Population Health is transitioning from volume to value using the 5 pillars of Data Aggregation, Risk Stratification, Care Coordination, Provider Engagement and Patient Outreach. "Population Health for Medicare, Medicaid and Duals" shows you the keys to develop a coordinated, cross-organizational approach that focuses on:

  • Organizational Structure to Optimize Data
  • Care Management and Value Based Care
  • Provider and Community Engagement
  • Member Engagement
  • Regulatory and Policy Changes

Deploy disease management by population segment to boost performance scores, increase care quality & minimize risk for health plans. Hear from top health plans get Best Practice solutions to engage providers and patients.
BlueCare Tennessee

Frances Martini, BSN, MBA

Director, Clinical Programs
Harvard Pilgrim Health Care

Noreen Hurley

Program Manager, Star Quality & Performance
UPMC Insurance Division

James Schuster, MD, MBA

Chief Medical Officer, Medicaid and Behavioral Services, and VP, Behavioral Integration
Texas Children's Hospital

Angelo P. Giardino, MD, PhD, CMQ

Senior Vice President/Chief Quality Officer
Community Health Network of Connecticut

Richard Albrecht

Executive Director, Telehealth Network
Gateway Health

Gabriel L. Medley, MHA, MBA

Vice President, Quality and Risk Revenue
Kaiser Permanente Information Technology

Joseph Crimando

Population Health Solutions Manager
Centene Corporation

Laura Sankey

Staff Vice President Operations - Complex Care
Blue Care Tennessee

Dr. Jeanne James

Chief Medical Officer
Blue CrossBlueShield of South Carolina

Michelle Thomsen

Vice President, Population Health & Medical Management
Blue CrossBlue Shield of South Carolina

Jennifer Dowell

Executive Director, Population Health
Molina Healthcare of New Mexico

Katarina Powdrell

Senior Specialist, Quality & Population Health

Organizational Structure to Optimize Data
  • Cross Functional, Inter-Departmental Collaborations
  • Cutting Administrative Costs
  • Population Health and Medicare ACOs – Secrets to Cost Cutting Methodologies
  • Care Giver Support Programs
Care Management & Value-based Care
  • Value-based Patient Centered Medical Home CMS Pilot
  • Risk Stratification: Identifying & Managing High Risk/High Cost Members – Aligning Case Management and Data Analytics from a Clinical and Policy Perspective
  • Treating Depression & Comorbidities (Diabetes, Heart Disease, etc.)
  • Medical And Behavioral Interventions To Boost Outcomes And Reduce Costs
  • Disease Specific Case Studies-- Diabetes, Hypertension, Neonatal, etc.
  • Saving Lives -- How Health Plans Can Impact the Opioid Crisis
  • CMS Pilot -- Harnessing Telemedicine for the Sickest & Most Expensive Populations
  • Population Health and Alternative Payments Applied to the Pediatric Setting
  • Preventing Readmissions
  • Terminal Disease Management, Palliative Care
  • Transitions of Care: Hospital, Home Care, Hospice
Provider & Community Engagement
  • Provider Incentives and Alternative Payment Models
  • Developing Innovative Care Delivery in Partnership with Communities
  • Maintaining Flexibility to Meet Members’ Needs – Aligning With Providers, Vendors, Hospitals, Others
  • EHR/EMR Technology Alignment/Integration
Member Engagement
  • VBID
  • Initiating Member Incentives Using Population Health Web Platforms
  • Boosting Member Engagement & Compliance
  • Non-traditional Benefits
  • Managing Social Determinants
  • Bridging Language And Cultural Gaps And Integrating These Populations Into The Traditional Health Plan Systems
Regulatory & Policy Changes
  • CMS & NCQA Measures Impacting Population Health
Rave Reviews from Past Delegates: