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HEDIS® & Quality Improvement Forum

Leading-Edge Strategies to Improve Care Outcomes and Boost Quality Scores

July 22-23, 2019
AC Hotel Downtown, Nashville, TN

With NCQA slated to release the new HEDIS® 2020 specifications in June this year, join us in July in Nashville and be ahead of the curve with a first look at preparing for HEDIS 2020 and beyond.

Be among the first to get an in-depth examination of what the changes will mean. Learn from leading experts how you can boost your quality ratings by incorporating the latest strategies in population health, behavioral health, telemedicine, and social determinants. Hear how innovative health plans are optimizing their HEDIS reporting work, saving time while increasing accuracy. And exchange insights with your fellow attendees during special peer-led round table discussions and expanded networking opportunities.

Key topics will include

HEDIS Changes for 2020: A detailed analysis of what you need to be ready for
New Telehealth Rules: Leveraging NCQA’s expansion of virtual care to close care gaps, engage members and improve ratings
HEDIS Electronic Clinical Data Reporting System (ECDS): Understanding what it is and how some plans are already making it work

Optimizing Your HEDIS Calendar: Hear from innovative plans how they organize their HEDIS work year-round to improve reporting and quality of care
Opioid Crisis and Behavioral Health: Leveraging HEDIS analytics and strategies to make a difference
Social Determinants of Health: Impacting HEDIS scores through small-scale initiatives and partnerships to rapidly address your members’ social determinants of health
HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).

Who will you meet?

  • Network with and learn alongside fellow professionals from Medicare Advantage, Medicaid and commercial health plans specializing in the following areas:
  • HEDIS®
  • Quality Improvement
  • Medicare Star Ratings
  • Data Analytics
  • Data Management
  • Provider Engagement
  • Care Management
  • Member Engagement
  • Pharmacy
  • Performance Management
  • Operations

How will this conference help you?

Get started in July on your plans to implement changes for HEDIS 2020
Gain new strategies for closing care gaps more rapidly and dependably, including NCQA’s new telehealth expansion
Augment your plan’s use of the latest population health methods to improve quality
Enhance integration of behavioral health to help combat substance abuse
Steadily boost quality scores by incorporating small-scale initiatives that address your members’ social determinants of health
Learn strategies for structuring your HEDIS program year-round to minimize June stress and improve accuracy
Learn about NCQA’s new HEDIS Electronic Clinical Data System (ECDS) reporting and how they are implementing it
  • “Broad range of presentations with specific and applicable recommendations.”

    – Karl W. with UnitedHealth Group
  • “Great synergy with key stakeholders with shared common goals as well as common barriers.”

    - Michelle P. with Geisinger Health
  • “Very relevant and actionable information. Great examples of models in use. Good networking opportunities.”

    - Jessica C. with Adirondack Health Institute
  • “Great opportunities for Q&A. Quality of speakers and topics were great.”

    – Leon L. with Arizona Complete Health
  • “All of the speakers were great.”

    - Jennifer B. with Vanderbilt Health


John A. Johnson, MD, MBA, FACP

Chief Medical Officer
Virginia Premier Health Plan

Janine Sala

Associate Director- Quality, Strategy and Performance Operations

Kimberly Swanson, MPA

Director, Quality Health Integration
Network Health

Benjamin N. Hamlin, MPH

Research Scientist, Performance Measurement

Rich Morino

Director Strategic Solutions
LexisNexis Risk Solutions

Vandna Pandita, MPH

Vice President, HEDIS Strategy
Amerihealth Caritas

Traci E. Powell, MD, MBA, CPE

Medical Director, Quality
Kern Health Systems

Yvonne Heredia, PhD

Manager of Care Management
Neighborhood Health Plan of Rhode Island

Roderick Kersch

Vice President of Healthcare & Affinity Sales & Marketing

Anthony Davis

Senior Director: Quality Regulatory and Analytics
UPMC Health Plan
and Lead/Senior Consultant, NCQA

