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

 2021 Star Ratings & Quality Management Forum

Achieve and Maintain Higher Star Ratings: Enhancing Quality & Performance, Optimizing Reimbursement Levels, Creating Viable Partnerships with Providers, and Managing Changes within the CMS Five Star Quality Rating System

November 15 – 16, 2021 • Caesars Palace Hotel  Las Vegas, NV

Sponsors/Exhibitors & Partners

LifeCoordinated1    farmboxrx logo    MomsMeals    LeadingResponseRXSavings    Careington Solution Simplified Logo Reg    Zelis Primary Logo Web RGB PNG Blue 1    MC logo 500x500

Overview

Due to mandates aimed at improving the nation’s healthcare while reducing spending, health plans are creating and implementing new approaches to achieve success under the evolving CMS Five-Star Quality Rating System. In order to obtain and maintain the desired 4 or 5 Star Rating, health plans have implemented programs and other initiatives to improve patient outcomes, quality, performance, and collaborative relationships with providers. Health plans report on all aspects of services offered, and optimizing member engagement and satisfaction. As the Star measures continue to change and evolve, health plans are also following suit in order to achieve high star ratings which will determine reimbursement revenues, bonus payments, member enrollment and marketing opportunities.

We have created an exciting, high-level forum featuring knowledgeable leaders and executives from the nation's leading health plans who will share their perspectives, valuable insights and expertise on how to be best equipped for critical changes in achieving high Star Ratings. Attendees will benefit from learning about new best practices, initiatives and strategies that have been deployed to address the challenges presented under the current healthcare environment to improve the quality and delivery of healthcare while reducing costs and improving member satisfaction. This exclusive event targets senior-level executives in order to maximize educational and networking opportunities.

By attending the 2021 Star Ratings & Quality Management Forum you will learn about innovative programs and initiatives that have been implemented at leading health plans to successfully achieve and maintain high star ratings. Register today to reserve your seat at the conference and take advantage of early bird discounts.

We look forward to seeing 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:

• Star Ratings

• Medicare

• 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 15, 2021

7:15

Conference Registration & Networking Breakfast

8:15

Chairperson's Opening Remarks

Melissa Hildebrand
Director, Healthcare Partnership
Mom’s Meals

8:30

Managing Transitions: Improving Quality and Optimizing Performance on STAR Related Measures

Debra Corbett
Director, Quality Program
Amida Care 

9:15

Engage Members, Improve Health Outcomes, and Address SDOH with Fresh Grocery Delivery

Ashley Tyrner
Founder & CEO
FarmboxRx 

10:00

Networking & Refreshments Break

10:30

Improving Star Ratings through Enhanced Hospital Throughput and Reducing Emergency Department Overcrowding

Lucio Barreto, BSN, RN, CCRN, MICN
Clinical Program Manager, Emergency Medicine Quality & Safety
Clinical Program Manager, Patient Experience & Service Excellence
Mount Sinai 

11:15

 Outcomes Variance and Risk in Value-Based Contracting

Ian Duncan, PhD, FSA, FIA, FCIA, FCA, CSPA, MAAA
President
SB Actuaries
Adjunct Professor, Actuarial Statistics
University of California Santa Barbara

12:00

Luncheon for All Attendees & Speakers

1:15

The Path to Excellence: The converging paths of Quality and Servant Leadership

Meghan Hyland
Director, Quality & Member Supports
Lakeland Care 

2:00

Panel Discussion: Examining the Current Healthcare Landscape and its Impact on Star Ratings/Quality Management

Lucio Barreto, BSN, RN, CCRN, MICN
Clinical Program Manager, Emergency Medicine Quality & Safety
Clinical Program Manager, Patient Experience & Service Excellence
Mount Sinai 

Judy Ducsik, MBA, ARRT (N)
Founder & CEO
Expert Vue
Former Executive Director
Swedish Heart & Vascular Institute

Ian Duncan, PhD, FSA, FIA, FCIA, FCA, CSPA, MAAA
President
SB Actuaries
Adjunct Professor, Actuarial Statistics
University of California Santa Barbara

3:00

Networking & Refreshments Break

3:30

Home Delivered Meals; Leveraging Nutrition to Enhance Star Ratings

Melissa Hildebrand
Director, Healthcare Partnership
Mom’s Meals 

4:15

Developing a Viable Strategy Focused on Social Determinants of Health for Your Star Ratings/Quality Management Program

Nikki Hungate, MS, MHA
Senior Leader, Medicare Government Programs Product Strategy & Design
MVP Health Care 

5:00

End of Day One


Day Two – Tuesday, November 16, 2021

7:15

Networking Breakfast

8:15

Chairperson’s Recap of Day One

Melissa Hildebrand
Director, Healthcare Partnership
Mom’s Meals

8:30

Aligning Population Health Management and Physician Engagement to Boost Quality, Patient Satisfaction and Star Ratings

