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AHIP
Conferences

AHIP 2024

Dates:
Jun 11 - 13, 2024
Location:
Las Vegas, NV

Experience what’s next in health care at AHIP 2024 (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

8:30 am – 6:30 pm
, Registration and Information Desk Open

Convention Lounge
Registration Desk will also be open 4pm – 6pm PT on Monday, June 10
Presented by Optum – An AHIP Select Member

8:30 am – 12:00 pm
, Welcome Refreshments

Convention Lounge

11:30 am – 12:45 pm
, Lunch & Learns

  • 12:00 pm – 12:45 pm

    Lunch will begin at 11:30 am. Speaking Sessions will begin promptly at 12:00 pm.

    • Leveraging Omnichannel Strategies & Next-Gen Technology to Advance Health Equity

      Presented by Sagility – An AHIP Select Member
      Location
      Bandol 2
      Speakers
      Details

      Artificial intelligence and next gen technology can create opportunities to identify, engage, and support members through a lifecycle of interactions with health insurance providers. Join this session to learn about omni-channel strategies and technology-led approaches to increase early identification, mitigate barriers to care, and improve health equity initiatives.

    • Unlocking the Next Era of Value-Based Specialty Care

      Presented by Carelon
      Location
      Bandol 1
      Speakers
      Details

      Many health insurance providers are faced with current limitations of traditional value-based specialty-care models. Join this session to learn how innovative health insurance providers are scaling the next era of value-based specialty care models, especially within oncology, that integrate whole-person member engagement, clinical pathways, advanced analytics, and arm-in-arm provider partnerships. Uncover new strategies for value-based specialty care that can impact better outcomes.

    • Cost-Effective Heart Health: Implications of GLP-1 Label Expansion

      Presented by Hello Heart
      Location
      Hermitage
      Speakers
      Details

      The recent GLP-1 label expansion to reduce risk of serious cardiovascular complications will require health insurance providers to reevaluate their coverage of these medications. Explore the policy implications and evaluate cost-effective approaches to manage cardiovascular disease. Learn about a new study of over 100,000 patients who used a digital heart health tool and saw major reductions in blood pressure and cholesterol, as well as significant weight loss and high engagement among seniors.

    • Insights into CMS’ Prior Auth Rule: How to Leverage AI and Automation

      Presented by MCG
      Location
      Fleurie
      Speakers
      Details

      The recent CMS Interoperability and Prior Authorization Final Rule creates unique challenges for health insurance providers given requirements to build, implement, and maintain HL7 FHIR-enabled APIs. Join this session to learn how to integrate AI and interoperability to manage data more effectively. Gain insights into actionable strategies to reduce administrative burden, accelerate processing times, and promote a more patient-centric health care model.

    • Leveraging Lab Data to Ensure Access for Underserved Populations

      Presented by Labcorp
      Location
      Musigny
      Speakers
      Details

      Lab data can help cultivate healthier, thriving communities by identifying at-risk and underserved populations. Join this session to learn about collaborations with health insurance providers, health systems and community partners to reach patients, advance patient-centric measures and target gaps in care. Learn how internal policies, care protocols and clinical decision mapping with data from individual, community and population health levels can improve outcomes for at-risk individuals.

    • Designing Virtual Care to Boost Health Equity

      Presented by Omada Health
      Location
      Castillon
      Speakers
      Details

      Join us to explore how virtual and value-based care strategies can effectively reduce disparities and enhance access. Speakers will highlight opportunities for advancing health equity and using a framework to evaluate virtual care through an equity lens. Learn how advances in technology can facilitate innovative, holistic care models to reach members where they are, improving access and health outcomes.

    • Enabling Growth through Digital Transformation and Modernization

      Presented by Optum – An AHIP Select Member
      Location
      Meursault
      Speakers
      Details

      Health insurance providers require infrastructure and strategies to support the unique and evolving needs of their members and providers. Join this discussion to better understand which platforms and tools can be most effective to accelerate digital transformation, and gain insights into scalable strategies that enable growth in a competitive and regulatory environment.

