• Overview
  • Audience
  • Agenda
  • Workshop Session
  • Speakers
  • Sponsors/Exhibitors
  • Registration Pricing
  • Venue
  • Media/Press Partners
  • Inquiry
Overview:

2025 National Medicare Advantage Conference

Implementing Successful Strategies that Focus on Member Enrollment, Revenue Enhancement, Medical Management, Compliance and Operations!

November 17 – 18, 2025 • Caesars Palace Hotel • Las Vegas, NV

Past Sponsors/Exhibitors & Partners

Simplify HeathcareLogo Color CMYK 300dpi    Papa Primary Logo    athelas logo05042021 496w    Convey Health Solutions Logo FINAL cmyk no TM copy    HHAeXchangeMMM    sand logo files color    Zelis Primary Logo Web RGB PNG Blue 1    LifeStation Logo    HE Logo Color Full 500x100    BambooHealth Logo Primary Stacked COLOR    Pyx Health Logo Color Tagline    healthcare support    BirdsongHearingBenefits Logos SecondaryLogo FullColor    HealthCareTechOutlook logo    pharma tech outlook JPg

Overview

Medicare Advantage is currently facing unprecedented challenges. The changes and cuts for Medicare Advantage have ushered in a much tougher climate for health plans. The cuts render revenues challenging and margins tight. It’s more important than ever in this era of pay for performance that medical management, operations, customer service and the financial side all work together to both advance the metrics needle for Star Ratings and provide actual value-based services and improved outcomes. How to run a tighter ship to protect margins, provide real outcomes, and increase your plan payments?

The 2025 National Medicare Advantage Conference promises to set standards within the industry, and will prove to be a game changer for leaders, experts, as well as policymakers involved within Medicare Advantage. In addition to having a strong focus on the larger issues facing Medicare Advantage – such as quality improvement, member acquisition/retention, profitability enhancement, compliance, etc. – the conference will feature topics focused on Product Development, Innovation and Value-Based Healthcare.

In this premier event, we bring together leaders and innovators to share their insights and offer solutions on the abundant challenges facing Medicare Advantage. By attending the 2025 National Medicare Advantage Conference, you will learn what others in your industry are doing to be better prepared for the challenges that lie ahead in 2026. Register today to reserve your seat at the conference and take advantage of early bird discounts!

We look forward to greeting you in Las Vegas!

Audience:

From Health Plans, Medicare Advantage Plans & Managed Care Organizations:

Chief Executive Officers, Chief Operating Officers, Chief Financial Officers, Chief Marketing Officers, Chief Medical Officers, Chief Strategy Officers, Chief Pharmacy Officers & Chief Information Officers

Also, Presidents, Vice Presidents, Directors & Managers of:

• Medicare

• Star Ratings

• Senior Products

• Quality Improvement

• Marketing
• Managed Care

• Compliance

• Care Management

• Operations

• Strategy

• Business Development

• Regulatory Affairs

Business Development

Regulatory Affairs

• Risk Management

• Utilization Management
• Business Development

• Medicare Stars

• Medicare Advantage

• Government Programs

• Data & Analytics

• Value-Based Health
• Sales

• Medical

• Product Development

• Finance

• Quality

• Pharmacy

• Disease Management

Pharmacy

Disease Management

• Community Health

• Network Management
• Pharmacy


This program is also geared towards Hospitals & Health Systems, Vendors, Healthcare Consultants, Solution Providers, Pharmacy Benefit Managers, Disease Management Organizations, Third Party Administrators, Pharmaceutical & Medical Device Companies, IT & Business Process Outsourcing Companies and Enrollment Brokers

 

Agenda:

Day One – Monday, November 17, 2025

7:15

Conference Registration & Networking Breakfast

8:15

Chairperson's Opening Remarks

Nzinga Lowe
Chief Executive Officer
Pygmalion Health

8:30

Multi-Year Strategic Framework for Enhancing Medicare Advantage Plan Performance, Increasing Member Engagement, and Improving Health Outcomes

Nzinga Lowe
Chief Executive Officer
Pygmalion Health

9:15

Effective Care Transitions for Members with Advanced Illness

Natalia Bournane, MBA
Director, Managed Care Contracting
VNS Health

10:00

Networking & Refreshments Break

10:30

Considerations for Changes in the Medicare Advantage Risk Adjustment Process

Steve Schramm, PhD, MScHE
Managing Partner
1LTBY

11:15

Campfire Medicare Research Project: What Your Members are Saying

Roderick Kersch
Vice President, Medicare Health Plan Sales
WEX

12:00

Luncheon for All Attendees & Speakers

1:15

Shifting Winds in Medicare Advantage – A Washington Perspective

Gary Jacobs
Executive Director, Center for Government Relations & Public Policy
VillageMD
Author, The Zen Lobbyist

