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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

For a printable, detailed agenda go to the Documents tab above 

AGENDA AT A GLANCE  (last updated July 18th)

DAY ONE: Monday, August 6

 

General

Medicare advantage strategy and growth

Enterprise risk management

 

 

 

12:30

Registration

 

 

 

 

 

1:00

MA strategy and growth workshop

 

 

 

 

 

3:00

The MA product design revolution

3:00

Registration

 

5:30

WELCOME! Networking reception for all event attendees

 

DAY TWO: Tuesday, August 7

 

General

Achieve quality with member and provider engagement

Enterprise risk management

 

7:30

Registration and breakfast

 

 

 

8:00

Welcome

8:00

Welcome

 

 

 

8:30

Clinically nuanced benefit design I

8:30

ERM 2.0 – beyond the basics

 

 

 

9:45

Clinically nuanced benefit design II

9:45

Continuity planning 2.0

 

 

 

10:30

PBP submission and ANOC/EOC creation

10:30

Case study: Risk-based security

 

 

 

11:00

Engaged members secret formula

 

 

 

12:00

Lunch

 

 

 

 

 

 

 

1:00

Star Ratings panel with highly rated plans

1:00

Vendor oversight and contract risk

 

 

 

2:45

MA audit power up

2:45

Risk management work group

 

 

 

4:00

Innovation showcase

 

 

 

6:00

Taste the possibilities: Networking reception and vendor fair for all event attendees

 

DAY THREE: Wednesday, August 8

 

General

Network adequacy and members with complicated care needs

Operationalizing a secure and compliant culture

 

7:45

Registration and breakfast

 

 

 

8:30

Welcome

8:30

Welcome

 

 

 

8:45

Provider partnerships A-Z

8:45

Aligning risk and compliance

 

 

 

10:00

Network Adequacy: Requirements

10:00

Trends in regulatory oversight

 

 

 

11:00

Network Accuracy: Collaboration models

11:00

Audit survivors share learnings

 

12:30

Lunch

 

 

 

 

 

 

 

1:30

Behavioral health spotlight

1:30

OCR audits: lessons from the field

 

 

 

3:00

Diabetes spotlight: NDPP Medicaid demo

3:00

Work groups: MA CPE and privacy

 

6:00

Small group dinners - Alliance health plan attendees only

 

DAY FOUR: Thursday, August 9

 

General

Innovating to improve outcomes for vulnerable populations

Ensuring privacy and information security for your members

 

7:30

Registration and breakfast

 

 

 

8:00

Welcome

8:00

Welcome

 

 

 

8:15

Safety net innovations

8:15

HITRUST certification: Master class

 

 

 

9:45

Case study: Passport and SDoH

9:45

Cybersecurity: National trends

 

 

 

11:00

Case study: Adventist and Pop Health

11:00

Managing a breach

 

12:15

Lunch

 

 

 

 

 

 

 

1:15

Case Study: Improve HEDIS in Medicaid

1:15

A strong risk assessment process

 

2:45

Town hall with CMS: A perspective on guidance and operations

 

3:15

Policy spotlight: How the federal and state governments are throwing their weight Around

 

4:15

Innovation showcase

 

6:00

Taste The Possibilities: Networking reception and vendor fair for all event attendees

 

DAY FIVE: Friday, August 10

 

Achieving stability in the ACA marketplace

 

7:45

Registration and breakfast

 

8:30

Welcome

 

8:45

States’ efforts to stabilize the ACA and lessons learned from 2019 year rate setting

 

9:45

Refreshment break

 

10:00

Panel discussion: Achieving growth objectives in the ACA

 

 

10:45

Alliant Health Plan case study: Creating plan designs that encourage members to choose the right risk level

 

 

11:45

Lunch

 

12:15

Avera Health Plan case study: Tackling common risk adjustment challenges

 

1:30

Western Health Advantage case study: Managing risk across the data life cycle

 

 

 

 

 

Venue

Discuss government programs with your Alliance peers at the Park Central Hotel in San Francisco

Park Central Hotel 

50 Third St
San Francisco, CA 94103
415.974.6400
Reservations 888.627.8561

PLEASE NOTE!  There is very limited availability remaining for rooms in our block, so don't delay in  contacting the Park Central Hotel to make your room reservation!   In the event the block becomes full, a list of hotels in the area is provided below.    

The hotel room block has been extended to July 13, 2018

Our room rate is $279 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 888.627.8561 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.

Hotels within 1 mile of the Park Central Hotel, San Francisco

The San Francisco Marriott Hotel: 780 Mission Street, San Francisco, CA  94103  (P: 415-896-1600)

Courtyard by Marriott San Francisco Downtown: 299 2nd St, San Francisco, CA 94105 (P: 415-947-0700)

InterContinental San Francisco: 888 Howard Street, San Francisco, CA 94103 (P: 415-616-6500)

W San Francisco: 181 3rd Street, San Francisco, CA 94103  (P: 415-777-5300)

 

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 from the San Francisco International (SFO) airport is approximately $26-34 and Oakland International (OAK) airport is approximately $32-40.  Click here for more details.

SAN FRANCISCO WEATHER
View the latest weather forecast.
Special Events

MA Marketing Materials: Show and tell

Each year, attendees from member health plans across the country share their Medicare marketing materials samples at the Medicare Advantage value visit. You may submit hard copies, digital copies or both. See below for details, or reach out to Kristin Rodriguez with any questions.

 

WHO

All Alliance members are invited to share copies of their health plan's communication and marketing pieces. Thank you in advance for participating!  We can all learn from each other. Even if you’re not directly responsible for sales and marketing development at your plan, we encourage you to coordinate with your organization’s stakeholders to arrange for sharing.

 

 

WHAT

Any member-facing piece is encouraged! Direct mail, advertising slicks, brochures of course – and don’t forget Postcards reminding your members to get flu shots, or any other campaign you’ve built to support Stars objectives. If the piece is seen by your members, we’d love you to share it with your Health Plan Alliance colleagues.

 

 

HOW

There are a number of ways you can share your materials. If bringing a flash drive or printed materials, please bring 50 copies (enough for 1 sample per health plan). If shipping materials, please make sure materials are onsite by August 5.

  • Upload them to the Alliance Knowledge CenterSM. Please merge materials into one PDF. You may want to insert bookmarks within your PDF to make it easier for users to easily delineate where each pieces starts and ends. The Alliance Knowledge CenterSM  cannot accept files larger than 20 MB. Please be sure to compress your file before upload. Please title your document: <Company name>: 2018 Medicare Advantage Marketing Samples.
    See Aspire Health Plan's file as an example: Aspire Health Plan: 2018 Medicare Advantage Marketing Samples

  • Bring 50 flash drives. Please also merge them into one PDF and upload them to the Alliance Knowledge CenterSM so that members may access them anytime. 

  • Bring 50 hard copies (enough for 1 sample per health plan) so your peers can see exactly what your members received. Please also merge them into one PDF and upload them to the Alliance Knowledge CenterSM so that members may access them anytime. 

 

SHIPPING INSTRUCTIONS 

Your package label should read:

ATTN: Patrice Snowden
Health Plan Alliance meeting
Park Central Hotel
50 Third St San Francisco, CA 94103

 

 

WHEN

All contributed materials will be placed on a table in the meeting room August 6-10 and FedEx boxes will be provided for interested attendees to fill and ship, heavy with ideas and samples, back to their offices.

Functions
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 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.

