View Agenda
Explore the schedule of sessions, workshops, and networking opportunities planned for Dec. 14-16 in Scottsdale
Register Now
Monday - December 14, 2026
12:00 PM
12:00 PM – 5:15 PM
Information Desk Open
1:00 PM
1:00 PM – 5:00 PM
Workshop A: Stars 101: Building a Foundation for Star Ratings Success
- Understand the purpose of the Star Ratings program and how ratings affect quality bonus payments, rebates, enrollment, and contract viability
- Identify the core measure categories and their data sources, including HEDIS, CAHPS, HOS, Part D, and administrative measures
- Follow the annual Stars timeline, from measurement periods and data submission to CMS rulemaking and ratings release
- Explore the basics of how measures roll up into an overall rating, including weighting, cut points, and key methodology concepts
- Recognize how different departments contribute to Stars performance and where cross-functional collaboration matters most
- Build a working vocabulary of essential Stars terms and acronyms
- Connect foundational knowledge to the regulatory changes and strategy discussions covered throughout the master class
Break 2:30PM - 3:00PM
Speaker
Melissa Newton Smith
Founder, Senior Advisor at Newton Smith Group
Speaker
Ana Handshuh
Principal at CAT5 Strategies
1:00 PM – 5:00 PM
Workshop B: Navigating the New Reality of Medicare Advantage: What CMS’s Newly Proposed Rule Means for Your Path Forward for Star Ratings Success
- Get clear on what REALLY happened with the Stars 2027 results, and how CMS’s newly released proposed rule reshapes the path ahead
- Learn how to leverage the 5-weighted QI measures for optimized scores
- Explore a year in the life of a seasoned Stars leader (or at least half a year)
- Unpack effective target setting
- Understand MA market dynamics and how the proposed rules refocus on clinical care, outcomes, experience - and potential new C-SNP requirements in the only growing segment of MA – may influence Stars strategy and long-term contract viability
- Deep dive into Part D pressures and strategic responses
- Translate insight to action, by building a solid Stars strategy for the program as it exists today, and a flexible, durable framework that can adapt as measurement rules, methodology and realities shift over time
Break 2:30PM - 3:00PM
5:00 PM
5:00 PM – 6:00 PM
Holiday Cocktail Reception
Throw your tacky holiday sweater in your suitcase and join us for festive cocktails, tasty hors d'oeuvres, and plenty of networking cheer! Included in your event registration.
Tuesday - December 15, 2026
8:00 AM
8:00 AM – 6:00 PM
Exhibit Hall Open
8:00 AM
8:00 AM – 4:00 PM
Information Desk Open
8:00 AM
8:00 AM – 9:00 AM
Networking Breakfast
9:00 AM
9:00 AM – 9:05 AM
Welcome Remarks
9:05 AM
9:05 AM – 10:00 AM
Keynote Address
To be announced
10:00 AM
10:00 AM – 10:50 AM
State of Play: Where the Star Ratings Litigation Stands Today
- Assess whether your plan may have grounds to challenge its 2027 rating, drawing on the arguments, timelines, and outcomes to date in the Clover, Elevance, SCAN, and Alignment cases
- Identify which measures are in dispute and why courts have ruled them unlawful in the current cases
- Anticipate the range of likely outcomes (continued uncertainty, plans win, CMS wins) and what each means for your contract
Speaker
Nick Bath
Partner at Manatt, Phelps & Phillips, LLP
10:50 AM
10:50 AM – 11:15 AM
Networking Break
11:15 AM
11:15 AM – 12:00 PM
Track 1
Behavioral Health in Stars: Closing the Gap Between Measures and Member Experience
- Identify the core behavioral health measures in the current Star Ratings program and how they're weighted relative to clinical and experience measures
- Connect behavioral health performance to downstream member experience outcomes, including CAHPS and HOS survey results
- Prepare for the Depression Screening and Follow-up measure before MY2027 begins
Speaker
Suze Cucci
Executive Programs Officer at Pyx Health
11:15 AM – 12:00 PM
Track 2
Data Differences, Measure Specifications, and the D-SNP Landscape
- Identify where specification differences create gaps in data capture, reporting, and performance tracking
- Examine NCQA accreditation requirements for D-SNP plans and how their rating measures differ from CMS Stars
- Assess the operational and strategic implications for plans entering or expanding in D-SNP markets
Speaker
Tina Dueringer, BSN, RN, CCM, PCC
CEO, Principal Advisor at Dueringer Advisors
12:00 PM
12:00 PM – 12:15 PM
Track 1
Tools & Technology Spotlight
Leading service providers will showcase their offerings in a quick-pitch setting. Evaluate the latest and greatest tech tools to bring back to your organization.
