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

2025 National Medicare Advantage Congress

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

May 8 – 9, 2025 • Swissotel Chicago • Chicago, IL

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 Congress 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 Congress, you will learn what others in your industry are doing to be better prepared for the challenges that lie ahead in 2025 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 Chicago!

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 – Thursday, May 8, 2025

7:15

Conference Registration & Networking Breakfast

8:00

Chairperson's Opening Remarks

Matt Hoff
Chief Executive Officer
A-S Medication Solutions

8:15

Confronting the New Medicare Advantage Reality

Derek Skoog, FSA, MAAA
Partner
PwC 

Ari Gotlieb
Principal
A2Strategy

9:10

The Political Landscape of Medicare Advantage in the 119th Congress: A Mindful Approach to Healthcare Transformation

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

10:00

Networking & Refreshments Break

10:30

A Summary/Analysis of the 2026 Final Rule

Stephen Wood
Co-Founder & Partner

Clear View Solutions

Kirk Twiss, FSA, MAAA
Co-Founder & Partner

Clear View Solutions

11:30

Improving Outcomes, Star Ratings, and Costs by Leveraging High Quality Interpretation and Translation

Meredith Stegall
Director, Healthcare Solutions
BIG Language Solutions

Johnny Mackay
SVP, Customer Success – Healthcare
BIG Language Solutions

12:15

Luncheon for All Attendees & Speakers

1:30

Expanding Value Based Healthcare within Medicare and Medicaid

Nancy Everitt, PMP
Chief Executive Officer
LIFE COORDINATED®

2:30

Panel Discussion: Expanding Value Based Healthcare within Medicare Advantage

Stephen Wood
Co-Founder & Partner

Clear View Solutions

Jo Ellen McNamara
Vice President, Housing+Health Relationship
National Equity Fund

Derek Skoog, FSA, MAAA
Partner
PwC 

3:10

Networking & Refreshments Break

3:30

Following the Doctor's Orders

Matt Hoff
Chief Executive Officer
A-S Medication Solutions

4:15

Considerations for Changes in the Medicare Advantage Risk Adjustment Process

Steve Schramm, PhD, MScHE
Founder
CBIZ Optumas

5:00

End of Day One


Day Two – Friday, May 9, 2025

7:15

Networking Breakfast

8:15

Chairperson’s Recap of Day One

Matt Hoff
Chief Executive Officer
A-S Medication Solutions

8:30

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

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

9:15

End of Life Care Transitions – Member Experience, Cost and Quality

Devin Woodley
Vice President, Managed Care Contracting
Visting Nurse Service of New York

10:00

Networking & Refreshments Break

10:30

Value Based Contracting for Medicare Advantage

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

11:15

Affordable Housing and Medicare Advantage: Building Partnerships for Community and Business Benefit

Jo Ellen McNamara
Vice President, Housing+Health Relationship
National Equity Fund

12:00

Conference Concludes

Workshop Session:

Thursday, May 8, 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:

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

Kolynda Parker, MHS, MLS(ASCP)CM, CPHQ, CLSSGB
Medicaid Deputy Director
Louisiana Department of Health

Andrey Ostrovsky, MD, FAAP
Chief Advisor
Somethings
Former Chief Medical Officer, US Medicaid Program
Centers for Medicare & Medicaid Services

Jeremy Armstrong-DeRossitt
Assistant Director, Division of Health Plan Oversight
Department for Medicaid Services
Kentucky Cabinet for Health and Family Services

Jo Ellen McNamara
Vice President, Housing+Health Relationship
National Equity Fund

Rebecca Gillmore, MHA
Manager, Managed Care Logistical Support
Michigan Department of Health & Human Services

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

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

Ari Gotlieb
Principal
A2Strategy

Derek Skoog, FSA, MAAA
Partner
PwC 

Stephen Wood
Co-Founder & Partner

Clear View Solutions

Kirk Twiss, FSA, MAAA
Co-Founder & Partner

Clear View Solutions

Meredith Stegall
Director, Healthcare Solutions
BIG Language Solutions

Johnny Mackay
SVP, Customer Success – Healthcare
BIG Language Solutions

Nancy Everitt, PMP
Chief Executive Officer
LIFE COORDINATED®

Matt Hoff
Chief Executive Officer
A-S Medication Solutions

Steve Schramm, PhD, MScHE
Founder
CBIZ Optumas

Devin Woodley
Vice President, Managed Care Contracting
Visting Nurse Service of New York

Angela Graham-Massey, DNP, RN
Director, Care Management & Clinical Effectiveness
Norton Women's & Children's Hospital

Tamara Buechler, MD, MHA
Medical Director, Patient Flow & Care Management
Mayo Clinic

Riddhi Parikh, MBBS
Associate Medical Director, Patient Flow
Mayo Clinic

Patrice Callagy, RN, MPA, MSN, CEN
Vice President, Emergency Services
Stanford Health Care

Shashank Ravi, MD, MBA
Director, Quality, Adult Emergency Department
Medical Director, Value Based Care Program
Stanford Health Care

Maile Wells, MS
Quality Improvement Advisor
Emergency Department & Arizona Operations Command Center
Mayo Clinic

Scott Jahnke, MBA, HCM
Director, Patient Flow Command Center
UCLA Health

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

Bonnie Clement, DNP, MSN-Ed, RN, CMSRN, CNML
Nurse Manager, Extended Recovery & Short-Stay Unit
Fairview Southdale Hospital

David Meltzer, MD, PhD
Director, Center for Health and the Social Sciences
Chair, Committee on Clinical & Translational Science
UChicago Medicine

Carissa Tyo, MD
Medical Director, Clinical Decision Unit
Medical Director, Care Management & Physician Advisors
University of Illinois Hospital & Health Sciences System

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

Lisa Giocondi, MBA, RN, FACHE
Operations Manager, Critical Care & Emergency Medicine
Mayo Clinic

Jennifer Bartelt, MHA
Administrator, Admission, Transfer Center & Ambulance Service
Mayo Clinic

Brian Brady
Operations Coordinator
Mayo Clinic

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.