Documents

Page 1 of 5 Next | Last

  • 9/6/2018
  • Avoiding every health plan's worst nightmares
  • Risk management, compliance, privacy and information security are topics that are often discussed the least, probably because they do not exactly capture the imagination. However, these same issues become the stuff of nightmares when not executed competently by health plans.
  • 8/10/2018
  • Presentation: Managing Risk across the Data Life Cycle
  • Western Health Advantage shares how they evaluated their data integrity and identified significant opportunity to better manage risk across the data lifecycle. With both risk adjustment and compliance implications, lost risk across the lifecycle represents significant financial opportunity, which WHA is working hard to realize.
  • 8/10/2018
  • Presentation: States' Efforts to Stabilize the ACA and Lessons Learned
  • Wakely Consulting Group shares on states' efforts to stabilize the ACA and what that means for health plans. Covered are lessons learned from rate setting for the 2019 plan year, and how recent policy is expected to shake up health plans' government programs strategy. This presentation occurred at the Co-Located: Government Programs and Risk, Compliance, Privacy & Security meeting in San Francisco in August 2018.
  • 8/10/2018
  • Presentation: Achieving Growth Objectives in the ACA-Panel
  • Alliance member health plans operating in the Covered California ACA marketplace share lessons learned and insights when it comes to gaining and keeping market share. This presentation occurred at the Co-Located: Government Programs and Risk, Compliance, Privacy & Security meeting in San Francisco in August 2018.
  • 8/10/2018
  • Presentation: Tackling Common Risk Adjustment Challenges
  • Avera Health Plan presents a case study on meeting risk adjustment challenges, and offers effective strategies for increasing engagement within the organization, determining where vendors can add the most value, and managing the parties involved. This was presented at the Co-located Government Programs and Risk, Compliance, Privacy and Security meeting in August, 2018 in San Francisco.
  • 8/10/2018
  • Presentation: ACA Plan Designs: Helping Members Choose the Right Risk Level
  • Alliant Health Plans shares their learnings about ACA plan design and how they are working hard to help ACA beneficiaries choose their metal level wisely. This was presented at the Co-located Government Programs and Risk, Compliance, Privacy and Security meeting in August, 2018 in San Francisco.
  • 8/9/2018
  • Presentation: The Qualities of a Strong Risk Assessment Process
  • Health Alliance Medical Plans presents their approach to assessing technical security risks to their environment and the process they use to answer these questions. This was presented at the Co-located Government Programs and Risk, Compliance, Privacy and Security meeting in August, 2018 in San Francisco.
  • 8/9/2018
  • Presentation: Passport Health Plan Transforming the Health of an Entire Community
  • Passport Health Plan shares how a data-driven community coalition that includes the mayor and local public schools is transforming an old cigarette factory into a service hub is meeting the community's social, clinical and behavioral health needs. This was presented at the Co-located Government Programs and Risk, Compliance, Privacy and Security meeting in August, 2018 in San Francisco.

Page 1 of 5 Next | Last

Attendees

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

  • Sujata Anaya
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Sr. Healthcare Program Analyst at Valley Health Plan
  • Gabriel Ayerza
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Director of Payor Programs at Community Health Plan of Washington
  • Elizabeth Benz
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Vice President Government Programs at Network Health Plan
  • Jaime Bowls
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Senior Business Continuity Analyst at Western Health Advantage
  • Carly Bressler-Archambeau
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Clinical Contract Administrator at Sentara Health Plans (Optima)
  • Stella Bridges
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Information security officer at Western Health Advantage
  • Bruce Butler
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Chief Executive Officer at Valley Health Plan
  • Chelsea Byom
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Marketing & Communications Manager at Santa Clara Family Health Plan
  • Joseph Caldwell
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Chief Financial Officer at Alliant Health Plans
  • Dan Carabine
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Compliance and FWA Manager at Health New England
  • Rosecelia Carson
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Business Development Specialist at Health Plan Alliance
  • Bernadette (Wing) Cheung
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • MTM Pharmacist at Chinese Community Health Plan
  • Ken Choi
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Director of Finance at Chinese Community Health Plan
  • Christen Chow
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Executive Assistant to Larry Loo at Chinese Community Health Plan
  • Than Chu
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Product & Business Development Associate at Chinese Community Health Plan
  • Jeffrey Conklin
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • President/CEO at Adventist Health Plan
  • Ann Curran
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Executive Director, Compliance at Mission Health
  • Rebecca Downing
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Chief Legal Officer at Western Health Advantage
  • Alison Dunton
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Director of Practice Enhancement & Analytics at Aspire Health Plan
  • Brett Francesconi
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Quality Manager, Health Care Services at Providence Health Plans
  • Jaime Gonzalez
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Chief Business Development Officer at Health Plan Alliance
  • Brisa Guajardo
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Regional Sales Manager at Community Health Plan of Washington
  • Glenn Hamburg
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Chief Client Services Officer at Western Health Advantage
  • Syed Hamdani
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Claims and Provider Relations Director at Western Health Advantage
  • Scott Hancock
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • VP of Sales and Operations at Care N' Care Insurance Company, Inc.
  • Sara Hansen
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Manager of Risk Adjustment Strategy & Operations at Avera Health Plans (DAKOTACARE)
  • Rick Heron
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Chief Marketing & Brand Officer at Western Health Advantage
  • Natasha Hodges
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Budget Analyst at Health Alliance Plan (HAP)
  • Kaleb Holt
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Medicare Advantage Program Manager at SelectHealth
  • Gordon Hong
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Manager, Provider Network at Chinese Community Health Plan
  • Obie Hooper
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Quality Assurance Clinical Coordinator at Alliant Health Plans
  • Traci Jensen
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Corporate Compliance and Enterprise Risk Program Manager & Privacy Officer at Health Alliance Medical Plans
  • Kimberly Jorgensen
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Medicare Operational Consultant at SelectHealth
  • Scott Kelly
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • COO at Aspire Health Plan
  • Gary Ko
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Pharmacy Technician at Chinese Community Health Plan
  • David Kwei
