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Co-Located: Government Programs AND Risk, Compliance, Privacy & Security

Event Date: 8/6/2018 - 8/10/2018

Event Overview

Hosted by: Chinese Community Health Plan
with Adventist Health Plan, Aspire Health Plan, Santa Clara Family Health Plan, Valley Health Plan, and Western Health Advantage

The largest Health Plan Alliance value visit of the year, this event features two tracks that tackle all of the critical issues facing leaders in the ACA as well as government programs, risk management, compliance, and privacy and security. It’s the perfect opportunity to send a multi-disciplinary team.

Questions we're tackling

How can we leverage our provider owner and partners to stabilize and grow our government programs business?
What investments should our organization make to make an impact for our vulnerable populations?
When is the right time to develop new product offerings that will support our growth strategy and differentiate our organization in our marketplace?
Where are the opportunities to manage our risk across the data life cycle and stabilize the revenue cycle?
Who are the champions to move the needle on the toughest challenges like network adequacy, behavioral health and member engagement?

Featured speakers

Mark Fendrick, MD
Director, University of Michigan V-Bid Center, Center for Value-Based Insurance Design

Adam Finkelstein
Counsel, Manatt, Phelps & Phillips, LLP, and former director CMMI

Mike Adelberg
Principal, FaegreBD Consulting

Monique Yohanan, MD, MPH
Subject Matter Expert,State Government Relations and Behavioral Health

Nisa M. Maruthur, MD, MHS
Co-Director, Johns Hopkins General Internal Medicine Fellowship Director of Community Partnership, The Brancati Center for the Advancement of Community Care

Bill Barcelona
Senior VP for Government Affairs, America’s Physician Group

Debra Bohn
Senior Director, Managed Care, Stanford Health Care

Jon McBride
Consulting CTO, Integrated Healthcare Association

What we're covering

TRACK 1

Medicare Advantage Strategy and Growth
Achieve Quality with Member and Provider Engagement
Network Adequacy and Members with Complicated Care Needs
Innovating to Improve Outcomes for Vulnerable Populations
Achieving Stability in the ACA Marketplace

TRACK 2

Enterprise Risk Management
Operationalizing a Secure and Compliant Culture
Ensuring Privacy and Information Security for your Members
Alliance MA CPE and Privacy Audit - A Working Session for Alliance members

View the AGENDA, FUNCTIONS, and DOCUMENTS tabs above for the schedule and additional event details.

Who should attend

TRACK 1

Chief Strategy, Sales and Marketing Officers, as well as leaders in Product Development and Design
Chief Medical Officers, Medical Directors and Care Managers seeking to incorporate social determinants of health into your care management approach
Star leaders, Quality Directors and Managers
Provider and Member Engagement Trailblazers
Chief Financial Officers, Executives and Leaders with P&L responsibility for your ACA Product

TRACK 2

Chief Information Security Officers and Security leaders
Chief Compliance Officers, Privacy Officers and stakeholders with responsibility for operational compliance
Enterprise Risk Management Leaders and Chief Legal Officers
Leaders with responsibility for managing your organization's Audit activities
Regulatory compliance leaders

