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UPCOMING EVENTS

May
4
Start 8:00 AM (CT)
End 8:30 AM (CT)
BeFit Morning Wellness Activity - Day 1
Open to All Audiences
Description:
It's more important than ever to stay active while at home. Exercise has been known to boost the immune system, reduce stress and improve sleep. Start the conference day with our wellness activity!
May
4
Start 9:45 AM (CT)
End 10:15 AM (CT)
Morning Coffee Chat
Open to All Audiences
Description:
Start your day by networking with a virtual Morning Coffee Chat. As the chat host appears on screen, you will participate in the chat. These 30 minute coffee chats may be topic specific and will provide BCBS Plan attendees the opportunity to interact with peers that we all miss from an in-person event.
May
4
Start 10:30 AM (CT)
End 11:15 AM (CT)
Welcome and Opening Comments
Open to All Audiences
Speaker:
Kim Keck, President and Chief Executive Officer, Blue Cross Blue Shield Association
Description:
Join Kim as she kicks off the conference in the welcome and opening remarks.
0.5 CPE
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Kim Keck, President and Chief Executive Officer Blue Cross Blue Shield Association
Kim A. Keck is president and chief executive officer of the Blue Cross Blue Shield Association (BCBSA), a national federation of 36 independent, community-based and locally operated Blue Cross and Blue Shield companies. The Blue System is the nation's largest health insurer covering one-in-three Americans.

Keck, a respected leader in the healthcare industry, has built a reputation as an engaged, incisive leader. Prior to joining BCBSA in 2021, she served as president and CEO of Blue Cross & Blue Shield of Rhode Island (BCBSRI), the state's largest health insurer. During her tenure at BCBSRI, she drove strategic initiatives around cost and value stewardship, convenience and comprehensive health, and led policy efforts fortifying elements of the Affordable Care Act to ensure all Rhode Islanders have access to quality care. She also combatted long-standing social issues influencing health outcomes, including childhood obesity, housing insecurity and racial inequities.

Keck previously spent 28 years at Aetna, where she held leadership roles spanning from head of enterprise strategy to head of investor relations, treasury, tax, actuary, controllers and planning. She served as president of Aetna's northeast region and interim president of the southeast region and was responsible for $20 billion in revenue and approximately five million members across the commercial and Medicare segments.

Keck graduated with honors from Boston College with a degree in mathematics and earned a Master of Business Administration in finance from the University of Connecticut. She is a CFA charter holder.

Keck serves on the board of directors of Oak Street Health and is a frequent speaker on topics related to healthcare policy and women's leadership.
May
4
Start 11:30 AM (CT)
End 12:30 PM (CT)
BCBS CEO Thought Leadership Panel: Achieving Health Equity in America
Open to All Audiences
Speakers:
Kim Keck, President and Chief Executive Officer, Blue Cross Blue Shield Association
Tunde Sotunde, MD, President and Chief Executive Officer, Blue Cross and Blue Shield of North Carolina
Roberto Garcia-Rodriguez, Esq., President and Chief Executive Officer, Triple-S Management Corporation
Craig Samitt, MD, President and Chief Executive Officer, Blue Cross and Blue Shield of Minnesota
Description:
Join us for our exciting lineup of thought leaders addressing health equity for members across the country.
1.0 CPE
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Kim Keck, President and Chief Executive Officer Blue Cross Blue Shield Association
Kim A. Keck is president and chief executive officer of the Blue Cross Blue Shield Association (BCBSA), a national federation of 36 independent, community-based and locally operated Blue Cross and Blue Shield companies. The Blue System is the nation's largest health insurer covering one-in-three Americans.

Keck, a respected leader in the healthcare industry, has built a reputation as an engaged, incisive leader. Prior to joining BCBSA in 2021, she served as president and CEO of Blue Cross & Blue Shield of Rhode Island (BCBSRI), the state's largest health insurer. During her tenure at BCBSRI, she drove strategic initiatives around cost and value stewardship, convenience and comprehensive health, and led policy efforts fortifying elements of the Affordable Care Act to ensure all Rhode Islanders have access to quality care. She also combatted long-standing social issues influencing health outcomes, including childhood obesity, housing insecurity and racial inequities.

Keck previously spent 28 years at Aetna, where she held leadership roles spanning from head of enterprise strategy to head of investor relations, treasury, tax, actuary, controllers and planning. She served as president of Aetna's northeast region and interim president of the southeast region and was responsible for $20 billion in revenue and approximately five million members across the commercial and Medicare segments.

Keck graduated with honors from Boston College with a degree in mathematics and earned a Master of Business Administration in finance from the University of Connecticut. She is a CFA charter holder.

Keck serves on the board of directors of Oak Street Health and is a frequent speaker on topics related to healthcare policy and women's leadership.
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Tunde Sotunde, MD, President and Chief Executive Officer Blue Cross and Blue Shield of North Carolina
Tunde Sotunde MD, MBA, FAAP is president and chief executive officer of Blue Cross and Blue Shield of North Carolina (Blue Cross NC). Blue Cross NC is North Carolina's largest insurer and provides coverage to more than 3.7 million members across all 100 counties. Blue Cross NC is leading the transformation of health care across the state. A healthier North Carolina is a better North Carolina, and Blue Cross NC is fully committed to improving the health and well-being of its customers and communities.

Prior to his current role, Dr. Sotunde held leadership roles as a physician, educator, and a health plan executive. He has an accomplished record of implementing innovative health care delivery models and improving quality of care for patients.

During his career, Dr. Sotunde has worked hand-in-hand with health care providers, consumers, employers, brokers, policymakers, and state and federal regulators to navigate complex changes and lead health transformation across both public and private sectors.

In his previous role, Dr. Sotunde served as the President overseeing Anthem's Medicaid and related state government business across 23 states and the District of Columbia with 7.3 million members and $33 billion in revenue, where he drove a 13 percent membership increase in enrollment over a two-year period.

During his time at Anthem, Dr. Sotunde collaborated with health care providers to move more than 50 percent of provider payments to value-based care arrangements and generated significant improvements in member satisfaction scores as measured by the National Commission for Quality Assurance (NCQA) Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey.

Dr. Sotunde also worked as President and CEO of Anthem subsidiary Amerigroup Georgia, where he led strong membership and revenue growth and helped the plan become one of the first Medicaid plans in the organization to achieve excellent accreditation status from the NCQA.

As a pediatrician, Dr. Sotunde practiced medicine at Port of Spain General Hospital in Trinidad and later served as Chief of Pediatrics at Syracuse Community Health Center in Syracuse, NY. He has trained medical students and residents as a Clinical Instructor in Pediatrics at SUNY Health Science Center at Syracuse and at Vanderbilt University Medical Center. Dr. Sotunde also served in Chief Medical Officer and other leadership roles in both payer and provider organizations at key divisions of Cigna, UnitedHealthcare and Solera Capital.

Dr. Sotunde is a graduate of University of Ibadan College of Medicine in Nigeria (1988) and Howard University's Hospital Residency Program in Pediatrics (1995). He completed his Executive MBA at the University of Memphis (2001) and studied health care management at the Wharton School of Business (2003).

Dr. Sotunde was born in Nigeria where he spent his early childhood before attending boarding school in England. In the early 1990s, Dr. Sotunde immigrated to the U.S. where he completed his pediatric residency training. Outside of his passion for improving the health care delivery system, Dr. Sotunde is an avid aviation enthusiast and enjoys leisure travel with family and friends. He is married with four children.
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Roberto Garcia-Rodriguez, Esq., President and Chief Executive Officer Triple-S Management Corporation
Roberto García-Rodríguez is president and chief executive officer of Triple S Management Corporation (NYSE:GTS) since January 2016. He formerly served as the company's chief operations officer, general counsel and corporate secretary. Before joining Triple-S, he was vice president of corporate, legal and regulatory affairs at Puerto Rico Telephone Company from 2004 to 2008. Early in his career, he served as executive director of Proyecto Península de Cantera, a community-based development initiative in San Juan, Puerto Rico.

He serves on the boards of directors of the BlueCross BlueShield Association, BCS Financial Corporation, and Claro Puerto Rico, and is a member of the Legacy Council of the Puerto Rico Boys and Girls Clubs. In addition, he chairs the Medicaid and Medicare Advantage Products Association of Puerto Rico (MMAPA), and the American Cancer Society's CEOs Against Cancer, Puerto Rico Chapter.

García is a licensed attorney in Puerto Rico. He obtained a Bachelor of Arts at Harvard University, an M.B.A. at the Stanford Graduate School of Business, and a Juris Doctor at Stanford Law School. He also completed graduate studies in international relations and diplomacy at the School of Diplomacy of Spain's Ministry of Foreign Affairs and the Advanced Management Program at Harvard Business School.
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Craig Samitt, MD, President and Chief Executive Officer Blue Cross and Blue Shield of Minnesota
As president and chief executive officer of Blue Cross and Blue Shield of Minnesota, Dr. Craig E. Samitt oversees the state's first and largest health plan.

An internal medicine physician by training, Dr. Samitt has worked across multiple health care sectors. His senior leadership experience includes serving as executive vice president at Anthem, Inc.; partner and global provider practice leader at Oliver Wyman; president and CEO of HealthCare Partners; and president and CEO of Dean Health System Inc., in Madison, Wisconsin.

Dr. Samitt holds an undergraduate degree from Tufts University, a medical degree from Columbia University and an MBA from the Wharton School of Business. He completed a residency in internal medicine at Brigham and Women's Hospital in Boston and is a fellow of the American College of Physicians.
May
4
Start 1:00 PM (CT)
End 2:00 PM (CT)
FEP Audit Trends
BCBS Only, Government Programs, Internal Audit
Speaker:
Kim King, Managing Director, FEP Program Assurance, BCBSA
Description:
Review Federal Employees Health Benefits Program audit findings and recommendations through the eyes of Federal Employee Program Director's Office and the Office of Inspector General.
1.0 CPE
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Kim King, Managing Director, FEP Program Assurance BCBSA
Kim joined the Blue Cross and Blue Shield Association in February, 2018. Kim brings over 33 years in the health care field specializing in the federal government environment. Kim's has Plan experience and in-depth knowledge of government affairs and the insurance claims process. Kim's expertise encompasses Audit and Compliance for both the Federal Employee Program and Medicare-related products. Kim is proficient in overseeing the reduction of financial/legal exposures by ensuring compliance with contracts.

Kim earned a Masters of Business Administration degree from the University of Phoenix, and a Bachelor of Business Administration degree from Wilmington College. Kim received the Six Sigma Green Belt certification from Villanova University and holds the Certified Compliance Professional designation with the Blue Cross and Blue Shield Association and the Society of Corporate Compliance and Ethic.
May
4
Start 1:00 PM (CT)
End 2:00 PM (CT)
The Evolution of Medicare Advantage Coordination of Care Program: Lessons Learned & Best Practices
BCBS Only, Business & Operational Excellence, Network Solutions
Speakers:
Suzette Gerhart, MA Quality Improvement Coordinator, Blue Cross Blue Shield of Arizona
Catherine Butterfield
Elizabeth Chitwood
Description:
Lessons Learned and best practices in engaging providers for hosted members.
1.0 CPE
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Suzette Gerhart, MA Quality Improvement Coordinator Blue Cross Blue Shield of Arizona
Suzette Gerhart received a BA in Liberal Studies from Cal State University Northridge along with an Elementary Education Teaching Credential. Suzette is currently the MA Quality Improvement Coordinator at Blue Cross Blue Shield of Arizona and works on the MA Coordination of Care program. Suzette's professional interests focus on healthcare quality, performance improvement, and patient safety. Suzette has 25 years of experience in the healthcare quality improvement industry.
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Catherine Butterfield
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Elizabeth Chitwood
May
4
Start 1:00 PM (CT)
End 2:00 PM (CT)
Social Determinants of Health: Food Insecurity
Office of Clinical Affairs
Speaker:
Winnie Chi, Associate Director, Research, HealthCore, Inc.
Description:
Anthem Blue Cross and Blue Shield has been working to tackle the challenges of food insecurity through an array of initiatives, including the Food is Medicine program.
1.0 CPE, TBD CME
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Winnie Chi, Associate Director, Research HealthCore, Inc.
Winnie Chi, PhD, is an Associate Research Director at HealthCore, Inc, a wholly owned health outcome research company of Anthem, Inc. Dr. Chi has 10 years of experience in health policy and health services research, with experience on a wide variety of project types and topic area across care spectrum. She is responsible for leading and managing the entire life cycle of a research project from proposal development, study design, management, analysis and dissemination of findings. Additionally, Dr. Chi is proficient with complex statistical methods. She also has extensive experience on working with various data sources, including large databases of claim data, nationally representative survey data, and electronic health record data.
Dr. Chi holds a PhD degree in health services research and policy from the Bloomberg School of Public Health, John Hopkins University in Baltimore, MD, and a MS degree in health services research from the University of Minnesota in Twin Cities, MN.
May
4
Start 1:00 PM (CT)
End 2:00 PM (CT)
Unveiling the Code: Understanding Ransomware and Negotiation Strategies for a Ransomware Attack
Privacy & Cybersecurity, Lawyers & Legal Assistants
Speakers:
Paul Tiao, Partner, Hunton Andrews Kurth LLP
Jordan Kelly, Senior Managing Director & Head of Cybersecurity, Americas, FTI Consulting
Meredith Griffanti, Managing Director, FTI Consulting
Description:
In today's digital age, ransomware attacks are becoming more prevalent and the threat actors continue to evolve and become more sophisticated in their tactics. Specifically, the use of double-extortion combined with various public relations stunts are designed to increase the attackers' pressure on their victims. When ransomware strikes, organizations do not have the luxury of time to decide how to act. Between lost revenue as business operations are halted, degradation of reputation with clients and the public as data leakage occurs, and ransoms that can increase, the longer you wait, time is of the essence—meaning proactive preparation is essential. As we have seen, threat actors can cause millions of dollars in damages to global companies and their clients via ransomware attacks.

In this session, our speakers will discuss the state of play with ransomware attacks and how to protect your organization from being vulnerable to one. In addition, they will walk through an attack, provide lessons learned on how to handle the incident and prevent it from happening again, outline a forensic investigation into an attack, discuss negotiation tactics in case of an attack, and how to effectively communicate with all affected parties.
1.0 CPE
Objectives:
1. Understand the cyber risks of a ransomware attack and where vulnerabilities exist
2. Understand the process of conducting a forensic investigation into a ransomware attack
3. Learn negotiation tactics
4. Implement preparations prior to an attack
5. Prepare for proactive communication with key stakeholders
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Paul Tiao, Partner Hunton Andrews Kurth LLP
Paul Tiao is a partner with the law firm of Hunton Andrews Kurth, resident in the firm's Washington, DC office. With experience in government and the private sector, Paul brings in-depth knowledge of cyber and physical security, internal investigations, law enforcement and national security to every client matter. He co-chairs the firm's multidisciplinary cyber and physical security task force and its energy sector security team, and assists clients in the healthcare, retail, financial, communications, energy and other sectors with security, law enforcement, electronic surveillance and privacy issues. Paul regularly advises companies on risk management, preparedness, cyber incident response, SAFETY Act protection, compliance, litigation, policy and legislation.

Prior to joining Hunton, Paul served as special counsel and then senior counselor for cybersecurity and technology to the Director of the Federal Bureau of Investigation, Robert S. Mueller. In that position, he advised the FBI Director on programmatic, policy and legal issues relating to cyber, counterintelligence and counter-terrorism. He also represented the FBI in senior-level discussions with other agencies, the White House, Congress and industry.

