INTEGRATING DATA ANALYTICS AND MEDICAL AND BEHAVIORAL INTERVENTIONS

Innovative population health initiatives that produce real value for your most vulnerable populations are unveiled for the first time at The 5th Annual Population Health Payer Innovations for Medicaid, Medicare & Duals. This conference is the only event designed exclusively for health plans and delivers cutting edge tools and strategies to operationalize Social Determinants of Health and Flexible Benefits for new value-based care models. Get solutions you can implement: from combatting the opioid epidemic, utilizing community paramedics, and partnering clinical and analytic teams to exploring VBID models of care, engaging providers, changing member behavior, and harnessing data-driven solutions.

16+ top health plans with Medicaid, Medicare & Duals focus, plus a prestigious panel of 4 providers, who will show you how they are integrating SDoH initiatives into their clinical workflows, will share best practices on how to build and manage population health programs to ensure compliance, boost outcomes and control costs.

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    Building and Managing a Compliant and Flexible Population Health Program

  • Population Health Policy Initiatives – A Growing Focus in Medicare, Medicaid & Duals – Featuring the NCQA and CMS Speakers

  • Integrating Social Determinants of Health (SDoH) and Flexible Benefits into Your Existing Operations

  • Defining Population Health, SDoH and Health Equity – How Do You Think About Population Health Across Silos
  • Leveraging Special Supplemental Benefit Authority for Members with Multiple Chronic Conditions
  • Adapting and Integrating Existing Operations With CMS New Flexibility Rules
  • Operationalizing Health Equity – Ensuring Comparable Outcomes Across Demographics
  • SDoH – Institute Accurate Financial Measures to Optimize Resource Allocation
  • Provider Strategies to Integrate SDoH Work Into Clinical Initiatives

  • Community Engagement – What is the Health Plan’s Role?

  • Community Level Collaborations to Impact SDoH: Redefining the Health Plan’s Role in Moving “Upstream” to Improve Social and Economic Conditions
  • Innovation Case Study: Community Paramedics -- Using Paramedics to Assess and Address SDoH

  • Delivering True Value-based Care

  • Redesigning Case Management to Focus on Value Relationships – the Evolving Role of the Health Plan
  • Innovating Services for Dual Eligibles -- If You Can Make It There, You Can Make It Anywhere
  • Collaborative Care Model: Integrating Behavioral Health into Primary Care
  • Taking a Value-Added Approach to Opioid Addiction -- Combatting Substance Abuse Disorders (SUD)
  • VBID Case Study: 4 Innovative Rewards and Incentives Programs

  • Enhancing Member Experience and Influencing Behavior Change to Boost Outcomes

  • Impact of Member Perception on Outcomes of Population Health Programs
  • Designing Products for Behavior Change

  • Data Analytics, Informatics and Surveillance – Effective Population Health Programs Begin and End with Data

  • Integrating SDoH Into Current Disease-Specific Programs – Capturing And Utilizing Data To Identify Gaps in Care
  • Collecting, Sharing & Utilizing Data to Boost Outcomes

  • Organizational Building Blocks to Build and Manage a Sustainable and Successful Population Health Program

  • Making the Transition from Cost Containment to Cost Avoidance
  • Partnering with Analytical and Clinical Teams for Integrated SDoH Program(s)
  • Operationalizing SDoH, Population Health Case Management: Workflow, AI and Other Technology Tools


2020 SPEAKERS
VNSNY CHOICE Health Plans

Hany Abdelaal, D.O.

President
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
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
NYU Langone

Isaac Dapkins

Chief Medical Officer, Family Health Centers
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
Strategic Health Group

Henry W. Osowski

Managing Partner
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
The Lewin Group (Contractor to CMS)

Kimberly Smathers

Managing Consultant
UPMC Health Plan

Dan Swayze

Associate Vice President for Clinical Affairs and Community Support Services
Cigna-HealthSpring

Dr. Dirk Wales

Chief Medical Officer
Clover Health

Matt Wallaert

Chief Behavioral 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
  • 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

SVPs, VPs, and Senior Executives in charge of Government Programs including:

  • Population Health
  • Health Services
  • Medicare, Medicaid, Duals
  • Medical Directors
  • Quality
  • Senior Products
  • Community Relations
  • Mental/Behavioral Health
  • Predictive Analytics, Risk Stratification, Data Analytics
Also of Interest to:
  • Disease Management
  • Chronic Care
  • Value-based Care
  • Medical Management
  • Utilization Management
  • Case Management
  • Care Management/Coordination
  • Operations
  • Palliative Care
Rave Reviews from 2019 Attendees: