Two Co-Located Events: Quality and Medicare Value Visit 2017
Event Date: 7/18/2017 - 7/21/2017
Event Overview
Visit the documents tab to access the archived event presentations and podcasts. |
Two events in one, tackling the biggest challenges facing Medicare plans and quality departments
Hosted by Physician's Plus and Quartz Health Solutions
Download the event presentations and podcasts for in-depth information on:
- Everything from quality improvement to provider contracting to operational excellence and product stability
- How to ensure your organization is in lock-step with NCQA and CMS Stars expectations
- Re-energizing your efforts to engage providers in quality, Stars and risk adjustment initiatives
- How other health plans are tackling provider directory requirements
- Growth strategies and product design approaches that take into account VBID and MACRA
Member Testimonials
Amy Sepko
Health New England
Star Christensen
SelectHealth
Mary Alice Brosseau
CommunityCare
Lisa Johnston
Alliant Health Plans
ABOUT THE EVENT
Achieving your organization's quality goals
July 18 - 19*
Leaders in health plan Quality management programs came together July 18-19 for education and networking on key issues related to quality management program structure, shifting accreditation requirements and Stars improvement strategies.
Audience:
- Leaders in your plans' quality management programs including program directors and managers.
- Provider partner representatives, i.e., medical group and/or health system with an interest in quality improvement efforts of the health plan.
- Stakeholders involved with NCQA accreditation activities
- Individual with responsibility for developing and implementing HEDIS, CAHPS, HOS improvement initiatives
- Network management and data analytics teams responsible for provider engagement strategies to drive improved health care quality
Operationalizing your Medicare Advantage strategy
July 19* - 21
Medicare Advantage leaders and stakeholders convened July 19 - 21 to discuss challenges in MA product design, operationalizing growth strategies, and keeping pace with the shifting regulatory environment.
Shared MA marketing materials
Each year, attendees from member health plans across the country bring their Medicare marketing materials samples to the Medicare Advantage value visit. Throughout the year you can continue to share your samples with your Alliance peers by adding your samples to the knowledge center.
Audience:
- Leaders of your organization's MA Product Line, including MA program managers and MA program directors
- Leaders in MA product design, sales and marketing, provider contracting, and growth strategy development
- Financial leaders with responsibility for revenue cycle optimization, including issues related to MSP and risk adjustment
- Stakeholders in the member experience, including MA collateral and communications, member surveys, and engagement in Stars
- Individuals with responsibility for provider directory management
Thank you to our event sponsors
SILVER SPONSORS
BRONZE SPONSORS
OTHER SPONSORS
Agenda
A detailed draft agenda is available for download via the documents tab noted above
This Agenda at a Glance was last updated May 31, 2017
• Quality Management Value Visit
• Medicare Advantage Value Visit
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TUESDAY, JULY 18th |
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8:00am |
Breakfast |
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8:30 – 9:00am |
Welcome and introductions |
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9:00 – 10:30am |
Organizational structures for quality activities |
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• |
10:30 – 10:45am |
Break |
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10:45 – 12:00pm |
Creating a culture of quality improvement and effectively integrating quality initiatives across your plan/system |
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• |
12:00 – 1:00pm |
Lunch |
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1:00 – 2:00pm |
Review of proposed NCQA health plan accreditation standards for 2018 |
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2:00 – 3:00pm |
Navigating key NCQA 2017 and 2018 health plan standards changes, part 1 |
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3:00 – 3:30pm |
Break |
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• |
3:30 – 4:15pm |
Navigating key NCQA 2017 and 2018 health plan standards changes, part 2 |
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4:15 – 4:45pm |
Tools and resources to manage the NCQA workflow process |
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4:45 – 5:15pm |
Review of quality survey results and next steps for quality programming |
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6:00pm |
Reception |
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WEDNESDAY, JULY 19th |
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•• |
7:30am |
Breakfast |
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•• |
8:00 – 8:30am |
Welcome and Introductions |
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•• |
8:30 – 9:30am |
Government programs and quality program synergies: Leveraging your investments across product lines |
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•• |
9:30 –9:45am |
Break |
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•• |
9:45 – 11:00am |
Emerging trends in Star ratings to improve 2018 scores |
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•• |
11:00 – 12:30pm |
Peoples Health Case study: Developing provider partnerships that align stars, risk adjustment and outcomes |
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•• |
12:30 – 1:30pm |
Lunch |
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•• |
1:30 – 3:00pm |
CommunityCare Case study: Provider engagement strategies to support both Star ratings and risk adjustment initiatives |
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•• |
3:00 –3:30pm |
Break |
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•• |
3:30 – 4:45pm |
Quartz Case study: A collaborative quality improvement model |
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•• |
6:30pm |
Dinner |
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THURSDAY, JULY 20th |
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• |
7:30 – 8:00am |
Breakfast |
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• |
8:00 – 9:15am |
Paramount Case study: Their multi-pronged approach to improving the financial performance of their MA product |
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• |
9:15 – 9:30am |
Break |
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• |
9:30 – 10:45am |
Understanding and operationalizing provider directory regulations |
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• |
10:45 – 12:00pm |
Johns Hopkins Case study: Infrastructure investments critical to positioning for the next generation of MA |
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• |
12:00 – 1:00pm |
Lunch |
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• |
1:00 – 2:15pm |
Closing the time gap between diagnosis and risk forecasting: Empowering providers to manage risk |
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• |
2:15 – 2:45pm |
Break |
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• |
2:45 – 3:45pm |
Case study: Making member communications management work better, for you AND your MA members |
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• |
3:45 – 4:45pm |
Innovation session: Blending enrollment with onboarding and care management phases |
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• |
4:45 – 5:00pm |
Wrap up |
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6:30pm |
Dinner |
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FRIDAY, JULY 21st |
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• |
8:00 – 8:30am |
Breakfast and MA Collateral show and tell – Open Discussion |
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8:30 – 10:00am |
Quartz case study: Thinking beyond the sale -- Training your sales team to get the member connected to the health plan right from the start |
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10:00 – 10:15am |
Break |
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• |
10:15 – 11:45am |
Case study: A new approach to member acquisition that brings internal stakeholders to the table |
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11:45 – 12:45pm |
Lunch |
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• |
12:45 – 2:00pm |
Maximizing your Medicare Portfolio |
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2:00 – 2:30pm |
Open discussion and wrap up |
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• |
2:30pm |
Event adjourns |
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Venue
The Edgewater Hotel
1001 Wisconsin Place
Madison, WI 53703
608.535.8200
Our room rate is $195 plus taxes/fees. Internet access in the guest rooms is complimentary. This rate may be available three days prior and three days after our meeting dates, depending on the hotel's availability. You should call the reservations department at 608.535.8200 and ask for the Health Plan Alliance (HPA) room rate. You must call the hotel by Monday, June 26, 2017 in order to receive our group room rate. Should you call after this deadline, you will not be guaranteed to receive our group room rate or the hotel may be sold out. Please note that the group block could sell out before this date.
DRESS
Business casual attire is appropriate for the meeting. Remember that the hotel meeting room temperatures vary, so we recommend that you layer clothing to be comfortable in case the room becomes either hot or cold.
GROUND TRANSPORTATION
The hotel is about 3 miles from Dane County Regional Airport (DCRA) and is approximately a 10 minute drive. Taxi service is available for an estimated $20 one way. Self parking is $18. Valet parking is $25 includes in/out privileges. For more transportation information click here.
MADISON WEATHER
Click here for the latest weather forecast.
Special Events
MA Marketing Materials: Show and tell
Share your member materials!
Each year, attendees from member health plans across the country bring their Medicare marketing materials samples to the Medicare Advantage value visit. Plan on bringing examples of your own plan’s good work! See below for details, or reach out to Kristin Rodriguez with any questions.
The WHO:
All value visit attendees are invited to bring copies of your health plan’s member communication materials to Madison. Even if you’re not directly responsible for sales and marketing development at your plan, we encourage you to coordinate with your organization’s stakeholders to arrange for sharing 50 copies of your samples (enough for 1 sample per attending health plan). Thank you in advance for participating! We can all learn from each other.
The WHAT:
Any member-facing piece is encouraged! Direct mail, advertising slicks, brochures of course – and don’t forget Postcards reminding your members to get flu shots, or any other campaign you’ve built to support Stars objectives. If the piece is seen by your members, we’d love you to share it with your Health Plan Alliance colleagues.
The HOW:
Ship your materials directly to the Edgewater Hotel with an arrival date of July 17th.