Paul previously served on the US Senate Judiciary Committee as counsel to the Senate Assistant Majority Leader, Richard J. Durbin, where he wrote legislation and provided advice on criminal and national security issues. He is a former Assistant US Attorney in the District of Maryland, where he prosecuted all manner of criminal violations and oversaw cyber crime and IP cases.

Paul has been an adjunct professor of cybersecurity law and policy at George Washington University, a guest lecturer on cybersecurity and privacy at various universities, and an instructor at the National Institute for Trial Advocacy. He served on the Virginia Cyber Security Commission, appointed by the Governor; and is currently a member of the Maryland Cybersecurity Council, appointed by the State Attorney General; and a member of the Montgomery County Criminal Justice Coordinating Commission, appointed by the County Executive (Chair in 2015). Paul graduated from the Massachusetts Institute of Technology before going on to receive his Master in Public Affairs from Princeton University and his J.D. from Columbia Law School. He is currently licensed to practice law in the District of Columbia and the state of Maryland.
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Jordan Kelly, Senior Managing Director & Head of Cybersecurity, Americas FTI Consulting
Jordan Rae Kelly is a Senior Managing Director and the Head of Cybersecurity for the Americas at FTI Consulting. Ms. Kelly has more than 15 years of experience managing cyber policy planning and coordinating incident response.?
At FTI Consulting, Ms. Kelly advises clients on a broad range of cybersecurity and data privacy matters involving breaches, insider threats, intellectual property, crisis communications, vendor management, compliance, regulation, risk management, and forensic investigations.
Prior to joining FTI Consulting, Ms. Kelly served as the Director for Cyber Incident Response on the National Security Council at the White House. During her tenure there, she was responsible for both national incident response coordination, as well as management of the U.S. Government's process for managing zero-day exploits. She was also a chief author of the National Cyber Strategy, the first of its kind in the United States in 15 years.
Before joining the National Security Council in 2017, Ms. Kelly served as Chief of Staff and Chief of Strategic Initiatives in the Federal Bureau of Investigation's (FBI) Cyber Division, where she managed daily operations and strategic and policy planning for the FBI's national cyber program. Prior to her 10-year tenure at the FBI, she was a law clerk in the Office of General Counsel at the Y-12 National Security Complex, a Department of Energy facility in Tennessee.
Ms. Kelly was named to Consulting magazine's inaugural Women Leaders in Technology list, recognized in the Leadership category, and Global Investigation Review's 2020 40 under 40 guide, which honors leading young investigations specialists from across the globe. She is a member of Women in Cybersecurity and Girls Who Code.
Ms. Kelly holds a bachelor's degree from Wake Forest University and a Juris Doctorate from the University of Tennessee College of Law, where she served as an author and editor for Transactions: The Tennessee Journal of Business Law.
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Meredith Griffanti, Managing Director FTI Consulting
Meredith Griffanti is a Managing Director in the Strategic Communications segment at FTI Consulting and is based in Washington, DC. She leads the firm's Cybersecurity & Data Privacy Communications offering and specializes in crisis and high-stakes litigation communications, with a focus on complex cybersecurity attacks and data privacy investigations. She provides counsel to clients on both cybersecurity preparedness and incident response matters involving PII, PHI, IP and other sensitive data across a wide range of industries. Meredith has worked on some of the most high-profile and highly sensitive data breaches around the world and has successfully navigated responses to complex incidents such as business email compromise, phishing and spear phishing, DDoS, credential stuffing, nation-state and major, double-extortion ransomware attacks. She was named a 2020 Person of the Year for Crisis Management by PR News
Prior to joining FTI Consulting, Ms. Griffanti spent six years as a spokesperson for Equifax, a $3+ billion revenue, NYSE-listed company. As the Crisis Communications Leader for the company's Office of Transformation, she was responsible for driving enterprise messaging around the response to one of the largest cyberattacks in history. Post-breach, she worked closely with the company's Chief Information Security Officer and Chief Transformation Officer to rebuild trust with the public and communicate remediation efforts and program enhancements to other key stakeholders including clients, investors, media and regulators. Ms. Griffanti also helped to revamp Equifax's crisis management protocols and processes post-breach and advised executive leadership in advance of critical public appearances such as U.S. Congressional hearings and media interviews.
Previously, Ms. Griffanti was Equifax's International Public Affairs Leader, where she spearheaded the company's external engagement program across 10 Latin America countries to impact public opinion, shape favorable policy and mitigate regulatory risk to the company. A fluent Spanish speaker, Ms. Griffanti was responsible for driving the response to various crises across the region, as well as the integration strategies for several multi-million-dollar acquisitions. She joined Equifax in 2013 as the Senior Director of Public Relations & Corporate Communications and managed communications strategies for the company's two largest businesses, helping to improve its reputation with consumers, regulators and clients.
Ms. Griffanti began her career on Capitol Hill, where she served as a communications director, spokesperson and press secretary to several elected officials.
She holds a Bachelor of Arts in Journalism from the University of Georgia and furthered her international studies abroad at the Universität Innsbruck in Innsbruck, Austria.
May
4
Start 1:00 PM (CT)
End 2:00 PM (CT)
An Updated Perspective on Emerging Market Disruptors and Potential Risks and Opportunities for BCBS Plans
BCBS Only, Strategy & Data Analytics
Speakers:
Anthony Sabatino
Christine Tang Wilson
Description:
In addition to external factors (COVID-19, racial disparities, a new Administration), internal industry forces such as new players and solution vendors continue to enter healthcare, creating both opportunities and potential risks for established national health plans and how value is created for clients and consumers.
 
1.0 CPE
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Anthony Sabatino
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Christine Tang Wilson
May
4
Start 2:15 PM (CT)
End 3:15 PM (CT)
Transplant Contracting Tips and Tricks
BCBS Only, Network Solutions, Business & Operational Excellence
Speaker:
Jill Fyock, Managing Director, Network Portfolio, BCBSA
Description:
This session will present best practices for transplant contracting to help Blue Plans proactively manage the risk and unpredictable costs of transplants. 
1.0 CPE
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Jill Fyock, Managing Director, Network Portfolio BCBSA
Jill Fyock is Managing Director, Network Portfolio for Blue Cross Blue Shield Association (BCBSA). She is primarily responsible for the Blue Distinction Center for Transplant program within BCBSA.

Prior to joining BCBSA in February of this year, Jill was with United Healthcare of North Carolina as VP of Network Management. She has over 25 years experience in provider network development and contracting for several national health plans as well as large healthcare systems in Colorado and Ohio. Ms. Fyock has earned her MBA/MSHA from the University of Colorado in Denver, Colorado and also holds a BA in Biology.
May
4
Start 2:15 PM (CT)
End 3:15 PM (CT)
Data Use: Special Focus on COVID-19
Strategy & Data Analytics
Description:
1.0 CPE
May
4
Start 2:15 PM (CT)
End 3:15 PM (CT)
Strengthening the Brand and the Business through Diversity, Equity and Inclusion
Development & Innovation, Brand & Consumer Experience
Description:
There has never been a more relevant time for Blue Plans to strengthen their efforts on diversity, equity and inclusion. Blue Cross Blue Shield Plans have seen how a focus on these programs can support the brand in the local community, address individual and company performance, and improve the bottom-line with corporate objectives. Join us for a panel discussion around outcomes and best practices in diversity, equity and inclusion.
1.0 CPE
Objectives:
Understand best practices from Blue Plans
Understand how to bridge internal DEI programs with community impact
Understand how to align DEI programs with business units and corporate objectives
May
4
Start 2:15 PM (CT)
End 3:15 PM (CT)
The Value Of Digitally Upskilling Your Department
Internal Audit, Finance
Speakers:
Jennifer Village, Director, PwC
Shannon Desjardins, Senior Director, Corporate and IT Audit & Advisory Services, Blue Cross Blue Shield of Michigan
Description:
You've heard about visualization and automation tools used within operations, but have you considered how these tools can be used to drive business insights, automate redundant tasks or free up time to perform analysis within your finance and internal audit team?  In this session, we will explore opportunities on where these tools can be used to move the business from a reactive state to providing proactive business insights to help make quicker and more thorough decisions.
1.0 CPE
Objectives:
1. Explore different technology enabled tools that exist and how they are used
2. Understand industry leading trends in using technology enabled tools and value organizations are recognizing
3. Provide a high level framework on digitally upskilling your team
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Jennifer Village, Director PwC
Jennifer is a director with PwC's Chicago Risk Assurance Health Care Compliance practice. She has more than 15 years of experience serving our healthcare clients, both payer and provider, with implementing, developing and executing compliance activities, enterprise risk management, internal audit, and information technology activities.
Jennifer has a deep understanding with how compliance and internal audit work together within the payer industry through her performance compliance assessments focused on the CMS audit protocols, including leading Independent Auditor Validations, helping clients design and implement business process changes addressing Corrective Action Plans (CAPs), and performing end-to-end assessments related to various Medicare, Medicaid, and ACA regulatory requirements. Additionally she has led the execution of information technology activities, including HIPAA security analysis, attack and penetrations, EHR controls, vendor management assessments and cyber and privacy internal audits.
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Shannon Desjardins, Senior Director, Corporate and IT Audit & Advisory Services Blue Cross Blue Shield of Michigan
Shannon Desjardins is the Director within the Corporate and IT Audit & Advisory Services department at Blue Cross Blue Shield of Michigan. Shannon has over 19+ years of professional experience in the health insurance (payer), healthcare (provider), automotive, manufacturing and financial services industries. Shannon has significant experience providing risk management and controls (including information technology) guidance through program and project risk assessments, application security, IT general controls and system implementation reviews, business process risk assessment/(re)design and Service Organization and Control Reporting (SOCR) under the SSAE 18 Standard SOC1 and SOC2.
May
4
Start 2:15 PM (CT)
End 3:15 PM (CT)
IT Issues, Risks, Controls: Putting It All Together, Make Sense of It All and Gain Valuable Insight
BCBS Only, Enterprise Information Technology, Enterprise Risk Management
Speakers:
Randy Mirador, Director, IT Governance, Risk and Compliance, Blue Cross and Blue Shield of North Carolina
Lindsey McIver, Manager, IT Governance Risk and Compliance, BlueCross BlueShield North Carolina
Description:
Blue Cross NC's IT Governance, Risk and Compliance group is responsible for IT risk and control oversight. Tasked at developing a risk management program as part of that oversight, we will present the journey taken; how we used the HITRUST framework and subsequent mapping of the organizations security controls as the basis for a controls library; how that ties into a centralized Risk Register; and the processes and supporting technology that provides the organization valuable insight, all in a single repository.
1.0 CPE
Objectives:
1. Blue Cross NC's journey developing a risk management program supporting the ITGRC group
2. Learn how Blue Cross NC's ITGRC group leveraged the HITRUST framework as one of the pillars of the program
3. See how to gain insight into the risks and controls being managed
4. How does other stakeholders in Blue Cross NC leverage what we've developed
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Randy Mirador, Director, IT Governance, Risk and Compliance Blue Cross and Blue Shield of North Carolina
Randy Mirador is a Director in Enterprise Security managing the IT Governance, Risk and Compliance team at Blue Cross NC. Prior to this, he worked in the Internal Audit department as Director, Technology Audit. He has been with Blue Cross NC for over 15 years and has over 20 years of experience working in various industries including Telecom, Manufacturing, IT, and Health Care. Prior to working at Blue Cross NC, he worked primarily as a management consultant specializing in process re-engineering and process improvements, focusing on IT and Architecture. Mr. Mirador currently oversees the ITGRC area responsible for governance and monitoring of IT controls, third-party risk management and security education and awareness.

Mr. Mirador earned a Bachelor's of Science in Accounting from North Carolina State University. Mr. Mirador is also a holder of the Certified Information Systems Auditor certification and is a Six Sigma Black Belt.
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Lindsey McIver, Manager, IT Governance Risk and Compliance BlueCross BlueShield North Carolina
Lindsey McIver is a Manager in Enterprise Security managing the IT Governance, Risk and Compliance team at Blue Cross NC. Prior to this, she worked in the Enterprise Risk Management department as Principal Risk Advisor. She has been with Blue Cross NC for over 8 years and has over 14 years of experience working in various industries including Banking, Public Accounting, and Health Care. Prior to joining Blue Cross NC, she worked primarily as an IT Audit consultant specializing in IT controls assessment, performing Service Organization Control (SOC) reporting, and business process enhancements. Mrs. McIver currently manages the ITGRC area comprised of Risk Advisors providing governance and monitoring of IT risks and controls.

Mrs. McIver earned a Bachelor's of Science in Accountancy, a Bachelor's of Science in Economics, and a Master's of Science in Accountancy from the University North Carolina at Wilmington. Mrs. McIver holds various certifications including the Certified Information Systems Auditor, Certified in Risk and Information Systems Controls, and is an inactive Certified Public Accountant.
May
4
Start 4:00 PM (CT)
End 5:00 PM (CT)
Success with Virtual Health Fairs/Open Enrollment
BCBS Only, Government Programs, Business & Operational Excellence
Speakers:
Kevin Risdal, Managing Director, Field Service Program, BCBSA
Grayling Lucas, Director, Field Service Program, BCBSA
Chris Chrisanthopulos, Senior Director Retail Markets & FEP Field Service, Blue Cross Blue Shield of Massachusetts
Description:
Virtual events and activities will become a normal part of doing business for health plans.  FEP's success with the level of engagement in a direct to consumer market is considered a benchmark of how to get it right.
1.0 CPE
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Kevin Risdal, Managing Director, Field Service Program BCBSA
Kevin Risdal is the Managing Director for FEP's Field Service Program, and is also responsible for Business to Consumer Strategy. He graduated in 1991 with a BA from State University of New York at Oswego where he majored in Political Science. His twenty-nine years with the Blues includes ten years at Empire Blue Cross Blue Shield and two at CareFirst BlueCross BlueShield, before joining BCBSA's FEP Director's Office. Kevin's experience includes Operations, Field Service, Sales, Enrollment Services, Communications, Contact Center Management, and Market Strategy.
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Grayling Lucas, Director, Field Service Program BCBSA
Grayling Lucas is the Director, Field Service Program at Blue Cross Blue Shield Association, FEP Division. He has over 35 years' experience in the healthcare industry with the majority of his experience in Customer Service, Operations and Marketing. A graduate of University of Maryland College and Howard University Divinity School. He also serves on the GSJ Health and Wellness Youth Fitness Program in Prince Georges County, Maryland.

As the Director within Field Service Program his responsibilities include developing and implementing the national marketing strategy to the local BCBS Plans across the country. Assist in aligning marketing and field activities to increase acquisition and retention within the local markets. Provides education and awareness of the BCBS Federal Employee Program Service Benefit Plan and FEDVIP products to active and retired federal employees, as well as to government agencies within the Federal Employee Health Benefit Plan (FEHBP) market.
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Chris Chrisanthopulos, Senior Director Retail Markets & FEP Field Service Blue Cross Blue Shield of Massachusetts
Chris Chrisanthopulos is a Sales Director for Blue Cross Blue Shield of Massachusetts. Chris has been with Blue Cross Blue Shield of Massachusetts for over thirty years and currently leads BCBSMA's Retail Sales teams including Federal Employee Field Service, Individual Markets, Senior and Small Group Sales. During his tenure with BCBSMA, Chris has lead teams in the Municipal, National and Account Service segments.
May
4
Start 4:00 PM (CT)
End 5:00 PM (CT)
Programs for Underserved Communities
Development & Innovation
Description:
1.0 CPE
May
4
Start 4:00 PM (CT)
End 5:00 PM (CT)
Ethically Speaking: How Established Ethics Programs Can Evolve to Continue Speaking to Their Populations
Compliance & Ethics, Strategic Marketing & Communications
Speakers:
Kate Leonard, Senior Ethics Officer, Cambia Health Solutions
Manda Bednarik, Ethics Program Specialist Sr, Cambia Health Solutions
Description:
The Cambia Health Solutions Ethics team will describe how it has sought to evolve its award-winning program (World's Most Ethical honoree for past 3 years) to continue to engage and inspire its community. We will describe the tools we use to determine how to engage employees and how we measure success. Specifically, we will highlight the process to add an ethics podcast - that we call Ethically Speaking - where we highlight examples of employees successfully navigating ethical dilemmas, as well as the research that supports this approach and employee feedback regarding same.
1.0 CPE
Objectives:
1. Provide an overview of the pillars of an award-winning ethics program. 2. Understand the importance of highlighting positive ethics stories (as opposed to the traditional approach of focusing on negative news stories). 3. Learn how to add new channels to an ethics program, specifically an internal ethics podcast.
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Kate Leonard, Senior Ethics Officer Cambia Health Solutions
Kate Leonard is the Senior Ethics Officer at Cambia Health Solutions. She focuses her work on Ethics investigations and conflicts management. Prior to joining Cambia, Kate worked independently as an employment attorney and civil rights investigator conducting neutral investigations for corporations and educational institutions throughout the Pacific Northwest. Prior to owning a business, Kate spent five years at the University of Washington as a civil rights investigator and then as the University's Title IX/ADA Coordinator. She spent the first twelve years of her legal career as an Assistant Attorney General in Oregon and in Washington representing state agencies in litigation.
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Manda Bednarik, Ethics Program Specialist Sr Cambia Health Solutions
Manda Bednarik received her bachelor's degree in graphic design and illustration from Southern Connecticut State University and is currently the Senior Ethics Program Specialist at Cambia Health Solutions. Her professional interests focus on culture and diversity, equity, and inclusion and its tie in to business ethics. Her current projects include conflicts of interest, measuring ethical culture, controls, and metrics.
May
4
Start 4:00 PM (CT)
End 5:00 PM (CT)
How Personalized and Interactive Video Improved the Member Experience
Brand & Consumer Experience, Strategic Marketing & Communications
Speakers:
Liz Scarborough, Sr. Marketing Manager, Blue Shield of California
Lori Mazurek, Member Acquisition Strategist, Blue Shield of California
Lisa Sutrick, Customer Engagement Evangelist, Precisely
Felicia Zusman, Managing Director, Brand Experience, Blue Cross Blue Shield Association
Description:
Keeping the plan selection process engaging, informative and simple were the three key challenges Blue Shield of California were looking to solve pre-pandemic. Looking to create an engagement with members and prospects that would take the pain out of plan selection and give access to the information they needed most, the team at Blue Shield of California turned to Interactive and Personalized Video. And in a post pandemic environment where in-person health fairs are a thing of the past, video and other digital engagement channels continue to thrive. Join Blue Shield of California as we talk about the customer experience challenges they faced, and how by using video and chatbot technologies they are able to enhance their customers' experience.
1.0 CPE
Objectives:
By attending this session, attendees will learn:
1. How Blue Shield of California has improved the consumer experience with interactive, employer-specific videos that make the health plan selection process easier
2. What channels of engagement members are expecting from you as a provider, and where you might be falling short
3. The key technologies you can engage to better meet your members at their moment of need
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Liz Scarborough, Sr. Marketing Manager Blue Shield of California
Elizabeth "Liz" Scarborough has been with Blue Shield of California for over twelve years and leads the Member Acquisition Marketing team and the strategy for acquiring new group members through personalized employer-specific communications. Liz has championed the rollout of many innovative digital tools, such as EngageOne videos, that have enhanced and modernized the consumer experience. Before joining Blue Shield, Liz held marketing positions at several leading Fortune 500 companies and startups in the software, medical IT, telecommunications, and semiconductor industries.
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Lori Mazurek, Member Acquisition Strategist Blue Shield of California
Lori Mazurek has been with Blue Shield of California since June 2010. She has worked on member strategy and communications for the CalPERS account for the first 6 years, and then on cross lines of business acquisition and retention programs, with a focus on digital solutions.

Lori has over 20 years of consumer marketing experience working for companies such as Dole Packaged Foods, The Learning Company, IBM, and various internet startups prior to Blue Shield.

She received her B.A. in Economics and French from Dickinson College in Carlisle, PA, and her MBA from Stanford Graduate School of Business.
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Lisa Sutrick, Customer Engagement Evangelist Precisely
Lisa is a dynamic leader with recognized success in creating, selling, and implementing commercial software products for domestic and international clients. She has a diverse background in all aspects of the product lifecycle from concept inception through delivery with a passion for client success. She brings domain expertise in Customer Engagement and Marketing Automation solutions. At Precisely, Lisa is the Customer Engagement Solution Evangelist using her domain expertise to collaborate with clients, prospects, and partners to deliver successful implementations of personalized communications via video, chat, email, sms, and print.
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Felicia Zusman, Managing Director, Brand Experience Blue Cross Blue Shield Association
Felicia Zusman is Managing Director of Brand Experience at the BlueCross BlueShield Association, where she manages the Consumer Experience Leadership Community (CXLC) Workgroup. She works with the CXLC Community, helping to build CX capabilities across the System and managing collaborative design (co-design) efforts to improve the experiences or our members. Prior to working at BCBSA, she led Human-Centered Innovation programs and Design Thinking training at SCJohnson & Sons, Inc. She also championed consumer insights in developing a new brand focused on an omni-channel product experience around wellness and mindfulness. She has spent many years working as a design strategy and design research consultant, working with brands to uncover insights, design better experiences, and apply design strategy within their organizations. She has a Masters Degree in Design from the Institute of Design at Illinois Institute of Technology and a Bachelor of Engineering from the Cooper Union. She is driven by the impact that we can all make to improve the lives of our members.
May
4
Start 4:00 PM (CT)
End 5:00 PM (CT)
Third Party Risk Management: While Cyber Continues to Dominate the Headlines, What Other Risks Should You Consider?
BCBS Only, Enterprise Risk Management, Business & Operational Excellence
Speakers:
Dean Spitzer
Jonathan Bausch
Jeremy Diebling
Description:
Join representatives from BCBS and PwC's TPRM Leadership for a presentation of the holistic view of the many third party risks across an enterprise and frameworks to help mitigate them. This presentation will focus on what the risks are as it relates to healthcare organizations and the potential operating models / mechanisms to manage and mitigate third party risks more holistically and at an enterprise level.
1.0 CPE
Objectives:
What are the potential third party risks that should be considered within the healthcare sector?
What are the governance and operating models typically utilized within healthcare organizations?
Who is the typical owner of a holistic third party risk function / organization?
What are the type of risk management tactics that organizations use to identify, assess and mitigate third party risks?
What are the current "trends" of how third party risk is being managed in the sector?
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Dean Spitzer
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Jonathan Bausch
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Jeremy Diebling
May
5
Start 8:00 AM (CT)
End 8:30 AM (CT)
BeFit Morning Wellness Activity - Day 2
Open to All Audiences
Description:
It's more important than ever to stay active while at home. Exercise has been known to boost the immune system, reduce stress and improve sleep. Start the conference day with our wellness activity!
May
5
Start 10:15 AM (CT)
End 10:45 AM (CT)
Morning Coffee Chat - Sponsored by Doctor on Demand
Open to All Audiences
Description:
Start your day by networking with a virtual Morning Coffee Chat. As the chat host appears on screen, you will participate in the chat. These 30 minute coffee chats may be topic specific and will provide BCBS Plan attendees the opportunity to interact with peers that we all miss from an in-person event.
May
5
Start 11:00 AM (CT)
End 12:00 PM (CT)
Getting FHIR'd Up: CMS Regulation Implementation and Lessons from the Trenches
Business & Operational Excellence
Speakers:
Rajiv Mallik
Amit Shah, IT DIrector, Florida Blue
Hayes Abrams, Executive Director, HCSC
Lenel James, Business Lead-HIE & Innovation, BCBSA
Description:
Join early Fast Healthcare Implementation Resources (FHIR) starters BCBSNC and GuideWell as they share stories of their FHIR implementation journey to meeting compliance for the CMS Interoperability regulations. These two plans will walk through their architecture and discuss the evolution of how their implementation adapted to evolving requirements. Plans will also discuss lessons learned and considerations for the next potential regulation implementation.
1.0 CPE
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Rajiv Mallik
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Amit Shah, IT DIrector Florida Blue
Amit Shah, IT Director
Enterprise Shared Applications and Services &
IT Leader for GuideWell Health Clinics

Amit has been in the IT profession for over 23 years, across multiple industries. He has a Bachelor's degree in Computer Technology and Master's in Information Technology. The last 14 years has been in Healthcare working with different Blues. Seven years with Excellus BlueCross BlueShield (Rochester, NY) 2 years with BlueCross BlueShield of North Dakota (Fargo, ND) and past 5 years with Florida Blue (Jacksonville, FL). He has managed several different IT disciplines and domains throughout his experience, leading Project Management Office(s) and Application Development teams.

As part of his responsibility leading Enterprise Shared Applications and Services the scope spans across all business areas of GuideWell & Florida Blue. Shared applications include Robotics, building custom IT solutions for business, electronic gateway for all Electronic Data Interchange (EDI), Electronic Medical Record (EMR) Interoperability and digitizing, mining/storing of content from unstructured data sources using AI (Artificial Intelligence), NLP (Natural Language Processing) and Machine Learning techniques. Shared Services include providing test data and release management services for Florida Blue IT.

In addition he is the focal point for all IT needs across GuideWell Health clinics and Emergency Rooms. He works closely with the leaders of GuideWell Health to build and execute on their overall capability planning efforts.
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Hayes Abrams, Executive Director HCSC
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Lenel James, Business Lead-HIE & Innovation BCBSA
Lenel James has over thirty-five years of experience in management, systems consulting, and standards development – and over 35 years of focused experience in the healthcare industry & 5 years of engagement in health equity.

Lenel is a Business Lead for Health Information Exchange & Innovation at Blue Cross and Blue Shield Association, on the Industry Standards and eHealth team. His responsibilities include working externally (at standards setting organizations) and internally (within BCBSA for eClinical data exchange) on many of the key Health IT challenges and clinical/administrative interoperability issues. He is an HL7 Board member, member of the Program Management Office of the HL7 Da Vinci Project, and member of the Coordinating Committee of the ONC FHIR-At-Scale-Taskforce (FAST).

His support for community engagement was reflected by membership in the executive committee of the Great Lakes Regional Health Equity Council (RHEC-V), as co-chair the Social Determinants of Health Committee of RHEC-V and as co-chair of the multi-regional Cross-RHEC Community Health Worker Coalition.

As part of his extensive experience in clinical information systems, and information technology strategic planning, Lenel worked with health care, state and federal clients on a broad array of projects for a leading international consulting firm. He also spent five years as the Acting Director of Clinical Systems for the IT Department of the third largest public hospital in the USA.
May
5
Start 11:00 AM (CT)
End 12:00 PM (CT)
Empower Agents to Improve Quality and to Reach Proficiency Faster
BCBS Only, Customer Contact Center & Claims, Business & Operational Excellence
Speakers:
Adam Patterson, AVP, Customer Service, HCSC
Micah Peterson, VP of Product Management, ProcedureFlow
Description:
Information retrieval has rapidly evolved over the past several years.  Today, with wearable technology, a simple spoken command can guide users to an address with pinpoint precision. Customer expectations are higher than ever. Have we prepared our staff with the knowledge management tools to fulfill those ever-increasing customer demands? If not, we will be left behind.

Join Health Care Service Corporation, as they share insights from their journey to accelerate and simplify knowledge retrieval for frontline staff; helping them keep pace with the ever-increasing demands of members and providers.
1.0 CPE
Objectives:
• The history of information retrieval.
• How the information age has dramatically changed consumer behaviors and expectations of the past decade.
• New innovations for empowering customer advocates & claims processors to find critical information they need quickly.
• How to turn text-based knowledge into powerful visuals that make frontline employees faster and virtually 100% accurate.
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Adam Patterson, AVP, Customer Service HCSC
Adam Patterson manages the Centers of Excellence for Customer Service at HCSC including training, quality assessment & improvement, knowledge management, and voice of the customer. Before joining HCSC, he was the Managing Director and Vice President of Investment Coaching and Call Center Operations at TD Ameritrade. Prior to his time with TDA, he held several positions at The Hartford Financial Services Group beginning as the Director of Sales Process & Service Excellence and concluding his time overseeing the Customer Experience Management Strategy division within Personal Lines Service Operations. Mr. Patterson began his career at Franklin Covey which is considered a pioneer and best in class organization for providing personal and leadership development. As a corporate trainer, he designed, developed and delivered new hire and incumbent learning for operations employees. He eventually went on to become the Director of Personal Coaching Sales and Service Operations. He tenure at Franklin Covey ended as the AVP of Business Development, Leadership Consulting and Executive Coaching. Adam holds a Bachelor of Science Degree from the University of Utah in Pre-Law with and emphasis in argumentation and decision-making and an MBA from the Manchester Business School in the United Kingdom. He is a certified LSSBB, ADKAR- Change Management Practitioner & Trainer, Franklin Covey 7 Habits, Focus and Executive Leadership Coach, and Master Trainer through the Association for Talent Development. He and his wife are the parents of 6 wonderful children (3 of each) and currently reside in Naperville, IL.
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Micah Peterson, VP of Product Management ProcedureFlow
Micah is the VP of Product Management for ProcedureFlow and is passionate about new approaches to process documentation and human knowledge sharing. Graduating from UNB's computer science program in 2005, Micah started his career at Whitehill Technologies, where he created and patented software to quickly build and maintain knowledge bases. In 2011, Micah started working within Innovatia's R&D group in the areas of semantic search, enterprise search, taxonomies, Knowledge Centered Support (KCS), lean six sigma and process documentation. When he's not working with customers, he's outside playing with his seven kids, solving a Rubik's Cube or helping out at his local church.
May
5
Start 11:00 AM (CT)
End 12:00 PM (CT)
All of Us Research Program: Increasing Diversity in Medical Research to Increase Health Equity
Development & Innovation
Speakers:
Lindsey Burton, Writer, Blue Cross and Blue Shield of Louisiana
Julia Moore Vogel
Description:
Medical research has traditionally excluded large parts of the population, including women, LBGTQ+ people, ethnic and racial minorities, and people from low-income and rural communities. Addressing this lack in diversity is critical because medical treatments may impact these groups differently and if left unaddressed, will only fuel greater health disparities. The National Institutes of Health All of Us Research Program and BCBS Plans have partnered to promote the program among diverse communities in an effort to close these gaps in medical research and advance personalized medicine. During this session BCBS Plans and All of Us will share the grassroots tactics and community engagement strategies they have implemented to help build trust and encourage participation in All of Us among communities of color and other diverse groups.
 
1.0 CPE
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Lindsey Burton, Writer Blue Cross and Blue Shield of Louisiana
Lindsey Burton joined Blue Cross in 2015 after seven years of service to the state of Louisiana. She is the dedicated writer for Blue Cross' administrative services only (ASO) contract with the state's Office of Group Benefits. She also leads the Strategic Communications' video initiative, a role she finds equally inspiring and challenging, and Straight Talk blog project, which brings readers timely, trustworthy information on healthcare reform, costs & quality.

