Venue
Music City Center
Music City Center, 201 Rep. John Lewis Way S, Nashville, TN 37203, USA

What is Qwoted?

Qwoted is a free expert network: we help reporters connect with experts & we help those same experts build relationships with top reporters.

Event Date Sun Mar 17 EDT - Tue Mar 19 EDT (9 months ago)
Location Music City Center
201 Rep. John Lewis Way S, Nashville, TN 37203, USA
Region Americas
Details

This event is the #1 trusted source for all things Medicare Advantage, crossing a variety of topics and themes from risk adjustment and quality to member experience and social determinants of health. We welcome thousands of Medicare Advantage enthusiasts from health plans, health care providers, and health care technology organizations for boots-on-the-ground guidance on imminent CMS changes including reduced payment rates for 2024, renewed prioritization of risk adjustment, and the RADV final rule.

Our all-star speaker lineup will share cross-sector perspectives on every Medicare Advantage topic keeping you up at night from developments in risk adjustment compliance cases with the DOJ & OIG, to how your competition is utilizing AI to design the perfect risk adjustment formula.

Why you should attend:
• Keep up to date with the latest regulatory changes affecting Medicare Advantage health plans
• Gain the tools to integrate silos and streamline operations
• Learn about innovative technologies and trends leading the future of health care in 2023 and beyond
• Take a deep dive into active and settled cases in health care and walk away with practical lessons learned
• Become a superhuman and improve your productivity and performance
• Optimize your member experience and break down barriers for member growth
• Discuss the link between successful member engagement, mental health, and risk models
• Use data, analytics, and artificial intelligence to maximize health care delivery and outcomes
• Collaborate and share experiences to lessen burnout and build successful payer/provider partnerships
• Expand your network and connect with hundreds of health care executives from around the country

Benefits of attending:
• Risk Adjustment, Risk Management, & Risk Revenue
• Quality Improvement, HEDIS®, Star Ratings & HOS
• HCC Coding and Operations
• Encounter Data
• Managed Care
• Revenue Management
• Senior Products
• Performance Improvement
• Plan Strategy
• Data Management
• Physician / Member Engagement
• Member Outreach / Engagement
• Network Management
• Customer Service
• Accountable Care
• Member Experience
• Social Determinants of Health

Speakers

2024 Speakers

KEYNOTE SPEAKERS:

Ian Khan
Futurist, Featured on CNN, The BBC, Fox, Bloomberg, Fast Company, Entrepeneur

Jeremy Poincenot
Inspirational Speaker, Performance Coach, & Blind Golf Champion

FEATURED SPEAKERS:

Christi A. Grimm
Inspector General, Office of Inspector General, Department of Health and Human Services

Christopher Bresette
Director of Medicare Part C Audits, Office of Audit Services, U.S. Department of Health and Human Services – Office of Inspector General

Alexis Mills
Social Science Research Analyst, New York Regional Office, U.S. Department of Health and Human Services – Office of Inspector General

Miriam Anderson
Subject Matter Expert, Office of Evaluation and Inspections, U.S. Department of Health and Human Services – Office of Inspector General

Carolyn Kapustij
Senior Advisor for Managed Care, Office of Audit Services, U.S. Department of Health and Human Services – Office of Inspector General

Allison Wiley
Health Insurance Specialist, Center for Consumer Information and Insurance Oversight, Centers for Medicare & Medicaid Services (CMS)

Daphne Letherer
Management & Program Analyst, Center for Consumer Information and Insurance Oversight, Centers for Medicare & Medicaid Services (CMS)

SPEAKERS:

Dr. Sarika Aggarwal
Chief Medical Officer, Fast Pace Health

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Mario Albert, Revenue Operations Manager, Independent Health

Kathleen Aller
Director of Market Strategy, Healthcare, InterSystems

Margaret Anderson
Senior Vice President, Health Alliance Plan

Jordan Anderson
MD, MBA, SVP, Clinical Programs, Belong Health

Matthew Baird
Consumer Experience Partner, Intermountain Healthcare

Will Barnett
Payerpath Solutions Manager, Veradigm

Jennifer Barnhart
Public Health Consultant, National Association of Chronic Disease Directors (NACDD)

Derek Beenfeldt
Chief Medical Officer, Hometown Health

Jeff Bennett
Chief Strategy and Innovation Officer, Matrix Medical Network

Vandna Bhrany
Vice President, HEDIS Strategy & Analytics, AmeriHealth Caritas

Jodi Biller
DNP, APRN, FNP-BC, Director of Clinical Improvement for MHC ACO, Marshall Health Network

