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

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

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:

“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)