5th Annual RISE Quality Leadership Summit

Jun 28, 2021 ‐ Jun 29, 2021

Standard: $700.00


Welcome Remarks iconWelcome Remarks

Preview Available

Welcome Remarks

Jun 28, 2021 10:00am ‐ Jun 28, 2021 10:05am

Identification: MON01


Keynote Address: CMS Quality Measures Update

Jun 28, 2021 10:05am ‐ Jun 28, 2021 10:35am

Identification: MON02

An in-depth analysis of the overall CMS expectations for quality ratings in 2021 and beyond

  • Richard E. Wild, MD, JBm MBA, FACEP, Chief Medical Officer, Atlanta and Boston Regional Offices, Centers for Medicare and Medicaid Services (CMS)

MCAHPS Best Practices to Improve Member Satisfaction and Perception

Jun 28, 2021 10:50am ‐ Jun 28, 2021 11:35am

Identification: MON03

  • Explore how to capture and leverage data/ CAHPS metrics at scale to better understand members and behavioral drivers
  • Examine the shift in focus to member experience and assess how to allocate resources to pivot effectively
  • Hear how to optimize member touchpoints and understand how to work cross functionally in the enterprise to impact member perception and satisfaction
  • Discuss a consumer-centric model and best practices to help members understand benefits while avoiding abrasion and reducing complaints and grievances


Provider Perspective Panel Discussion

Jun 28, 2021 11:50am ‐ Jun 28, 2021 12:35pm

Identification: MON04

  • Hear from providers on effective use of technology, communication and education efforts around quality and Stars
  • Get insights into successful incentive programs used with providers to steer behavior
  • Understand strong motivators for providers and how to foster a strong patient/provider partnership
  • Gain best practices on EMR adaptability and integration into provider’s workflow to reduce burnout
  • Discuss the Provider Engagement/Patient Engagement/Quality system dynamic
  • Take a deeper dive into the role of technology and AI to improve quality performance

  • Dr. Shannon Decker, M.Ed., MBA, PhD., Vice President, Clinical Performance, Brown & Toland Physicians
  • Vishal Bhalla, MBA, MS, CPXP, SPHR, SVP, Chief Human Resources Officer, Atrium Health Navicent Chief Experience Officer, Atrium Health, Atrium Health
  • Dr. Jatin K. Dave, MD, MPH, Chief Medical Officer and Director of Clinical Affairs, MassHealth
  • Dr. Mansoor Khan, ScD, CEO, Persivia, Inc.

Tools and Tech Presentation iconTools and Tech Presentation

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Tools and Tech Presentation

Jun 28, 2021 12:35pm ‐ Jun 28, 2021 12:45pm

Identification: TT1

Hear from tools and technology experts on how their solutions can improve efficiencies in your organization. 

  • Rita Young, Senior Vice President Clinical Innovations, Reveleer

Track A: Think Differently About CAHPS: Insights and Tactics into Elevating Customer Experience

Jun 28, 2021 1:35pm ‐ Jun 28, 2021 2:20pm

Identification: MON05A

• Hear best practices to elevate customer experience
• Gain insights into managing and monitoring CAHPS post-pandemic
• Examine concrete strategies to proactively support member experience teams
• Discuss how to optimize CAHPS performance, minimize grievances and avoid CTMs

  • Daniel Weaver, VP Medicare & Medicaid Quality Programs, Gateway Health Plan
  • Melissa Smith, EVP of Consulting & Professional Services, HealthMine

Track A: Marketing/Member Acquisition Spotlight: Impacting Member Perception from a Marketing Lens

Jun 28, 2021 2:35pm ‐ Jun 28, 2021 3:20pm

Identification: MON06A

  • Gain insights into disenrollment trends and member engagement strategies
  • Hear how to draw attention to benefits to impact member perception
  • Understand how to look at member behaviors to tailor communication preferences, avoid member abrasion, and ensure positive survey results

  • Steven Selinksky, Vice President of Product Strategy, Marketing and Community Outreach, Health Alliance Plan

Track B (Virtual): Population Health Strategies and Analyzing the Impact of the Pandemic

Jun 28, 2021 2:35pm ‐ Jun 28, 2021 3:20pm

Identification: MON06PR

  • Understand how to stratify member population to best target and meet members’ needs
  • Explore which population health initiatives have been most effective and hear ways to gauge or measure results
  • Discuss looking at quality measures through a health equity lens and hear how to educate providers to speak the right language
  • Discuss the different mental health and substance abuse implications of the pandemic and how to manage care moving forward

  • Tejaswita Karve, Ph.D., Former Director, Quality Improvement, Johns Hopkins Health System
  • Janine Sala, Director, Population Health, Quality Improvement, UnitedHealthcare
  • Kimberly Swanson, MPA, Vice President, Quality and Clinical Integration, Network Health
  • Mallory Mueller, BSN, RN, Director Quality Health Integration, Network Health

Track A: Case Study: Highmark’s interdepartmental outreach effort that successfully engaged members with deferred care and at least one chronic condition to receive care and close gaps for MY2020.

Jun 28, 2021 3:35pm ‐ Jun 28, 2021 4:20pm

Identification: MON07A

  • Haidy Metz, CPC, CRC, CPMA, Supervisor, Quality, HEDIS & Coding, Revenue Program Management, Highmark
  • Rebecca Darnall, Director of Product Management, Ciox Health

Track B (Virtual): Making SDoH Practical: Embedding SDoH in Quality Programs

Jun 28, 2021 3:35pm ‐ Jun 28, 2021 4:20pm

Identification: MON07PR

  • Examine health disparities and understand how to embed SDoH into quality program initiatives to create scalable impact
  • Hear initiatives to impact specific populations through alignment of quality and SDoH efforts
  • Discuss ways to strategize and use social determinants of health to drive and tailor services and remove barriers