2023 National Medicare Advantage Conference

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Overview
Audience
Agenda
Workshop Session
Speakers
Sponsors/Exhibitors
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Overview:

2023 National Medicare Advantage Conference

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

November 13 – 14, 2023 • Caesars Palace Hotel • Las Vegas, NV

Past Sponsors/Exhibitors & Partners

Simplify HeathcareLogo Color CMYK 300dpi athelas logo05042021 496w HHAeXchangeMMM sand logo files color HE Logo Color Full 500x100 BambooHealth Logo Primary Stacked COLOR healthcare support BirdsongHearingBenefits Logos SecondaryLogo FullColor 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 2023 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 2023 National Medicare Advantage Forum, you will learn what others in your industry are doing to be better prepared for the challenges that lie ahead in 2023 and beyond. 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 13, 2023

7:15	Conference Registration & Networking Breakfast
8:15	Chairperson's Opening Remarks Julia Rupp Principal Hummingbird Consulting Former Chief Executive Officer HealthWest
8:30	Developing a Competitive Medicare Advantage Design and Pricing Structure that is Appealing to Current and Potential Members Nikki Hungate, MS, MHA Director, Medicare & Gov't Programs Product Strategy MVP Health Care
9:15	Home-Based Care: Meeting Polychronic Members Where They Are Melissa Steffan President Evernorth Home-Based Care Pooja Bhardwaja, MD, MBA, FACP Senior Medical Director Evernorth Care Group
10:00	Networking & Refreshments Break
10:30	Achieving Stars and Quality Success Amidst Dramatic Regulatory Changes John Willis Vice President, Consulting & Professional Services Healthmine
11:15	Finding Your Center of Excellence: Supporting and Sustaining Best Practices Natalie Maples, DrPH, MA Assistant Professor, Department of Psychiatry & Behavioral Sciences Director, International Center for Excellence in Evidence-Based Practice University of Texas Health Science Center
12:00	Luncheon for All Attendees & Speakers
1:15	How SCAN Group is Diversifying Beyond Medicare Advantage Deepa Sheth Chief Corporate Development Officer SCAN Health Plan
2:00	Panel Discussion: Expending Value Based Healthcare within Medicare Advantage John Willis Vice President, Consulting & Professional Services Healthmine Jamie Galbreath, PhD, MPH, CHES Director, Quality & Population Health UCare Nikki Hungate, MS, MHA Director, Medicare & Gov't Programs Product Strategy MVP Health Care
3:00	Networking & Refreshments Break
3:30	Utilizing Member Engagement Strategies for Home Based Programs that Enhance Quality of Care Jamie Galbreath, PhD, MPH, CHES Director, Quality & Population Health UCare
4:15	Certified Community Behavioral Health Clinics: A Sustainable Model for Integrated Service Delivery Lisa Williams, PhD Chief Executive Officer West Michigan Community Mental Health
5:00	End of Day One

Day Two – Tuesday, November 14, 2023

7:15	Networking Breakfast
8:15	Chairperson’s Recap of Day One Julia Rupp Principal Hummingbird Consulting Former Chief Executive Officer HealthWest
8:30	How your Quality Department can be a Central Resource to Improve Quality Audits, Engage Departments, and Even Boost Star Ratings Linda Lee Vice President, Quality Improvement MCS Health Plan
9:15	Best Practices to Behavioral Health Needs in Medicare Advantage: Behavioral Health Homes, Recovery/Peer Support, Addressing SDOH Julia Rupp Principal Hummingbird Consulting Former Chief Executive Officer HealthWest
10:00	Networking & Refreshments Break
10:30	How Home and Community Based Services (HCBS) Providers Can Help to Close Gaps to Enhance Quality Devin Woodley Vice President, Managed Care Contracting Visting Nurse Service of New York
11:30	Conference Concludes

Workshop Session:

Monday, November 13, 2023 • 5:15 p.m. – 7:15 p.m.