Alex Blackstock
VP, Product Management, Signify Health

Cale Browning
Director - CDE Performance Management, Ochsner Health Network

Stephanie Burdick
Community Leader & Patient Advocate, Camden Coalition

Joseph Burnett
Leader, Risk Adjustment Analytics, Health Analytics, MVP Health Care

Steve Buslovich
VP, Senior Care VBC, PointClickCare

Jennifer Callahan
Chief Operating Officer, ATRIO Health Plans

Mike Cantor
CMO, Matrix Medical Network

Anna Carley
Senior Director, Client Relations, GeBBS Healthcare Solutions

Kate Casaday
Head of Product, On Belay Health ACO Reach

Gerri Cash
VP, Medicare Quality & Stars, Molina

Brant Castellow
Senior Vice President, Head of Sales and Marketing, Reveleer

Richard Charles
Chief Medical Officer, General Physician PC

Jason Christ, JD
Attorney, Epstein Becker Green

Laura Cooley
Editor-in-Chief, Journal of Patient Experience

Stacy Cooper
Manager of Quality Improvement- Experience, BAYLOR Scott and White Health

John Criswell
Founder, CEO, Chairman, Porter

Mac Davis
Partner, Centerboard Health

Dr. Shannon Decker
Principal, VBC One

Dave DeHommel
Director, Risk Adjustment Accuracy & Risk Mitigation, Blue Cross Blue Shield of Michigan

Dr. Kumar Dharmarajan
Associate Chief Medical Officer, Clover Health

AJ Diamontopoulos
Integrated Heath Manager, Denver Regional Council of Governments

Joanna DiBenedetto
Public Health Consultant, National Association of Chronic Disease Directors (NACDD)

Laurin Dixon
Lead Executive of Medicare Product, Arkansas Blue Cross Blue Shield

Hemanth Doma
AVP, Product, Inovalon

Dona Doran
Assistant Director Risk Adjustment, Cambia Health Solutions

Michael Dulin
Chief Medical Officer, Gray Matter Analytics

Rebecca Elhassid
Senior Vice President, Enterprise Solutions, Centauri Health Solutions

Randy Englert
Section Head – Consultative Cardiology / CDE Cardiology MD Lead, Ochsner Health Network

Dr. Eirinn Erny
VP / Medical Director – Clinical Documentation Excellence, Ochsner Health Network

Kate Eshelman, M.D., M.P.H
Vice President, Medical Informatics, Inovalon

Mary Feliz
Manager, Risk Adjustment Consulting, Pareto Intelligence

Chris Gage
Director, Experience Strategy, Healthmine

Lisa Garrett
Director, Revenue Management, Sentara Health

Jerry Gauchat
Executive Vice President, Cognisight

Colleen Gianatasio
Clinical Documentation Integrity and Coding Compliance, Capital District Physician’s Health Plan (CDPHP)

Eric Glazer
Executive Producer & Host, Bright Spots in Healthcare Podcast

Amy Gleason
Chief of Product, Main Street Health

Jeffrey Gleason
MD, MBA, Physician Executive, Independent Consultant on Value-based Care

Savannah Gonsalves
Director of Quality, Hometown Health

Casey Granack
Innovations, WakeMed Health and Hospitals

Christi A. Grimm
Inspector General, Office of Inspector General, Department of Health and Human Services

Jon Hamdorf
Market President, Former Kansas Medicaid Director, UCare

Ana Handshuh
Principal, CAT5 Strategies

Leah Hannum
Director of Government Funding Operations, Blue Cross of Idaho

Mitch Harper
Director of Network Performance, Hometown Health

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

Kent Holdcroft
Chief Growth Officer, Healthmine

Jennifer Holman
LPN, CRC, Director Risk Adjustment, Centene Corporation

Kaleb Holt
Medicare Program Director, SelectHealth

Holly Howat
Founder and Executive Director, Beacon Community Connections

Britni Hoyt
MPH, MBA, Director of Quality Operations and Care Management, Community Quality Alliance

Eugene Hsu
MD, MBA, RVP II, Senior Clinical Officer, Medicare, Elevance

Nikki Hungate
MS, MHA, Health Plan Product Strategy Expert

Prakash Jayakumar
M.D., Ph.D., Assistant Professor, Department of Surgery and Perioperative Care, Director, Clinical Research and Outcome Measurement, Department of Surgery and Perioperative Care

Jaye Johnston
Vice President of Stars Operations, Clover Health

Michael Jones
President & General Manager, Payer, Inovalon

Uday Joshi
Assistant Vice President, Healthfirst

Ashish Kachru
CEO, DataLink Software

Summer Kahlon
Chief Medical Officer, Edifecs

BK Kajopaiye
Program Manager Risk Adjustment, STARS, and Quality, CareFirst BlueCross BlueShield

Evelyne Kane
Senior Program Manager, Community Engagement & Capacity Building, Camden Coalition

Jenn Kerfoot
Chief Strategy & Growth Officer, DUOS

Michael Keyes
VP, Health Plan Sales, PointClickCare

Dr. Mansoor Khan
Sc.D., CEO, Persivia Inc.

