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AHIP
Conferences

AHIP 2023

Dates:
Jun 13 - 15, 2023
Location:
Portland, Oregon

Experience what’s next, now at AHIP 2023 (Formerly Institute & Expo.) We’re building on AHIP’s decades-long heritage of bringing together the people, ideas, and solutions guiding greater health for years to come.

Agenda Filters

Sessions

8:00 am – 7:15 pm
, Bag and Luggage Check

Exhibit Hall B, Level 1
KEYNOTE SESSION BAG POLICY • Small bag, no larger than 12” x 12” x 6”, are permitted and subject to visual screening. • Larger bags, including backpacks and luggage, are not allowed in Keynote Sessions.

8:30 am – 5:30 pm
, Registration Desk Open

Pre-Function C, Level 1
Registration and Information Desk Open
Presented by Optum – An AHIP Select Sponsor

8:45 am – 10:15 am
, Keynote Session

10:15 am – 7:00 pm
, Exhibit Hall Open

Halls C-D, Level 1
Exhibit Hall Open with Solutions Providers

10:15 am – 11:00 am
, Break

Halls C-D, Level 1
Coffee Break in the Exhibit Hall with Solutions Providers
Presented by CERiS

10:20 am – 10:55 am
, Presentation Theater

  • 10:20 am – 10:35 am

    • Personalizing the Member Journey

      Presented by ResultsCx
      Location
      Presentation Theater #1: Booth1137 (Halls C-D, Level 1)
      Speaker
      Details

      Members expect exceptional experience from their health plans and providers today. Offering friction-free member service is not simple, but it can be a differentiator. Join this discussion to better understand your member demographics and preferences, and unify data to build a holistic view of your members. Learn how to personalize responses to members and create seamless experiences via omnichannel solutions.

    • Operationalizing AI – Best Practices for Becoming an AI-First Organization

      Presented by Exponential AI
      Location
      Presentation Theater #2: Booth1737 (Halls C-D, Level 1)
      Speakers
      Details

      In order to transform business models to deliver improved value to members and providers, operationalizing AI is critical. Join this session to learn how to engage your entire enterprise by building trust through transparency and complement your existing capabilities with an open architecture. Gain insights to deploy AI capabilities, deliver real-time decisions at scale, and develop a digital AI workforce.

  • 10:40 am – 10:55 am

    • Leveraging Data and Analytics to Optimize Value-Based Contracts

      Presented by Gray Matter Analytics
      Location
      Presentation Theater #1: Booth1137 (Halls C-D, Level 1)
      Speakers
      Details

      Addressing health disparities in behavioral health is critical to improving outcomes. Join this session to learn how data and analytics can help identify gaps in care and achieve expectations of value-based contracts. Hear about an innovative approach to meeting increased demand for behavioral health services and how to best leverage analytic insights.

    • Employer Group Playbook: 3 Threads to Pull In 2023

      Presented by Merative
      Location
      Presentation Theater #2: Booth1737 (Halls C-D, Level 1)
      Speaker
      Details

      Health plans need to balance the demands of many groups. Their employer clients have unique challenges when it comes to managing risk, population health and profitability, especially in our current economic climate. Join this session for new insights into population trends impacting employers, to help health plans identify the key opportunities where you can make the biggest difference for your clients in the second half of 2023 and beyond.

11:00 am – 11:45 am
, Concurrent Sessions

  • CONCURRENT SESSIONS (Series 3)

    • Addressing Equity, Prevention, and Community Health Improvement

      Food is Medicine and its Impact on Population Health

      Location
      B119, Level 1
      Speakers
      Details

      Many Americans lack access to affordable, nutritious food, leading to high rates of chronic diseases like cardiovascular disease, stroke, and diabetes. This session will present new initiatives that provide evidence-based solutions and tools to help the health sector design and scale programs promoting access to nutritious food. The initiatives aim to improve health equity, reduce health care costs, and alleviate the adverse impacts of limited access to healthy food.

    • Advancing Alternative Payment Models and Value-Based Care Strategies

      Innovative Alternative Payment Models for Value-Based Behavioral Health Care

      Location
      A109, Level 1
      Speakers
      Details

      Improving the health of individuals with behavioral health conditions is a significant interest for health plans, but creating effective programs has been a challenge. This session will discuss ways to improve care quality and affordability for members with behavioral health needs. Speakers will offer approaches for measuring health equity and incentivizing behavioral health alternative payment models. The focus will be on collaboration between payers and providers to achieve improved outcomes.

    • Care Management and Delivery System Transformation

      Leveraging Payer-Provider Partnerships to Improve Care for Complex Patients

      Presented by Optum – An AHIP Select Sponsor
      Location
      C123, Level 1
      Speakers
      Details

      As care complexities and treatment costs rise, payer-provider collaboration is becoming more critical, especially to effectively manage high-needs patients. Joining forces, regardless of the size or scope, can make a meaningful difference. Join this discussion to explore how supporting payer-provider partnerships can help strengthen care coordination, better manage complex care needs, and improve affordability and outcomes.

    • Data, Analytics and Actionable Intelligence

      Cacophony or Symphony? Eliminating Bias and Noise to Improve Outcomes

      Presented by Quest Analytics
      Location
      B114, Level 1
      Speaker
      Details

      Health care leaders today manage multiple challenges to improve access to high-quality care to improve health outcomes and lower costs. Take an unprecedented look at how bias and noise in decision-making lead to unintended consequences and greater variation in care. Utilizing relevant case studies around sleep and fertility, you will learn how to undo the unintended consequences of bias by leveraging real-world data to optimize your health plan network and improve outcomes at scale.

    • Improving Accessibility, Affordability, and Transparency of Health Care

      Realizing Value with Virtual Care to Achieve Whole-Person Health

      Presented by Teladoc Health – An AHIP Select Member
      Location
      A106, Level 1
      Speakers
      Details

      As virtual care becomes an indispensable component of the health care experience, health plans are demanding more results—and greater value—from their investment. Consumers have also come to expect high value virtual care. Hear insights on how an integrated virtual care solution that supports a wide range of physical and mental health needs improves access, outcomes, and the consumer experience—and how this whole-person approach to care fits into organizations’ long-term strategies.

    • Next-Generation Consumer Experience and Engagement

      Improving Patient Experience and Performance in the Star Ratings Program

      Presented by Virgin Pulse
      Location
      B110, Level 1
      Speakers
      Details

      Join this discussion to learn how future-minded health plans are personalizing their members’ experience. Gain insights to access more than clinical data to spur member engagement and develop strategies to deliver the kind of VIP experience members expect, end member churn, and close gaps in care.

    • Medicare, Medicaid, Duals, and Commercial Markets Updates

      Impacts of the Inflation Reduction Act on the Medicare Part D Program

      Location
      B115, Level 1
      Speakers
      Details

      Speakers will discuss the significant changes being made to the Part D program under the Inflation Reduction Act (IRA) and the potential implications for patients, plan sponsors, drug manufacturers, and the government.

11:55 am – 1:15 pm
, Lunch & Learns

  • Lunch will begin at 11:55 am. Speaking Sessions will begin promptly at 12:30 pm.

    • Addressing Equity, Prevention, and Community Health Improvement

      Leverage Community-Based Groups to Address SDOH and Improve Outcomes

      Presented by Wider Circle
      Location
      B110, Level 1
      Speakers
      Details

      Social determinants of health contribute to significant variation in health care access and outcomes. Utilizing a peer-to-peer approach can help tackle social drivers in a holistic way to impact outcomes and equity. Hear how community-based, facilitated member-to-member interventions can enable payers to access hard-to-reach communities. Learn how this model can improve outcomes, lower cost and increase member retention.

    • Care Management and Delivery System Transformation

      Tackling Behavioral Health: A Strategic Imperative

      Presented by spring health
      Location
      C123, Level 1
      Speakers
      Details

      In the midst of a widespread mental health crisis, Americans are experiencing unprecedented levels of stress, anxiety, and depression. As a result, health plans have prioritized improving access to and quality of behavioral health as a strategic imperative. But there are longstanding shortages of behavioral health providers and many do not participate in health plan networks. Join this discussion to learn how to navigate the behavioral health landscape, structure an RFP process, launch a behavioral health partnership, and monitor clinical and financial outcomes.

    • Data, Analytics and Actionable Intelligence

      Improving Efficiency: Surfacing Clinical Member Data in the Moment of Care

      Presented by Athenahealth
      Location
      B114, Level 1
      Speakers
      Details

      Creating new opportunities for health insurance and health care providers to access clinical data in the workflow is essential to improving health care efficiency. Join this session to explore how to build new value opportunities by surfacing care and diagnosis data in the moment of care to support both clinical and financial outcomes. Learn how health insurance and health care providers are gaining access to patient encounter data which can reduce provider friction and improve quality care.

    • Path to Proactive, Precise, and Preventive Population Health Management

      Presented by Sanofi
      Location
      Room: 103, Level 1
      Speakers
      Details

      Improving the quality of care delivered requires an emphasis on early detection and prevention to mitigate over- and under-treatment, as well as to reduce readmissions. Join this session to explore progressive screening approaches that integrate early detection, digital health, and AI assistance to improve equity and accessibility. Gain insights into strategies for effective implementation and expansion of upstream health care technologies for preventive population health management.

    • Improving Accessibility, Affordability, and Transparency of Health Care

      New Ways to Harness Provider and Member Data to Personalize Health Care

      Presented by CAQH
      Location
      A109, Level 1
      Speakers
      Details

      With robust and accurate data, health plans can develop strategies to match members with providers who understand their needs and background. Health equity and member matching can improve outcomes, and satisfaction. But effectively delivering data driven strategies can be challenging. Speakers will explore how health plans are using data to improve the health care experience for both members and providers, including best practices, and lessons learned along the journey to better health care.

    • Next-Generation Consumer Experience and Engagement

      The ROI of CX: Strategies to Drive Highest-Value Member Engagement

      Presented by Zipari
      Location
      B119, Level 1
      Speaker
      Details

      A strong member engagement strategy that delivers optimal ROI is a critical component of effective CX. Join this session to discuss five strategies for driving the highest-value member engagement while streamlining operations. Gain insights and best practices utilized by health insurance providers to engage members in their health for improved outcomes.

    • Medicare, Medicaid, Duals, and Commercial Markets Updates

      Improve Star Ratings Through Enhanced Interoperability

      Presented by Surescripts 2022
      Location
      B115, Level 1
      Speakers
      Details

      Medicare Advantage plans with 4 or higher Star Ratings receive quality bonus payments that can be used to enhance benefits and/or reduce beneficiary cost-sharing. Join this discussion to explore how data and interoperability can help plans improve performance on Star Ratings measures including HEDIS and CAHPS measures. Learn from real-world examples on how interoperability of data and information exchange can improve plan performance on Star Ratings.

1:15 pm – 2:00 pm
, Break

Halls C-D, Level 1
Coffee & Dessert Break in the Exhibit Hall with Solutions Providers
Presented by CERiS

1:25 pm – 2:00 pm
, Presentation Theater

  • 1:25 pm – 1:40 pm

    • Loneliness: A Driver of Engagement and Predictive Factor in High-Utilization

      Presented by Pyx Health
      Location
      Presentation Theater #1: Booth1137 (Halls C-D, Level 1)
      Speakers
      Details

      Loneliness makes it difficult for patients to fully engage in their health care journey; addressing it can improve outcomes for this population who can become high users of health services. Gain insights into one health plan’s strategies to use companionship and empowerment to activate member engagement. Learn to identify and resolve urgent SDOH needs, improve satisfaction and strengthen consumers’ connection to their plan – leading to better outcomes and lower use of unnecessary health care.

    • How Managed Care Plans and States Can Partner to Improve Maternal Health

      Presented by Mom's Meals 2022 logo
      Location
      Presentation Theater #2: Booth1737 (Halls C-D, Level 1)
      Speakers
      Details

      Join us for a focused discussion on ways health plans, state Medicaid, and health care leaders can take action to promote maternal health. Speakers will discuss disparities in rates of maternal mortality and nutrition security including examples of current collaborations and ways to measure success. Learn about pathways for supporting expectant members with nutrition services, which can impact maternal health outcomes and implications across the lifespan.

