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THE 2 ND ANNUAL

Actionable Analytics for Risk Stratif ication Summit Targetin g At-Risk Populations with Improved Data Strategies

ED N O P T S O P eb e our w

June 18-19, 2018 | The Standard Club | Chicago, IL s it e e es. P le a s e s e updat iv e c e r to

Identify. Classify. Stratify. Create actionable intelligence from raw data that drives improvements in care and cost for at-risk populations.

To Register: Call 866.676.7689 or visit us risehealth.org dw v3 5.7.18


Ali Ishaq, Principal ACTUARIAL ANALYTICS, PLLC

OUR RENOWNED SPEAKING FACULTY

Harm Scherpbier, Adjunct Professor JEFFERSON SCHOOL OF POPULATION HEALTH Deb Dauser Forrest, PhD, MPH, PStat®, Director of Predictive Analytics CONNECTICARE, INC. & AFFILIATES Erin Drucker, Lead Data Scientist CARDINAL INNOVATIONS Justin Richman, Senior Associate General Counsel CARDINAL INNOVATIONS Julia Clodfelter, Care Coordination Quality Manager CARDINAL INNOVATIONS Ayan Chaudhuri, Head, Data Science and Advanced Analytics ODH SOLUTIONS Adele L. Towers, MD MPH FACP, Associate Professor of Medicine and Psychiatry UNIVERSITY OF PITTSBURGH, SCHOOL OF MEDICINE, DIVISION OF GERIATRIC MEDICINE Senior Clinical Advisor UPMC ENTERPRISES


WHO SHOULD ATTEND? Medicare Advantage, Health Exchange, Managed Care Organizations, Medicaid Health Plans, Community Health Plans and ACOs who are Director, Senior Director, Senior Vice President, Vice President, CXOs involved in but not limited to: • Analytics & Data

• Case/Care/Disease Management

• Medical Director

• Risk Adjustment

• Population Health/Health Management

• IT/Technology

TOP REASONS TO ATTEND 01

Develop thorough population stratification with insights in how to use various data sources effectively

02 Participate in an interactive workshop to uncover solutions to the three most common mistakes in analytics for risk stratification

03 Hear strategies for changing the risk trajectory of emerging risk members

04 Learn specific methods to determine the

determinants of health

06 Identify open quality gaps with data from providers, and in turn, create tactics to close those gaps

07 Understand your ethical obligations when using predictive results

08 Learn the role of analytics for understanding behavioral health factors in population health

09 Plenty of opportunities to network with

ROI on population health analytics to share

peers and colleagues to share best practices

with senior leadership

to your toughest challenges

05 Get a clear understanding of the sources of data are available for deriving social


DAY ONE: Monday, June 18, 2018 8:00 – 8:45

Registration & Continental Breakfast

8:45 – 9:00

Chairperson’s Welcome & Opening Address Ali Ishaq, Principal ACTUARIAL ANALYTICS, PLLC

9:00 – 10:30

Workshop: Three Common Mistakes in Analytics for Risk Stratification

The goal of this workshop is for the participants to gain an understanding of the most frequent mistakes in risk analysis, and to learn how to address them. The speaker will introduce the concepts including intermediate vs. final goals, the value of comprehensiveness in choosing factors, and the importance of building models that learn. Then the participant will use these concepts to analyze and address case studies derived from their own experience. Ali Ishaq, Principal ACTUARIAL ANALYTICS, PLLC

10:30 – 10:50 Morning Coffee & Networking Break

RAVE REVIEWS: “I was energized to try new things. [The conference] made me ask a lot of questions about why we do what we do.” – Leslie C., GOLD COAST HEALTH PLAN “Great, insightful talks and engaged audience.” – Arpita P., CARADIGM


10:50 – 11:50 Lags, Incomplete Data, and Workarounds are Needed for Population Stratification • How can develop thorough population stratification possible when data is lagging or missing? • What workarounds can be utilized when you only have two or three sources of data? Or there is a significant lag time in receiving data? • Unique methods to implement that fill in the gaps • Partnering with PBMs to access additional data Harm Scherpbier, Adjunct Professor JEFFERSON SCHOOL OF POPULATION HEALTH

