Rise

Track A

Managing HEDIS Reporting Through Clinical and Claims Integration

Grand Ballroom Silver

• Discuss the integration of clinical and claims data for HEDIS reporting to help improve payer performance and patient outcomes 
• Obtain a more holistic view of patient care to better tracking of patient interactions, treatments, and outcomes  
• Identify gaps in care more effectively to provide timely interventions, better disease management, and improved overall quality of care for patients 
• Integrate data to reduce redundancies and inconsistencies, improving the accuracy of HEDIS reports, saving time and resources   

Kelly Lippold, RN, MSN, Director of Health Informatics 
NMC Health 

Laura McCrary, EdD 
Executive Director, KHIN 
President, KONZA 

Diana Allen, PhD, CEO 
The SSI Group 

Track B

Panel: Leverage Data to Improve Quality and HEDIS Outcomes

Palace 3-5

• Drive member delight while improving quality outcomes 
• Use data from solution partners and internal sources to identify member care gaps 
• Capture benefit data to prove ROI and improved outcomes 

Moderator: 
Ana Handshuh, Principal 
CAT5 Strategies 

Panelists: 
Evelyn Chojnacki, Sr Director Health Plan Strategy 
Sword Health

Jacie Jeffery, RN, BSN, Quality Manager 
Hometown Health 

Track A

Delivering Accessible Quality Care to Veteran Members: Impactful Results for HEDIS® Measures and Health Plan Performance

Grand Ballroom Platinum

• Understand veteran populations, their unique needs, and why identifying and investing in their care can positively impact your health plan's HEDIS® measures and overall performance 
• Discover how targeted care strategies for veterans can enhance specific HEDIS® measures, contributing to better health outcomes and higher star ratings 
• Gain insights into effective techniques for engaging veteran members and ensuring a positive and supportive member experience 
• Explore the long-term benefits and strategic advantages of focusing on veteran populations within your membership, leading to improved health plan performance and member satisfaction 

Jenn Kerfoot, Chief Strategy & Growth Officer 
DUOS 

Stephanie Muckey, Population Health Strategy Lead, Veteran Population  
Humana 

Tina Atherall, DSW, LMSW, Chief Executive Officer 
PsychArmor 

Track B

Pharmacy Measure Optimization

Palace 3-5

• Review pharmacy measure optimization for the HEDIS pharmacy measures and the Medicare Part D Star measures (current and proposed) 
• Discuss how to collaborate with your pharmacy teams and provider groups to synergize efforts to ensure member medication regimes are aligned with quality measure requirements 
• Learn how to leverage technology to partner with members to achieve medication adherence 
• Review how to improve health plan pharmacy initiative and provider documentation to meet the pharmacy quality measure numerators 
• Explore optimal timing for measure interventions and initiatives 

Donna Clark, RN, HEDIS Nurse Manager 
Simpra Advantage 

Karen Lumpkin, MS, JD, CPHQ, Director of Quality and Health Equity Officer 
Simpra Advantage 

Katharine Iskrant, Practice Leader  
Healthy People, Inc.  

Rhonda Farrar, Clinical HEDIS Supervisor 
Healthy People, Inc.   

Track A

What NCQA Doesn’t Want You to Know about Sample Sizes

Grand Ballroom Platinum

• Explore how reducing your HEDIS sample can decrease your final reported rate 
• Discuss how to use data models to determine if reducing samples is best for you 
• Recognize the importance of including your Stars team in Sampling discussions 
• Explain how reducing samples can impact a health plan's HEI 

Paul Ingram, CTO 
Hyperlift 

Phil Collins, Director of Customer Success 
Hyperlift  

Ryan Bernstein, Consultant 
Rex Wallace Consulting, LLC 

Track B

Defining and Demonstrating Multiple Stakeholder Value through Technology-Enabled Social Care Coordination

Palace 3-5

• Review evidence supporting the value in addressing SDOH beyond traditional metrics, including the following: 
• Efficiencies gained through closed loop care coordination infrastructure 
• Provider satisfaction and well-being 
• Patient-Reported quality of life and improved health outcomes, satisfaction with care 
• Sustained Funding for community-based services through the 1115 Medicaid waiver and social care value-based payment models 
• Cost savings associated with healthcare resource utilization (e.g. ED visits, inpatient admissions) 

Halima Ahmadi-Montecalvo, PhD, MPH, Epidemiologist, Social and Behavioral Scientist 
Adjunct Professor, Milken Institute School of Public Health 
George Washington University 

Track A

Value-Based Operational Efficiency: Streamlining Member Assignment

Grand Ballroom Platinum

• Discuss the provider/payer commitment to working together 
• Explore how to use routine connections to identify opportunities and develop programs and processes 
• Establish a centralized data-sharing platform for real-time member information between payers and FQHCs 

Wendy Kim, Quality and Accreditation Manager  
International Community Health Services 

Staici West, VP of Network Development & Contracting 
Coordinated Care Health Plan 

Track B

Top 5 Innovative Ways to Close Gaps in Care

Palace 3-5

• Explore how to develop partnerships with local universities to build a pipeline of staff 
• Discuss how to optimize CBO partnerships to hire community health workers to help close care gaps 
• Partner with Payers on Osteoporosis and Eye Exam for Diabetes (EED) measures 
• Leverage risk scores and end-of-year pushes to improve adherence measure results 
• Build relationships with specialists for preventative screenings, including breast, colorectal, and cervical cancer 

Carmela Costiniuk, B.Sc. OT, MHA, D. EdD(C), VP Population Health and Clinical Transformation
Catholic Medical Partners 

Margaret Paroski, CEO, CMO 
Catholic Medical Partners 

Barry Stelmach, CFO 
Catholic Medical Partners