7:15am – 8:00am
Conference Registration & Networking Breakfast

8:00am – 8:15am
Chairperson's Opening Remarks

8:15am – 9:00am
The Future of Star Ratings: Adapting to Regulatory Changes and Industry Trends
This session provides an overview of the latest regulatory updates and industry trends shaping the future of Star Ratings. Gain valuable insights into how these changes will impact health plans and Medicare Advantage plans. Attendees will learn about the potential challenges and opportunities presented by these developments and how to proactively adapt their strategies to stay ahead of the curve. The speaker will also discuss the importance of staying informed and engaged with regulatory bodies and industry associations to ensure ongoing success in the evolving Star Ratings landscape.

Christiana Alexander
Manager, Medicare Policy
Blue Cross Blue Shield Association 

9:00am – 9:45am
Leveraging Data Analytics to Improve Quality Measures and Star Ratings
In this session learn how advanced data analytics can be harnessed to identify areas for quality improvement and drive better Star Ratings. Hear about successful strategies for utilizing data to enhance performance. Attendees will gain a deeper understanding of the key metrics and data points that most significantly impact Star Ratings and how to leverage this information for targeted interventions. The session will also explore the role of predictive analytics and machine learning in identifying at-risk populations and proactively addressing potential quality gaps.

Julianne Eckert, RN, BSN, CCM, CMCN, ACMP
Senior Director, Clinical Quality Programs
Clover Health 

Katharine Iskrant, MPH, CHCA, CPHQ
Founder and Practice Leader
Healthy People, Inc. 

9:45am – 10:15am
Networking & Refreshments Break 

10:15am – 11:00am
Trust is Earned in Drops and Lost in Buckets
Likelihood to recommend is based on loyalty and trust, two things that are reflected through star ratings made visible on many organizations’ external websites. These star ratings directly influence patient choice and are crucial for accurately representing hospital quality, safety, and experience. However, star ratings and their associated transparency can impact provider morale. In this session we will explore the following key components that are crucial for striking the balance between provider and patient trust in star ratings:

- Clarity

- Compliance

- Correlation

Mandy Riemer, MSW
Manager, Patient Experience
Children’s Mercy Kansas City  

11:00am – 11:45am
Overcoming Challenges in Medication Adherence and Pharmacy Quality Measures
This session will present insights on tackling the challenges associated with medication adherence and pharmacy quality measures. The speaker will offer practical solutions and best practices for improving performance in these critical areas. Attendees will learn about the latest technologies and interventions for promoting medication adherence, as well as strategies for collaborating with pharmacies and engaging members in their medication management. The session will also explore the importance of data-driven insights and targeted outreach in identifying and addressing adherence barriers.

Gary Melis, R.Ph.
Pharmacist
Network Health 

11:45am – 12:30pm
Engaging and Empowering Members for Better Health Outcomes
Discover innovative approaches to member engagement and empowerment that lead to improved health outcomes and higher Star Ratings. This session will showcase effective tools and strategies for fostering member involvement in their healthcare journey. Attendees will learn about the latest technologies and communication channels for reaching and engaging members, as well as best practices for tailoring interventions based on member preferences and needs. The speaker will also discuss the importance of creating a seamless and personalized member experience across all touchpoints to drive long-term engagement and loyalty.

Judith Hamlin, MS, FNP-C, CCM
Manager QI
Fidelis Care 

12:30pm – 1:30pm
Luncheon 

1:30pm – 2:15pm

Paul Forlenza
Director, Provider Contracting
Geisinger Health Plan

Joann Sciandra
AVP Population Management
Geisinger Health Plan 

2:15pm – 3:15pm
Panel: Maximizing the Impact of Provider Engagement on Star Ratings
Examine the crucial role of provider engagement in achieving better Star Ratings. Learn proven strategies for collaborating with providers, aligning incentives, and driving continuous quality improvement. Attendees will gain insights into the key drivers of provider engagement and learn about innovative approaches for fostering a culture of quality and accountability among network providers. The session will also explore the potential of value-based payment models and performance feedback mechanisms in motivating providers to excel in quality measures.

Panelists:
Julianne Eckert, RN, BSN, CCM, CMCN, ACMP
Senior Director, Clinical Quality Programs
Clover Health 

3:15pm – 3:45pm
Networking & Refreshments Break 

3:45pm – 4:30pm
Leveraging Strategic Pharmacy Partnerships to Close Gaps
Many plans experience challenges in engaging with their members on getting them in for preventive care when there is no established relationship. Closing gaps in care for diverse population groups requires distinct member engagement strategies that builds upon an existing trusting relationships. This session will engage attendees on how to strategically leverage pharmacy partnerships to engage members, connect them to primary care, and close preventive gaps in care. This session will explore engagement partnerships with pharmacies to improve the use of medications and healthcare services for members.