Prior to her move to Blue Cross, Lindsey served as spokesperson for a sometimes-controversial state agency and oversaw its internal and external communications to staff and clients. While working for state government, she served in the Joint Information Center at Louisiana's office of Homeland Security and Emergency Preparedness during hurricanes Gustav, Ike and Isaac.

Before jumping ship to public relations, Lindsey was a television news writer and producer for more than four years. She was part of WBRZ-TV's (Baton Rouge, LA) coverage team during and following Hurricane Katrina and later worked for the top-rated station in Dallas. In 2003, she earned her bachelor's degree in mass communication from LSU, where she dabbled in print, television and photo journalism and helped the school's daily paper win the most prestigious award in college journalism.
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Julia Moore Vogel
May
5
Start 11:00 AM (CT)
End 12:00 PM (CT)
DevSecOps CoE: A Journey Toward Maturity, Platform and Processes
BCBS Only, Enterprise Information Technology, Development & Innovation
Speakers:
Paul Horalek, Sr. Director, Enterprise Technology Strategy & Planning, Blue Cross Blue Shield of Michigan
Larry Hoffman, Director, Enterprise Architecture & Engineering, Blue Cross Blue Shield of Michigan
Description:
Many organizations have adopted agile practices and DevOps to increase speed to market for key capabilities. More recently, organizations have also looked to include security as well, leading to DevSecOps. In this session learn how BCBSM is utilizing a CoE model to introduce DevSecOps to deliver business value quicker.
1.0 CPE
Objectives:
1) Basics of devsecops
2) Business value objectives
3) How to use a CoE model to implement
4) Lessons learned
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Paul Horalek, Sr. Director, Enterprise Technology Strategy & Planning Blue Cross Blue Shield of Michigan
Paul Horalek is the senior director, Enterprise Technology Strategy and Services for Blue Cross Blue Shield of Michigan (BCBSM). As a member of the IT Executive team, Horalek's responsibility areas include technology strategy, innovation, governance, partner management, and center of excellence models.

Horalek has over 24 years of experience in information technology and over 20 years of experience in healthcare. Prior to BCBSM, Horalek served as the chief information officer at a regional insurance agency and benefits administration organization.

Throughout his career, Horalek has used his deep knowledge of healthcare and technology to successfully set strategies, drive alignment, and deliver leading edge solutions that improved both top and bottom line results.

Horalek holds an MBA from the University of Phoenix and a Bachelor of Science in Management Information Systems from Oakland University.
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Larry Hoffman, Director, Enterprise Architecture & Engineering Blue Cross Blue Shield of Michigan
Larry Hoffman is the Director of Enterprise Architecture and Engineering for Blue Cross Blue Shield of Michigan (BCBSM). He has been at Blue Cross for 29 years. He is responsible for creating a sustainable Enterprise Architecture practice along with facilitation and execution of IT strategic activities. He leads the innovation, introduction and adoption of new technologies into the BCBSM ecosystem. He previously has been a leader of large-scale technical implementations and has held various architecture and technical leadership roles since his arrival in 1991. Larry earned his Master of Science in Management from Walsh College. He also earned a Bachelors in Telecommunications from Michigan State University. He is married and has two teenage children.
May
5
Start 12:30 PM (CT)
End 1:30 PM (CT)
Evolving Blue High Performance Network (HPN) For Future Success
BCBS Only, Network Solutions
Speakers:
Brad Bare, Divisional Vice President, National Network Optimization, Health Care Service Corporation
Jill Fyock, Managing Director, Network Portfolio, BCBSA
Description:
This session will provide Blue Plans with an overview of the Association's Blue HPN Evolution strategy that is designed to meet future account needs. Additionally, Blue Plans can also expect to learn more about the status of key evolution priorities in 2021 and 2022 such as achieving on-going provider quality improvement and differentiation and improving access by targeting high-value MSAs for expansion.
1.0 CPE
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Brad Bare, Divisional Vice President, National Network Optimization Health Care Service Corporation
Brad is a divisional vice president in HCSC's Growth and National Account Strategy Division, where he is responsible for national network strategies and programs. He serves as HCSC's High Performance Network executive and played a central role in planning, designing, and bringing the Blue HPN to market. Brad frequently works alongside sales and account management teams to help large national clients optimize their network strategies. He has served in other leadership roles within HCSC, including as DVP of medical value planning, and strategic policy and communication roles.

Before joining the HCSC, Brad worked on Capitol Hill in Washington, DC as an economic policy advisor to two U.S. Senators and he has also worked as an investment banker focused on public finance and municipal debt financing.

Brad earned his Master of Business Administration and Master of Arts in Government from the Johns Hopkins University and a Bachelor of Business Administration in Finance from the University of Iowa.
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Jill Fyock, Managing Director, Network Portfolio BCBSA
Jill Fyock is Managing Director, Network Portfolio for Blue Cross Blue Shield Association (BCBSA). She is primarily responsible for the Blue Distinction Center for Transplant program within BCBSA.

Prior to joining BCBSA in February of this year, Jill was with United Healthcare of North Carolina as VP of Network Management. She has over 25 years experience in provider network development and contracting for several national health plans as well as large healthcare systems in Colorado and Ohio. Ms. Fyock has earned her MBA/MSHA from the University of Colorado in Denver, Colorado and also holds a BA in Biology.
May
5
Start 12:30 PM (CT)
End 1:30 PM (CT)
Healthcare Inequities: Maternal/Infant Health Panel
Office of Clinical Affairs
Speakers:
Kim Eason, Manager, Value Based Programs for Specialty Care, Horizon BCBSNJ
Florence Kariuki
Description:
Anthem Blue Cross and Blue Shield, Horizon Blue Cross and Blue Shield of New Jersey and Blue Cross and Blue Shield of South Carolina will participate in a BCBSA moderated panel to discuss the innovative approaches they have implemented to address Maternal and Infant Health inequity.
1.0 CPE, TBD CME
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Kim Eason, Manager, Value Based Programs for Specialty Care Horizon BCBSNJ
Kim D. Eason, Manager, Value Based Programs for Specialty Care, Horizon Blue Cross Blue Shield of New Jersey, is building Episode Care models in orthopedics, oncology, pregnancy, colonoscopy and other innovative specialty care programs. Kim and Horizon are working collaboratively with physician practices to change how healthcare is delivered in New Jersey.
Kim brings over 35 plus years of health care experience to this role. Kim's expertise in Physician Contracting and Relations, Customer Service, call center operations, claims processing, and consumer appeals allows her to seek end to end solutions for new patient centered programs.
Kim is a graduate of Rutgers College where she received her BA degree in English and Rutgers Graduate School of Education where she earned a Master of Education degree in English Education.
Kim is a life-long resident of New Jersey.
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Florence Kariuki
May
5
Start 12:30 PM (CT)
End 1:30 PM (CT)
Equipping Collaborative Teams to Deliver Customer Priorities: Practitioner Insights Driving Productivity Gains to Create an Agile Organization
Enterprise Program Management Office
Speaker:
Susan Boyd, Managing Director, Business Agility, BCBSM/Emergent Holdings
Description:
‘Agile’ is based on a philosophy of continuous improvement and productivity gains to increase collaboration and responsiveness to customer requests.  In practice, Agile is an overarching framework or methodology that an organization implements and deploys to focus on speed, flexibility, and accelerated delivery of customer value to differentiate service, generate efficiencies, and create sustainable competitive advantage.

This presentation will share both the strategy developed and the tactical steps taken by one BCBS entity to define, adopt, and deploy operational ‘Guardrails’ across the organization.

Amongst the key results and practitioner learnings to be shared as presentation takeaways:
• Establishing common purpose.  ‘Selling’ the future benefits of an Agile organization to your stretched-and-stressed peers and superiors, today.
• Improving the clarity and timeliness of decision-making for remote and cross-functional teams and executive management by optimizing meeting and reporting cadences.
• Understanding how to utilize “Story Points” to gauge team productivity across the organization and quantify and prioritize customer deliverables.
• Discover tips and techniques that engage and empower teams to navigate and own necessary changes, while simultaneously increasing employee satisfaction scores.
1.0 CPE
Objectives:
1. Who Benefits? Increasing engagement with customers through continual feedback loops.
2. Where To Start? Identifying and prioritizing Agile principles that drive productivity gains.
3. How To Motivate? Identification of key measurements and predictive KPIs to encourage friendly competition through gamification.
4. Seeing The Difference? Measures your organization can use to determine if teams are moving in the right direction.
5. Ready For The Next Step? Quantitative methods for prioritizing and balancing work commitments.
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Susan Boyd, Managing Director, Business Agility BCBSM/Emergent Holdings
Susan Boyd is the Managing Director of Business Agility with Emergent Holdings Inc., the diversification engine for BCBSM. Her role as a Change Agent focuses on driving a 'New Way of Working,' shifting the current mindsets to become more collaborative, where functional walls are pulled down and the customer is front and center. Susan is certified as a SAFe Practitioner Consultant (SPC5) and PMP.

Susan's diverse background began in finance prior to shifting to technology and project management. Past roles include Guardian Life Insurance in New York City, where she managed Portfolio Delivery and the Agile Digital Transformation; and JP Morgan Chase, where she coordinated the annual corporate resolution plan for the Dodd-Frank Wall Street Reform and Consumer Protection Act.

More recently, Susan earned certifications in Executive Strategic Leadership from Wharton School of Business and in Design Thinking from Harvard University. She has an MBA in Finance and Master's Certification in Quantitative Analysis from Fairleigh Dickinson University, and a BA in Economics from the University of Connecticut.
May
5
Start 12:30 PM (CT)
End 1:30 PM (CT)
FEP Digital Design Center Program - Establishing A Proof Positive Roadmap
BCBS Only, Government Programs, Brand & Consumer Experience
Speakers:
Nikita James, Managing Director, Digital Design Program, Blue Cross Blue Shield Association
Aradhana Yelukati, Director, E-Business, BCBSA
Felicia Zusman, Managing Director, Brand Experience, Blue Cross Blue Shield Association
Description:
Plans are always faced with solving consumer issues with digital solutions.  Learn how FEP has used design to begin the process leading to solutions that have enabled real world digital capabilities for over 5.5 million members.
1.0 CPE
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Nikita James, Managing Director, Digital Design Program Blue Cross Blue Shield Association
Nikita James has been with the Blue Cross Blue Shield Association for over 12 years. In her current role, Nikita is accountable for a broad range of functions including developing innovative and cohesive strategies for delivering products and features to meet customer needs, analyzing market and product trends, driving business cases for new opportunities and oversight for leveraging the Scaled Agile Framework (SAFe) to support the FEP Digital Experience program.

Prior to working at the Blue Cross Blue Shield Association, Nikita worked for CareFirst Blue Cross Blue Shield (FEP Operations Center) in the Project Management Office. Nikita also worked for several years at a community development organization and for the federal government.
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Aradhana Yelukati, Director, E-Business BCBSA
Aradhana Yelukati began her FEP career at CareFirst FEPOC in 2008. She joined the BCBSA FEP Program Director's Office as E-Business Product Manager in July 2013. She was recently promoted to Director, E Business. Aradhana is now responsible for MyBlue Portal, MyBlue Customer Eservice and the FEP Mobile App. She encourages innovative thinking and pushing the envelope when it comes to digital experience.
Aradhana has a Master's Degree in IT from Fairleigh Dickinson University and in her spare time enjoys reading about politics and healthy living.
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Felicia Zusman, Managing Director, Brand Experience Blue Cross Blue Shield Association
Felicia Zusman is Managing Director of Brand Experience at the BlueCross BlueShield Association, where she manages the Consumer Experience Leadership Community (CXLC) Workgroup. She works with the CXLC Community, helping to build CX capabilities across the System and managing collaborative design (co-design) efforts to improve the experiences or our members. Prior to working at BCBSA, she led Human-Centered Innovation programs and Design Thinking training at SCJohnson & Sons, Inc. She also championed consumer insights in developing a new brand focused on an omni-channel product experience around wellness and mindfulness. She has spent many years working as a design strategy and design research consultant, working with brands to uncover insights, design better experiences, and apply design strategy within their organizations. She has a Masters Degree in Design from the Institute of Design at Illinois Institute of Technology and a Bachelor of Engineering from the Cooper Union. She is driven by the impact that we can all make to improve the lives of our members.
May
5
Start 12:30 PM (CT)
End 1:30 PM (CT)
Performing Successful Vendor Audits
Internal Audit, Compliance & Ethics
Speaker:
Carolyn Tretsven
Description:
Vendor Management - Two words with a key impact to the success of your organization. Learn how Internal Audit's operational & IT skill set can promote effective third-party vendor oversight.

Discussion topics will include how to:
• Utilize a risk-based approach to define the audit scope and fieldwork procedures
• Perform the audit onsite or remotely at the vendor location
• Involve subject matter experts from other departments at your Plan (IT Security, Govt Compliance, Business Operations, etc.)
• Evaluate management's vendor oversight controls
• Develop audit recommendations that address the root causes of issues
• Communicate and report audit results to internal management and external vendors

1.0 CPE
Objectives:
By attending this session, attendees will be able to:
• Promote the value of Internal Audit's role for vendor management oversight
• Learn how to plan and perform vendor audits
• Drive continuous improvement of operations and vendor performance
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Carolyn Tretsven
May
5
Start 1:45 PM (CT)
End 2:30 PM (CT)
Diamond Session - Sponsored by AIM Specialty Health
Open to All Audiences
Description:
Mark your calendars and join your peers for a 45 minute session to hear case studies and best practices. This thought leadership session will focus on relevant health care topics and deliver results for you to take back to your organization. 
May
5
Start 1:45 PM (CT)
End 3:00 PM (CT)
Solutions Center Hours
Open to All Audiences
Description:
  • Visit Company Profile Listings to view innovative and relative solutions by discovering case studies, products and services, and published content that address your key challenges.
  • Delve into real-time content that highlights case studies, thought leadership articles and more. 
  • Participate in Virtual Passport Program.
  • Visit the Spotlight Theater to gain insights from subject matter experts through on-demand, bite-sized learnings available through-out the event.
May
5
Start 3:00 PM (CT)
End 4:00 PM (CT)
COVID-19 Communications: Lessons Learned
Strategic Marketing & Communications
Description:
1.0 CPE
May
5
Start 3:00 PM (CT)
End 3:30 PM (CT)
Sapphire Session 001
Open to All Audiences
Description:
Mark your calendars and join your peers for a 30 minute session to hear case studies and best practices. This thought leadership session will focus on relevant health care topics and deliver results for you to take back to your organization. 
May
5
Start 3:00 PM (CT)
End 4:00 PM (CT)
Revisiting Rosie: Women's Increasing Role in Cyber Defense
Privacy & Cybersecurity, Business & Operational Excellence
Speaker:
Jen Heron, CyberSecurity Research & Development, Premera Blue Cross
Description:
Why Healthcare Needs to Take a Modern Day Rosie the Riveters for Cyber Security Success.
Cyber security roles are currently hard to fill. Cyber attacks on Healthcare and related costs continue to rise. Emerging types of attacks require more diverse thinking to defend against and the current climate requires revised approaches to finding the next wave of Cyber leaders.

This presentation will provide researched analysis on practical solutions that can be implemented today to increase visibility and recruitment of women within cyber organizations.

1.0 CPE
Objectives:
By attending this session, attendees will:
1) Better understand the role of diversity of thought as a catalyst for innovation
2) Gain awareness of how Cybercrime is accelerating and why diversity, equity and inclusion can equally accelerate effective responses
3) Take-away specific tools and ideas for retaining as well as attracting diverse talent

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Jen Heron, CyberSecurity Research & Development Premera Blue Cross
Jen sees connections between seemingly disparate topics to identify trends, risks, and opportunities impactful for cybersecurity.

