INTEGRATING DATA ANALYTICS AND MEDICAL AND BEHAVIORAL INTERVENTIONS
Population Health is transitioning from volume to value using the 5 pillars of Data Aggregation, Risk Stratification, Care Coordination, Provider Engagement and Patient Outreach. "Population Health for Medicare, Medicaid and Duals" shows you the keys to develop a coordinated, cross-organizational approach that focuses on:

  • Organizational Structure to Optimize Data
  • Care Management and Value Based Care
  • Provider and Community Engagement
  • Member Engagement
  • Regulatory and Policy Changes

Deploy disease management by population segment to boost performance scores, increase care quality & minimize risk for health plans. Hear from top health plans get Best Practice solutions to engage providers and patients.
2018 SPEAKERS
BlueCare Tennessee

Frances Martini, BSN, MBA

Vice President, Population Health
Harvard Pilgrim Health Care

Noreen Hurley

Program Manager, Star Quality & Performance
UPMC Insurance Division

James Schuster, MD, MBA

Chief Medical Officer, Medicaid and Behavioral Services, and VP, Behavioral Integration
Texas Children's Hospital

Angelo P. Giardino, MD, PhD, CMQ

Senior Vice President/Chief Quality Officer
Gateway Health

Gabriel L. Medley, MHA, MBA

Vice President, Quality and Risk Revenue
Kaiser Permanente Information Technology

Joseph Crimando

Population Health Solutions Manager
Centene Corporation

Laura Sankey

Staff Vice President Operations - Complex Care
Blue Care Tennessee

Dr. Jeanne James

Vice President & Chief Medical Officer
Molina Healthcare of New Mexico

Katarina Powdrell

Senior Specialist, Quality & Population Health
CareOregon

Jonathan Weedman

Director of Population Health
CareOregon

Amy Parkhurst

Population Health Integration Manager
Population Health Alliance, Chairman of the Board

Rose Maljanian

Chairman and Chief Executive Officer, HealthCAWS, Inc.
University of Oklahoma School of Community Medicine

Peter Aran, M.D.

Chief Medical Officer, Associate Dean of Clinical Affairs
Medicaid Health Plans of America

Alexander Shekhdar

Vice President of Policy
Decision Point Healthcare Solutions

Saeed Aminzadeh

CEO
Geisinger

Allison Hess

Associate Vice President, Health and Wellness
Tufts Health Plan

Helene S. Forte, RN, MS, PAHM

Vice President, Public Plans Emerging Markets
DC Department of Health Care Finance

DaShawn Groves DrPH, MPH,

Lead Project Manager, Health Care Reform and Innovation
NCQA

Tricia Barrett

Vice President, Product Design & Support
St. Luke's Health Partners

Bill Jonakin, MD

Medical Director, Medicare Advantage and Risk Adjustment
Omnicell, Inc.

Bjorn Thommesen

Director Strategic Accounts, Medication Adherence Division
Omnicell, Inc.

Mark Gregory RPh

Director, Medication Adherence Division
Neighborhood Health Plan of Rhode Island

Nancy Harrison RN MPH

Director of Operations and Strategy - Primary Care
Neighborhood Health Plan of Rhode Island

Michelle Bicket

Manager of Program Evaluation
Mom's Meals Nourish Care

Catherine Macpherson, MS, RDN

Vice President Product Strategy and Development, Chief Nutrition Officer
Health Net

April Canetto, MSW

Manager, Cultural and Linguistic Services
DC State Medicaid Agency, Department of Health Care Finance

Derdire Coleman

Management Analyst, Division of Quality and Health Outcomes
Strategic Partners
  • Disease Management by Population Segment to Boost Performance Scores, Increase Care Quality & Minimize Risk for Health Plans
  • Disease Management by Population Segment to Boost Performance Scores, Increase Care Quality & Minimize Risk for Health Plans
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 for Health Plans
  • Disease Management by Population Segment to Boost Performance Scores, Increase Care Quality & Minimize Risk for Health Plans
  • Disease Management by Population Segment to Boost Performance Scores, Increase Care Quality & Minimize Risk for Health Plans
  • Disease Management by Population Segment to Boost Performance Scores, Increase Care Quality & Minimize Risk for Health Plans

AGENDA HIGHLIGHTS 2018
Organizational Structure to Optimize Data
  • Cross Functional, Inter-Departmental Collaborations
  • Cutting Administrative Costs
  • Population Health and Medicare ACOs - Secrets to Cost Cutting Methodologies
  • Care Giver Support Programs
Care Management & Value-based Care
  • Value-based Patient Centered Medical Home CMS Pilot
  • Risk Stratification: Identifying & Managing High Risk/High Cost Members - Aligning Case Management and Data Analytics from a Clinical and Policy Perspective
  • Treating Depression & Comorbidities (Diabetes, Heart Disease, etc.)
  • Medical And Behavioral Interventions To Boost Outcomes And Reduce Costs
  • Disease Specific Case Studies-- Diabetes, Hypertension, Neonatal, etc.
  • Saving Lives -- How Health Plans Can Impact the Opioid Crisis
  • CMS Pilot -- Harnessing Telemedicine for the Sickest & Most Expensive Populations
  • Population Health and Alternative Payments Applied to the Pediatric Setting
  • Preventing Readmissions
  • Terminal Disease Management, Palliative Care
  • Transitions of Care: Hospital, Home Care, Hospice
Provider & Community Engagement
  • Provider Incentives and Alternative Payment Models
  • Developing Innovative Care Delivery in Partnership with Communities
  • Maintaining Flexibility to Meet Members' Needs - Aligning With Providers, Vendors, Hospitals, Others
  • EHR/EMR Technology Alignment/Integration
Member Engagement
  • VBID
  • Initiating Member Incentives Using Population Health Web Platforms
  • Boosting Member Engagement & Compliance
  • Non-traditional Benefits
  • Managing Social Determinants
  • Bridging Language And Cultural Gaps And Integrating These Populations Into The Traditional Health Plan Systems
Regulatory & Policy Changes
  • CMS & NCQA Measures Impacting Population Health
  • STARS * MIPS * MACRA * HEDIS
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