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Manager of Claims at Chinese Community Health Plan
  • Mariana Kwok
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Risk Adjustment Supervisor at Chinese Community Health Plan
  • Kerry LaBounty
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Director of Government Programs at Health New England
  • Rosanna Lallana
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Privacy Manager at Western Health Advantage
  • Anita Leal
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Chief Administrative Officer at CHRISTUS Health Plan
  • Alexandra Leopold
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Vice President of Operations, Health Plan Solutions at Healthy State
  • Elvina Li
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Chief Financial Officer at Chinese Community Health Plan
  • DeAndre Lipscomb
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Vice President, Marketing & Community Outreach at Health Alliance Plan (HAP)
  • Ruth Liu
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Chief Business Development Officer at Valley Health Plan
  • Larry Loo
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • COO at Chinese Community Health Plan
  • Deena Louie
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • CEO at Chinese Community Health Plan
  • Irene Louie
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Member Service Manager at Chinese Community Health Plan
  • Garry Maisel
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • President and Chief Executive Officer at Western Health Advantage
  • Kristin McCullagh
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Senior Counsel, Division Director at SelectHealth
  • Liz McKune
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Vice-President, Health Integration at Passport Health Plan
  • Briana Merrill-Belval
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Compliance Director at Western Health Advantage
  • Elizabeth Miller
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Integrative Care Management Executive at Adventist Health Plan
  • Nicolle Mustafa
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Director Quality Management at CHRISTUS Health Plan
  • Cyndie O'Brien
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Chief Sales & Marketing Officer at Aspire Health Plan
  • Leslie Pels-Beck
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Chief Operations Officer at Sharp Health Plan
  • Jana Perry
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Vice President Strategy and Growth at Health Alliance Medical Plans
  • Sheryl Pierce
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Quality Improvement Specialist- Medicare Advantage Stars at Quartz Health Solutions
  • Nina Plata
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Population Health Executive at Adventist Health Plan
  • Daniel Quan
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Compliance Officer at Chinese Community Health Plan
  • Jean Rao
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Pharmacist at Chinese Community Health Plan
  • Michael Reeves
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Government Sales Executive at SelectHealth
  • Dan Rhodes
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Market and Network Development Executive at Adventist Health Plan
  • Sinead Rice Madigan
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • SVP, Government Relations & Business Operations at Health Alliance Medical Plans
  • James Richins
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Member Service Operations Manager at SelectHealth
  • Jason Rio
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Director of Compliance, Privacy Officer at Health New England
  • Kristin Rodriguez
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Chief Knowledge Officer at Health Plan Alliance
  • David Sand
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Chief Medical Officer at Care N' Care Insurance Company, Inc.
  • Wesley Sanders
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Director of Finance at Alliant Health Plans
  • Wyatt Scheiding
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Director of Information Security at Health Alliance Medical Plans
  • David Seal
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Director of Provider Outreach at Adventist Health System (FHHS)
  • Amy Sepko
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Medicare Program Manager at Health New England
  • Nakia Smith
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Director of Gov't Programs & Compliance at Care N' Care Insurance Company, Inc.