She partners across the enterprise to drive transformational solutions – Moving organizations from architected to securely implemented.

She possesses 20 years in Information Technology.

Started from front-line call-support to COTS production, server operations, staff management and cloud resiliency.

Passionate about the intersectionality of cybersecurity, privacy and equity.
May
5
Start 3:00 PM (CT)
End 4:00 PM (CT)
Plan and Association Perspective on Interoperable Data Exchange of Social Determinants of Health (SDOH) for Population Health and Collaboration with Community Based Organizations
Business & Operational Excellence
Speakers:
Lenel James, Business Lead-HIE & Innovation, BCBSA
Deborah Donovan, Director, SDOH, Highmark Health
Aaron Novotny, Health Economist, Arkansas Blue Cross Blue Shield
Jonathan Howland, Supervisor of Medical Social Work, National Accounts, Arkansas Blue Cross Blue Shield
Description:
Social determinants of health (SDOH) are the conditions in which people live, work, learn and play that can impact individuals' health and well-being before the healthcare system can intervene. With rapidly increasing interest in collecting social risk data, the HL7 Gravity Project is a direct response to calls-to-action around the development of national standards for SDOH data reported in electronic health records (EHRs).  The HL7 Gravity initiative seeks to identify coded data elements and associated value sets to represent SDOH signifiers documented in EHRs across four clinical activities — screening, diagnosis, planning, and interventions — with a focus on social risk domains, including: food insecurity, housing instability, and transportation access.
1.0 CPE
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Lenel James, Business Lead-HIE & Innovation BCBSA
Lenel James has over thirty-five years of experience in management, systems consulting, and standards development – and over 35 years of focused experience in the healthcare industry & 5 years of engagement in health equity.

Lenel is a Business Lead for Health Information Exchange & Innovation at Blue Cross and Blue Shield Association, on the Industry Standards and eHealth team. His responsibilities include working externally (at standards setting organizations) and internally (within BCBSA for eClinical data exchange) on many of the key Health IT challenges and clinical/administrative interoperability issues. He is an HL7 Board member, member of the Program Management Office of the HL7 Da Vinci Project, and member of the Coordinating Committee of the ONC FHIR-At-Scale-Taskforce (FAST).

His support for community engagement was reflected by membership in the executive committee of the Great Lakes Regional Health Equity Council (RHEC-V), as co-chair the Social Determinants of Health Committee of RHEC-V and as co-chair of the multi-regional Cross-RHEC Community Health Worker Coalition.

As part of his extensive experience in clinical information systems, and information technology strategic planning, Lenel worked with health care, state and federal clients on a broad array of projects for a leading international consulting firm. He also spent five years as the Acting Director of Clinical Systems for the IT Department of the third largest public hospital in the USA.
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Deborah Donovan, Director, SDOH Highmark Health
Deborah J. Donovan serves as the Director of Social Determinants of Health for Highmark Health, a national blended health organization, with leading businesses to support millions of customers with products, services and solutions closely aligned to our mission of creating remarkable health experiences, freeing people to be their best. Her responsibilities include the development and implementation of organizational strategies designed to create social and physical environments that promote good health for all. Ms. Donovan currently serves on the Executive Steering Committee for The Gravity Project, a national organization focused on the development of consensus-driven structured data standards to support the use and exchange of social determinants of health data within the health care sector and between the health care sector and other sectors.
Earlier positions include the Director of Clinical Provider Integration with responsibility for strategy development for health plan and health system partnerships for clinical co- management of populations. She also had previous responsibility for the development and implementation of innovative value-based reimbursement programs.

Prior to joining Highmark, Ms. Donovan was the Chief Quality Officer for a multi hospital health system in Southwestern Pennsylvania. She has over 30 years of healthcare experience with a focus on SDOH and Population Heal, Quality Improvement, Patient Safety and Health Information Management.

Ms. Donovan received her Bachelor of Science in Health Information Management from the University of Pittsburgh and her Master of Arts in Leadership and Liberal Studies from Duquesne University.
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Aaron Novotny, Health Economist Arkansas Blue Cross Blue Shield
Received my bachelors in French from the University of Arkansas at Little Rock and then went on to graduate with a Master's of Science in Mathematics from University of North Dakota. After this, I taught mathematics at the University of North Dakota and a Northland Community College in Minnesota.

After my wife finished with her graduate work, we moved to Lubbock, Texas (for my wife's internship) where I taught High School Mathematics at Brownfield High School. After one year, we moved back to Arkansas after accepting a position at the Arkansas School for Math, Science, and Art as a math teacher. When my wife had to move to Fayetteville to attain supervision hours necessary to gain licensure I applied (and gained entrance) to the Economics PhD program at the University of Arkansas in 2015 and graduated in 2019 with published papers on social desirability bias in political polling and the effects of WIC program participation. Post-graduation, I accepted an offer to work as a Health Economist at Arkansas Blue Cross Blue Shield and have been doing analysis on health outcomes at individual level and population level. Recently, I accepted an appointment to be on the faculty at the Fay Boozeman College of Public Health at the University of Arkansas for Medical Sciences.

I have two children and an amazing wife that have supported me along the way. I enjoy biking, basketball, and reading economic literature and current events.
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Jonathan Howland, Supervisor of Medical Social Work, National Accounts Arkansas Blue Cross Blue Shield
Jonathan Howland holds a bachelor's degree in Marketing Management from the University of Arkansas Walton College of Business, and a Master of Social Work degree with an emphasis in organizational management and community-level intervention from the University of Arkansas at Little Rock. Jonathan currently serves as Supervisor of Medical Social Work for National Accounts at Arkansas Blue Cross Blue Shield. His professional interests include building solution-focused coalitions around common problems, leveraging communities' inherent resources and strengths to support members in their environments, leading a team to provide excellent and empathic service to members, and working with individual members to help them access their internal strengths in order to build the confidence to take on life's challenges.
May
5
Start 3:00 PM (CT)
End 4:00 PM (CT)
Tackling Cloud Management Challenges
BCBS Only, Enterprise Information Technology, Privacy & Cybersecurity
Speakers:
Paul Horalek, Sr. Director, Enterprise Technology Strategy & Planning, Blue Cross Blue Shield of Michigan
Larry Hoffman, Director, Enterprise Architecture & Engineering, Blue Cross Blue Shield of Michigan
Description:
The move from on-prem solutions to cloud services continues. Cloud services come in many forms and having standards for utilizing and managing various clouds is a challenge every organization faces. In this session learn how BCBSM is utilizing a CoE model to develop standards and practices for cloud services.
1.0 CPE
Objectives:
1) Understanding the basics of cloud based services and how they require different approaches for connectivity, security, and management
2) The benefits of creating standards for implementing cloud services
3) Operating model changes needed to support the management of multiple cloud services
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Paul Horalek, Sr. Director, Enterprise Technology Strategy & Planning Blue Cross Blue Shield of Michigan
Paul Horalek is the senior director, Enterprise Technology Strategy and Services for Blue Cross Blue Shield of Michigan (BCBSM). As a member of the IT Executive team, Horalek's responsibility areas include technology strategy, innovation, governance, partner management, and center of excellence models.

Horalek has over 24 years of experience in information technology and over 20 years of experience in healthcare. Prior to BCBSM, Horalek served as the chief information officer at a regional insurance agency and benefits administration organization.

Throughout his career, Horalek has used his deep knowledge of healthcare and technology to successfully set strategies, drive alignment, and deliver leading edge solutions that improved both top and bottom line results.

Horalek holds an MBA from the University of Phoenix and a Bachelor of Science in Management Information Systems from Oakland University.
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Larry Hoffman, Director, Enterprise Architecture & Engineering Blue Cross Blue Shield of Michigan
Larry Hoffman is the Director of Enterprise Architecture and Engineering for Blue Cross Blue Shield of Michigan (BCBSM). He has been at Blue Cross for 29 years. He is responsible for creating a sustainable Enterprise Architecture practice along with facilitation and execution of IT strategic activities. He leads the innovation, introduction and adoption of new technologies into the BCBSM ecosystem. He previously has been a leader of large-scale technical implementations and has held various architecture and technical leadership roles since his arrival in 1991. Larry earned his Master of Science in Management from Walsh College. He also earned a Bachelors in Telecommunications from Michigan State University. He is married and has two teenage children.
May
5
Start 4:00 PM (CT)
End 4:30 PM (CT)
Trivia Night Sponsored by The Phia Group
Description:
Join us for an evening of live Trivia! This entertaining event will bring out the competitor in you. Prizes will be awarded to the top three scores, sponsored by The Phia Group.
May
6
Start 8:00 AM (CT)
End 8:30 AM (CT)
BeFit Morning Wellness Activity - Day 3
Open to All Audiences
Description:
It's more important than ever to stay active while at home. Exercise has been known to boost the immune system, reduce stress and improve sleep. Start the conference day with our wellness activity!
May
6
Start 10:15 AM (CT)
End 10:45 AM (CT)
Morning Coffee Chat - Sponsored by RedHat
Open to All Audiences
Description:
Start your day by networking with a virtual Morning Coffee Chat. As the chat host appears on screen, you will participate in the chat. These 30 minute coffee chats may be topic specific and will provide BCBS Plan attendees the opportunity to interact with peers that we all miss from an in-person event.
May
6
Start 11:00 AM (CT)
End 12:00 PM (CT)
Purpose-Driven Mission
Open to All Audiences
Description:
Our panelists will discuss how they have made it their life's calling to address the most pressing health, education and economic inequality issues of our time
1.0 CPE
May
6
Start 12:30 PM (CT)
End 1:15 PM (CT)
Diamond Session- Sponsored by Hinge Health
Open to All Audiences
Description:
Mark your calendars and join your peers for a 45 minute session to hear case studies and best practices. This thought leadership session will focus on relevant health care topics and deliver results for you to take back to your organization. 
May
6
Start 12:30 PM (CT)
End 1:45 PM (CT)
Solutions Center Hours
Open to All Audiences
Description:
  • Visit Company Profile Listings to view innovative and relative solutions by discovering case studies, products and services, and published content that address your key challenges.
  • Delve into real-time content that highlights case studies, thought leadership articles and more. 
  • Participate in Virtual Passport Program.
  • Visit the Spotlight Theater to gain insights from subject matter experts through on-demand, bite-sized learnings available through-out the event.
May
6
Start 1:45 PM (CT)
End 2:15 PM (CT)
Sapphire Session 002
Open to All Audiences
Description:
Mark your calendars and join your peers for a 30 minute session to hear case studies and best practices. This thought leadership session will focus on relevant health care topics and deliver results for you to take back to your organization. 
May
6
Start 1:45 PM (CT)
End 2:45 PM (CT)
Healthcare Inequities: Health Equity Hospital Quality Incentive Pilot Program
Office of Clinical Affairs
Speakers:
Derek Robinson
Violet Jones
Description:
Launching the Health Equity Hospital Quality Incentive Pilot Program, a $100M effort with the immediate objective to support hospitals serving the highest concentrations of BCBSIL members in Illinois communities who are often most at risk of contracting COVID-19 and, in the long term, improving the quality of care by elevating a focus on health equity and reducing racial and ethnic disparities in care.

 
1.0 CPE; TBD CME
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Derek Robinson
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Violet Jones
May
6
Start 1:45 PM (CT)
End 2:45 PM (CT)
BlueCard Modernization Plan Panel - Business/Operations Focused
BCBS Only, Business & Operational Excellence
Speakers:
Hayes Abrams, Executive Director, HCSC
John Varghese
Travis Ham, Client Advocate, BlueCross BlueShield South Carolina
Ranjith Kandur
Karla Moreno
Jacqueline Minerd, Director, PIO Issue Management and Controls - Alt BC Exec., Florida Blue
Ashley Patterson
Amy Moses
Christopher Hallauer
Description:
Tune into hear Plans from various capability teams discuss the impact of Blue Card Modernization on their business operations, how they have been sharing information internally, effort to stand up BCM for their teams, and what they hope to accomplish.
1.0 CPE
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Hayes Abrams, Executive Director HCSC
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John Varghese
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Travis Ham, Client Advocate BlueCross BlueShield South Carolina
Travis works in Client Management for the Information Systems area of BCBSSC. He began his journey at Blue working in project management working closely with BlueCard efforts. Learning the technical side of the business and taking interest in the relationship with operations, he has now transitioned into the Client Advocate role working with the BlueCard Executive and has taken lead on all internal work around BlueCard Modernization.
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Ranjith Kandur
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Karla Moreno
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Jacqueline Minerd, Director, PIO Issue Management and Controls - Alt BC Exec. Florida Blue
Jackie began her career with Florida Blue as a customer service/claims representative in January 2000. During this time she has worked in a variety of different roles and capacities including as a BlueCard Subject Matter Expert, Supervisor, Senior Manager and Director. Jackie graduated from Jacksonville University with a Bachelor's of Arts in Liberal Studies and has a Master's in Health Administration.
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Ashley Patterson
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Amy Moses
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Christopher Hallauer
May
6
Start 1:45 PM (CT)
End 2:45 PM (CT)
Pulse of the Internal Audit Profession 2021
Internal Audit, Enterprise Risk Management
Speaker:
Harold Silverman, Managing Director, CAE Solutions, The Institute of Internal Auditors
Description:
In this session, Harold Silverman, the Managing Director of Professional Practices at the IIA, will share the IIA's latest research on the state of the profession. Attendees will get a perspective on how the global pandemic has effected internal audit budgets. In addition, perspectives will be shared on how internal audit functions are allocating their valuable resources.
1.0 CPE
Objectives:
By attending this session attendees will be able to:
1) Compare how their internal audit function is allocating its internal audit plan compared to other organizations
2) Learn about trends in the profession, including the immediate impact of the global pandemic
3) Benchmark against other internal auditors across North America
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Harold Silverman, Managing Director, CAE Solutions The Institute of Internal Auditors
Harold Silverman, CIA, CRMA, QIAL Managing Director, CAE Solutions, The IIA Harold Silverman previously was vice president of internal audit at The Wendy's Company. Prior to Wendy's, he was the vice president of internal audit at Houghton Mifflin Harcourt Publishing Co. Before that, he served as senior manager of internal audit at Raytheon Co. Prior to Raytheon, Silverman was an internal audit manager at PricewaterhouseCoopers, and he gained external audit experience at Arthur Andersen.
May
6
Start 1:45 PM (CT)
End 2:45 PM (CT)
Leverage Agile Practices to Design Digital Capabilities
BCBS Only, Government Programs, Business & Operational Excellence
Speakers:
Nikita James, Managing Director, Digital Design Program, Blue Cross Blue Shield Association
Colleen Connelly, Managing Director, EPMO, BCBSA
Jose Porro, Managing Director, BCBSA - FEP
Description:
Using the Scaled Agile Framework (SAFe), FEP has continued to improve the security, accuracy and delivery of digital solutions in the midst of a transformation involving a host of partners in the Digital eXperience (DX) Ecosystem.
1.0 CPE
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Nikita James, Managing Director, Digital Design Program Blue Cross Blue Shield Association
Nikita James has been with the Blue Cross Blue Shield Association for over 12 years. In her current role, Nikita is accountable for a broad range of functions including developing innovative and cohesive strategies for delivering products and features to meet customer needs, analyzing market and product trends, driving business cases for new opportunities and oversight for leveraging the Scaled Agile Framework (SAFe) to support the FEP Digital Experience program.

