• Overview
  • Audience
  • Agenda
  • Workshop Session
  • Speakers
  • Sponsors/Exhibitors
  • Registration Pricing
  • Venue
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Overview:

 2019 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

July 25 – 26, 2019 •THE US GRANT, A Luxury Collection Hotel San Diego, CA

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 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 San Diego!

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 25, 2019

7:15 Conference Registration & Networking Breakfast
8:15

Chairperson's Opening Remarks

Richard Trembowicz
Principal
ECG Management Consultants

8:30

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

John Zweifler, MD, MPH
Medical Director
Adventist Health Plan 

9:15

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

Jessica Assefa
Senior Director, Star Ratings
Gorman Health Group

10:00 Networking & Refreshments Break
10:30

Leveraging Provider Partnerships and Analytics to Achieve 5 Star Success

Amy Brittan, MPH
Program Manager, MA Stars
Providence Health Plan 

11:15

Leveraging Consumerism to Improve Quality Measures

Stuart Rosenblum
Director, Strategic Alliances
Anthem

12:15 Luncheon for All Attendees & Speakers
1:30

Strategies on Behavioral Health Integration and Clinical Innovations to Enhance Star Ratings

Lauren Easton
Senior Director, Behavioral Health
Commonwealth Care Alliance

2:15

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

John Zweifler, MD
Medical Director
Adventist Health Plan

Jessica Assefa
Senior Director, Star Ratings
Gorman Health Group

Sanjay Patil, MD
Chief Executive Officer
Golden State Medicare Health Plan

3:15 Networking & Refreshments Break
3:45

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

Chelsea Hammers, MBA
Population Health Manager
PacificSource Health Plans

4:30

Implementing Effective Provider Engagement Strategies to Improve Patient Outcomes and Achieve Higher Star Ratings

Donetta Godwin
Senior Consultant, Performance & Analytics
Carolina Complete Health Network

5:15 End of Day One


Day Two – Friday, July 26, 2019

7:15 Networking Breakfast
8:15

Chairperson’s Recap of Day One

Richard Trembowicz
Principal
ECG Management Consultants

8:30

Developing a Targeted and Strategic Communications Initiative to Increase Enrollment and Capitalize on Star Ratings

Anna Lynch
Medicare Integration Manager
CareOregon

9:15

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

Kim Barrus, MSN, BSCIS, RN, PMP
Medical Home Manager
SelectHealth Health Plan 

10:00 Networking & Refreshments Break
10:30

Strategies on Social Determinants of Health (SDoH) within the Government Program that Enhance Star Ratings

Melinda Durr
Partner, Health & Life Sciences
Oliver Wyman

Parie Garg
Partner, Health & Life Sciences
Oliver Wyman

11:30 Conference Concludes
Workshop Session:

Thursday, July 25, 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

This workshop is designed for the health plan looking to improve Stars performance, or the new plan that covets a 4 Star rating. The workshop leaders will address how to evaluate potential weaknesses in your organizational structure and operations to understand how these pose threats to Stars performance. We will discuss models for Stars program organization, accountability structures, some of the common execution challenges that plans face in realizing 4 or 5 Star status. We’ll update 2020 changes, review future areas of CMS focus and address challenges to Stars improvement to help develop effective strategies.

Topics to be discussed will include:

  • An overview of the Stars domains and identifying where you can have the greatest impact
  • 2020 Stars updates and future areas of focus; including performance trends
  • Designing the organizational structure to assemble your team and build Stars champions, with communication strategies that lead to success
  • Conducting an effective, cross-functional training program to improve Star Ratings
  • The power of efficient, timely and effective data collection and analysis to support program operation and empower key staff and functional leaders with actionable information
  • Developing ROI models that demonstrate the value of program improvements to secure internal funding
  • Performance measurement reporting designed to inform stakeholders and collaboratively effectuate change
  • Strategies that encourage provider and member engagement and improve performance, with a focus on CAHPS and member social determinants of health, including aligned performance incentives
  • Discussion of common execution obstacles and effective avoidance planning
  • Achieving synergies among quality, utilization and referral management, provider contracting, and data management to optimize risk and Stars scores

About the Workshop Leaders:
Richard Trembowicz is Principal at ECG Management Consultants. Rich leads ECG’s Insurance Services Group. Richard supports insurers, self-funded employers, and health systems on operationalizing systems and processes related to value-based contracting, network development, acquisitions and affiliations, merger integration, insurance product design, member acquisition and retention, implementation of quality incentives, and financial modeling and analytics program development. Richard has transitioned his deep knowledge of law, healthcare finance, and successful direct-to-consumer marketing and sales strategies to guide insurers to successfully manage the convergence of accountable care, financial risk, and population health management.

Jacob Luria is Senior Manager of Insurance Services at ECG Management Consultants. Jacob is a member of ECG’s Insurance Services group and specializes in data management and the application of scalable technologies to inform data driven executive decision-making and clinical practice, with measureable results and demonstrated return on investment. He couples his comprehensive data and technology knowledge with deep expertise in value-based care to drive scale and profitable operations for ECG’s insurance and care delivery clients.

Speakers:

John Zweifler, MD, MPH
Medical Director
Adventist Health Plan 

Tejaswita Karve, Ph.D.
Senior Director, CMS Quality & Stars Program
UPMC Health Plan

Sanjay Patil, MD
Chief Executive Officer
Golden State Medicare Health Plan

Jim Boyle
Chief Operating Officer
Golden State Medicare Health Plan

Amy Brittan, MPH
Program Manager, MA Stars
Providence Health Plan

Donetta Godwin
Senior Consultant, Performance & Analytics
Carolina Complete Health Network

Anna Lynch
Medicare Integration Manager
CareOregon

Kim Barrus, MSN, BSCIS, RN, PMP
Medical Home Manager
SelectHealth Health Plan 

Jessica Assefa
Senior Director, Star Ratings
Gorman Health Group

Chelsea Hammers, MBA
Population Health Manager
PacificSource Health Plans

Stuart Rosenblum
Director, Strategic Alliances
Anthem

Lauren Easton
Senior Director, Behavioral Health
Commonwealth Care Alliance

Melinda Durr
Partner, Health & Life Sciences
Oliver Wyman

   

Parie Garg
Partner, Health & Life Sciences
Oliver Wyman

Richard Trembowicz
Principal
ECG Management Consultants

   

Jacob Luria
Senior Manager, Insurance Services
ECG Management Consultants

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
July 19, 2019

Register by
July 25, 2019

Conference Only

$995

$1195

Conference & Workshop

$1195

$1395

Standard Rate, Vendors, Solution Providers

Register by
July 19, 2019

Register by
July 25, 2019

Conference Only

$1295

$1495

Conference & Workshop

$1495

$1695


Register for the 2019 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:

THE US GRANT, A Luxury Collection Hotel
326 Broadway
San Diego, CA 92101

Phone: 619-232-3121

*Hotel has sold out of our group block of ($229/night) - space is still availabe but at a slightly higher rate! Attendees are booking at the following nearby hotels (where a smiliar low rate is available - Click on the Hotel Name to Make Reservations):

The Westgate Hotel, San Diego (Located Directly Across the Street from THE US GRANT) 

The Westin San Diego Gas Lamp Quarter (Located One Block Away from THE US GRANT)

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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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