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Risk Adjustment & Quality Micro Summit 2021

Event Date: 2/9/2021 - 2/10/2021

Event Overview

 

Join your Alliance colleagues to dig into real-life examples of how provider sponsored, regional and independent health plans across the US are meeting clinical integration and risk adjustment challenges during the pandemic — and to share plans for strategic initiatives poised to launch in a post-COVID world. 



Event highlights

This virtual summit is two days of focused sessions, with Alliance members leading the faculty with case studies that outline efforts on the ground. What big wins have health plan leaders achieved when it comes to risk adjustment, quality, and clinical outcomes? What lessons learned from initiatives and pilots that didn’t go as expected? And what efforts are underway now with an eye on the future? 

Topics include:

  • How internal partnerships between quality, risk adjustment, enterprise analytics, contracting and the actuarial teams are fueling the journey to clinical integration
  • Leveraging performance improvement projects to improve at-risk Quality measures: How one Alliance member did it in their Medicaid ACO
  • Technology and interoperability opportunities (think NLP, EHRs and FHIR)
  • Big changes when it comes to members with ESRD: How health plans can meet these new challenges and ensure they’re reimbursed appropriately for these members
  • How Avera challenged themselves to take on a “wildly important goal” – and the powerful impact they saw on risk adjustment and quality when they achieved it



Who should attend

  • VP/Director/Manager of Risk Adjustment
  • VP/Director/Manager of Quality
  • VP/Director/Manager of Population Health
  • VP/Director/Manager of Care Management
  • VP/Director/Manager of Medicaid / Government Programs 



Join the Risk Adjustment & Quality Learning Collaborative


This collaborative marries two of our most active peer groups for robust sharing on topics like retrospective and prospective risk adjustment strategies, HCC capture and coding best practices, and tackling HEDIS, CAHPS, HOS and star rating quality measures in the new COVID-19 environment.
  

LEARN MORE


 

Thank you to our event sponsors


Platinum


Silver


Bronze


Sponsor

Registration
ALLIANCE MEMBER
Fee End Date Description Amount
2/9/2021 Exclusive to Alliance Partner or Shareholder organizations MEMBER PASS
ALLIANCE GUEST
Fee End Date Description Amount
2/9/2021 Only for invited guests of the Alliance GUEST PASS
SPEAKER
Fee End Date Description Amount
2/9/2021 Confirmed faculty members SPEAKER PASS
SPONSOR
Fee End Date Description Amount
2/9/2021 For confirmed event sponsors SPONSOR PASS
Agenda

For a printable, detailed agenda go to the Documents tab above.

AGENDA AT A GLANCE  

 

TUE FEB 9

10:00 CT

Case study: Clinical integration challenges during the pandemic

11:00 CT

BREAK

11:30 CT

New challenges and solutions

12:45 CT

LUNCH BREAK

2:00 CT

Health Plan Flash Case Study Line up: How to run a successful socially-distanced In-home assessment program (really!)

3:30 CT

Adjourn

WED FEB 10

10:00 CT

Health Plan Panel: The road ahead for quality and risk

11:00 CT

BREAK

11:30 CT

Case study: Improving care follow up and health outcomes through performance improvement projects

12:45 CT

LUNCH BREAK

2:00 CT

Avera Case Study: How achieving one Wildly Important Goal made a $1.2M impact

3:30 CT

Adjourn

 

Documents
1/15/2021

Agenda: Risk Adjustment & Quality Micro Summit 2021
As part of the Risk Adjustment & Quality Learning Collaborative, Alliance members dig into real-life examples of how they are meeting clinical integration and risk adjustment challenges during the pandemic and share plans for strategic initiatives poised to launch in a post-COVID world.

