Sessions
Registration and Information Desk Open
Welcome Refreshments
Lunch & Learns
-
Lunch will begin at 11:30 am. Speaking Sessions will begin promptly at 12:00 pm.
-
Behavioral Health and Medical Costs: Leveraging Innovation for Better OutcomesPresented by
- Speakers
-
- Matthew Kinney, Optum
- Robert Nation, Optum
-
New Interoperability Solutions to Close Care Gaps and Drive Improved OutcomesPresented by
- Speakers
-
- Ben O’Connor, Surescripts, LLC
- Emelie Jensen, Surescripts, LLC
- Matt Koehler, Surescripts, LLC
-
Keynote Sessions
-
,
Welcome
-
,
The ACA at 15 and the Shifting Landscape of U.S. Health Care
-
Learn more about Nancy-Ann DeParle
Nancy-Ann DeParle,Partner & Co-Founder
, Consonance Capital Partners -
Learn more about Mark McClellan, MD, PhD
Mark McClellan, MD, PhD,Director, Duke-Margolis Institute for Health Policy
, Duke University -
Learn more about Bruce Japsen
Bruce Japsen,Senior Health Contributor
, Forbes
-
Learn more about Nancy-Ann DeParle
-
,
Bold Moves, Better Care: Advancing Access, Value and Partnerships in Health Care
-
Learn more about Reed Tuckson, MD, FACP
Reed Tuckson, MD, FACP,Co-Founder, Black Coalition Against COVID & Co-Founder, Coalition for Trust in Health & Science
, -
Learn more about Alice Hm Chen MD, MPH
Alice Hm Chen MD, MPH,Chief Health Officer
, Centene Corporation -
Learn more about David J. Brailer, MD, PhD
David J. Brailer, MD, PhD,Executive Vice President & Chief Health Officer
, The Cigna Group
-
Learn more about Reed Tuckson, MD, FACP
-
,
Innovation Spotlight
-
,
Addressing the 2030 Problem to Serve Aging Baby Boomers
-
Learn more about Sachin H. Jain, MD, MBA
Sachin H. Jain, MD, MBA,CEO
, SCAN Group & SCAN Health Plan -
Learn more about Myechia Minter-Jordan, MD
Myechia Minter-Jordan, MD,CEO
, AARP -
Learn more about Vin Gupta, MD
Vin Gupta, MD,Managing Director
, Manatt Health Innovation
-
Learn more about Sachin H. Jain, MD, MBA
-
,
Super Agers: An Evidence-Based Approach to Longevity
-
Learn more about Eric J. Topol, MD
Eric J. Topol, MD,Founder & Director, Scripps Research Translational Institute (SRTI); Bestselling Author, "Super Agers" and "Deep Medicine”
, -
Learn more about Geeta Nayyar, MD, MBA
Geeta Nayyar, MD, MBA,Globally Recognized Chief Medical Officer, Technologist, & Author, Dead Wrong: Diagnosing and Treating Healthcare’s Misinformation Illness
,
-
Learn more about Eric J. Topol, MD
Exhibit Hall Open
Coffee Break with Solutions Providers
Presentation Theater
-
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TBD Presentation Theater Sessions
- Speaker
-
-
-
-
TBD Presentation Theater Sessions
- Speaker
-
-
Concurrent Sessions
-
SERIES 1
-
Achieving Optimal Health for All Populations in an Evolving Environment
- Speakers
-
- Marshall Chin, MD, MPH, University of Chicago Department of Medicine
- Sinsi Hernández-Cancio, National Partnership for Women and Children
-
Portfolio Management of AI – Ensuring Strategic Alignment with Enterprise Goals
- Speakers
-
- Corinne Stroum, SCAN Health Plan
- Daniel Yang, MD, Kaiser Permanente
-
Strengthening Primary Care: Assessing Payvider Models for Sustainability
- Speakers
-
- Sonny Goyal, Blue Cross and Blue Shield of North Carolina
- Elif E. Oker, MD, FACEP, Priority Health
-
Future Expansion of Medicare Advantage
- Speakers
-
- Mike Hoak, Humana Inc
- Elena Tompkins, Tompkins Strategies, LLC
- Matt Kazan, SCAN Health Plan
-
-
SERIES 2
-
Leveraging Data to Achieve Whole Person Health
