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Fall Leadership Forum 2018

Event Date: 10/10/2018 - 10/12/2018

Event Overview

Transforming your enterprise-wide strategy

Hosted by Community Health Options, Health New England and Neighborhood Health Plan of Rhode Island

How are Alliance members working with their delivery systems and their physicians to determine and implement strategy?  And what must plans do to successfully implement their strategies?  Those weighty questions are the focus of the discussions at our Fall Leadership Forum.  The sessions will be lead by industry leaders who will challenge our thinking and case studies by Alliance members that will provide practical experience.  


Can’t miss sessions include:

  • Discuss the health care industry outlook from an entrepreneurial perspective with Pete Hudson, M.D., Managing Director at Alta Partners, a health care venture capital firm, and a physician.  Pete will share his insights that comes from serving on numerous boards and assisting start-up companies.  Pete will discuss the fluidity and uncertainty of the industry and where executives should be focusing their attention.
  • Learn how the senior leadership team at Neighborhood Health Plan ensured their organization was prepared for a strategic planning process and then the changes they are making to successfully implement the plan.
  • Explore through a case study by SelectHealth the challenging issues in transforming a complex delivery system and health plan into an organization focused on value not volume.
  • Learn about how Health Alliance Plan has worked together with physician groups to develop and deliver a unique Medicare Advantage product offering – putting patients and primary care in charge.   

 


Special events

 

CEO Dinner
Thursday, October 11, 5:00 PM
Invitation only dinner with a leading author and business thinker.

 

CMO/Medical Director Dinner | REGISTER
Thursday, October 11, 6:00 PM 
Chief medical officers and medical directors invited to come together to network and connect over dinner.

 

Board of Directors Meeting
Friday, October 12, 10:00 - Noon ET  |  REGISTER
Open to all Alliance members. We will discuss 2019 programming, reciprocity and other strategic initiatives underway.

 


Who Should Attend

  • Chief Executive Officers
  • Chief Medical Officers and Medical Directors
  • C-level executives
  • Strategy officers and managers
  • Business strategy and development executives
  • Executives and managers interested in innovation

 


Thank you to our event sponsors

 

PLATINUM SPONSORS

GOLD SPONSORS



 

 

SILVER SPONSORS

 

 

 

BRONZE SPONSORS

 

 

 

 

 

 

 

OTHER SPONSORS

 

 

 

 

 

 

 

 
Agenda

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

 

 


 

Venue

Join your Alliance peers at the 2018 Fall Leadership Forum at the Hyatt Regency in Boston HarborHyatt Regency Boston Harbor Hotel

101 Harborside Drive
Boston, MA 02128
617.568.1234

Reservations 1.800.233.1234

The hotel room block expires on September 18, 2018.  Our room rate is $319 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 800.233.1234 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.

Alternate hotels within 10 minutes of the Hyatt Regency Boston Harber Hotel 

Hilton Boston Logan Airport 
1 Hotel Dr, Boston, MA 02128 (617.567.5000)

Embassy Suites Boston @ Logan Airport 
1 Hotel Dr, Boston, MA 02128 (617.567.5000)

Kempton Nine Zero Hotel 
90 Tremont Street, Boston, MA 02108  (617.772.5800)


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
Taxi from the Boston Logan International airport is approximately $10.  The hotel does provide complimentary shuttle service.  Please call 617.568.1234 after you have secured your luggage and request pickup.  You will be directed to the pick up location at that time.   Click here for more details.

BOSTON WEATHER
View the latest weather forecast.
Documents
10/25/2018

Building Payer-Provider Partnerships for Care Management
In this white paper, Navigant Consulting Inc. and the Health Plan Alliance share eight strategies for success in care management. Based on research among three leading provider-sponsored health plans (Health Plan Alliance members), the paper provides real-world examples of how payers and providers can collaborate successfully in developing care management strategies and reducing per member per month costs.

10/11/2018

Presentation: Increasing Value through Pharmacy
Community Health Options and Rx Savings Solutions share the mechanics of their partnership and improved member outcomes and plan results. Transparency tools, savings identification, and formulary management all combine for greater savings for member and plan alike while contributing to increased access and adherence. Presented at the Fall Leadership Forum in Boston, October 10-12, 2018.

10/11/2018

Presentation: BeHealthy Partnership
Health New England shares an overview of their Medicaid ACO/MCO shared risk partnership aligning data, payment models, delivery system redesign and efforts to address social determinants of health to improve health outcomes and lower the total cost of care. Presented at the Fall Leadership Forum in Boston, October 10-12, 2018.

