ACO/Payer Innovation Fusion

Some Topics being Addressed during this session

Hyperlocal care management and remote patient monitoring - Chief Operating Officer/Chief Medical Officer at United Healthcare Medicare Advantage for Texas

• Why hyperlocal care management is better than a national call center
• How to utilize care management to address STARS and RAF
• Can remote patient monitoring be cost effective?

Front-Line Innovation in a Value-Based World - Chief Clinical Innovation Engineer at Atrius Health

• How re-envisioning what team-based care looks like can impact the lives of patients and improve workforce satisfaction.
• Opportunities to expand access to digital tools for patients while improving the financial well-being of the organization
• Creative solutions for implementing and expanding partnerships with employers

Duals Integration Best Practices - Senior Director, Medicare Strategic Business Operations & Compliance at Centene

• Best Practices for MMP and DSNP look alike plan transition to DSNP (CA did this effective 1/1/23)
• DSNP(Dual special Needs) only H-Contract-importance of relationships with State Medicaid regulators

Social Determinants Of Health - Medical Director, Research at Wellspan Health

• Importance of Social Determinants Of Health
• Current Status of SDH Clinical Data
• SDH AI algorithms and SDH Social interventions to improve access to quality care and improved outcomes

Network Strategy - Supplier Relationship Management - National Executive Director - Care at Home Sourcing at Kaiser Permanente

• Supplier Relationship Management
• Governance & Oversight

ACO ER Utilization from a different perspective – Chief Medical Officer at United Healthcare Community & State

• Reduction of non-urgent ER visits

PCP Driven ACOs - Proven Results - National Vice President, Strategic Payer Partnerships at Aledade, Inc.

• PCPs account for 8% of medical spends
• PCP driven ACOs can control `90% of total medical spend
• PCP driven ACOs help small practices on the pathway to increase downside risk

Making Health Equity an Intrinsic Part of the Corporate Culture - Market Chief Medical Officer at CareSource - - Indianapolis, IN

• Building the Foundation and Paving the way for the Cultural Shift
• Outline the business, financial and social rationale for managed care organizations to prioritize health equity right now.
• Identify the essential elements of persuasive communication to articulate the need for change and resonate with your audience.
• Explore CareSource’s journey to evolve into a culture of equity by identifying champions, garnering support, creating a vision and executing strategic initiatives to support a diverse membership.

The Preventive Care Powerhouse: How Wondr Health is Transforming Health Care and Driving Down Claims Costs

• Learn about the anti-obesity medication landscape, including trends and challenges.
• Identify the risks and benefits of covering anti-obesity medications.
• Understand why tailored medication management is key and why pairing a quality behavior-change program with anti-obesity medications is critical for payers who want to stay ahead of the curve in achieving long-term clinical outcomes and cost savings.
• Get industry-leading expertise to inform and define your anti-obesity medication strategy.