Tuesday, December 7, 2021 : 10 a.m. ET – 12:00 p.m. ET
2 Hands-on, Interactive Workshops: Stars 101 and Advanced Stars | |
10:00 |
STARS 101: Back to Basics “Nuts & Bolts” WorkshopThis workshop will include an in-depth review of all elements of the Star Ratings program. We’ll cover everything you need to know to work in a Stars program, including:
Melissa Smith,Executive Vice President, Consulting and Professional Services, Healthmine James Haskins,Director of Government Programs, Healthmine Cynthia Pawley-Martin,Senior Consultant, Healthmine Dwight Pattison, Consultant, Healthmine |
Advanced Stars WorkshopThis workshop will include a detailed review of the hot topics impacting Star Ratings in 2022, including:
Melissa Smith,Executive Vice President, Consulting and Professional Services, Healthmine James Haskins,Director of Government Programs, Healthmine Cynthia Pawley-Martin,Senior Consultant, Healthmine Dwight Pattison, Consultant, Healthmine |
Wednesday, December 8, 2021: 10 a.m. ET – 1:00 p.m. ET
10:00 |
Welcome & Opening Remarks : How to Maximize Your Virtual Conference ExperienceRoz Applebaum,Vice President, Conferences, Strategic Solutions Network |
10:05 |
Star Ratings Landscape: Where We Are Today & What’s on the Horizon for 2022 & BeyondCMS’ release of the 2022 Star Ratings gave us our first glimpse into the most recent performance data for Medicare Advantage plans. Underscoring the data are many trends worth noting (and watching closely), including even more emphasis on the importance of member experience. This session will include an overview of the 2022 Star Ratings for MA plans and provide attendees with data-driven guidance on the right areas of focus for 2022 and beyond. After this presentation, you will:
Melissa Smith,Executive Vice President, Consulting and Professional Services, Healthmine |
10:30 |
Congratulations! You’re the New Stars Manager! Building Cross-Functional Focused Teams & ReportsYou’ve just been hired as a Stars program manager and don’t know where to begin. Keeping track of all of the stars measures and who in your company leads the HEDIS, CAHPS, HOS and Pharmacy teams is a good place to start, but there’s more. This session will be led by a Stars Program Manager who has started two successful Stars programs with two health plans. By the end of the session you will be able to identify the teams and reports you will need to begin your journey into the world of stars ratings. Cindy Aguglia,Medicare STARS & Quality Manager, The Health Plan |
10:50 |
Virtual Networking Break
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11:00 |
Panel Discussion: Re-engaging & Supporting Members in the New Post-Covid Environment: Meeting Members Where They Are
Moderator:Kim Barrus, MSN, BSCIS, RN, PMP,Director, Clinical Outcomes Management, SelectHealth Panelists:Christine Leo,Vice President, Senior Products, Cigna Louise Briguglio,SVP, Integrated Experience, Icario David Kirkus, PharmD,Director, Consulting Services, EnlivenHealth™ Dr. Nathan Estrada, VP of Clinical,Nymbl Science |
11:40 |
Panel Discussion: Adding Virtual Benefits and Services to Raise Your Stars: Three Innovative Approaches
Moderator:Michael S. Adelberg,Principal, Lead, Healthcare Strategy Practice, Faegre Drinker Consulting Panelists:Michael Rea,CEO and Founder, Rx Savings Solutions Evelyn Chojnacki, MPH, Director, Health Plan Product Strategy, SWORD Health Henry MahnckeCEO Posit Science |
12:20 |
Improve Star Ratings and Quality with PBP, ANOC, EOC, SB, Multi-channel Content AutomationMedicare Advantage organizations often depend on Excel grid-driven homegrown processes to manage benefit plans resulting in operational inefficiencies. The session will explore how health plans can address those challenges by auto-generating documents, simplifying competitive intelligence, automating PBP bid submissions and creating customized reports based on key parameters like Star ratings, geographical distribution, plan type, and so on. The attendees will learn how a single source of truth can help health plans minimize errors, gain competitive advantage, improve star ratings, increase speed-to-market, and improve compliance. Mohammed VaidChief Executive Officer and Chief Solution Architect Simplify Healthcare |
12:45 |
Virtual Lunch Break in the Exhibit Hall
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Member Engagement – From Meeting Members Where They are to Technology Innovations | |
2:00 |
Texting For Health?! How To Engage Today's Seniors For Better OutcomesMore than ever, seniors are engaging with digital technology as this generation was already tech-savvy before aging into Medicare. Learn how Elderplan partnered with HealthCrowd on a digital communications strategy that produced valuable member feedback and positive outcomes. Hear about lessons learned over the years as foundations for growth as they continue to iterate digital campaigns that engage members and impact outcomes.