11:50 – 12:50 Lunch Provided

12:50 – 1:50

Defining & Correctly Stratifying Emerging Risk Populations • Predicting transitions between emerging- to high-risk members • How do you identify these members before they become high-risk • Discuss who engages – members beginning to increase use of healthcare services • Using a mixed model to get the ‘slope’ of our members risk score • Track each members’ score by month and pattern • Higher slope means increasing scores—ie higher utilization patterns, increase in new diagnoses’, etc. • Member example/nurse testimonial Deb Dauser Forrest, PhD, MPH, PStat®, Director of Predictive Analytics CONNECTICARE, INC. & AFFILIATES


1:50 – 2:50

Data Applications to Improve Behavioral Health Integration • How do you use analytics to target impactable factors to improve allocation of resources? • We have seen certain types of members have a very small probability of engaging for a CM program • With a limited number of nurses we wanted to best utilize their time to only call members who are likely to participate in our heath programs • Built and engagement model as an add-on to our other predictive models-outreach to those who are most likely to engage • Utilizes consumer data, recent utilization, demographics - overview of variables • Accuracy, high level member profile of likely to engage • How is it working? Nurse testimonials, first reactions, etc. Lauren Polt, MS, Senior Data Scientist CONNECTICARE, INC.

2:50 – 3:10

Afternoon Break

3:10 – 4:10

When Not Admitting is Not the Answer – Making a Dent in Readmissions with Analytics • Best practices for targeting populations with data • How have companies used their data to identify how and where to spend resources for readmissions? • What data needs to be collected to create actionable steps with the data from hospital readmissions?


4:10 – 5:10

The ‘Tipping Point’: Ethical Perspectives and Decision-Making for Applications of Predictive Analytics in Healthcare Creating dynamic, accurate predictive models that have the ability to impact people’s lives may be an accomplishment for any Data Scientist to be proud of. However, cooperating with subject matter experts, technical application, efficient coding, and perfect visualization may all be for naught if analytics are not operationalized responsibly by business units. As with almost any technology, how predictive models are ultimately utilized can be heavily based on the motives of their users. At Cardinal Innovations Healthcare, the Business Intelligence/Advanced Analytics team has deployed a series of predictive models that address the risk of behavioral health crisis and pharmacy utilization for Medicaid eligible members. • Challenges of incorporating predictive results in business practices, and how to address those issues to move forward? • What is the responsible use of predictive analytics? • When and how can misuse of predictive results put a business at risk? • What is the ethical obligations of use? Erin Drucker, Lead Data Scientist CARDINAL INNOVATIONS Justin Richman, Senior Associate General Counsel CARDINAL INNOVATIONS Julia Clodfelter, Care Coordination Quality Manager CARDINAL INNOVATIONS

5:10 - 6:10

Networking Reception


DAY TWO: Tuesday, June 19, 2018 8:00 – 8:45

Continental Breakfast

8:45 – 9:00

Chairperson’s Recap of Day One Ali Ishaq, Principal ACTUARIAL ANALYTICS, PLLC

9:00 – 9:45

Putting Risk Stratification Into Practice for Case Management Alabama Medicaid is moving the analytics approach to identifying members for case management from community provider internally to its in-house analytics shop. The new process will utilize risk stratification to identify members for referral in case management and provide community providers with the information necessary to assess the individual’s appropriateness. The goal is a seven fold increase in case management rates and subsequent improvement in outcomes for the highest risk members. The presentation will cover the background of why Alabama Medicaid is making this change, how members are identified, preliminary results for management uptake, supporting information provided to providers, and how the program will be evaluated. Chris McInnish, Director, Quality Analytics ALABAMA MEDICAID AGENCY


9:45 – 10:45

How Machine Learning Can Impact Social Determinants • What are social determinants? Why are they important? • Where is the industry with regards to social determinants of health? • What sources of data are available for deriving social determinants of health? • How to use machine learning to construct social determinants of health? • How to make social determinants actionable in population health risk stratification? Ayan Chaudhuri, Head, Data Science and Advanced Analytics ODH SOLUTIONS

10:45 – 11:05

Morning Break

11:05 – 12:05 Effectively Engaging Providers with Risk Stratification • What kind of analytics tie into financial risk to connect with physicians • Identifying open quality gaps with data from providers, and in turn, creating tactics to close those gaps • Connecting data to physician’s performance – creating strategies for when providers are doing well and for those need extra engagement Adele L. Towers, MD MPH FACP, Associate Professor of Medicine and Psychiatry UNIVERSITY OF PITTSBURGH, SCHOOL OF MEDICINE, DIVISION OF GERIATRIC MEDICINE Senior Clinical Advisor UPMC ENTERPRISES

12:05 – 1:05

Lunch Provided


1:05 – 2:00

Highlighting the ROI of Improved Analytic Processes to Executive Leadership • Calculating benefits of savings when preventing emerging risk members from transitioning into high risk members based on care management strategies • Breaking analytics into dollars and cents for buy-in • What do you need to communicate about your data for ongoing support of population health analytics?

