June 5, 2023
2 Pre-conference Hands-on, Interactive Workshops: 3-Hour, Topic-specific, Small Group Sessions |
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Join these exclusive Think Tank workshops where industry leaders present top of mind opportunities and challenges in an intimate program format. This highly acclaimed, popular conference feature is your best opportunity to get questions answered on the spot, share winning solutions, lessons learned and challenges. Go home armed with information critical to your plan’s success. |
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8:00 |
Networking Continental Breakfast |
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9:00 - 12:00 |
Written in the Stars: The Journey to 5 Goes Through The Final Rule. Are You Ready to Chart Your Course?
Rex WallacePrincipal & FounderRex Wallace Consulting Mick Twomey Chief Executive Officer Hyperlift Nate LucenaSenior ConsultantRex Wallace Consulting Jessica MuratoreSenior ConsultantRex Wallace Consulting Luis CerdaStars ConsultantRex Wallace Consulting |
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10:30 |
Networking Refreshment Break |
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12:00 – 1:00 |
Networking Lunch
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1:00 – 4:00 |
Future-Proofing Your Stars Program for 2024Future Proof your 2023 and 2024 Stars Workplans through active sessions with your colleagues to be prepared for success amidst the many changes on the horizon. This session will include:
Workshop Leaders:Melissa SmithChief Consulting OfficerHealthmine John WillisVice PresidentHealthmine Cynthia Pawley-MartinSenior AdvisorHealthmine Ana BerridgeSenior AdvisorHealthmine Cherie ShortridgeSenior AdvisorHealthmine |
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2:30 |
Networking Refreshment Break |
June 6, 2023
7:00 |
Networking Continental Breakfast
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8:00 |
Chairperson’s Welcome
Jamie Galbreath, PhD, MPH, CHESQuality Improvement DirectorUCare |
8:10 |
Setting Your Plan Up for Stars Success in an Era of ChangeThis session will include a review of the latest MA and Star Ratings program changes, technical updates from the Rate Announcement and Final Rule, and exploration of industry issues impacting Star Ratings success. Melissa SmithChief Consulting OfficerHealthmine |
8:40 |
Laying the Foundation for Success With the Health Equity Index
Devon LorClinical Quality Manager Network Health |
9:10 |
Panel Discussion: Health Equity, Diversity and Social Determinants of Health – Interpreting the New Regulations and Positioning Your Plan for Success
Moderator:John Willis Vice President Healthmine Panelists:Simone BrooksInnovation Strategist MVP Healthcare Andre Bliss, Ph.D., MBA Director, Medicare STARs UPMC Health Plan |
9:45 |
Harnessing AI & ML to Improve Health Equity Metrics – Partnering with Your IT Team
Sumit GuptaLead Data Scientist Aetna CVS Health |
10:15 |
Networking Refreshment Break
Sponsored by:![]() |
10:45 |
Navigating the Engagement Spectrum to Boost OutcomesThis session will explore various innovative member engagement and experience strategies across benefit, program, and intervention design and execution. Learn how plans are applying intentional engagement tactics into broader experience strategies to increase program participation, drive appropriate benefit utilization, boost satisfaction and retention, and reduce unnecessary outreach efforts and abrasion. This session will explore ways that plans are moving from transactional service resolution models toward concierge care designs and highlight tools and technologies, engagement optimization tactics, and proactive education and awareness tactics for success. Daniel WeaverExecutive Vice President of Product Operations and Stars Strategy NationsBenefits |
11:15 |
Digital Engagement Strategies to Improve Member Satisfaction and RetentionIn this session we will explore the growing Medicare Advantage and D-SNP market, member shopping and engagement behaviors, and best practices for improving member satisfaction and retention using digital engagement channels. Sarah ChapmanSenior Director, Digital Strategy CareSource Reva SheehanDirector of Customer Insights mPulse Mobile |
11:45 |
Case Study: Taking Initiative with HOS – a Proactive Action PlanWith HOS being a mainly provider-driven domain of the Stars program, Blue Cross Blue Shield of Arizona (BCBSAZ) has historically left HOS up to their providers to drive initiatives. This has led to final HOS ratings with room to improve. Listen to how BCBSAZ has taken initiative and implemented a comprehensive HOS action plan. With initiatives focused on providers, members, data, and internal operations this is the plan’s first attempt at tackling improving these scores in a big way. Allie El-TawilStars Business AnalystBlue Cross Blue Shield of Arizona |
12:15 |
Networking Lunch
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1:15 |
Getting Over The Hump – Achieving 4 Or Better Star Performance and Maintaining It
Moderator:Jessica MuratoreSenior ConsultantRex Wallace Consulting Panelists:Josh Edwards Stars Operations Program ManagerDevoted Health Elena McCoy Sr. Business Analyst, QI and Stars ProgramsBlueCross BlueShield of Tennessee |
1:50 |
Collaboration Driven Stars ImprovementQuality is a team sport which requires cross functional collaboration of multiple stakeholders across the health plan. In this session, we explore challenges and solutions for successfully navigating a changing Stars landscape. We will also discuss our experiences in breaking down silos, success stories, and ongoing opportunities. Shirley Doyle, MPHSr. Director, Medicare Stars and Revenue ManagementSentara Health Plans Dolores Karen Snyder, RN, MSNDirector Medicare StarsSentara Health Plans |
2:20 |
Care Management Data and Closing Gaps in Care
What you need to do to start capturing Care Management Data for HEDIS® gap closure?
