Home - Medicare Risk Adjustment & Revenue Management - February 22-23, 2018

* 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

RAVE REVIEWS FROM
RECENT SSN MEDICARE CONFERENCES

"Great content. Very interactive. Learn something new and useful every year”

The Health Plan (Geisinger)

"Great job keeping to schedule; excellent and relevant speakers ”

Centauri Health Solutions

"Variety of topics and speakers. Interaction with others ”

Aetna

"I always enjoy these SSN conferences! ”

Cambia

"I really enjoyed the networking & learning about Hedis & Stars and how they relate to risk and closing gaps

Humana

"It was helpful to hear how others in the industry are handling these topics and to know we are on a similar track”

Health Alliance Plan

"I enjoy the topics and the presentations were well designed. I left the conference with several ideas that I can apply to our MA population”

"Enjoyed speakers and their specifics”

Consumer Direct Care Network

"Insight on what worked with other organizations”

MedPoint Management

"Beautiful location. Well-coordinated conference. Nice variety of speakers and wonderful networking opportunities”

UCare

"Common thread connecting presentations, but each presentation helped define different angles and perspectives. Lots of great information to take away”

Island Doctors

"Good size, easy to network, very relaxing. Good mix of speakers”

Quest Diagnostics