STAR Ratings Master Class

Dec 14, 2020 ‐ Dec 15, 2020

Standard: $500.00


Welcome Remarks: Conference Chairperson

Dec 14, 2020 9:00am ‐ Dec 14, 2020 9:15am

Identification: MON01

  • Melissa Smith, EVP of Consulting & Professional Services, HealthMine

Keynote and Q&A: CMS Policy Update

Dec 14, 2020 9:15am ‐ Dec 14, 2020 10:00am

Identification: MON02

  • Ashby Wolfe, MD, MPP, MPH, Chief Medical Officer, Regions VIII, IX & X, Centers for Medicare & Medicaid Services (CMS)

Industry Roundtable: Staying Abreast of Regulatory Changes Amid a Pandemic and Looking into the Future

Dec 14, 2020 10:15am ‐ Dec 14, 2020 11:00am

Identification: MON03

• Join your peers to analyze all recent interim rules and understand the impact of the adjustments made by CMS

• Explore the expansion and implications of Telehealth services

• Prognosticate what Star ratings and reporting will look like moving forward and discuss cut point trends

  • Melissa Smith, EVP of Consulting & Professional Services, HealthMine
  • Daniel Weaver, VP Medicare & Medicaid Quality Programs, Gateway Health Plan
  • Ryan Davis, Medicare Market & Operations, Senior Manager, Centene
  • David Dodge, Medicare Stars Program Director, Government Programs, Cambia Health Solutions

From 2x to 4x: Cracking the Code of Member Experience to Maximize Results

Dec 14, 2020 11:15am ‐ Dec 14, 2020 12:00pm

Identification: MON04

• Understand how to prioritize and operationalize customer experience/CAHPS to increase scores
• Hear best practices from industry leaders on how to approach member experience holistically for better health outcomes
• Analyze interoperability strategies to ensure focus of care is shifted towards member experience and member satisfaction


Keeping Momentum: Best Practices to Maintain or Improve Star Ratings

Dec 14, 2020 12:30pm ‐ Dec 14, 2020 1:00pm

Identification: MON05

• Understand how to focus efforts on clinical quality such as preventive care screenings and condition management
• Learn how to maximize each visit and interaction with members for meaningful and streamlined engagement
• Hear best practices to boost medication adherence
• Understand how to approach the tripling of health care: cost, quality, and access

  • Tejaswita Karve, Ph.D., Former Director, Quality Improvement, Johns Hopkins Health System
  • Reva Sheehan, Government Programs Strategic Market Executive , mPulse Mobile

Aligning Risk Adjustment and Quality Efforts to Improve Star Ratings

Dec 14, 2020 1:15pm ‐ Dec 14, 2020 2:00pm

Identification: MON06

• Discuss lessons learned from interoperability wins and how RA fits in the broader spectrum
• Learn how to streamline information from RA and Quality and navigate innovative ways to collect data
• Closing the loop with providers and preventing provider abrasion


Part D Focus: Getting it Right and Achieving Outcomes

Dec 14, 2020 2:15pm ‐ Dec 14, 2020 3:00pm

Identification: MON07

• Evaluate & analyze 2020 metrics surrounding medication adherence
• Review pharmacy utilization trends and specific benefit enhancements addressing COVID-19
• Demonstrate the design and initial outcomes of a high-value pharmacy service designed to improve quality performance and lower costs among medically-complex MAPD members


Maintaining and Leveraging Telehealth Visits to Close Gaps and Maximize Results

Dec 14, 2020 3:15pm ‐ Dec 14, 2020 4:00pm

Identification: MON08

• Hear how plans have pivoted their strategy to be more digital in nature and discuss impact on star ratings
• Understand how to continue to utilize telehealth to integrate quality and make the best use of it
• Navigate the future of delivery of care via telehealth

  • Michelle Duran, CPC, CRC, CDEO, Practice Transformation Facilitator, Hill Physicians Medical Group
  • Ryan C. Dodson, CRC, Regional Manager, Risk Adjustment, Molina Healthcare

Closing Remarks: Conference Chairperson

Dec 14, 2020 4:00pm ‐ Dec 14, 2020 4:15pm

Identification: MON09

  • Melissa Smith, EVP of Consulting & Professional Services, HealthMine

Opening Remarks: Conference Chairperson

Dec 15, 2020 8:55am ‐ Dec 15, 2020 9:00am

Identification: TUES01