Find out how to align Star Ratings, Quality Assurance, HEDIS & 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 & NCQA. Join us at the 11th Medicare Star Ratings, HEDIS, Quality Assurance & Risk Adjustment, scheduled for June 8-11, 2020, in Hilton San Diego Resort & Spa, San Diego, CA. This highly acclaimed conference has been comprehensively expanded to provide the full spectrum of topics relevant to boosting your performance scores. Hear from 20+ top rated MA plan speakers who will share best practices and case study solutions as follows:

  • June 8: Half day Stars 101 Workshop
  • June 9: Full day on Stars
  • June 10: Full day on collaborations and integration of Stars & HEDIS/Quality & Risk Adjustment
  • June 11: Full day on HEDIS/Quality Assurance

...
    June 8

    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


    Day One: June 9

    Integrating Stars, HEDIS, Quality & Risk

    Hometown Health: The New Epidemic: Loneliness & Social Isolation -- Programs that Produce Real ROI
    Priority Health: Collect, Utilize & Interpret Inter-departmental Data to Create Enhanced Member Experience Programs
    Martin’s Point Health Care: 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
    Harvard Pilgrim Health Care: Influencing CAHPs and HOS Scores
    Gateway Health: Breaking the Mold: Innovative Corporate Stars Awareness and Education
    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


    Day Two: June 10

    Integrating Stars, HEDIS, Quality & Risk

    NCQA: Moving to Digital Quality Measures
    UPMC Health Plan and Omnicell: 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
    Tufts Health Plan
    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


    Interactive 1 Hour Round Table Discussion Groups

    A. Influencing Member Survey Responses, Improving the Patient Experience and Minimizing Grievances & Complaints
    B. Improving Hard to Improve Measures
    C. Understanding and Implementing New STARS Measures
    D. Interoperability and Provider Data Sharing
    E. Preparing for Telehealth and the Impact on STARS & HEDIS Programs


    Day Three: June 11

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

    Health Alliance: Transitions of Care Measures – Innovative Approaches to Working with Providers
    Horizon Blue Cross Blue Shield of New Jersey: Boosting HEDIS Scores Through Pay for Performance Programs
    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
UnitedHealthcare

Sarah Bezeredi

Vice President, Quality Solutions Delivery
UCare

Erika Bower, PharmD, BCACP

Clinical Pharmacist
Tufts Health Plan

Linda Brenner

Director, Quality Measurement and Performance
Blue Shield of CA

Amanda Calvert

Clinical Program Manager, Medicare Stars Program
NCQA

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
Health Alliance

Kena Hahn

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

Yvonne Herdia

Manager of Care Management
Harvard Pilgrim Health Care

Noreen Hurley

Manager, Product Strategy, Member Experience and Star Quality
SelectHealth

David L. Larsen RN, MHA

Director, Quality Improvement
HealthMine, Inc.

Amy Lung

COO
Blue Shield of CA

Rene’ Mack

Senior Clinical Program Manager, Medicare Stars Program
Cigna

Tamara Matos

Business Project Manager, Stars Operations Director-Miami
Hometown Health

Brian May

Manager of Risk Adjustment
Network Health

Gary Melis

Clinical Pharmacist
UPMC Health Plan

Tim Plank

Director, Government Revenue Risk Adjustment, Insurance Services Division
Priority Health

Reva Sheehan

Sr. Improvement Specialist – Medicare Quality
Gorman Health Group

Melissa Smith

Senior Vice President, Stars & Strategy
CareOregon

Toc Soneoulay-Gillespie, MSW

Social Services Manager, Population Health Partnerships
Gateway Health Plan

Dan Weaver

Vice President, Stars Quality
Ascension
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
Trusted Health Plan

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
  • 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
  • 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

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June 2019 Delegates:
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