Medicare Advantage Leadership Innovations brings together our nation's top-rated MA plans to show you the latest innovations in the critical success areas in Medicare Advantage:
The all new content focuses on the 5 pillars of building a top quality, high performing MA plan:

    1. Growing & Expanding Your MA Business
  • Balancing CMS Regulations With Your Business Needs
  • New Benefit Flexibility – Maximizing Opportunities, Avoiding
    Pitfalls, Measuring Success
  • Case Study: Building a 5-Star Plan

    2. Member Experience, Acquisition & Retention Innovations
  • Social Determinants of Health: Your Zip Code Matters More Than Your Genetic Code
  • Resetting Benefits to Improve Access, Growth & Retention Through MA Partnerships
  • Reinventing Member Engagement to Close Gaps in Care
  • Keys to Building a Profitable and Loyal Medicare Advantage Membership

    3. Balancing Quality & Cost Effective Care
  • Focus on Prevention and Improving Chronic Conditions: Best Practice Action Plans and Proven Innovations for Performance Improvement
  • Virtual Health Assistance Blueprint: Preparing for AI- and Voice-enabled In-home Support
  • Case Study: Developing & Implementing an Effective C-SNP Plan: Complying with CMS & Effective Care Coordination
  • Innovations in Improving Care for the Seriously Ill: Palliative Care Solutions

    4. Building Provider Engagement, Education & Incentives
  • Focusing Provider Messaging for Maximal Impact
  • Building Transparent Provider Relationships – Honest, No Buzz Words, No Games
  • Population Health Management: Precisely Identifying and Caring For Your Most Vulnerable Members

    5. Operational Tools & Strategies to Drive Innovation, Efficiency & Cost Savings
  • A Model For Achieving Efficacy In Benefit Design And Care Plan Implementation For Chronically Ill Medicare Members
  • Innovative Compliance, Audit and Fraud, Waste & Abuse Practices
  • Seeking Positive Performance: Transitioning from FFS to Value Based Payments
  • Clinical Innovations to Decrease & Divert ER Utilization
  • Assembling an Interdisciplinary Pharmacy Team to Provide Care Coordination: Integrating Plan, Provider and Community Resources for Optimal MTM Results
ALL-STAR SPEAKERS
Capital District Physicians’ Health Plan

Puneet Budhiraja

Chief Actuary
NovuHealth

Cory Busse

Senior Director, Health Care Engagement Strategist
Humana

Kathleen Cox

Market Development Advisor
Vital Decisions

Connie Ducaine, PhD

Vice President, Strategic Solutions
Commonwealth Care Alliance

LAUREN EASTON

Senior Director, Behavioral Health
Martin's Point Health Care

Josh Edwards, MBA, MSc

Medicare Stars Programs Manager, Health Plan Quality
Blue Shield of California

Torrie Fields, MPH

Senior Manager, Advanced Illness & Palliative Care, Healthcare Quality & Affordability
Regence Blue Cross Blue Shield

Kathleen Faulk

General Manager, Government Programs
Humana

Anjuli Calvert

Senior Innovation Designer
CareMore

Piyush Gupta

Regional Medical Officer
Zelus

Jenny Graham

Partner
Turn-Key Health

John Halsey

Vice President, Business Development
Tufts Health Plan

Jonathan Harding

Senior Medical Director for Senior Products
PharmMD

Kent Holdcroft

Chief Revenue Officer
Providence Health Assurance

Amy Ocheltree

Medicare Compliance Program Manager
Priority Health

Lawrence Kuk

Director, Network Engagement
SelectHealth

David L. Larsen RN, MHA

Director, Quality Improvement
Cigna

CHRISTINE LEO

Vice President, Senior Products
UPMC for You

John Lovelace

President
Premier Home Health Care Services

Rick Mabe

COO, Managed Care
Network Health

Gary Melis R.Ph.

Clinical Pharmacist
Mom’s Meals NourishCare

Catherine Macpherson, MS, RDN

Vice President Product Strategy and Development Chief Nutrition Officer
HealthEdge

Harry Merkin

Vice President, Marketing
Capital District Physicians’ Health Plan

Raj Munjuluri

Medicare Actuary
EPIC Hearing Healthcare

Dru Coleman

Director of Sales and Marketing
Cleveland Clinic

Sharon Reichart, RDH, CRM

Director of Product Development, Market & Network Services
CipherHealth

Friso van Reesema, M.P.H. M.B.A.

VP of Managed Care
LA Care

Garrison Rios

Executive Director, Medicare
Providence Health Assurance

Keri Steege

Medicare Compliance Officer/Director of Medicare Compliance
Anthem

Stuart Rosenblum

Strategic Alliances Director
SCAN Health Plan

Donna Sutton

Healthcare Informatics, Director of Medicare Star Quality Programs
Health Sun Health Plans

Karen W. Connolly, RN

Senior VP/QI and Accreditation
Carrot Health

Kurt Waltenbaugh

CEO & Founder
2020 Educational Underwriters
  • Strategic Solutions Network (SSN), based in Boca Raton, FL, is the parent company of the Medicare Risk Adjustment & Revenue Management Management, Plus Quality and Star Ratings and a series of related conferences.
  • Strategic Solutions Network (SSN), based in Boca Raton, FL, is the parent company of the Medicare Risk Adjustment & Revenue Management Management, Plus Quality and Star Ratings and a series of related conferences.
  • Strategic Solutions Network (SSN), based in Boca Raton, FL, is the parent company of the Medicare Risk Adjustment & Revenue Management Management, Plus Quality and Star Ratings and a series of related conferences.
RAVE REVIEWS FROM
Delegates!
Who Should Attend:

Medicare Advantage Plans including HMOs, PPOs, ACOs, Private Fee-for-Service Plans, SNPS

CXOs, SVPs, VPs, and Senior Executives in charge of Government Programs, Medicare; Chief Medical Officers

Payment Innovations ●Product Design ● Episodes of Care ● Value-based Risk Sharing ● Operations ● Strategy ● Business Development ● Marketing ● Member Engagement ● Population Health ● Risk Adjustment ● Revenue Management ● High Risk Populations ● Star Ratings & Quality Assurance ● Provider Network Management & Contracting ●Palliative Care

Hospitals/Health Systems Serving the MA Market

Solution Providers and Consultants Specializing in

Star Ratings & Quality Assurance ● Marketing ● Member Engagement ● Risk Adjustment ● Revenue Management ● Provider Network Management & Contracting ● Provider Engagement ● Care Management ● Non Emergency Transportation ● Medication Therapy Management ● Fraud and Abuse ● Data Analytics ● Population Health ● Behavioral Health ● Home Health ● Claims Management ● Food Nutrition Services ● Hearing Services ● Disease and Case Management

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