Dana Friedman, Assistant Director, Performance Improvement, Elderplan Leslie Groves, Head of Marketing, HealthCrowd |
2:20 |
Clinical Interventions to Boost Star Ratings
Mallory Mueller, Director Quality Health Integration, Network Health |
2:40 |
Panel Discussion: Real Innovations in Boosting CAHPs & HOS Scores – What’s Actually Working?
Moderator:Julianne Eckert RN BSN, CCM, CMCN, ACMP, Director of Quality Improvement, Clover Health Panelists:Melissa Smith, Executive Vice President, Consulting and Professional Services, Healthmine Cindy Aguglia, Medicare STARS & Quality Manager, The Health Plan Enam Noor,Founder & CEO, Insightin Health Anthony Davis,Managing Director Quality, Health Management Associates |
3:25 |
Networking Break
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3:35 |
Member-Centric Communication: Creative, Customized Outreach Programs to Close Gaps in CareAlthough CMS continues to put more emphasis on member experience, it’s important that we remain diligent in gap closure efforts for HEDIS measures. Developing a personalized member outreach strategy can have impacts that span across various measure sources. Learn about Health Alliance’s journey from campaign member selection to deployment and beyond. Haley Kesler,Star Rating Manager, Health Alliance Medical Plans |
3:55 |
Achieving 5-Star CAHPS: Transparency, Engagement and Outcomes
Lisette Roman,Director of Client Analytics, Decision Point |
4:15 |
Case Study: When the Stars Align: Improve Every Life Using Technology to Drive a Comprehensive Personalized Member and Provider Experience
Julianne Eckert RN BSN, CCM, CMCN, ACMP,Director of Quality Improvement, Clover Health Shaila Kapur,Consultant, Clover Health |
4:35 |
Putting Patients First! Innovating to Ensure A Top Notch Patient ExperienceExploring how we take lessons learned from patient-centric HEDIS and Drug Safety measure interventions and apply them to innovative efforts to ensure high performance on member experience measures Anna HallDirector of Quality Services Enhanced Medication Services Dean Koskinas, PharmDExecutive Sales Consultant Enhanced Medication Services |
4:55 |
Virtual Networking Reception in the Exhibit Hall |
Thursday, December 9, 2021 : 10 a.m. ET – 12:30 p.m. ET
10:00 |
High-Value Pharmacy Services: How Targeted Pharmacy Care Can Drive Star Ratings & Improve Outcomes for Medically Complex MembersLearn the role that high-value pharmacy services can play in improving health plans’ pharmacy quality ratings, while also improving the pharmacy experience for medically complex members. Discover how the combination of population health analytics and targeted pharmacy services can help to reduce medical utilization, improve pharmacy quality, and enhance member experience. Topics will include:
Patricia Powers, PharmD, BCPS, Director of Clinical Services, Mosaic Pharmacy Service |
10:20 |
Case Study: Taking Member Events Digital: Creating Meaningful Engagement in a Virtual-First WorldWhile in-person events are a long-held staple in the world of member engagement, COVID-19 has changed the ways in which we’re able to connect with Medicare beneficiaries. Plans have been challenged to think virtual-first when it comes to staying attuned to the voice of the member, requiring flexibility and creative thinking to maintain meaningful interactions with a face-to-face feel. In this session, we’ll cover what it took to transition a plan’s popular in-person member event to a digital experience, sharing best practices and lessons learned along the way. Samantha Vinton Bartholomew,Sr. Improvement Specialist, Priority Health |
Provider Engagement – Relational and Financial Strategies to Boost Performance Scores & Outcomes | |
10:40 |
Case Study: The Impact of Value-Based Care on CMS Star RatingsHow the design and impact of a value-based care program can promote increased stars outcomes and improve both member and provider satisfaction. How to choose measures that provide high value to both health plan and providers. How providing high touch provider interaction can drive quality and satisfaction results. Michael Farina,Director Health Care Quality, Capital District Physicians’ Health Plan |