- Speakers
-
- Mark Friedberg, MD, MPP, Blue Cross Blue Shield of Massachusetts
- Bryan O. Buckley, DrPh, MPH, MBA, CareFirst BlueCross BlueShield
-
Best Practices to Build High-Impact Value-Based Partnerships
- Speakers
-
- Alicia Berkemeyer, Arkansas Blue Cross Blue Shield
- Elizabeth Kasper, MSPH, NC Department of Health and Human Services
- Kelly Hubka, RN, BSN, MBA, CPHQ, Blue Cross and Blue Shield of Kansas City
-
Frictionless by Design: Omnichannel Strategies for the Digital Front Door
- Speaker
-
-
Reimagining Benefit Design to Deliver Whole-Person Health
- Speaker
-
- Scott Burton, Providence Health Plan
-
Transforming Payment Integrity: The Path to Payment PrecisionPresented by
- Speakers
-
- Laika Kayani, Optum Insight
- Paul Root, Optum Insight
-
Reception with Solutions Providers
Presentation Theater
-
-
TBD Presentation Theater Sessions
- Speaker
-
-
-
-
TBD Presentation Theater Sessions
- Speaker
-
-
-
-
TBD Presentation Theater Sessions
- Speaker
-
-
Registration and Information Desk Open
Keynote Sessions
-
,
Raising the Bar: Bringing Health Care to the Next Level
-
Learn more about Steve Nelson
Steve Nelson,Executive Vice President, CVS Health & President, Aetna
,
-
Learn more about Steve Nelson
-
,
Building a More Sustainable Health Care Future
-
Learn more about David L. Holmberg
David L. Holmberg,President & Chief Executive Officer
, Highmark Health -
Learn more about Mike Jones
Mike Jones,President & General Manager, Payer Business Unit
, Inovalon -
Learn more about Omar B. Lateef, DO
Omar B. Lateef, DO,President & CEO
, Rush University System for Health and Rush University Medical Center -
Learn more about Lynne Chou O’Keefe
Lynne Chou O’Keefe,Founder & Managing Partner
, Define Ventures
-
Learn more about David L. Holmberg
-
,
Innovation Spotlight
-
,
Next-Gen Health Care: Disruptive Business Models in Action
-
Learn more about Paul Markovich
Paul Markovich,Chief Executive Officer & President
, Ascendiun -
Learn more about Julie Yoo
Julie Yoo,General Partner
, Andreessen Horowitz
-
Learn more about Paul Markovich
Exhibit Hall Open
Coffee Break with Solutions Providers
Presentation Theater
-
-
TBD Presentation Theater Sessions
- Speaker
-
-
-
-
TBD Presentation Theater Sessions
- Speaker
-
-
Concurrent Sessions
-
SERIES 3
-
Obesity in Focus: Intervention Strategies to Improve Outcomes
- Speaker
-
- Carolyn Jasik, MD, Verily
-
The Evolving Landscape of Medicaid
- Speakers
-
- Shannon M. McMahon, Kaiser Permanente
- Matt Salo, Salo Health Strategies
- Jami Snyder, MA, JSN Strategies, LLC
-
Modernizing Demographic Data Standards to Improve Access and Outcomes
- Speakers
-
- Rebekah Angove, PhD, Patient Advocate Foundation
- Jessica Little, MS, RD, Civitas Networks for Health
- Danielle Lloyd, MPH, AHIP
-
Revolutionizing Health Plans: The Transformative Power of Agentic AIPresented by
- Speaker
-
- Abishek Danturti Sharma, Sagility
-
Lunch & Learns
-
Lunch will begin at 12:25 pm. Speaking Sessions will begin promptly at 12:50 pm.
-
Reimagining Benefit Design to Deliver High-Value Diabetes CarePresented by
- Speakers
-
- Arti Masturzo, MD, MBA, CCS Medical
- Eugene E. Wright, Jr., MD, South Piedmont Area Health Education Center
- Jean-Claude Saghbini, Lumeris
- Mark Grippi, AmeriHealth Caritas Ohio
-
Protecting Newborns From RSV: Opening a Reimbursement PathwayPresented by
- Speaker
-
- Richard H. Hughes IV, JD, MPH, Epstein Becker & Green, P.C.
-
Dessert Break with Solutions Providers
Presentation Theater
-
-
TBD Presentation Theater Sessions
- Speaker
-
-
-
-
TBD Presentation Theater Sessions
- Speaker
-
-
Concurrent Sessions
-
SERIES 4
-
Cross-Industry Collaboration Driving Improved Maternal Health Outcomes
- Speakers
-
- Pearl McElfish, PhD, MBA, MS, University of Arkansas Medical Sciences and Research
- Creshelle Nash, MD, MPH, CHIE, Arkansas Blue Cross Blue Shield
- Alicia Berkemeyer, Arkansas Blue Cross Blue Shield
-
Powering Primary Care Partnerships: Lessons Learned from a Multi-Payer Collaboration
- Speakers
-
- Judy Zerzan-Thul, MD, MPH, Washington State Health Care Authority
- Tory Gildred, LICSW, SUDP, Molina Healthcare of WA
-
Interoperability 2.0 - Optimizing API-Based Systems to Power Data Exchange
- Speaker
-
- Jason Teeple, Evernorth Health Services
-
The Future of Health Exchanges
- Speaker
-
-
Beyond the Breach: Fortifying Health Care’s Digital Defenses
- Speaker
-
- Kate Musler, Highmark Inc.
-
-
SERIES 5
-
Improving Cardiovascular Outcomes: Partnerships that Drive Community Impact
- Speakers
-
- Laurel Soot, MD, Providence Health Plan
- Andrew Renda, MD, MPH, Humana Healthy Horizons
-
Strengthening Medicaid Engagement Through Community-Based Collaboration
- Speakers
-
- Karen Dale, RN, MSN, AmeriHealth Caritas District of Columbia
- Judith Sandalow, Children’s Law Center
- Rachel Munsie, Ounce of Care
-
Business Case for Engagement: Driving Value Through Consumer Connection
- Speaker
-
-
The Future of Home-Based Care: Technology as a Catalyst for Better Outcomes
- Speaker
-
- Cassie Houff, OneHome, a subsidiary of Humana
-
Overcoming Stagnation in VBC: Challenges and OpportunitiesPresented by
- Speaker
-
- Meghan Miller, Optum
-
-
SERIES 6
-
Behavioral Health Integration to Expand Access and Improve Care Quality
- Speaker
-
- Caroline Carney, MD, MSc, Magellan Health, Inc.
-
Streamlining Prior Authorization through Tech-Enabled Innovations
- Speakers
-
- William Giard, Stellarus
- Amy Flaster, MD, Cigna Healthcare
-
Innovative Models to Deliver Complex Care to Vulnerable Members
- Speaker
-
-
Improving the Member Journey: Simplified Navigation for Better Access and Experience
- Speaker
-
-
Value-Based Innovation to Transform Care Delivery for Vulnerable PopulationsPresented by
- Speaker
-
- Kari O’Rourke, Imagine Pediatrics
-
Keynote Session
-
,
The AI Revolution in Health Care: Balancing Innovation, Ethics, and Impact
-
Learn more about Vivian S. Lee, MD, PhD, MBA
Vivian S. Lee, MD, PhD, MBA,Executive Fellow, Harvard Business School & Senior Lecturer, Harvard Medical School; Author, The Long Fix: Solving America's Health Care Crisis with Strategies that Work for Everyone
, -
Learn more about Daniel Yang, MD
Daniel Yang, MD,Vice President, AI & Emerging Technologies
, Kaiser Permanente
-
Learn more about Vivian S. Lee, MD, PhD, MBA
Reception with Solutions Providers
Presentation Theater
-
-
TBD Presentation Theater Sessions
- Speaker
-
-
-
-
TBD Presentation Theater Sessions
- Speaker
-
-
Registration and Information Desk Open
Keynote Sessions
-
,
From Advocacy to Action: Elevating the Patient Voice in Health Care
-
Learn more about David C. Fajgenbaum, MD, MBA, MSc
David C. Fajgenbaum, MD, MBA, MSc,Co-Founder & President, Every Cure; Associate Professor of Medicine, Division of Translational Medicine & Human Genetics, University of Pennsylvania, Perelman School of Medicine; Author, Chasing My Cure: A Doctor's Race to Turn Hope into Action
, -
Learn more about Kathy Giusti
Kathy Giusti,Co-Founder, Multiple Myeloma Research Foundation; Author, Fatal to Fearless: 12 Steps to Beating Cancer in a Broken Medical System
, -
Learn more about Timothy Law, DO, MBA
Timothy Law, DO, MBA,Chief Medical Officer
, Highmark Inc.
-
Learn more about David C. Fajgenbaum, MD, MBA, MSc
-
,
Innovation Spotlight
-
,
Investing in Chronic Disease Prevention to Help Americans Achieve Optimal Health
-
Learn more about Creagh Milford, DO, MPH
Creagh Milford, DO, MPH,President, Retail Health
, CVS Health -
Learn more about Gary A. Puckrein, PhD
Gary A. Puckrein, PhD,President & Chief Executive Officer
, National Minority Quality Forum -
Learn more about Vidya Raman-Tangella
Vidya Raman-Tangella,Chief Medical Officer
, Teladoc Health -
Learn more about Andrea Willis, MD, MPH
Andrea Willis, MD, MPH,Senior Vice President & Chief Clinical Officer
, BlueCross BlueShield of Tennessee
-
Learn more about Creagh Milford, DO, MPH
Exhibit Hall Open
Coffee Break with Solutions Providers
Influencer Series
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,
Influencer Series TBD
Networking Lunch with Solutions Providers
Exhibit Hall Closes
Concurrent Sessions
-
SERIES 7
-
Improving Transitional Care Services to Close Care Gaps for Medicaid Members
- Speakers
-
- Susan Stone, MD, MPH, CHIE, L.A. Care
- Amanda Asmus, RN, MSN, MBA, CCM, L.A. Care
-
Balancing Innovation & Affordability: Novel Payment Models for High-Cost Therapies
- Speaker
-
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Building a Healthier Generation: Health Plans Driving Public Health Impact
- Speakers
-
- Pamela Schwartz, MPH, Office of Community Health, Kaiser Foundation Health Plan and Hospitals
- Eric Berman, MD, Horizon BCBS NJ
-
From Information to Action: Helping Consumers Make Better Health Decisions
- Speaker
-
- Ali Skinner, Capital District Physicians' Health Plan, Inc.
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Optimizing Digital Formularies to Improve Adherence
- Speaker
-
-
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SERIES 8
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Next-Gen Predictive Analytics: Harnessing Data to Improve Outcomes and Prevention
- Speaker
-
- Mike Reilly, UPMC Health Plan
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Real-World AI Use Cases - Best Practices to Improve Plan Performance
- Speaker
-
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Driving Value through Price Transparency and Cost Estimation Tools
- Speaker
-
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Transforming Care via Wearables, Digital Therapeutics & Remote Patient Monitoring
- Speaker
-
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Building Sustainable Primary Care Partnerships for Older Populations
- Speaker
-
- Rahul Rajkumar, MD, JD, FACP, Accompany Health
-
Cheers to èƵ2025
Keynote Sessions
-
,
Food as Medicine: Unlocking the Path to Better Health
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Learn more about Dariush Mozaffarian, MD, DrPH
Dariush Mozaffarian, MD, DrPH,Director, Food is Medicine Institute, Friedman School of Nutrition Science and Policy
, Tufts University -
Learn more about Kofi Essel, MD, MPH, FAAP
Kofi Essel, MD, MPH, FAAP,Food as Medicine (FAM) Program Director
, Elevance Health, Health Outcomes Organization (HOO) -
Learn more about Pamela Schwartz, MPH
Pamela Schwartz, MPH,Executive Director, Community Health
, Office of Community Health, Kaiser Foundation Health Plan and Hospitals -
Learn more about Dana Thomas, JD
Dana Thomas, JD,Managing Director, Food is Medicine
, The Rockefeller Foundation
-
Learn more about Dariush Mozaffarian, MD, DrPH
-
,
Keynote Session
Sessions Filters
Sessions
June 16, 2025
,
Registration and Information Desk Open
,
Welcome Refreshments
,
Lunch & Learns
-
Lunch will begin at 11:30 am. Speaking Sessions will begin promptly at 12:00 pm.
-
Behavioral Health and Medical Costs: Leveraging Innovation for Better Outcomes
Presented by- Speakers
-
- Matthew Kinney, Optum
- Robert Nation, Optum
Details
The growing need to support mental health and substance use disorders among diverse populations is pushing health plans to be more strategic in facilitating access to behavioral health services. Recent innovations have created new opportunities to address both niche and widespread needs. However, plans often struggle to deliver these innovations effectively. Gain insights into sophisticated contracting strategies to ensure comprehensive coverage and successful delivery of behavioral services to members.
-
New Interoperability Solutions to Close Care Gaps and Drive Improved Outcomes
Presented by- Speakers
-
- Ben O’Connor, Surescripts, LLC
- Emelie Jensen, Surescripts, LLC
- Matt Koehler, Surescripts, LLC
Details
Health plans often lack the clinical insights and integrations needed to effectively close gaps in care for high-risk members. Providing high quality data and communicating needed actions within provider workflows is essential to improve outcomes. Explore how new interoperability solutions can streamline data exchange to ensure that providers have timely, accurate information to deliver better care, and ultimately improve member outcomes.