Jamie Galbreath, PhD, MPH, CHES
Quality Improvement Associate Director
Ucare 

4:30pm – 5:15pm

Savannah Gonsalves
Director of Quality
Hometown Health 

5:15pm
End of Day One

7:15am – 8:00am
Networking Breakfast 

8:00am – 8:15am
Chairperson's Recap

8:15am – 9:00am
Implementing Effective Care Management Programs to Drive Quality Improvement
This session delves into the design and implementation of successful care management programs that contribute to better quality outcomes. Learn best practices for identifying high-risk members, coordinating care, and measuring program effectiveness. Attendees will gain insights into the key components of a comprehensive care management strategy, including risk stratification, care planning, and care coordination. The speaker will also discuss the importance of leveraging technology and data analytics to support care management efforts and drive continuous improvement.

Angela Lynn, MSN, RN, CCM
Director, Clinical Teams
Blue Cross and Blue Shield of North Carolina 

9:00am – 9:45am
Leveraging Technology and Digital Solutions to Enhance Member Experience and Quality
Explore cutting-edge technologies and digital solutions that can revolutionize member experience and drive quality improvement. This session will showcase real-world examples of successful technology implementations and their impact on Star Ratings. Attendees will learn about the latest innovations in telehealth, remote monitoring, and digital therapeutics, as well as best practices for integrating these solutions into existing care models. The speaker will also discuss the importance of user-centered design and continuous iteration in developing effective and engaging digital health tools.

Ryan Ribeira, MD, MPH
Assistant Professor
Medical Director, Adult Emergency Department
Department of Emergency Medicine, Stanford University School of Medicine
Stanford Medicine 

9:45am – 10:15am
Networking & Refreshments Break

10:15am – 11:00am
Collaborating with Community Partners to Address Social Determinants of Health
Learn how partnerships with community organizations can help address social determinants of health and improve quality outcomes. This session will highlight successful collaboration models and provide guidance on establishing effective community partnerships. Attendees will gain insights into the key steps for identifying and engaging relevant community partners, as well as best practices for aligning goals, resources, and metrics for success. We will also discuss the importance of cultural competency and trust-building in fostering sustainable and impactful community partnerships.

Jim Milanowski
President/CEO
Genesee Health Plan 

11:00am – 11:45am
Navigating the Evolving Landscape of Star Ratings and Quality Improvement: Key Takeaways and Future Outlook
This session will provide a forward-looking perspective on the future of Star Ratings and quality improvement. Attendees will leave with actionable insights and strategies to navigate the evolving landscape. The speaker will highlight the most significant trends and challenges on the horizon and offer practical guidance on how to position your organization for long-term success in the face of these changes. The session will also emphasize the importance of continuous learning, adaptability, and collaboration in driving ongoing quality improvement and Star Ratings excellence.

Tamara Migut, RPh, CPHQ
Director of Quality Management
Health Alliance Medical Plans 

11:45am – 12:30pm
Addressing Health Equity in Star Ratings and Quality Improvement Initiatives
Explore the critical role of health equity in Star Ratings and quality improvement efforts. The speaker will discuss best practices for identifying and addressing disparities, ensuring equitable care delivery, and improving outcomes for underserved populations. Attendees will gain insights into the social, economic, and environmental factors that contribute to health inequities and learn about evidence-based strategies for mitigating these disparities. The session will also highlight the importance of cultural competency and community partnerships in advancing health equity goals.

Geannette “GiGi” Green, PharmD, MPH
Senior Manager, Pharmacy Quality Initiatives
Centene Pharmacy Services
Centene Corporation

James Greenough
Vice President, Enterprise Quality Strategy
Centene Corporation 

12:30pm
Conference Concludes

12:45pm – 2:45pm
The Path Forward: Innovating for Excellence in Star Ratings and Quality Improvement

This session will challenge attendees to embrace innovation and chart a path forward for excellence in Star Ratings and quality improvement. The speaker will share visionary ideas and practical strategies for driving transformative change in the healthcare landscape. Attendees will leave with a renewed sense of purpose and a clear roadmap for advancing quality improvement efforts within their organizations. The session will also emphasize the importance of collaboration, leadership, and a culture of innovation in achieving long-term success in the evolving world of Star Ratings and quality improvement.

Tom Lutzow
Principal
Health Management Associates