* Reconciliation of RAPS vs. Encounter Data Submission

* Value Based Purchasing Contracts: Integrating Cost Management, Care Coordination & Quality

* Data Collection: Reconciling Sources, Decreasing Costs

* Machine Learning Tools and Strategies

* Prospective Analytics & Retrospective Analytics

* Benchmarking Practice Comparison With Other Plans

* CMS – What’s Coming and Interpreting the Call letter

* Implementing Changes in HCC model

* Capitalizing on Synergies Between Stars & HEDIS

* Understanding the Impact of Pivotal Court Cases: Swoben & Pohling

* Case Study: Provider Intervention Programs

* Improving Quality of Business Processes

* Case Study: Gaps in Care Closures

Preliminary Roster of Speakers 2018
Health Alliance

Dawn Peterson

Director of Risk Adjustment, Revenue Management
Cambia Health Solutions

Brent Zenobia, Ph.D.

Senior Business Architect for Medicare and ACA
Capital District Physicians' Health Plan, Inc.

Puneet Budhiraja ASA MAAA

Medicare / Chief Actuary
Island Doctors

Tara A. Russo, MPH, CPC, CPMA, CRC

VP of Medicare Risk Adjustment and HEDIS Quality Initiatives, VP of Navigate Directorate
MCS Healthcare Holdings LLC

Linda Lee

Vice President, Quality Improvement
Gateway Health

Gabriel L. Medley, MHA, MBA

Vice President, Quality and Risk Revenue
Molina Healthcare

Mostafa Amini

Manager, Risk Adjustment
Freedom/Optimum Health

Mital Panara

Vice President, Revenue Management
SCAN Health Plan

David Meyer

Vice President
Harvard Pilgrim Health Care

Gaurish Chandrashekhar

Director of Revenue Management, Finance Department
Novu Health

Jordan Mauer

EVP Marketing and Member Engagement
Who Should Attend:

From Medicare Advantage Health Plans:

Senior Executives, Directors and Managers of:

  • Risk
  • Revenue
  • Finance
  • Health Services
  • Actuarial
  • Financial Operations
  • Financial Information Technology
  • Medical Management
  • And Solution Providers
Our Partners
  • 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.
  • 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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