Thank you to our event sponsors

PLATINUM SPONSORS

GOLD SPONSORS

SILVER SPONSORS

BRONZE SPONSORS

OTHERS SPONSORS

Agenda

08/06/2018 1:00 PM - 4:30 PM
(Mon PM) Medicare Advantage Strategy and Growth Workshop Monday afternoon sessions are designed for leaders focused on achieving growth in Medicare Advantage. We'll dive deep into sales and marketing strategies and product design, including supplemental benefits and how Alliance members are leveraging new flexibility to differentiate themselves in their local markets.
08/06/2018 5:30 PM - 8:00 PM
(Mon PM) Welcome! Networking Reception All conference attendees are encouraged to join us for our welcome reception. If you're traveling with a spouse or would like to bring a guest, they are welcome to join the evening's festivities.
08/07/2018 7:30 AM - 8:00 AM
Networking breakfast, Tuesday morning Kick start the day by networking with your Alliance colleagues over a cup of coffee.
08/07/2018 8:00 AM - 12:00 PM
Track 1 (Tues AM): Engaging members and aligning incentives Tuesday morning sessions are focused on member engagement in Medicare Advantage. How can we remove barriers through smart benefit design and build a stronger relationship with our members that supports their active participation in their health care?
08/07/2018 8:00 AM - 12:00 PM
Track 2 (Tues AM): Enterprise Risk Management Master Class Part 1 Executive sponsors and leaders of enterprise risk management are encouraged to join your Alliance peers for advanced discussions designed to support your efforts to move beyond a "check the box" approach to risk management.
08/07/2018 8:00 AM - 12:00 PM
Will not attend the Tuesday morning programs Help us plan accordingly by letting us know if you're not attending Tuesday morning sessions.
08/07/2018 8:30 AM - 5:00 PM
Risk Management and Compliance Session
08/07/2018 12:00 PM - 1:00 PM
Networking lunch, Tuesday Compare notes with your Alliance colleagues and follow up on interesting topics explored during the morning's sessions!
08/07/2018 1:00 PM - 4:45 PM
Track 1 (Tues PM): Ensuring member satisfaction meets CMS expectations Tuesday afternoon sessions kick off with a focus on new approaches to member engagement, from behavioral economics theory to leveraging big data in new ways. Then we turn our attention to CMS expectations when it comes to member satisfaction, with a deep dive into the ODAG and CDAG elements even the best plans just seem to have a hard time getting right.
08/07/2018 1:00 PM - 4:45 PM
Track 2 (Tues PM): Enterprise Risk Management Master Class Part 2 The Enterprise Risk Management Master Class afternoon sessions explore the issue of risk-based security and effectively managing contract risk.
08/07/2018 1:00 PM - 4:45 PM
Will not attend the Tuesday afternoon programs Help us plan accordingly by letting us know if you're not attending Tuesday afternoon sessions.
08/07/2018 6:00 PM - 8:00 PM
(Tues) Taste of Possibilities - Vendor Fair A networking reception with a few surprises in store. Look forward to an evening of discussion with Value Visit attendees while learning about new solutions and innovations offered by our vendor exhibitors. Taste the possibilities at this Napa-inspired event, which features local wines and cheeses, as well as new ideas for your organization. Bring your appetite and your spirit of adventure for an evening filled with great food, good wine, and meaningful conversation with your peers.
08/08/2018 7:45 AM - 8:30 AM
Networking breakfast, Wednesday morning Kick start the day by networking with your Alliance colleagues over a cup of coffee.
08/08/2018 8:30 AM - 12:30 PM
Track 1 (Wed AM): Provider networks master class & national trends in behavioral health Government program leaders dive deep into an advanced discussion on provider networks and the myriad challenges health plans face in today's regulatory environment.
08/08/2018 8:30 AM - 12:30 PM
Track 2 (Wed AM): Operationalizing a compliance-driven culture On Wednesday morning leaders in compliance, risk management, privacy and security engage in sessions focused on what means to shift a compliance culture away from "no" and toward "know," with an eye on organizational structure, communication norms, and finding synergies between operations, strategy and compliance throughout your enterprise.
08/08/2018 8:30 AM - 12:30 PM
Will not attend the Wednesday morning programs Help us plan accordingly by letting us know if you're not attending Wednesday morning sessions.
08/08/2018 12:30 PM - 1:30 PM
Networking lunch, Wednesday Compare notes with your Alliance colleagues and follow up on interesting topics explored during the morning's sessions!
08/08/2018 1:30 PM - 4:30 PM
