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

 2019 Medicare 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

January 14 – 15, 2019 • Loews Portofino Bay Hotel Bay Hotel Orlando, FL

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 2019 Medicare 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 Orlando!

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, January 14, 2019

7:15 Conference Registration & Networking Breakfast
8:00

Chairperson's Opening Remarks

8:15

Examining the 2019 Star Ratings Landscape

Melissa Smith
Senior Vice President, Star Ratings
Gorman Health Group

9:00

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

John Johnson, MD, MBA, FACP
Chief Medical Officer
Virginia Premier Health Plan

9:45 Networking & Refreshments Break
10:15

How Caring for People with Serious Illness Can Improve Medicare Star Ratings

Torrie Fields, MPH
Senior Manager, Advanced Illness & Palliative Care

Healthcare Quality & Affordability
Blue Shield of California 

11:00

Successfully Overcome the Barriers to Personalized Care Delivery to Achieve Higher Star Ratings

11:45

Engaging Employees to Reach for the Stars: Getting Everyone Involved in Quality

Rebekah Dube, PharmD
Vice President, Health Plan Clinical Programs
Martin’s Point Health Care

12:30 Luncheon for All Attendees & Speakers
1:30

Changing Provider Behavior through Care Pathway Implementation: Boost Star Ratings & Enhance Quality of Care

Brian Justice, DC
Medical Director, Pathway Development & Spine Care
Excellus BlueCross BlueShield

2:15

Panel Discussion: Examining the Current Healthcare Landscape and its Impact on Star Ratings for Health Plans

John Johnson, MD, MBA, FACP
Chief Medical Officer
Virginia Premier Health Plan

Cynthia Weiss, RN
Director, Quality, Accreditation & Wellness
AvMed Health Plans

Rebekah Dube, PharmD
Vice President, Health Plan Clinical Programs
Martin’s Point Health Care

3:15 Networking & Refreshments Break
3:45

Adopt an Integrated Approach to Medical Management, STARS, and Risk Adjustment

Ann Wehr, MD
SVP, Population Health & Provider Alliances
Chief Medical Officer
AvMed Health Plans

Cynthia Weiss, RN
Director, Quality, Accreditation & Wellness
AvMed Health Plans

4:30

Implementing an Effective Engagement Program to Boost Star Ratings

Jennifer Hawkins, MSW
Director, Clinical Integration
CareOregon

5:15 End of Day One


Day Two – Tuesday, January 15, 2019

7:15 Networking Breakfast
8:00

Chairperson’s Recap of Day One

8:15

Best Practices on Year-Round Health Plan Star Ratings Management

Stuart Rosenblum
Director, Strategic Alliances
Anthem

9:00

Enhancing Provider-Payer Collaboration to Boost Stars, Risk Assessment and Clinical Performance while Maximizing Resources

Chelsea Hammers, MBA
Clinical Quality Improvement Strategist
PacificSource Health Plans

Charity Kennedy, RN
Clinical Quality Improvement Strategist
PacificSource Health Plans

9:45 Networking & Refreshments Break
10:15

Improving Quality Scores by Integrating your Quality and Risk Adjustment Programs

Kyle Mendez, MBA
Director, Operations & Quality
Golden State Medicare Health Plan 

11:00

Behavioral Health and Physical Health Integration: Effective Management of Complex Members and its Effect on Quality Scores

Lauren Easton
Senior Director, Behavioral Health
Commonwealth Care Alliance

11:45

Achieving Higher Star Ratings through Effective Compliance Management for Medicare Health Plans

12:30 Conference Concludes
Workshop Session:

Monday, January 14, 2019 • 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

The Workshop will discuss practical strategies and tactics that are proven to achieve superior Star rating performance. The Workshop will cover the following topics:

  • Stars Overview – A discussion of the Stars program and what it means to your organization
  • Organizational Dynamics – Develop an organization that nurtures champions, embraces accountability, and rewards performance.
  • Setting Annual Goals – With a moving target, where should we look for improvement?
  • “Why don’t our members love us?” – Boost member impressions for the CAHPS survey
  • Plan Management Pitfalls – Discover internal risks and chart corrective action before it is too late
  • Measuring Provider Performance - Combine claims and clinical data, with robust analytics and effective chart reviews, to accurately and cost effectively measure provider performance
  • The Provider Improvement Process - Engage providers to improve on the fly

We encourage the sharing of experiences and a spirited discussion to help all become 5 Star performers!

