Home - Medicare Star Ratings, Quality Assurance & Risk Adjustment - June 11-12, 2019 * Hilton San Diego Resort & Spa, San Diego, California

Find out how to align Star Ratings, Quality Assurance & Risk Adjustment to more effectively navigate the ever-changing Medicare Advantage landscape and successfully compete -- Plans working collaboratively across silos will be in the best position to tackle the many challenges presented by CMS. Join us at the 10th Medicare Star Ratings, Quality Assurance & Risk Adjustment, scheduled for June 11-12, 2019, in Hilton San Diego Resort & Spa, San Diego, California. Hear from 20+ top MA plans:

Aetna
Highmark
Clover Health
Excellus BCBS

Harvard Pilgrim Health Care
Capital Blue Cross
Geisinger
Tufts Health Plan

CareSource
Select Health
Martin’s Point Health Care
UPMC

Gateway Health
Florida Blue
SCAN Health Plan
BCBS Arizona

Changes in threshold guardrails, weighting of CAHPs, HOS, Hospitalization, Pharmacy and Administrative Measures as well as implementation of Transitions of Care measures, and Supplemental Benefits, demand creative solutions.

Get step-by-step CASE STUDY Best Practices on your most pressing challenges and biggest opportunities:

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Integrating Stars, Quality & Risk Adjustment to Boost Performance Scores, Ensure Compliance & Control Costs

Balancing CMS Regulations With Your Business Needs
Aligning Quality, Stars & Risk Adjustment
Breaking Down Silos and Coordinating Process Flows
Harnessing Advanced Technologies – A Business Strategy Panel Discussion

Provider Engagement & Data Sharing

Maximizing Provider Data and Data Sharing
Building Provider Relationships to Engage Members
Supplemental Data Collection and Utilization to Boost HEDIS & Stars Performance
Coordinating Incentives Across Programs with Competing Priorities

Member Engagement & Transparency

Improving Consumer Survey Results (CAHPS) – Lessons Learned
Boosting Performance on the 5 HOS STARs Measures
Integrating Social Determinants of Health to Increase Performance Measures
Community Partnerships & Population Health

Cost & Quality Control of Care Delivery

In Home Assessments: Closing Gaps in Care
Embracing Technology to Transform Care Delivery and Improve Health Outcomes
Effective Community Pharmacy Partnerships Aimed at Boosting Star Medication Adherence Performance
Position Your Plan to Respond to Rising Cut Points While Addressing Other Part D Measures

Risk Adjustment Revenue Management

Combining Resources to Align Prospective Programs to Identify Gaps in Care
Validating Coding Accuracy
Reconciliation of RAPS and EDPS Data

RAVE REVIEWS FROM
June 2019 Delegates:

“Great speakers and topics,”

Martin’s Point

“Opportunity to hear best practices from other plans,”

Tufts Health Plan

“Comprehensive set of topics and engaging speakers,”

Inter Valley Health Plan

“The case studies…Variety and length of presentations,”

Desert Oasis Healthcare

“It was great! I liked the case studies and examples of actionable items,”

Aetna

“Very good content from presenters sharing stories/experiences – not sales,”

UPMC

“Great to hear about challenges that have been overcome and how change occurred,”

Molina Healthcare

“Great coverage of all Star measures in presentations,”

HealthNow New York

"Variety of non-vendor presenters…perfect size conference length and volume of attendees,”

Medical Mutual of Ohio

“Jam-packed full of information. Really like hearing what others are doing to gain member compliance,”

Aetna

“The speakers were very well spoken, engaged and informed. The topics were very interesting and info was helpful,”

Health Care Avenues Wellness Centers

“The conference was very enlightening. Love the fact that I was able to meet with so many people and gain so much information,”

Icare Intelligence

“Quality of speakers and interesting topics,”

Remedy

“Quality of speakers, “

Great Call Best Buy

“Hearing what other companies are doing to raise Stars and quality measures. Learning challenges & successes other carriers are facing,”

Aetna

“Presentations were very well done,”

Nascentia Health

“The presenters were very knowledgeable and passionate with what they do,”

Inter Valley Health Plan

“Variety of speakers: large plan, small DSNP, MA, LTTC, 3.0 Star to 5.0 Star,”

Express–Scripts

“Great topics. Great speakers. Everything was great,”

Excellus BCBS

2019 Distinguished Faculty

Harvard Pilgrim Health Care

Gaurishankar Chandrashekhar

Director Revenue Management

Tufts Health Plan

Debra A. Corbett

Program Director, Senior Products Clinical Services Strategy

SCAN Health Plan

Michelle Fujii

Manager, Medicare Star Quality

Omnicell, Inc.

