Value Visit: Population Health for Government-Sponsored Health Plans

Event Date: 9/21/2022 - 9/23/2022

Event Overview

What it takes to launch, grow and sustain long-term

The COVID-19 pandemic has generated a huge health debt, particularly for government-sponsored healthcare beneficiaries across Medicaid, the ACA, SNPs, and Medicare Advantage. For Alliance health plans already serving these members—and for organizations entering these programs or expanding their markets—a renewed focus on your comprehensive population health strategy is critical to your immediate sustainability and long-term growth. That’s why the 2022 Government Programs Value Visit will focus on the unique challenges government-sponsored plans face when it comes to the evolution of your population health approach.

We’ll focus on what it takes to operationalize population health, including:

Engaging stakeholders
Assessing the needs of your members and stratifying risks
Identifying evidence-based actions
Developing collaborative care plans
Investing in partnerships and alliances and building interdisciplinary teams to surround your members
Coordinating whole-person care plans
Using performance metrics, scorecards and dashboards to monitor and evaluate program success to support iterative learning

Like all Alliance meetings, the program will feature provider-sponsored and regional health plans from across the country. We’ll support this case-study-driven content with deep expertise from industry thought leaders and foster spaces that allow for meaningful conversation and ideation.

For the best results, send at least two members of your government-programs leadership team to ensure you can take advantage of every breakout and small group discussion opportunity.

Why you should attend

Generate new ideas and learn from your Alliance colleagues on Member Churn: How to create synergies within your organization’s government-sponsored health plans to foster an end-to-end user experience that retains members
Explore additional steps you can take to fuel your population health efforts by becoming the data and technology hubs for your providers, members, and CBOs
Learn how others are navigating the evolving Quality landscape and gain tactical methods to move beyond a “check-the-box” approach to accreditation and embrace innovation targeting measurable quality outcomes
Dig into the challenges Alliance members operating in multiple government-sponsored programs are overcoming when it comes to building and growing provider partnerships strong enough to withstand risk adjustment training, quality gap closure efforts, and equitable health outcomes
Hear the latest efforts underway when it comes to designing MA and DSNP product offerings that manage medical spend, improve satisfaction and retention, and gain ground on quality outcomes

Who should attend

This Value Visit is an interdisciplinary meeting with strategic focus on the launch, growth and long-term sustainability of Health Plan Alliance members’ government-sponsored healthcare programs. Executive sponsors, Vice Presidents and their direct reports with P&L responsibility for your Medicaid, Medicare Advantage, ACA, or Special Needs Plan will find this comprehensive event a powerful learning and networking opportunity. In addition, leaders with responsibility for the following will gain tremendous value from attending:

Population health, with particular emphasis on health equity
Data-fueled collaboration with your provider owners and partners, with particular emphasis on SDOH
Achieving Quality outcomes across your government programs portfolio (NCQA, HEDIS, Stars and more)
MA Product design, with particular emphasis on whole-person care and SSBCI
New plan launch or plan expansion, with particular emphasis on Special Needs and MA plans

Thank you to our event sponsors

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Agenda

Last updated September 12, 2022
(All details in Pacific Daylight Time Zone)

Download the agenda

AGENDA AT A GLANCE

WEDNESDAY, SEPTEMBER 21
6:00 PM	Welcome reception
THURSDAY, SEPTEMBER 22
7:30	Registration and badge pick up \| Networking breakfast
8:30	Welcome!
9:00	State of the industry – what’s next for government-sponsored healthcare?
10:00	Break
10:30	Government programs growth workshop series Choose your own adventure: Launching a SNP in today’s market, growing your MA market share, improving your Medicaid RFP score
11:30	Networking lunch
12:30	Workshops resume
1:30	Workshops wrap and afternoon break
2:00	ProMedica: Changing our care delivery and payment models to include social and economic factors
2:30	Case study line up: Enhancing data collection and analytics for health equity
3:30	Case study line up: Using population health data meaningfully across the payer-provider landscape
4:30	Day one de-brief and looking ahead to tomorrow
4:45	Adjourn
6:00	Networking dinner
FRIDAY, SEPTEMBER 23
7:30	Networking breakfast
8:30	Welcome back!
8:45	Case study line up: Aligning engagement, quality, and health equity initiatives
10:15	Break
10:30	Driving collaboration to support health equity
11:15	Panel discussion: Aligning program design and interventions with long-term population health goals
12:00	Box Lunch
12:30	Poster session small group discussion Benefit design innovations, health equity and quality outcomes, CX innovations
1:30	Poster session small group share outs Benefit design innovations, health equity and quality outcomes, CX innovations
2:15	Wrap up
2:30	Meeting adjourns

