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Value Visit: Operational Excellence and the Evolution of IT

Event Date: 8/22/2022 - 8/25/2022

Event Overview
Proof of COVID-19 VACCINATION REQUIRED to attend


 

Work together with top operations, data management,
and enterprise architecture leaders

 

The Operations Excellence & Evolution of IT Value Visit brings together top operations, data management, and enterprise architecture leaders for a multi-disciplinary exploration of the inflection point facing Alliance member health plans. Our health plan-led faculty dives deep into how they're working toward greater operational efficiency, holding vendors accountable and mitigating risks, redefining the underpinning data structures needed to achieve strategic goals, and designing an Enterprise Architecture roadmap that generates business value and innovation.

Together we’ll tackle these themes, which are defining health plans’ success or failure across the country:

  • Operational efficiency and process improvement
  • Data architecture and data governance
  • Meeting regulatory requirements and new “table stakes” competencies head on: NSA, Interoperability, Price Transparency – and managing vendors with an eye on enterprise risk management 
  • Leveraging technology and data to optimize health plan operations and make the organization more resilient in the face of constant disruption
  • Developing (and executing) an Enterprise Architecture Roadmap that generates business value through innovative technologies and approaches to information

 



Event highlights

  • Dig deep into real-world examples with nearly TEN Alliance member case studies focused on the issues your team is tackling back home.
  • Learn how other health plans are leveraging the investments made in response to regulatory requirements like NSA and interoperability to engage members, further population health and deliver on their brand promise.
  • Engage with top experts from Gartner in a workshop setting: Developing (and executing) an Enterprise Architecture Roadmap that generates business value through innovative technologies and approaches to information.
  • Get real when it comes to Data Governance. Learn how others are doing in the constant chase for achieving an underpinning data structure and high-quality data management methodology.
  • Stretch your thinking (and your approach) regarding vendor selection, management, and accountability.  How others are addressing the need for speed, risk mitigation, and making cost optimization a continuous discipline.
     


Who should attend

Executive stakeholders in health plan operations, IT or data architecture, and also top leaders who have responsibility for project management, process improvement, vendor management, and data governance.  In addition, leaders who coordinate efforts related to your health plan’s digital transformation roadmap, vendor accountability, or regulatory requirement implementation will find this meeting of particular interest.


 

Thank you to our event sponsors


Platinum


Silver


Sponsor

 

Agenda

Last updated August 5, 2022
(All details in Eastern Time Zone)

Download the agenda

AGENDA AT A GLANCE


MONDAY, AUGUST 22

6:00pm

 

Welcome Reception

 

TUESDAY, AUGUST 23

7:30

Breakfast and registration

8:30

Welcome and kick-off

9:00

Case study: Adapting legacy project management techniques to today’s demanding environment

10:00

Break

10:30

Case study: Getting from data aggregation to analytics to actionable insights for business owners

11:30

Leveraging the investments driven by regulatory requirements to engage members, further population health, and deliver on our brand promise

12:30

Lunch

1:30

Case study: Fine tuning productivity monitoring and seizing process improvement opportunities to optimize operations

2:30

Break

3:00

Co-create workshop: How the Health Plan Alliance can support your vendor management goals

4:30

Day one adjourns

6:00

Dinner

WEDNESDAY, AUGUST 24

7:30

Breakfast

8:30

Welcome back!

8:45

Roundtable discussion: Attracting (or growing), Recruiting (or keeping) the Talent you need to succeed

9:30

Break

10:00

Case study: Integrating payer and PBM operations on a single partner platform

10:45

Case study: Developing a structure designed to drive innovation

11:30

Townhall discussion: Mapping an operations, data, and technology course to enhance your plan’s ability to compete

12:00

Lunch

1:00

Case Study: Replacing your care management system or core system to improve health outcomes

2:00

Break

2:30

Expert presentation and micro-workshop: Developing (and executing) an enterprise architecture roadmap that generates business value through innovative technologies and approaches to information

4:30

Meeting adjourns

6:00

Dinner

THURSDAY, AUGUST 25

8:00

Breakfast available at the hotel restaurant before you catch your flight out!

