lead guitarist Jess Carson and bass player Cameron Duddy.
Their critically-acclaimed freshman album, ON THE ROCKS (Big Machine Records), features 13 tracks with songwriting credits from each member alongside hitmakers Shane McAnally and Josh Osborne. Launching to rave reviews from notable outlets such as the Los Angeles Times and Rolling Stone Country, ON THE ROCKS was declared “the year’s best Country album” by The Washington Post.
Midland was also named New Vocal Group of the Year at the 2018 ACM Awards.
To provide proactive care for the growing number of individuals living with a variety of complex conditions, health care administrators and practitioners are turning to patient-generated health data (PGHD) to glean meaningful insights into members’ health, lifestyles, and behaviors. These valuable data are powering a variety of programs that could prevent hospital admissions and adverse health events, including personalized preventative wellness, remote care management, and population health programs. What impact do these programs have on the total health of members? How do you scale personalized, data-driven experiences? In this session, hear from health care leaders as they discuss how PGHD is quickly becoming the next frontier to address health care access, affordability, quality, and outcomes.
Health care is moving toward a more retail-oriented model, but lags significantly in consumer satisfaction compared to other industries. Speakers in this session will discuss how they are leveraging digital marketplaces to drive transformation in health care. Speakers will also address how they are working with leading organizations to improve the clinical and financial experience for consumers, thus helping consumers navigate their financial journey and obtain greater flexibility in payment options.
Addressing social determinants of health (SDoH) requires action on four interrelated aspects: identifying vulnerable populations; finding local, culturally-sensitive community services to address these vulnerabilities; providing those services; and studying the impact of these service programs on costs and outcomes. This session presents new research assessing health plan engagement in these key areas, as well as insights from several health plans on their approach to measurably impact SDoH among their members.
The concept of Total Rewards made its debut in the 1990s, as a way for organizations to communicate the value of their compensation, benefits, and work/life programs. While the concept still resonates, today’s employees are looking for more than a transactional “give” and “get” relationship from their employer. Join this session to learn how a corporate focus on total well-being can create new opportunities to engage employees in ways that matter most to them.
Upwards of 75,000 genetic tests currently populate the market, with 10 new tests becoming available each day. Accompanying the exponential growth of precision medicine is an increase in instances of inappropriate coding of genetic tests, which can result in significant billing and payment burdens for physicians and their patients. In this session, the speaker will share common genetic testing billing/payment problems, outline an AMA solution pilot, and let attendees know how they can participate.
This session will provide an overview of emerging machine learning platforms that can be used to manage members through the health care continuum, with the goal of improving their outcomes and lowering the total costs of care. In this session, the speaker will focus on three key areas: precision navigation for matching patients to optimal providers; precision interception for identifying plan members who are most at risk for over-utilization of high-cost interventions; and a precision treatment platform that can identify patterns suggestive of fraud, waste, and abuse in relation to ordered diagnostic and therapeutic interventions. The session will conclude with a perspective from early adopters on how the operational use of these technologies in live deployments establishes significant potential to empower organizations managing health care risks and costs.
Every industry has a crowded market place, but health care is homogenous. Learn how to create a stand out brand and use experiential marketing to differentiate. Hear from the prior CXO of a health plan and PBM as well as the past President of major retail sports company about how they build brands that felt different from the crowd. They both harnessed the power of creating experiences to build their consumer brands and will share lessons learned.
This session will explore the rationale and barriers to delivering the expert-recommended three pillars of best practice musculoskeletal care: exercise therapy, behavioral health, and education. Attendees will learn how an employer evaluated and implemented a comprehensive digital musculoskeletal care solution that achieved significant pain reduction in their employees, cut depression rates in half, and addressed high medical spend by avoiding two out of three surgeries.
As more provider contracts are tied to value-based care, the need for health plans and providers to hold each other accountable for improving care and affordability has never been more important. Technology can provide health plans with an innovative way to engage providers with the information necessary to make the best prescription decision — both clinically and fiscally — for the patient. Join this session to learn how providing benefit information to providers at the point-of-care can enable a successful transition to value-based care.
During this moderated panel discussion, health plan leaders will explain how integrated virtual care is transforming the way people access health care. Each presenter’s unique story will illuminate instances where their organization is using a virtual care strategy to address the three most significant concerns challenging health care today: access, quality and affordability. Through the development of differentiated offerings reliant on innovative models of care, these organizations are delivering greater convenience, outcomes and value to their members.
This session will provide a look at the health care industry’s progress toward accurate point-of-service payments and the track to get there. Strategies incorporating enhanced real-time technology and long-term collaboration (with providers and partners) will be examined in order to transform payment processes for payers. Attendees will learn how commitment to these principles and a design-thinking mindset can help move the industry further toward delivering the successful future payment structure that both providers and beneficiaries seek.
Every year, 3.6 million Americans miss doctor appointments due to a lack of reliable transportation. In this session, you will learn how health care organizations are using ridesharing and/or supplementing their non-emergency medical transportation (NEMT) benefits to improve member satisfaction and outcomes by removing transportation as a barrier to care. This session will cover how ridesharing has evolved to become a viable option for NEMT. The speaker(s) will also provide a glimpse into where ridesharing companies are looking to expand, in order to help improve overall patient health outcomes.
Join this session to hear how the results of an innovative, virtual experience can impact your clinical outcomes, and develop more satisfied and accountable members. The speakers will share their experience with strategies that drive meaningful change to cost, quality, and the total member experience.