Judy Ducsik, MBA, ARRT (N)
Founder & CEO
Expert Vue
Former Executive Director
Swedish Heart & Vascular Institute 

9:15

2021 Methodology and Weighting of HAI Quality Measures and the Impact on Critical Access Hospitals

Meg Linza, RN, MSN, CPHQ
Director, Quality, Clinical Education, & Employee Health
Columbia Memorial Hospital 

10:00

Networking & Refreshments Break

10:30

Winning Strategies for Medicare Advantage & Star Ratings Success

Melissa Smith
Executive Vice President, Consulting & Professional Services
HealthMine

11:15

A Systematic Approach and Framework for Aligning Leaders to Achieve their Quality Imperative

Craig Gronczewski, MD MBA
Senior Vice President, Medical Affairs
Chair, Department of Emergency Medicine
Penn Medicine Princeton Health 

12:00

Conference Concludes

Workshop Session:

Monday, November 15, 2021 • 5:15 p.m. – 7:15 p.m.

How to Effectively Earn and Keep High Star Ratings: A Practical Guide to Implementing Key Initiatives that Drive Superior Performance

Speakers:

Nikki Hungate, MS, MHA
Senior Leader, Medicare Government Programs Product Strategy & Design
MVP Health Care

April Demers
Director, Business Solutions
National Social Determinants of Health Institute
ProMedica  

Nancy Everitt, PMP
Chief Executive Officer
LIFE COORDINATED® 

Melissa Hildebrand
Director, Healthcare Partnership
Mom’s Meals 

Debra Corbett
Director, Quality Program
Amida Care 

Valerie Whitman
Vice President, Sales, Healthcare
LeadingResponse

Ian Duncan, PhD, FSA, FIA, FCIA, FCA, CSPA, MAAA
President
SB Actuaries
Adjunct Professor, Actuarial Statistics
University of California Santa Barbara 

Judy Ducsik, MBA, ARRT (N)
Founder & CEO
Expert Vue
Former Executive Director
Swedish Heart & Vascular Institute 

Wayne Chen, MD
Medical Director
Blue Shield of California 

Melissa Smith
Executive Vice President, Consulting & Professional Services
HealthMine  

Ashley Tyrner
Founder & CEO
FarmboxRx 

Lucio Barreto, BSN, RN, CCRN, MICN
Clinical Program Manager, Quality, Patient Experience & Service Excellence
Mount Sinai 

Meghan Hyland
Director, Quality & Member Supports
Lakeland Care

Ariana Peters, DO, FACOI, FHM
Consultant, Division of Hospital Internal Medicine
Medical Director, Care Management
Mayo Clinic

Vanessa Lozada, BSN, RN
Director, Emergency Services
Texas Health Frisco

Ryan Ribeira, MD, MPH
Assistant Medical Director, Emergency Services
Stanford Health Care

Kyle Freeman
Go-To-Market Business Leader
Simpler Consulting, an IBM Company

Melanie Morris, MSN, RN, CMTE
Director, Transfer & Operations Center
Renown Health

Jacob Keeperman, MD
Executive Medical Director, Transfer & Operations Center
Renown Health

Carol Rajchel, MBA, RN
Director, Operations Center
St. Rose Dominican Hospital
Dignity Health

Sharon Urban, MSN, MHA, RN-BC, CNML, NE-BC, FACHE
Senior Director, Patient Care Services
Bayhealth 

Jennifer Doyle
Manager, West Division
ProMedica Senior Care

Craig Gronczewski, MD MBA
Senior Vice President, Medical Affairs
Chair, Department of Emergency Medicine
Penn Medicine Princeton Health 

Meg Linza, RN, MSN, CPHQ
Director, Quality, Clinical Education, & Employee Health
Columbia Memorial Hospital 

Julie Van Dusen
Director, Case Management
Genesis Health System 

   

Todd Gray, MD
Physician Advisor
Genesis Health System 

Sponsors/Exhibitors:

Platinum Sponsor 

LifeCoordinated1

LIFE COORDINATED® is changing healthcare to “help care” and is democratizing and simplifying life and living in the home. LIFE COORDINATED® a HEOPS company, is powered by the CENTIPEDE Health Network, the nation’s largest contracted and credentialed MLTSS/HCBS/SDOH network of in home services and supports providers. This means a simplified experience for members and payors for a platform of services with reduced risk via curated and credentialed providers.