-
,
Keynote Sessions
-
,
Welcome
-
,
The ACA at 15 and the Shifting Landscape of U.S. Health Care
-
Learn more about Nancy-Ann DeParle
Nancy-Ann DeParle,Partner & Co-Founder
, Consonance Capital Partners -
Learn more about Mark McClellan, MD, PhD
Mark McClellan, MD, PhD,Director, Duke-Margolis Institute for Health Policy
, Duke University -
Learn more about Bruce Japsen
Bruce Japsen,Senior Health Contributor
, Forbes
-
Learn more about Nancy-Ann DeParle
-
,
Bold Moves, Better Care: Advancing Access, Value and Partnerships in Health Care
-
Learn more about Reed Tuckson, MD, FACP
Reed Tuckson, MD, FACP,Co-Founder, Black Coalition Against COVID & Co-Founder, Coalition for Trust in Health & Science
, -
Learn more about Alice Hm Chen MD, MPH
Alice Hm Chen MD, MPH,Chief Health Officer
, Centene Corporation -
Learn more about David J. Brailer, MD, PhD
David J. Brailer, MD, PhD,Executive Vice President & Chief Health Officer
, The Cigna Group
-
Learn more about Reed Tuckson, MD, FACP
-
,
Innovation Spotlight
-
,
Addressing the 2030 Problem to Serve Aging Baby Boomers
-
Learn more about Sachin H. Jain, MD, MBA
Sachin H. Jain, MD, MBA,CEO
, SCAN Group & SCAN Health Plan -
Learn more about Myechia Minter-Jordan, MD
Myechia Minter-Jordan, MD,CEO
, AARP -
Learn more about Vin Gupta, MD
Vin Gupta, MD,Managing Director
, Manatt Health Innovation
-
Learn more about Sachin H. Jain, MD, MBA
-
,
Super Agers: An Evidence-Based Approach to Longevity
-
Learn more about Eric J. Topol, MD
Eric J. Topol, MD,Founder & Director, Scripps Research Translational Institute (SRTI); Bestselling Author, "Super Agers" and "Deep Medicine”
, -
Learn more about Geeta Nayyar, MD, MBA
Geeta Nayyar, MD, MBA,Globally Recognized Chief Medical Officer, Technologist, & Author, Dead Wrong: Diagnosing and Treating Healthcare’s Misinformation Illness
,
-
Learn more about Eric J. Topol, MD
,
Exhibit Hall Open
,
Coffee Break with Solutions Providers
,
Presentation Theater
-
-
TBD Presentation Theater Sessions
- Speaker
-
-
-
-
TBD Presentation Theater Sessions
- Speaker
-
-
,
Concurrent Sessions
-
SERIES 1
-
Achieving Optimal Health for All Populations in an Evolving Environment
- Speakers
-
- Marshall Chin, MD, MPH, University of Chicago Department of Medicine
- Sinsi Hernández-Cancio, National Partnership for Women and Children
-
Portfolio Management of AI – Ensuring Strategic Alignment with Enterprise Goals
- Speakers
-
- Corinne Stroum, SCAN Health Plan
- Daniel Yang, MD, Kaiser Permanente
-
Strengthening Primary Care: Assessing Payvider Models for Sustainability
- Speakers
-
- Sonny Goyal, Blue Cross and Blue Shield of North Carolina
- Elif E. Oker, MD, FACEP, Priority Health
-
Future Expansion of Medicare Advantage
- Speakers
-
- Mike Hoak, Humana Inc
- Elena Tompkins, Tompkins Strategies, LLC
- Matt Kazan, SCAN Health Plan
-
-
SERIES 2
-
Leveraging Data to Achieve Whole Person Health
- Speakers
-
- Mark Friedberg, MD, MPP, Blue Cross Blue Shield of Massachusetts
- Bryan O. Buckley, DrPh, MPH, MBA, CareFirst BlueCross BlueShield
-
Best Practices to Build High-Impact Value-Based Partnerships
- Speakers
-
- Alicia Berkemeyer, Arkansas Blue Cross Blue Shield
- Elizabeth Kasper, MSPH, NC Department of Health and Human Services
- Kelly Hubka, RN, BSN, MBA, CPHQ, Blue Cross and Blue Shield of Kansas City
-
Frictionless by Design: Omnichannel Strategies for the Digital Front Door
- Speaker
-
-
Reimagining Benefit Design to Deliver Whole-Person Health
- Speaker
-
- Scott Burton, Providence Health Plan
-
Transforming Payment Integrity: The Path to Payment Precision
Presented by- Speakers
-
- Laika Kayani, Optum Insight
- Paul Root, Optum Insight
Details
Payment integrity in health care is at a critical inflection point—facing unprecedented challenges, but also extraordinary opportunity. Join this discussion to unpack key trends and explore opportunities to begin the shift from traditional payment integrity toward payment precision. Discover how real-time interventions at claim submission can help make healthcare payment transactions more accurate the first time, every time, to drive more affordable and seamless healthcare for everyone.