  • 1:45 pm – 2:00 pm

    • Specialty Drug Savings: Utilizing Cross-Benefit Management for Sustained Savings

      Presented by Optum – An AHIP Select Sponsor
      Location
      Presentation Theater #1: Booth1137 (Halls C-D, Level 1)
      Speakers
      Details

      With specialty pharmacy spend expected to surpass $660B by the end of 2024, health plans face an urgent need to address specialty spend. Join this session to learn how to utilize a cross-benefit approach for specialty drug management to drive real and sustained savings while simplifying the prior authorization experience.

    • Overcoming Providers’ Challenges for Successful Value-Based Care Programs

      Presented by FTI Consulting
      Location
      Presentation Theater #2: Booth1737 (Halls C-D, Level 1)
      Speakers
      Details

      The value-based care transition is happening fast and providers face myriad value-based care options from health plans. What challenges do providers face and how can they be successful? And, most importantly, how can health plans help? Join this informative session to gain insights into a provider's perspective and how health plans can play a key role in their value-based care success.

2:00 pm – 4:40 pm
, Concurrent Sessions

  • 2:00 pm – 2:45 pm

    CONCURRENT SESSIONS (Series 4)

    • Addressing Equity, Prevention, and Community Health Improvement

      Addressing Social Determinants of Maternal Health

      Presented by Ovia Health
      Location
      B119, Level 1
      Speakers
      Details

      The U.S. maternal mortality rate continues to climb and surged by 40% in 2021 according to the National Center for Health Statistics, underscoring an urgent need for solutions. Join a discussion of industry leaders to learn about innovative programs to reduce the maternal morbidity rate and improve outcomes for pregnant people, especially critical for communities of color. Gain insights and solutions to implement locally to manage maternal morbidity and improve maternal health outcomes including those focused on mental health, postpartum care, and social determinants of health.

    • Advancing Alternative Payment Models and Value-Based Care Strategies

      Moving the Value-Based Continuum Needle for Independent Primary Care Providers

      Presented by Optum – An AHIP Select Sponsor
      Location
      B110, Level 1
      Speakers
      Details

      Encouraging independent primary care providers (PCPs) to move up the value-based continuum can be challenging. Join this session to explore strategies to create “win-win” financial arrangements between your organization and your independent PCPs. Learn approaches to help independent PCPs sustain success and increase provider satisfaction in value-based programs.

    • Care Management and Delivery System Transformation

      Behavioral Health Concierge: A People-First Innovation in Behavioral Health

      Location
      B115, Level 1
      Speakers
      Details

      This session will explore an innovative approach to expand access to behavioral health care. Hear how one health insurance provider worked with their integrated health system to develop a first-of-its-kind virtual concierge to support the mental health needs of staff and frontline caregivers and expanded to group insurance members. Gain insights on the ins-and-outs of the behavioral concierge and learn how programs like it can accelerate access to behavioral health services for your members.

    • Data, Analytics and Actionable Intelligence

      Improving Data Standards to Advance Health Equity

      Location
      A106, Level 1
      Speakers
      Details

      This session will highlight health insurance provider, government, and other health care stakeholder efforts to improve sociodemographic data standards, collection, and interoperable exchange. Speakers will discuss challenges, present lessons learned, and consider what needs to be in place from a policy and infrastructural perspective to maximize data collection efforts for health equity.

    • Improving Accessibility, Affordability, and Transparency of Health Care

      Affordability and Innovation: Ensuring Medications Reach All Those Who Need Them

      Location
      C123, Level 1
      Speakers
      Details

      In this session, speakers with deep expertise in pharmacy benefit management and prescription drug policy will explore innovative approaches to ensuring members get the highest-value, most effective therapies at the lowest cost while looking ahead to forthcoming challenges with new therapies.

    • Next-Generation Consumer Experience and Engagement

      Battle for Attention: Consumer-Centric Strategies to Drive Engagement

      Presented by Walgreens
      Location
      B114, Level 1
      Speakers
      Details

      As consumers are faced with myriad demands on their attention, what are the best practices for consumer engagement? Explore strategies to engage and educate consumers, collaborate to ensure coverage and access, and promote health and wellness. Join this discussion to learn how to reach members in effective, efficient ways that support enrollment, education and improved outcomes and highlight best practices to reach and engage the underserved.

