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Value Visit: ACA & Government Programs

Event Date: 2/28/2023 - 3/3/2023

Event Overview


 

Regional health plans must compete differently in the ACA individual market and government-sponsored programs

The state of play is rapidly changing across the ACA, Medicaid, SNPs and Medicare.  The individual market – particularly subsidized and government-sponsored LOBs – is a critical portfolio play for regional players.  The looming end of the PHE, combined with shifting consumer sentiment and a tougher regulatory environment, are creating unique opportunities.  But there is also opportunity cost: The double hitter of smart growth and risk capture looms if your strategy doesn’t line up.  That’s why HPA member plans need to think differently about how we develop products, position them in our markets, and engage intentionally in member retention efforts. 

 

We’ll dig into critical issues like:

  • Your portfolio play for the under-65 individual consumers AND the over-65, too
  • The great debate: The long-term viability of virtual-first product designs
  • How Alliance member health plans are stretching their resources in creative ways
  • Driving quality and risk adjustment performance with product design: Is it possible?
  • The evolving Medicaid landscape and how states are raising the stakes for payer contractors
  • From the trenches: Real-world efforts to engage your members and impact satisfaction

Work elbow to elbow with Alliance plan leaders in our unique micro-workshop formats and small group discussion opportunities, all incorporated into our case study-driven event format to create a high-trust environment that encourages real relationship building and connection.

 

What you'll learn:

  1. How regional players can finally leverage all the consumer data we’ve been collecting to drive micro-targeting efforts so we can win market share, capture risk, and deliver on high quality outcomes 
  2. Where the ACA is moving: The proposed rule to reduce the quantity of standardized plans and how to think about subsidies near and long term 
  3. Moving from hype to hero: What programs are truly making an impact, changing behavior, and bending the cost curve?  
  4. How do we treat the whole member as the environment and expectations are changing?
  5. Real-world examples of how Alliance members are focusing on member engagement and satisfaction with an eye on impacting Stars, CAHPS, retention and referral rates, and more. 
  6. Exploding SNPs! CSNPs, DSNPs, FIDE SNPs and more.  Which is the right path for you? What does it take to be successful and when is the right time to add this to your portfolio? 
  7. The Part B buy-back problem: How to differentiate and compete in MA when you can’t go toe-to-toe with national plans’ product and pricing  
  8. Are there meaningful strategies you can deploy when submitting your bid that can improve your success in accurately capturing your population’s risk and effecting better health outcomes? 
  9. Threading the needle between risk adjustment, experience and VBC arrangements. No matter where you are on the continuum of VBC, continued improvement is challenging. What differentiates the high performers from the organizations still treading water? 
  10. Dig into Medicaid national trends and translate authority needs and models into operational practicalities for payers and providers.  What elements are more and more states incorporating into their public health strategies and how do the large payers compete so effectively for these contracts? 

 



Session Spotlight

Office hours with Alliance members and topic experts

At top universities and think tanks, Office Hours are when thought leaders connect meaningfully with learners and practitioners to dive deep into sticky issues and explore new possibilities.  We’re kicking off day two with a robust, 90-minute session for powerful idea exchanges on critical issues affecting Alliance health plan leaders.  Specific Office Hours topics will be chosen and communicated to registered attendees by February 10th so they can RSVP for their preferred topic.  Important! Office Hours leaders will ask attendees to prepare some light pre-work to ensure the discussion is focused and impactful.  We’ll keep you informed and on-task in the final weeks prior to the event.   

Office Hours topics may include:

  • Sales strategies and tactics
  • Risk adjustment tactics and managing to RADV
  • Regulatory compliance
  • Quality, with emphasis on NCQA and stars

 



What Alliance members have said after attending this program


“The group size was ideal for sharing tactical ideas and strategies. The candid and open conversations were refreshing, and people took valuable, actionable ideas back home with them.  I really enjoyed the fellowship among other health plans and hearing the solutions across the different companies.” 

“I enjoy the networking as I will reach out to people I met and ask them questions. I also enjoyed the case studies where the plans shared an initiative they took on and the result. I appreciate that most of the content was provided by plan members rather than vendors.”

“The group size was perfect to allow everyone the opportunity to participate. The ability to share with peers is so valuable to the work we do. The ideas and practices shared will be useful in my day-to-day operations. The HPA staff go above and beyond to offer a warm welcome to both those that have been part of HPA for a long time and those that are brand new.”




Who should attend

This event brings together leaders among your Alliance peer network with responsibility for:

  • Government-sponsored programs’ product design, sales and marketing, provider contracting, and growth strategy development
  • Financial leaders with responsibility for population health and value-based design, including issues related to risk adjustment
  • Leaders in behavioral health, care management, clinical and whole person care outcomes
  • Stakeholders in achieving quality objectives, including developing and implementing HEDIS, CAHPS, and HOS improvement initiatives, as well as NCQA accreditation
  • Leaders in your health plan’s health equity strategy, with particular emphasis on the member experience, whole person care, and SDOH
  • Network management and data analytics teams responsible for provider engagement strategies to drive improved health care quality  

 


Thank you to our event sponsors


Gold


Silver


Bronze


Sponsor


Vendor

 

Registration
ALLIANCE MEMBER
Fee End Date Description Amount
2/24/2023 Exclusive to Alliance Partner or Shareholder organizations MEMBER PASS
ALLIANCE GUEST
Fee End Date Description Amount
2/24/2023 Only for invited guests of the Alliance GUEST PASS
SPONSOR
Fee End Date Description Amount
2/24/2023 *Registration code required SPONSOR PASS
SPEAKER
Fee End Date Description Amount
2/24/2023 Confirmed faculty members FACULTY PASS
PLATINUM SPONSOR
Fee End Date Description Amount
2/24/2023 Exclusively for 2023 Platinum sponsors PLATINUM PASS
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

AGENDA AT A GLANCE

Updated: Jan 26, 2023
(*Note: Download the complete agenda from the Event's Documents tab)

 

TUESDAY, FEBRUARY 28

6:00PM

 

Welcome Reception

 

WEDNESDAY, MARCH 1

8:00AM

Breakfast and Registration

9:00AM

Welcome and Introductions

9:30AM

KEYNOTE ADDRESS: How Regional Health Plans can compete differently in the ACA individual market and government-sponsored programs

10:45AM

Panel Discussion: Your Under-65 individual consumers portfolio play

11:30AM

Consumer focus: How ACA shoppers interact with a complex choice environment

12:15PM

Lunch

1:15PM

Deft Research: Putting your best foot forward with brokers and consumers

2:30PM

How to serve the whole member and meet the expectations of consumers and regulators alike

3:30PM

The great debate: The long-term viability of virtual-first product designs

6:00PM

Networking dinner hosted by the Alliance

THURSDAY, MARCH 2

8:00AM

Working Breakfast: Office hours with Alliance members and topic experts

9:30AM

Flash Case Studies: How Alliance member health plans are stretching their resources in creative ways

10:30AM

Panel Discussion: Your Over-65 individual consumers portfolio play

11:30AM

The next evolution of Stars and Shifts in the broader Quality Landscape

12:15PM

Lunch

1:15PM

Achieving Provider alignment: The challenge is real – the rewards are great

2:30PM

Going Beyond the VBC Narrative: Practical Learnings from Supporting Payers and Providers in the Trenches of VBC

3:30PM

Panel discussion: The evolving Medicaid landscape and how states are raising the stakes for payer contractors

6:00PM

Networking dinner hosted by the Alliance

FRIDAY, MARCH 3

7:30AM

Networking breakfast

8:30AM

Motivational interviewing – Avera Health plan case study

9:30AM

Use motivational interviewing to help people change behavior and achieve their very best

11:00AM

From the trenches: Real-world efforts to engage your members and impact satisfaction

12:00PM

Adjourn

 

Venue

The Westin Irving Convention Center at Las Colinas 
400 West Las Colinas Blvd
Irving, TX  75039
972.505.2900
Reservations 888.236.2427


The hotel room block expires on February 7th 
Our room rate is $259 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 888.236.2427 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
Lyft/Uber from the Dallas/Ft Worth International airport and Love Field is approximately $20-25.  Onsite parking is $18 a day, valet is $23 a day. Click here for more details.

IRVING WEATHER
View the latest weather forecast.
Documents
1/26/2023

Agenda ACA and Govt Programs Value Visit Feb 28 - Mar 3 2023
Updated version! Download the agenda for our first Value Visit of 2023: The ACA individual market and Government-sponsored programs, in Irving, TX February 28 - March 3, 2023. The state of play is rapidly changing across the ACA, Medicaid, SNPs and Medicare. The individual market, particularly subsidized and government-sponsored LOBs, is a critical portfolio play for regional players. The looming end of the PHE, combined with shifting consumer sentiment and a tougher regulatory environment, are creating unique opportunities. The event challenges health plan leaders to think again about how they imagine the individual consumers' experience and to grapple with the tough questions facing regional plans as we look down the barrel of economic upheaval, ongoing political tensions, and public health challenges directly impacting individual health care consumers.

Attendees

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

  • Stephanie Belue
  • ALLIANCE MEMBER
  • Director of Quality Assurance & Risk Management at Alliant Health Plans
  • Toni Bonde
  • ALLIANCE MEMBER
  • Chief Operating Officer at CCHP
  • David Burnett
  • ALLIANCE MEMBER
  • Chief Growth Officer at Neighborhood Health Plan of Rhode Island
  • Tammy Chadd
  • ALLIANCE MEMBER
  • Compliance Manager at IU Health Plans
  • Caitlin Chazarreta
  • ALLIANCE MEMBER
  • Project Coordinator - Medicare Administration at SelectHealth
  • Wynda Clayton
  • ALLIANCE MEMBER
  • Risk Adjustment Manager at Providence Health Plan
  • Sarah Corkern
  • ALLIANCE MEMBER
  • Chief of Staff at Parkland Community Health Plan
  • Trevor DaRin
  • ALLIANCE MEMBER
  • Senior Director, Sg2 at Vizient Inc.
  • Jessica Dupont
  • ALLIANCE MEMBER
  • Vice President of Government Programs at Alliant Health Plans
  • Mari Fulton
  • ALLIANCE MEMBER
  • Medicare Administration Project Coordinator - FDR Management at SelectHealth
  • Kaitlin Gaffney
  • ALLIANCE MEMBER
  • Lead Health Plan Compliance Analyst at Denver Health Medical Plan
  • Tamara Gavin
  • ALLIANCE MEMBER
  • Vice President, Behavioral Health at Parkland Community Health Plan
  • Shane Greene
  • ALLIANCE MEMBER
  • Senior Director of Health Plan Operations at Care N' Care Insurance Company, Inc.
  • Sara Hansen
  • ALLIANCE MEMBER
  • Director of Quality & Health Management at Avera Health Plans (DAKOTACARE)
  • Amber Harris
  • ALLIANCE MEMBER
  • Director Risk Adjustment at MediGold
  • Kaleb Holt
  • ALLIANCE MEMBER
  • Medicare Advantage Program Manager at SelectHealth
  • Katherine Hughan
  • ALLIANCE MEMBER
  • Director, Medicare Operations at Western Health Advantage
  • Shauri Kagie
  • ALLIANCE MEMBER
  • UR/CM Director at SelectHealth
  • Alicia Kelley
  • ALLIANCE MEMBER
  • Vice President, Government Program at Capital District Physicians' Health Plan (CDPHP)
  • Luce Lohier
  • ALLIANCE MEMBER
  • Director, Enrollment & Premium Services at AvMed
  • Liz Lopez Cepero
  • ALLIANCE MEMBER
  • VP Government Programs at Baylor Scott & White Health Plan
  • Reigen Lox
  • ALLIANCE MEMBER
  • Chief Government Programs Officer at Parkland Community Health Plan
  • Akila Malik
  • ALLIANCE MEMBER
  • Vice President, Government Programs, Value-based Care at Baylor Scott & White Health Plan
  • Mark Mixer
  • ALLIANCE MEMBER
  • Chief Executive Officer at Alliant Health Plans
  • Neel Patel
  • ALLIANCE MEMBER
  • Director of Strategy and Business Development at Parkland Community Health Plan
  • Jana Perry
  • ALLIANCE MEMBER
  • Vice President, Strategy and Marketing at Health Alliance Medical Plans
  • Penny Ransom
  • ALLIANCE MEMBER
  • Chief Administrative Officer at Network Health
  • Kathryn Serenbetz
  • ALLIANCE MEMBER
  • Principle, Insurance Products at Avera Health Plans (DAKOTACARE)
  • Andrew Shapiro
  • ALLIANCE MEMBER
  • Chief Operations Officer at Parkland Community Health Plan
  • Craig Shively
  • ALLIANCE MEMBER
  • Manager, Individual Sales at Geisinger Health Plan
  • Candy Sicle
  • ALLIANCE MEMBER
  • Head of Consumer Sales & Retention at AvMed
  • Nicholas Smith
  • ALLIANCE MEMBER
  • VP, Network Development & Provider Relations at Parkland Community Health Plan
  • Bart Stead
  • ALLIANCE MEMBER
  • Vice President of Sales at Cox HealthPlans
  • Rebecca Stob
  • ALLIANCE MEMBER
  • Director Actuarial and Analytics at Alliant Health Plans
  • Elaine Taylor
  • ALLIANCE MEMBER
  • Compliance Consultant at IU Health Plans
  • Paula Turicchi
  • ALLIANCE MEMBER
  • Chief Strategy Officer at Parkland Community Health Plan
  • Amrita Waingankar
  • ALLIANCE MEMBER
  • Sr. Medical Director at Parkland Community Health Plan
  • Dianna Webb
  • ALLIANCE MEMBER
  • Executive Assistant at Parkland Community Health Plan
  • Andrew Weintraub
  • ALLIANCE MEMBER
  • VP of Sales & Retention at Health Alliance Medical Plans
  • John Wendling
  • ALLIANCE MEMBER
  • Chief Executive Officer at Parkland Community Health Plan
  • Mike Adelberg
  • SPEAKER
  • Executive Director at National Association of Dental Plans
  • Brian Dwyer
  • SPEAKER
  • AVP - Health Plan Sales at Unite Us
  • Tim Murray
  • SPEAKER
  • Principal & Senior Consulting Actuary at Wakely Consulting Group
  • Khanh Nguyen
  • SPEAKER
  • Chief Executive Officer at Applied Research Works - COZEVA
  • Jane Riehl
  • SPEAKER
  • Director of Client Services & Motivational Interviewing Trainer at
  • Keith Roberts
  • SPEAKER
  • Consumerism Consulting Practice Director at Change Healthcare
  • Christian Bagge
  • SPONSOR
  • VIce President, Member Experience & Engagement at mPulse Mobile
  • Jordan Hersh
  • SPONSOR
  • SVP, Channel Distribution at Valenz Health
  • Josh Hoover
  • SPONSOR
  • National Business Development Executive at Amplifon Hearing Health Care
  • Jake Mead
  • SPONSOR
  • Vice President of Sales at NationsBenefits
Speakers