Value Visit: Clinical Excellence 2024

09/17/2024 7:00 AM - 8:00 AM

09/17/2024 8:00 AM - 8:15 AM

09/17/2024 8:15 AM - 9:45 AM

The evidence suggests that close collaboration between physician groups and health plans – including through arrangements that fully delegate risk to providers – produces superior results for older adult patients. This session will explore how can more of these partnerships can be fostered across the health care continuum.

Speaker:
Susan Dentzer , President & CEO
America's Physician Groups

09/17/2024 9:45 AM - 10:00 AM

09/17/2024 10:00 AM - 11:00 AM

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.

Presbyterian MA Specialty Practice: Discover how Presbyterian’s Medicare Advantage Specialty Practice is redefining patient care through focused, specialty-driven approaches that cater to the specific needs of Medicare Advantage members.

Speaker:
Sam Hinton, Director
Presbyterian Medicare Advantage Clinic

Presbyterian The Health Plan Place: Learn about The Health Plan Place, an initiative designed to provide personalized, accessible healthcare services. This presentation will emphasize how creating community-based healthcare hubs can enhance patient engagement, streamline care coordination, and reduce overall healthcare costs.

Speaker:
Jess Sanchez, Director
Health Plan Place

09/17/2024 11:00 AM - 12:15 PM

In this session, we'll kick off by exploring the current state of the pharmacy world, touching on the evolving landscape of PBMs, the retail sector, and the ripple effects of rising costs, regulatory shifts, and new legislation. From there, we’ll dive into the complexities of drug manufacturers, focusing on how their operations influence health plan formulary decisions, rebates, and overall strategy. We'll highlight which high-impact drugs are dominating today's conversations. Finally, we'll pivot to a clinical overview, examining emerging trends and the future of pharmacy care. Join us for a comprehensive exploration of the key forces shaping the industry. .

Speaker(s):
Eric Cannon, Chief Pharmacy Officer/General Manager
Matt Mitchell, AVP Pharmacy Services
Select Health and Scripius

Jennie Barlow, Director Pharmacy Industry Relations
Select Health

09/17/2024 12:15 PM - 1:15 PM

09/17/2024 1:15 PM - 2:45 PM

In this session, you'll gain a comprehensive understanding of health equity and its critical importance in healthcare and learn about the impact of health disparities and social determinants of health on patient outcomes and overall healthcare costs. Explore methods for building organizational competencies in equity concepts and fostering an inclusive company culture and discuss key strategies for embedding health equity into clinical operations, improving cultural competency, and engaging diverse stakeholders. We will also highlight the importance of data in identifying and addressing health disparities to drive continuous quality improvement and promote sustainable change in healthcare.

Keynote:
Faith Washington, Principal
Health Management Associates

Case Study: Western Health Advantage: Innovative Approaches to Flu Vaccination Outreach
Western Health Advantage will share insights from its innovative flu vaccination campaign aimed at improving health outcomes in its service area. This case study delves into the creative approaches employed to reach is Spanish-speaking populations, including the use of mobile clinics, targeted messaging, and partnerships with community organizations.

Speaker(s):
Dr. Tasnim Khan, Chief Medical Officer
Western Health Advantage

Fernanda Durand, Communications Director
National Hispanic Medical Association

Case Study: Community Health Plan of Washington
CHPW aims to become an anti-racist organization by identifying and changing systems, processes and policies that hinder equity. Its team will share practical insights and lessons learned in fostering a culture to advance equity. CHPW aspires to create a culture where equity is not just a goal but one day a lived reality for everyone.

Speaker(s):
Fathiya Abdi, Program Manager, DEI
Community Health Plan of Washington

Ugbad Hassan, Program Manager II, Health Equity
Community Health Plan of Washington

09/17/2024 2:45 PM - 3:00 PM

09/17/2024 3:00 PM - 4:30 PM

Utilizing their unique insights and expertise, clinical leaders can significantly impact health plan costs. Be prepared to delve into actionable strategies and real-world examples from a panel of experts who will demonstrate how clinical leaders can leverage their positions to implement cost-saving measures while ensuring quality of care.

Moderator:
Tom Lundquist, MD, President
Vital Insights, LLC

Speaker(s):
Marsha Barlocker, Sr. Director of Quality and Case Management
Health Team Advantage

Ted Regalia, VP Pharmacy Benefits
Network Health

Dr. Traci Biondi, Chief Medical Officer
Prominence Health Plan

Michael Lunzer, CEO
Itiliti Health

09/17/2024 6:00 PM - 8:00 PM

09/18/2024 7:30 AM - 8:30 AM

09/18/2024 8:30 AM - 10:00 AM

Explore how AI can revolutionize care management through technology integration. This keynote will provide actionable strategies and real-world examples, showcasing how AI can be harnessed to enhance patient care, improve operational efficiency, and drive cost savings.

Mendel is the host of the #1 value-based care podcast, Healthcare Trailblazers and author of Unleashing Value: The Case for AI in Value-Based Care.

Speaker(s):
Mendel Erlenwein, Founder
Previva Health Group

09/18/2024 10:00 AM - 10:30 AM

09/18/2024 10:30 AM - 11:15 AM

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.

Speaker(s):
Crystal Onwu, PharmD, Director, Clinical Strategy
Omada

Reza Alam, Medical Director
MPulse

Gary Rothenberg, Director, Medical Affairs
Podimetrics

09/18/2024 11:15 AM - 12:00 PM

Navigate the complexities of genetic network optimization with expert insights into how leading healthcare organizations are overcoming genetic testing challenges. Discover best practices and innovative strategies that demonstrate how to enhance lab service delivery, drive genetic lab quality, improve patient outcomes, and reduce costs. Ensuring members receive the right test for the right treatment at the right cost.

Speaker:
Mike Snyder, EVP of Network
Avalon

09/18/2024 12:00 PM - 1:00 PM

09/18/2024 1:00 PM - 2:00 PM

Moderator:
Mike Miniati, Chief Growth Officer
Toney Healthcare

09/18/2024 2:00 PM - 2:15 PM

09/18/2024 2:15 PM - 3:15 PM

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(s):
Brady Gear, VP of Network Strategy
Presbyterian Health Plan

09/18/2024 3:15 PM - 3:30 PM

09/18/2024 3:30 PM - 4:30 PM

In today’s rapidly changing business environment, payers face challenges from every angle—evolving market dynamics, regulatory changes, and advancing technology. This session dives deep into these forces and emphasizes the critical role of quality as a foundational element across the entire payer value chain. We’ll explore the importance of operational excellence in areas like data management and predictive analytics and the use of cutting-edge tools like FHIR-based APIs and digital quality measurement solutions. This is your opportunity to learn how to elevate your organization's performance in an increasingly data-driven landscape.

Speaker(s):
Chenny Solaiyappan., Sr. Director Product Management & Strategy
Cognizant

09/18/2024 6:00 PM - 8:00 PM

09/19/2024 8:00 AM - 9:30 AM