    • Medicare, Medicaid, Duals, and Commercial Markets Updates

      Boots on the Ground Perspectives on Ensuring Continuous Coverage

      Location
      A109, Level 1
      Speakers
      Details

      This session will highlight the wide range of strategies being deployed by stakeholders to ensure that individuals are not inappropriately disenrolled from coverage when normal eligibility determination operations resume. Learn about the innovative work happening on the ground to mitigate gaps in care through Medicaid unwinding.

  • 2:55 pm – 3:40 pm

    CONCURRENT SESSIONS (Series 5)

    • Addressing Equity, Prevention, and Community Health Improvement

      Employing Digital Care to Address Health Inequities for Pain Management

      Presented by Hinge Health
      Location
      A109, Level 1
      Speakers
      Details

      Pain is complex, personal, and everyone experiences it differently. Effective pain care must recognize the whole person and adapt to individual differences. Join this discussion to gain insights into digital care solutions that can address health inequities for conditions including musculoskeletal pain, depression, anxiety, and women’s health issues. Explore and debunk common myths about pain and learn how to employ digital solutions that can help people move beyond pain.

    • Advancing Alternative Payment Models and Value-Based Care Strategies

      From Volume to Value in Kidney Care: A Roadmap for Successful VBC Partnerships

      Location
      C123, Level 1
      Speakers
      Details

      As new value-based care companies enter the market with promises to improve outcomes and lower costs, should health plans consider launching a value-based care program for chronic kidney disease? This panel will discuss the potential benefits of value-based care for kidney care management, what makes a good contract to reduce risk to health plans and improve clinical outcomes for patients, and the roles of each party when it comes to sharing data to maximize effectiveness of the program.

    • Care Management and Delivery System Transformation

      Complete, Don’t Compete: Virtual Care to Support Chronic Conditions

      Location
      B114, Level 1
      Speakers
      Details

      We are past the era where people only receive medical care in-person. The number of virtual chronic care solutions, which promise to enhance care offered by providers, is proliferating at a rapid pace. Join this discussion to learn how these solutions can strengthen a provider network and member experience. Gain insights into the implementation challenges of virtual chronic care management and learn how virtual care solutions can support value-based partnerships.

    • Industry Disruption and Product Innovation

      Value Proposition of Home-Based Care

      Location
      A106, Level 1
      Speakers
    • Next-Generation Consumer Experience and Engagement

      Unlock the Power of AI and the Cloud for Exceptional Member Experiences

      Presented by Microsoft
      Location
      B110, Level 1
      Speakers
      Details

      Exceptional consumer experience begins with frictionless, personalized interactions. Learn how AI, data, and the cloud can optimize interactions, resolve complex inquiries, and enable self-service. Hear insights on how health insurance providers and PBMs are integrating systems, moving to the cloud, and leveraging the power of AI and data to amplify their contact centers and improve member satisfaction.

    • Technology, Trends and Business Insights

      Will ChatGPT Change Health Care Forever (and for the Better)?

      Location
      B115, Level 1
      Speakers
      Details

      AI and large language models have the potential to revolutionize the way health care is delivered. ChatGPT and other generative AI apps can analyze large amounts of medical data quickly to identify patterns and make predictions, aiding in early disease detection, intervention, and personalized medicine. But what happens when medical knowledge and innovative technology converge? Speakers will discuss applications and implications of this technology, and how it could shape the future of medicine.

  • 3:55 pm – 4:40 pm

    CONCURRENT SESSIONS (Series 6)

    • Addressing Equity, Prevention, and Community Health Improvement

      Funding and Supporting Traditional Health Workers in Community Settings

      Location
      B114, Level 1
      Speakers
      Details

      Traditional health workers, such as patient navigators, advocates, and community health workers, are vital for accessible, affordable, and equitable health care. Speakers in this session will discuss the financial, compliance-specific, and operational barriers that must be overcome for successful community-based funding relationships for these services. This session will showcase two successful programs, including their development processes, success metrics, lessons learned and replicability.

    • Advancing Alternative Payment Models and Value-Based Care Strategies

      Employer Perspectives on Value-Based Care Arrangements

      Location
      C123, Level 1
      Speakers
      Details

      Employer plans cover more Americans than any other type of coverage, so expansion of value-based care to the majority of all Americans will require broad adoption across the employer market. The panelists will discuss ways that the employer market is unique, and how value-based payment arrangements can be successfully implemented in the employer market.

