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.
About ACP Productions Fusions
Fusion event Key Speakers
Ken Adams, M.D.
Chief Operating Officer/Chief Medical Officer United Healthcare Medicare Advantage for Texas
Jarvis Leigh
National Vice President, Strategic Payer Partnerships at Aledade, Inc.
Janine Angel
Senior Director, Medicare Strategic Business Operations & Compliance at Centene
Rahul Kashyap
Rahul Kashyap Medical Director, Research at WellSpan Health
Phanii Pydimarri
Head of Strategic Partnerships at Health Care Service Corporation
Aaron Hoffman
Chief Clinical Innovation Engineer at Atrius Health
Dr. Cameual Wright
Market Chief Medical Officer at CareSource - Indianapolis, IN
Jonathan Van Etten
National Executive Director - Care at Home Sourcing at Kaiser Permanente
Sheldon Lippman
CMO at United Healthcare Community & State
Scott Paddock
CEO at Wondr Health
Agenda
Day 1 | |
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11:00 - 01:00 | Registration |
12:00 - 01:00 | Welcome Lunch |
01:00 - 02:00 | Keynote kickoff |
02:00 - 02:45 | Presentation |
02:45 - 03:30 | Workshop |
03:30 - 05:30 | Solution Discovery |
06:00 - 06:45 | Reception |
06:45 - 08:15 | Dinner |
Day 2 | |
---|---|
7:00 - 8:00 | Breakfast |
8:00 - 8:45 | Presentation |
8:45 - 9:30 | Presentation |
9:30 - 11:30 | Solution Discovery |
11:30 - 12:15 | Presentation |
12:15 - 1:30 | Lunch |
1:30 - 2:15 | Workshop |
2:15 - 3:00 | Presentation |
3:00 - 4:30 | Solution Discovery |
4:45 - 5:45 | Wine & Work Activity |
6:00 - | Dinner & Entertainment |
Day 3 | |
---|---|
7:30 - 8:30 | Breakfast |
8:30 - 9:15 | Workshop |
9:15 - 10:00 | Presentation |
10:00 - 10:45 | Presentation |
10:45 - 11:45 | Solution Discovery |
11:45 - 12:30 | Presentation |
12:30 - 1:30 | Chairperson Work & Lunch Activity |
1:30 - 2:15 | Presentation |
2:15 - 3:00 | Closing Award & Knowledge Share |