-
,
Reception with Solutions Providers
,
Presentation Theater
-
-
TBD Presentation Theater Sessions
- Speaker
-
-
-
-
TBD Presentation Theater Sessions
- Speaker
-
-
-
-
TBD Presentation Theater Sessions
- Speaker
-
-
June 17, 2025
,
Registration and Information Desk Open
,
Keynote Sessions
-
,
Raising the Bar: Bringing Health Care to the Next Level
-
Learn more about Steve Nelson
Steve Nelson,Executive Vice President, CVS Health & President, Aetna
,
-
Learn more about Steve Nelson
-
,
Building a More Sustainable Health Care Future
-
Learn more about David L. Holmberg
David L. Holmberg,President & Chief Executive Officer
, Highmark Health -
Learn more about Mike Jones
Mike Jones,President & General Manager, Payer Business Unit
, Inovalon -
Learn more about Omar B. Lateef, DO
Omar B. Lateef, DO,President & CEO
, Rush University System for Health and Rush University Medical Center -
Learn more about Lynne Chou O’Keefe
Lynne Chou O’Keefe,Founder & Managing Partner
, Define Ventures
-
Learn more about David L. Holmberg
-
,
Innovation Spotlight
-
,
Next-Gen Health Care: Disruptive Business Models in Action
-
Learn more about Paul Markovich
Paul Markovich,Chief Executive Officer & President
, Ascendiun -
Learn more about Julie Yoo
Julie Yoo,General Partner
, Andreessen Horowitz
-
Learn more about Paul Markovich
,
Exhibit Hall Open
,
Coffee Break with Solutions Providers
,
Presentation Theater
-
-
TBD Presentation Theater Sessions
- Speaker
-
-
-
-
TBD Presentation Theater Sessions
- Speaker
-
-
,
Concurrent Sessions
-
SERIES 3
-
Obesity in Focus: Intervention Strategies to Improve Outcomes
- Speaker
-
- Carolyn Jasik, MD, Verily
-
The Evolving Landscape of Medicaid
- Speakers
-
- Shannon M. McMahon, Kaiser Permanente
- Matt Salo, Salo Health Strategies
- Jami Snyder, MA, JSN Strategies, LLC
-
Modernizing Demographic Data Standards to Improve Access and Outcomes
- Speakers
-
- Rebekah Angove, PhD, Patient Advocate Foundation
- Jessica Little, MS, RD, Civitas Networks for Health
- Danielle Lloyd, MPH, AHIP
-
Revolutionizing Health Plans: The Transformative Power of Agentic AI
Presented by- Speaker
-
- Abishek Danturti Sharma, Sagility
Details
While GenAI streamlines routine tasks, agentic AI is now transforming health care by promoting efficiency, precision, and smarter decision-making. Explore how ingesting data from multiple sources and applying intelligent reasoning to complex questions can better facilitate navigation of workflows. Learn how advanced contact centers will use agentic AI for interactions with patients and providers to ensure timely responses, exceptional member experience, and efficient claims processing.
-
,
Lunch & Learns
-
Lunch will begin at 12:25 pm. Speaking Sessions will begin promptly at 12:50 pm.
-
Reimagining Benefit Design to Deliver High-Value Diabetes Care
Presented by- Speakers
-
- Arti Masturzo, MD, MBA, CCS Medical
- Eugene E. Wright, Jr., MD, South Piedmont Area Health Education Center
- Jean-Claude Saghbini, Lumeris
- Mark Grippi, AmeriHealth Caritas Ohio
Details
Diabetes care is drowning in complexity, with fragmented solutions and underutilized education programs leaving patients and providers overwhelmed. Gain insights to unpack systemic challenges in delivering effective, holistic chronic care management programs to patients. Explore how health plans can reimagine benefit design and integrate medical device education, lifestyle coaching, and clinician support to drive high-value chronic care outcomes.
-
Protecting Newborns From RSV: Opening a Reimbursement Pathway
Presented by- Speaker
-
- Richard H. Hughes IV, JD, MPH, Epstein Becker & Green, P.C.
