Home - Medicare Stars, HEDIS, Quality & Risk - June 5-7, 2023 * Chicago, Illinois

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 12th 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. And, we have special coverage on the Administrative Measures and Meaningful Measures.

2022 All-Star Speakers

Medical Mutual of Ohio

Laura Adams, MBA

Director, Medicare Stars

Decision Point Healthcare Solutions

Saeed Aminzadeh

Chief Executive Officer

SelectHealth

Kim Barrus

Director, Clinical and Outcomes Management

Priority Health

Samantha Bartholomew

Stars Program Specialist

Boston Medical Center HealthNet Plan/Well Sense Health Plan

Molly Bonneville

Senior Market Research Analyst

Icario

Cory Busse

VP, Engagement Strategy & Client Success

Wakely Consulting Group, an HMA Company

Christina Byrne, ASA, MAAA

Consulting Actuary

Brown & Toland Physicians

Dr. Shannon I. Decker, M.Ed., M.Ed., MBA, MBA, PhD.

Vice President, Clinical Performance

Kaiser Permanente Northern California

Lynn Deguzman, Pharm.D., BCGP

Regional Clinical Operations Manager

Commonwealth Care Alliance

Lauren Easton

Vice President of Innovations

Clover Health

Julianne Eckert RN BSN, CCM, CMCN, ACMP

Director of Quality Improvement

Icario

Aanchal Falken

Vice President, Strategy & Business Development

UCare

Jamie Galbreath, PhD, MPH, CHES

Quality Improvement Associate Director

Amplifon Hearing Health Care

Josh Hoover, CEBS

Regional Sales Leader

Medical Mutual of Ohio

Mark E Halford, MBA

Senior Government Programs Data Analyst

Healthy People

Katharine Iskrant

President

Health Alliance Medical Plans

Haley Kesler

Star Rating Manager

Health Management Associates

Linda Lee

Managing Principal

McKinsey & Company

Monisha Machado-Pereira

Senior Partner

Network Health

Mallory Mueller

Director Quality Health Integration

DUOS Living Inc

Devraj Mukherjee

SVP, Revenue

Healthmine

Dwight Pattison

Vice President of Consulting & Professional Services

Healthmine

Cynthia Pawley-Martin

Senior Consultant

Wakely Consulting Group, an HMA Company

Ann Pogrebitskiy, ASA, MAAA

Associate Actuary

Icario

Sara Ratner

SVP, Government Markets & Strategic Initiatives

Cambia Health Solutions

Francie Shelton

Program Manager, Medicare Quality Incentive Program

Healthmine

Melissa Smith

Executive Vice President, Consulting and Professional Services

Healthmine

Kimberly Swanson

Senior Vice President of Consulting & Professional Services

Rex Wallace Consulting

Rex Wallace

Founding Principal

NationsBenefits

Daniel Weaver

Executive Vice President of Product Operations and Stars Strategy

Network Health

Josh Weisbrod

Vice President Risk Adjustment

Gateway Health

Sarah Winski

Director of Clinical Quality Services for HEDIS

Novillus

Brent Zenobia, Ph.D.

Chief Strategist

Educational Underwriter

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

Supporting Organizations

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

RAVE REVIEWS

“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:

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

“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

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