ABOUT THE WORKSHOP LEADER:
Richard Trembowicz is an Associate Principal at ECG Management Consultants. Richard is a visionary consulting executive whose clients value his ability to translate complex business concepts into winning strategies and actionable plans. He builds strong and lasting relationships with physicians and C-suite leaders, deftly encourages stakeholders to embrace change to address current challenges, and facilitates non-contentious resolution of thorny issues in the complex healthcare system. In a career spanning more than 25 years, Richard has consulted to hospitals, health systems, and insurers on such diverse topics as network development, acquisitions and affiliations, insurer relations, member/patient acquisition and retention, practice transformation, and implementation of quality incentives.

Richard has transitioned his deep knowledge of law, healthcare finance, and successful direct-to-consumer marketing and sales strategies to guide insurers and providers to successfully manage the convergence of accountable care, financial risk, and population health management. He has tremendous insight on the application of digital communication in medicine, and he values savvy market and operational assessment as the foundation for development of comprehensive, and measurable, strategic and operational plans for high-growth insurance services in a dynamic healthcare market.

Speakers:

Stuart Rosenblum
Director, Strategic Alliances
Anthem

John Johnson, MD, MBA, FACP
Chief Medical Officer
Virginia Premier Health Plan 

Torrie Fields, MPH
Senior Manager, Advanced Illness & Palliative Care
Healthcare Quality & Affordability
Blue Shield of California 

Ann Wehr, MD
SVP, Population Health & Provider Alliances
Chief Medical Officer
AvMed Health Plans

Rebekah Dube, PharmD
Vice President, Health Plan Clinical Programs
Martin’s Point Health Care

Brian Justice, DC
Medical Director, Pathway Development & Spine Care
Excellus BlueCross BlueShield 

Cynthia Weiss, RN
Director, Quality, Accreditation & Wellness
AvMed Health Plans

Jennifer Hawkins, MSW
Director, Clinical Integration
CareOregon

Chelsea Hammers, MBA
Clinical Quality Improvement Strategist
PacificSource Health Plans

   

Charity Kennedy, RN
Clinical Quality Improvement Strategist
PacificSource Health Plans

Kyle Mendez, MBA
Director, Operations & Quality
Golden State Medicare Health Plan 

   

Lauren Easton
Senior Director, Behavioral Health
Commonwealth Care Alliance

Richard Trembowicz
Associate Principal
ECG Management Consultants

   

Melissa Smith
Senior Vice President, Star Ratings
Gorman Health Group 

Sponsors/Exhibitors:

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
December 21, 2018

Register by
January 14, 2019

Conference Only

$995

$1195

Conference & Workshop

$1195

$1395

Standard Rate, Vendors, Solution Providers

Register by
December 21, 2018

Register by
January 14, 2019

Conference Only

$1295

$1495

Conference & Workshop

$1495

$1695


Register for the 2019 Medicare Star Ratings & Quality Management Forum

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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:

Loews Portofino Bay Hotel
5601 Universal Boulevard
Orlando, FL 32819

Phone: 407-503-1000

*Mention Group Code "World Conference Forum" to get the discounted rate of $199/night.

You can also book online at the disocunted rate at:

CLICK HERE for ONLINE RESERVATIONS

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Media/Press Partners:

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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 supporting partner, please contact This email address is being protected from spambots. You need JavaScript enabled to view it.

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