Sophia Kim
Chief Commercial Officer, Matrix Medical Network

John Kontor
Senior Vice President, Prospective Risk and Provider Solutions, Optum

Erica Krieger
Vice President, Quality, Blue Cross Blue Shield of Michigan

Andy Kumar
Vice President, Product and Strategy, EXL Health

Gregory LeGrow
Executive Director Payer Product Strategy, athenahealth

Jimmy Liu
VP Analytics and MRR Solutions, Advantmed

Mark Lodes
Chief Medical Officer and VP, Population Health and Medical Education, Froedtert and Medical College of Wisconsin

Donna Malone
CPC, CRC, AAPC Approved Instructor, AHCCA, RAP  Director Risk Capture – Population Health, Mass General Brigham

Sheryl Markowitz
Chief Clinical Officer, EXL Health

Emma Martin
Chief of Staff, Nymbl Science

Gabriel Medley
Vice President, Risk Adjustment, BCBS-MI

David Meyer
EBG Advisors, Waldo - Missing - Silhouette, Chief Compliance & Privacy Officer, VNS Health

Namita Seth Mohta
M.D., Executive Director, NEJM Catalyst Innovations in Care Delivery

Jenni Monfils
CPC, CDEO, CRC | AVP, Risk Adjustment Coding and Compliance, Molina HealthCare

Colleen Morley
Associate Chief Clinical Operations Officer, UIHealth

Jessica Muratore
Chief Operating Officer, Rex Wallace Consulting, LLC

Brian Murtha
Director, Risk Adjustment Digital Strategy, Centene

Krishan Nagda
MD, CEO & President, Central Florida Inpatient Medicine

Michael Nemeth
Associate Vice President , Blue Cross Blue Shield of North Carolina

Zeev Neuwirth
M.D., Author, “Beyond the Walls” and “Reframing Healthcare”

Nana Ofori
VP, Product, Apixio

David Olson
Vice President, Molina Healthcare

Jennie Ossentjuk
Market Lead – Commercial Health Plans, Noridian Healthcare Solutions

Erika Paquette
Manager of Risk Adjustment, Hometown Health

Margaret Paroski
M.D., CEO, Catholic Medical Partners

Kenneth Persaud
MD | CEO, White-Wilson Medical Center

Eric Pfleger
Senior Vice President, Population Health, Southeast Primary Care Partners

Tam Pham
Chief Product Officer, Chirok Health

Andrea Purjue
Director, Enterprise Partnerships, Arcadia

Sara Ratner
President, Government Programs, Nomi Health

Ben Reed
Clinical Engineering, WakeMed Health and Hospitals

Hassan Rifaat
Chief Executive Officer, Vatica Health

Dr. Francesca Rinaldo
SVP, Clinical Product & Innovation, Sharecare

John Robertson
M.D., Family Medicine, Family Medical Clinic of Harrogate

Cian Robinson
Fractional Business Development Officer, Robinson Ventures and Beacon Community Connections

John Romans
Co-Founder and CEO, Biomedix

Marc Rosen
System Director, Community Impact and Partnerships, CommonSpirit Health

Deepak Sadagopan
Chief Operating Officer, Population Health, Providence

Kacey Serrano
MPA, CPC, CRC, Director, Medicare Stars and Risk Adjustment, Arkansas Blue Cross Blue Shield

Reva Sheehan
Sr. Director, Customer Insights, mPulse

Laura Sheriff, RN, MSN, CPC, CRC
Vice President Operations, Risk Adjustment, Southwestern Health Resources (SWHR) 

Rohit Shinde
Vice President, Healow Insights

Erik Simonsen
Chief Operating Officer, Episource

Victoria Smith
Director of Process Improvement and Design, Beth Israel Lahey Health Performance Network (BILHPN)

Autumne Smith
Manager of Information Governance and Data Integration, BlueCross BlueShield of South Carolina

Lanae Smithers
Manager, Payerpath Sales, Veradigm

Jessica Son
Chief Medical Officer, Clover Health

Kathleen Spaulding
Manager, Risk Adjustment Quality Assurance, CDPHP

Amanda Spicer
Supervisor Risk Adjustment Coding Operations, CDPHP

Scott Stratton
MPH, Chief Data Scientist & VP Industry Development, Veradigm

Mikal Sutton
Managing Director, Medicaid , Blue Cross Blue Shield Association

Kimberly Swanson
Chief of Staff, Healthmine

Ralph Tang
MD, Principal, Healthcare Transformation

Ally Thomas
AVP of Quality Improvement, UPMC

Chris Towner
Data Analytics Manager, Providence St. Joseph

Robert Tracy
Senior Vice President of Government Programs, Independent Health

Kai Tsai
Executive Vice President, Strategic Business Development, Centauri Health Solutions