Track 1 (Wed PM): Managing populations with chronic conditions Alliance members discuss challenges of managing populations with chronic conditions, as well as creative solutions health plans are operationalizing to move the needle. The afternoon will also feature a special presentation and case study from the National Diabetes Prevention Program on continued momentum of Medicaid coverage and the recent demonstration outcomes.
08/08/2018 1:30 PM - 4:30 PM
Track 2 (Wed PM): Audit Survivors' support group: OCR, CPE and more Compliance, information security and privacy leaders dive deep into the challenges of the OCR audit, with particular attention paid to lessons learned and best practices. In addition, we're hosting an audit working group, where Alliance members continue the work of developing Alliance member-led audit programs to support one another's success.
08/08/2018 1:30 PM - 4:30 PM
Will not attend the Wednesday afternoon programs Help us plan accordingly by letting us know if you're not attending Wednesday afternoon sessions.
08/09/2018 7:30 AM - 8:00 AM
Networking breakfast, Thursday morning Kick start the day by networking with your Alliance colleagues over a cup of coffee.
08/09/2018 8:00 AM - 12:15 PM
Track 1 (Thurs AM): Innovations in social determinants and integrated care delivery If you're responsible for developing your organization's strategy for accounting for social determinants of health and addressing them through integrated care delivery, then Thursday morning sessions are a must-attend. We'll hear health plan case studies on safety net innovations and discuss building an integrated delivery model to serve Medicaid populations.
08/09/2018 8:00 AM - 12:15 PM
Track 2 (Thurs AM): Privacy 2.0 - The New Normal Designed for Privacy Officers and leaders in information security, Thursday morning sessions dive deep into HITRUST, identify and access management and increased challenges as the industry moves from a manual to an automated approach, and managing privacy and security incidents from start to finish.
08/09/2018 8:00 AM - 12:15 PM
Will not attend the Thursday morning programs Help us plan accordingly by letting us know if you're not attending Tuesday morning sessions.
08/09/2018 12:15 PM - 1:15 PM
Networking lunch, Thursday Compare notes with your Alliance colleagues and follow up on interesting topics explored during the morning's sessions!
08/09/2018 1:15 PM - 4:45 PM
Track 1 (Thurs PM): Policy spotlight The federal government is the single largest healthcare payer, and every state is watching healthcare costs crowd out education and public works. Our expert faculty examines current and anticipated policy and how these ambitious agendas promise to change the way you think about your product portfolio.
08/09/2018 1:15 PM - 4:45 PM
Will not attend the Thursday afternoon programs Help us plan accordingly by letting us know if you're not attending Thursday afternoon sessions.
08/09/2018 6:00 PM - 8:00 PM
(Thurs) Taste of Possibilities - Vendor Fair A networking reception with a few surprises in store. Look forward to an evening of discussion with Value Visit attendees while learning about new solutions and innovations offered by our vendor exhibitors. Taste the possibilities at the week's second Napa-inspired event, which features local wines and cheeses, as well as new ideas for your organization. Bring your appetite and your spirit of adventure for an evening filled with great food, good wine, and meaningful conversation with your peers.
08/10/2018 7:45 AM - 8:30 AM
Networking breakfast, Friday morning Kick start the day by networking with your Alliance colleagues over a cup of coffee.
08/10/2018 8:30 AM - 11:45 AM
(Fri AM) Walking the ACA tightrope: Finding stability in an uncertain market Friday morning kicks off with a discussion of states efforts to stabilize the ACA and what that means for health plans. We'll review lessons learned from rate setting for the 2019 plan year, and how recent policy is expected to shake up your government program strategy. The morning wraps up with a case study from Alliant health plans: creating plan designs that encourage members to choose the right risk level.
08/10/2018 11:45 AM - 12:15 PM
Networking lunch, Friday Compare notes with your Alliance colleagues and follow up on interesting topics explored during the morning's sessions!
08/10/2018 12:15 PM - 3:00 PM
(Friday PM) Revenue cycle management in the ACA Friday afternoon wraps up with two Alliance member health plan case studies, both focused on their journey to achieve risk adjustment results that reflect the population's health status. We explore the many challenges and how these plans are tackling them: enhancing provider engagement, improving coding accuracy, and navigating complicated data submission rules, not to mention coordinating across a variety of stakeholders. In addition, we evaluate data integrity. With both risk adjustment and compliance implications, lost risk across the lifecycle represents significant financial opportunity.