Details
CDC recommends newborns be immunized against RSV within one week of birth, during the birth hospitalization or clinic setting. Delivery in the hospital setting is ideal to support uptake and prevent missed opportunities. This session will explore how payers can leverage payment solutions to engage hospitals to increase inpatient immunization rates for infants born during the RSV season, decreasing risk of RSV infection in the first months of life and reducing total cost of care.
-
,
Dessert Break with Solutions Providers
,
Presentation Theater
-
-
TBD Presentation Theater Sessions
- Speaker
-
-
-
-
TBD Presentation Theater Sessions
- Speaker
-
-
,
Concurrent Sessions
-
SERIES 4
-
Cross-Industry Collaboration Driving Improved Maternal Health Outcomes
- Speakers
-
- Pearl McElfish, PhD, MBA, MS, University of Arkansas Medical Sciences and Research
- Creshelle Nash, MD, MPH, CHIE, Arkansas Blue Cross Blue Shield
- Alicia Berkemeyer, Arkansas Blue Cross Blue Shield
-
Powering Primary Care Partnerships: Lessons Learned from a Multi-Payer Collaboration
- Speakers
-
- Judy Zerzan-Thul, MD, MPH, Washington State Health Care Authority
- Tory Gildred, LICSW, SUDP, Molina Healthcare of WA
-
Interoperability 2.0 - Optimizing API-Based Systems to Power Data Exchange
- Speaker
-
- Jason Teeple, Evernorth Health Services
-
The Future of Health Exchanges
- Speaker
-
-
Beyond the Breach: Fortifying Health Care’s Digital Defenses
- Speaker
-
- Kate Musler, Highmark Inc.
-
-
SERIES 5
-
Improving Cardiovascular Outcomes: Partnerships that Drive Community Impact
- Speakers
-
- Laurel Soot, MD, Providence Health Plan
- Andrew Renda, MD, MPH, Humana Healthy Horizons
-
Strengthening Medicaid Engagement Through Community-Based Collaboration
- Speakers
-
- Karen Dale, RN, MSN, AmeriHealth Caritas District of Columbia
- Judith Sandalow, Children’s Law Center
- Rachel Munsie, Ounce of Care
-
Business Case for Engagement: Driving Value Through Consumer Connection
- Speaker
-
-
The Future of Home-Based Care: Technology as a Catalyst for Better Outcomes
- Speaker
-
- Cassie Houff, OneHome, a subsidiary of Humana
-
Overcoming Stagnation in VBC: Challenges and Opportunities
Presented by- Speaker
-
- Meghan Miller, Optum
Details
A decade after the implementation of the Affordable Care Act, value-based contracting and care models have become largely standardized. While adoption grows steadily, innovation has plateaued due to systemic challenges. Yet, emerging trends in regulation and technology are creating an environment ripe for VBC innovation. Join this session to explore innovations at the intersection of technology, operational workflows, and actuarial sciences advancing how the industry pays for and delivers care.
-
-
SERIES 6
-
Behavioral Health Integration to Expand Access and Improve Care Quality
- Speaker
-
- Caroline Carney, MD, MSc, Magellan Health, Inc.
-
Streamlining Prior Authorization through Tech-Enabled Innovations
- Speakers
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- William Giard, Stellarus
- Amy Flaster, MD, Cigna Healthcare
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Innovative Models to Deliver Complex Care to Vulnerable Members
- Speaker
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Improving the Member Journey: Simplified Navigation for Better Access and Experience
- Speaker
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Value-Based Innovation to Transform Care Delivery for Vulnerable Populations
Presented by- Speaker
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- Kari O’Rourke, Imagine Pediatrics
Details
Vulnerable populations face interconnected medical, behavioral, and social challenges that traditional models struggle to address. Learn how innovative, personalized care approaches—combining multiple delivery modalities with engaged caregivers—can transform outcomes and reduce costs. Explore practical strategies to implement risk-based care models that effectively serve diverse populations with unique needs while improving quality and efficiency of care.