Attendees

Below is a list of all delegates registered to date for this event

  • Dega Abdi
  • ALLIANCE MEMBER
  • Risk Adjustment Coding Auditor at MediGold
  • Kieley Arakelian
  • ALLIANCE MEMBER
  • Director - Quality Management at Physicians Health Plan
  • Frank Badillo
  • ALLIANCE MEMBER
  • Healthcare Payment Innovation Lead at MetroPlus Health
  • Kathy Bockhop
  • ALLIANCE MEMBER
  • Sr Healthcare Informatics Analyst at Quartz Health Solutions
  • Terri Bowers
  • ALLIANCE MEMBER
  • HCC Risk Adjustment Analyst at Providence Health Plans
  • Sibyl Boyd
  • ALLIANCE MEMBER
  • Medical Department Coordinator/Certified Risk Adjustment Coder at Cox HealthPlans
  • Jason Brockett
  • ALLIANCE MEMBER
  • Risk Adjustment Analytics Manager at SelectHealth
  • Susan Budd
  • ALLIANCE MEMBER
  • Commercial Products Manager at Denver Health Medical Plan
  • Ngoc Bui-Tong
  • ALLIANCE MEMBER
  • Vice President, Strategies and Analytics at Santa Clara Family Health Plan
  • Kayleigh Cavano
  • ALLIANCE MEMBER
  • Risk Adjustment Coding Auditor at MediGold
  • Alisa Cocozza
  • ALLIANCE MEMBER
  • Associate Director, Finance at MetroPlus Health
  • Jennifer Cones
  • ALLIANCE MEMBER
  • Manager, Outpatient CDI at Henry Ford Health System
  • Deidre DeRoche
  • ALLIANCE MEMBER
  • Manager, Goverment Programs at Community Health Options
  • Michelle Eliasen
  • ALLIANCE MEMBER
  • Senior Network Pricing Analyst at Community Health Options
  • Sarah Engle
  • ALLIANCE MEMBER
  • Risk Adjustment and Claims Analytics Supervisor at Western Health Advantage
  • Kena Hahn
  • ALLIANCE MEMBER
  • Director- Health Coaching, Consultative Services and Star Ratings at Health Alliance Medical Plans
  • Sara Hansen
  • ALLIANCE MEMBER
  • Director of Quality & Clinical Risk Services at Avera Health Plans (DAKOTACARE)
  • Amy Jack
  • ALLIANCE MEMBER
  • Risk Adjustment Coding Auditor Supervisor at SelectHealth
  • Karen Jensen
  • ALLIANCE MEMBER
  • Manager, Risk Adjustment and SIU at Quartz Health Solutions
  • Erin Kavanagh
  • ALLIANCE MEMBER
  • Risk Adjustment Analyst at Samaritan Health Plans
  • Ashley Kim
  • ALLIANCE MEMBER
  • assistant compliance counsel at Central Health Plan of California
  • Ira Klein
  • ALLIANCE MEMBER
  • Chief Medical Officer at Health New England
  • MWANSA KORANTENG
  • ALLIANCE MEMBER
  • Commercial Product Analyst at Denver Health Medical Plan
  • Tina Korty
  • ALLIANCE MEMBER
  • Vice President of Legal, Compliance & Regulatory at IU Health Plans
  • Matthew Kroeze
  • ALLIANCE MEMBER
  • Manager, Risk Adjustment at Avera Health Plans (DAKOTACARE)
  • David Larsen
  • ALLIANCE MEMBER
  • Director, Quality Improvement at SelectHealth
  • Ed Lee
  • ALLIANCE MEMBER
  • Exec Director Healthcare Economics Outcomes at IU Health Plans
  • Johanna Liu
  • ALLIANCE MEMBER
  • Director of Quality & Process Improvement at Santa Clara Family Health Plan
  • Luce Lohier
  • ALLIANCE MEMBER
  • Director, Enrollment & Premium Services at AvMed
  • Marc Lucas
  • ALLIANCE MEMBER
  • Risk Adjustment Consultant at Alliant Health Plans
  • Zoe Lutes
  • ALLIANCE MEMBER
  • Director of UM & Risk Adjustment Solutions at Health Alliance Medical Plans
  • Kathy Mantell
  • ALLIANCE MEMBER
  • Senior Recovery Analyst-Risk Adjustment at SummaCare
  • Tamara Migut
  • ALLIANCE MEMBER
  • Director of Quality Management at Health Alliance Medical Plans
  • Stephne Morgan
  • ALLIANCE MEMBER
  • Risk Adjustment Coding Supervisor at Health New England
  • Kaitlyn Nevills
  • ALLIANCE MEMBER
  • QI and Accreditation Manager at Cox HealthPlans
  • Gabriel Parra
  • ALLIANCE MEMBER
  • Chief Strategy Officer at Samaritan Health Plans
  • Liza Paul
  • ALLIANCE MEMBER
  • Director of Case Management/Interim VP of Health Services at MediGold
  • Wade Penner
  • ALLIANCE MEMBER
  • Manager Revenue-Risk at Samaritan Health Plans
  • Karen Rosen
  • ALLIANCE MEMBER
  • Manager, Government Revenue Analytics at Providence Health Plans
  • Kelly Skifton
  • ALLIANCE MEMBER
  • Assistant Vice President, Compliance & Government Regulatory Operations at Quartz Health Solutions
  • Mike Sloan
  • ALLIANCE MEMBER
  • Manager, Risk Adjustment Submissions & Analytics at MediGold
  • Caryn Smith
  • ALLIANCE MEMBER
  • Director of Risk Adjustment at HealthTeam Advantage
  • Jerald Somsen
  • ALLIANCE MEMBER
  • Director of Business Intelligence at Avera Health Plans (DAKOTACARE)
  • Krystal Stevenson
  • ALLIANCE MEMBER
  • Manager- Risk Adjustment Programs & Operations at Health Alliance Plan (HAP)
  • Rebecca Stob
  • ALLIANCE MEMBER
  • Director Risk Adjustment at Alliant Health Plans
  • Susan Waterman
  • ALLIANCE MEMBER
  • Director, Risk Adjustment at Scott & White Health Plan
  • Rebecca Welling
  • ALLIANCE MEMBER
  • Senior Director Coding Compliance at Providence Health Plans
  • Joan Wilberg
  • ALLIANCE MEMBER
  • Manager, Healthcare Economics at IU Health Plans
  • Margie Zeglen
  • ALLIANCE MEMBER
  • Vice President Population Health at Health Alliance Medical Plans
  • Holly Zorz
  • ALLIANCE MEMBER
  • Quality Improvement Project Coordinator III at Paramount Health Care
Speakers