Attendees

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

Elizabeth Benz
ALLIANCE MEMBER
Vice President Strategy at Network Health

Jaime Bowls
ALLIANCE MEMBER
Facility & Business Continuity Manager at Western Health Advantage

Carly Bressler-Archambeau
ALLIANCE MEMBER
Director, Medicare Stars Program at Sentara Health Plans

Bruce Butler
ALLIANCE MEMBER
Chief Executive Officer at Samaritan Health Plans

Chelsea Byom
ALLIANCE MEMBER
Vice President Marketing, Communications and Outreach at Santa Clara Family Health Plan

Dan Carabine
ALLIANCE MEMBER
Compliance and FWA Manager at Health New England

Bernadette (Wing) Cheung
ALLIANCE MEMBER
MTM Pharmacist at CCHP

Ken Choi
ALLIANCE MEMBER
Chief Financial Officer at CCHP

Ann Curran
ALLIANCE MEMBER
Executive Director, Compliance at Mission Health

Alison Dunton
ALLIANCE MEMBER
Director of Practice Enhancement & Analytics at Aspire Health Plan

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

Brisa Guajardo
ALLIANCE MEMBER
Manager, Business Development at Community Health Plan of Washington

Glenn Hamburg
ALLIANCE MEMBER
Chief Information Officer at Western Health Advantage

Syed Hamdani
ALLIANCE MEMBER
Claims and Provider Relations Director at Western Health Advantage

Sara Hansen
ALLIANCE MEMBER
Vice President of Population Health Operations at Avera Health Plans

Rick Heron
ALLIANCE MEMBER
Chief Experience Officer at Western Health Advantage

Kaleb Holt
ALLIANCE MEMBER
Director of Medicare Programs at Select Health

Obie Hooper
ALLIANCE MEMBER
QA Clinical Administrator at Alliant Health Plans

Kimberly Jorgensen
ALLIANCE MEMBER
Medicare Operational Consultant at Select Health

Kerry LaBounty
ALLIANCE MEMBER
Director of Government Programs at Health New England

Alexandra Leopold
ALLIANCE MEMBER
Vice President of Operations, Health Plan Solutions at Healthy State

Larry Loo
ALLIANCE MEMBER
Chief Executive Officer at CCHP

Garry Maisel
ALLIANCE MEMBER
Chief Executive Officer at Western Health Advantage

Liz McKune
ALLIANCE MEMBER
Vice-President, Health Integration at Passport Health Plan

Elizabeth Miller
ALLIANCE MEMBER
Integrative Care Management Executive at Adventist Health Plan

Jana Perry
ALLIANCE MEMBER
Vice President, Strategy and Marketing at Health Alliance Medical Plans

Nina Plata
ALLIANCE MEMBER
Population Health Executive at Adventist Health Plan

Daniel Quan
ALLIANCE MEMBER
Compliance Officer at Santa Clara Family Health Plan

Sinead Rice Madigan
ALLIANCE MEMBER
President and Chief Executive Officer at Health Alliance Medical Plans

Jason Rio
ALLIANCE MEMBER
Sr. Director of Revenue Assurance and Risk Management at Health New England

David Seal
ALLIANCE MEMBER
Executive Director Provider Outreach and Engagement at AdventHealth (FHHS)

Nakia Smith
ALLIANCE MEMBER
Chief Compliance & Ethics Officer at Parkland Community Health Plan

Amy Spencer
ALLIANCE MEMBER
Managed Care Specialist at Adventist Health Plan

Christine Tomcala
ALLIANCE MEMBER
Chief Executive Officer at Santa Clara Family Health Plan

Elizabeth Trigos-Salinas
ALLIANCE MEMBER
Senior Healthcare Program Analyst at Valley Health Plan

Jean Veilleux
ALLIANCE MEMBER
General Counsel for Health Plan Solutions at Mission Health

Thomas Wilson
ALLIANCE MEMBER
Medicare Compliance Officer at Kelsey-Seabold Clinic | KelseyCare Advantage

Dave Zhang
ALLIANCE MEMBER
VP of IT at Alliant Health Plans

Alicia Zhao
ALLIANCE MEMBER
Compliance Audit Program Manager at Santa Clara Family Health Plan

John Zweifler
ALLIANCE MEMBER
Medical Director at Adventist Health Plan

Becky Erbe
PLATINUM SPONSOR
Chief Business Development Officer at hunterAI

Mike Adelberg
SPEAKER
Executive Director at National Association of Dental Plans

Veenu Aulakh
SPEAKER
President at Center for Care Innovations

Cary Badger
SPEAKER
Principal at HealthScape Advisors, LLC

Bill Barcellona
SPEAKER
Sr. VP Gov't Affairs at America's Physician Groups

April Beane
SPEAKER
VP Marketing at Quest Analytics

Debra Bohn
SPEAKER
Director - Managed Care at Stanford Health Care

Georgia Buck
SPEAKER
Vice President, Strategic Partnerships at Spiras Health

Wendy Childers
SPEAKER
Public Health Consultant at National Association of Chronic Disease Directors

Ann Duarte
SPEAKER
Associate Regional Administrator - Division of Medicare Health Plans Operations, San Francisco Regional Office at Centers for Medicare & Medicaid Services (CMS)