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Fly-In: Network Innovations Supporting the "Quadruple Aim" of Healthcare

Event Date: 6/20/2022 - 6/21/2022

Event Overview
Proof of COVID-19 VACCINATION REQUIRED to attend


 

Network builds, provider contract terms, and member experience differentiators that impact health outcomes

Join network strategy leaders from Alliance member plans across the country for timely insights into how other regional and provider-sponsored health plans approach provider partnerships to differentiate, fuel growth and impact the member experience. During this focused workshop setting, you’ll have valuable time to meaningfully connect with health plan leaders tackling the same challenges your team is working on back home. Hear leading industry experts and health plan leaders on the front lines share key learnings to help your team tackle network adequacy requirements, engage your providers on health equity measures, and optimize your data and available tools.


Top reasons to attend

  1. Learn new strategies for securing contracts to exceed network adequacy requirements and successfully execute a market expansion

  2. Share best practices to increase provider engagement with value-based plans, particularly through the support of relevant, actionable information and analytics

  3. Hear how others are increasing directory and claims platform accuracy, consolidating data into meaningful models in real-time and gaining efficiencies in provider updates and verification

  4. Gain insights on operationalizing value-based arrangements at scale

  5. Take away new ideas on how other Provider-sponsored health plans are developing unique member experiences alongside their provider owners and partners

 


Who should attend

Directors, VPs, and executive sponsors with responsibility for the following will find this event's content timely and meaningful:  

  • Network strategy
  • Network management
  • Network development
  • Provider relations
  • Provider contracting
  • Provider engagement
  • Medical management
  • Provider data management

 


Venue

Faegre Drinker Biddle & Reath LLP

Special thanks to Faegre Drinker Biddle & Reath LLP for hosting our Provider Network Optimization Consortium in-person workshop! 

 


 

 

Thank you to our event sponsors


Sponsor


Vendor

Registration
ALLIANCE MEMBER
Fee End Date Description Amount
6/15/2022 for Alliance members attending in-person MEMBER PASS
SPONSOR
Fee End Date Description Amount
6/15/2022 for invited sponsors attending the in-person event SPONSOR PASS
SPEAKER
Fee End Date Description Amount
6/15/2022 for confirmed faculty members FACULTY 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 Fly-Ins
Fee End Date Description Amount
6/20/2022 Fly-In sponsor $10,000.00
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 April 18, 2022
(All details in Eastern Time Zone)

DOWNLOAD THE AGENDA

 

MONDAY, JUNE 20

6:00 PM

 

Welcome Dinner

 

TUESDAY, JUNE 21

7:30 AM

Breakfast

8:00 AM

Welcome!

8:15 AM

Changing regulations regarding provider networks and access to care: Adequacy, accuracy, and stability

 

9:15 AM

Now what? Ensuring compliance while also pursuing excellence

10:15 AM

Break

10:30 AM

Roundtable discussions Part 1: Reducing abrasion and increasing alignment between the payer, provider, and member

11:30 AM

Lunch

12:30 PM

Roundtable discussions Part 2: Reducing abrasion and increasing alignment between the payer, provider, and member

1:30 PM

Value Based Contracting: What’s next?

2:30 PM

Wrap up and closing remarks

2:45 PM

Adjourn


MONDAY, JUNE 20


6:00 PM

 

Reception/Dinner – Location TBA

 

TUESDAY, JUNE 21


7:30 AM

Breakfast – Location TBA

 

 

 

8:00 AM

Welcome!

 

 

Kristin B. Rodriguez
Chief Operating Officer
Health Plan Alliance

 

8:15 AM

 

Changing regulations regarding provider networks and access to care: Adequacy, accuracy, and stability

  • The rules are changing quickly: A tour de force of the requirements for each of your LOBs
  • Examples of successful network adequacy exceptions and the risks of seeking an exception
  • The role telehealth in network adequacy plus network adequacy for virtual first products
  • Stability matters and regulators don’t like midyear terminations: Are your network management practices promoting continuity of care?
  • Mental health parity: Why it matters and what regulators are thinking about behavioral health network tests
  • Regulators’ evolving expectations and evolving toolbox regarding directory accuracy

 

Michael Adelberg
Principal
Faegre Drinker Consulting

 

Tricia Beckmann
Director
Faegre Drinker Consulting

 