Health insurance providers are bombarded by what seems like an endless supply of point solutions, creating confusion for members who must figure out how to navigate to each unique program they need. This session will explore a data-driven, machine learning and consumer activation strategy that creates a personalized experience for each member, and provides analytics to show your organization whose attention you are getting (or not), with insights into what needs to change.
This session will examine how Provider Directory Accuracy informs Network Adequacy. As emphasized in the CMS 2020 Call Letter, you can no longer measure one without the other. The speakers will demonstrate the importance of having a completely integrated solution that blends the two and allows you to monitor and trend both sides of the equation. Also, you’ll learn how the market is migrating to a blended solution that allows for the integration of cost, quality metrics, and efficiency measures to execute value-based contracting and mitigate risk factors such as surprise billing – positively impacting your member satisfaction, STARS ratings and more.
Primary care is a key component to a healthy and productive, long life. While research shows that positive health care outcomes are strongly linked to the availability of primary care physicians (PCP) and a continuum of care, primary care isn’t working for a large and growing portion of the population; nearly 30% of American adults don’t have a PCP. In this session, learn how a virtual primary care program can improve access and member satisfaction, while decreasing costs for both members and health plan partners.
This session will explore the value and key features of a Long Term Services and Supports (LTSS) capability that is fully integrated within a population health management platform. Attendees will learn the benefits of accurate identification and risk stratification among LTSS participants, data integration and sharing, care coordination between multiple entities, LTSS provider network management, and automated processes. This session will also address the need for systems to support multiple services and providers – traditional and non-medical – in order to collect data from entities lacking robust information infrastructures.
This session will provide insights as to how health care complexities directly correlate to consumer dissatisfaction and lack of engagement, and what health plans can do to simplify the consumer experience. This session will also help attendees reimagine engagement strategies from the consumer’s perspective, with the goal of creating truly human experiences in the moments that matter, and to deal with the health plan’s readiness to change.
Presented by CGI
As the health care industry continues to make significant investments in innovations to combat fraud, waste, and abuse, a health plan’s social media presence should not be overlooked. Social media is more than just an information-sharing platform; it has become a new marketplace and a massive data source. The ability to identify, detect, and scrub improper activities and imposter identities on social media — in real time and in conjunction with other solutions — could translate into saved reputations and costs. Join this session to learn about solutions that incorporate a social media protection service as a necessary safeguard to combat fraud and abuse.
How many questions do you still have about how to actually get things done? Need advice on your retail strategy? Have a burning question on how to get your CFO’s attention? Want to know what is happening out there in the health 2.0 digital world? This session provides you with the opportunity for up close and personal access to the speakers you’ve heard from session. First come, first serve seating for an intimate dialogue with these leaders.
Music City Center
201 Fifth Avenue South
Nashville, TN 37203
Nashville, one of America's leading health care centers, is the ideal location for Institute & Expo. Nashville has helped shape the nation's health care landscape for the past four decades and continues to improve the delivery of patient care across the globe.
Beyond being a leading health care hub, Nashville has so much more to offer you during Institute & Expo.
Start planning your trip with some additional resources:
Hotel rooms are still available for a limited time at select hotels. Guest rooms are first-come, first-served and based on availability.
How to book a room – To receive the AHIP-negotiated rates you must register for the Institute & Expo 2019, before making your hotel reservation. Once your registration has been confirmed you will receive hotel details within the registration confirmation on how to book your room using the online Passkey system.
AHIP has negotiated special room rates within walking distance to the Music City Center, to help with your trip to Nashville in 2019. Attendees who book through Key Bookings, AHIP’s official housing provider, receive exclusive reservation perks by booking in the AHIP block! You’ll find a range of hotels allowing you to choose the one that best fits your needs.
Why should I book a room in the conference hotels? Please click here for the key benefits to booking with AHIP’s Institute & Expo 2019 hotels.
Please be aware that third party housing companies may contact AHIP registrants and exhibitors to solicit sleeping rooms for Institute & Expo 2019. These entities may act as travel agencies, wholesalers, or destination management companies.
AHIP does not endorse any private companies other than KEY BOOKINGS to act on our behalf. AHIP is not responsible for any hotel reservations made through any company source other than through KEY BOOKINGS.
Don’t be misled! If you are contacted by someone other than KEY BOOKINGS, please let us know immediately, click here to send an email.
Accenture is a leading global professional services company, providing a broad range of services and solutions in strategy, consulting, digital, technology and operations.
American Well is a telehealth platform in the United States and globally.
Burgess helps leading American health insurers and ACOs set a new standard in payment accountability.
CareCentrix drives savings, improved outcomes, and patient satisfaction
Remote monitoring solution for high risk seniors, to lower PMPM costs
IBM Watson Health aspires to improve lives and give hope by delivering innovation, through data and cognitive insights
Driven by data, Inovalon identifies gaps in care, quality, data integrity, and financial performance
Mom’s Meals is a leading national provider of refrigerated, home-delivered meals and nutrition services.
NTT DATA is an end-to-end service provider of IT and business solutions for healthcare.
Optum combines technology, data and expertise to power modern health care.
Teladoc Health is the global virtual care leader, offering the only comprehensive virtual care solution.
Validic gives healthcare companies one mobile health API connection to access data from the best mHealth apps and devices.
The First and Only Consumer Experience Platform Built for Health Insurance