 

 


 


Venue

Portland Sheraton at Sable Oaks
200 Sable Oaks Dr
South Portland, ME 04106
207.871.8000

The hotel room block expires on July 29, 2022
Our room rate is $229 plus taxes/fees. This rate may be available three days prior and three days after our meeting dates, depending on the hotel's availability. You shoul
d call the reservations department at 207.871.8000 and ask for the Health Plan Alliance (Vizient) room rate or click here to book online. Should you call after the deadline, you will not be guaranteed to receive our group room rate or the hotel may be sold out. Please note that the group block could sell out before this date.

DRESS
Business casual attire is appropriate for the meeting.  Remember that the hotel meeting room temperatures vary, so we recommend that you layer clothing to be comfortable in case the room becomes either hot or cold.

GROUND TRANSPORTATION
Portland International Jetport is 2.4 miles away and the hotel offers a complimentary shuttle.  Complimentary on-site parking.

PORTLAND WEATHER
View the latest weather forecast.
COVID Protocols

What to expect: Health and Safety Protocols

The Health Plan Alliance’s hallmark is the unique space we provide for our members and partners to come together and meaningfully connect around the challenges and opportunities your organizations navigate every day. The health and safety of every attendee is our top priority and we are implementing health and safety protocols for our in-person events aimed at protecting all participants. 

These protocols will be updated in response to ongoing guidance from CDC and local health authorities. If you have attended Alliance in-person meetings before, know this experience will be different in many ways – but also rest assured that we remain dedicated to creating unique opportunities to connect, learn and share with your colleagues from across the country.

Please review the Updated Safety protocols HERE

By registering to attend the event you agree and understand these specific risks noted below:

Liability Disclaimer and Release: COVID-19

The novel coronavirus, COVID-19, has been declared a worldwide pandemic.  COVID-19 is reported to be extremely contagious.  The exact methods of spread and contraction are unknown, but the virus is believed to spread from person-to-person, by contact with contaminated objects, and even possibly in the air.  People reportedly can be infected and show no symptoms yet still spread the disease.  COVID-19 is reported to cause serious illness and death. The Health Plan Alliance cannot prevent attendees from becoming exposed to, contracting, or spreading COVID-19 while attending a HPA event or activity.  Any in-person interaction may increase the risk of contracting or spreading COVID-19. 

I agree and understand these specific risks and nonetheless accept them in order to attend this HPA event.  These services are of such value to me that I accept the risk of being exposed to, contracting, and/or spreading COVID-19 in order to participate in person rather than arranging for an alternative method participating or not participating at all.  I further hereby forever release and waive all claims and rights against the Health Plan Alliance in connection with exposure, infection, and/or spread of COVID-19 related to utilizing their services or premises or interacting with their members.  I understand that this release and waiver means I give up my right to bring any claims including for personal injuries, death, disease, property losses, or any other loss that may be released and waived under applicable law, including, but not limited to, claims of negligence, and I understand that this release and waiver prevents me from seeking damages in any way against the Health Plan Alliance, whether such damages are known or unknown, foreseen or unforeseen, or that occur now or in the future. 

I understand that the Health Plan Alliance and the event venue will implement COVID-19 health and safety protocols that align with the most recent guidance released by the CDC and the local health authority.  These protocols will include details regarding code of conduct and safety measures (ie, wearing masks in public spaces, maintaining physical distance during sessions, etc) for all attendees. I understand I will be expected to adhere to these guidelines.

Documents
9/20/2022

Change Healthcare: The Four Pillars of Success
Change Healthcare shares The Four Pillars of Success, lessons learned from dozens of enterprise system implementation programs.

9/9/2022

Case study - Adapting legacy project management techniques to today's demanding environment
Community Health Options shares how they've reimagined their approach to project management, including capturing requirements, managing scope, and engaging vendors. This was shared at the Operational Excellence and Evolution of IT Value Visit, Portland, Maine, August 2022.

9/9/2022

Co-create workshop: How the Health Plan Alliance can support your vendor management goals
Health Plan Alliance staff shares the vision for the current Vendor Accountability initiative, and elicits participation from plans with the goal of producing a standard RFI template.

9/9/2022

Case study - Getting from data aggregation to analytics to actionable insights for business owners
SelectHealth shares its approach to transforming data into insights that help drive action in this case study. This was shared at the Operational Excellence and Evolution of IT Value Visit, Portland, Maine, August 2022.

9/9/2022

Case study - Navigating the uncertainties of a highly remote workforce and seizing process improvement opportunities to optimize operations
Sentara Health Plan and NICE address the expectations of remote work and share a new approach they've implemented that has moved the needle on productivity from ~50% to 85%. This was shared at the Operational Excellence and Evolution of IT Value Visit, Portland, Maine, August 2022.

9/9/2022

Leveraging the investments driven by regulatory requirements to engage members, further population health, and deliver on our brand promise
Health plans discuss how they have been leveraging the considerable investments in response to regulatory requirements. This was shared at the Operational Excellence and Evolution of IT Value Visit, Portland, Maine, August 2022.

9/9/2022

Case study - Integrating payer and PBM operations on a single partner platform and Developing a structure designed to drive innovation
HealthTeam Advantage shares their story implementing a new platform and what they see on the road ahead. AvMed presents on their expansive restructuring effort: implementing an Office of Innovation and Optimization (OIO office) and how they did it. This was shared at the Operational Excellence and Evolution of IT Value Visit, Portland, Maine, August 2022.

9/9/2022

COO Panel Discussion
Health Plan Alliance leads a discussion on operational excellence.

9/9/2022

Case Study - Replacing your care management system or core system to improve health outcomes
Change Healthcare leads a workshop to discuss implementation readiness and transformation execution. This was shared at the Operational Excellence and Evolution of IT Value Visit, Portland, Maine, August 2022.

8/24/2022

Presentation: Roundtable discussion: Attracting (or growing), Recruiting (or keeping) the Talent you need to succeed
Indiana University Health Plans shares their workforce approach to meet the transforming demands. This was shared at the Operational Excellence and Evolution of IT Value Visit, Portland, Maine, August 2022.