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Keynote Session
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The AI Revolution in Health Care: Balancing Innovation, Ethics, and Impact
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Learn more about Vivian S. Lee, MD, PhD, MBA
Vivian S. Lee, MD, PhD, MBA,Executive Fellow, Harvard Business School & Senior Lecturer, Harvard Medical School; Author, The Long Fix: Solving America's Health Care Crisis with Strategies that Work for Everyone
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Learn more about Daniel Yang, MD
Daniel Yang, MD,Vice President, AI & Emerging Technologies
, Kaiser Permanente
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Learn more about Vivian S. Lee, MD, PhD, MBA
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Reception with Solutions Providers
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Presentation Theater
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TBD Presentation Theater Sessions
- Speaker
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TBD Presentation Theater Sessions
- Speaker
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June 18, 2025
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Registration and Information Desk Open
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Keynote Sessions
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From Advocacy to Action: Elevating the Patient Voice in Health Care
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Learn more about David C. Fajgenbaum, MD, MBA, MSc
David C. Fajgenbaum, MD, MBA, MSc,Co-Founder & President, Every Cure; Associate Professor of Medicine, Division of Translational Medicine & Human Genetics, University of Pennsylvania, Perelman School of Medicine; Author, Chasing My Cure: A Doctor's Race to Turn Hope into Action
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Learn more about Kathy Giusti
Kathy Giusti,Co-Founder, Multiple Myeloma Research Foundation; Author, Fatal to Fearless: 12 Steps to Beating Cancer in a Broken Medical System
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Learn more about Timothy Law, DO, MBA
Timothy Law, DO, MBA,Chief Medical Officer
, Highmark Inc.
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Learn more about David C. Fajgenbaum, MD, MBA, MSc
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Innovation Spotlight
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Investing in Chronic Disease Prevention to Help Americans Achieve Optimal Health
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Learn more about Creagh Milford, DO, MPH
Creagh Milford, DO, MPH,President, Retail Health
, CVS Health -
Learn more about Gary A. Puckrein, PhD
Gary A. Puckrein, PhD,President & Chief Executive Officer
, National Minority Quality Forum -
Learn more about Vidya Raman-Tangella
Vidya Raman-Tangella,Chief Medical Officer
, Teladoc Health -
Learn more about Andrea Willis, MD, MPH
Andrea Willis, MD, MPH,Senior Vice President & Chief Clinical Officer
, BlueCross BlueShield of Tennessee
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Learn more about Creagh Milford, DO, MPH
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Exhibit Hall Open
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Coffee Break with Solutions Providers
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Influencer Series
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Influencer Series TBD
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Networking Lunch with Solutions Providers
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Exhibit Hall Closes
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Concurrent Sessions
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SERIES 7
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Improving Transitional Care Services to Close Care Gaps for Medicaid Members
- Speakers
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- Susan Stone, MD, MPH, CHIE, L.A. Care
- Amanda Asmus, RN, MSN, MBA, CCM, L.A. Care
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Balancing Innovation & Affordability: Novel Payment Models for High-Cost Therapies
- Speaker
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Building a Healthier Generation: Health Plans Driving Public Health Impact
- Speakers
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- Pamela Schwartz, MPH, Office of Community Health, Kaiser Foundation Health Plan and Hospitals
- Eric Berman, MD, Horizon BCBS NJ
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From Information to Action: Helping Consumers Make Better Health Decisions
- Speaker
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- Ali Skinner, Capital District Physicians' Health Plan, Inc.
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Optimizing Digital Formularies to Improve Adherence
- Speaker
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SERIES 8
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Next-Gen Predictive Analytics: Harnessing Data to Improve Outcomes and Prevention
- Speaker
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- Mike Reilly, UPMC Health Plan
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Real-World AI Use Cases - Best Practices to Improve Plan Performance
- Speaker
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Driving Value through Price Transparency and Cost Estimation Tools
- Speaker
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Transforming Care via Wearables, Digital Therapeutics & Remote Patient Monitoring
- Speaker
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Building Sustainable Primary Care Partnerships for Older Populations
- Speaker
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- Rahul Rajkumar, MD, JD, FACP, Accompany Health
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Cheers to èƵ2025
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Keynote Sessions
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Food as Medicine: Unlocking the Path to Better Health
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Learn more about Dariush Mozaffarian, MD, DrPH
Dariush Mozaffarian, MD, DrPH,Director, Food is Medicine Institute, Friedman School of Nutrition Science and Policy
, Tufts University -
Learn more about Kofi Essel, MD, MPH, FAAP
Kofi Essel, MD, MPH, FAAP,Food as Medicine (FAM) Program Director
, Elevance Health, Health Outcomes Organization (HOO) -
Learn more about Pamela Schwartz, MPH
Pamela Schwartz, MPH,Executive Director, Community Health
, Office of Community Health, Kaiser Foundation Health Plan and Hospitals -
Learn more about Dana Thomas, JD
Dana Thomas, JD,Managing Director, Food is Medicine
, The Rockefeller Foundation
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Learn more about Dariush Mozaffarian, MD, DrPH
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Keynote Session