Wednesday, September 21

6:00PM

Welcome reception at Whitney Peak Hotel – Pre-Function A&B

Thursday, September 22

7:30	Breakfast – Mt. Rose
8:30	Welcome! – WP 1 & 2	Kristin B. Rodriguez COO, Health Plan Alliance
9:00	State of the industry – what’s next for government-sponsored healthcare? Government-sponsored healthcare beneficiaries are weathering a very challenging financial climate, facing the end of the PHE, experiencing continued access challenges – particularly in mental health – and state budgets that will likely continue slicing away social safety net supports when put under pressure.Navigating health, wellness, financial stability, and resiliency has never been more difficult for the populations we serve. This environment provides a unique and powerful opportunity for Alliance members serving these populations. If we remain grounded in our missions and visions and are able to successfully execute on our strategies in an agile, responsive way then we have a huge opportunity to grow. But we will also be challenged, particularly when it comes to effectively engaging the population segments who face meaningful barriers to participating in their healthcare management. Now more than ever, Alliance member health plans must get creative and be bold when it comes to strengthening our place in our communities’ healthcare ecosystems. This includes widening the aperture of our population health lens, investing in new partnerships, and connecting with members in ways that matter to them.	John Gorman Government Health Programs Expert and SDOH investor
10:00	Break
10:30	Government programs growth workshop segment. Choose your own adventure: Launching a SNP in today’s market Growing your MA market share Improving your Medicaid RFP score
Option 1 Location: WP 1 & 2	Launching a SNP in today’s market Hosted by renowned industry guru Shelley Stevenson, the Director of Change Healthcare’s Government Program’s Practice and long-time content creator with the Health Plan Alliance. With a faculty of Alliance members making big DSNP plays, this extended learning session will dig deep into key issues such as member churn and creating synergies within your organization’s government-sponsored health plans to foster an end-to-end user experience that retains members. The Model of Care: How to create one – and how NOT to create one The organizational challenges you face when developing your MOC HRA-ICP-ICT-TOC: The unique DSNP requirements that often trip plans up The key differences between a DSNP and a MAPD plan implementation How does a DSNP affect enrollment, claims, benefit design, marketing, customer service, appeals and grievances, providers, health services, UM, CM, medical management, pharmacy – and more! Stars and DSNPs: Taking your quality efforts to a whole new level DSNP Audits: Don’t get caught in these common traps	Shelley Stevenson, Director, Government Programs Practice, Change Healthcare Harold Tong CEO, MDFlow Prominence Health Plan DSNP implementation and launch team: Traci Biondi MD, CMO Meghann Polevoi, DSNP Director Philip Ramirez, Chief Compliance Officer Dominic Henriquez, Chief Development Officer
Option 2 Location: WP 3	Growing your MA market share The opportunity for growth in MA remains strong, but the troubling national trend is large national players making bigger gains than regional, provider-sponsored plans. Whether you’re new to MA or a well-established plan, the challenges related to sustainable, long-term growth remain particularly nuanced for Alliance member organizations. Join your peers for this deep-dive workshop on specific, creative strategies that can differentiate your plan and capitalize on your unique identity in your local markets. Together we’ll tackle issues such as: Leveraging our owner and partner provider relationships in our marketing plans: How to navigate their compliance concerns and amplify your unique value proposition Smart and savvy ways to play defense during OEP (hint: the provider partnerships matter here, too) Age-ins 2.0: Smoothly converting your Medicaid, employer group, and ACA members to MA membership MA plan design considerations for seniors navigating a tough financial environment Product development considerations: What we know motivates seniors to shop Member experience considerations: What we know will trigger a switch (and what you can do about it)	Michael Adelberg Principal, Faegre Drinker Tim Murray Director and Senior Consulting Actuary, Wakely Consulting
Option 3 Location: Wheeler-Relay	Improving your Medicaid RFP score If you have responsibility for your health plan’s Medicaid bid preparation, join your Alliance peers for this tactical, action-focused workshop designed to provide tangible ideas on how your team can approach the tough issues regional and provider-sponsored health plans face when competing for Medicaid business against the national players. The workshop leaders will provide insight on national trends in Medicaid RFPs and predict where more states will be leaning as they continue evolving as healthcare purchasers. Then we get to work translating authority needs and models into operational practicalities for Alliance members. States are incorporating more and more elements into their public health strategies and the large payers are competing quite effectively for these contracts – how can provider-sponsored and regional plans demonstrate their unique value proposition (and back it up with proof and data)? We will dig into the themes regional payers must infuse into their organizations’ DNA to score as well as the national payers and point out the mistakes PSHPs can make if they don’t mind the gap between the conceptual and the ability to execute operationally: Innovative data and analytical approaches that power whole-person care Increased integration of payer, provider, and CBOs Meaningfully incorporating SDoH programs into care plans Use of technology to improve health equity	Socrates Aguayo Director, Policy Unite Us Alexandra Earl Director of Customer Growth Unite Us