2:00

Panel Discussion: Expanding Value Based Healthcare within Medicare Advantage

3:00

Networking & Refreshments Break

3:30

Beyond the Pharmacy: Redefining Pharmacy Access, Adherence, and ROI

Joanna Kindhart
Sr. Sales Development Specialist
A-S Medication Solutions

4:15

The Dynamic Relationship Between SDOH, Value-Based Care, and the Medicare Population

Virginia Burchett
Chief Executive Officer
VBurchett Consulting

5:00

End of Day One


Day Two – Tuesday, November 18, 2025

7:15

Networking Breakfast

8:15

Chairperson’s Recap of Day One

Nzinga Lowe
Chief Executive Officer
Pygmalion Health

8:30

Value Based Contracting for Medicare Advantage

Ian Duncan, PhD, FSA, MAAAA
Senior Advisor
Arbital Health
Adjunct Professor, Actuarial Statistics
University of California Santa Barbara

9:15

Keeping Members at 65: Leveraging FQHCs to Support Medicare–Medicaid Transitions and MA Growth

Johanna Cazares
Chief Growth Officer
Alcar Health

10:00

Networking & Refreshments Break

10:30

Medicare's Migraine: Risk Adjustment and Integrating AI into Operations

Dave Meyer
Principal
Cogent Advisors
Lead, Risk Adjustment Practice
EBG Associates

11:30

Conference Concludes

Workshop Session:

Monday, November 17, 2025 • 5:05 p.m. – 6:30 p.m.

Pre-Cocktail Pragmatism – Risk Adjustment, HEDIS and STARS

Dave Meyer
Principal
Cogent Advisors
Lead, Risk Adjustment Practice
EBG Associates

Speakers:

Steve Schramm, PhD, MScHE
Managing Partner
1LTBY

Jim Milanowski
President & CEO
Genesee Health Plan

Audrey Shelto
President & CEO
Blue Cross Blue Shield of Massachusetts Foundation

Natalia Bournane, MBA
Director, Managed Care Contracting
VNS Health

Justin Krawitt, MD
System Medical Director, Utilization
Dartmouth Health

   

Praveen Mital, MD, MBA, FACEP
Director, ED Operations & Clinical Decision Unit
North Shore University Hospital

Mark Green
Executive Director, IP Care Management Solutions
Cone Health System

    Dennis Davis
Director, Quality
Jack Hughston Memorial Hospital

Al Kadri, MD
President
Kardiacure

Omar Haq, ASA, MAAA
President & Managing Principal
Mushin Consulting Group

Johanna Cazares
Chief Growth Officer
Alcar Health

Nzinga Lowe
Chief Executive Officer
Pygmalion Health

Dave Meyer
Principal
Cogent Advisors
Lead, Risk Adjustment Practice
EBG Associates

Gary Jacobs
Executive Director, Center for Government Relations & Public Policy
VillageMD
Author, The Zen Lobbyist

Ian Duncan, PhD, FSA, MAAAA
Senior Advisor
Arbital Health
Adjunct Professor, Actuarial Statistics
University of California Santa Barbara

Leslie Zun, MD, MBA
Professor, Department of Emergency Medicine & Psychiatry
Chicago Medical School 

Roderick Kersch
Vice President, Medicare Health Plan Sales
WEX

Rey Villar
Digital Solutions Architect
Calcium Health 

Joanna Kindhart
Sr. Sales Development Specialist
A-S Medication Solutions

Amar Munsiff, MD, FACP
President
AVM Medical

Virginia Burchett
Chief Executive Officer
VBurchett Consulting

James Lawson
Chief Experience Officer
PulseData AI 

Sponsors/Exhibitors:

Associate Sponsors

A S Medications CMYK 01A-S Medication Solutions is the industry leader in providing comprehensive medication supply chain alternatives.  With over 30 years in employer health, ASM is the first true omni-channel medication distribution partner. We focus on maximizing point of care dispensing efficiencies, creating unique clinical solutions through innovative programs, and addressing high spend categories through effective clinical integration and smart clinical management systems.  From virtual care to full onsite pharmacy solutions, let us show you how our customizable programs can improve the health of your population, lower your costs and enhance your revenue streams.

WEX red22 1WEX (NYSE: WEX) is the global commerce platform that simplifies the business of running a business. Through our health and benefits technology and solutions, WEX simplifies benefits for everyone. We take the confusion out of administering employee and member benefits, and provide insights and engagement so users get the most out of their benefits offering. For more information, please visit www.wexinc.com

Exhibitors

aps logo

Advanced PICC Specialists provides vascular access and bedside blood transfusions in skilled nursing facilities (SNFs) across Maryland, Pennsylvania, and New Jersey. Founded in 2010, we launched our transfusion program in 2016 and have since completed over 12,000 safe, efficient bedside transfusions. Our service prevents avoidable hospitalizations for stable anemic patients, significantly reducing costs for managed care organizations while improving care quality. Benefits include: reduced re-hospitalizations, lower total cost of care, enhanced patient satisfaction, and support for STAR ratings and quality metrics.

