Home - The 5th Annual Population Health Payer Plan Innovations for Medicaid, Medicare & Duals - May 18-19, 2020 * Hilton Arlington, Virginia

See how leading Payers are harnessing Population Health and Value-Based Care for their most vulnerable members to effectively reduce costs and drive outcomes. “Population Health Payer Innovations for Medicaid, Medicare & Duals” , focuses on strengthening payer-provider relationships, sharing data, building member and community trust and harnessing technology solutions.

15+ top health plans plus innovative policy makers showcase how to incorporate care management and utilization review to get the right care at the right time to most effectively meet the specific needs of each population. Find out how to balance digital and personal interventions and proactively influence member ... behavior.

The ground-breaking agenda focuses on the central pillars of Population Health for Medicaid, Medicare & Duals with CASE STUDIES AND BEST PRACTICES on:

Value-based Care & Population Health – Balancing Regulations & Quality
Incorporating Social Determinants of Health
Informatics & Data Analytics – Collecting, Sharing & Utilizing Data from Multiple Sources
Strengthening Provider Relationships
Member Engagement that Builds Trust
Community Collaborations to Expand Access to Care
Care Coordination & Quality Initiatives to Boost Outcomes

2020 SPEAKERS

Formerly, Director of Medicare Advantage Operations, CMS

Michael S. Adelberg

Principal, Lead, Healthcare Strategy Practice, Faegre Baker Daniels Consulting

CareOregon

Keshia Bigler, MPH

Population Health Portfolio Manager

Tufts Health Plan

Jill K. Borrelli, LICSW

Vice President, Quality Management

Optima Health

Catherine Brisland, DO, MBA, FCCP

Medical Director

Centene

April Canetto

Director of Cultural Linguistics

Ochsner Health System

Dr. Kathy Jo Carstarphen

Medical Director

NCQA

Paul Cotton

Director of Federal Affairs

Cambridge Health Alliance

Dr. Lora Council

Senior Medical Director

Kaiser Permanente

Joe Crimando

Interim Director, Population Health

UCare

Gregory A. Hanley, FACHE, CPHQ

Vice President, Quality Management & Pharmacy

Geisinger

Allison Hess

Vice President, Innovation

Johns Hopkins HealthCare LLC

Tejaswita Karve, Ph.D.

Director, Medicare STARS Advantage MD Adminstration

Trusted Health Plans, Inc.

Jose Diaz Luna

VP of Pharmacy

Genesee Health Plan

Jim Milanowski

President/CEO

Horizon Blue Cross Blue Shield New Jersey

Steven R. Peskin, MD, MBA, FACP

Executive Medical Director Population Health & Transformation

Inland Empire Health Plan

Maria Pugo, DrPH, MPH

Health Services Evaluator, Health Services Research & Evaluation

Gateway Health Plan

Konark Rana

Director, Product Strategy and Development

NYU Langone Health

Harry Saag

CEO, Roster Health, Assistant Professor

UPMC Health Plan

Dan Swayze

Associate Vice President for Clinical Affairs and Community Support Services

Cigna-HealthSpring

Dr. Dirk Wales

Chief Medical Officer

Faegre Baker Daniels Consulting

Tricia Beckmann

Director

Educational Underwriters

Strategic Solutions Network (SSN), based in Boca Raton, FL, is the parent company of the Medicare Risk Adjustment & Revenue Management Management, Plus Quality and Star Ratings and a series of related conferences.

Supporting Organizatations

Disease Management by Population Segment to Boost Performance Scores, Increase Care Quality & Minimize Risk

Who Should Attend:

Medicare Advantage, Medicaid, Dual Eligible Health Plans including HMOs, PPOs, ACOs, Provider Sponsored Plans, SNPS, and State Government Agencies

Chief Medical Officers, Chief Population Health Officers, SVPs, VPs, and Senior Executives in charge of Government Programs including:

Medicare, Medicaid, Duals
Senior Products
Population Health
Quality
Health Services
Community Relations
Mental/Behavioral Health
Predictive Analytics, Risk Stratification, Data Analytics

Disease Management
Chronic Care
Value-based Risk Contracting
Medical Management
Utilization Management
Case Management
Care Management/Coordination
Operations
Palliative Care

Rave Reviews from 2019 Attendees:

“I enjoyed hearing and learning about the various approaches to integrating SDOH for the improvement of patient care and outcomes,”

Priority Partners MCO JHHC

“Best practices that others are deploying,”

Humana

“Diversity of speakers,”

NYU Langone Health

“The content was excellent…impressive collection of quality speakers, innovative projects and presentations by highly respected executives,”

ResMed

“Interaction from industry experts.”

Blue Cross

“Variety & detail of presentations. Quick pace.”

Harvard Pilgrim Health Care

“The speakers are at the cutting edge of population health. It was great to hear about their innovative approaches. I came away with ideas to improve and expand my company’s offerings.”

Healthmap Solutions

“Variety of topics and presenters.”

Cigna

“The expertise of speakers and the variety of sessions.”

Blue Care Tennessee

“Personal interactions and high quality presentations,”

Cipher

“Best practice approach…Content is great. Speakers were very knowledgeable,”

Midland Quality Alliance

“Presentations that were very applicable and information that is viable,”

Progeny Health

“The conference offered a variety of perspectives on critical topics. It is often easy to see a concept through one lens, but it is so critical to hear and understand other perspectives.”

“All the speakers and panelists were top notch, collaborative and excellent. “

Somatus

“Content was great. Speakers very well prepared. Time commitment (and time in general) was well managed. Thank you for a great conference!”

VirtualHealth

“Strong presentations & content. Top speakers.”

Care Signal

“Rich view of the field.”

SCIO Health Analytics (an EXL Company)