10/11/2018

Presentation: Avera Health eCARE Program
Avera eCARE, a part of Avera Health, describes their telemedicine services for intensive care (ICU), emergency departments, pharmacy, long-term care and correctional facilities delivered by partnering with health care systems, rural hospitals, outpatient clinics, long-term care and correctional facilities. Presented at the Fall Leadership Forum in Boston, October 10-12, 2018.

10/11/2018

Presentation: Primary Choice-Putting Patients and Primary Care in Charge
Health Alliance Plan shares the development of a Medicare Advantage model designed to deliver the ultimate Medicare experience by virtue of a health plan and physician group working together. Presented at the Fall Leadership Forum in Boston, October 10-12, 2018.

10/11/2018

Presentation: Unlocking the Value of Patient's Longitudinal Claims Record
CareJourney discusses the patient journey with data and was to leverage nation-wide insights to deliver metrics for evaluating providers and facilities. Presented at the Fall Leadership Forum in Boston, October 10-12, 2018.

10/10/2018

Presentation: Welcome to Fall Leadership Meeting
Health New England welcomes the Alliance members to Boston and gives them an overview of their plan. Presented at the Fall Leadership Forum in Boston, October 10-12, 2018.

10/10/2018

Presentation: Aligning the Goals of Care Management - Lessons from Payers and Providers
Geisinger Health Plan and Navigant Consulting, Inc., provide real-world examples of how payers and providers can collaborate successfully in developing care management strategies and reducing per member per month costs. Presented at the Fall Leadership Forum in Boston, October 10-12, 2018.

10/10/2018

Presentation: Organizational Flying Buttresses - Necessary Design to Support Growth
Neighborhood Health Plan shares how they transformed the structure of its organization from the top down to maintain its quality and success during a period of tremendous growth to meet the challenges of the future. Presented at the Fall Leadership Forum in Boston, October 10-12, 2018.

10/10/2018

Presentation: Redesigning the Care Model
SelectHealth discusses their redesigned care model, highlighting operating in "two canoes": Fee for Service and Fee for Value. They share how the organization is changing its model to operate into the future, leading toward growth, consumerism, and population health, while investing in CareGivers (employees).