Mark Gregory, RPh

Director, Population Health Division

Livongo

Stephanie Gutendorf

Vice President of Medicare Growth and Strategy

Florida Blue

Aldiana Krizanovic, MPH, CPH

Senior Health Policy Consultant for Federal Government Relations

Select Health

David L. Larsen RN, MHA

Director, Quality Improvement

Molina Healthcare

Donovan Lemelin

Director of Operations, Medicare Pharmacy

BCBSAZ Advantage

James Lewis III

Vice President of Quality/STAR & Risk Revenue Programs

Capital BlueCross

Susan Lira

Manager, Plan Performance & Improvement

Martin’s Point Health Care

Karen Manning

Director Strategic Quality Programs, Interim Director Medicare Revenue Operations

Geisinger

Maria Welch

Senior Wellness Specialist, Steele Institute for Innovation

Clover Health

Erica Pham

Deputy General Counsel and Head of Government Affairs

UPMC Health Plan

Tim Plank

Manager of CMS Encounter Data

Vatica Health

Dr. Hassan Rifaat

Chief Executive Officer

Axion Contact

Christine Swan

VP Call Center

Excellus BlueCross BlueShield

Alyssa M. Tutino, PharmD

Quality Improvement Clinical Pharmacist

Hyperlift, Inc.

Mick Twomey

President and Chief Operating Officer

Aetna

Dr. Tracey Veal, PhD, MBA

Sr. Director, Strategic Programs

Gateway Health

Dan Weaver

Vice President, Stars Quality

CareSource

Karen VanZant

Vice President, Executive Director, Life Services

UPMC Health Plan

Debra J. Zeh BSN, RN

Sr. Director, Quality Improvement, Provider Performance

Highmark

Olga Ziegler

Vice President, Revenue Program Management

Educational Underwriters

Disease Management by Population Segment to Boost Performance Scores, Increase Care Quality & Minimize Risk

Supporting Organizations

“Great speakers and topics,”

Martin’s Point

“Opportunity to hear best practices from other plans,”

Tufts Health Plan

“Comprehensive set of topics and engaging speakers,”

Inter Valley Health Plan

“The case studies…Variety and length of presentations,”

Desert Oasis Healthcare

“It was great! I liked the case studies and examples of actionable items,”

Aetna

“Very good content from presenters sharing stories/experiences – not sales,”

UPMC

“Great to hear about challenges that have been overcome and how change occurred,”

Molina Healthcare

“Great coverage of all Star measures in presentations,”

HealthNow New York

"Variety of non-vendor presenters…perfect size conference length and volume of attendees,”

Medical Mutual of Ohio

“Jam-packed full of information. Really like hearing what others are doing to gain member compliance,”

Aetna

“The speakers were very well spoken, engaged and informed. The topics were very interesting and info was helpful,”

Health Care Avenues Wellness Centers

“The conference was very enlightening. Love the fact that I was able to meet with so many people and gain so much information,”

Icare Intelligence

“Quality of speakers and interesting topics,”

Remedy

“Quality of speakers, “

Great Call Best Buy

“Hearing what other companies are doing to raise Stars and quality measures. Learning challenges & successes other carriers are facing,”

Aetna

“Presentations were very well done,”

Nascentia Health

“The presenters were very knowledgeable and passionate with what they do,”

Inter Valley Health Plan

“Variety of speakers: large plan, small DSNP, MA, LTTC, 3.0 Star to 5.0 Star,”

Express–Scripts

“Great topics. Great speakers. Everything was great,”

Excellus BCBS

Executives from Medicare Advantage Health Plans, Health Systems, Hospitals and Provider Groups Responsible for:

Strategic Solutions Network, LLC