Monitoring & Auditing 101 for Medicare Advantage Plans: Staying out of the CMS Crosshairs

Speakers:

Janet Mann Deputy Secretary & Medicaid Director Department of Human Services State of Arkansas			Joanne Bush Bureau Chief Managed Care Reporting & Oversight, Medicaid Iowa Department of Health and Human Services
Audrey Shelto President & CEO Blue Cross Blue Shield of Massachusetts Foundation			Kimberly Sullivan Medicaid Director Bureau of Health Services Financing Louisiana Department of Health
Chad Westover Chief Executive Officer University of Utah Health Plans			Deepa Sheth Chief Corporate Development Officer SCAN Health Plan
Paula Stone Director, Office of Substance Abuse & Mental Health Department of Human Services State of Arkansas			John Neubauer Interdepartmental Project Manager Executive Office of Health and Human Services State of Rhode Island
Melissa Steffan President Evernorth Home-Based Care			Pooja Bhardwaja, MD, MBA, FACP Senior Medical Director Evernorth Care Group
Natalie Maples, DrPH, MA Assistant Professor, Department of Psychiatry & Behavioral Sciences Director, International Center for Excellence in Evidence-Based Practice University of Texas Health Science Center			Tiffany Ferguson, LMSW, CMAC, ACM Chief Executive Officer Phoenix Medical Management Chair, Observation Subcommittee American College of Physician Advisors (ACPA)
Devin Woodley Vice President, Managed Care Contracting Visting Nurse Service of New York			Virginia Burchett, MPH Chief Executive Officer VBurchett Consulting
Nikki Hungate, MS, MHA Director, Medicare & Gov't Programs Product Strategy MVP Health Care			John Willis Vice President, Consulting & Professional Services Healthmine
Jamie Galbreath, PhD, MPH, CHES Director, Quality & Population Health UCare			Lisa Williams, PhD Chief Executive Officer West Michigan Community Mental Health
Linda Lee Vice President, Quality Improvement MCS Health Plan			Justin Krawitt, MD System Medical Director, Utilization Dartmouth Health
Sherry McCool, MHA, RRT-NPS, CMTE Senior Director, Patient Progression Children's Mercy Kansas City			Jodie Winfrey, BSN, RN, CPN Discharge Expeditor & Pediatric Nurse Children's Mercy Kansas City
Shashank Ravi, MD, MBA Director, Quality, Adult Emergency Department Value Based Care Champion Stanford Health Care			Praveen Mital, MD, MBA, FACEP Director, ED Clinical Operations & Observation Unit North Shore University Hospital Northwell Health
Julia Rupp Principal Hummingbird Consulting Former Chief Executive Officer HealthWest			Rudy Arthofer, MHA, BSN, RN Associate Chief Nursing Officer Inpatient Access, Capacity, Throughput & Efficiency Stanford Health Care
Patrice Callagy, RN, MPA, MSN, CEN Executive Director, Emergency Services Stanford Health Care			Jess Ryan, RN Director, Care Management & Capacity Coordination Center Dartmouth Health
Scott Jahnke, MBA, HCM Director, Patient Flow Command Center UCLA Health			Eric Odero, MBA, MA Chief Executive Officer Command Health Informatics

Sponsors/Exhibitors:

Gold Sponsor

Evernorth Home-Based Care, part of the Evernorth Health Services portfolio, is a value-based approach with comprehensive in-home primary care solutions, including direct patient care and care enablement services. We work closely with health plans, Medicare, dual eligible special needs plans (D-SNPs), commercial and more, to improve quality measures, reduce hospital readmissions, to upgrade patient experience and care delivery coordination. Evernorth is always willing to partner with your existing vendors and clinical pathways to avoid disruption.

Exhibitor

Birdsong Hearing Benefits™, LLC serves as a third-party administrator who offers tremendous value to health plans, employer groups and unions in managing their Medicare Advantage and commercial hearing benefits. Through listening to health plans, Birdsong has designed and built its products and services focused on the customer experience. We deliver a whole health focus experience that helps plans and groups improve the health of members and simplify their businesses.Birdsong provides superior quality of hearing care by being a provider partner of choice to a nationwide hearing care network. Through partnering with Birdsong, a plan or group can gain valuable insights through Birdsong's rich Hearing Health Intelligence Platform.

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 10, 2023	Register by November 13, 2023
Conference Only	$995	$1195
Conference & Workshop	$1195	$1395

Standard Rate, Vendors, Solution Providers	Register by November 10, 2023	Register by November 13, 2023
Conference Only	$1295	$1495
Conference & Workshop	$1495	$1695

Register for the 2023 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

*The conference will be taking place within the Neopolitan Ballroom at the Caesars Palace Hotel.

*Please note that the discounted room rate at the hotel is sold out. Nearby hotels with more reasonable rates include (there are several other hotels that could be found through Expedia or a similar site):

Harrah's Las Vegas: https://www.caesars.com/harrahs-las-vegas

Flamingo Las Vegas: https://www.caesars.com/flamingo-las-vegas

The Cromwell Las Vegas: https://www.caesars.com/cromwell

Caesars1 Caesars2 Caesars3

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To become to a Media/Press Partner, please contact This email address is being protected from spambots. You need JavaScript enabled to view it.

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