  • Amy Spencer
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Managed Care Specialist at Adventist Health Plan
  • Laura Taylor
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Executive Compliance Director at Indiana University Health Plans
  • Tracy Tellefson
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Director of Compliance Business Processes at Adventist Health Plan
  • Christine Tomcala
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • CEO at Santa Clara Family Health Plan
  • Matthew Treu
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Director Enterprise Risk Management at Providence Health Plans
  • Elizabeth Trigos-Salinas
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Healthcare Program Analyst II at Valley Health Plan
  • Jean Veilleux
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • General Counsel for Health Plan Solutions at Mission Health
  • Corey Weeg
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Director Risk Adjustment at Avera Health Plans (DAKOTACARE)
  • Thomas Wilson
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Compliance Officer at HealthTeam Advantage
  • Dave Zhang
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • IT Director at Alliant Health Plans
  • Alicia Zhao
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Compliance Specialist at Chinese Community Health Plan
  • John Zweifler
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Medical Director at Adventist Health Plan
  • Diana Benli
  • PLATINUM/GOLD SPONSOR PASS
  • VP Government Payer Solutions at Cognizant
  • Becky Erbe
  • PLATINUM/GOLD SPONSOR PASS
  • VP Government Solutions at Cognizant
  • Dennis Gray
  • PLATINUM/GOLD SPONSOR PASS
  • Director, Business Development at Cognizant
  • Jill Nelson
  • PLATINUM/GOLD SPONSOR PASS
  • Director, Government Solutions at Cognizant
  • 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
  • National Sales Director at Quest Analytics
  • Debra Bohn
  • SPEAKER
  • Director - Managed Care at Stanford Health Care
  • Georgia Buck
  • SPEAKER
  • Vice President, Business Development at VAL Health
  • Wendy Childers
  • SPEAKER
  • Public Health Consultant at National Association of Chronic Disease Directors
  • Ann Duarte
  • SPEAKER
  • Associate Regional Administrator at Center for Medicare & Medicare Services, Division of Medicare Health Plans Operations, San Francisco Regional Office
  • Jami Eddington
  • SPEAKER
  • Client Advisory Manager at HealthScape Advisors, LLC
  • Vasse Edwards
  • SPEAKER
  • Managing Consultant at Change Healthcare Consulting
  • A. Mark Fendrick
  • SPEAKER
  • Director, University of Michigan Center for Value-Based Insurance Design (V-BID) at Center for Value-Based Insurance Design
  • Jeff Fox
  • SPEAKER
  • President at Gorman Health Group
  • Brian Goetsch
  • SPEAKER
  • Sr. Director - New Business Development at EyeMed Vision Care
  • Corey Gooch
  • SPEAKER
  • Senior Director at Ankura Consulting
  • Havi Jogani
  • SPEAKER
  • Staff Counsel at California Department of Managed Health Care
  • Julia Lambert
  • SPEAKER
  • Principal & Senior Consulting Actuary at Wakely Consulting Group
  • Alexis Levy
  • SPEAKER
  • Managing Director at HealthScape Advisors, LLC
  • Nisa Maruthur
  • SPEAKER
  • Associate Professor of Medicine & Epidemiology at Johns Hopkins University School of Medicine
  • Jon McBride
  • SPEAKER
  • Consulting CTO at Integrated Healthcare Association
  • Bo Nemelka
  • SPEAKER
  • Director at Leavitt Partners, LLC.
  • Brad Piper
  • SPEAKER
  • Principal and Consulting Actuary at Milliman
  • Sarah Ream
  • SPEAKER
  • Deputy Director at California Dept of Managed Health Care
  • Marc Ryan
  • SPEAKER
  • Chief Strategy and Compliance Officer at MedHOK
  • Rajan Shah
  • SPEAKER
  • VP, Business Development at Gaine Healthcare
  • Ryan Smith
  • SPEAKER
  • Chief Revenue Officer at MedHOK
  • Shelley Stevenson
  • SPEAKER
  • Director, Government Programs Practice at Change Healthcare Consulting
  • Mike Swyt
  • SPEAKER
  • VP Information Security Risk Management at Change Healthcare Consulting
  • Carrie Valiant
  • SPEAKER
  • Member of the Firm at Epstein Becker Green (EBG)
  • Patricia Wagner
  • SPEAKER
  • Member of the Firm & Chief Privacy Officer at Epstein Becker Green (EBG)
  • John Weis
  • SPEAKER
  • President & CEO at Quest Analytics
  • Monique Yohanan
  • SPEAKER
  • Director, State Government Relations at MCG Health
  • Brian Zawada
  • SPEAKER
  • Managing Director at Avalution Consulting LLC
  • Abdo Abdo
  • SPONSOR
  • Vice President, Business Development at Talix
  • Pamela Belcher
