Engaging your members is more vital that ever before in these uncertain times. SSN is bringing you this information -- virtually for your safety and convenience -- at the 11th Medicare Star Ratings, HEDIS, Quality Assurance & Risk Adjustment, scheduled for June 8-10, 2020. We’re pleased to offer this exclusive forum FREE to health plans and providers. Hear from 20+ top-rated MA health plans on how to align Star Ratings, Quality Assurance, HEDIS & Risk Adjustment to more effectively navigate the ever-changing Medicare Advantage regulatory landscape and successfully compete -- Plans working collaboratively across silos will be in the best position to tackle the many challenges presented by CMS & NCQA. Plus, position your plan to effectively close gaps in care and ensure access to care post-pandemic. This highly acclaimed event has been comprehensively expanded to provide the full spectrum of topics relevant to boosting your performance scores including panels and case studies on increasing CAHPS & HOS scores. Get best practices and case study solutions as follows:

  • Stars 101 Workshop -- June 8: Module 1 & 2
  • Boosting Star Ratings -- June 9: Module 3 & 4
  • Integrating Stars & HEDIS/Quality & Risk Adjustment -- June 10: Module 5
  • HEDIS & Quality – Clinical & Operational Provider Engagement -- June 10: Module 6

    June 8: Modules #1 & #2

    STARS 101 Intensive Workshop: Back to Basics

    Gorman Health Group: The “Nuts and Bolts” Behind the Star Ratings -- How to Build and Grow Your Stars Program to Integrate All Measures

    June 9: Modules #3 & #4

    Integrating Stars, HEDIS, Quality & Risk

    Panel Discussion: Improving Member Communications
    UCare: Combatting the Opioid Epidemic – Strategies to Engage Patients and Providers
    Harvard Pilgrim Health Care: Cross Functional Member Engagement to Boost Patient Experience
    Cigna: Optimizing CAHPS Performance When Access and Availability is a Challenge
    Panel Discussion: Influencing CAHPs and HOS Scores
    Cambia Health Solutions: Building Nimble Data Analytics for Stars
    Blue Shield of California: Developing A Provider Incentive Program for the Delegated Model
    Gorman Health Group: Achieving and Sustaining Strong Star Ratings in the Constantly Changing and Increasingly Competitive MA Market

    June 10: Module #5

    Integrating Stars, HEDIS, Quality & Risk

    NCQA: Moving to Digital Quality Measures
    Panel Discussion: Working In Sync: Aligning Stars, Quality & Risk
    Martin’s Point Health Care: Key Interventions to Improve HEDIS Measures and Drive Star Ratings
    Hometown Health: Aligning Provider Incentives Through Risk Adjustment and Quality
    CareOregon: Overcoming Barriers to Achieving High Performance Scores from an Equity Perspective
    UCare: Social Determinants of Health Programs – Impact on Quality and Star Ratings
    Medical Mutual: From Garage Band to Rock Stars… How We Made it Happen
    Commonwealth Care Alliance: Engagement Centers: Integrating Primary Care, Urgent Care, Behavioral Health and Social Determinants
    Network Health: Make Your MTM Program Work for You to Improve Medication Adherence, Star Ratings and Provide Quality Care to Members
    UPMC Health Plan: Risk Adjustment 101 and the Future of Risk Adjustment Data Submission – Moving from RAPs to EDPS

    June 10: Module #6

    HEDIS & Quality – Clinical and Operational Provider Engagement Programs and Strategies

    Health Alliance: Transitions of Care Measures – Innovative Approaches to Working with Providers
    UPMC Health Plan: Electronic Clinical Data Systems: Ensuring Connectivity to Gather 100% of Data from Multiple Sources
    BlueCross BlueShield of Tennessee: Member and Provider Outreach to Close Gaps in Care: Breaking Down Silos
    Neighborhood Health Plan of Rhode Island: Operationalizing Complex Care Management
    Gateway Health: Provider Data Retrieval
    Trusted Health Plan: Projection Model Driven HEDIS Improvement
    Ascension St. Elizabeth: How a Provider-Based COPD Program Interacts With a Local Insurer to Improve Outcomes
    Gateway Health: Enabling the Disabled: Strategies to Boost Quality Results for Populations With Disabilities

