• Analyze the NCQA population health standards that are a cornerstone of health plan accreditation
• Examine the importance of population health in Long-Term Services & Support, Case Management, and Patient-Centered Medical Home standards
• Discuss the population health goals in CMS’ future Merit-based Incentive Payment System (MIPS) Value-based Pathways (MVPs).
Paul Cotton, Director, Federal Affairs
National Committee for Quality Assurance
William Jonakin, MD, CPC, CRC, Medical Director, Medicare Advantage and Risk Adjustment
St. Luke’s Health Partners
Principal, Clinical Discernment, LLC
Jason Helgerson, Chief Solutions Officer
Helgerson Solutions Group
Former New York State Medicaid Director
Juliette Price, Solutions Architect for the Social Determinants of Health
Helgerson Solutions Group
Sander Koyfman, MD, Behavioral Health Medical Director- New York
WellCare
William Jonakin, MD, CPC, CRC, Medical Director, Medicare Advantage and Risk Adjustment
St. Luke’s Health Partners
Principal, Clinical Discernment, LLC
Sander Koyfman, MD, Behavioral Health Medical Director- New York
WellCare
Saeed Aminzadeh, CEO
Decision Point Healthcare Solutions
NCQA- Question & Answers Roundtable
An exclusive opportunity to meet face to face with the Director or Federal Affairs at the NCQA to obtain information that can improve your current health plan operations.
Paul Cotton, Director, Federal Affairs
National Committee for Quality Assurance
Lois Simon, Executive Vice President of Policy and Programs
Seniorlink
Jessica Kinowski, MPH, Clinical Program Director
National Health Services – Cigna Medicare
Will Simerl, Assistant Director, Health Care Team
U.S. Government Accountability Office
Alanna Lavelle, Senior Principal, Life Sciences
MITRE
Jessica Grabowski, AM, LCSW, Executive Director
Coordinated Care Alliance
Joseph Albright, PharmD | Pharmacist, Team Lead, Clinical Pharmacy Services
BCBSNC
Stacy Garrett-Ray, MD, MPH, MBA, Vice President, UMMS, Medical Director, Population Health Services Organization, President, Quality Care Network, President, Transform Health MD
University of Maryland Medical System
Jim Milanowski, President/CEO
Genesee Health Plan
Melissa Joy Brewster, PharmD, BCPS, Pharmacy Director, Columbia Pacific CCO CareOregon
Keshia Bigler, Population Health Portfolio Manager CareOregon
Jessica Culver, CHES, Senior Manager, Population Health
Moda Health
Moderator:
Edward D Shanshala II, MSHSA, MSEd, CEO
Ammonoosuc Community Health Services, Inc (AHCS)
John M Ventura, DC,
Spine Care Partners, LLC
Clinical Instructor, Family Medicine, University of Rochester School of Medicine
Nicholas DeGregorio, MD, FACP, MMM, Senior Medical Director
UPMC for You
An invite only exclusive thought-provoking think tank attended by high level health care leaders from across the nation to delve into critical topics related to the opioid crisis and population health.
William Jonakin, MD, CPC, CRC, Medical Director, Medicare Advantage and Risk Adjustment
St. Luke’s Health Partners
Principal, Clinical Discernment, LLC
Jason Helgerson, Chief Solutions Officer
Helgersons Solutions Group
Former Medical Director of Medicaid NY
Lois Simon, Executive Vice President of Policy and Programs
Seniorlink
Jessica Grabowski, AM, LCSW, Executive Director
Coordinated Care Alliance
Darcie Robran-Marquez, MD, MBA, CPE, Executive Medical Director Presbyterian Healthcare Services
Abner Mason, Founder and CEO
ConsejoSano, Inc.
Robran-Marquez, MD, MBA, CPE, Executive Medical Director
Presbyterian Healthcare Servicesner Mason, Founder and CEO
ConsejoSano, Inc.
Jim Milanowski, President/CEO
Genesee Health Plan
Nicholas Degregorio, MD, FACP, MMM, Senior Medical Director
UPMC for You
Karen DePasquale, LSW, Associate Vice President Clinical Affairs & Clinical Business Operations
UPMC Health Plan
Edward D Shanshala II, MSHSA, MSEd, CEO
Ammonoosuc Community Health Services, Inc (AHCS)
Stacy Garrett-Ray, MD, MPH, MBA, Vice President, UMMS, Medical Director, Population Health Services Organization, President, Quality Care Network, President, Transform Health MD
University of Maryland Medical System
Darcie Robran-Marquez, MD, MBA, CPE, Executive Medical Director
Presbyterian Healthcare Services
Moderator:
Stacy Garrett-Ray, MD, MPH, MBA, Vice President, UMMS, Medical Director, Population Health Services Organization, President, Quality Care Network, President, Transform Health MD
University of Maryland Medical System
Panelists:
Abner Mason, Founder and CEO
ConsejoSano, Inc.
Lauretta Converse Director of Payment Reform
Rhode Island Medicaid Program
Jessica Kinowski, MPH, Clinical Program Director
National Health Services – Cigna Medicare
Amy Riegel, Director of Housing
CareSource
Nicholas DeGregorio, MD, FACP, MMM, Senior Medical Director UPMC for You
Case Study: UPMC Health Plan’s Pilot Program Rapid Emergency Dept Outreach (REDO)
Karen DePasquale, LSW, Associate Vice President Clinical Affairs & Clinical Business Operations UPMC Health Plan
Noreen Hurley, Program Manager, Star Quality & Performance
Harvard Pilgrim Health Care
Jim Milanowski, President/CEO
Genesee Health Plan
Jessica Culver, Senior Manager, Population Health
Moda Health
Ruth Boubin, MA, Restricted Recipient Program Case Manager South Country Health Alliance
Noreen Hurley, Program Manager, Star Quality & Performance
Harvard Pilgrim Health Care
Edward D Shanshala II, MSHSA, MSEd, CEO
Ammonoosuc Community Health Services, Inc (ACHS)
https://ammonoosuc.org/ , Board President of the North Country Health Consortium, (NCHC) http://www.nchcnh.org/, Board Trustee of the Littleton Regional Healthcare (LRH), http://www.littletonhospital.org/, and Board Director and Treasurer of the Bi State Primary Care Association https://bistatepca.org/.