11:30	Networking lunch – Mt. Rose
12:30	Workshops resume
1:30	Afternoon break
2:00	Changing our care delivery and payment models to include social and economic factors Dig in with Alliance member Rachel Krausman as she shares the exciting work ProMedica’s SODH Institute has been doing, including early results from a significant place-based investment in an urban area served by ProMedica. Plus hear about the extensive benchmarking studies they’ve conducted nationwide to get a data-fueled view of what’s working and what’s not when it comes to care model evolutions and building alignment across clinical and non-clinical intervention ecosystems. Depending on where you sit within that ecosystem, you have a different view of the value proposition. A key differentiator for those doing this well is clarity on what you’re measuring, what you’re tracking, and who is getting the benefit of that ROI. In this session Kate shares this plus other lessons learned that will support your team’s efforts to powerfully incorporate SDOH intervention work into your care and engagement models with members, contract methodology with providers, and collaboration efforts with CBOs.	Rachel Krausman, Vice President, National Strategy and Partnerships (SDOH), ProMedica
2:30	Case study line up: Enhancing data collection and analytics for health equity Case study 1: Johns Hopkins Healthcare and mPulse Mobile With the Public Health Emergency (PHE) eventually coming to an end and redetermination on the horizon, plans are beginning to craft outreach programs to update their population’s information. Learn how Priority Partners has sustained updating member information effectively and timely throughout the pandemic: not only have they maintained updated information from their members, they have been able to sustain the member-plan relationship through ongoing outreach strategies. Take learnings from their program while implementing a sustainable outreach program ahead of the end of the PHE and beyond. Case study 2: Sentara Health Plan and NationsBenefits Dig into how Sentara is using strategic, purposeful engagement models to drive results leveraging two supplemental benefits: Hearing and Post-Discharge Meals fulfilled through NationsBenefits. These engagement models pull in a variety of data sources, use that information to tailor and trigger engagement, and then measures impact and outcomes. Presenters will walk through how they collect and use data to determine critical intervention/engagement triggers, engage in the way and with the messaging and solutions that will most impact the member based on the data, and manage across both Medicare and Medicaid populations.	Erin Cassidy Digital Marketing Manager Johns Hopkins Healthcare Christian Bagge, Vice President, Digital Engagement Strategy & Development mPulse Mobile Bill Miller, Medicare Vendor Management Sentara Health Plans Daniel Weaver, EVP Product Operations and Stars Strategy NationsBenefits
3:30	Case study line up: Using population health data meaningfully across the payer-provider landscape Case study 1: Using virtual care to improve socio-economic variations in health outcomes Can virtual care change the course of health disparities? Sword Health took a deep dive into the performance of their digital care program with a target focus on measuring improved access and engagement within historically underserved populations. Applying program-based utilization data to Social Deprivation Index (SDI) metrics, meant to quantify levels of disadvantages across small areas, the outcomes are promising. This session will share early findings that prove virtual care models like Sword’s virtual MSK solution can improve population health while delivering equal or improved access and parallel outcomes across varying geographic and socio-economic attributes. Case study 2: Using EHR and Machine Learning to Predict Individuals’ Risk for Colorectal Cancer It can be costly, complicated, and invasive to screen for CRC, and many populations we serve require a more nuanced approach where screening decisions are based on personalized assessments of cancer risk. Understanding who is at high risk for CRC and prioritizing screenings appropriately is the first step, followed closely by thoughtful outreach and inclusive program design. In this session we explore how a risk model leveraging machine learning can focus attention on those most at risk and empower your teams to engage members in screenings and improve outcomes related to CRC.	Kevin Wang Senior Director of Strategy SWORD Health Lance Baldo Chief Medical Officer Freenome
4:30	Day one de-brief and looking ahead to tomorrow	Kristin B. Rodriguez COO, Health Plan Alliance
4:45	Day one adjourns
6:00	Networking dinner – Liberty Food & Wine Exchange 100 N Sierra St, Reno, NV, 89501