Prior to working at the Blue Cross Blue Shield Association, Nikita worked for CareFirst Blue Cross Blue Shield (FEP Operations Center) in the Project Management Office. Nikita also worked for several years at a community development organization and for the federal government.
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Colleen Connelly, Managing Director, EPMO BCBSA
Colleen Connelly is a Scaled Agile Program Consultant (SPC5) and Managing Director in the EPMO at BCBSA. She has over 20 years program/project management experience and 7 years of experience in healthcare. Colleen is passionate about Agile Transformation and is leading the agile transformation at BCBSA.
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Jose Porro, Managing Director BCBSA - FEP
Jose Porro is the Managing Director of EIT at BCBSA responsible for the technical aspects of the FEP DX Program. Jose has been with the association for 7 years. Jose brings over 30 years experience in technology, both on the hardware and software side, working in various industries including the military, retail, hospitality, travel, and education.
May
6
Start 3:00 PM (CT)
End 4:00 PM (CT)
IT Silo Destroyers Workgroup - Breaking Down Barriers and Building Bridges
BCBS Only, Enterprise Information Technology, Privacy & Cybersecurity
Speaker:
Cory Hamma, Information Systems Architect, BlueShield of California
Description:
Silos in the IT organization discourage innovation, reduce productivity and impede information security efforts. The concept of the workgroup is to encourage, foster, and sponsor ideas to bring teams closer together. Presentation includes seed ideas applicable to most organizations and suggestions for preventing future silos from forming. Material is applicable throughout the management chain, as the Silo Destroyers Workgroup would invite members from the entire spectrum of IT.
1.0 CPE
Objectives:
1. Understand the meaning of silos, how they are formed in IT organizations, and how IT silos are different from other department silos.
2. Learn some common silo busting techniques with IT-specific examples.
3. Discover the ways in which management can encourage the workgroup to result in positive, successful results.
4. Learn workgroup management techniques to encourage creative thinking and suggestions while keeping the conversation on-topic.
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Cory Hamma, Information Systems Architect BlueShield of California
Cory Hamma, CISSP, GCFA, MCITP is an Information Security Architect at Blue Shield of California. He has previously managed IT and IT Security teams for the Public Health Institute through their California Cancer Registry, Survey Research, and Cancer Registry of Greater California projects. At Blue Shield of California, he introduced the IT Silo Destroyers Workgroup as part of an IT Think Tank competition in late 2020, which was voted the winning concept by the CIO team. Since inception, the workgroup has gathered support from all groups across IT and has produced over 20 ideas to destroy IT silos and improve team communication. The original inception documents for the workgroup will be presented along with the top five ideas presented to management in January 2021. The workgroup continues its efforts today to implement the changes, review and select training courses for the IT organization, and present new ideas for group vote. Workgroup members have commented that this effort has given them "a voice they never had" throughout their employment, and weekly meetings continue to gather new members to the workgroup with fresh ideas.
May
6
Start 3:00 PM (CT)
End 4:00 PM (CT)
Making Decisions in the Face of Uncertainty
Finance, Enterprise Risk Management
Speaker:
Justin Schell, Senior Risk Management Consultant, Highmark Health
Description:
Fear of uncertainty is the biggest barrier to bold decisive action. It hinders our ability to generate consensus, it is warped by gut judgements and cognitive bias, and... it slows us down. To make matters worse, many commonly used risk tools are not really useful at the point that a decision needs to be made. Fear not! There are techniques and tools that you can begin using today to objectively measure risk, and... make decisions in the face of the uncertainty that matters.
1.0 CPE
Objectives:
1. Understand how common risk tools that are designed for risk governance actually fail to support risk conscious decision-making
2. Learn about how single point estimates based on average assumptions can lead to inaccurate financial and operational estimates
3. Learn about how assumption analysis can provide real and relevant information to support decision-making
4. Experience examples of uncertainty models that can ensure the right risk questions are asked and estimate the chance of success
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Justin Schell, Senior Risk Management Consultant Highmark Health
My career began in traditional risk management where I viewed the world through the lens of an auditor. Over time I began to question if the "auditor view" of risk management actually made a difference in decision-making. Through exposure to quantitative experts in fields like actuarial science & decision science, I have come to realize that I was trying to use risk governance tools as decisions tools. Not only does this not help in decision-making, it can lead organizations to make poor decisions. I have now devoted my career to relearning how decisions are made and to applying scientific methods to support leaders to make quality decisions in the face of uncertainty.

My passion for health care began with my personal experiences through my mother who was an operating room nurse for over 40 years, and a childhood battle with non-Hodgkin's lymphoma. Through these experiences, I saw both the triumph and tragedy of illness. As a CPA, I continued my passion for health care through a specialization in auditing of hospitals while working for Ernst & Young, LLP. My career has continued a strong course in health care both in my volunteer work for several non-profits and my time at Highmark Health in numerous roles from auditor, to risk manager, to decision and capital analyst.

I have been with Highmark Health for over 15-years working in both traditional and quantitative risk management roles. My work at Highmark Health began with Highmark's implementation of Model Audit Rule for financial controls and moved into developing Highmark Health's ERM program (including issuing its ORSA report from 2014 to 2020. Currently, I am part of the Decision & Capital Analysis Team (DCAT) where I manage the Economic Capital Model and provide quantitative insight into uncertainty. My role is to help leaders connect decisions to meaningful outcomes by removing the "fog of decision-making" that is created by uncertainty.
May
6
Start 3:00 PM (CT)
End 4:00 PM (CT)
Specialty Pharma Biosimilars Strategy and Cost Saving Opportunity
Development & Innovation, Office of Clinical Affairs
Speakers:
Denise Bell, Managing Director, Healthcare Cost and Quality - BCBSA, Blue Cross Blue Shield Association
Kathryn Cluderay
Description:
This session will explore the trends, issues and opportunities related to the introduction of biosimilars including; 1) Overview of currently available biosimilars, pipeline and related market trends 2) Discuss the topic of interchangeability and comparative clinical efficacy reference vs biosimilar 3) highlight/quantify savings opportunities with adoption/utilization of biosimilars 4) Plan examples of successful execution "biosimilar first" strategy 5) Regulatory/legislative issues and BCBSA policy position/plan.
1.0 CPE
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Denise Bell, Managing Director, Healthcare Cost and Quality - BCBSA Blue Cross Blue Shield Association
Since joining BCBSA in late 2018, I have led the expansion of the Specialty Pharmacy Medical Benefit Solutions offering. In late 2020, I also assumed responsibility for the CareSourcing portfolio. Prior to joining BCBSA, I served in a series of senior finance and operations leadership positions for thirty five years. My healthcare experience spans multiple healthcare provider settings including large integrated healthcare delivery systems, physician office practice, clinical laboratory, home and community based healthcare. I have fifteen years of managed care experience with Anthem and Magellan Health Services.
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Kathryn Cluderay
May
6
Start 3:00 PM (CT)
End 4:00 PM (CT)
Compliance Training Doesn't Have to Be Boring! Breaking the Compliance Training Mold to Drive Workforce Engagement and Behavior Change
Compliance & Ethics, Privacy & Cybersecurity
Speakers:
Wendy Lyons-Malone, Manager, Corporate Compliance, Horizon Blue Cross Blue Shield of New Jersey
Jennifer Oliveira, Senior Compliance Education Associate, Horizon Blue Cross Blue Shield of New Jersey
Description:
This session will provide a case study of the process Horizon Blue Cross Blue Shield of New Jersey (Horizon BCBSNJ) undertook to transform its Compliance Training program to drive learner engagement and behavior change in its workforce. Horizon BCBSNJ both streamlined and enhanced the quality of its course offerings through in depth data analysis and innovative content delivery methods. In this session, Horizon BCBSNJ will share the steps of the transformation, including performing needs analyses, partnering with other functional business areas, and developing and delivering robust web-based courses that focus on relatable, real life scenarios.
1.0 CPE
Objectives:
At the end of this session, participants will be able to:

• Perform a robust needs analysis by identifying key data inputs and collaborating with cross-functional teams.

• Improve learner engagement in order to drive desired behavior change in the workforce through required compliance training.

• Bake evaluation methods into your training to measure the effectiveness of your efforts.
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Wendy Lyons-Malone, Manager, Corporate Compliance Horizon Blue Cross Blue Shield of New Jersey
Wendy Lyons-Malone is currently Manager, Corporate Compliance at Horizon Blue Cross Blue Shield of New Jersey (Horizon BCBSNJ), overseeing the Corporate Compliance and Ethics Program, including corporate policy management, the Code of Business Conduct and Ethics, compliance investigations, conflicts of interest, mandatory and targeted compliance training, and the Compliance team's GRC tool. In her 16 years with Horizon BCBSNJ, Wendy has worked across the Company's business divisions while performing various Human Resources roles, and has spearheaded a number of Enterprise-wide training initiatives. Wendy received her Bachelor of Arts in English from Rutgers University and her Master of Science Degree in Organization Development from American University.
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Jennifer Oliveira, Senior Compliance Education Associate Horizon Blue Cross Blue Shield of New Jersey
Jennifer Oliveira is a Senior Compliance Education Associate at Horizon Blue Cross Blue Shield of New Jersey (Horizon BCBSNJ). Passionate about instructional design and innovative learning technology, Jennifer has led the creation of flagship development programs, drove the transformation of the global call center curricula, and pioneered innovative design strategies within the Compliance core enterprise curriculum. Jennifer specializes in instructional design consulting, custom eLearning development and gamified learning design. During her 13 years with Horizon BCBSNJ, Jennifer has served in various capacities within Human Resources Learning & Development, Operations Training and Compliance Training. Jennifer received her BA Communications from Rutgers University.
May
6
Start 3:00 PM (CT)
End 4:00 PM (CT)
Going Beyond Breach Tabletop Exercises
Privacy & Cybersecurity, Compliance & Ethics
Speakers:
Derek Stoffers, Manager, Privacy Office, Blue Cross Blue Shield of Michigan
Erin Safir, Manager, Business Consulting, EY
Description:
Practicing enterprise breach management through a tabletop exercise is important, but you can do more. Successful response to a large-scale breach involves the coordination of many areas across the enterprise. A tabletop exercise alone might not provide adequate time to delve into important details of key stakeholders' response duties. To address that, Blue Cross Blue Shield of Michigan (BCBSM) partnered with EY to conduct several smaller, focused workshops with key stakeholders to do a deeper dive into their breach response readiness. These workshops helped to improve the connection and alignment of key players in the breach response process as well as improve overall readiness
1.0 CPE
Objectives:
1.Identify new ways to improve your enterprise breach management process 2.Demonstrate how small, focused breach management workshops can improve breach response readiness and better connect key stakeholders3.Use these new methods to improve the efficiency and effectiveness of your breach management process
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Derek Stoffers, Manager, Privacy Office Blue Cross Blue Shield of Michigan
Derek Stoffers is a manger in the Privacy Office of Blue Cross Blue Shield of Michigan and Blue Care Network.

Stoffers' responsibilities include maintaining key corporate policies on privacy, supporting the enterprise HIPAA breach response process, responding to privacy inquiries, supporting privacy program development of subsidiaries and providing reports to be presented to the Blue Cross and Blue Care Network compliance and audit committees.

Prior to joining Blue Cross, Stoffers served in senior leadership roles with one of the largest privately held firms dedicated to health plan subrogation and third party liability recovery. Stoffers is also a licensed attorney and worked in private practice with a focus on federal and state civil litigation. He has a background in public and private accounting and is fluent in Japanese.

Stoffers earned a bachelor's degree from Brigham Young University Hawaii and his J.D. from Wayne State University Law School in Detroit. He is a licensed attorney and certified in healthcare compliance and healthcare privacy compliance.
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Erin Safir, Manager, Business Consulting EY
Erin Safir is an attorney and Manager in the Business Consulting practice of Ernst & Young, LLP. She holds a Master of Health Administration (MHA) alongside her law degree and is based in the Detroit, Michigan area with over 11 years of experience in various legal and healthcare settings. She advises businesses on large-scale program management execution, third-party risk management, Medicare Advantage operations and compliance, HIPAA compliance, GRC and other technology implementations, grievances and appeals assessments and remediation, compliance program effectiveness, and in incident response planning and tabletop development and execution. Her legal and healthcare-related experience spans the state government, federal government, medical / provider system, health insurance, and private law firm settings.
May
6
Start 4:00 PM (CT)
End 4:30 PM (CT)
Evening Entertainment: Magic Show Sponsored by Apellis Pharmaceuticals
Open to All Audiences
May
7
Start 8:00 AM (CT)
End 8:30 AM (CT)
BeFit Morning Wellness Activity - Day 4
Open to All Audiences
Description:
It's more important than ever to stay active while at home. Exercise has been known to boost the immune system, reduce stress and improve sleep. Start the conference day with our wellness activity!
May
7
Start 10:15 AM (CT)
End 10:45 AM (CT)
Morning Coffee Chat
Open to All Audiences
Description:
Start your day by networking with a virtual Morning Coffee Chat. As the chat host appears on screen, you will participate in the chat. These 30 minute coffee chats may be topic specific and will provide BCBS Plan attendees the opportunity to interact with peers that we all miss from an in-person event.
May
7
Start 11:00 AM (CT)
End 12:00 PM (CT)
Partnerships Improving Healthcare
Open to All Audiences
Description:
Discover how a panel of healthcare experts from various facets of the industry are working together to move healthcare forward. Speakers to be announced shortly! 
1.0 CPE
May
7
Start 12:30 PM (CT)
End 1:30 PM (CT)
Adapt, Innovate & Evolve: Building a Culture of Ethics Virtually
Compliance & Ethics, Strategic Marketing & Communications
Speakers:
Sven Peterson, VP, Compliance and Ethics Officer, Premera Blue Cross
Rose Riojas, Ethics Program Manager, premera
Description:
In a rapidly changing and innovative industry, building a culture of ethics that enables your company to respond appropriately to novel situations is more important than ever. This challenge is magnified when most employees are telecommuting. We will discuss how Premera has transformed its ethics program by utilizing the insights of behavioral ethics regarding how individuals make ethical choices in the real world. We offer practical tools and tips to raise awareness of ethical pitfalls, inspire employees to act ethically and promote a values-based culture in a virtual world. Come join us if you are seeking to build a community that takes the initiative to do the right thing as its own reward.
1.0 CPE
Objectives:
By attending this session, attendees will be able to:
1. Gain insights based upon behavioral ethics in order to understand how individuals act, as opposed to how they may perceive themselves or how we may wish them to act.
2. Use these insights into actual decision-making, and the predictable decision errors that result, to develop strategies that help individuals and organizations to make improved ethical choices.
3. Build a strong ethical culture in a virtual environment that is fun and engaging for employees.
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Sven Peterson, VP, Compliance and Ethics Officer Premera Blue Cross
Sven Peterson is Vice President of Compliance, Ethics and Regulatory Services. In this role, Sven leads the strategic planning, directs activities and ensures overall effectiveness of the Compliance & Ethics Program, the Medicare Advantage Compliance Program, and Regulatory Services. Sven is responsible for the formulation and execution of Premera's relationship and reputation management strategy with regulators, and for providing advice regarding regulatory issues affecting the company's strategic direction. Sven manages the company's response to inquiries, surveys and examinations by state and federal agencies that regulate carriers and insurers, and oversees the implementation activities resulting from such reviews. Sven's responsibilities also include managing the drafting and filing of group and member contracts for health plan, dental and vision products with applicable state and federal agencies, and managing customer, member and provider complaints and appeals (except Clinical appeals) relating to these products.

Prior to joining Premera in 2012, Sven was an attorney with the Office of the General Counsel, U.S. Department of Health & Human Services in the Washington, D.C. metro area. Prior to his government service, Sven was in private practice at Foster Pepper in Seattle, focusing on health care law. Sven received his J.D. from the Columbia University School of Law, where he was a Harlan Fiske Stone scholar. Before attending law school, Sven earned a Ph.D. in philosophy, focused on ethics, from Georgetown University. He graduated magna cum laude from Seattle University, where he was a member of the Alpha Sigma Nu honor society. Sven and his wife live in northeast Seattle with their two children.


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Rose Riojas, Ethics Program Manager premera
Rose Riojas has over 15+ years in Insurance Sales experience for Health Plans, Pharmacy Benefit Managers and employer groups. She has extensive knowledge in long-term relationship building, project management as well as training.

Currently, Rose is the Compliance & Ethics Program Manager at Premera Blue Cross working to evolve, rebrand and refocusing the program from Compliance to Ethics. Rose is pursuing a degree in Society, Ethics & Human Behavior at the University of Washington and completed the PMP Certification at the University of Washington. In addition to managing the Ethics Program, she developed a 3 year strategic project plan for ethics, created ethics training, and updates the policy and procedures for the program.
May
7
Start 12:30 PM (CT)
End 1:00 PM (CT)
Sapphire Session 003
Open to All Audiences
Description:
Mark your calendars and join your peers for a 30 minute session to hear case studies and best practices. This thought leadership session will focus on relevant health care topics and deliver results for you to take back to your organization. 
May
7
Start 12:30 PM (CT)
End 1:30 PM (CT)
Healthcare Inequities: Behavioral Health Panel
Office of Clinical Affairs
Speakers:
William Beecroft, Medical Director Behavioral Health Blue Care Network of Mich, Blue Care Network of Michigan
Greg Strauss, Director - Innovation, Blue Cross Blue Shield Association
Description:
Blue Cross Blue Shield of Michigan, Blue Cross and Blue Shield of Louisiana and Blue Cross and Blue Shield of Minnesota will participate in a BCBSA moderated panel to discuss the innovative approaches they have implemented to address Behavioral Health inequity.
1.0 CPE, TBD CME
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William Beecroft, Medical Director Behavioral Health Blue Care Network of Mich Blue Care Network of Michigan
Dr Beecroft, is currently responsible for behavioral health management for Blue Care Network of Michigan. He is responsible for the medical administration of the division along with development and implementation of policy concerning new technologies and medical necessity criteria. During his tenure over the past four years he has worked to provide services that are not traditionally available to members of an insurance product. He was able to advocate for and achieve "on formulary" status for all the available long acting injectable antipsychotic medications, develop a mechanism for provision of the injections in the home, provide home visits for members that have dropped out of treatment, recently had a opioid overdose or treatment course, and provide intensive case management to members with chronic and persistent mental illness. He also has developed a autism crisis program to intervene early in the course of a crisis Dr Beecroft has been able to address payment issues and referral strategies to three RAISE/navigate programs in Michigan(the first insurer to do so in Michigan) And to get reimbursement strategies instituted for the BCBSM population which provide first break psychotic individuals evidence based care to prevent the secondary effects of psychosis.

Dr. Beecroft received his M.D. from Michigan State University College of Medicine. His residency initially in Internal medicine and then completing In Psychiatry was at MSU also. He is board certified in general psychiatry with added qualifications in geriatrics and psychosomatic medicine (recently completing the MOC in 2016) by the American Board of Psychiatry and Neurology. Dr Beecroft was recently named a Distinguished Life Fellow of the American Psychiatric Association.
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Greg Strauss, Director - Innovation Blue Cross Blue Shield Association
For the past 20 years Greg has focused on designing, developing, and deploying scalable, innovative population health and engagement solutions across the health care ecosystem. He has held executive strategy and sales roles with Glaxo SmithKline, MDLIVE, Expert-24. His industry experience encompasses health plans, national accounts, providers, retailers, healthcare financing, and international entities driving programs that increase care access, care quality and elevate consumer and provider satisfaction while driving cost control. Greg is a member of the American College of Healthcare Executives and the American Telehealth Association.
May
7
Start 12:30 PM (CT)
End 1:30 PM (CT)
Innovations in Blue Distinction Centers for Maternity Care to Address Health Disparities
BCBS Only, Network Solutions
Speaker:
Sarah Duggan Goldstein, Senior Clinical Consultant, BCBSA
Description:
In 2020, the Blue Distinction Centers for Maternity Care program was redesigned to address critical clinical quality and equity issues in maternity care through the addition and enhancement of several quality measures since the 2017 designation cycle. Blue Plans are encouraged to attend this session to learn more about the evolution of the Blue Distinction Centers for Maternity Care Program.
1.0 CPE
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Sarah Duggan Goldstein, Senior Clinical Consultant BCBSA
Sarah is a Senior Clinical Consultant in Market Solutions, focusing on Blue Distinction Specialty Care programs. Since returning to the Association in 2019, Sarah has led the development of the Blue Distinction Centers for Maternity care, and supported the development and expansion other programs. She is a has supported several key strategic initiatives, most recently the development of the Association's Health Equity and the COVID Vaccine strategy. She has over 15 years of experience in public health, policy, clinical research.

Sarah has a Masters in Public Health from the University of Illinois at Chicago (UIC) , and is currently completing her Doctorate of Public Health at UIC as well. Her Bachelors is in Zoology from Connecticut College.
May
7
Start 12:30 PM (CT)
End 1:30 PM (CT)
ERM for a Plan Your Size
Enterprise Risk Management, Finance
Speakers:
Rahul Sandhu, Director Enterprise Risk Management, BCBS - Michigan
Caroline Howe
Description:
This session will discuss elements of an effective ERM program, particularly in a Post-COVID world. Topics will include governance, key partnerships across the organization, reporting, stress testing for ORSA filings as well as real-time decision-making, and model validation.
1.0 CPE
Objectives:
1. Understand core elements of an ERM program serving an enterprise with over 5 million health members
2. Identify ways in which COVID-19 has impacted ERM programs, along with the risk profiles of health insurers
3. Learn about effective stress modeling and ways mitigate model risk
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Rahul Sandhu, Director Enterprise Risk Management BCBS - Michigan
Rahul is director of Enterprise Risk Management for Blue Cross Blue Shield of Michigan. He has held the ERM director position since 2018. Prior to that Rahul worked in the Emerging Markets business unit, he has also served as Director of Cost Accounting.
Rahul joined the Blues in June 2014 as a Finance Business Partner. Before that he worked for Accenture, Genpact and eBay.
He received a bachelor's degree in business administration from Bradley University in Peoria, IL and a MBA from Santa Clara University, in CA. Additionally, he received a certificate in Project and Program Management from the University of California – Santa Cruz.
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Caroline Howe
May
7
Start 1:45 PM (CT)
End 2:45 PM (CT)
25 Years After HIPAA: "Ch-Ch-Ch-Ch-Changes"*
Lawyers & Legal Assistants
Speaker:
Kathy Roe, Managing Attorney & Co-Founder, Health Law Consultancy
Description:
Change is afoot 25 years after HIPAA became law in 1996—there is rethinking the expectations for health information information access, exchange and use by payers and providers.

In 2020, the Centers for Medicare & Medicaid Services (CMS) issued a rule to promote electronic health information interoperability and facilitate individuals’ access to their health information through application programming interfaces (APIs). Simultaneously, the Office of the National Coordinator (ONC) issued a companion rule, promoting electronic health information interoperability through APIs and prohibiting health information blocking. CMS and ONC have already proposed amendments building on these rules.

Separately yet relatedly, the HHS Office for Civil Rights (OCR) has in the past year issued guidance and proposed amendments to the HIPAA Privacy Rule to support public health activities, foster care coordination and promote individual engagement. These guidance and proposed amendments, like the CMS and ONC rules, reflect federal efforts to “free” HIPAA-protected health information to respond to public health emergencies, advance value-based care, and pursue other policy objectives for the U.S. health care financing and delivery system.

This program will identify and describe these changing health information access, exchange, and use expectations for Blue Plans and their affiliated and participating providers.
The program will situate these changing expectations within our nation’s health information journey since HIPAA’s 1996 enactment. The program will then explore why these changing expectations matter and what they signal for health information access, exchange and use for Blue Plans and their affiliated and participating providers in the coming years.

 
1 CLE; 1.0 CPE
Objectives:
• What are actual and potential changed expectations in 2021 and beyond for payer and provider health information access, exchange and use? • What do these changed health information expectations portend for payer and provider relationships and arrangements already in place and yet to come? • What is the historical significance of these changed health information expectations and why do they matter for the U.S. health care financing and delivery system? • How may payers and providers capitalize on these changing health information expectations for their own, their accounts', their members' and their patients' benefit?
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Kathy Roe, Managing Attorney & Co-Founder Health Law Consultancy
Kathy Roe is co-founder of the Chicago boutique law firm, Health Law Consultancy. She advises health industry participants on the law of health insurance markets and products, government health programs, health information privacy and security, and health data management. Roe applies deep industry experience to structure, negotiate and document health industry arrangements for pharmacy and other health benefits management, care coordination, value-driven care initiatives, and health information sharing strategies.

Roe began her legal career as a compliance attorney with a publicly-traded life and health insurance company during the Clinton Administration's attempt at national health reform. Moving to private practice, she delivered legal support for the introduction of Medicare+Choice, the implementation of HIPAA, the launch of Medicare Advantage and Medicare Part D, the modification of HIPAA by HITECH, and the application of the Affordable Care Act.

Roe's excellence in health law is recognized by Chambers USA: America's Leading Lawyers for Business and Best Lawyers in America. Roe is an accomplished writer and speaker on the application of law to the business of the health industry.

Her professional leadership and acumen are acknowledged by election to the Board of Directors, appointment as Vice-President and designation as Co-Chair of the Diversity and Inclusion Committee of the Illinois Association of Healthcare Attorneys. She is the managing attorney of a proud women-owned business enterprise, certified by the State of Illinois, the County of Cook, and the City of Chicago.

A member of the Illinois State Bar, Roe earned a Juris Doctor from Northwestern University Pritzker School of Law and a Bachelor of Arts, summa cum laude, from the University of Notre Dame.
May
7
Start 1:45 PM (CT)
End 2:45 PM (CT)
Telling the Blue Cross Blue Shield Health Equity Story
Strategic Marketing & Communications
Description:

BCBSA’s Health Equity initiative comes to life through powerful storytelling across the country. Through a conversation with BCBSA and Plan storytellers, attendees will learn how to tell their Health Equity story, how to extend the reach of those stories, how to present their stories to myriad audiences and which channels are the most effective in reaching those audiences.


1.0 CPE
May
7
Start 1:45 PM (CT)
End 2:45 PM (CT)
Medicare Age-In Data Sharing Program Best Practices
BCBS Only, Business & Operational Excellence
Speakers:
Caroline Edwards, Assistant Vice President of Medicare Supplements, BlueCross BlueShield of South Carolina
Mark Laible
Description:
Plan best practices for incorporating Inter-Plan members into local education and outreach to keep members Blue as they age into Medicare
1.0 CPE
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Caroline Edwards, Assistant Vice President of Medicare Supplements BlueCross BlueShield of South Carolina
Caroline Edwards has a Master of Social Work from the University of North Carolina. She is currently the Assistant Vice President of Medicare Supplements at BlueCross BlueShield of South Carolina. She has worked with the Blues for over ten years. Caroline started her career working with disabled and senior populations on the provider side as a social worker in both hospital and county-based care delivery systems. It was during these years serving at-risk populations that Caroline first recognized the importance of quality insurance in determining access to quality care and optimal health outcomes.
Caroline is proud to work with a team of dynamic, intelligent, compassionate professionals at BlueCross BlueShield of South Carolina to drive the fastest growing membership of any Medicare Supplement carrier in the state.
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Mark Laible
May
7
Start 1:45 PM (CT)
End 2:45 PM (CT)
Accounting, Reporting and Solvency Issues Update
Finance
Speakers:
Anne Honisch, Regulatory Reporting Director, Anthem, Inc.
Lynn Friedrichs, Partner, Deloitte & Touche LLP
Description:
Session will focus on financial topics relevant to Plans including accounting, reporting and solvency topics.
1.0 CPE
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Anne Honisch, Regulatory Reporting Director Anthem, Inc.
Anne Honisch
Anthem, Inc.
anne.honisch@anthem.com

Anne is a Regulatory Reporting Director at Anthem, Inc. Anne has over 15 year of experience with external financial reporting and a broad understanding of the complexity of insurance financial reporting. In her role, besides managing external financial reporting for various insurance entities, she also leads oversight of reinsurance arrangements, Blue Cross Blue Shield Association financial reporting and monitoring of NAIC developments and changes.

Prior to Anthem, Anne worked in audit and assurance at Deloitte, mainly focusing on audits of hospitals and other related entities.

Anne has a Bachelor of Business Administration degree in accounting from the University of Wisconsin, Milwaukee.
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Lynn Friedrichs, Partner Deloitte & Touche LLP
Lynn Friedrichs
Partner | Deloitte & Touche LLP
More than 20 years of experience serving health care and insurance companies
Serves as the Deloitte Health Plan Industry Professional Practice Director and audit partner on multiple large health insurance companies, including Blue Cross Blue Shield entities
Significant experience with technical consultations, including SEC matters, GAAP and insurance statutory accounting; internal controls, regulatory and compliance; and has provided acquisition due diligence services on numerous transactions
May
7
Start 1:45 PM (CT)
End 2:45 PM (CT)
Developing an Advanced Integration Hub to Enable Interoperability
BCBS Only, Enterprise Information Technology, Development & Innovation
Speakers:
Paul Horalek, Sr. Director, Enterprise Technology Strategy & Planning, Blue Cross Blue Shield of Michigan
Larry Hoffman, Director, Enterprise Architecture & Engineering, Blue Cross Blue Shield of Michigan
Noor Hussain, Director, BlueCross BlueShield Association
Description:
Putting the member at the center and providing better services requires integration and data sharing with multiple stakeholders. For most organizations, this means not only supporting existing data exchanges, but also implementing real time connectivity options. In this session, learn how BCBSM is delivering needed connectivity options via the Advanced Integration Hub.
1.0 CPE
Objectives:
1) Review industry trends related to integration / interoperability
2) Hear how BCBSM using integration to support strategies and meet regulatory requirements
3) Learn how BCSBM is meeting business needs via the Advanced Integration Hub
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Paul Horalek, Sr. Director, Enterprise Technology Strategy & Planning Blue Cross Blue Shield of Michigan
Paul Horalek is the senior director, Enterprise Technology Strategy and Services for Blue Cross Blue Shield of Michigan (BCBSM). As a member of the IT Executive team, Horalek's responsibility areas include technology strategy, innovation, governance, partner management, and center of excellence models.

Horalek has over 24 years of experience in information technology and over 20 years of experience in healthcare. Prior to BCBSM, Horalek served as the chief information officer at a regional insurance agency and benefits administration organization.

Throughout his career, Horalek has used his deep knowledge of healthcare and technology to successfully set strategies, drive alignment, and deliver leading edge solutions that improved both top and bottom line results.