Carla Zachodni, MBA, BSN

Clinical Quality Program Manager, Medicaid

Michele Fisher, MBA

Chief Contracting and Payer Relations Officer
UW Medicine Health System

Karen Manning, MBA

Director, Strategic Quality Programs

Steven Peskin, MD, MBA, FACP

Executive Medical Director Population Health
Horizon BCBS of New Jersey

Daniel Weaver

VP Stars, Quality, & Risk Adjustment
Gateway Health Plan

Jamie McPherson, BSN, MPA

Vice President of Quality, Safety, and Accreditation
Virginia Premier Health Plan

Jatin Dave, MD, MPH

Chief Medical Officer



July 2019


  • 7:15 AM

    Registration & Networking Breakfast

  • 8:15 AM

    Conference Sessions:

    • - Chairperson's Welcome and Opening Remarks
    • - Hot off the Press-- Examining the New HEDIS Changes for 2020
    • - Leveraging NCQA’s Expansion of Telehealth to Close Care Gaps, Engage Members and Improve Ratings
  • 10:00 AM

    Extended Networking Break

  • 10:30 AM

    Conference Sessions

    • - Special Feature: Hear from Innovative Plans How They Organize Their HEDIS Calendar to Minimize June Stress and Improve Quality of Care
    • Provider Engagement Case Study: Utilizing Value-Based Care Arrangements to Improve HEDIS Scores
  • 12:00 PM

    Networking Luncheon

  • 1:20 PM

    Conference Sessions

    • - Substance Use Disorder and Behavioral Health: Using HEDIS Analytics and Strategies to Make a Difference
    • - Leveraging the Latest Strategies for Engaging Members
  • 2:40 PM

    Extended Networking Break

  • 3:10 PM

    Conference Sessions

    • - Featured Case Study: How We Work to Close Care Gaps More Quickly
    • Raising HEDIS Scores through New Paths to Improving Member Wellness
    • - Peer-Led Networking Round Table Discussions
  • 5:15 PM

    Networking Reception

  • 6:15 PM

    End of Day


July 2019


  • 7:15 AM

    Networking Breakfast

  • 8:15 AM

    Conference Sessions:

    • - Chairperson’s Welcome Back
    • Impacting HEDIS Scores through Targeted, Small-Scale Initiatives to Rapidly Address Your Members’ Social Determinants of Health
    • - Featured Case Study: How One Highly Rated Plan Uses an Advanced HEDIS Dashboard to Close Care Gaps
  • 9:40 AM

    Extended Networking Break

  • 10:10 AM

    Conference Sessions

    • - Lessons from Health Plans that Are Breaking New Ground in Population Health Management
    • NCQA Spotlight: Understanding NCQA’s Digital Measures Roadmap (DMR) and Deployment of HEDIS Electronic Clinical Data System (ECDS) Reporting
    • - Ensuring Completeness of Your HEDIS 2020 Data While Minimizing Provider Abrasion
  • 12:30 PM

    Networking Luncheon

  • 1:30 PM

    Conference Sessions

    • - Provider Perspective Panel—Hear Directly from These Providers How You Can Work More Effectively with Them
    • - Lessons Learned: Quality Improvement Innovations from a Smaller Health Plan
  • 3:00 PM

    Conference Concludes



AC Hotel by Marriott Nashville Downtown

410 5th Ave S
Nashville, TN 37203
(615) 682-0260

The new AC Hotel by Marriott Nashville Downtown is located across the street from the Music City Center & steps from the Country Music Hall of Fame, Ryman Auditorium, Bridgestone Arena & the famed Lower Broadway area featuring restaurants and classic Nashville music clubs. The hotel includes an outdoor pool & bar on the 6th floor, as well as a fitness center & three unique options for dining.

IEN negotiated a special room rate at the AC Hotel, but the room blocks have sold out!

Luckily, you can still receive a special rate at the Holiday Inn & Suites Nashville Downtown which is less than a mile away. Book at this link or call 1-888-897-0089 and mention "Insight Nashville Overflow" for a rate of $179/night. This rate will expire on July 5th.

Hotel MdR
SmarterTravel has named Nashville as one of the 10 best U.S. cities to visit in 2019. They point out that “no matter when you go or what time of year, there’s always good music.” For example, you might want to hear Billboard #1 blues-rock guitarist Joe Bonamassa at the historic Ryman Auditorium on the Monday evening of the conference (just a short walk from the AC Hotel). Or find your favorite musician’s star on the nearby Music City Walk of Fame.

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