Agenda – Medicare Conference 2018

  • Day 1
  • Day 2

Day 1

 Monday, February 26, 2018

9:15AM – 10:00AM

Keynote: Outlook for Medicare Advantage and Dual Eligibles in 2018–2020
John Gorman, Founder and Executive Chairman, GORMAN HEALTH GROUP

10:00AM – 10:45AM

Address the Challenges of Successful MACRA Implementation
John O’Shea, M.D., Surgeon and Senior Fellow, Center for Health Policy Studies, THE HERITAGE FOUNDATION

10:45AM – 11:15AM

Networking Break

11:15AM – 11:45AM

Bridge the Gap Between Fee-for-Service and Managed Care
Sarah Kramer, M.D., Chief Medical Information Officer, YUMA REGIONAL MEDICAL CENTER

11:45AM – 12:45PM

Learn How to Predict STAR Ratings for All Measures and Protect Your Bonus Payments
Cyndi Alexander, Vice President, Quality and Star Ratings Improvement, PharmMD
Kent Holdcroft, Chief Revenue Officer, PharmMD

12:45PM – 1:45PM


1:45PM – 2:30PM

Examine the Qualities of a Winning ACO With the Right Value-Based Efforts
David E. Swieskowski, M.D., MBA, President, MERCY ACO

2:30PM – 3:15PM

Panel: Evolve the Marketplace With Health Plan-Provider Value-Based Arrangements
Leah Hirsch, Government Relations Director, Medicare, ANTHEM
H. Scott Sarran, M.D., M.M., Senior Divisional Vice President, Chief Medical Officer, Government Programs, HEALTH CARE SERVICE CORPORATION

3:15PM – 3:45PM

Networking Break

3:45PM – 4:30PM

Set Customer Expectations Before the Sale to Promote Engaged, Educated and Long-Lasting Members
Christine Leo, Vice President, Senior Products, CIGNA

4:30PM – 5:15PM

Apply Lessons Learned From Successful IDNs in the “Real World” to Re-Engineering for Value for Medicare Populations
Thomas Graf, Chief Medical Officer and Vice President, HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY

5:15PM – 6:00PM

Medicare 2028: What Will the Next Decade Bring?
Leonard Kirschner, M.D., MPH, Former President, AARP ARIZONA; Former Director, ARIZONA MEDICAID

6:00PM – 6:30PM

Analyze the Skilled Nursing Facility’s Perspective in Managed and Accountable Care for Medicare Populations
Michael Perez-Mesa, Division Director Managed Care, SAVASENIORCARE

Day 2

 Tuesday, February 27, 2018

8:00AM – 8:45AM

Continental Breakfast


Health System-Plan Alignment

9:00AM – 9:45AM

Utilize Data Analytics and Data Mining to Audit With Medicare’s New Payment Models

Paul R. Belton, RHIA, MHA, MBA, J.D., LL.M, ice President of Corporate Compliance, Ethics and Privacy, SHARP HEALTHCARE

9:45AM – 10:30AM

Utilize the EHR to Optimize Physician Documentation and Code Selection

Deann Woods Tate, Director, Coding Effectiveness, BON SECOURS HEALTH SYSTEM, INC.

10:30AM – 11:00AM

Networking Break

11:00AM – 11:45AM

Best Practices in Provider-Payer Collaboration

Jana Perry, Vice President, Strategy and Growth, HEALTH ALLIANCE MEDICAL PLANS

Dual Eligible De-fragmentation

9:00AM – 9:45AM

Case Study: BIDCO Partnership With MassHealth to Improve Medicaid/Medicare Populations

Michael Olsen, MBA, Senior Director, Network Strategy and Contracting, BETH ISRAEL DEACONESS CARE ORGANIZATION

9:45AM – 10:30AM

Improve Health Outcomes Through Community-Driven Collaborations

Joyce Chan, Vice President of Population Health Strategy, HEALTHFIRST

10:30AM – 11:00AM

Networking Break


11:45AM – 12:30PM

Analyze Innovations in Healthcare for Succinct Integration and Application for the Member and the Plan
Annamarie Rakes, Director, Quality Improvement and Stars, BLUECROSS BLUESHIELD OF TENNESSEE

12:30PM – 1:30PM


1:30PM – 2:15PM

Develop a Specialized Medicare Advantage Plan for Long-Term Population
Curtis Stubblefield, Director, Value-Based Care, NATIONAL HEALTHCARE CORPORATION

3:00PM – 3:45PM

Uncover Best Practices for Establishing MACRA at Your Organization
George N. Miller, Jr., MHSA, FACHE, President/Chief Executive Officer, THE LORETTO HOSPITAL