2020 All-Star Speakers
Medical Mutual of Ohio

Laura Adams, MBA

Director, Medicare Stars

Sarah Bezeredi

Vice President, Quality Solutions Delivery

Erika Bower, PharmD, BCACP

Clinical Pharmacist
mPulse Mobile

Jim Burke

Solution Marketing Manager
Blue Shield of CA

Amanda Calvert

Clinical Program Manager, Medicare Stars Program
Health Data Decisions

Liz Carr

Director, Consulting Services

Rebecca W. Chater, RPh, MPH, FAPhA,

Director, Clinical Healthcare Strategy

Paul Cotton

Director of Federal Affairs
Cambia Health Solutions

David Dodge

Medicare Star Ratings Program Director
Commonwealth Care Alliance

Lauren Easton

Vice President of Innovations
Martin’s Point Health Care

Josh Edwards

Medicare Stars Programs Manager
Hometown Health

Savannah Gonsalves

Manager of Quality
Omnicell, Inc.

Mark Gregory, RPh

Director, Pharmacy Consultant, Population Health Services

Stephanie Gutendorf

Vice President of Medicare Growth and Strategy
Health Alliance

Kena Hahn

Director Medicare Stars & Health Improvement
Neighborhood Health Plan of Rhode Island

Yvonne Heredia

Manager of Care Management
Ciox Health

Bill Horn

Senior Vice President, Payer Growth
Harvard Pilgrim Health Care

Noreen Hurley

Manager, Product Strategy, Member Experience and Star Quality
Ciox Health

Amir Keren

Chief Technology Officer

David L. Larsen RN, MHA

Director, Quality Improvement

Anna K Lynch, MPH

Member Engagement Manager

Tamara Matos

Business Project Manager, Stars Operations Director-Miami
Network Health

Gary Melis

Clinical Pharmacist
UPMC Health Plan

Tim Plank

Director, Government Revenue Risk Adjustment, Insurance Services Division
Gorman Health Group

Melissa Smith

Senior Vice President, Stars & Strategy

Toc Soneoulay-Gillespie, MSW

Social Services Manager, Population Health Partnerships
healow Insights

Frank Vo

Business Development Manager
Gateway Health Plan

Dan Weaver

Vice President, Stars Quality
St. Elizabeth

Robyn West

Registered Respiratory Therapist, BS, Clinical Coordinator, Cardiac and Pulmonary Rehab Department, Ascension NE Wisconsin - St. Elizabeth Campus
Gateway Health

Sarah Winski

Director of Clinical Quality Services for HEDIS
UPMC Health Plan

Debra J. Zeh BSN, RN

Sr. Director, Quality Improvement, Provider Performance
CareFirst Blue Cross Blue Shield Community Health Plan District of Columbia

Belinda Zhang, PhD, MHA

Chief Quality Officer
BlueCross BlueShield of Tennessee

Staci Zink

Member Experience Program Consultant, MA Quality Improvement and Stars
Educational Underwriters
  • Disease Management by Population Segment to Boost Performance Scores, Increase Care Quality & Minimize Risk
  • Disease Management by Population Segment to Boost Performance Scores, Increase Care Quality & Minimize Risk
  • Disease Management by Population Segment to Boost Performance Scores, Increase Care Quality & Minimize Risk
Supporting Organizations
  • Disease Management by Population Segment to Boost Performance Scores, Increase Care Quality & Minimize Risk
  • Disease Management by Population Segment to Boost Performance Scores, Increase Care Quality & Minimize Risk
  • Disease Management by Population Segment to Boost Performance Scores, Increase Care Quality & Minimize Risk
  • Disease Management by Population Segment to Boost Performance Scores, Increase Care Quality & Minimize Risk

Who Should Attend:

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

●Star Ratings ●Quality Management ●Risk Adjustment ●Product Development/Benefit Design
●Revenue Management ●Finance/Actuarial ●Operations

June 2019 Delegates: