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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.

 


 

Meeting Location

This in-person event venue is in the works! Register today and plan to join us in-person. The Alliance will update you when the venue is chosen, with ample time for attendees to make travel plans and hotel accommodations.


 

Thank you to our event sponsors


Platinum


Gold


Silver


Bronze


Vendor

 

Registration
ALLIANCE MEMBER
Fee End Date Description Amount
8/20/2022 for Alliance members attending in-person MEMBER PASS
ALLIANCE GUEST
Fee End Date Description Amount
8/20/2022 Only for invited guests of the Alliance GUEST PASS
SPONSOR
Fee End Date Description Amount
8/20/2022 for invited sponsors attending the in-person event SPONSOR PASS
SPEAKER
Fee End Date Description Amount
8/20/2022 for confirmed faculty members FACULTY PASS
PLATINUM SPONSOR
Fee End Date Description Amount
8/20/2022 Exclusively for 2022 Platinum sponsors PLATINUM PASS
Sponsorship

The Alliance welcomes your interest in sponsoring this exclusive, HPA member-only event. Our member meetings are truly unique gatherings that prioritize collaboration and connection among attendees. We want the very best experience for meeting attendees and event sponsors as well, which is why we carefully match interested sponsors with our meeting offerings.

Apply to become an event sponsor below. Before submitting your event sponsorship registration, view our full Terms and Conditions of sponsoring HERE. You will be asked to acknowledge that you have read and agree to these Terms when submitting your sponsorship registration.

Your event sponsorship registration submission will be reviewed and confirmed within 3 business days by Alliance staff. We look forward to collaborating together on this Alliance member event!

2022 Value Visit
Fee End Date Description Amount
8/22/2022 Value Visit sponsor $15,000.00
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.

Agenda

Last updated May 27, 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

Roundtable discussions: Choose your own adventure!

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: Improving health outcomes among the underserved populations through an unprecedented organizational transformation

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!

 

 


MONDAY, AUGUST 22


6:00 PM

Welcome reception – Location TBD

 

 

TUESDAY, AUGUST 23


7:30

Breakfast and registration

 

 

8:30

Welcome and kick-off

 

Kristin B. Rodriguez
Chief Operating Officer
Health Plan Alliance

9:00

 

Case study: Adapting legacy project management techniques to today’s demanding environment
How do you prioritize projects at an enterprise level – and what calibration processes are in place to ensure you are constantly re-prioritizing as the organization’s dynamic needs continue shifting? In this case study, Community Health Options leadership shares how they’ve reimagined their approach to project management, including capturing requirements, managing scope, and engaging vendors (not to mention holding them accountable). Learn how they’ve adapted an Agile model to work for their team and the lessons they’re still working through on their journey. Come prepared to share how your organization is evolving your project management approach during the discussion portion of this kick-off case study!

 

Rob Hillman
Chief Operating Officer
Community Health Options

 

Will Kilbreth
Chief Information Officer
Community Health Options

10:00

Break

 

 

10:30

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

How do we leverage the tremendous data our health plan has aggregated in service to our population health goals? By effectively getting that data into the hands of business leaders who need it to fuel decision making. SelectHealth leadership shares its approach to transforming data into insights that help drive action in this case study. Learn about their approach to data governance and how they are developing people, processes, and tools to support this strategic mandate.

 

Andy Browning
AVP, Data Analytics
SelectHealth

11:30

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

Health plans are making considerable investments in response to regulatory requirements. Interoperability, NSA, price transparency … the lift has been huge, and the payoff feels far away. How can we leverage these investments as springboards for our ongoing IT roadmap development? In this session we set aside the “get compliant” mindset for a “what-if” discussion focused on how these tremendous investments can help us control costs and improve our members’ and providers’ experience. Topics of discussion may include:

  • Getting compliant with Interoperability and NSA is now in the rearview mirror.What best practices have emerged related to provider data, price transparency, price prediction and price modeling?
  • Best practices related to 3rd party app vetting and connections: Balancing security and the member experience
  • The untapped power of APIs: How to make the most of this under-utilized resource
  • The market has shifted and so have consumer expectations…what is data portability going to look like in the future?

Jake Phillips
Director, Technical Services
Quartz Health Solutions

 

Mallory Sheth
Strategy Director
Sharp Health Plan

 

Markita Stamas
Project Manager – Finance
Sharp Health Plan

 

Annette Marcath
Chief Information Officer
Health Alliance Plan

 

 

12:30

Lunch

 

 

1:30

 

Roundtable discussions: Choose your own adventure!

Alliance members will create the roundtable discussion themes throughout the sessions we host August 23-24. Topics will be fluid and focus on member need, but may include:

  • Low-hanging fruit plans are tackling that make a big impact in process improvement efforts
  • RPA, API, and Machine Learning: What’s beyond the hype?
  • Cybersecurity exposures: How plans are addressing it
  • Data governance, culture, and staffing: An interesting interplay

 

 

2:30

Break

 

 

3:00

CLOSED

SESSION: HPA MEMBERS ONLY

 

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

The Alliance has mobilized a variety of exploratory pilots related to vendor management and accountability. These strive to solve for challenges member plans face, such as:

  • Quickly gathering foundational information when vetting prospective vendor partners: Which vendors are other Alliance plans using and what is the experience?
  • Accelerate the first steps of your own RFI process: How can you efficiently compare similar vendors and services?
  • Understanding how your spend compares with other organizations of similar size and make-up: Where do you fall in the trend?

In this closed-door, co-create session, Alliance members and staff will work together and apply learnings from completed initiatives to pilots currently in-flight. We’ll ideate new possibilities that will empower the Alliance member health plans to learn, save, and compete more effectively by working together.

Jennifer Bosley
Director, Learning and Collaboration
Health Plan Alliance

 

Mallory Willett
Data Management and Operations Specialist
Health Plan Alliance

 

4:30

Day one adjourns

 

 

6:00

Dinner: Location to be determined

 

 


 

WEDNESDAY, AUGUST 24


 

7:30

Breakfast

 

 

8:30

Welcome back!

Mallory Willett
Data Management and Operations Specialist
Health Plan Alliance

 

8:45

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

Every Alliance member health plan is grappling with a difficult truth: The future of work is no longer clear. There are new and increasing pressures on your workforce: remote working, increased collaboration, digital transformation and more. To stay ahead, Alliance members will need to transform our workforce approach to meet these demands. The truth is that there is no one future of work. No single solution that fits every company and every situation. The only certainty is that we will need to do different work differently. But we can learn and take inspiration from each other. Join us for this interactive roundtable discussion to hear how other Alliance member health plans are seizing the moment.

 

 

Rachel Smith
IS Director
IU Health Plans

 

 

9:30

Break

 

10:00

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

HealthTeam Advantage is no stranger to TPA agreements. Indeed, since the health plan’s launch in 2016, it has had back-office support from external entities. The HTA team has made this model work well for them and are now a 5-Star MA plan with a high performing team that focuses specifically on the competitive differentiators that make them market stand outs. For PY2023 AEP, however, HTA is doubling down on its tried-and-true approach, and is implementing a new platform with partner nirvanaHealth that will handle operations for both Part C and Part D. In this case study, HTA leadership shares the path that led them here and what they see on the road ahead.

 

Deanna Homer
VP, Pharmacy Operations and Quality Programs
HealthTeam Advantage

 

Joleen Katula
VP, Operations
HealthTeam Advantage

 

10:45

 

Case study: Developing a structure designed to drive innovation

Hear from AvMed’s leadership on their expansive restructuring effort: Why they implemented an Office of Innovation and Optimization (the OIO office) and how they did it. Driven to ensure innovation is truly embedded in their operational framework, AvMed sought to balance rigorously prioritizing the constantly shifting project portfolio with the need to hold space for creative ideas to bubble up through the organization. But the OIO isn’t just about project management. This structure reinforces powerful alignment between operations, strategy, and enterprise architecture development. Another core competency it tackles is vendor management, by building in quality assurance points to ensure contracts comply with organizational standards and that there are no redundancies when implementing solutions with vendor partners.

Eric Johnson
Senior Vice President - Chief Actuary & Chief Information Officer
AvMed Health Plans

 

11:30

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

Alliance member plans have always had unique qualities that have differentiated us in our local markets. Slowly but surely, these competitive advantages are being eroded by aggressive investments among national players. Member-facing technology, mergers and JVs bringing different players to the table, physician practice acquisitions that power “integrated lite” models, and more. Where can we make smart investments in our tools, our people, and our processes in support of our organizations’ missions? In this panel discussion, we reflect on the morning’s discussions, as well as the exploration completed in Day one, to dig into the tough issues facing plans today.

 

Moderator:

TBD

 

Panelists:

Eric Johnson
Senior Vice President - Chief Actuary & Chief Information Officer
AvMed Health Plans

 

Joleen Katula
VP, Operations
HealthTeam Advantage

 

12:00

Lunch

 

1:00

Case Study: Improving health outcomes among the underserved populations through an unprecedented organizational transformation

Transitioning from a third-party administrator to inhouse processing is prodigious enough. Doing this while also building an inhouse data warehouse, raising awareness of the plan and onboarding 100+ new team members is unheard of.

Hear how one health plan ties together their vision to develop an overall experience that empowers members to improve their health, and in turn, the overall health of the community. Let us show you how our end-to-end transformation has taken a data management strategy to deliver reporting, analytics, interfaces, and ultimately member engagement all the way through positive outcomes for mother and baby health!

 

Parkland Community Health Plan

 

Change Healthcare

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

If you have responsibility for designing your health plan’s multi-year enterprise architecture (EA) roadmap, then you’re playing a vital role through the three phases of COVID-19:

  • Respond … identifying essential parts of the core business
  • Recover … finding innovative ways to reduce cost, increase productivity and drive better performance
  • Renew … aligning business and IT executives to identify opportunities to create new business models, services, and experiences.

In previous sessions, we focused primarily on the Recover phase, but in this micro-workshop we dig deep into the Renew phase. We’ll explore the unique challenges facing leaders with responsibility for EA and walk through the tactics and strategies you can take back to your organization, including:

  • Reframing EA and crafting services that add value to IT and business stakeholders
  • Building a more adaptive governance approach, such as a center of excellence, which brings interdisciplinary teams together.
  • Changing the types of deliverables EA provides as you design your roadmap to better align with an important shift in roles—IT and data architecture teams influence the speed of your journey, but the destination is business-driven.

 

 

Joanne Galimi
Senior Managing Partner, Healthcare consulting practice lead
Gartner Inc

 

4:30

Meeting adjourns

 

 

6:00

Dinner – Location TBD

 

 

THURSDAY, AUGUST 25


 

8:00

Breakfast available in the hotel restaurant for attendees. Enjoy a final opportunity break bread together 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 22, 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.
Documents
5/27/2022

Agenda: 2022 Operations and IT Value Visit
Updated May 27, 2022. Work together with top operations, data management, and enterprise architecture leaders, Aug. 22-24 in Portland, ME. 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.

Attendees

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

  • Marybeth Bay
  • ALLIANCE MEMBER
  • Vice President, Chief Information Officer at Quartz Health Solutions
  • Jeff Butcher
  • ALLIANCE MEMBER
  • Senior Vice President & Chief Financial Officer at CommunityCare
  • Netra Desai
  • ALLIANCE MEMBER
  • IT Applications Director at CCHP
  • Steven Dibiasio
  • ALLIANCE MEMBER
  • Chief Information Officer Vice President at Neighborhood Health Plan of Rhode Island
  • Ana Eberhard
  • ALLIANCE MEMBER
  • Vice President, Member Experience at AvMed
  • Phyllis Fisher
  • ALLIANCE MEMBER
  • Director, Operations at Physicians Health Plan
  • Samuel George
  • ALLIANCE MEMBER
  • Chief Operating Officer at Piedmont Community Health Plan
  • Jon Griffith
  • ALLIANCE MEMBER
  • VP of Operations and Chief Experience Officer at SelectHealth
  • Jody Gross
  • ALLIANCE MEMBER
  • Vice President of Operations & Government Programs at Health New England
  • Deanna Homer
  • ALLIANCE MEMBER
  • Chief Pharmacy Officer at HealthTeam Advantage
  • Casey Hossa
  • ALLIANCE MEMBER
  • CIO at Health New England
  • Ryan Jennings
  • ALLIANCE MEMBER
  • SHPIS - Manager of Data Warehousing and Analytics at Samaritan Health Plans
  • Joleen Katula
  • ALLIANCE MEMBER
  • Vice President of Operations at HealthTeam Advantage
  • Kevin Lewis
  • ALLIANCE MEMBER
  • Chief Executive Officer at Community Health Options
  • Patti Miller
  • ALLIANCE MEMBER
  • Director of Applications, Information Systems at Quartz Health Solutions
  • Elena Miller
  • ALLIANCE MEMBER
  • Process Analyst - Project Management at Physicians Health Plan
  • Celeste Richards
  • ALLIANCE MEMBER
  • Chief Operating Officer at Alliant Health Plans
  • Tim Riley
  • ALLIANCE MEMBER
  • Chief Information Officer at Network Health
  • Ricky Robertson
  • ALLIANCE MEMBER
  • Director of Information Security & Risk Management at Alliant Health Plans
  • Wesley Sanders
  • ALLIANCE MEMBER
  • Chief Financial Officer at Alliant Health Plans
  • Denisa Simmons
  • ALLIANCE MEMBER
  • Executive Director, Vendor Management at CommunityCare
  • David Stuart
  • ALLIANCE MEMBER
  • Assistant Vice President, Operations at Community Health Options
  • Sherri White
  • ALLIANCE MEMBER
  • Vice President, Operations at CommunityCare
  • Lucas Wilson
  • ALLIANCE MEMBER
  • Associate Chief Operating Officer at Denver Health Medical Plan
  • Rusty Wyrick
  • ALLIANCE MEMBER
  • VP & Chief Information Officer at CommunityCare
  • Dave Zhang
  • ALLIANCE MEMBER
  • VP of IT at Alliant Health Plans
  • Jessica Cushman
  • SPONSOR
  • Associate Vice President, Sales at Emids Technologies
Speakers