Carecoordinnovations : CARE TRANSFORMATION INNOVATIONS

CARE TRANSFORMATION INNOVATIONS

Sam Young, Senior Medical Director, Florida Blue, BSN, MBA, Director, Clinical Programs, BlueCare Tennessee , Sallie Prins, Senior Manager, Medicare Management, Priority Health, Amy Helwig, Vice President, Quality Improvement and Performance, UPMC Medical Center Insurance, Services Division, Rex Wallace, Principal, Rex Wallace Consulting (recently, Vice President, Integrated Member, Experience, Cambia Health Solutions, Michael Parkinson, Senior Medical Director, UPMC Health Plan, Jonathan Harding, Senior Medical Director for Senior Products, Tufts Health Plan, Lili Brillstein, Director, Episodes of Care, Market Innovations, Horizon Blue Cross Blue Shield of New, Jersey, Christine Leo, Assistant Vice President, Senior Products, Cigna, Vice President Sales & Marketing, Gateway Health Plan, Risk Adjustment Innovations, February 12-13, 2025 * Dallas/Fort Worth,TX, Proven Cross-Functional Strategies to Rapidly Integrate Regulatory Changes, Boost New Product Development, Enhance Care Quality, Engage Providers and Members and Streamline Operations to Increase Plan Performance, Star Ratings Programmes, Quality Assurance Programmes, Population Health Programmes, Care Coordination Programmes, Product Design Programmes, Marketing Programmes, Member & Provider Engagement Programmes, Operations Programmes, Technology Programmes, Price transparency, Risk Adjustment Innovations, riskadjustmentinnovations, riskadjustmentinnovations.com, Next generation financial models, Lili Brillstein, Director, Episodes of Care, Matt Flora, Director � EBI Medical Informatics, Mary Vollkommer, Vice President & Actuary, Richard O'Donnell, Vice President, Provider Contracting, Priority Health, Mike Ruiz, Vice President Provider Relations & Contracting, UCare, Adam Giroux, Director Value-based Reimbursement Strategies, Priority Health, Michael Rawdan, Ph.D, Linda Zang, Assistant Treasurer, UPMC, Florida, 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, Health Plan, Care Wisconsin, Trusted Health Plan, Premera, CareSource, Priority Health, Fallon Health, Decision Point Healthcare Solutions, REGINA VERCILLA, Vice President, Clinical Strategy and Innovation, LISA HOLDEN, Vice President, Accountable Care, JIM MILANOWSKI, President and CEO, KENNETH EIMERS, Chief Operating and Information Officer, MYRA ENLOE, VP, Performance Excellence, MARGARETIA L. JACKSON, MD, FAAP, Chief Medical Officer-Chief Quality Officer, RACHEL ANDREW, MS, LMFT, CCM, Director, Clinical Programs, TONYA PERRY, Director Home and Community Based Services Integrated Care, SHEILA WILSON, BSN, RN, CCM, Director of Care Management, Medicaid, KAREN CODERRE, Director, Pharmacy Therapeutics, SAEED AMINZADEH, Chief Executive Officer, strategic Solutions networks, 5616740082, 5616740282

CARE TRANSFORMATION INNOVATIONS - November 5-6, 2025 * Scottsdale, AZ