Kacey Buderi

Director

Faegre Drinker Consulting

9:15 AM

Now what? Ensuring compliance while also pursuing excellence

  • What does Network Adequacy mean to your members?
    • Provider Directory / Web Look-Up
    • How to leverage telehealth to expand your provider network
  • Best Practices with Provider Directory Audits and Access Surveys
    • How to evolve your access survey process to move beyond summary-level information, define root causes, and develop action plans to improve your overall management of access
  • Don’t be blindsided by mental health parity requirements that impact provider network
  • This is bigger than accurate data – It’s about finding and fixing fragmented experiences across every access point within your organization

 

 

David Giles
Senior Consultant

ATTAC Consulting Group

 

Jennifer Venditti

SVP, Business Transformation

ATTAC Consulting Group

 

 

Amanda Brown
VP, Compliance Solutions
ATTAC Consulting Group

 

 

 

10:15 AM

Break

 

 

10:30 AM

Round table discussions Part 1: Reducing abrasion and increasing alignment between the payer, provider, and member

  • TOPIC 1: Building a culturally competent network, developing a social services network, and meaningfully connecting the two
  • TOPIC 2: Getting providers outside of your system to care about quality measures
  • TOPIC 3: Integrating care management and your virtual network with network providers

 

Round table leaders:

 

Topic 1:

 

Topic 2:

 

Topic 3:

11:30 AM

Networking Lunch

 

 

12:30 PM

 

Round table discussions Part 2: Reducing abrasion and increasing alignment between the payer, provider, and member

  • TOPIC 1: Automating prior authorizations, reducing claims denials and more
  • TOPIC 2: Getting providers the peer-to-peer data they actually care about
  • TOPIC 3: Marketing in the provider setting

 

Round table leaders:

 

Topic 1:

 

Topic 2:

 

Topic 3:

1:30 PM

Value Based Contracting: What’s next?

  • Contract workshop: A deep dive into specific contract clauses HPA member plans are using today
  • Identifying providers and understanding where they are in the risk continuum
  • Modeling Value-Based Care for Plans and Providers
  • What should be included in the DOFR?

Taking quality measures down to the provider level

Matthew Amodeo
Partner
Faegre Drinker Consulting

 

David Giles

Senior Consultant

ATTAC Consulting Group

2:30 PM

Wrap up and closing remarks

Kristin B. Rodriguez
Chief Operating Officer
Health Plan Alliance

 

2:45 PM

Adjourn

 

 

 

Venue

Meeting Venue

Faegre Drinker Biddle & Reath LLP

1 Logan Square #2000
Philadelphia, PA 19103 

 

 

 

 

 

 

 


Hotel Accomodations

We do not have a room block for this meeting.  We recommend this hotel based on the proximity to the venue.

The Logan Philadelphia
One Logan Square
Philadelphia, PA 19103
215.963.1500

 

 


 

 


 


Additional Info


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
Philadelphia International airport is 13 miles away and an estimated fare of $20-25 Uber/Lyft.  Click here for more details.  

PHILADELPHIA WEATHER
View the latest weather forecast.

Documents
4/18/2022

Agenda: Network Innovations Supporting the "Quadruple Aim" of Healthcare
Join network strategy leaders from Alliance member plans across the country June 20-21 in Philadelphia, PA, for timely insights into how other regional and provider-sponsored health plans approach provider partnerships to differentiate, fuel growth and impact the member experience.

Attendees

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

  • Paul Aitken
  • ALLIANCE MEMBER
  • SVP, Population Health & Chief Medical Officer at AvMed
  • Carolyn Balbarin
  • ALLIANCE MEMBER
  • Director, Provider Contracting & Network Development at Health Alliance Medical Plans
  • Christine Harder
  • ALLIANCE MEMBER
  • Senior Vice President, Provider Network Management at Health Alliance Plan (HAP)
  • Janice Henry
  • ALLIANCE MEMBER
  • AVP, Network Management at Johns Hopkins HealthCare
  • Karen Hoffmann
  • ALLIANCE MEMBER
  • Director of Operations at Medical Associates Health Plans
  • Angela Laman
  • ALLIANCE MEMBER
  • Manager, National Sales - Paramount Dental at Paramount Health Care
  • Christopher McTiernan
  • ALLIANCE MEMBER
  • Senior Vice President, Clinical and Provider Management at Health Partners Plans
  • Celeste Richards
  • ALLIANCE MEMBER
  • Chief Operating Officer at Alliant Health Plans
  • Tonya Wiegert
  • ALLIANCE MEMBER
  • Sr. Director, Claim Operations and Provider Enrollment at Quartz Health Solutions
  • Mark Fabiano
  • SPEAKER
  • Chief Executive Officer at Curatus LLC