The 14th Medicare Stars, HEDIS®, Quality & Risk Summit

Boost Performance Scores through Cross-Functional Member and
Provider Engagement While Ensuring Compliance in an Era of Uncertainty and Declining Budgets

About The Event

Engaging your members and building provider relationship is more vital than ever before. Hear from the nation’s top health plans on how they are effectively navigating new and evolving CMS & NCQA regulations impacting CAHPS, HOS and other key performance measures at The 14th Medicare Star Ratings, HEDIS®, Quality Assurance & Risk Adjustment. This highly acclaimed event features in-depth case studies and panels on effectively influencing member and provider behavior, meeting members where they are, integrating social determinants of health & health equity, aligning with pharmacy, and building cross-functional teams to augment inter-departmental data sharing.

Speakers

To be Announced!



The 14th Medicare Stars, HEDIS®, Quality & Risk is designed for C-Suite Executives, Medical Directors, Vice Presidents, Directors, and Managers from Medicare Advantage Health Plans, Provider Groups and Health Systems with job functions in the following departments:

  • Star Ratings
  • Quality
  • Government Markets
  • Product
  • Risk Adjustment
  • Revenue Management
  • Product Development
  • Health Equity
  • Benefit Design
  • Operations
  • Technology


Anticipate & Adapt: Navigating Regulatory Changes for Star Ratings and HEDIS®

  • Driving Outcomes and Continuously Improving in the Face of Financial Headwinds and a Wildly Erratic & Uncertain Legal and Regulatory Landscape
  • Get the Latest Technical and Regulatory Updates Impacting 2025 Star Ratings Performance
  • Examine the New 2025 Math Path With New Measures and the Health Equity Index
  • Optimizing Medicare Stars Unique Performance Levers
  • How to Improve Your Health Plan’s Star Ratings to Generate Millions of Dollars

Impacting the Changing Face of Member Experience & Expanding Access to Care

  • Practical approaches to elevating CAHPS, HOS, and member retention through targeted, equitable member engagement
  • Harnessing the Power of Incentives and Rewards to Enhance STARS Ratings
  • Customizing Member Communication to Support Access to Care – Differentiating Strategies
  • Learn Ways to Improve Experience and Health Outcomes as Members Change Formularies and Benefits
  • How to Educate Members to be Their Own Health Advocate
  • Increasing Access to Care for Underserved Communities: Rural and Urban -- Building Trust & Enhancing Health
  • Reaching Underserved Populations through CBO Partnerships

Re-Vitalizing Provider-Payor Partnerships to Boost Star Ratings

  • Unlocking the Power of HOS: Elevating Your Star Ratings Strategy
  • Best Practices: CAHPs & HOS – Managing Providers and Supporting Them to Boost Quality
  • Addressing Interoperability: A Multi-Pronged Approach to Close Gaps in Care and Drive Value
  • Defining the Health Plan’s Role in Cooperation with Providers
  • Reducing Provider Abrasion through Interdepartmental Coordinated Programs

Integrating Health Equity, Diversity, SDOH into Stars & Quality Programs

  • Real-life Implementation Tools and Strategies to Address the Health Equity Index – What Can You Actually Do Beyond Data Collection
  • Preparing for HEI Even Though Your Plan May Not Meet Demographic Requirements
  • Creating a Multi-Dimensional Member Journey that Drives Star Ratings & Health Equity
  • Addressing the Unique Needs of the D-SNP Population – Navigating State Regulations & Providing Easy to Use Tools that Support Your Members

Interdepartmental Collaborations To Boost Performance Scores

  • Increasing Resources to Expand STARS & HEDIS® Programs – Communicating the Value Story & Business Case to Your Leadership
  • Data Driven Strategies to Integrate Stars, Quality & Risk – Breaking Down Silos
  • Optimizing Your Teams: How to Help Your Stars Team and Matrix Partners Reach Their Full Collective Potential

Tools & Strategies to Improve HEDIS® & Quality Measures

  • Transitions of Care: Getting in Front of Chart Review
  • Quality & Risk Collaborations to Reduce Care Gaps
  • Innovative Approaches to Improve Part D Quality Measures


Testimonials from
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