ConquestConquest Healthcare provides offshore staffing solutions for U.S. healthcare firms. We specialize in delivering Registered Nurses, Medical Coders, and compliance professionals who are U.S.-licensed, experienced, and experts in their fields. Our staff integrates seamlessly into your team, bringing U.S. experience to deliver expert-level support aligned with American healthcare standards and compliance requirements.

CardioPulmonary DiagnosticsAt CardioPulmonary Diagnostics LLC, we help you achieve better outcomes for COPD and other respiratory patients through early detection and ongoing monitoring. Our streamlined, patient-friendly testing delivers accurate data providers trust, while boosting complexity scores and improving office productivity. Stop by to see how our proven system drives results.

Calcium logo 220x42Calcium Health. The Calcium Digital Health Platform maximizes health outcomes and provider efficiency with automated patient engagement and 360-degree access to patient data. Our solution integrates a patient Super App with robust provider dashboard and AI-powered pathway generator.

For Sponsorship & Exhibit Opportunities, please contact This email address is being protected from spambots. You need JavaScript enabled to view it.

Registration Pricing:

Health Plans, Hospitals, Health Systems, Providers, Payers

Register by
November 14, 2025

Register by
November 17, 2025

Conference Only

$995

$1195

Conference & Workshop

$1195

$1395

Standard Rate, Vendors, Solution Providers

Register by
November 14, 2025

Register by
November 17, 2025

Conference Only

$1295

$1495

Conference & Workshop

$1495

$1695


Register for the 2025 National Medicare Advantage Conference

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Workshop Session: Monitoring & Auditing 101 for Medicare Advantage Plans: Staying out of the CMS Crosshairs
Purchase Policy: Cancellations received 30 calendar days prior to the event will be refunded in full less a $225 processing fee. Cancellations received less than 30 calendar days before the event will receive a credit towards a future event which is valid for one year from the date of the event. You may transfer the registration so as long as we receive the request 48 hours prior to the event.
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Receipt of your registration will be sent to the email address you have provided. *By registering for the conference, you also agree to be added to our subscriber/email list of subscribers for announcements on upcoming conferences.* If you would like additional information or have questions regarding any of our events, please note them below and we will have the appropriate person contact you.
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Venue:

Caesars Palace Hotel
3570 Las Vegas Blvd South
Las Vegas, NV 89109

Phone #: 866-227-5944

*Mention Group Code "SCWCF5" to get the discounted rate of $145/night (a total of $199.95 with resort fee)!

You can also book online at:

https://book.passkey.com/go/WCFNov2025

Caesars1  Caesars2  Caesars3

Media/Press Partners:

medhealth outlook logoMedhealth Outlook offers insights into the latest technologies and trends in the healthcare, pharma, and medical industries. Our publication provides a balanced perspective through an inside/outside approach, showcasing interviews, features, and stunning artwork. As your inspiring source for in-depth journalism covering the tech community powering the medical industries, we strive to present valuable insights in both print and online formats.

HealthCareTechOutlook logoHealthcare Tech Outlook, a print platform offering healthcare decision-makers critical information on adopting, innovating, and building new programs and approaches to enhance their capability to provide care. Healthcare Tech Outlook has been a pioneer in offering a learn-from-peer approach to the healthcare arena, offering technical advice to enhance both the overall healthcare landscape and assist individual care providers – from general practitioners and specialists to post-acute care organizations.

pharma tech outlook JPgPharma Tech Outlook is a monthly publication that has been a pioneer in bringing forth real-world solutions, news, product trends, solutions, and many more to subscribers. The unique learn-from-peers approach is creating a difference since the decision-makers are constantly sharing their experience, wisdom and thought leadership with each other. Pharma Tech Outlook has contributors from the most established organizations and institutions who have been presenting their viewpoints using this unique print platform. The magazine has been incorporated by some seasoned industry experts and has been at the forefront of presenting a comprehensive and detailed view of the technology arena. Pharma Tech Outlook aims at contributing to the transformation of innovations into services as well as create a healthy and productive ecosystem.

MED tech logoMedTech Outlook is a superlative podium for suppliers to showcase their products and services and healthcare industry professionals to connect with a global audience of decision-makers. Its unique learn-from-peer approach creates an immense impact in the U.S. market, adding a big difference in this continuously evolving medical tech arena.


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