Rise

Exhibit Hall Open

Welcome Remarks

Shannon Decker, PhD, MBA, MBA, M.Ed., M.Ed, Principal
VBC One

Ryan Dodson, Regional Manager, Risk Adjustment
New Vision Healthcare Solutions/Choice Medical Group

Mission Impossible–Or is it? Bringing Risk and Quality Together

• Learn how one health plan’s risk and quality teams work together to coordinate provider engagement 
• Recognize the benefits of creating risk and quality intervention strategies together for a more holistic member experience
• Examine an approach to align the goals and incentives for quality and risk adjustment

Ian Straayer, Director, STARS 
Priority Health 

Lindsay Dornfeld, Sr. Manager, Product Management 
Veradigm

Quality on a Budget: Economical Approaches that Maximize Impact

• Understand how to effectively manage quality performance by considering the past, present and future
• What are the different levers health plans can pull throughout the year?
• How to build your quality "think tank" to identify tools and resources that could be available to your health plan

Liz Haynes, MSN, RN, CCM, DVP, Risk Adjustment & Stars Government Programs
Blue Cross and Blue Shield of Kansas City

Jessica Muratore, Senior Consultant
Rex Wallace Consulting, LLC

Mick Twomey, Chief Executive Officer
Hyperlift

It’s all connected! Health Equity & HEDIS®—A Prospective Strategy to Align New HRA Requirement and SNS-E Measure

• Break down silos and create a unifying plan action around health equity strategy and new HRA requirements
• Understand the connections and leverage points to deliver better care and improve member access to care
• Identify areas to focus on to future-proof your organization with the coming headwinds and changes to Star Ratings

Jenn Kerfoot, Chief Strategy & Growth Officer
DUOS

Julianne Eckert, RN, BSN, CCM, CMCN, ACMP, Senior Director, Clinical Quality Programs
Clover Health

Welcome Remarks and Day One Takeaways

Shannon Decker, PhD, MBA, MBA, M.Ed., M.Ed, Principal
VBC One

Ryan Dodson, Regional Manager, Risk Adjustment
New Vision Healthcare Solutions/Choice Medical Group

HEDIS Supplemental Data Check-Up: Are you Optimized?

• Maximize plan-collected supplemental data for HEDIS reporting, including case management numerator closure opportunities, EHR, HIE, CCD, and data aggregator data
• Examine opportunities related to NDC code mapping, NLP data, Medicare CMS Data Validation measure supplemental data sources, and lifetime exclusion data
• Learn supplemental database management approaches to ensure your supplemental data is usable in the HEDIS audit

Katharine Iskrant, MPH, CHCA, CPHQ, Founder and Practice Leader 
Healthy People, Inc. 

Aurora V. Adams, MS, CHCA, Lead HEDIS Auditor
Healthy People, Inc.

United for Change: SDoH and the Intersection Between Risk and Quality

• Understand what’s on the horizon for Risk Adjustment and its effect on quality outcomes
• Discuss how food deserts are leading to the rise of obesity with associated health consequences
• Think outside the box to create an effective new game plan to mitigate these issues

Ryan Dodson, Regional Manager, Risk Adjustment
New Vision Healthcare Solutions/Choice Medical Group

Rick Whitted, CEO
U.S. Hunger

Ezekiel Brooks, CTO
U.S. Hunger

Michael Dulin, MD, CMO
Gray Matter Analytics

Quality Improvement Unveiled: Strategies, Success Stories, and Taming 90+ Measures

• Harness data for excellence: Unlock the core of Quality Improvement mastery as we delve into the power of data-driven strategies
• Illuminate success: Witness the real-world impact of QI expertise through an illuminating case study
• Engage providers: Build bridges to quality while closing care gaps and review strategies for nurturing collaboration, sharing feedback, and empowering providers to play an integral role in achieving superior patient care

Stephen P. Winn, CPHQ, Senior Director, Quality
Permanente Medicine

Gerardo Hernandez Diaz, Senior Director, Quality Improvement
Permanente Medicine

The Future of Quality Measurement: CMS’ Universal Foundation of Quality Measures

• Understand how the new “Universal Foundation” of quality measures can focus provider attention, reduce burden, identify disparities in care, accelerate the transition to interoperable, digital quality measures, allow for cross-comparisons across programs, and help identify measurement gaps. 
• Learn what measures are in the Universal Foundation, what measures are expected to be added, and how to master reporting the Universal Foundation of Quality Measures 
• Discover which measures quality programs are considering including in the Universal Foundation that are not currently in their programs and recognize the steps to add them over time if appropriate.

Diana Rodriguez, Quality Manager
Cigna

Katharine Iskrant, MPH, CHCA, CPHQ, Founder and Practice Leader 
Healthy People, Inc. 

Getting Better All the Time: Optimizing the Quality Accreditation Process

• Reconsider your accreditation process to ensure efficiency and efficacy 
• Consider how the new health equity accreditation option may be a benefit to your plan and the care of your members  
• Ensure you’re receiving maximum points on CAHPS and other quality measure scores for accreditation 

Traco Matthews, Chief Health Equity Officer
Kern Health Plan

Tina Dueringer, RN, BSN, CCM, PCC, Vice President Clinical and Quality
Rebellis Group

Closing Remarks

Shannon Decker, PhD, MBA, MBA, M.Ed., M.Ed, Principal
VBC One

Ryan Dodson, Regional Manager, Risk Adjustment
New Vision Healthcare Solutions/Choice Medical Group