Andre Bliss, Ph.D., MBA Director, Medicare STARsUPMC Health Plan |
2:50 |
Networking Refreshment Break
Sponsored by:![]() |
3:20 |
Understanding the Connection Between Unmet Social Needs and Star Ratings Performance
Phillip CollinsSenior Director of QualityFarmboxRx |
3:50 |
Activating a Provider-Driven Member Experience Program
Brendan GenerelliSenior Program Manager for Stars and Quality Blue Cross Blue Shield of Rhode Island Saeed AminzadehChief Executive Officer Decision Point |
4:20 |
Panel Discussion: Tools and Strategies to Boost Care Quality & Improve Member Experience
Moderator:Keslie CrichtonChief Sales Officer Benelynk Panelists:Katie Ford Vice President, Clinical & Quality,Convey Health Solutions Dolores Karen Snyder, RN, MSN Director Medicare Stars,Sentara Health Plans Dr. Lesley NorthropChief Diagnostics Officer,Everly Health David MeyerChief Solution Officer,Cozeva |
5:15 – 6:15 |
Networking Reception
Sponsored by:![]() |
June 7, 2023
7:00 |
Networking Continental Breakfast
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8:00 |
Chairperson’s Remarks
Nikki Hungate, MS, MHASenior Director, Medicare & Gov’t Programs Product Strategy,MVP Health Care |
8:05 |
Provider Engagement, Incentives and Risk SharingIn this session you will hear my experience and recommendations for building a strong relationship with providers, while also driving outcomes necessary for high quality scores in Medicare Stars and NCQA. Some items for discussion:
Ian Straayer, M.B.A.Manager, Quality ImprovementPriority Health |
8:40 |
In Home Whole Person Care: Prevention, Assessment & ScreeningsWomen who are 65 and older are at greater risk for osteoporosis especially after a fracture. Members who are at an increased risk for certain health conditions often times don’t get the necessary screening or care that they need. Members may avoid proper care due to health literacy, access, or social barriers preventing them to take care of their individual health. This session will engage attendees on how to strategically engage members on conducting in-home bone density scans for osteoporosis while also providing other care coordination services including assessing members homes for fall risks, understanding their mental and physical health status, providing health education on preventive screens, and addressing social barriers to care. After this presentation, attendees will be able to:
Jamie Galbreath, PhD, MPH, CHES Quality Improvement Director UCare |
9:15 |
Cross Functional Strategies to Align all Departments and Leadership with STARS & HEDIS® Goals – Increasing Resources
Nikki Hungate, MS, MHA,Senior Director, Medicare & Gov’t Programs Product Strategy, MVP Health Care |
9:45 |
Networking Refreshment Break
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10:15 |
Supplemental Benefits: How Can They Impact Star Ratings?Supplemental Benefits are sometimes a mystery to figure out how to improve our overall MA product performance. During the presentation, I will review how our teams determine which supplemental benefits we choose, as well as how we structure our supplemental benefit implementations and track performance with vendors and our analytics and actuarial teams. A key piece of supplemental benefit design is collaboration with the whole health plan team, including your actuaries and sales teams to build a great proposal and structure that meets all the needs of the health plan as well as following up with analytics to track ROI and performance related to Stars closely. Kena Hahn, MHADirector, Medicare Stars & Outpatient Care Coordination, |
10:45 |
Operational Excellence to Reduce Complaints About the Plan (CTMs)
Rebecca Adam, MBAStars Program ManagerCareFirst BlueCross BlueShield Julie BillmanVP Medicare ProductsCareFirst BlueCross BlueShield |
11:15 |
Using Medication Therapy Management to Improve Stars and Medicare Plans
Mike Eaton, PharmDDirector, Pharmacy Government ProgramsSelectHealth |
11:45 |
Close of Conference
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