    • Technology, Trends and Business Insights

      Driving Health Forward: Research Insights from Consumers, Employers and Industry

      Presented by Evernorth Health Services
      Location
      Pomerol
      Speaker
      Details

      Join this session to glean research insights from an in-depth survey of consumers, employers, and health insurance leaders on their attitudes, priorities, and challenges, across a wide range of pertinent issues. Dig deep into key parallels and differences of health insurance providers’ benefit strategies and prioritization of member needs, and opportunities to close gaps to improve health and align needs and expectations.

1:00 pm – 3:45 pm
, Keynote Sessions

3:45 pm – 7:15 pm
, Exhibit Hall Open

Cristal Ballroom

3:45 pm – 4:30 pm
, Coffee Break with Solutions Providers

Cristal Ballroom

3:50 pm – 4:25 pm
, Presentation Theater

  • 3:50 pm – 4:05 pm

    • The Imperative for Modernizing Utilization Management and Care Coordination

      Presented by ZS
      Location
      Presentation Theater #1: Booth 1035
      Speakers
      Details

      As members seek more cost-effective, connected care and regulators push for faster innovation, the imperative for modernizing utilization management and care coordination grows. Fast-evolving tech and increasing regulations demand forward-thinking innovation and agility. This session will unpack the business case for transformation and explore how a member-centric approach to CM and UM and advances in AI and analytics can position early adopters to offer differentiated care and experiences.

    • Adapting to the Shifting Landscape: Navigating Utilization Regulation Changes

      Presented by AssureCare
      Location
      Presentation Theater #2: Booth 1935
      Speakers
      Details

      Health care executives and insurance providers are facing unprecedented challenges due to evolving utilization regulation changes and prior authorization rules. During this session, industry experts will explore the nature of these changes and how they impact health insurance providers. By participating in this session, attendees will acquire an understanding of immediate challenges that can be effectively tackled.

  • 4:10 pm – 4:25 pm

    • Consumers Want Health Technology. How to Bridge the Digital Equity Gap

      Presented by Best Buy Health
      Location
      Presentation Theater #1: Booth 1035
      Speaker
      Details

      Digital literacy has become a cornerstone for health equity. It sheds light on how access to digital tools, skills, and devices can empower members and improve their health. Join us to delve into the challenges and opportunities of digital literacy and equity and discuss how expanding home-based care programs can enhance connectivity and empower members. In addition, we will examine how technology and flexible service teams can help bridge gaps and provide support to high-need populations.

4:30 pm – 6:15 pm
, Concurrent Sessions

  • 4:30 pm – 5:15 pm

    Series 1

    • Addressing Equity, Prevention, and Community Health Improvement

      Assessing the Measurable Impact of Equity on Outcomes

      Location
      Musigny
      Speakers
      Details

      In the ever-evolving landscape of health care, achieving and sustaining health equity remains a critical goal. This session will delve into the strategies and approaches that health insurance providers can employ to sustain and advance their efforts to achieve health equity.

    • Advancing Alternative Payment Models and Value-Based Care Strategies

      Value-Based Contracting Success with Well-Managed TCOC Benchmarking

      Presented by Milliman
      Location
      Fleurie
      Speakers
      Details

      As the health care industry advances value-based care (VBC), stakeholders will face a complex landscape. Intricacies and cost containment intersect with the need to improve patient outcomes and share risk. In this dynamic environment, the role of well-managed total cost of care (TCOC) benchmarks are pivotal to rein in medical and pharmacy spend. From managing risk to aligning incentives, we’ll delve into the critical role these benchmarks play and how they have evolved over the past 30 years.

    • Care Management and Delivery System Transformation

      Using Precision Medicine to Transform Oncology Treatment and Patient Experience

      Presented by CVS Health
      Location
      Bandol 1
      Speakers
      Details

      Improving oncology treatment hinges on improving the delivery of evidence-based, patient-centric care. Explore how to enable physicians with tech-powered, evidence-based oncology treatment pathways by integrating advanced utilization management tools with patient care. Gain valuable insights into how one health insurance provider improved precision dosing and preferred drug list strategies to optimize pharmacy spending and oncology treatment pathways.

    • AI, Data Analytics, and Actionable Intelligence

      Leveraging AI to Deliver Personalized Whole Health

      Location
      Bandol 2
      Speakers
      Details

      Delivering whole health requires a holistic approach to support members across the continuum of physical and behavioral health, pharmacy and SDOH needs. Join this discussion to learn how to leverage AI and LLMs proactively identify high-risk members, create treatment options or suggest next best action, and identify member sentiment, ultimately resulting in personalized, whole person care.

