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 Health Plan Alliance 2018 Government Programs, Compliance/Risk Management, Privacy & Security Value Visit is August 6-10, 2018 in San Francisco, CA.    

 

About the event

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?

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

Check out the AGENDA, FUNCTIONS, and DOCUMENTS Tabs above for the schedule and content details.

Who should join us:

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

 

 

 

 

 

 

 

 

 

 

OTHER SPONSORS

 

 

 

 

 

 

 

 

 

 

 

 

 

Registration
ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
Fee End Date Description Amount
8/6/2018 choose this option if you are an employee of an Alliance member health plan or provider affiliate MEMBER PASS
ALLIANCE GUEST
Fee End Date Description Amount
8/6/2018 choose this option if you're not an Alliance member, but have been invited to attend this meeting GUEST PASS
VIRTUAL ATTENDEE
Fee End Date Description Amount
8/6/2018 choose this option if you cannot attend, but wish to receive event content FREE
SPEAKER
Fee End Date Description Amount
8/6/2018 choose this option if you are a member of the event speaking faculty FREE
SPONSOR
Fee End Date Description Amount
8/6/2018 choose this option if you are using a sponsor pass SPONSOR PASS
PLATINUM/GOLD SPONSOR PASS
Fee End Date Description Amount
8/6/2018 choose this option if you are using a Platinum or Gold business sponsor pass PLATINUM/GOLD ONLY
Agenda

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

AGENDA AT A GLANCE  (last updated May 23rd)

DAY ONE: Monday, August 6

 

General

Medicare Advantage Strategy and Growth

Risk Management

 

 

 

12:30

Registration

 

 

 

 

 

1:00

MA strategy & 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

STAR panel with highly rated plans

10:30

Case study: Risk-based security

 

12:00

Lunch

 

 

 

 

 

 

 

1:00

Engaged members secret formula

1:00

Vendor oversight and contract risk

 

 

 

2:45

MA audit PowerUp: ODAG & CDAG

2:45

Roundtable discussions

 

 

 

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 & compliance functions

 

 

 

10:00

Network Adequacy I: Regulations

10:00

Create a compliance culture

 

 

 

11:00

Network Adequacy II: Solutions

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

Working groups: MA CPE & 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 & 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 & 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

Townhall 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

 

10:15

Refreshment break

 

10:30

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

 

2:45

Wrap up and adjourn

 

 

 

 

 

Venue

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

50 Third St
San Francisco, CA 94103
415.974.6400
Reservations 888.627.8561

The hotel room block expires on July 6, 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.


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

Share your member materials!

Each year, attendees from member health plans across the country bring their Medicare marketing materials samples to the Medicare Advantage value visit.  Plan on bringing examples of your own plan’s good work!  See below for details, or reach out to Kristin Rodriguez with any questions.  

The WHO:
All value visit attendees are invited to bring copies of your health plan’s member communication materials to San Francisco.  
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 50 copies of your samples (enough for 1 sample per attending health plan).  Thank you in advance for participating! We can all learn from each other. 

The 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.

The HOW:
Ship your materials directly to the Park Central Hotel with an arrival date of August 5th.  
Your package label should read:

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

The 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
Attendees

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

  • Joseph Caldwell
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Chief Financial Officer at Alliant Health Plans
  • Alan Chuang
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Director, Pharmacy Services & Health Management at Chinese Community Health Plan
  • Ali Darugar
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Chief Information Officer at Western Health Advantage
  • Jaime Gonzalez
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Chief Business Development Officer at Health Plan Alliance
  • Obie Hooper
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Quality Assurance Clinical Coordinator at Alliant Health Plans
  • Scott Kelly
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • COO at Aspire 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
  • Robin Larmer
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Chief Compliance and Regulatory Affairs Officer at Santa Clara Family Health Plan
  • Alexandra Leopold
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Vice President, Health Plan Solutions at Mission Health
  • Johanna Liu
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Director of Quality & Pharmacy at Santa Clara Family Health Plan
  • Irene Louie
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Member Service Manager at Chinese Community Health Plan
  • Sylvia Ng
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Compliance Auditor at Chinese Community 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
  • Dan Rhodes
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Market and Network Development Executive at Adventist Health Plan
  • Kristin Rodriguez
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Chief Knowledge Officer at Health Plan Alliance
  • Ronald Smothers
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Medicare Compliance Manager at Santa Clara Family Health Plan
  • Jean Veilleux
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • General Counsel for Health Plan Solutions at Mission Health
  • Thomas Wilson
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Compliance Officer at HealthTeam Advantage
  • Jordan Yamashita
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Compliance Manager at Santa Clara Family Health Plan
  • Mark Fabiano
  • SPONSOR
  • Chief Revenue Officer at Centauri Health Solutions
  • Bill Trenter
  • SPONSOR
  • Senior Vice President, Business Development at Altegra Health
  • Jennifer Cady
  • VIRTUAL ATTENDEE
  • QI/HEDIS Analyst II at Paramount Health Care
  • Regina Wong-Valle
  • VIRTUAL ATTENDEE
  • Compliance Audit Manager at Santa Clara Family Health Plan
Speakers
  • 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