Attendees

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

  • Diane Slon
  • ALLIANCE GUEST
  • COO at United Physicians
  • Matthew Aug
  • ALLIANCE MEMBER
  • President at Cox HealthPlans
  • Leanne Berge
  • ALLIANCE MEMBER
  • Chief Executive Officer at Community Health Plan of Washington
  • Douglas Byrd
  • ALLIANCE MEMBER
  • Chief Legal Counsel at Neighborhood Health Plan of Rhode Island
  • David Crosby
  • ALLIANCE MEMBER
  • President & CEO at PreferredOne
  • Rita Datko
  • ALLIANCE MEMBER
  • Chief Financial Officer at Sharp Health Plan
  • Michael Genord
  • ALLIANCE MEMBER
  • President & CEO, HAP | President & CEO, HAP Midwest Health Plan at Health Alliance Plan (HAP)
  • Robert Gluckman
  • ALLIANCE MEMBER
  • Chief Medical Officer at Providence Health Plans
  • Jody Gross
  • ALLIANCE MEMBER
  • Vice President of Operations & Government Programs at Health New England
  • Nancy Hermiz
  • ALLIANCE MEMBER
  • VP Medicaid, PMO and Behavioral Health at Neighborhood Health Plan of Rhode Island
  • Robert Hillman
  • ALLIANCE MEMBER
  • Senior Vice President & Chief Operating Officer at Community Health Options
  • Kelley Kaiser
  • ALLIANCE MEMBER
  • SVP - Chief Administrative Officer at Samaritan Health Services
  • Zach Keeling
  • ALLIANCE MEMBER
  • CEO, Medical Associates Health Plans at Medical Associates Health Plans
  • Maggie Kelley
  • ALLIANCE MEMBER
  • Senior Vice President/Chief Clinical Officer at Community Health Options
  • Robert Komula
  • ALLIANCE MEMBER
  • CFO, IUH Medicaid & Marketplace at IU Health Plans
  • Alan Lederman
  • ALLIANCE MEMBER
  • Chief Operating Officer at Community Health Plan of Washington
  • Kevin Lewis
  • ALLIANCE MEMBER
  • Chief Executive Officer at Community Health Options
  • Thomas Lundquist
  • ALLIANCE MEMBER
  • Senior Vice President & Chief Medical Officer at Sentara Health Plans (Optima)
  • Peter Marino
  • ALLIANCE MEMBER
  • President and Chief Executive Officer at Neighborhood Health Plan of Rhode Island
  • Susan O'Connor
  • ALLIANCE MEMBER
  • Vice President & General Counsel at Health New England
  • Cynthia Osmanski
  • ALLIANCE MEMBER
  • Event Specialist at Neighborhood Health Plan of Rhode Island
  • Greg Pugh
  • ALLIANCE MEMBER
  • Sr. Director, Service Development & Chief of Staff at Passport Health Plan
  • Penny Ransom
  • ALLIANCE MEMBER
  • Chief Administrative Officer at Network Health
  • Preston Renshaw
  • ALLIANCE MEMBER
  • Chief Medical Officer at Avera Health Plans (DAKOTACARE)
  • Gordon Salm
  • ALLIANCE MEMBER
  • Interim Chief Financial Officer at Health Alliance Plan (HAP)
  • Duane Schmitz
  • ALLIANCE MEMBER
  • VP, Supply Chain at IU Health Plans
  • Joann Sciandra
  • ALLIANCE MEMBER
  • VP, Care Coordination and Integration at Geisinger Health Plan
  • Brenda Seagrave-Whittle
  • ALLIANCE MEMBER
  • Chief Marketing Officer, VP Marketing and Communications at Neighborhood Health Plan of Rhode Island
  • Janet Tomcavage
  • ALLIANCE MEMBER
  • Chief Nursing Executive at Geisinger Health Plan
  • Jean Veilleux
  • ALLIANCE MEMBER
  • General Counsel for Health Plan Solutions at Mission Health
  • Curtis Beharry
  • PLATINUM SPONSOR PASS
  • Regional Vice President at Summit Re
  • Johnny Broyles
  • PLATINUM SPONSOR PASS
  • Vice President, Sales at Summit Re
  • Becky Erbe
  • PLATINUM SPONSOR PASS
  • Chief Business Development Officer at GPO HEALTH
  • Brian Fehlhaber
  • PLATINUM SPONSOR PASS
  • Vice President Sales & Marketing at Summit Re
  • James Sherry
  • PLATINUM SPONSOR PASS
  • Vice President, Sales and Account Management at MultiPlan
  • Deanna Larson
  • SPEAKER
  • CEO - Avera eCare at Avera Health Plans (DAKOTACARE)
  • Chris Lester
  • SPEAKER
  • Director of Data Science and Research at CareJourney
  • James Smith
  • SPEAKER
  • Managing Director, Healthcare at Navigant
  • Randy Cox
  • SPONSOR
  • VP, Customer Success at Rx Savings Solutions
  • Mark Fabiano
  • SPONSOR
  • Chief Executive Officer at Animas Data Solutions
  • Marty Hauser
  • SPONSOR
  • Vice President, Business Development at ExactCare
  • Benjamin Heck
  • SPONSOR
  • President, Change Healthcare Consulting at Change Healthcare
  • Sophia Kim
  • SPONSOR
  • Chief Revenue Officer at Centauri Health Solutions
  • Alexis Levy
  • SPONSOR
  • Managing Director at HealthScape Advisors, LLC
  • Steve Mongelli
  • SPONSOR
  • Chief Operating Officer at Clarity Software Solutions
  • Craig Pfent
  • SPONSOR
  • Founder, President, and CEO at FlexTech, Inc.
  • Marc Ryan
  • SPONSOR
  • Chief Strategy and Compliance Officer at MHK (formerly MedHOK)
  • Ryan Smith
  • SPONSOR
  • Chief Revenue Officer at MHK (formerly MedHOK)
  • Ryan Smith
  • SPONSOR
  • Chief Revenue Officer at MHK (formerly MedHOK)
  • Kim Staloch
  • SPONSOR
  • Vice President, Strategic Channels at DST Pharmacy Solutions
  • Edward Curis
  • VIRTUAL ATTENDEE
  • Senior Policy Analyst - Government Affairs at Neighborhood Health Plan of Rhode Island
  • Brandon Fryar
  • VIRTUAL ATTENDEE
  • President at Presbyterian Health Plan
  • Lori Johnston
  • VIRTUAL ATTENDEE
  • President at Paramount Health Care
  • Joleen Katula
  • VIRTUAL ATTENDEE
  • Vice President of Operations at HealthTeam Advantage
  • Alexandra Leopold
  • VIRTUAL ATTENDEE
  • Vice President of Operations, Health Plan Solutions at Healthy State
  • Garry Maisel
  • VIRTUAL ATTENDEE
  • President and Chief Executive Officer at Western Health Advantage
  • Brian Mcguire
  • VIRTUAL ATTENDEE
  • Actuary director at Providence Health Plans
  • Mark Mixer
  • VIRTUAL ATTENDEE
  • Chief Executive Officer at Alliant Health Plans
  • Dennis Reese
  • VIRTUAL ATTENDEE
  • President and CEO at Physicians Health Plan
Speakers