Rise

Track A

Moving the Needle on Health Equity: How Community-Based Social Support Groups are Tackling Social Determinants of Health

• Explore an innovative model that addresses SDoH and health equity for our most vulnerable members in the communities where they live
• Discuss strategies for partnerships with CBOs to meet joint goals for improving health outcomes and quality, and lowering costs
• Improve member satisfaction and retention by leveraging trust and partner engagement

Claude Pinnock, MD, MPH, Chief Medical Officer
Wider Circle

Track B

Closing Care Gaps by Motivating Member Behavior Change

• Explore a framework to apply principles of behavioral science to your strategy for addressing care-gap closure
• Put principles into practice and discover how healthcare companies can take action to close care gaps using behavioral science
• Learn the science behind member motivation and how it applies to improving health outcomes across the board

Kate Wolin, ScD, Senior Advisor
Wellth

Track C

Panel: Moving the Med Adherence Needle

• Discuss how plans can successfully get resources they need, especially for health equity stratification
• Explore what innovative approaches health plans are implementing that are showing signs of success
• Explore how AI and behavioral science can be used to improve medication adherence

Moderator:

Kempton Presley, MPH, MS, Chief Strategy Officer, Office of the President, Adhere Health

Adjunct Professor, Data Science, Vanderbilt University

Panelists

Kyra Valdez-Shipp, RN, MSN, CCM, Founder & Principal

Peak Performance Solutions Group

Melissa Skelton Duke, PharmD, MS, BCPS, FAPhA, Executive Director, Stars Strategy 

Banner Medicare Advantage Health Plans  

Track A

You CAN Do It!: A Simpler Approach to Stars

• Recognize how Stars Strategy teams can partner with their data SMEs to optimize Stars management 
• Build your annual Star team workplan according to your team’s level of maturity—and learn how to take your program to the next level 
• Explore a few simple approaches to projecting cut-points and learn how to make meaningful projections 
• Channel your inner Sherlock Holmes and use analytics to support your arguments to leadership or CMS 

Katherine Lanza, MPH, Manager, Medicare Stars 
Blue Shield of California 

David Kao, Principal Program Manager, Clinical Quality 
Blue Shield of California 

Track B

The Journey to 100%: How CareFirst Earned Perfect Compliance on a Critical Quality Measure

• Understand what the Call Center - FLL/TTY Availability measure is and why it’s one of the easiest measures to influence if you have the right internal prioritization
• Hear from CareFirst on how it reached 100% compliance with the measure through a strong oversight program and a strategic consultative partnership, and the impact it had on the plan’s Star Ratings
• Identify next steps to implement operational changes that will help your organization improve on this measure

LaShawn Moore, Project Manager, Stars, Quality, and Risk Adjustment 

CareFirst BlueCross BlueShield 

Ana Berridge, Executive Advisor, Consulting and Professional Services 

Healthmine 

Track C

Unifying Risk and Quality: Strategies for Success

• Implement a top-down strategy and securing organizational buy-in for cohesive risk and quality management 

• Coordinate inter-departmental efforts and aligning resources for effective outcomes 

• Leverage data to drive actionable insights and streamline operational processes 

Elissa Toder, VP of Quality Improvement Strategies 

Reveleer 

Jessica Columbus, LVN, CCS-P, CRC, CPHQ, VP, Value Based Care Operations 

Memorial Herman Health Plan/Apex Health Solutions 

Track A

Tools & Tech 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. 

Sharon Fletcher, President & CEO 
Birdsong Hearing Benefits 

Eddie Maria, Head of Sales 
Birdsong Hearing Benefits 

Track B

Tools & Tech 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.

Nick DiMauro, Director of Sales 

Medline 

Track C

Tools & Tech 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.

Track A

Prepare a Winning HEDIS Star Strategy for Today and Tomorrow

• Learn how to leverage digital clinical data sources, case management data, HRA data, and cross-cutting and measure-specific exclusion data mining
• Discover how to be successful on the current and future ECDS Star measures
• Review improvement strategies for all current HEDIS Star measures and future HEDIS Star measures

Savannah Gonsalves, MHA, BSN, RN, Director of Quality Improvement
Hometown Health

Katharine Iskrant, Practice Leader
Healthy People, Inc.

Rhonda Farrar, Clinical HEDIS Supervisor
Healthy People, Inc. 

Track B

Oversampling: Your Questions Answered

• Discuss the concept of survey oversampling: What is it and how it fits into Star Ratings
• Learn when to oversample and identify potential performance impacts
• Review oversample outcomes and support adjustments to your oversample strategy moving forward

Heidi Salerno, Member Experience Consultant
Rex Wallace Consulting

Ryan Bernstein, Consultant
Rex Wallace Consulting

Track C

Building Healthy Communities through Health Equity

• Discuss opportunities to serve underserved communities and populations
• Develop outreach efforts to increase engagement and activation
• Learn how to promote culturally and linguistically appropriate care to diverse communities

Traco Matthews, Chief Health Equity Officer
Kern Health Systems

Tina Dueringer, RN, BSN, CCM, PCC, CEO, Principal Advisor
Dueringer Advisors, Inc

Nikki Hungate, MHA, EdD, Product & Quality Strategy Consultant 
FarmboxRx