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

 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

EnlaceLogo 2C RGB 002    Cognizant    athelas logo05042021 496w    CPG LOGO    BambooHealth Logo Primary Stacked COLOR    Realtime    HCRM Actionable Information logo    belle2    StepOne    HealthCareTechOutlook logo    pharma tech outlook JPg

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!

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 – Thursday, July 14, 2022

7:15

Conference Registration & Networking Breakfast

8:15

Chairperson's Opening Remarks

Corey Gabler
President
Compass Performance Group

8:30

Insights, Integrations, and Innovations from the MA Front Lines

Kimberly Swanson
Senior Vice President, Consulting & Professional Services
Healthmine

9:15

Digital Products and Benefits to Support Stars Goals

Paul Cain
AVP, Medicare Product
Cigna

10:00

Networking & Refreshments Break

10:30

Leveraging Consumer Engagement to Improve Stars and Address SDOH

Sonja Pedersen-Green
Associate Partner
McKinsey & Company 

11:15

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

Jeff Heatherington, LDH (Hon)
President & CEO
FamilyCare Health Plans 

12:00

Luncheon for All Attendees & Speakers

1:15

Integrating Predictive Modeling to Mitigate Future Risk and Improve Quality Outcomes

Rebekah Lane
Head of Sales & Account Management
Health Cost & Risk Management 

2:00

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

Paul Cain
AVP, Medicare Product
Cigna

Jamie Galbreath, PhD, MPH, CHES
Associate Director, Quality Improvement
UCare

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

Financial and Competitive Tailwinds Associated with Associated with Improvements to Stars and Risk

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

4:15

Next Gen RPM – Remote Patient Monitoring in Star Ratings/Quality Management

Taylor Jackson
AVP, Strategic Growth
Athelas 

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
President
Compass Performance Group

8:30

Create Partnerships that Engage the Individual to Improve Quality and Boost Star Ratings

Jamie Galbreath, PhD, MPH, CHES
Associate Director, Quality Improvement
UCare 

9:15

Best Practices and Benefit Innovations that Boost Star Ratings

Michael Adelberg
Principal
Faegre Drinker Consulting
Former Director, Insurance Programs Groups
Centers for Medicare and Medicaid Services (CMS)

Tyler Knutson
Vice President, Development & Innovation
Belle

Elizabeth Klodas, MD
Chief Medical Officer
Step One Foods 

10:00

Networking & Refreshments Break

10:30

FHIR Up HEDIS Population Health Management and Improve Your HEDIS STARs

Katharine Iskrant, MPH, CHCA, CPHQ
President
Healthy People, Inc.

11:30

Conference Concludes

Workshop Session:

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

Speakers:

Debbie Reber, MHS, OTR
Vice President, Clinical Services
Brooks Rehabilitation 

Bill Nordmark
President & CEO
Enlace Health

Tom Aubel
Associate Vice President, Reimbursement
UPMC Health Plan 

Jonna Dube, MBA, BSN, RN
Senior Director, Government Program Operations & Care Pathways
UMass Memorial Medical Center  

Jennifer Mann
Senior Manager, NetworX Product Management
Cognizant

Taylor Jackson
AVP, Strategic Growth
Athelas 

Brian Sweatman, MBA, FSA, MAAA
Principal & Consulting Actuary
Milliman

Dane Hansen, FSA, MAAA
Consulting Actuary
Milliman

Rachel Mutrux
Senior Program Director, Missouri Telehealth Network
Director, Show-Me ECHO
State Director, Heartland Telehealth Resource Center
University of Missouri Health

Lili Brillstein, MPH
Chief Executive Officer
BCollaborative

William Munley
Administrator
Shriners Hospitals for Children – Greenville

Jeff Heatherington, LDH (Hon)
President & CEO
FamilyCare Health Plans

Steven Peskin, MD, MBA, MACP 
Executive Medical Director 
Population Health & Transformation 
Horizon Blue Cross Blue Shield of New Jersey 

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

Eleni Wilson, MPH
Senior Project Manager, Providence Heart Institute
Clinical Program Services
Providence 

Braxton Millar
Senior Director & Partner
Provider Enterprise Solutions
Optum 

Katharine Iskrant, MPH, CHCA, CPHQ
President
Healthy People, Inc.

Paul Cain
AVP, Medicare Product
Cigna 

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

Michael Adelberg
Principal
Faegre Drinker Consulting
Former Director, Insurance Programs Groups
Centers for Medicare and Medicaid Services (CMS) 

Jamie Galbreath, PhD, MPH, CHES
Associate Director, Quality Improvement
UCare 

Tyler Knutson
Vice President, Development & Innovation
Belle 

Elizabeth Klodas, MD
Chief Medical Officer
Step One Foods 

Virginia Burchett
Chief Executive Officer
Virginia Burchett Consulting 

Rebekah Lane
Head of Sales & Account Management
Health Cost & Risk Management 

Corey Gabler
President
Compass Performance Group

Ken Steele
Principal
ECG Management Consultants

   

Jordan Brozyna
Manager
ECG Management Consultants

Kimberly Swanson
Senior Vice President, Consulting & Professional Services
Healthmine

     
Sponsors/Exhibitors:

Platinum Sponsor

EnlaceLogo 2C RGB 002

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

CognizantCognizant (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 logo05042021 496w

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

belle2Belle 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.

 

StepOneStep 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

CPG LOGO

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.

BambooHealth Logo Primary Stacked COLOR

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.

 

RealtimeReal 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 Actionable Information logoHCRM. 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.

Registration Pricing:

Health Plans, Hospitals, Health Systems, Providers, Payers

Register by
July 8, 2022

Register by
July 14, 2022

Conference Only

$995

$1195

Conference & Workshop

$1195

$1395

Standard Rate, Vendors, Solution Providers

Register by
July 8, 2022

Register by
July 14, 2022

Conference Only

$1295

$1495

Conference & Workshop

$1495

$1695


Register for the 2022 Star Ratings & Quality Management Summit

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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:

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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Media/Press Partners:

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.

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