Your package label should read:
ATTN: Patrice Snowden
Health Plan Alliance meeting
The Edgewater Hotel
1001 Wisconsin Place
Madison, WI 53703
The WHEN:
All contributed materials will be placed on a table in the meeting room July 19-21 and FedEx boxes will be provided for interested attendees to fill and ship, heavy with ideas and samples, back to their offices.
Documents
Audio: Paramount Case Study: Their multi-pronged approach to improving the financial performance of their MA product
This session at the 2017 Medicare Advantage Value Visit profiles Paramount Healthcare's recent efforts to assess and enhance the performance of its Medicare Advantage line of discuss, including a framework used to conduct a Medicare Advantage program assessment / diagnostic; financial opportunities identified from the diagnostic; results from specific interventions taken based on findings and financial opportunities realized; on-going efforts by the plan to maintain and improve performance.
Recording: Population Health Management
Review of proposed NCQA health plan accreditation standards for 2018.
Agenda: Quality and Medicare Value Visit
MA and quality management program leaders convene July 18-21, 2017 on shifts in quality program structure, accreditation requirements and Star Ratings; and MA product design, growth strategies and regulatory updates.
Attendees
Below is a list of all delegates registered to date for this event
- Aubrie Augustus
- ALLIANCE GUEST
- Director of Accreditation at Peoples Health
- Barbara Guerard
- ALLIANCE GUEST
- Senior Vice President - Health Services at Peoples Health
- Crystal Harry
- ALLIANCE GUEST
- Director of Quality/Stars Program at Peoples Health
- Deanna Homer
- ALLIANCE GUEST
- Chief Operations Officer at HealthTeam Advantage
- Thomas Wilson
- ALLIANCE GUEST
- Medicare Compliance Officer at Kelsey-Seabold Clinic | KelseyCare Advantage
- Amy Bachhuber
- ALLIANCE MEMBER
- Senior Director, Provider Network Development at Quartz Health Solutions
- Richard Berg
- ALLIANCE MEMBER
- Account Manager at Mission Health
- Star Christensen
- ALLIANCE MEMBER
- Medicare Product Manager at SelectHealth
- Raven Crum
- ALLIANCE MEMBER
- Healthcare Informatics Analyst at Quartz Health Solutions
- Trevor DaRin
- ALLIANCE MEMBER
- Senior Director, Sg2 at Vizient Inc.
- Carol Dornbush
- ALLIANCE MEMBER
- Credentialing Coordinator at Medical Associates Health Plans
- Daniel Ecklund
- ALLIANCE MEMBER
- Associate Medical Director at Quartz Health Solutions
- Jeremy Fejfar
- ALLIANCE MEMBER
- Pharmacy Director Government Programs at Quartz Health Solutions
- Jessica Fischer
- ALLIANCE MEMBER
- Director of Communications at Network Health
- Alice Frank
- ALLIANCE MEMBER
- Sr Healthcare Informatics Analyst at Quartz Health Solutions
- Elizabeth Goff
- ALLIANCE MEMBER
- Manager - Medicare Project Management at IU Health Plans
- Brisa Guajardo
- ALLIANCE MEMBER
- Manager, Business Development at Community Health Plan of Washington
- Andrea Hale
- ALLIANCE MEMBER
- Vendor Management Analyst at Quartz Health Solutions
- Erin Heckethorn
- ALLIANCE MEMBER
- Director of Operations and Program Management at FirstCarolinaCare Insurance Company
- Kaleb Holt
- ALLIANCE MEMBER
- Director of Medicare Programs at SelectHealth
- Angela Keenan
- ALLIANCE MEMBER
- Compliance Officer at Network Health
- Anita Landino
- ALLIANCE MEMBER
- Medicare SR. Marketing Specialist at Health Alliance Plan (HAP)
- Luce Lohier
- ALLIANCE MEMBER
- Director, Government Programs Reimbursement at AvMed
- Jonathan Moody
- ALLIANCE MEMBER
- Director of ACA Products and Government Affairs at Quartz Health Solutions
- Angela Morningstar
- ALLIANCE MEMBER
- Director, Health Data at CommunityCare
- Natalie Mueller
- ALLIANCE MEMBER
- Product Development Manager at NCQA
- Romi Norton
