The 5th Annual
Medicare Advantage Leadership Innovations East

Master the 4 Pillars for Success—Value, Quality, Compliance, and
Cost—to Thrive in a Competitive, Uncertain Market

About The Event

Exclusive MA Plan Case Studies Showcase Solutions to Thrive Amidst Uncertainty The Fourth Annual Medicare Advantage Leadership Innovations East brings together the most influential leaders in the market to share game-changing strategies for navigating today's unpredictable, fiercely competitive market. Hear best practice, case study solutions on how to survive all market forces by reinventing your operations to stay resilient amidst evolving regulations, shifting demographics, and rapid technological advances. Leaders from plans of all sizes will share how they are tackling the 4 pillars of success -- value, quality, compliance & cost -- to pivot today and thrive long-term. This highly anticipated event offers firsthand access to cutting-edge tools and strategies, including AI, with exclusive real-world examples. You'll hear about what's working and what's not. Gain valuable insights on how MA plans are working across silos, with providers and vendors, regulators and members, and with their peers across the country, to boost internal efficiencies, improve member experiences, reduce provider abrasion, elevate care quality, and lower the total cost of care.

  • Drive Financial Success with Data & Technology:
    • Streamline operations and cut administrative expenses through automation without sacrificing care quality.
    • Optimize risk adjustment strategies to save costs, maximize reimbursement, and boost outcomes by leveraging AI and predictive analytics, forecasting health trends, and targeting high-risk patients early.
    • Apply data-driven strategies to cut costs, deliver quality care, and improve member satisfaction.
    • Improve STAR Ratings by enhancing care coordination, expanding preventive services, and leveraging data-driven tools to boost member satisfaction and health outcomes.
  • Harness Technology to Innovate Care and Boost Engagement:
    • Expand telehealth services to provide access to care for members in rural areas and regions with limited access to providers due to doctor shortages.
    • Utilize data-driven tools to improve STAR Ratings and HEDIS® measures.
    • Create a seamless healthcare experience to drive better health outcomes and boost overall plan performance.
  • Collaboration and Integration:
    • Break down silos by creating cross-functional teams to align various departments such as marketing, sales, pharmacy, quality, Stars, and risk management.
    • Collaborate to reduce prescription drug costs while simultaneously improving health outcomes.
    • Build strong provider networks that emphasize value-based care models and reduce provider abrasion through inter-departmental cooperation.
  • This highly anticipated event offers a platform to learn from top leaders in Medicare Advantage and equip participants with the insights, strategies, and real-world examples needed to drive success in the next 2-5 years and position plans to adapt to market and regulatory changes.

Speakers

Designed for C-Suite Executives, Vice Presidents, Directors, Managers, Medical Directors and other Decision-Makers from Medicare Advantage Health Plans, Provider Groups and Health Systems with job functions in the following departments:

All Health Plans
  • Government Programs
  • Strategy
  • Business Development & Growth
  • Member Engagement/Experience
  • Population Management
  • Care Coordination
  • Stars & Quality
  • Risk Adjustment
  • Revenue Management
  • Marketing
  • Sales
  • Distribution
  • Product Development
  • Benefit Design
  • Operations
  • Utilization
  • Claims
  • Provider Contracting/Network Management/Relationships
  • Hear What Top Plans are Doing to Respond to Dramatic Industry Changes
  • Build an Agile Foundation to Adapt to Constant Change and Create Cross-Functional Workgroups - Break Down Silos
  • Establish a Voice With CMS to Influence Future Policy Decisions
  • Rethink Marketing, Sales & Distribution for New & Evolving Regulations, Market Disruptors, New Member Demographics & Demands
  • Manage Member Expectations and Communications as Benefits Change or Decrease: Effectively Revamp Your Supplemental Benefits Portfolio
  • Create Risk Sharing Models While Building Effective Provider Relationships & Incentives
  • Harness Real-World Applications for Artificial Intelligence to Improve Quality & Member Experience and Capture, Manage & Utilize Data
  • Manage & Monitor Vendors for ROI
  • Meet Members Where They Are -- Alternative Sites of Care: Virtual, Hospital at Home, Retail Centers, CBOs
  • Boost Performance Measures in a Zero Budget Environment: Doing More for STARs, HEDIS® & Quality Improvement with Less

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