Friday, September 23

7:30	Networking breakfast – Mt. Rose
8:30	Welcome back! – WP 1 & 2	Kristin B. Rodriguez COO, Health Plan Alliance
8:45 8:45 – 9:30 9:30 – 10:15	Case study line up: Aligning engagement, quality, and health equity initiatives Case study 1: Addressing misgendering across the care continuum Learn how Samaritan Health Plans has identified the ways in which misgendering across the care continuum introduces trauma in member care, and what they are doing about it. In this case study, Samaritan Health Plan leaders share how they’ve identified opportunities to reduce misgendering trauma. They also share the proactive steps they are taking with partners like their health systems and the community to improve health equity. Case study 2: Designing an inclusive MX roadmap that serves a vibrant and diverse member community In this case study, Santa Clara Family Health Plan’s COO, Chris Turner, shares the health plan’s intentional work around aligning engagement, quality, and health equity initiatives. From their top-down strategy focused on NCQA accreditation in health equity to their efforts to measure cultural competency in terms of care delivery, SCFHP is out front when it comes to improving the experience and outcomes of all health plan members. Their approach includes high touch efforts, strong partnerships, and thoughtful technology investments. Engage in the discussion to learn how they are moving the needle on quality, equity, and engagement.	Melissa Isavoran AVP, Medicaid Operations Samaritan Health Plans Gabe Parra Chief Strategy Officer Samaritan Health Plans Chris Turner Chief Operating Officer Santa Clara Family Health Plan
10:15	Break
10:30 – 11:15	Driving collaboration to support health equity Learn how Sharp Health Plan is developing and implementing a health equity strategy through deep stakeholder collaboration to collect data sets that stratify members, look at social risk, and analyze opportunities to identify inequities, help set priorities, and drive improvement activities. Preview a research initiative drawing on member surveys and community outreach programs to better understand barriers to Diabetes care access. Identify how to take a proactive approach to health equity data collection and understand opportunities to overcome data measurement obstacles	Mariah Santiago, MPH Coordinator, Health Equity Sharp Health Plan RaeAnn Grossman EVP, Operations - Risk Adjustment, Population Health Management, and Quality Cotiviti
11:15 – 12:00	Panel Discussion: Aligning program design and interventions with long-term population health goals Monetizing and operationalizing the connection between social determinants of health and clinical outcomes is the key to successfully implementing intervention programs, but it’s easier said than done. In this session we explore the complexity of this connection and health plans share their perspective on how they are redefining often imagined boundaries within their own operations, lines of business, and processes to successfully design, build and implement the programs that support long-term population health goals.	Moderator: Patrick Sims, VP of Growth, FoodSmart Panelists: Russ Elbel, AVP Medicaid, SelectHealth Jessica Stockmyer, Manager of Medical Economics, Denver Health Medical Plan
12:00	Lunch – Mt. Rose
12:30	Poster session small group discussion Work elbow to elbow with your Health Plan Alliance colleagues during this engaging tabletop exercise. Choose one of three topic areas to dig into: Benefit design innovations Health equity and quality outcomes CX innovations You’ll dig into poster submissions from Alliance member plans and partners – what key takeaways can you workgroup uncover in these written case studies? Hosted by industry experts and moderated by Alliance staff, our tabletop poster sessions are an engaging and efficient way to survey the state of the industry when it comes to the ongoing evolution of “whole person care” and how Alliance member plans are responding. Come prepared to debate, to listen, and to learn. Leave richer with new insights, new connections, and new ideas.
1:30	Poster session small group share outs Alliance members will hear from each tabletop group’s assigned spokesperson: What their group’s key takeaways were and what new ideas they can impart to the whole group. Think of it like the Executive Summary of each break out group’s discussion efforts and a useful elevation of key themes to consider when reading the Poster Flipbook in greater detail once you’re back home. All participants will receive a printed Poster Flipbook to take home with them! We have three collections of poster submissions across three key areas: Benefit design innovations Health equity and quality outcomes CX innovations
2:15	Wrap up
2:30	Meeting adjourns