Attendees

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

  • Karen Carlson
  • ALLIANCE MEMBER
  • Chief Operating Officer at Neighborhood Health Plan of Rhode Island
  • Steve DiBiasio
  • ALLIANCE MEMBER
  • Chief Information Officer at Neighborhood Health Plan of Rhode Island
  • Ana Eberhard
  • ALLIANCE MEMBER
  • Vice President, Member Experience at AvMed
  • Samuel George
  • ALLIANCE MEMBER
  • Chief Operating Officer at Piedmont Community Health Plan
  • Jessica Grenier
  • ALLIANCE MEMBER
  • Director, Claim Operations at Community Health Options
  • Deanna Homer
  • ALLIANCE MEMBER
  • Chief Operations Officer at HealthTeam Advantage
  • Casey Hossa
  • ALLIANCE MEMBER
  • CIO at Health New England
  • Keith Johnson
  • ALLIANCE MEMBER
  • Director, Business Development at Community Health Options
  • Joleen Katula
  • ALLIANCE MEMBER
  • Interim Compliance Officer at HealthTeam Advantage
  • Will Kilbreth
  • ALLIANCE MEMBER
  • Senior Vice President & Chief Information Officer at Community Health Options
  • Arvind Kumar
  • ALLIANCE MEMBER
  • Director – Business Intelligence and Data Governance at AvMed
  • Valerie Lape Handy
  • ALLIANCE MEMBER
  • Director, IT Partner Management at Capital District Physicians' Health Plan (CDPHP)
  • Alan Lederman
  • ALLIANCE MEMBER
  • Chief Operating Officer at Community Health Plan of Washington
  • Kevin Lewis
  • ALLIANCE MEMBER
  • Chief Executive Officer at Community Health Options
  • Annette Marcath
  • ALLIANCE MEMBER
  • Chief Information Officer at Health Alliance Plan (HAP)
  • Elena Miller
  • ALLIANCE MEMBER
  • Process Analyst - Project Management at Physicians Health Plan
  • Carter Reid
  • ALLIANCE MEMBER
  • Vice President, Customer Operations at Sentara Health Plans (Optima)
  • Tim Riley
  • ALLIANCE MEMBER
  • Chief Information Officer at Network Health
  • Ricky Robertson
  • ALLIANCE MEMBER
  • Director of Information Technology & Security Officer at Alliant Health Plans
  • Joseph Schwartz
  • ALLIANCE MEMBER
  • Director, Office of Innovation & Optimization at AvMed
  • Rachel Smith
  • ALLIANCE MEMBER
  • IS Director at IU Health Plans
  • David Stuart
  • ALLIANCE MEMBER
  • Senior Vice President & Chief Operating Officer at Community Health Options
  • Lucas Wilson
  • ALLIANCE MEMBER
  • Associate Chief Operating Officer at Denver Health Medical Plan
  • Dave Zhang
  • ALLIANCE MEMBER
  • VP of IT at Alliant Health Plans
  • Brian Fehlhaber
  • PLATINUM SPONSOR
  • Vice President Sales & Marketing at Summit Re
  • Joanne Galimi
  • SPEAKER
  • Senior Managing Partner, Healthcare Consulting Practice Lead at Gartner
  • Tim Cole
  • SPONSOR
  • Chief Strategic Partnership Officer at MPX
  • Jessica Cushman
  • SPONSOR
  • Associate Vice President, Sales at Emids Technologies
  • Colin Hadican
  • SPONSOR
  • SVP, Business Development Health Plan Market at Zelis Healthcare, LLC
  • Ryker Henriksen
  • SPONSOR
  • Associate Vice President, Sales at Emids Technologies
  • Bill Power
  • SPONSOR
  • Chief Corporate Development & Strategy Officer at nirvanaHealth
  • Raghu Ramaya
  • SPONSOR
  • SVP of Revenue Growth at nirvanaHealth
  • Peter Trask
  • SPONSOR
  • Healthcare Consultant at Optum Advisory
  • Jolynn Allison
  • VIRTUAL ATTENDEE - MEMBER
  • Project Manager, Operations at Sharp Health Plan
  • John Baker
  • VIRTUAL ATTENDEE - MEMBER
  • Director, Health Plan Operations - Program Integrity Department at Geisinger Health Plan
  • Michael Balakier
  • VIRTUAL ATTENDEE - MEMBER
  • Director, Vendor Relations at Geisinger Health Plan
  • Kethra Barnes
  • VIRTUAL ATTENDEE - MEMBER
  • Program Integrity and Operations Oversight at Care N' Care Insurance Company, Inc.
  • Andrea Bierschenk
  • VIRTUAL ATTENDEE - MEMBER
  • Director, Project Management Operations at Care N' Care Insurance Company, Inc.
  • Timothy Boesken
  • VIRTUAL ATTENDEE - MEMBER
  • Vice President, Information Technology at Health First Health Plans
  • Toni Bonde
  • VIRTUAL ATTENDEE - MEMBER
  • Chief Operating Officer at CCHP
  • Susan Bradshaw
  • VIRTUAL ATTENDEE - MEMBER
  • Director, Informatics at Baylor Scott & White Health Plan
  • Judi Brawley
  • VIRTUAL ATTENDEE - MEMBER
  • Director of Contracting at Care N' Care Insurance Company, Inc.
  • Dana Brown
  • VIRTUAL ATTENDEE - MEMBER
  • Assistance Director - Business Operations at Texas Children's Health Plan
  • Marty Brown
  • VIRTUAL ATTENDEE - MEMBER
  • Chief Technology Officer / Vice President at AvMed
  • Vonda Brown
  • VIRTUAL ATTENDEE - MEMBER
  • Director Decision Support Systems at Sharp Health Plan
  • Andy Browning
  • VIRTUAL ATTENDEE - MEMBER
  • AVP, Chief Analytics Officer at SelectHealth
  • Karen Brunton
  • VIRTUAL ATTENDEE - MEMBER
  • Project Manager at Medical Associates Health Plans
  • Robert Carman
  • VIRTUAL ATTENDEE - MEMBER
  • Director Medical Informatics at Baylor Scott & White Health Plan
  • Laura Cast
  • VIRTUAL ATTENDEE - MEMBER
  • Operations Manager at Baylor Scott & White Health Plan
  • YoungSoo Cho
  • VIRTUAL ATTENDEE - MEMBER
  • Marketing Director at CCHP
  • Jason Conner
  • VIRTUAL ATTENDEE - MEMBER
  • Directory, Data Management and Configuration at MediGold
  • Charles Ducharm
  • VIRTUAL ATTENDEE - MEMBER
  • Manager - Operations at Geisinger Health Plan
  • Lisa Fisher
  • VIRTUAL ATTENDEE - MEMBER
  • Head of Enterprise Vendor Management Organization at Sentara Health Plans (Optima)
  • Mark Fletcher
  • VIRTUAL ATTENDEE - MEMBER
  • Director, Project Management at Care N' Care Insurance Company, Inc.
  • Jamie Forrest
  • VIRTUAL ATTENDEE - MEMBER
  • Chief Operating Officer at Health First Health Plans
  • Doris Garcia
  • VIRTUAL ATTENDEE - MEMBER
  • Startegic Account Operations Manager at Health First Health Plans
  • John Golimowski
  • VIRTUAL ATTENDEE - MEMBER
  • Director of Healthplan Operations at Geisinger Health Plan
  • Shane Greene
  • VIRTUAL ATTENDEE - MEMBER
  • Senior Director of Health Plan Quality Operations at Care N' Care Insurance Company, Inc.
  • Leonardo Gutierrez
  • VIRTUAL ATTENDEE - MEMBER
  • Vice President of Operations at Baylor Scott & White Health Plan
  • Glenn Hamburg
  • VIRTUAL ATTENDEE - MEMBER
  • Chief Information Officer at Western Health Advantage
  • Syed Hamdani
  • VIRTUAL ATTENDEE - MEMBER
  • Claims and Provider Relations Director at Western Health Advantage
  • Erin Hassan
  • VIRTUAL ATTENDEE - MEMBER
  • Senior Corporate Compliance and Enterprise Risk Business Analyst at Health Alliance Medical Plans
  • Rick Heron
  • VIRTUAL ATTENDEE - MEMBER
  • Chief Experience Officer at Western Health Advantage
  • Becky Hess
  • VIRTUAL ATTENDEE - MEMBER
  • BA/IT Operations at Geisinger Health Plan
  • Adam Hindmarsh
  • VIRTUAL ATTENDEE - MEMBER
  • IT at Geisinger Health Plan
  • Karen Hoffmann
  • VIRTUAL ATTENDEE - MEMBER
  • Director of Operations at Medical Associates Health Plans
  • Kristin Hogue
  • VIRTUAL ATTENDEE - MEMBER
  • Operations Manager at Geisinger Health Plan
  • Brenda Hoover
  • VIRTUAL ATTENDEE - MEMBER
  • Configuration Manager at Geisinger Health Plan
  • Kelly Ko
  • VIRTUAL ATTENDEE - MEMBER
  • Director, Data Governance and Interoperability at Sharp Health Plan
  • Matt Lewis
  • VIRTUAL ATTENDEE - MEMBER
  • AVP, IT Operations at Baylor Scott & White Health Plan
