2022 Star Ratings & Quality Management Summit
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
July 14 – 15, 2022 • Swissotel Chicago • Chicago, IL
Sponsors/Exhibitors & Partners
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 2022 Star Ratings & Quality Management Summit 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 Chicago!
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 • Compliance • Care Management • Operations • Strategy • Business Development • Regulatory Affairs • Business Development • Regulatory Affairs • Risk Management • Utilization Management |
• Medicare Stars
• Medicare Advantage • Government Programs • Data & Analytics • Value-Based Health • Medical • Product Development • Finance • Quality • Pharmacy • Disease Management • Pharmacy • Disease Management • Community Health • Network Management |
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
Day One – Thursday, July 14, 2022
7:15 |
Conference Registration & Networking Breakfast |
8:15 |
Chairperson's Opening Remarks Corey Gabler |
8:30 |
Insights, Integrations, and Innovations from the MA Front Lines Kimberly Swanson |
9:15 |
Digital Products and Benefits to Support Stars Goals Paul Cain |
10:00 |
Networking & Refreshments Break |
10:30 |
Leveraging Consumer Engagement to Improve Stars and Address SDOH Sonja Pedersen-Green |
11:15 |
Enhancing Star Ratings: Aligning Population Health Management and Physician Engagement to Boost Quality and Patient Satisfaction Jeff Heatherington, LDH (Hon) |
12:00 |
Luncheon for All Attendees & Speakers |
1:15 |
Integrating Predictive Modeling to Mitigate Future Risk and Improve Quality Outcomes Rebekah Lane |
2:00 |
Panel Discussion: Examining the Current Healthcare Landscape and its Impact on Star Ratings/Quality Management Paul Cain Jamie Galbreath, PhD, MPH, CHES Ian Duncan, PhD, FSA, FIA, FCIA, FCA, CSPA, MAAA |
3:00 |
Networking & Refreshments Break |
3:30 |
Financial and Competitive Tailwinds Associated with Associated with Improvements to Stars and Risk Ian Duncan, PhD, FSA, FIA, FCIA, FCA, CSPA, MAAA |
4:15 |
Next Gen RPM – Remote Patient Monitoring in Star Ratings/Quality Management Taylor Jackson |
5:00 |
End of Day One |
Day Two – Friday, July 15, 2022
7:15 |
Networking Breakfast |
8:15 |
Chairperson’s Recap of Day One Corey Gabler |
8:30 |
Create Partnerships that Engage the Individual to Improve Quality and Boost Star Ratings Jamie Galbreath, PhD, MPH, CHES |
9:15 |
Best Practices and Benefit Innovations that Boost Star Ratings Michael Adelberg Tyler Knutson Elizabeth Klodas, MD |
10:00 |
Networking & Refreshments Break |
10:30 |
FHIR Up HEDIS Population Health Management and Improve Your HEDIS STARs Katharine Iskrant, MPH, CHCA, CPHQ |
11:30 |
Conference Concludes |
Thursday, July 14, 2022 • 5:30 p.m. – 7:30 p.m.
How to Effectively Earn and Keep High Star Ratings: A Practical Guide to Implementing Key Initiatives that Drive Superior Performance
Debbie Reber, MHS, OTR |
Bill Nordmark |
||
Tom Aubel |
Jonna Dube, MBA, BSN, RN |
||
Jennifer Mann |
Taylor Jackson |
||
Brian Sweatman, MBA, FSA, MAAA |
Dane Hansen, FSA, MAAA |
||
Rachel Mutrux |
Lili Brillstein, MPH |
||
William Munley |
Jeff Heatherington, LDH (Hon) |
||
Steven Peskin, MD, MBA, MACP |
David Meltzer, MD, PhD |
||
Eleni Wilson, MPH |
Braxton Millar |
||
Katharine Iskrant, MPH, CHCA, CPHQ |
Paul Cain |
||
Ian Duncan, PhD, FSA, FIA, FCIA, FCA, CSPA, MAAA |
Michael Adelberg |
||
Jamie Galbreath, PhD, MPH, CHES |
Tyler Knutson |
||
Elizabeth Klodas, MD |
Virginia Burchett |
||
Rebekah Lane |
Corey Gabler |
||
Ken Steele |
Jordan Brozyna |
||
Kimberly Swanson |
Platinum Sponsor
Enlace Health™ solves healthcare from the inside-out, fixing healthcare at its core and making value-based care a reality. The Connected World of Enlace empowers payers, providers, and patients to participate together in an economically sound environment. The Enlace solution is the only end-to-end infrastructure that bridges the gap between the current, chaotic system and an orderly healthcare world. Enlace always meets clients where they are, creating solutions based on need and maturity in value-based care. Enlace is Sustainable Healthcare, Delivered.
