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
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!
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 • 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, May 8, 2025
7:15 |
Conference Registration & Networking Breakfast |
8:00 |
Chairperson's Opening Remarks Matt Hoff |
8:15 |
Confronting the New Medicare Advantage Reality Derek Skoog, FSA, MAAA Ari Gotlieb |
9:10 |
The Political Landscape of Medicare Advantage in the 119th Congress: A Mindful Approach to Healthcare Transformation Gary Jacobs |
10:00 |
Networking & Refreshments Break |
10:30 |
A Summary/Analysis of the 2026 Final Rule Stephen Wood Kirk Twiss, FSA, MAAA |
11:30 |
Improving Outcomes, Star Ratings, and Costs by Leveraging High Quality Interpretation and Translation Meredith Stegall Johnny Mackay |
12:15 |
Luncheon for All Attendees & Speakers |
1:30 |
Expanding Value Based Healthcare within Medicare and Medicaid Nancy Everitt, PMP |
2:30 |
Panel Discussion: Expanding Value Based Healthcare within Medicare Advantage Stephen Wood Jo Ellen McNamara Derek Skoog, FSA, MAAA |
3:10 |
Networking & Refreshments Break |
3:30 |
Following the Doctor's Orders Matt Hoff |
4:15 |
Considerations for Changes in the Medicare Advantage Risk Adjustment Process Steve Schramm, PhD, MScHE |
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 |
8:30 |
Medicare's Migraine: Risk Adjustment and integrating AI into Operations Dave Meyer |
9:15 |
End of Life Care Transitions – Member Experience, Cost and Quality Devin Woodley |
10:00 |
Networking & Refreshments Break |
10:30 |
Value Based Contracting for Medicare Advantage Ian Duncan, PhD, FSA, MAAAA |
11:15 |
Affordable Housing and Medicare Advantage: Building Partnerships for Community and Business Benefit Jo Ellen McNamara |
12:00 |
Conference Concludes |
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
Audrey Shelto |
Kolynda Parker, MHS, MLS(ASCP)CM, CPHQ, CLSSGB |
||
Andrey Ostrovsky, MD, FAAP |
Jeremy Armstrong-DeRossitt |
||
Jo Ellen McNamara |
Rebecca Gillmore, MHA |
||
Gary Jacobs |
Dave Meyer |
||
Ari Gotlieb |
Derek Skoog, FSA, MAAA |
||
Stephen Wood |
Kirk Twiss, FSA, MAAA |
||
Meredith Stegall |
Johnny Mackay |
||
Nancy Everitt, PMP |
Matt Hoff |
||
Steve Schramm, PhD, MScHE |
Devin Woodley |
||
Angela Graham-Massey, DNP, RN |
Tamara Buechler, MD, MHA |
||
Riddhi Parikh, MBBS |
Patrice Callagy, RN, MPA, MSN, CEN |
||
Shashank Ravi, MD, MBA |
Maile Wells, MS |
||
Scott Jahnke, MBA, HCM |
Praveen Mital, MD, MBA, FACEP |
||
Bonnie Clement, DNP, MSN-Ed, RN, CMSRN, CNML |
David Meltzer, MD, PhD |
||
Carissa Tyo, MD |
Ian Duncan, PhD, FSA, MAAAA |
||
Lisa Giocondi, MBA, RN, FACHE |
Jennifer Bartelt, MHA |
||
Brian Brady |
Associate Sponsors
A-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.
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.
Somethings 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
D4 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.
At 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.
At 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 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
Founded 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, 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 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.
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 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
Medhealth 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.
Healthcare 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 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.
MedTech 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.
To become to a Media/Press Partner, please contact This email address is being protected from spambots. You need JavaScript enabled to view it.