12:00 PM – 12:15 PM
Track 2
Tools & Technology Spotlight
Leading service providers will showcase their offerings in a quick-pitch setting. Evaluate the latest and greatest tech tools to bring back to your organization.
12:15 PM
12:15 PM – 1:15 PM
Networking Lunch
1:15 PM
1:15 PM – 2:00 PM
Track 1
Thriving Amidst Volatile Cutpoints and Performance Pressure
- Set MY2027 targets that account for cut point compression, and put resources on the measures where a small rate change moves the star rating
- Critique the limitations of relying on static "projected cutpoint" models, given their track record of failing to predict actual results in recent years
- Anticipate the tradeoff between short-term performance gains and long-term improvement-measure exposure
1:15 PM – 2:00 PM
Track 2
Changing Provider Behavior: What Actually Moves the Needle on Stars
- Weigh the pros and cons of value-based care arrangements and risk-bearing entities as levers for Stars performance improvement
- Adapt provider engagement strategies for non-Epic environments where standard data integration approaches don't apply
- Identify the specific operational barriers rural and paper-chart providers face, and design outreach that accounts for those constraints
Speaker
Jatin Dave
Chief Medical Officer, Government Products at UPMC Health Plan
2:00 PM
2:00 PM – 2:05 PM
Session Transition
2:05 PM
2:05 PM – 2:50 PM
Track 1
Optimizing HEDIS in the Digital Era: From Interoperability Mandates to Point-of-Care Technology
- Assess where your organization stands in the transition away from hybrid measurement, and what that means for near-term operational planning
- Identify how point-of-care technologies close risk adjustment and quality gaps simultaneously during a single patient visit
- Evaluate the operational fit of integrated gap-closure technology across specific measures
2:05 PM – 2:50 PM
Track 2
The dQM Primer: FHIR, Interoperability, and TEFCA for the Non-Technical Leader
- Specify what to request from IT and vendors so clinical data reaches your HEDIS results as hybrid measurement ends
- Recognize how these technical standards affect day-to-day operational requests and data-sharing requirements
- Identify which parts of your organization (IT, quality, network operations) need to be involved as dQM adoption expands
2:50 PM
2:50 PM – 3:15 PM
Networking Break
3:15 PM
3:15 PM – 4:00 PM
Track 1
Beyond Adherence: Why Medication Safety Is Becoming a Stars Strategy
- Assign pharmacy and quality staff to one medication plan per member that addresses adherence, statin and polypharmacy measures together
- Evaluate operational approaches for moving from individual-measure management to whole-member medication strategy
- Apply lessons from health plan pharmacy leadership on translating measures into day-to-day operations
Speaker
Kempton Presley
CEO at AdhereHealth
Speaker
Ryan Bernstein
Sr. Consultant, Medicare Lead at RWC
3:15 PM – 4:00 PM
Track 2
Measure-by-Measure: Tailoring Strategy Across CAHPS, HOS, and Beyond
- Differentiate the strategic levers available for survey-based measures (CAHPS, HOS) versus clinical measures
- Match intervention types to the specific measure category they're intended to move
- Prioritize measure-specific investments based on weight and improvement potential
Speaker
Anissa Johnson
Manager, Quality Practice Advisors at Wellcare
Speaker
Lisa Winters
Consulting Actuary at Wakely
Speaker
Suzanna-Grace Tritt
Senior Consulting Actuary at Wakely
4:00 PM
4:00 PM – 4:05 PM
Session Transition
4:05 PM
4:05 PM – 4:55 PM
Where Are We Now? The Post-Midterm Stars Policy Landscape
- Evaluate how the post-midterm balance of power affects MA and Stars policy priorities
- Track the status of pending bills and proposals targeting Stars and quality bonus payments
- Recognize which think tank and MedPAC recommendations are gaining traction on the Hill and at CMS
Speaker
Andrew Schwab
Founder & CEO at Platform Government Strategies
4:55 PM
4:55 PM – 5:00 PM
Closing Remarks
5:00 PM
5:00 PM – 6:00 PM
Networking Cocktail Reception
Join us for drinks, hors d’oeuvres, and face-to-face networking with peers.
