LEADERSHIP FORUM: Fall 2025

Event Date: 10/28/2025 - 10/31/2025

Event Overview

10/28/2025 - 10/31/2025
Tennessee
Participation is limited to Health Plan Alliance members and invited guests

People talking during a networking break

Join us at the Annual Fall Forum, a space for executive leaders to come together for candid discussions, peer collaboration, and fresh insights on the evolving healthcare landscape. This exclusive gathering offers a unique opportunity to connect with industry experts, explore emerging trends, and exchange strategies for navigating today’s challenges and opportunities.

Through interactive sessions, executive panels, and networking, you will gain valuable perspectives on key issues shaping the future of healthcare. Whether you want to share best practices, uncover new solutions, or strengthen partnerships, the Fall Forum provides a dynamic space for meaningful dialogue and actionable takeaways.

Who Should Attend

Chief Executive Officers, Chief Medical Officer/Medical Directors, Chief Operating Officers, Chief Financial Officers, C-Level leaders responsible for strategic planning, innovation, and organizational execution won't want to miss this meeting.

Why Attend

High-Impact Conversations: Connect and build lasting relationships with fellow C-Suite leaders in an exclusive environment designed for transformative dialogue that drives industry change.
Future-Focused Strategies: Engage with peer executives on emerging trends and strategic opportunities, shaping innovative approaches to healthcare's most pressing challenges.
Executive Networking: Develop meaningful relationships with health plan leaders from across the nation in a confidential setting that fosters authentic connection and collaboration.
Strategic Alignment: Stay directly connected to Alliance's strategic direction through integrated Board meetings and key organizational updates, ensuring your voice shapes our collective future.
Included with Your Membership: While similar industry events cost thousands, this powerful networking opportunity is included in your membership—giving you unparalleled access to meaningful collaboration with regional, provider-sponsored, and independent health plan leaders.

Thank you to our event sponsors

Platinum

Gold

Silver

Bronze

Sponsor

Agenda

10/28/2025 8:30 AM - 4:30 PM
Executive Leadership Institute Workshop (Invite Only) This workshop is exclusively for participants of the 2025–2026 Executive Leadership Institute. The program begins at the Fall Leadership Forum 2025 with a full-day workshop. During this session, participants will: Build their learning community Explore assumptions about leadership Gain systems thinking tools to navigate challenges FLF25 provides the perfect backdrop for a week of continued learning and executive networking for program participants.
10/28/2025 6:00 PM - 8:00 PM
Reception: Tuesday
10/29/2025 7:30 AM - 8:30 AM
Networking Breakfast Please let us know if you have any dietary restrictions.
10/29/2025 8:30 AM - 9:15 AM
Welcome & Strategic Insights Joe Lastinger, HPA President
10/29/2025 9:15 AM - 10:45 AM
Keynote: The Provider-Payer Nexus: What's Broken, What's Changing, and What Comes Next Tensions between health plans and providers are making headlines—from arbitration disputes and prior auth friction to growing advocacy efforts on both sides. But beneath the headlines are deeper structural questions about trust, accountability, and collaboration. In this session, a national physician leader, a former plan executive, and a veteran health policy journalist explore what’s driving these dynamics—and where there’s potential for alignment. Are new policies fostering fairness or deepening divides? What would it take to rebuild trust across the table? And how can plans and providers reimagine their partnerships in ways that work better for patients and frontline care teams alike? Speaker(s): Dr. Jesse Ehrenfeld, President American Medical Association
10/29/2025 10:45 AM - 11:00 AM
Time to refill your cup and stretch
10/29/2025 11:00 AM - 12:00 PM
Earning the Business: What You Need to Know About Today’s Employer Expectations Whether you're doubling down on commercial or exploring it more seriously after scaling back in other markets, understanding employer needs has never been more critical. This session explores how benefit strategies are shifting, what’s really driving employer decisions, and where health plans—especially those that are regional or provider-sponsored—can find competitive footing. Are ICHRAs gaining meaningful traction? How much influence do brokers really have? And what are employers tired of hearing from plans? We’ll break down what it takes to win (or keep) employer business in today’s climate—and how plans can better align their offerings in a market where scale, flexibility, and clarity matter more than ever. Speaker(s): Tracy Watts, Senior Partner Mercer
10/29/2025 12:00 PM - 1:00 PM
Networking Lunch
10/29/2025 1:00 PM - 2:00 PM
What’s Next for Value-Based Payment After years of mixed results, value-based care seemed to lose its place on the hospital agenda. But value-based payments are gaining steam with payers, and combined with shifting market pressures, tighter margins, and new policy levers may be prompting a second look or may be left behind. Is VBC making its way back into hospital strategies—and if so, what’s different this time? In this conversation, François de Brantes will explore the signals that VBC is regaining traction, the obstacles that remain, and what it would take for these models to succeed where earlier efforts fell short. Speaker(s): François de Brantes, EVP Payment Innovation and Network Performance XO Health
10/29/2025 2:00 PM - 3:00 PM
Provider-Sponsored Plans: Insights from the HealthScape National Study What sets high-performing provider-sponsored health plans apart—and where are others struggling to gain traction? In this session, HealthScape Advisors (A Chartis Company) shares early findings from a new research initiative conducted with direct participation from Alliance member plans. Through confidential interviews with executives this study explores the evolving business models, operating dynamics, and growth strategies shaping the future of PSHPs. Hear aggregated insights on what’s working, where tensions persist, and what capabilities will be most critical for long-term sustainability. Whether you're looking to benchmark your own model or reframe your growth strategy, this session delivers a timely pulse on how provider-sponsored plans are positioning themselves for the future. Speaker(s): Akshay Jindal, Senior Partner in Payer Transformation HealthScape Advisors, LLC Tej Shah, Managing Partner HealthScape Advisors, LLC
10/29/2025 3:00 PM - 3:15 PM
Time to refill your cup and stretch
10/29/2025 3:15 PM - 4:30 PM
Executive Only Session: Exploring Synergies and Shared Challenges As the day winds down, we’ll shift into peer-to-peer conversations designed to surface insights that don’t always come out in larger sessions. Executives will break into small groups for candid discussions. Speaker(s): Joe Lastinger, President HPA
10/29/2025 6:00 PM - 8:00 PM
Dinner: Wednesday - The Iberian Pig
10/30/2025 7:30 AM - 8:30 AM
Networking Breakfast
10/30/2025 8:30 AM - 9:00 AM
Welcome Back Joe Lastinger, HPA President
10/30/2025 9:00 AM - 10:00 AM
Keynote: Small Plan Outlook: What the Regulatory Landscape Means for Market Viability Health policy expert Katie Keith breaks down what’s in, what’s out, and what small and mid-sized players should be watching. From marketplace rules and subsidy cliffs to Medicaid eligibility redeterminations, we’ll examine the shifting headwinds and how they’re playing across markets. Speaker(s): Katie Keith, Director Health Policy and Law O'Neil Institute, Georgetown Law
10/30/2025 10:00 AM - 10:15 AM
Time to refill your cup and stretch
10/30/2025 10:15 AM - 11:15 AM
Inside the ACA Market: Trends, Pressures, and What’s Next The ACA exchanges continue to evolve, bringing both opportunity and uncertainty for health plans. In this session, we’ll take a clear-eyed look at what’s happening in the market today—and what to expect over the next one, two, and three years. We’ll explore the factors shaping profitability, from enrollment dynamics to competitive pressures, and examine how fraud is impacting performance. The discussion will also highlight emerging models, start-ups, and other innovations worth watching. Speaker(s): Ari Gottlieb, Founder and Principal A2 Strategy Julian Levin, Principal PwC
10/30/2025 11:15 AM - 12:00 PM
AI Accelerator Update: Progress and What’s Ahead The Health Plan Alliance AI Accelerator is moving along—and already surfacing important insights for member plans. In this mini-update, Frances Cairns, who is leading the initiative, will share progress to date, early learnings, and the strategic direction for the work ahead. Speaker(s): Frances Cairns, CEO C/R Strategy Partners
10/30/2025 12:00 PM - 1:00 PM
Networking Lunch
10/30/2025 1:00 PM - 2:00 PM
Payer/Provider Collaboration: Technology as the Bridge Technology is increasingly at the center of payer–provider collaboration, shaping how health plans and health systems share data, streamline workflows, and align on patient care. From payer platforms to provider-facing tools, organizations are facing new decisions about which solutions to adopt, how to integrate them, and where to start. In this session, we’ll look at the current market landscape and explore how technology is becoming a critical connector between plans and providers. As part of this dialogue, we’ll focus on Epic—one of the most prominent examples of how provider technology platforms are extending into payer operations. We’ll discuss how health plans are responding to Epic’s payer products, what the “right” mix of applications looks like, and how these decisions shape long-term collaboration strategies. You’ll hear from peers who are navigating these choices today—assessing whether to move to Epic, balancing short-term demands with long-term goals, and exploring how technology can strengthen payer–provider partnerships. Speaker(s): Brigid Turrittin, VP Sales Tegria Stephanie Ngo, Managing Director, Payer Tegria Alan Lederman, COO Community Health Plan of Washington
10/30/2025 6:00 PM - 8:00 PM
Dinner: Thursday - Adele's
10/31/2025 7:45 AM - 9:30 AM
Networking Breakfast - Commons Club Kitchen and Bar For those with later flights, meet in the hotel restaurant for a come and go breakfast.

Attendees

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

David Smith
ALLIANCE GUEST
Founder and CEO at Third Horizons Strategies

Khuram Arif
ALLIANCE MEMBER
President at Western Health Advantage

Jim Beiermann
ALLIANCE MEMBER
CFO at CHRISTUS Health Plan

Kiran Biring
ALLIANCE MEMBER
Chief Pharmacy Officer at Western Health Advantage

Dennis Bolin
ALLIANCE MEMBER
Consultant at Health Plan Alliance

Jerry Bradford
ALLIANCE MEMBER
Chief Financial Officer at Health Alliance Medical Plans

Stephen Bush
ALLIANCE MEMBER
CFO at Baylor Scott and White Health Plan

Michael Byrd
ALLIANCE MEMBER
President and Chief Executive Officer at Sharp Health Plan

Luca Capicchioni
ALLIANCE MEMBER
Director, System Value Based Care at Health Alliance Plan (HAP)

Stacy Chalupsky
ALLIANCE MEMBER
Chief Operations Officer at Avera Health Plans

Erwin Cho
ALLIANCE MEMBER
Chief Consumer Officer at Presbyterian Health Plan

Gregory Czar
ALLIANCE MEMBER
Chief Financial Officer at Health Partners Plans / Jefferson Health Plans (HPP/JHP)

Trevor DaRin
ALLIANCE MEMBER
Associate Principal, Intelligence at Vizient Inc.

Tom Dewey
ALLIANCE MEMBER
Executive Vice President, Chief Corporate Operations Officer at Medical Mutual

Coreen Dicus-Johnson
ALLIANCE MEMBER
President and CEO at Network Health

Regena Frieden
ALLIANCE MEMBER
Chief Administrative Officer at Providence Health Plan

Rick Heron
ALLIANCE MEMBER
Chief Experience Officer at Western Health Advantage

Brendan Hodges
ALLIANCE MEMBER
President/CEO at HealthTeam Advantage

Deanna Homer
ALLIANCE MEMBER
Chief Operations Officer at HealthTeam Advantage

John Johnson
ALLIANCE MEMBER
Chief Operations Officer at Presbyterian Health Plan

Zach Keeling
ALLIANCE MEMBER
CEO, Medical Associates Clinic & Health Plans at Medical Associates Health Plans

Nick Kraft
ALLIANCE MEMBER
SVP, Chief Growth Officer at Capital District Physicians' Health Plan (CDPHP)

Michael Lappin
ALLIANCE MEMBER
Chief Legal & Strategy Officer at Network Health

Alan Lederman
ALLIANCE MEMBER
Chief Operating Officer at Community Health Plan of Washington

Kevin Lewis
ALLIANCE MEMBER
Chief Executive Officer at Community Health Options

Garry Maisel
ALLIANCE MEMBER
Chief Executive Officer at Western Health Advantage

Bethany McAleer
ALLIANCE MEMBER
Chief Actuary at Johns Hopkins Health Plans

Greg McCarthy
ALLIANCE MEMBER
CEO at Denver Health Medical Plan

Mark Mixer
ALLIANCE MEMBER
Chief Executive Officer at Alliant Health Plans

Michael Murphy
ALLIANCE MEMBER
President at Texas Children's Health Plan

Brian Ollech
ALLIANCE MEMBER
Chief Financial Officer at Network Health

Christina Ott
ALLIANCE MEMBER
Chief Strategy Officer at Quartz Health Solutions

Kristin Poth
ALLIANCE MEMBER
AVP, Health Services at Johns Hopkins Health Plans

Celeste Richards
ALLIANCE MEMBER
Chief Operating Officer at Alliant Health Plans

Kristin Russell
ALLIANCE MEMBER
Chief Medical Officer at Neighborhood Health Plan of Rhode Island

Gordon Salm
ALLIANCE MEMBER
Outside Board Member at Health Plan Alliance

Christine Senty
ALLIANCE MEMBER
President and CEO at Quartz Health Solutions

Mallory Sheth
ALLIANCE MEMBER
Chief Strategy Officer at Sharp Health Plan

Sandy Spitale
ALLIANCE MEMBER
Chief Clinical Officer at Ochsner Health Plan

Josiah Sutton
ALLIANCE MEMBER
President & Chief Executive Officer at CommunityCare

Tracy Vadeboncoeur
ALLIANCE MEMBER
Director of Behavioral Health at Neighborhood Health Plan of Rhode Island

Jessica Vander Zanden
ALLIANCE MEMBER
SVP Operations at Network Health

David Vis
ALLIANCE MEMBER
VP, Chief Financial Officer at MediGold

Robert Waterhouse
ALLIANCE MEMBER
Chief Medical Officer at Baylor Scott and White Health Plan

Marianne White
ALLIANCE MEMBER
AVP, Claims Operations at Select Health

Ashley Wise
ALLIANCE MEMBER
VP Finance at Providence Health Plan

Ryan Ziemann
ALLIANCE MEMBER
Chief Financial Officer at CommunityCare

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
Business Relationship Specialist at Health Plan Alliance

Shawna Dandridge
ALLIANCE STAFF
Chief Program and Strategy Officer at Health Plan Alliance

Nicole Fultz
ALLIANCE STAFF
Chief Membership Officer at Health Plan Alliance

Jaime Gonzalez
ALLIANCE STAFF
Chief Business Development Officer at Health Plan Alliance

Joe Lastinger
ALLIANCE STAFF
President at Health Plan Alliance

Tori Shepherd
ALLIANCE STAFF
Program Services at Health Plan Alliance

Yuri Sung
ALLIANCE STAFF
Senior Specialist, Program & Strategy at Health Plan Alliance

Mallory Willett
ALLIANCE STAFF
Senior Analyst, Business Intelligence at Health Plan Alliance

Randy Baker
PLATINUM SPONSOR
Vice President, Sales at Summit Re

Ralph Borzillo
PLATINUM SPONSOR
VP, Aetna Payer Solutions at First Health Network

Adrienne Cleary
PLATINUM SPONSOR
Vice President of Business Development at Avalon Healthcare Solutions

Rourke Day
PLATINUM SPONSOR
Director, Growth Planning at Avalon Healthcare Solutions

Scott Machut, CPA, FLMI
PLATINUM SPONSOR
Vice President, Sales – Reinsurance and Provider Excess at Summit Re

Kristina (Tina) Ortega
PLATINUM SPONSOR
VP, Sales at First Health Network

Kevin Ryan
PLATINUM SPONSOR
Sales Executive at First Health Network

Mary Sullivan
PLATINUM SPONSOR
Vice President, Sales at Summit Re

Frances Cairns
SPEAKER
Founder, CEO at C\R Strategy Partners

Francois de Brantes
SPEAKER
EVP, Payment Innovation & Performance at XO Health

Jesse Ehrenfeld, MD
SPEAKER
President of the AMA; Sr Associate Dean, Professor of Anesthesiology & Dir of the Advancing a Healthier WI Endowment at AMA & Medical College of Wisconsin