Medicare Star Ratings & Quality Assurance is the only program where top-rated health plans present how they achieve high performance ratings on each of their CMS & HEDIS measured areas in today's hyper-competitive market, further complicated by an evolving regulatory environment. Hear how savvy health plans are tuning in to member needs and building infrastructures & integrating key departments to drive quality from within. From capturing and implementing data to incorporating Social Determinants of Health, these plans have excelled beyond traditional performance levels. This is the only event that drills down into the granular solutions that you can take home and implement to transform your plan’s performance.


    BUILDING BLOCKS FOR 5-STAR & HEDIS SUCCESS

  • Gorman Health Group: What's Behind the New Imperative to See Members as Consumers
  • Health Alliance : Eliminate Organizational Silos to Improve Quality Outcomes
  • SelectHealth : Integrating HEDIS & STARS in Pay for Performance Programs
  • Capital BlueCross : NCQA and the Future Direction of HEDIS® Outcomes-based Measures
  • Panel Discussion : Where and How to Focus Your Strategic Star Plan

  • MEMBER EXPERIENCE PERFORMANCE SUCCESS INGREDIENTS FOR THE NEW CONSUMERISM ERA

  • UCare: How to Measure & Manage Beneficiary Experience & Operational Measures to Improve Star Ratings
  • MCS Healthcare Holdings: Improving CAHPS & HOS Scores
  • Harvard Pilgrim Health Care: Harnessing Data for Member Incentives
  • Cigna-HealthSpring: Effectively Engaging Customers in an Ongoing Process

  • BOOST QUALITY OF CARE TO ACHIEVE 5 STAR OUTCOMES & MAXIMIZE HEDIS SCORES

  • Tufts Health Plan: Reducing Readmissions Through Improved Transition in Care Management
  • Anthem: Overcoming Social Determinants of Health Barriers That Prevent Members From Getting Care
  • Priority Health: The Impact the Timeliness Monitoring Project (TMP) Has on the Four Appeals Measures
  • Capital District Physicians' Health Plan: Improve Your Part C Appeal Measures to Increase Your Overall Star Ratings
  • Commonwealth Care Alliance: Integrating Physical Health and Behavior Health, Member Engagement and Community Resources
  • Panel Discussion: Hard to Improve Measures

  • OPTIMIZE PROVIDER ENGAGEMENT, INCENTIVES AND EDUCATION TO BOOST STAR RATINGS

  • Gateway Health Plan: Aligning Provider Contracts Across Multiple Payments Models to Drive Clinical Star Measures
  • The Health Plan: Provider Engagement and Education: How a Small Plan is Going Big
  • Regence Blue Cross Blue Shield: Provider Engagement & Education – Best Practices for a Quality Incentive Program

  • CONTROLLING MEDICATION COSTS, INCREASING ADHERENCE AND BUILDING COMMUNITY PHARMACY PARTNERSHIPS TO OPTIMIZE STAR RATINGS

  • Highmark: An Integrated Approach to Total Performance Across All Part D Measures
  • Molina Healthcare: Medication Adherence Measures & MTM Completion Rates
  • Excellus: Effective Community Pharmacy Partnerships Aimed at Boosting Star Medication Adherence Performance



And More to Come!!

Join us at Medicare Star Ratings & Quality Assurance where you will meet these industry thought leaders and network with your industry colleagues. We look forward to greeting you in Florida

2018 ALL-STAR SPEAKERS
Priority Health

Michelle Coberly

Manager, Medicare Compliance & Quality
Harvard Pilgrim Health Care

Noreen Hurley

Program Manager, Star Quality & Performance
Cigna-HealthSpring

John Mark Willis, M.Ed.

Senior Director-Star Operations
Molina Healthcare

Donovan Lemelin

Director of Operations, Medicare Pharmacy
Health Alliance

Kena Hahn

Director Medicare Stars & Health Improvement
Anthem

David Burianek

Vice President, Clinical Quality Management
Commonwealth Care Alliance

Lauren Easton

Senior Director, Behavioral Health
SelectHealth

Kim Barrus

Medical Home Manager
Regence Blue Cross Blue Shield

Marnie Frasier, CPC CRC

Medicare Provider Training & Education Specialist
Gateway Health, Highmark

Dan Weaver

Vice President, Stars Quality, Formerly Director of Program Management, Government Business, Quality Improvement
Regence Blue Cross Blue Shield

Kellee Mills, CPC

Medicare Provider Performance Manager
Excellus BlueCross BlueShield

Jeffrey Ledgerwood, PharmD, BCGP

Medicare Clinical Pharmacist
Capital BlueCross

Susan Lira

Manager, Plan Performance & Improvement
UCare

JESSICA ASSEFA

Medicare Stars Program Manager
The Health Plan

Valerie Ogilbee

Director, Quality Analytics
Gateway Health

Gabriel L. Medley, MHA, MBA

Vice President, Quality and Risk Revenue
Tufts Health Plan

Debra A Corbett

Program Director, Senior Products Clinical Services Strategy
MCS Healthcare Holdings, LLC

Linda Lee

Vice President of Quality Improvement
Capital District Physicians’ Health Plan

Cynthia Aguglia

Medicare Stars Administrator
Anthem

Steve Jenkins

Staff Vice President, Clinical Strategy
Gorman Health Group, LLC

MELISSA SMITH

Vice President, Star Ratings
Health Sun Health Plans

Karen W. Connolly, RN

Senior VP/QI and Accreditation
Decision Point Healthcare Solutions

Saeed Aminzadeh

CEO
RAVE REVIEWS FROM
2017 Delegates!
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.


Supporting Organizations
  • 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.

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