LIFE COORDINATED® features enhanced care management and creative VBC programs to provide members with a value added service of “Help Care” or deeper clinically oriented supplemental benefit programs to impact cost, quality and satisfaction. Give members what they really want… “Help Care”. Learn more at https://mylifecoordinated.com

Gold Sponsor

farmboxrx logo

FarmboxRx has been revolutionizing proactive wellness in the healthcare industry since 2019. With a Food as Medicine approach, FarmboxRx enables health insurance providers to address Social Determinants of Health (SDOH) by delivering fresh healthy food to member's doors across America. FarmboxRx is a first-of-its-kind nutrition program that goes beyond just getting healthy food in members' hands; the program includes Registered Dietitian Nutritionist (RDN) designed nutrition education to promote long-term sustainable healthy habits among participating members. FarmboxRx is available through Medicaid or Medicare programs as an Advantage Benefit, part of a member's Over the Counter (OTC) Card benefit, or as a Healthy Food Card benefit. FarmboxRx is dedicated to improving member health outcomes through nutrition education and reliable access to fresh, healthy food - making food as medicine accessible for all. Farmbox Direct, the parent company of FarmboxRx, was founded by Ashley Tyrner with a clear vision that healthy foods should be accessible to all. Beginning as a local delivery service in NYC, the company quickly expanded to meet the national demands of the millions of Americans who lack access to fresh fruits and vegetables.

Silver Sponsors

LeadingResponseFounded in 1996, Tampa-based LeadingResponse is a trusted and proven leader in customer acquisition for organizations across the United States. LeadingResponse's solution suite enables clients to connect with consumers in the medium they want to engage and at the point in the consumer journey clients want to target. Lead by a team of expert marketers, designers, and developers, LeadingResponse is the easiest way for organizations to grow their business and increase revenue. To learn more about LeadingResponse visit www.leadingresponse.com.

MomsMeals

Mom’s Meals is a leading provider of fully-prepared, refrigerated meals delivered direct to homes nationwide. With programs for long-term service and support, chronic care, post-discharge care and self-pay individuals, members have access to menus to support many common health conditions to address their unique nutritional needs.

Exhibitors

RXSavings

Pioneers in pharmacy transparency, Rx Savings Solutions works on behalf of employers, commercial health plans and Medicare Advantage plans to help members reduce out-of-pocket prescription drug costs and lower the plan's pharmacy spend. The solution layers on top of a client's existing pharmacy benefit, analyzing every claim, every time to identify and present cost-saving alternatives. Whenever savings opportunities are found, members are proactively notified through their preferred communication channels. They engage with the solution through a personal online portal, mobile app and live, concierge member support provided by certified pharmacy technicians. Rx Savings Solutions currently serves more than 9 million members nationwide.

Careington Solution Simplified Logo Reg

Careington International Corporation is a leading provider of savings programs for health, wellness, financial and lifestyle services and owns one of the largest independent dental networks in the nation. Our product and service solutions uniquely fill gaps in benefit packages that are becoming less comprehensive and more expensive.

NationsBenefits logo horiz cNationsBenefits® is a leading supplemental benefits company that partners with managed care organizations to provide innovative healthcare solutions aimed at driving growth, improving outcomes, reducing costs, and delighting members. We surpass traditional benefit designs by taking a consultative approach to understanding each valued client's objectives, and we offer customized programs that can be targeted or scaled to effectively engage members who have diverse needs. With our compliance-focused infrastructure, technology, care continuum and best-in-class service delivery model, health plans can depend on our company to maximize the value-based care delivered to millions of people who deserve a better quality of life. To learn more, visit NationsBenefits.com.

athelas logo vectorAthelas is transforming the way organizations are deploying remote patient monitoring programs. We work with you as a partner to identify your unique needs and create a solution tailored to meet your goals.

 




Zelis Primary Logo Web RGB PNG Blue 1Zelis. As the leading payments company in healthcare, we price, pay and explain healthcare for payers, providers, and consumers. We believe there's a better way to determine the cost of healthcare claims, manage payment-related data, and make the payment because more affordable and transparent care is good for all of us.

 

For Sponsorship & Exhibit Opportunities, please reach out to 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 11, 2021

Register by
November 15, 2021

Conference Only

$995

$1195

Conference & Workshop

$1195

$1395

Standard Rate, Vendors, Solution Providers

Register by
November 11, 2021

Register by
November 15, 2021

Conference Only

$1295

$1495

Conference & Workshop

$1495

$1695


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Workshop Session: How to Effectively Earn and Keep High Star Ratings: A Practical Guide to Implementing Key Initiatives that Drive Superior Performance
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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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.

Our room block is sold out, however, you can book at amazing rates within The LINQ Hotel or Flamingo Hotel - located directly across the street from Carsars Palace Hotel. Please reserve through the following links:

https://www.caesars.com/linq

https://www.caesars.com/flamingo-las-vegas

Caesars1  Caesars2  Caesars3

Media/Press Partners:

MC logo 500x500

Managed Care delivers high-interest articles and features developed through original research and writing. Its editorial mission is to advise managed markets physicians, pharmacists, and executives on the integration of the business and medical aspects of the rapidly changing managed care market. A strict fact-checking and peer-review process assures the accuracy and relevance of editorial content.

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

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*By requesting information on the conference, you also agree to be added to our subscriber/email list of subscribers for announcements on upcoming conferences.*

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