BIGLanguageLogo

BIG Language Solutions is how healthcare organizations can finally trust every word of their interpretations and translations. With BIG, you know the work will get done by experts in your industry, exactly when and how you need it. You often face uncertainty with this kind of work, like when will a good interpreter be available, how much will your translation project actually cost, and will it say the right thing. BIG solves those challenges. Trust Every Word.

SomethingsSomethings is a telehealth platform that connects high-risk teens with 20-28 year old Certified Peer Specialist Mentors and Clinical Providers to drive higher engagement and avoid unnecessary behavioral health spend.

Exhibitors

D4Solutions Logo Light Blue Tag Color RGBD4 Solutions delivers flexible, secure, and timely print and digital document solutions. Our SOC 2 and HIPAA certification underscore our commitment to safeguarding sensitive member data. We offer a comprehensive suite of services tailored to meet the unique needs of the insurance industry including fully customizable hard copy and web-based document management and hosting services. We offer variable data and custom formatting solutions to personalize communications while managing costs. D4 does the heavy lifting from onboarding through production to facilitate successful delivery of your critical communications.

Enable Dental On site Logo 1 1 1At Enable Dental, we provide onsite dental services for unique populations in the comfort of the patient's home, senior home, assisted living facility, or community center. Our dental team comes to the patient – wherever they are. Our licensed professionals are highly qualified and committed to providing the best care to our patients. We are equipped with portable technology and systems that allow us to provide at-home or on-site dentistry.

solventum logo horz clr pos rgbAt Solventum, formerly 3M Health Information Systems, we enable better, smarter, safer healthcare to improve lives. As a new company with a long legacy of creating breakthrough solutions for our customers’ toughest challenges, we pioneer game-changing innovations at the intersection of health, material and data science that change patients' lives for the better while enabling healthcare professionals to perform at their best. Because people, and their wellbeing, are at the heart of every scientific advancement we pursue. We partner closely with the brightest minds in healthcare to ensure that every solution we create melds the latest technology with compassion and empathy. Because at Solventum, we never stop solving for you.

MedWatchers logoMedWatchers provides high-quality, creative MTM/HEDIS solutions to optimize medication therapy, improve health outcomes, and control healthcare costs in Medicaid, Medicare, and Commercial populations. Our team of culturally competent 180+ pharmacists speak 30 different languages, and our clients have referred to us as 'the magic bullet' for patient engagement who consistently year after year not only deliver results but exceed expectations. Our programs include services that impact various quality measures (STAR, HEDIS, Adult & Behavioral Core Sets), SDOH, Chronic disease management programs (Diabetes, COPD/Asthma, CHF), and Comprehensive Medication Management that is patient-centric, focus-driven to reduce adverse events, litigate overall utilization and spend, and enhance care coordination. Each program can be customized to meet clients' clinical, operational, and branding needs. Our technology-advanced, proprietary platform, CMAPP, enables pharmacists to deliver safe, efficient, and effective clinical services. CMAPP is HITRUST-certified, customizable, and is available for leasing to support SaaS or Hybrid model needs. It leverages an advanced clinical engine and library as well as predictive analytics to optimize outreach via phone, telehealth, SMS, and interactive solutions. Learn more at Home - MedWatchers

RAM LogoFounded in 1981, RAM Technologies is a leader in enterprise solutions for healthcare payers, delivering comprehensive SaaS and BPaaS solutions. Specializing in Medicare Advantage, Managed Medicaid, and Special Needs plans, we ensure seamless integration and operational ease, allowing health plans to focus on what matters most – their members. Visit www.ramtechinc.com.

ElliQ by IR Logo

ElliQ, developed by Intuition Robotics, is the first AI-powered care companion robot designed to empower happier, healthier and more independent aging. In partnership with hundreds of government agencies, nonprofits, and healthcare providers, ElliQ supports thousands of older adults across the U.S., empowering them to age in place. Through personalized, empathetic, and proactive support, ElliQ enhances health and wellbeing, strengthens connections with caregivers, loved ones and care teams, provides daily companionship and engagement, and assists with everyday routines—making life at home more seamless, connected, and fulfilling.

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
May 7, 2025

Register by
May 8, 2025

Conference Only

$995

$1195

Conference & Workshop

$1195

$1395

Standard Rate, Vendors, Solution Providers

Register by
May 7, 2025

Register by
May 8, 2025

Conference Only

$1295

$1495

Conference & Workshop

$1495

$1695


Register for the 2025 National Medicare Advantage Congress

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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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Venue:

Swissotel Chicago
323 W Wacker Dr
Chicago, IL 60602

Phone: 312-565-0565

*Mention Group Code "World Conference Forum" to get the discounted rate of $259/night!

You can also book online at:

https://book.passkey.com/e/50937876

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Media/Press Partners:

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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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