Venue

Whitney Peak Hotel
255 N Virginia St
Reno, NV 89501
775.398.5400

The hotel room block expires on August 31, 2022
Our room rate is $139 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 should call the reservations department at 775.398.5400 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
Reno-Tahoe International airport is approximately seven minutes away and a $15 Uber/Lyft. Click here for more details.

RENO 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

Page 1 of 3

Next | Last

10/13/2022

Resource: Understanding the types of D-SNPS
Change Healthcares shares a resource to help understand the types of D-SNPS.

10/7/2022

2022 Poster Project Book
The Health Plan Alliance 2022 Poster Project aggregates case studies presented in a poster format with innovative ideas in the areas of benefit design, health equity, and customer/member experience.

10/5/2022

Recording: Case study - Addressing misgendering across the care continuum
Samaritan Health Plans share how they've identified opportunities to reduce misgendering trauma. They also share the proactive steps they are taking with partners like their health systems and the community to improve health equity. This was shared at the Population Health for Government-Sponsored Health Plans Value Visit in Reno, Nevada.

10/5/2022

Recording: State of the industry - what's next for government-sponsored healthcare?
John Gorman, Government Health Programs Expert and SDOH investor, leads a discussion on state of the industry and what's next for government-sponsored healthcare. This was shared at the Population Health for Government-Sponsored Health Plans Value Visit in Reno, Nevada.

10/5/2022

Recording: Case study - Designing an inclusive MX roadmap that serves a vibrant and diverse member community
Santa Clara Family Health Plan shares the health plan's intentional work around aligning engagement, quality, and health equity initiatives. This was shared at the Population Health for Government-Sponsored Health Plans Value Visit in Reno, Nevada.

10/5/2022

Recording: Launching a SNP in today's market
Change Healthcare and MDFlow lead an extended learning session with the Prominence Health Plan team digging deep into key issues such as member churn and creating synergies within your organization's government-sponsored health plans to foster an end-to-end user experience that retains members. This was shared at the Population Health for Government-Sponsored Health Plans Value Visit in Reno, Nevada.

10/5/2022

Recording: Panel Discussion: Aligning program design and interventions with long-term population health goals
FoodSmart, SelectHealth and Denver Health Medical Plan share their perspective on how they are redefining often imagined boundaries within their own operations, lines of business, and processes to successfully design, build and implement the programs that support long-term population health goals.

10/5/2022

Recording: Driving collaboration to support health equity
Sharp Health Plan shares how they are developing and implementing a health equity strategy through deep stakeholder collaboration to collect data sets that stratify members, look at social risk, and analyze opportunities to identify inequities, help set priorities, and drive improvement activities. This was shared at the Population Health for Government-Sponsored Health Plans Value Visit in Reno, Nevada.

10/5/2022

Recording: Case study 1 - Johns Hopkins Healthcare and mPulse Mobile
Johns Hopkins Healthcare and mPulse Mobile present a case study of their sustainable outreach program ahead of the end of PHE and beyond. This was shared at the Population Health for Government-Sponsored Health Plans Value Visit in Reno, Nevada.

10/5/2022

Recording: Case study 2 - Sentara Health Plan and NationsBenefits
Sentara shares how they are using strategic, purposeful engagement models to drive results leveraging two supplemental benefits: Hearing and Post-Discharge Meals fulfilled through NationsBenefits. This was shared at the Population Health for Government-Sponsored Health Plans Value Visit in Reno, Nevada.

Page 1 of 3

Next | Last