Home - The 4th Annual Population Health for Medicaid, Medicare & Duals

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.

Rave Reviews from Past Delegates:

"This was one of the better conferences I have attended due to the topics and detailed info shared."

Healthfirst

"Liked the content and ability to network with speakers and attendees."

Ceresti Health

"Diversity of topics discussed"

Molina Healthcare of New Mexico

"Content was pertinent to current activities in managed care. These conferences always address what's happening now"

Blue Care Tennessee

"Quality of speakers & networking opportunities."

HealthCAWS

"The networking that was available to compliment the excellent presentations."

University of Oklahoma School of Community Medicine

"Great content. Good opportunities to connect with Health Plans."

Omnicell

"The speakers really covered great/real strategies."

MedStar Family Choice

"I liked the variety of presentations."

Amerihealth Caritas

"Really great diversity in topics. High speaker quality. Good Case Studies"

NovuHealth

"Liked that you had speakers that were clinicians, government policy, & health plans."

DentaQuest

"Great range of topics and good presenters. Everything was great."

Dasher Services, Inc.

"Wonderful presentations from like-minded colleagues who are struggling with the same challenges within these populations."

Pa Health & Wellness/Centene Corporation

"Good conference. Great contacts."

Mom's Meals

"Great conference."

Harvard Pilgrim Health Care

"Knowledge of speakers, breadth of topics covered, while still remaining relevant to overall focus on population health."

Adirondack Health Institute

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

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

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