    • Improving Accessibility, Affordability, and Transparency of Health Care

      Genetic Test Management: Paving the Way for Innovation

      Presented by Optum – An AHIP Select Member
      Location
      Meursault
      Speakers
      Details

      Genetic testing is projected to grow nearly 10% annually through 2032. However, lab-developed tests lack regulatory oversight and a standardized coding set, with many falling into non-specific CPT codes. Join this session to learn how discrete test identification can drive transparency in the claims process, improving patient outcomes and efficiencies for health insurance providers.

    • Next-Generation Consumer Experience and Engagement

      Investing in CX to Improve Overall Member Experience and Outcomes

      Location
      Hermitage
      Speakers
      Details

      Health insurance providers are recognizing the importance of investing in Customer Experience (CX) to bolster member retention and to improve health outcomes. Join this discussion to gain actionable insights on employing digital health to prioritize CX initiatives, resulting in measurable improvements in member loyalty, satisfaction, and outcomes.

    • Technology, Trends and Business Insights

      Realizing Synergies to Integrate Quality and Risk Interventions

      Presented by Inovalon lateral 2020
      Location
      Pomerol
      Speakers
      Details

      In today’s landscape, uncoordinated outreach programs could result in unnecessary administrative burdens, suboptimal targeting, member and provider abrasion, poorer outcomes, and lower financial realization. Join this session to learn how to apply analytics to ensure that outreach programs positively impact quality and close gaps in care. Gain insights into achieving better health outcomes for members while improving sustainability.

    • Market Strategy & Operational Innovation

      Regulatory Upheaval – Managing the Pace of Change

      Location
      Castillon
      Speakers
      Details

      The rapid pace of regulatory change is impacting all health care sectors, and becoming increasingly challenging to navigate evolving compliance demands and adapt operations accordingly. Join this session for a forecast of the regulatory environment and perspectives on strategic and operational approaches to thrive amidst ongoing change.

  • 5:30 pm – 6:15 pm

    Series 2

    • Addressing Equity, Prevention, and Community Health Improvement

      Advancing Health Equity Using Data, Analytics & Personalized Communication

      Presented by Personify Health
      Location
      Musigny
      Speakers
      Details

      Due to a variety of complex factors such as SDOHs, advancing health equity presents a significant challenge for health care professionals. This session will explore the use of data, analytics, and personalized communication to help close the health equity gap by focusing on data-driven methods to enhance health outcomes. Learn how to apply these strategies effectively and gain insights on how to cultivate healthier communities through personalized member engagement.

    • Advancing Alternative Payment Models and Value-Based Care Strategies

      Accelerating the Transition to Value: Aligning Payment for Improved Outcomes

      Location
      Bandol 1
      Speakers
      Details

      Join this session to learn from health insurance providers sharing strategies and best practices to expedite the transition to value-based care. Gain insights into enhanced quality measurement methodologies that drive improved patient outcomes while ensuring financial sustainability.

    • Care Management and Delivery System Transformation

      Payer-Provider Collaboration to Address Chronic Condition Management

      Location
      Castillon
      Speakers
      Details

      This session will highlight takeaways and lessons learned from a payer taskforce convened by a multi-stakeholder coalition to improve hypertension control rates. Speakers will explore the value of hypertension control programs to health insurance providers and identify ways payers and providers can work together to improve hypertension rates nationally.

    • AI, Data Analytics, and Actionable Intelligence

      Demystifying Artificial Intelligence – Use Cases and Key Considerations

      Presented by Availity
      Location
      Bandol 2
      Speaker
      Details

      Join this session to demystify AI and understand the differences between analytical AI and generative AI. Gain insights into the types of health care use cases that are best for AI deployment, and key considerations before investing in an AI solution.

    • Improving Accessibility, Affordability, and Transparency of Health Care

      Gene and Cell Therapies – New Care and Financing Models

      Location
      Meursault
      Speakers
      Details

      Given a burgeoning pipeline of new therapies under review at the FDA, health insurance providers are exploring new care and financing models. Join a panel of experts to explore strategic insights into innovative payment structures and risk-sharing arrangements to navigate the complexities of coverage for cutting-edge gene and cell therapies.