11:00 |
Harnessing Real Time Data & Population Health Strategies to Improve Clinical Measures & Outcomes
Kimberly Swanson,VP Quality and Clinical Integration, Network Health Plan |
11:20 |
Virtual Networking Break
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11:30 |
Building Provider Relationships through Dedicated Clinic Support to Boost Clinical Measures and Member OutcomesSelectHealth will share how their Advanced Primary Care (a.k.a., patient centered medical home) program and supporting team has improved clinical measures and member outcomes. This program aligns dedicated staff to participating clinics to provide consulting support on medical home transformation, process/quality improvement, performance measures, transition of care and social determinants of health work. The team provides a great deal of support via regular meetings, ongoing electronic communication, and on demand reporting to support all aspects of the program. Best practice sharing is also a benefit of program participation, all participating practices are invited to participate in the annual Best Practices symposium. Kim Barrus, MSN, BSCIS, RN, PMP,Director, Clinical Outcomes Management, SelectHealth |
11:50 |
Impact of Pharmacy on Stars & Quality -- Leveraging the Pharmacist for Clinical Care
Lynn Deguzman, Pharm.D., BCGP,Regional Clinical Operations Manager, Kaiser Permanente Northern California |
12:10 |
Adapting Annual Provider Incentive Programs to Drive Part C & D Performance?The paths to achieve Medicare Stars Part C and D goals are constantly changing. Measures come and go; thresholds are rising and plans need marked year-over-year improvement. How can you adjust the elements of your incentive program to meet these challenges? Blue Shield of California shares the evolution of its Medicare provider incentive program over the last five years and how it adapted to drive provider performance for Part C and D measures Amanda Calvert,Medicare Clinical Program Manager, Blue Shield of California |
12:30 |
Virtual Networking Lunch in the Exhibit Hall
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Thursday, December 9, 2021 : 2.00 p.m – 3:45 p.m. ET
2:00 |
Panel Discussion: Boosting CAHPS Scores through Provider Engagement, Education & Incentives
Moderator:Haley Kesler, Star Rating Manager, Health Alliance Medical Plans Panelists:Dena Miller, RN MSN, VP Medicare Stars and Risk, The Westshore Grand, Tampa, FL Blue Lindsey Giglio,Program Manager, BlueCross BlueShield of South Carolina Michael Farina,Director Health Care Quality, Capital District Physicians’ Health Plan |
Ensuring Access to Quality Care for All Members | |
2:45 |
Innovative Community Partnerships to Close Gaps in Care for Diverse Populations – A Strategic ApproachClosing gaps in care for diverse population groups requires distinct engagement strategies. Members often experience social barriers to care and require culturally appropriate engagement strategies to understanding preventive care and necessary health screenings. This session will engage attendees on how to strategically leverage community partnerships to address social barriers to care, provide culturally tailored support and work to close gaps in care. After this presentation, attendees will be able to:
Jamie Galbreath, PhD, MPH, CHES,Quality Improvement Associate Director, UCare |
3:05 |
Addressing Social Determinants of Health & Health Inequity to Boost Outcomes, Member Experience & Quality PerformanceTruly making a positive impact on SDOH and inequities within a community, is not a single source solution. Any program aiming to address SDOH and inequities requires a commitment and partnerships with trusted and existing community based resources, which is why Gateway Health could not do this alone. The community and its leaders must be involved in every step of the process to effect real change. Gateway Health was able to leverage local CBO and providers in not only addressing its members SDOH needs but also improving quality scores and member experience. Konark Rana, Sr. Director – Strategy and Innovation, Gateway Health Plan |
3:25 |
Close of Conference
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