Wednesday - December 16, 2026
8:00 AM
8:00 AM – 11:15 AM
Exhibit Hall Open
8:00 AM
8:00 AM – 11:00 AM
Information Desk Open
8:00 AM
8:00 AM – 9:00 AM
Networking Breakfast
9:00 AM
9:00 AM – 9:05 AM
Welcome Remarks and Day One Takeaways
9:05 AM
9:05 AM – 9:50 AM
The 2027 Redesign: What's Really Changing and Why the 'Security Blanket' Is Gone
- Itemize the confirmed 2027 measure changes, including which measures are being removed, added, or respecified, and on what timeline
- Interpret the technical proposals and rule changes underlying the redesign, distinguishing finalized changes from ones still in circulation as rumor or outdated guidance
- Track how cut points are shifting under the redesign and what that means for the margin of error plans have historically relied on
Speaker
Melissa Newton Smith
Founder, Senior Advisor at Newton Smith Group
Speaker
Ana Handshuh
Principal at CAT5 Strategies
9:50 AM
9:50 AM – 10:50 AM
Medicare Masters III: The Ultimate Star Rating Showdown
Medicare Masters is back by popular demand with even more excitement and challenges! Join us for an engaging and educational experience designed for Star Rating professionals and enthusiasts alike. This interactive activity provides a unique opportunity to delve into the world of Medicare Advantage plan management in a fun and collaborative environment.
This year, participants will have the chance to silo-bust their way to 5 stars and compete for year-long bragging rights and a trophy in the third edition of Medicare Masters! The competition will be tougher than ever, with twists, turns, and a bit of calamity, ensuring a thrilling experience for all. Participants will leave with a greater understanding of how to navigate the 2028 Star Ratings, along with valuable insights and a recap of what Stars teams experienced in 2026. Don't miss out on this chance to learn, compete, and have fun!
Speaker
Ana Handshuh
Principal at CAT5 Strategies
Speaker
Jenn Kerfoot
President and Chief Operating Officer at DUOS
10:50 AM
10:50 AM – 11:15 AM
Networking Break
11:15 AM
11:15 AM – 12:05 PM
Breaking Down the Silo: Aligning Quality and Risk Adjustment Programs
- Diagnose the root causes of organizational silos between quality and risk adjustment teams
- Describe how aligning these functions can fund STARS initiatives through timely risk adjustment revenue
- Design a unified approach to shared processes (e.g., a single chart review vendor, coordinated Annual Wellness Visit agendas)
Speaker
Savannah Gonsalves
Director of Quality & Utilization Management, Nevada at Kaiser Permanente
Speaker
Mark Hassenstab
VP of Stars, Quality, and Risk Adjustment at Curana Health
12:05 PM
12:05 PM – 12:55 PM
The CY2028 Proposed Rule: What It Means for Your Stars Strategy
- Examine the proposed (or anticipated) changes to measures, weighting, cut points, and methodology
- Assess the potential impact on ratings, quality bonus payments, and long-term planning
- Identify which proposals are likely to shift before finalization and plan for multiple outcomes
12:55 PM
12:55 PM – 1:00 PM
Closing Remarks
Stay in the Know!