    • Next-Generation Consumer Experience and Engagement

      Meeting Next-Gen Workforce Needs: Packaging Health Benefits Around Life Events

      Presented by Fidelity
      Location
      Fleurie
      Speakers
      Details

      In a competitive labor market, employers and in turn, health insurance providers, strive to meet members’ needs across a broad spectrum of life stages. In a recent survey, forty-seven percent of employees anticipate at least one major life event that will influence how they use health benefits (e.g. caring for a loved one or navigating parenthood). Join this session to discuss strategies to package health benefits around life events to improve end-to-end navigation and member engagement.

    • Technology, Trends and Business Insights

      End Siloed Health Care: Embracing Digital Solutions for Whole-Person Health

      Presented by Calm
      Location
      Pomerol
      Speakers
      Details

      When a mental health condition is co-morbid with a chronic condition, the total cost of care can be 2-8X more than a chronic condition alone. Yet mental and physical health are often siloed by the health care system. Explore how evidence-based digital technologies can help create a holistic health experience. Learn how the health care ecosystem can unify care for mental and physical health to improve quality and affordability through accessible, preventive, and engaging solutions.

    • Market Strategy & Operational Innovation

      Marketplace Trends and the Shift to Individual Coverage

      Location
      Hermitage
      Speakers

6:15 pm – 7:15 pm
, Reception with Solutions Providers

Cristal Ballroom
Opening Night Reception

6:15 pm – 7:15 pm
, Book Signing

6:20 pm – 7:15 pm
, Presentation Theater

  • 6:20 pm – 6:35 pm

    • Access in Cancer Care: Meeting Patients Where They Are for Better Outcomes

      Presented by Color
      Location
      Presentation Theater #1: Booth 1035
      Speaker
      Details

      Next year, more members will be diagnosed with cancer and encounter challenges like long wait times, fragmented care, and scant support. The most impactful ways to serve members includes detecting cancer early and better managing cancer patients– but today, both of these areas are hindered by access issues. Join this session to learn how designing with access at the forefront and how meeting people where they are can bridge gaps, enhance care management, and improve overall cohort well-being.

    • Improving Outcomes by Enabling 24/7 Access to Quality Analytics

      Presented by Snowflake
      Location
      Presentation Theater #2: Booth 1935)
      Speakers
      Details

      Health care quality, risk, care gaps, and population health insights cannot afford to be buried in preparation, management, and unification efforts to get results. Join us to learn how health insurance providers can leverage 24/7 access to their quality performance data and realize insights from a complete patient-centric longitudinal and clinical view.

  • 6:40 pm – 6:55 pm

    • Precision Diabetes Care: Using Digital Health for Tailored Treatment Strategies

      Presented by Verily Life Sciences
      Location
      Presentation Theater #1: Booth 1035
      Speaker
      Details

      New approaches to metabolic care management are evolving, with the expanding use of GLP-1s, digital tools, and CGMs, along with a shift to more personalized care. This talk will help health insurance providers make sense of the changes in metabolic health management and how integrated solutions are combining clinical expertise, health coaching, and digital tools to help improve outcomes. Gain insight into the future role of AI technologies to drive more precise and equitable care and deliver improved value.

    • Bridging the Benefit: How the Health Care System Can Realign Around Patients

      Presented by GoodRx
      Location
      Presentation Theater #2: Booth 1935
      Speakers
      Details

      Strong market forces have been pressing for decades to manage cost in the health care space generally and the prescription space specifically. In the push to have people take on more responsibility, there have been unintended consequences beyond the cost shift – creating an ecosystem that is fragmented and complex to navigate. Attendees will learn how to align stakeholders and solutions around patients to reduce friction and build a stronger safety net underneath them.

  • 7:00 pm – 7:15 pm

    • Engaging the Un-Engageable: How Behavioral Health Networks Reduce Payer Costs

      Presented by Alera Health
      Location
      Presentation Theater #2: Booth 1935
      Speakers
      Details

      Amidst soaring costs and premature mortality rates for members with co-occurring health, behavioral health, and social issues, the necessity for integrated care is paramount. Join industry leaders from Alera Health and Banner Health Plans as they discuss strategies used for building, incentivizing, and enabling such systems, emphasizing member activation and engagement. Participants will be presented with case studies and performance outcomes that outline effective implementation.