    • Care Management and Delivery System Transformation

      Mastering the Care Management Platform: Insights and Lessons Learned

      Presented by West Monroe Partners
      Location
      B115, Level 1
      Speakers
      Details

      Successful care management platforms are the result of a unified vision for a population health experience and coordinated operations. Join an in-depth discussion on how to successfully evaluate, select, and implement a care management platform for improved outcomes. Hear insights on how to establish a unified vision, critical success factors and lessons learned, as well as tips on evaluating current platforms and capabilities against market and business needs.

    • Data, Analytics and Actionable Intelligence

      Using Real-Time Insights to Address the Behavioral Health

      Presented by Bamboo Health
      Location
      B110, Level 1
      Speaker
      Details

      With our nation facing a rapidly growing behavioral health crisis, it is imperative that health insurance and health care providers work together to improve health outcomes. Join this session to explore the scope of this unprecedented crisis; examine recent policy and market trends; and learn ways to leverage real-time insights to impact members with substance use and mental health disorders.

    • Improving Accessibility, Affordability, and Transparency of Health Care

      Leveraging Evidence-Based Interventions to Improve Behavioral Health Treatment

      Location
      A106, Level 1
      Speakers
      Details

      Evidence-based interventions provide a solid foundation for improving behavioral health treatment. By utilizing interventions that have been rigorously studied and shown to be effective, health care professionals can enhance treatment outcomes, ensure consistency and standardization, and promote accountability and transparency. Speakers in this session will explore the use of whole person and evidence-based approaches to address addiction and substance use disorder treatment.

    • Technology, Trends and Business Insights

      Unlocking the Power of Engaged Members: Leverage Virtual Care to Improve Outcomes

      Presented by Tytocare
      Location
      B119, Level 1
      Speakers
      Details

      Engaging members is critically important to ensure earlier diagnoses and interventions which lead to lower-cost treatments and improved ROI. Hear insights from health care leaders on how to build, track, and optimize a virtual care strategy that meets business KPIs and impacts ROI. Learn how their virtual care approach works across different cohorts, and how their engagement strategies have increased access into more homes and communities.

    • Medicare, Medicaid, Duals, and Commercial Markets Updates

      The Intersection of Payment Integrity and Fraud, Waste and Abuse

      Presented by Healthcare Fraud Shield
      Location
      A109, Level 1
      Speaker
      Details

      A common misperception is that Special Investigation Units (SIU) only review fraud activity. However, over the past decade, we have seen a trend toward merging Payment Integrity (PI) and SIU functions. Join this session to discuss potential gaps and areas of overlap between PI and SIU functions. Learn best practices for utilizing PI and SIU functions a comprehensive Fraud, Waste, Abuse & Error program.

5:00 pm – 5:45 pm
, Keynote Session

5:45 pm – 7:00 pm
, Reception

Halls C-D, Level 1
Reception in the Exhibit Hall with Solutions Providers
Presented by AHIP

6:15 pm – 6:30 pm
, Presentation Theater

    • Artificial Intelligence Journey: Leveraging AI to Improve Outcomes & Reduce Cost

      Presented by CGI
      Location
      Presentation Theater #1: Booth1137 (Halls C-D, Level 1)
      Speaker
      Details

      AI is top of mind everywhere, yet it's hard to decide how, where or when to employ AI and what best practices to follow. Rooted in client use cases, this session will share strategies on data management, methodologies for AI deployment, and ways to ensure accuracy and transparency. Hear how health insurance providers at different places in their “AI journey” can scale their AI utilization to improve outcomes.

    • Improving the Accuracy of Provider Directories: Challenges and Opportunities

      Presented by Leap Orbit
      Location
      Presentation Theater #2: Booth1737 (Halls C-D, Level 1)
      Speaker
      Details

      Last October, CMS released a request for information (RFI) to gather input on a national provider directory, aiming to tackle the inaccuracies of provider data. While CMS is well-positioned to address this challenge, stakeholders expressed wide-ranging perspectives in response to the RFI. Join this session to explore the pros, cons, and risks of CMS developing a national directory. Gain insights into the challenges posed by provider data errors and discuss potential collaborative paths forward.