Karl Ulfers
Co-Founder and CEO, DUOS

Mark Van Ert
Managing Director, FTI Consulting

Ariana Vanin
Sr. Director Product Growth, Sanitas Medical Center

Miguel Venereo
MD, FACOG, CCPS, Senior Vice President and Chief Medical Officer, Community Care Plan

Chris Wage
Director, Experience Strategy, Healthmine

Ken Walters
Senior Vice President, and Chief Operating Officer, Community Care Plan

Susan Waterman
Trainer, Director, Risk Adjustment, Baylor Scott & White

Austin Weaver
VP, Medicare, Hinge Health

Dr. Auren Weinberg
Chief Medical Officer, Veradigm

Lesley Weir
Director, Solutions Strategy, Veradigm

Rebecca Welling
VP, Risk Adjustment, Intermountain Health

Meghan West
Sr. Manager Product Management, Clinical Data Exchange, Veradigm

Rick Whitted
CEO, U.S. Hunger

Mark Wiacek
Founder / Consultant, Vihara Health

Marc Willard
CEO, Icario

Anne Winter
Senior Managing Director, FTI Consulting

Megan Zakrewsky
Vice President of Product, Clinical Data Exchange Payer Solutions, Veradigm

Olga Ziegler
Vice President, Highmark Health

Beth Zuehlke
Chief Customer Officer, Moxe Health

Sponsors & Partners

2024 Sponsors

PLATINUM SPONSORS:
• Advantmed
• Apixio
• Arcadia
• Biomedix
• Centauri
• Health Solutions
• Chirok Health
• Datalink
• Duos
• Edifecs
• Episource
• Epstein Becker Green
• EXL
• FTI Consulting
• GeBBS Healthcare Solutions
• Healow
• Healthmine
• Icario
• Inovalon
• InterSystems Creative Data Technology
• Matrix Medical Network
• Nomi Health
• Optum
• Persivia
• Porter
• PressGaney
• Reveleer
• Sharecare
• Signify Health
• Vatica Health
• Veradigm

GOLD SPONSORS:
• Advantasure
• Athena Health
• Bloom
• Cognisight
• Cotiviti
• Cozeva
• Credo
• Datavant
• Eclat Health Solutions
• Everly Health Solutions
• Evernorth Health Services
• Exact Sciences
• Farmbox Rx
• Fathom
• Graymatter Analytics
• Hinge Health
• Kaia Health
• Labcorp
• Milliman Intelliscript
• Moxe
• mPulse Mobile
• N1 Health
• Noridian Healthcare Solutions
• Nymbl
• Ochsner
• Pareto Intelligence
• PointClickCare
• Previon
• Pyx Health
• Quad
• Quantum Health
• ReferWell
• Secondwave
• Secure Exchange Solutions
• Semler Scientific
• Simply Connect
• Summus
• Ushur
• Virgin Pulse
• Wolters Kluwer

SILVER SPONSORS:
• 3M Modal
• AAPC
• Adhere Health
• AEYE Health
• Albertsons Companies
• American logistics
• Annova
• Astrata
• Availity
• Azara Healthcare
• Beacon Healthcare Systems
• BeneLynk
• Birdsong
• Care Kit
• Care Centrix
• Careington
• Carenet Health
• Cavo Health
• Cecelia Health
• Clear Arch
• Cognizant
• Convert Bridge Group
• CSI Companies
• Datafied
• Dialog Health
• Ellkay
• Encore Wellness
• Focus Care
• Greater Good Health
• Hallmark Business Collections
• Harmony Healthcare
• Harmony Cares
• HCC Coder
• Healthrageous
• Ingenia Health
• Innovacer
• Intelligent Medical Objects
• International Rethal Imaging Systems
• Invent Health
• IQ Via
• Know your Rhythm
• Judge Healthcare
• Lightbeam
• MOBE
• MRO
• Nations Benefits
• Nations Market
• Neurotrack
• New Vision Healthcare Solutions
• Olipop
• Omega Healthcare
• OTC Health Solutions
• Paramount Dental
• Persivia
• Pointcare
• Pursuant Health
• Relay
• Retina Labs
• RWS
• S2M Health
• Smart Communications
• Sprinter Health
• Stanson Health
• The Helper Bees
• Transperfect
• Triptych
• Verisma
• VIM
• Weller
• Wellinks
• Wellthy
• Wex
• Wider Circle
• Zoll Data Systems
• ZS