  • Heather Longoria
  • VIRTUAL ATTENDEE - MEMBER
  • Information Systems Director at Health First Health Plans
  • David Matos
  • VIRTUAL ATTENDEE - MEMBER
  • Project Manager at Geisinger Health Plan
  • Joseph Maumus
  • VIRTUAL ATTENDEE - MEMBER
  • Process Improvement Manager at Alliant Health Plans
  • Mark McCullough
  • VIRTUAL ATTENDEE - MEMBER
  • CFO and COO at Geisinger Health Plan
  • Christopher Morris
  • VIRTUAL ATTENDEE - MEMBER
  • Business Intelligence Manager at Western Health Advantage
  • Gail Morrissey
  • VIRTUAL ATTENDEE - MEMBER
  • Executive Assistant and Project Manager at Health New England
  • Leslie Pels-Beck
  • VIRTUAL ATTENDEE - MEMBER
  • Chief Operations Officer at Sharp Health Plan
  • Nate Peterson
  • VIRTUAL ATTENDEE - MEMBER
  • Manager, Technology Integration & Process Automation at Sharp Health Plan
  • Sean Qiu
  • VIRTUAL ATTENDEE - MEMBER
  • Manager Bus Ops at Texas Children's Health Plan
  • Michael Reagin
  • VIRTUAL ATTENDEE - MEMBER
  • SVP and Chief Information and Innovation Officer at Sharp HealthCare, Inc
  • Amanda Reed
  • VIRTUAL ATTENDEE - MEMBER
  • Chief Strategy Officer at Alliant Health Plans
  • Krystal Revai
  • VIRTUAL ATTENDEE - MEMBER
  • Associate Chief Medical Officer at Health Alliance Medical Plans
  • Victor Richey
  • VIRTUAL ATTENDEE - MEMBER
  • COO Healthplans at Baylor Scott & White Health Plan
  • Bruce Riebau
  • VIRTUAL ATTENDEE - MEMBER
  • System Director, Business Information Systems at SummaCare
  • David Rodriguez
  • VIRTUAL ATTENDEE - MEMBER
  • Configuration Supervisor at Alliant Health Plans
  • Melissa Rusk
  • VIRTUAL ATTENDEE - MEMBER
  • Vice President Operations at SummaCare
  • Susan Sanchez
  • VIRTUAL ATTENDEE - MEMBER
  • Chief Information Officer at Cox HealthPlans
  • John Sanders
  • VIRTUAL ATTENDEE - MEMBER
  • Senior Director, Health Plan Operations at Geisinger Health Plan
  • Eric Sibley
  • VIRTUAL ATTENDEE - MEMBER
  • IT Infrastructure Manager at Western Health Advantage
  • Denisa Simmons
  • VIRTUAL ATTENDEE - MEMBER
  • Executive Director, Vendor Management at CommunityCare
  • Jason Smith
  • VIRTUAL ATTENDEE - MEMBER
  • Director of Operations & Performance Improvement at Sharp Health Plan
  • Leslie Sprites
  • VIRTUAL ATTENDEE - MEMBER
  • Senior Director of Claims at Alliant Health Plans
  • Dennis Sproul
  • VIRTUAL ATTENDEE - MEMBER
  • Director IT and PMO at MediGold at MediGold
  • Jonathan Tamayo
  • VIRTUAL ATTENDEE - MEMBER
  • Chief Information Officer at Santa Clara Family Health Plan
  • Lynn Thayer
  • VIRTUAL ATTENDEE - MEMBER
  • Director, Claims Ops & System Configuration at MediGold
  • Christine Turner
  • VIRTUAL ATTENDEE - MEMBER
  • Chief Operating Officer at Santa Clara Family Health Plan
  • John Turner
  • VIRTUAL ATTENDEE - MEMBER
  • Assistant Vice President at Texas Children's Hospital, Information Services at Texas Children's Health Plan
  • Michael Wagner
  • VIRTUAL ATTENDEE - MEMBER
  • Chief Operating Officer, Managed Care at Denver Health Medical Plan
  • Kimberly Walker
  • VIRTUAL ATTENDEE - MEMBER
  • Clinical Operations Manager at Care N' Care Insurance Company, Inc.
  • Daniel Welch
  • VIRTUAL ATTENDEE - MEMBER
  • Director, IT Business Integration at Santa Clara Family Health Plan
  • John Westbrook
  • VIRTUAL ATTENDEE - MEMBER
  • Assistant Director - Information Services at Texas Children's Health Plan
  • Troy Willson
  • VIRTUAL ATTENDEE - MEMBER
  • Manager Strategic Planning at Denver Health Medical Plan
  • Andrew Howard
  • VIRTUAL ATTENDEE - SPONSOR
  • National Sales Director at First Health Network
Speakers