  • SPONSOR
  • Senior Director, Client Engagement at TruHearing
  • John Blevins
  • SPONSOR
  • VP, Business Development at Health Fidelity
  • Shahyan Currimbhoy
  • SPONSOR
  • Senior Vice President of Product Management & Engineering at Talix
  • Lyndsay Deckert
  • SPONSOR
  • Director, Solution Strategy at Discovery Health Partners
  • Thomas Fisk
  • SPONSOR
  • Regional Sales Executive at Carrot Health, Inc.
  • David Gallegos
  • SPONSOR
  • SVP Consulting Services at Change Healthcare Consulting
  • Steve Gasiorek
  • SPONSOR
  • Director, Sales & Account Management at Talix
  • Tony Glebe
  • SPONSOR
  • VP Strategic Partnerships at Medecision
  • Kim Hiemenz
  • SPONSOR
  • Principal and Consulting Actuary at Milliman
  • Heidi Howard
  • SPONSOR
  • VP of Sales and Client Services at Health Integrated
  • Sophia Kim
  • SPONSOR
  • VP Business Development & Sales at MedHOK
  • Nancy Lang
  • SPONSOR
  • Vice President, Client Solutions and Strategy at Health Integrated
  • Mark Lopez
  • SPONSOR
  • Vice President, Sales at Tivity Health
  • Judith Nelson
  • SPONSOR
  • Director, Medicare Advantage Strategy at DST Health Solutions
  • Joe Porter
  • SPONSOR
  • Vice President, Health Plan Sales at Lightbeam Health Solutions
  • Sue Riddell
  • SPONSOR
  • Senior Director Business Development at Inovalon, Inc
  • Linda Roman
  • SPONSOR
  • Senior Vice President, Business Development at Centauri Health Solutions
  • Jim Schrimmel
  • SPONSOR
  • VP Advisory Services at Change Healthcare Consulting
  • William Shaw
  • SPONSOR
  • Vice President, Managed Care - Sales at GA Foods
  • John Siegel
  • SPONSOR
  • VP Business Development | Sales at GA Foods
  • Michael Stedman
  • SPONSOR
  • Senior Sales Executive at Performance Clinical Systems
  • Derrick Taveras
  • SPONSOR
  • SVP, Business Development at Centauri Health Solutions
  • Matt Taylor
  • SPONSOR
  • Director, Health Plan Solutions at American Well
  • Paula Thole
  • SPONSOR
  • Client Engagement Director at TruHearing
  • Paul Antigua
  • VIRTUAL ATTENDEE
  • Chief Financial Officer at Valley Health Plan
  • Denise Carr
  • VIRTUAL ATTENDEE
  • Program Manager at Valley Health Plan
  • Rene Coffey
  • VIRTUAL ATTENDEE
  • IT Security & Risk Manager at Alliant Health Plans
  • Jacqueline Crews
  • VIRTUAL ATTENDEE
  • Director, Government Programs & Regulatory Affairs at AvMed
  • Ali Darugar
  • VIRTUAL ATTENDEE
  • Chief Information Officer at Western Health Advantage
  • Sarah Engle
  • VIRTUAL ATTENDEE
  • Senior Risk Adjustment Program Analyst at Western Health Advantage
  • Dolly Goel
  • VIRTUAL ATTENDEE
  • Chief Medical Officer at Valley Health Plan
  • Melissa Hall
  • VIRTUAL ATTENDEE
  • Chief Compliance Officer at Aspire Health Plan
  • Debra Halladay
  • VIRTUAL ATTENDEE
  • Chief Operations Officer at Valley Health Plan
  • Erin Heckethorn
  • VIRTUAL ATTENDEE
  • Director, Compliance Management at FirstCarolinaCare Insurance Company
  • Susan Herbert
  • VIRTUAL ATTENDEE
  • Director, Health Plan Integration & Development at Adventist Health System (FHHS)
  • Paris Hill
  • VIRTUAL ATTENDEE
  • Senior Healthcare Regulatory Analyst at Valley Health Plan
  • Mary Ingram
  • VIRTUAL ATTENDEE
  • Actuarial Services Director at Western Health Advantage
  • Robin Larmer
  • VIRTUAL ATTENDEE
  • Chief Compliance and Regulatory Affairs Officer at Santa Clara Family Health Plan
  • Johanna Liu
  • VIRTUAL ATTENDEE
  • Director of Quality & Pharmacy at Santa Clara Family Health Plan
  • Doris Livingston
  • VIRTUAL ATTENDEE
  • Manager, Customer Service Government Programs at Sentara Health Plans (Optima)
  • Ryan Lown
  • VIRTUAL ATTENDEE
  • Network Strategies Executive at Adventist Health Plan
  • Ronald Smothers
  • VIRTUAL ATTENDEE
  • Medicare Compliance Manager at Santa Clara Family Health Plan
  • Frank Washington
  • VIRTUAL ATTENDEE
  • Pharmacy Ops Manager at Sentara Health Plans (Optima)
  • Laura Watkins
  • VIRTUAL ATTENDEE
  • Director, Marketing, Outreach and Enrollment at Santa Clara Family Health Plan
  • Trudy Williams
  • VIRTUAL ATTENDEE
  • Compliance Manager at Mission Health
  • Jordan Yamashita
  • VIRTUAL ATTENDEE
  • Compliance Manager at Santa Clara Family Health Plan
Speakers
  • Ann Duarte
    Associate Regional Administrator at Center for Medicare & Medicare Services, Division of Medicare Health Plans Operations, San Francisco Regional Office
    click here for full people profile
  • A. Mark Fendrick
    Director, University of Michigan Center for Value-Based Insurance Design (V-BID) at Center for Value-Based Insurance Design
    click here for full people profile