Value Visit: Clinical Excellence 2024
Event Date: 9/16/2024 - 9/19/2024
Event Overview
This event promises to provide you with the essential knowledge and tools to drive cost-effective, high-quality care within your organization. Our final agenda is designed to offer deep insights into ten critical levers, including Utilization Management, Provider Network Management, and Pharmacy Benefit Management. You will gain practical strategies for managing chronic diseases and integrating technology to streamline healthcare delivery. Additionally, we will explore how regional payors are placing health equity at the forefront of their efforts, ensuring every touchpoint is optimized to make all members feel seen, heard, and cared for.
Who should attend
This meeting is only for Health Plan Alliance members and invited guests.
- Chief medical officers
- Executive sponsors, directors, managers with responsibility for clinical operations, pharmacy, quality, care management, health equity or clinical outcomes
- Health services executives or managers
Top reasons to attend
1. Network with Industry Leaders
- Engage with top executives and thought leaders in the healthcare industry during keynotes, panels, and networking dinners.
2. Gain Cutting-Edge Insights
- Learn about the latest advancements in medical cost management, health equity, patient-centered care models, and AI integration.
3. Explore Practical Strategies
- Discover actionable strategies for improving efficiency, enhancing patient care, and managing healthcare costs through interactive exercises and case studies.
4. Participate in Dynamic Discussions
- Join in-depth discussions on utilization management, pharmacy benefits, and chronic disease management solutions.
5. Strengthen Community Ties
- Connect with peers and build professional relationships that can drive collaborative efforts and shared success in the health plan industry.
Join the Presbyterian Health Plan team in beautiful Albuquerque, NM
Albuquerque is home to Presbyterian Health Plan. At the heart of New Mexico beats the pulse of a vibrant city. In Albuquerque, diverse cultures, authentic art and dynamic traditions have helped shape our centuries-old story. No matter your interests, the city has countless opportunities for you to explore. Sample traditional New Mexican cuisine that takes minutes to make and hundreds of years to prepare, experience world-class museums, and stroll along Central Avenue under the vintage neon glow of Route 66.
Registration
ALLIANCE MEMBER | |||
Fee End Date | Description | Amount | |
9/16/2024 | Exclusive to Alliance Partner or Shareholder organizations | MEMBER PASS | |
ALLIANCE GUEST | |||
Fee End Date | Description | Amount | |
9/16/2024 | Only for invited guests of the Alliance | GUEST PASS | |
PLATINUM SPONSOR | |||
Fee End Date | Description | Amount | |
9/16/2024 | Exclusively for 2023 Platinum sponsors | PLATINUM PASS | |
SPONSOR | |||
Fee End Date | Description | Amount | |
9/16/2024 | *Registration code required | SPONSOR PASS | |
SPEAKER | |||
Fee End Date | Description | Amount | |
9/16/2024 | Confirmed faculty members | FACULTY PASS | |
ALLIANCE STAFF | |||
Fee End Date | Description | Amount | |
9/16/2024 | For Health Plan Alliance staff | Staff Pass |
Venue
Hotel Albuquerque at Old Town
800 Rio Grande Blvd NW
Albuquerque, NM 87104
505.843.6300
Reservations 866.505.7829
The hotel room block expires on August 26, 2024
Our room rate is $199 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 can contact the reservations team to book via phone at 505.843.6300 (opt# 1) and can provide the group code(202409VIZIENT) or through our booking link. Should you book 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
Uber/Lyft from the Albuquerque International Sunport (ABQ) is approximately $20. Click here for more details.
ALBUQUERQUE WEATHER
View the latest weather forecast.
Agenda
09/16/2024 6:00 PM - 8:00 PM | |
Reception: Presbyterian Health Plan Place Join us at Presbyterian's Health Plan Place for a tour, food, drinks and flamenco dancers! |
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09/17/2024 7:00 AM - 8:00 AM | |
Breakfast |
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09/17/2024 8:00 AM - 8:15 AM | |
Getting started |
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09/17/2024 8:15 AM - 9:45 AM | |
Keynote Address :Medical Cost Management: Driving Efficiency and Excellence in Healthcare In today's rapidly evolving healthcare landscape, managing medical costs effectively has become a paramount concern for health plans and providers alike. Rising expenses, coupled with the increasing demand for high-quality care, and changing regulations necessitate innovative and strategic approaches to cost management. This keynote will provide an overview of the critical considerations for health plans. Speaker: Susan Dentzer, President & CEO; America's Physician |
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09/17/2024 9:45 AM - 10:00 AM | |
Break |
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09/17/2024 10:00 AM - 11:00 AM | |
Patient-Centered Care Models: Transformative Care Approaches This session will delve into the transformative power of patient-centered care models in managing medical costs while improving patient outcomes. We will explore successful implementations from leading healthcare organizations, highlighting their unique strategies and impactful results. Speakers: Sam Hinton, Director; Presbyterian Medicare Advantage Clinic, Jess Sanchez, Director; Health Plan Place |
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09/17/2024 12:15 PM - 1:15 PM | |
Lunch |
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09/17/2024 1:15 PM - 2:45 PM | |
Keynote Address: Health Equity Heroes: Strategies for Inclusive Healthcare In this keynote, we will explore the critical importance of health equity in modern healthcare delivery. Attendees will gain a deeper understanding of the strategies that can be employed to advance health equity and improve outcomes across diverse communities. Speakers: Faith Dyson Washington, Principal; Health Management Associates Dr. Tasnim Khan, CMO; Western Health Advantage National Hispanic Medical Association Fathiya Abdi, Program Manager, DEI; Community Health Plan of Washington Ugbad Hassan, Program Manager II, Health Equity; Community Health Plan of Washington |
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09/17/2024 2:45 PM - 3:00 PM | |
Break |
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09/17/2024 3:00 PM - 4:30 PM | |
Presentation & Panel Discussion Utilization Management: Unlocking the Power of Clinical Leadership in Cost Management Presentation: Utilizing their unique insights and expertise, clinical leaders can significantly impact health plan costs. This session will delve into actionable strategies and real-world examples, demonstrating how clinical leaders can leverage their positions to implement cost-saving measures while ensuring quality of care. Speaker: Tom Lundquist, MD, President; Vital Insights, LLC Panel Discussion speakers: Marsha Barlocker, Sr. Director of Quality and Care Management; Health Team Advantage; Ted Regalia, VP Pharmacy Benefits; Network Health; Dr. Traci Biondi, CMO; Prominence Health Plan; Michael Lunzer, CEO; Itiliti Health |
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09/17/2024 3:45 PM - 4:30 PM | |
Pharmacy Power Play: Enhancing Efficiencies in Pharmacy Benefits This session will focus on the critical lever of Pharmacy Benefit Management (PBM) and how health plans can maximize efficiency and savings through strategic initiatives. We'll delve into potential case studies that highlight best practices and innovative approaches in the field. |
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09/17/2024 6:00 PM - 8:00 PM | |
Dinner: Tuesday |
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09/18/2024 7:30 AM - 8:30 AM | |
Breakfast |
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09/18/2024 8:30 AM - 10:00 AM | |
Keynote: Technology Integration: Harnessing the Power of AI in Care Management This keynote will explore the transformative potential of technology integration in healthcare, with a particular focus on Artificial Intelligence (AI) and its role in care management. Attendees will gain insights into how AI can be leveraged to enhance patient care, improve operational efficiency, and drive potential cost savings. Speaker: Mendel Erlenwein, Founder; Previva Health Group |
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09/18/2024 10:00 AM - 10:30 AM | |
Break & Book Signing |
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09/18/2024 10:30 AM - 11:15 AM | |
Industry Power Rounds: Chronic Disease Management Solutions Join us for an exciting series of back-to-back presentations from leading vendors in the field of chronic disease management. Each vendor will have a brief, focused session to showcase their innovative solutions and approaches to tackling chronic conditions. This fast-paced format ensures you get a comprehensive overview of the latest technologies and strategies in a short amount of time. Speakers: Omada, MPulse Mobile, Podimetrics |
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09/18/2024 11:15 AM - 12:00 PM | |
Provider Network Management: Lab Service Legends; Strategies for Network Optimization Join us for an exploration of how leading healthcare organizations are optimizing their lab services. This session will uncover best practices, innovative strategies, and success stories that demonstrate how to enhance lab service delivery, improve patient outcomes, and reduce costs. |
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09/18/2024 12:00 PM - 1:00 PM | |
Lunch |
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09/18/2024 1:00 PM - 2:00 PM | |
Interactive Exercise: Where Is The Payoff: Ranking Cost Management Levers |
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09/18/2024 2:00 PM - 2:15 PM | |
Break |
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09/18/2024 2:15 PM - 3:15 PM | |
Alternative Payment Models: Payment Paradigm Shifts: Exploring Innovative Models Explore the transformative impact of one organization's effort to design payment models through the lens of contract modeling. This session will explore how detailed modeling of contracts can provide valuable insights and enhance decision-making for health plan executives. Speaker: Brady Gear, VP of Network Strategy Presbyterian Health Plan |
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09/18/2024 3:15 PM - 3:30 PM | |
Break |
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09/18/2024 3:30 PM - 4:30 PM | |
Digital Health Maturity: Considerations for Medical Cost Management Speaker: Cognizant |
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09/18/2024 6:00 PM - 8:00 PM | |
Dinner: Wednesday |
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09/19/2024 8:00 AM - 9:30 AM | |
Breakfast |
Attendees
Below is a list of all delegates registered to date for this event
- Marsha Barlocker
- ALLIANCE MEMBER
- Senior Director Quality and Case Management at HealthTeam Advantage
- Stephanie Belue
- ALLIANCE MEMBER
- Director of Quality Assurance & Privacy Officer at Alliant Health Plans
- Kathryn Brisson
- ALLIANCE MEMBER
- Medicare Stars Program Manager at Capital District Physicians' Health Plan (CDPHP)
- Zachary Contreras
- ALLIANCE MEMBER
- Director of Pharmacy at Sharp Health Plan
- Laura Darnell
- ALLIANCE MEMBER
- Operations Management Specialist at Alliant Health Plans
- Jim George
- ALLIANCE MEMBER
- Director of Medical Cost Action at Neighborhood Health Plan of Rhode Island
- Sara Hansen
- ALLIANCE MEMBER
- Senior Director, Population Health & Clinical Operations at Avera Health Plans
- Brendan Hodges
- ALLIANCE MEMBER
- President/CEO at HealthTeam Advantage
- Deanna Homer
- ALLIANCE MEMBER
- Chief Operations Officer at HealthTeam Advantage
- Rob Keefe
- ALLIANCE MEMBER
- National Director Connected Health at Ochsner Health Plan
- Michelle Lang
- ALLIANCE MEMBER
- Vice President, Operations at CommunityCare
- Demetria Malloy
- ALLIANCE MEMBER
- Chief Medical Officer/Chief Health Officer at Community Health Plan of Washington
- Jennifer Meko
- ALLIANCE MEMBER
- Sr. Medical Director at Quartz Health Solutions
- Krista Schonrock
- ALLIANCE MEMBER
- AVP, Senior Medical Director at SelectHealth
- Sanjiv Shah
- ALLIANCE MEMBER
- Chief Medical Officer at MetroPlusHealth
- Sandy Spitale
- ALLIANCE MEMBER
- Chief Clinical Officer - Ochsner Health at Ochsner Health Plan
- Deborah Talacko
- ALLIANCE MEMBER
- Medical Policy Writer and Coding Specialist at Community Health Options
- Lori Tishler
- ALLIANCE MEMBER
- CMO at Community Health Options
- James Troyer
- ALLIANCE MEMBER
- Director of Medical Management at Alliant Health Plans
- Allison Ashcraft
- ALLIANCE STAFF
- Operations Specialist at Health Plan Alliance
- Keri Bloomer
- ALLIANCE STAFF
- Director of Operations at Health Plan Alliance
- Jessica Boykins
- ALLIANCE STAFF
- Customer Experience Specialist at Health Plan Alliance
- Jaime Gonzalez
- ALLIANCE STAFF
- Chief Business Development Officer at Health Plan Alliance
- David Gallegos
- PLATINUM SPONSOR
- SVP Consulting Services at Optum Advisory
- Eric Tryon
- PLATINUM SPONSOR
- VP Payer Solutions at Optum Advisory
- Dennis Bolin
- SPEAKER
- Consultant at Health Plan Alliance
- Susan Dentzer
- SPEAKER
- President and CEO at America’s Physician Groups (APG)
- Thomas Lundquist
- SPEAKER
- President at Vital Insights LLC
- Michael Lunzer
- SPEAKER
- CEO at Itiliti Health
- Jessin Joseph
- SPONSOR
- Senior Director PBA Services at Capital Rx
- Jackie Maynard
- SPONSOR
- Vice President Business Development at Toney Healthcare
- Steve McLeod
- SPONSOR
- SVP, Sales at Itiliti Health
- Sean Murphy
- SPONSOR
- Partner, Client Success at Clearlink Partners
- Sue Powers
- SPONSOR
- Chief Growth Officer at VirtualHealth
- Brian Ridder
- SPONSOR
- VP Sales at Zelis Healthcare, LLC
- Kristin Rodriguez
- SPONSOR
- Chief Product Officer at Vitality Group
Speakers
- Marsha Barlocker
Senior Director Quality and Case Management at HealthTeam Advantage
click here for full people profile
- Susan Dentzer
President and CEO at America’s Physician Groups (APG)
click here for full people profile
- Mendel Erlenwein
CEO at Previva Health Group
click here for full people profile
- Thomas Lundquist
President at Vital Insights LLC
click here for full people profile