2:00 - 3:00

Benchmarking Your Own Risk Scores • Examples of benchmarking self and risk scores from this health plan – what trends did they see and how did they change their interventions? • Model change examples • How do you determine what your risk score should be? And how do you continue to improve year to year?

3:00

End of Summit


VENUE DETAILS The Standard Club 320 South Plymouth Court Chicago, IL 60604 312.427.9100 We have a block of rooms reserved at a special rate of $180/ night. This rate expires on May 17, 2018; although, we expect the block to sell out prior to this date. To receive a room at the negotiated rate book well before the expiration date. Mention the “2nd Annual Actionable Analytics for Risk Stratification Summit” when placing your room reservation by phone to receive the negotiated rate. We urge you to book your room early as we expect the block will sell out. Upon sell out of the block room rate and availability will be at the hotel’s discretion. Please call 312.427.9100 to book your room. About the Venue: Today, The Standard Club is attracting a new generation of business and community leaders who value the relationships, inspiration and personal satisfaction that this institution makes possible. Entrepreneurs, agents of change, corporate decision-makers, cultural advocates and business visionaries gather at the Club to build a lifetime of relationships and to experience a sense of belonging that exists nowhere else. This common bond, this standard of excellence, comes to life in the setting of the Club itself. Located in the heart of Chicago’s thriving business community and cultural center, The Standard Club is a place where distinguished business people, professionals, community leaders and their families gather to experience the best the city has to offer.


TEAM DISCOUNTS • Three people will receive 10% off • Four people will receive 15% off • Five people or more will receive 20% off To secure a group discount, all delegates must place their registrations at the same time. Group discounts cannot be issued retroactively. For more information, please contact Colayne Strong at 704.341.2392 or cstrong@healthcare-conferences.com REFUNDS AND CANCELLATIONS For information regarding refund, complaint and/or program cancellation policies, please visit our

website: https://www.healthcare-conferences.com/thefineprint.aspx

PRICING Early Bird Rate (Ends 4/18/18) Government, Community Groups & Associations*

$ 795

$ 995

Health Plans & Providers

$ 1,495

$ 1,695

Service Providers

$ 1,995

$ 2,195

*All rates subject to FRA approval

THREE WAYS TO REGISTER Call

866-676-7689

Web

https://events.healthcare-conferences.com/h491

Mail

Wilmington FRA

REGISTER

3420 Toringdon Way, Suite 240 Charlotte, NC 28277 Make checks payable to Wilmington FRA and write H491 on your check.


THE CONFERENCE ORGANIZER

RISE (Resource Initiative & Society for Education) Vision: To build a community and an educational system that promotes successful careers for professionals who aim to advance the quality, cost and availability of health care. RISE provides: • A forum to build professional identity and a network of colleagues • A platform to capture and share knowledge and insights • A venue to develop and share benchmarks and document best practices • Career track development support • A channel for building alliances, partnerships, and affiliations that fulfill the vision RISE (Resource Initiative & Society for Education) Mission: RISE is the first national association totally dedicated to enabling healthcare professionals working in organizations and aspiring to meet the challenges of the emerging landscape of accountable care and health care reform. We strive to serve our members on four fronts: Education, Industry Intelligence, Networking and Career Development. To learn more about RISE and to join, visit us online: www.risehealth.org

SPONSORSHIP AND EXHIBIT OPPORTUNITIES Enhance your marketing efforts through sponsoring a special event or exhibiting your product at this event. We can design custom sponsorship packages tailored to your marketing needs, such as a cocktail reception or a custom-designed networking event. To learn more about sponsorship opportunities, please contact Michelle Elam at 704.341.2393 or melam@healthcare-conferences.com

Profile for WilmingtonFRA

The 2nd Annual Actionable Analytics for Risk Stratification Summit  

Targeting At-Risk Populations with Improved Data Strategies

The 2nd Annual Actionable Analytics for Risk Stratification Summit  

Targeting At-Risk Populations with Improved Data Strategies