Silver Sponsor
Cognizant (Nasdaq-100: CTSH) engineers modern businesses. We help our clients modernize technology, reimagine processes and transform experiences so they can stay ahead in our fast-changing world. Together, we're improving everyday life. See how at www.cognizant.com or @cognizant.
Luncheon Sponsor
Athelas Remote Patient Monitoring (RPM) allows healthcare providers to monitor patient vitals like blood pressure, weight, and blood glucose without the patient ever having to enter a clinic, increasing patient engagement and bringing new revenue into your practice. Three Reasons why you should choose Athelas: (1) Our dedicated Success Team makes onboarding effortless, so you get the benefits of RPM with adding additional work for your staff; (2) Monitoring of patient vitals is managed by the Athelas Nursing Team, who will escalate to your own staff only when out-of-range measurements are detected; (3) Athelas handles 100% of billing and reconciliation, making it a breeze to get paid.
Associate Sponsors
Belle provides therapeutic, in-home foot care to activate difficult to reach members. The luxurious feel of the experience paired with powerful relationships formed with nail technicians creates the optimal circumstances to engage members in their homes, address open care gaps, and drive incredible levels of member satisfaction.
Step One Foods is the first food benefit scientifically proven in a clinical trial at The Mayo Clinic. These delicious foods are appropriate for nearly everyone, but particularly for the 63% of Medicare Advantage members with high cholesterol levels. https://www.steponefoods.com/
Exhibitors
Compass Performance Group LLC. Works with providers to customize member engagement strategies designed toward improving 5 Star Ratings. Compass is committed to developing strong relationships with members and providers to better understand their specific needs and address them in order to deliver the best member experience and the best possible rating for our provider clients.
Bamboo Health (formerly Appriss Health + PatientPing) is a healthcare technology company focused on care collaboration and providing actionable insights across the continuum of care. As one of the largest care collaboration networks in the country, health systems, payers, providers & more rely on Bamboo Health to improve care and reduce cost.
Real Time Medical Systems is the industry-leading, KLAS Rated Interventional Analytics solution that turns post-acute EHR data into actionable insights. Serving healthcare organizations nationwide, Real Time improves value-based outcomes by reducing hospital admissions, minimizing post-acute length of stay, accurately managing reimbursements, detecting early signs of infectious disease, and advancing care coordination through post-acute data transparency.
HCRM. Health Risk Monitor (HRM) is a software solution that provides accurate clinical predictions of patient health and cost. This system enables utilization management, disease management and a variety of health coaching services to manage health conditions within a given population. HRM doesn’t just look at members that were high-cost last year but identifies future high-cost members based on their current condition and the likely outcomes of their clinical status including gaps in care. With this solution you can identify appropriate interventions to improve the populations’ health and reduce your clients’ cost and risk for next year. HCRM’s predictive modeling engine delivers a complete view, looking in the past and into the future, allowing clients to identify high risk, future high-cost individuals and groups needing clinical attention, thus providing opportunities for significant savings hidden in the data. The HCRM platform, Health Risk Monitor, is utilized by onsite clinics, brokers, health management vendors, TPA’s and employer groups allowing visibility of outcomes for all moving pieces.
For Sponsorship & Exhibit Opportunities, please reach out to This email address is being protected from spambots. You need JavaScript enabled to view it.
Health Plans, Hospitals, Health Systems, Providers, Payers |
Register by |
Register by |
Conference Only |
$995 |
$1195 |
Conference & Workshop |
$1195 |
$1395 |
Standard Rate, Vendors, Solution Providers |
Register by |
Register by |
Conference Only |
$1295 |
$1495 |
Conference & Workshop |
$1495 |
$1695 |
Swissotel Chicago
323 E Wacker Dr
Chicago, IL 60601
Phone: 312-565-0565
*Mention Group Code "World Conference Forum" to get the discounted rate of $229/night!
You can also book online at:
https://book.passkey.com/e/50325614
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