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

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

8:15am – 9:00am
The Financial Reality Check: Why Population Health Programs Struggle to Break Even
Population health programs consistently demonstrate clinical success but struggle financially under current reimbursement systems. This session examines research revealing that typical value-based payment alone cannot sustain these initiatives due to modest shared savings, difficulty attributing outcomes to specific programs and short-term performance cycles that undervalue long-term benefits. You'll discover why universal coverage of fee-for-service codes like chronic care management and remote patient monitoring is critical for financial viability, how to model the economic sustainability of population health initiatives before launch, and strategies for advocating with payers to ensure adequate reimbursement structures support your programs.

9:00am – 9:45am
Maximizing Reimbursement: CPT Codes as the Foundation for Value-Based Care Success
Current Procedural Terminology codes provide essential infrastructure for value-based care by enabling patient identification for targeted interventions, supporting spend benchmarking and risk adjustment, and facilitating innovative digitally enabled care bundles. This session explores how CPT codes drive quality improvement efforts and payer contracting, including:
- Leveraging CPT for accurate risk stratification, budget forecasting and high-cost event identification
- Evolving CPT to reflect new practitioner types, bundled services and emerging healthcare delivery models
- Using CPT data to demonstrate value in negotiations with payers and prove program ROI
- Learn how to work with the CPT Editorial Panel to develop codes supporting your value-based initiatives.

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

10:15am – 11:00am
Overcoming the Barriers: Implementation Challenges That Kill Value-Based Care Programs
Despite strong evidence supporting value-based care, widespread implementation remains limited due to systemic barriers. This session tackles the obstacles preventing successful adoption including insufficient funding and reliance on fee-for-service models that disincentivize prevention, resistance from healthcare providers who lack training or incentives to adapt to value-based concepts, inadequate IT infrastructure and data collection processes unable to capture outcome measures, and organizational structures not designed for multidisciplinary team-based care.

11:00am – 11:45am
Building Sustainable Population Health Programs: Beyond Pilot Projects to Scalable Models
Moving from successful pilot programs to sustainable, scalable population health initiatives requires fundamentally different approaches to program design, financing and operations. This session examines what separates one-off demonstrations from programs that can expand across multiple markets and patient populations. We'll explore how to structure programs for financial sustainability from day one rather than hoping future contracts improve economics, approaches for securing multi-year payer commitments that recognize long-term value creation, and strategies for building organizational capabilities including data infrastructure, care team training and workflow integration that support population health at scale rather than in boutique settings.

11:45am – 12:30pm
Health Equity in Value-Based Care: Addressing Disparities While Maintaining Financial Performance
Value-based care programs that ignore health equity risk both moral failure and financial underperformance as disparities in outcomes drive up costs and hurt quality scores. This session explores how to embed equity into value-based strategies. Topics to be discussed will include:
- Collecting and analyzing stratified outcome data to identify disparities affecting specific populations
- Developing culturally competent interventions that improve outcomes for historically underserved communities
- Addressing social determinants including housing, food insecurity and transportation within value-based budgets

12:30pm – 1:30pm
Luncheon

1:30pm – 2:15pm
Medicare Advantage Deep Dive: Navigating Authorization Barriers and Star Ratings Pressures
Medicare Advantage penetration continues accelerating, creating both opportunities and significant operational challenges for risk-bearing organizations. This session addresses the practical realities of MA including prior authorization requirements that delay care and frustrate providers, supplemental benefits strategies that differentiate plans while managing costs, and Star Ratings pressures that determine bonus payments and member attribution. You'll gain strategies for streamlining authorization processes to reduce administrative burden, designing member engagement programs that improve HEDIS measures and Star Ratings, and building partnerships with MA plans that create mutual value rather than adversarial relationships characterized by denials and payment disputes.

2:15pm – 3:15pm
Panel: Provider Engagement—Getting Physicians to Actually Change Behavior in Value-Based Contracts
The persistent challenge in value-based care isn't conceptual agreement but behavioral change. Physicians may intellectually support value-based principles yet continue practicing in volume-driven patterns. Panelists will discuss:
- Compensation models that meaningfully align individual incentives with population health goals beyond symbolic gestures
- Data transparency and peer benchmarking approaches that motivate improvement without creating defensive reactions
- Workflow redesign that makes value-based behaviors easier than traditional patterns rather than adding administrative burden

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

3:45pm – 4:30pm
AI and Predictive Analytics: Identifying High-Risk Patients Before Crises Occur
Artificial intelligence is transforming population health management from reactive to proactive by identifying patients likely to experience health crises, predicting hospital readmissions and optimizing care team workflows. This session examines practical AI applications including machine learning models that stratify populations based on multiple risk factors, natural language processing extracting clinical insights from unstructured documentation, and predictive algorithms enabling early interventions before costly events occur. Learn how to implement AI tools that integrate with existing workflows rather than creating parallel systems, measure ROI from AI-enabled population health initiatives, and navigate ethical considerations around algorithmic bias and patient privacy in predictive analytics.

4:30pm – 5:15pm
Digital Health Integration: Remote Monitoring, Telehealth and Virtual-First Care Models
Digital health tools offer unprecedented opportunities to extend population health management beyond traditional care settings while potentially improving access and reducing costs. This session explores how organizations are integrating remote patient monitoring for chronic disease management, leveraging telehealth to increase touchpoints without facility overhead, and implementing virtual-first care models that fundamentally reshape care delivery.

5:15pm
End of Day One