- ALLIANCE MEMBER
- Strategic Marketing and Communications Manager at Network Health
- Kari Pace
- ALLIANCE MEMBER
- Clinical Documentation Improvement Nurse-Risk Adjustment/Quality Management at Medical Associates Health Plans
- Jerri Pearson
- ALLIANCE MEMBER
- Director, Marketing Operations at CommunityCare
- Penny Ransom
- ALLIANCE MEMBER
- Chief Administrative Officer at Network Health
- christina salm
- ALLIANCE MEMBER
- Vice President of Medical Management Operations at Quartz Health Solutions
- Maggie Traastad
- ALLIANCE MEMBER
- Manager, Consulting Analytics - Production Support at Quartz Health Solutions
- Josh Weisbrod
- ALLIANCE MEMBER
- VP Risk Adjustment at Network Health
- Deborah Payleitner
- PLATINUM SPONSOR
- Senior Account Executive at MultiPlan
- Jim Corbett
- SPEAKER
- Founder and Chief Strategy Officer at Reveleer
- Carol Delage
- SPEAKER
- President at Tashidy Corporation
- John Gorman
- SPEAKER
- Chairman at Nightingale Partners
- Alexis Levy
- SPEAKER
- Managing Director at HealthScape Advisors, LLC
- Brad Piper
- SPEAKER
- Principal and Consulting Actuary at Milliman
- Sherman Rogers
- SPEAKER
- CEO at Bloom Insurance Agency
- David Schultz
- SPEAKER
- Founder & CEO at Media Logic
- Shelley Stevenson
- SPEAKER
- Director, Government Programs Practice at Optum Advisory
- Mohammed Vaid
- SPEAKER
- Founder & Chief Solution Architect at Simplify Healthcare
- Becky Erbe
- SPONSOR
- Chief Business Development Officer at hunterAI
- David Gallegos
- SPONSOR
- SVP Consulting Services at Optum Advisory
- Matt Krizmanich
- SPONSOR
- Managing Director at HealthScape Advisors, LLC
- Judith Nelson
- SPONSOR
- Director, Medicare Advantage Strategy at DST Health Solutions
- Dennis Nelson
- SPONSOR
- Vice President Business Development at eviCore healthcare
- Diana Sonbay-Benli
- SPONSOR
- Chief Product Officer, TriZetto Healthcare Products Group at Cognizant
- Matthew Timm
- SPONSOR
- Consulting Actuary at Milliman
- Emily Vandermause
- SPONSOR
- Consulting Actuary at Milliman
- Jacqueline Crews
- VIRTUAL ATTENDEE - MEMBER
- Director, Public Policy & Benefit Contracts at AvMed
- Jodi Digmann
- VIRTUAL ATTENDEE - MEMBER
- Medicare Compliance Analyst at Medical Associates Health Plans
- Alison Dunton
- VIRTUAL ATTENDEE - MEMBER
- Director of Practice Enhancement & Analytics at Aspire Health Plan
- Krista Schonrock
- VIRTUAL ATTENDEE - MEMBER
- AVP, Senior Medical Director at SelectHealth
Speakers
- Amy Bachhuber
Senior Director, Provider Network Development at Quartz Health Solutions
click here for full people profile
- Jim Corbett
Founder and Chief Strategy Officer at Reveleer
click here for full people profile
- Carol Delage
President at Tashidy Corporation
click here for full people profile
- John Gorman
Chairman at Nightingale Partners
click here for full people profile
- Barbara Guerard
Senior Vice President - Health Services at Peoples Health
click here for full people profile
- Matt Krizmanich
Managing Director at HealthScape Advisors, LLC
click here for full people profile
- Alexis Levy
Managing Director at HealthScape Advisors, LLC
click here for full people profile
- Angela Morningstar
Director, Health Data at CommunityCare
click here for full people profile
- Natalie Mueller
Product Development Manager at NCQA
click here for full people profile
- Brad Piper
Principal and Consulting Actuary at Milliman
click here for full people profile
- Sherman Rogers
CEO at Bloom Insurance Agency
click here for full people profile
- David Schultz
Founder & CEO at Media Logic
click here for full people profile
- Shelley Stevenson
Director, Government Programs Practice at Optum Advisory
click here for full people profile
- Mohammed Vaid
Founder & Chief Solution Architect at Simplify Healthcare
click here for full people profile