Horalek holds an MBA from the University of Phoenix and a Bachelor of Science in Management Information Systems from Oakland University.
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Larry Hoffman, Director, Enterprise Architecture & Engineering Blue Cross Blue Shield of Michigan
Larry Hoffman is the Director of Enterprise Architecture and Engineering for Blue Cross Blue Shield of Michigan (BCBSM). He has been at Blue Cross for 29 years. He is responsible for creating a sustainable Enterprise Architecture practice along with facilitation and execution of IT strategic activities. He leads the innovation, introduction and adoption of new technologies into the BCBSM ecosystem. He previously has been a leader of large-scale technical implementations and has held various architecture and technical leadership roles since his arrival in 1991. Larry earned his Master of Science in Management from Walsh College. He also earned a Bachelors in Telecommunications from Michigan State University. He is married and has two teenage children.
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Noor Hussain, Director BlueCross BlueShield Association
A widely recognized business technology leader experienced in transformation, collaboration, and innovation within a broad spectrum of industries and business models with global level success. A proven, results-oriented and highly motivated leader who balances vision, strategy, talent, and execution to deliver customer and business value. An effective collaborator, influencer, and communicator resulting in strong partnerships throughout the organization. Dynamic leadership and management career with a rare combination of business, finance, operations, administration, and technology acumen offering a gratifying career span of over 20 years. Currently managing BluesNet and Managed Services Excellence.
May
7
Start 3:00 PM (CT)
End 4:00 PM (CT)
Accelerating Interoperability: Focusing on Da Vinci to Utilize Critical Data between Payers and Providers
BCBS Only, Enterprise Information Technology, Network Solutions
Speakers:
James Adamson, Business Transformation Manager, Arkansas Blue Cross and Blue Shield
Rajesh Godavarthi, Director of Technology and Operations, MCG Health
Description:
Session will address objectives and tactics payers can use to manage Da Vinci projects with partners. Presenters will review and describe strategies to understand basic goals of the Da Vinci project, the importance of interoperability with provider partners, and how to effectively leverage critical data to improve patient care and lower costs. Presentation and discussion methods will be used.
1.0 CPE
Objectives:
1. This session will help participants gain specific understanding of how payer success with the Da Vinci project enables provider success in value based care programs.
2. This session will help participants describe what HL7 FHIR data is and how this platform is used to build interoperability between payers and providers.
3. This session will help participants initiate discussions within their health plans by describing specific use cases and implementation of HL7 FHIR solutions.
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James Adamson, Business Transformation Manager Arkansas Blue Cross and Blue Shield
Jim Adamson is responsible for business transformation efforts at Arkansas Blue Cross and Blue Shield. He facilitates strategically focused opportunities for the company guided by his North Star, healthcare's Quadruple Aim… better member health and experience, lower administrative burden and total cost of care. Less than 3 years new to the company and healthcare more generally, Jim quickly landed on interoperability as an essential foundation for scaling company objectives in support of the Quadruple Aim.

Jim led the effort to develop an interoperability strategy, maturity model and road map for the Arkansas BCBS. He has engaged business and technical resources from across the firm in early road map activities, including the launch of a health data management and exchange hub and the development of a longitudinal "human" record. Key to the road map's success is provider engagement, and Jim is driving the development of pilot exchange opportunities in support of the firm's value-based care efforts. Taken together, this work forms the basis for dozens of crucial, high value use cases for the company.

Before joining Arkansas BCBS, Jim held leadership positions in complex discrete and process manufacturing entities. He played a key role in developing business transformation capabilities for a global business jet manufacturer and with finance and program management roles leading major software implementations and LEAN process improvement efforts.

Jim has an MBA from Goizueta Business School at Emory University in Atlanta, Georgia. He received his undergraduate degree in business administration from the University of Arkansas – Little Rock.
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Rajesh Godavarthi, Director of Technology and Operations MCG Health
Raj Godavarthi is the Director of Technology and Operations at MCG and has been with the company since 2002. Prior to MCG, he was the Development Lead at Milliman and a lead developer at Intel. He received his master's degree in computer science from Osmania University. MCG is an Associate Member of the HL7® Da Vinci Project and Raj leads MCG's efforts on the project.
May
7
Start 3:00 PM (CT)
End 4:00 PM (CT)
Create Value From Marketing: Understand How Optimization and Insights Can Lead to Improved Personalization of Member Engagement Campaigns
BCBS Only, Government Programs, Strategic Marketing & Communications
Speakers:
Marieli Padilla, Managing Director, Member Engagement, BCBSA-FEP
Jason Budelmann, VP, Strategy & Analytics, MERGE Boston
Eric Buchka, VP, Account Director, MERGE
Description:
As people's time becomes increasingly limited and digitally focused, it's imperative to capture their attention at a moment's notice. Consumers are too savvy to be swayed by generic messaging. To capitalize at the right moment; messaging, content and creative need to be tailored specifically for the individual served on any platform. FEP strengthens its competitive advantage by making stronger connections and leveraging the combined power of existing data sets to continue to market and target efficiently, bringing us closer to ROI of Media Mix. FEP is introducing a new approach to optimization by gathering consumer data to deliver personalized messaging, for dynamic engagements. Data and business requirements can help Plans define how to approach consumers.
1.0 CPE
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Marieli Padilla, Managing Director, Member Engagement BCBSA-FEP
Marieli E. Colón Padilla serves as the Managing Director of Member Engagement at the Federal Employee Program Director's Office (FEPDO). She oversees the integrated marketing communications framework for all product portfolios. Areas of focus include Advertising and Media Relations, Social Media, Member Education, Digital Content, and FEP conferences and meetings workstreams.

Prior to joining BCBSA in 2014, Marieli was part of the Healthcare, Public Affairs, Multicultural, and Corporate Communications practice groups at Fleishman Hillard International Communications, specializing in public relations, public affairs, marketing, paid media, and social. With 25+ years of combined nonprofit, hospital, health care, pharmaceutical, biotech industry, and integrated communications experience, Marieli's priority is to bring about a robust FEP-wide Integrated Communications model to help ensure strong brand and product positioning, keen member education initiatives, and greater alignment across internal business areas, Plans and vendor partners to maximize results.

Marieli holds a Bachelor of Business Administration and Marketing from the Turabo University of Puerto Rico; and a Masters of Business Administration from Liberty University, Lynchburg, Virginia. She also has Graduate Professional Studies and Certifications in Management from Johns Hopkins Carey Business School; Leadership & Public Service Certificate from the Harvard Kennedy School of Government; Public & Nonprofit Management Certificate from Georgetown University; and Civic & Corporate Governance Certificate from the Harvard Business School.

Marieli lives in the Washington, DC Metropolitan Area with her husband, and is a wonderful bonus mom to two amazing kiddos. In her free time, Marieli likes to serve with her husband at Good Samaritan Advocates (free legal clinic), her family's foundation PRFSA, and an active member of her church by assisting with children, women, missions and worship ministries.
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Jason Budelmann, VP, Strategy & Analytics MERGE Boston
Jason Budelmann, VP Strategy & Analytics, has worked in analytics for 17+ years with healthcare as the primary focus for 10+ of those years. He holds degrees in Marketing and Psychology from UMass Dartmouth as well as a certificate in Analytics from the Wharton School.

At MERGE, Jason leads the analytics team's holistic efforts from performance forecasting through data visualization and attribution modeling. He helps design data-driven strategies to capture information allowing for performance optimization across channels and platforms. In doing so he leverages experience from executing market research surveys and data enrichment efforts of website/CRM data. His experience includes Calvert/Eaton Vance, B. Braun, Cardinal Health, and BCBSA FEP. Prior to MERGE, Jason worked with and for Grand Circle Travel, athenahealth, Boston Children's Hospital, and Welch Allyn. He got his start in analytics working for EHR provider LumiraDx and then consulting at BGC Boston.

Jason lives in the Boston area with his wife and daughter. When he's not busy crunching numbers, Jason loves to golf—and wake up at the crack of dawn on weekends to watch English Soccer. He is also a volunteer for Vermont Oxford Network which is a non-profit committed to the improvement of neonatal care.
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Eric Buchka, VP, Account Director MERGE
Eric Buchka is a VP, Account Director at MERGE and been with the network since 2015. Eric supports various clients within the healthcare, life science, technology, and medical device space.

He has 15+ years of experience driving integrated marketing initiatives on the both the agency and client side, having worked with various Fortune 500 consumer and B2B brands. Prior to joining MERGE, Eric spent 7 years in New York, NY, at a strategic branding consultancy helping clients in regulated markets such as Aetna, AMEX, Genzyme, Northeast Utilities (Eversource) and Yale New Haven Health System solve their strategic and creative challenges. Eric is a graduate of the University of Massachusetts Amherst with a degree in Economics.

As a dual citizen of Sweden and U.S. Eric serves on the Board of Directors with the Swedish American Chamber of Commerce New England.
May
7
Start 3:00 PM (CT)
End 4:00 PM (CT)
BCBS Leadership in Promoting Childhood Vaccinations
Office of Clinical Affairs
Speakers:
Jason Kay, Director, Pharmacy Initiatives, Blue Cross Blue Shield Association
Heather Spurlock, Senior Consultant, BCBSA
Description:
As the COVID-19 Pandemic rages on, the number of missed or delayed routine and preventative care continues to rise throughout the United States. Arguably, the most critical of these are childhood vaccinations. According to the November 2020 Health of America (HoA) report, there was a 26% decrease in MMR, DTaP and Polio vaccines between April-Sept. 2020. Furthermore,  9M childhood vaccination doses were estimated to be missed by the end of the 2020. These alarming statistics point to a significant increased risk in outbreaks of preventable but serious infectious diseases such as measles and whooping cough, which would put further strain on communities and the healthcare system already struck hard by the Pandemic. To help put further spotlight on this vitally important public health issue, BCBSA’s HoA Team, in collaboration with the Office of Clinical Affairs (OCA) and Strategic Services, come together to provide the following:
  • An update from the Nov. 2020 HoA Childhood Vaccination Report
  • The clinical importance of receiving vaccinations, particularly among children
  • Leading examples of promoting childhood vaccinations from BCBS Plans and BCBSA’s Specialty Pharmacy Medical Benefit Solutions (SPMBS) Program. 

1.0 CPE; TBD CME
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Jason Kay, Director, Pharmacy Initiatives Blue Cross Blue Shield Association
Jason has been brought onboard to BCBSA in September 2016 as Director of Pharmacy Initiatives at the Office of Clinical Affairs. Jason's role is to help develop and implement timely and effective pharmacy solutions and programs for the Blue System. As a clinical pharmacist, Jason has prior experience with directly improving patient's medication management in the community pharmacy setting.

Jason received a Doctor of Pharmacy Degree (Pharm.D.) from Midwestern University Chicago College of Pharmacy in 2012 as well as a Master's Degree in Health Communication from Northwestern University in 2016.
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Heather Spurlock, Senior Consultant BCBSA
Heather Spurlock is a Senior Consultant in the Specialty Pharmacy Medical Benefit Solutions (SPMBS) team at Blue Cross Blue Shield Association (BCBSA). Heather leads the vaccination initiative for SPMBS. Heather is also responsible for managing various therapeutic classes, pipeline initiatives, Plan & manufacturer engagement, and sourcing activities to expand the SPMBS portfolio. Prior to joining BCBSA, Heather worked at Beacon Health Options and has several years of supply chain experience. Heather holds a MBA with a concentration in Management from Lindenwood University and an undergraduate degree from Lindenwood University.
May
7
Start 3:00 PM (CT)
End 4:00 PM (CT)
Advancing Equity for the Health of America
Strategy & Data Analytics
Description:

Recognizing the significance of racial health inequities and disparities across a range of health conditions and social drivers of health, BCBS is committed to making a change. BCBS Plans across the country have already taken steps to address health equity in their local communities, but so much more can be done. Join this session to learn how the BCBSA Health Analytics Program is using data to identify racial disparities in areas like maternal and behavioral health, including examining the intersection of race and social determinants of health. In addition, hear about the BCBS System approach to advancing health equity across the country by focusing on the needs and issues in each community, and tailoring interventions to make meaningful change.


1.0 CPE
May
7
Start 3:00 PM (CT)
End 4:00 PM (CT)
2020 – 2021 Political Healthcare Environment: Washington Update
Office of Policy & Representation
Speakers:
Justine Handelman, Senior Vice President, Blue Cross Blue Shield Association
Raissa Downs, Cofounder, Tarplin, Downs & Young
Tracy Spicer, Partner, Avenue Solutions
Description:
Dive into the current political landscape surrounding the new Administration and Congress and what it means for Plans.
1.0 CPE
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Justine Handelman, Senior Vice President Blue Cross Blue Shield Association
Justine Handelman is senior vice president of the Office of Policy and Representation for the Blue Cross Blue Shield Association (BCBSA), a national federation of 36 independent, community-based and locally operated Blue Cross and Blue Shield (BCBS) companies. The BCBS System is the nation's largest health insurer, covering one-in-three of all Americans.

In overseeing BCBSA lobbying and policy development activities, Handelman represents BCBSA's Washington office and BCBS companies with the Administration, Congress, government agencies and other national associations. This includes development of legislative and regulatory policy positions and legislative strategy on a wide range of issues, including healthcare reform, government programs, healthcare financing, tax legislation and health information technology.

Handelman has more than 25 years of experience in providing strategic analysis, policy development and federal representation on legislative, regulatory and federal policy issues pertaining to public and private healthcare. During her tenure, she has developed key policy positions that were incorporated in legislation enacted by Congress on key healthcare issues, including Medicare Modernization Act, the Affordable Care Act, legislation to prevent opioid abuse and legislation to address mental health parity.

Prior to joining BCBSA in 2001, Handelman was the director of the Health Care Practice Group in the Government Relations Division of SmithBucklin. In this capacity, she was responsible for the day-to-day government relations activities for several non-profit professional medical specialty societies and healthcare organizations. Prior to joining the Smith, Bucklin team, she served as a senior legislative associate of MARC Associates, Inc.

Handelman received her bachelor's degree in political science from the Catholic University of America.
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Raissa Downs, Cofounder Tarplin, Downs & Young
Raissa H. Downs cofounded Tarplin, Downs and Young, LLC 15 years ago, bringing nearly a decade of Congressional and Executive branch experience to the firm. Downs had served as Subcommittee Staff Director and Healthcare Policy Advisor to Senator Mike Enzi, Ranking Member of the Senate Health, Education, Labor and Pensions Committee. She then joined the legislative team at the Department of Health and Human Services in 2002 as Deputy Assistant Secretary for Legislation, finishing her tenure after a promotion to Principal Deputy. While her portfolio captured all of the programs under the HHS jurisdiction, she spent a significant amount of time on implementation of the new Medicare Modernization Program and other major regulatory matters before CMS and FDA. Prior to the creation of the firm, Downs was a Vice President at the lobby firm Barbour, Griffith, and Rogers.
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Tracy Spicer, Partner Avenue Solutions
Avenue Solutions' founding partner Tracy Spicer is a 20-year veteran of political campaigns at every level. Ms. Spicer began her involvement in politics in 1992 in former U.S. Senator Edward M. Kennedy's Senate office before transitioning to his campaign staff in 1994 to assist in his successful re-election campaign against Mitt Romney. Since that time, she has worked with and coordinated numerous campaigns, ranging from municipal and state candidates to the U.S. Congress as well as the White House.

Tracy served as a longtime aide to former Senator Kennedy, quickly rising to Political Director and Deputy Chief of Staff. During her decade of experience on Capitol Hill, she coordinated successful political and legislative strategies for Senator Kennedy. Tracy managed Senator Kennedy's legislative priorities in the areas of healthcare, education, labor and economic development and strategically worked with Democratic Senators and their political campaign committees to position legislative priorities for political success.

Tracy is widely recognized for her political acumen and expertise in designing legislative and regulatory strategies and her established network of long-standing professional contacts among elected officials, appointed policymakers and their staffs. She draws on her vast political and legislative experience to help clients in navigate the labyrinth of Capitol Hill and government bureaucracy and to position them strategically to head off obstacles, find common ground and achieve success.

As a founding partner of Avenue Solutions, Tracy advises a broad array of clients, including Fortune 100 companies, non-profit organizations, associations and coalitions. She is particularly noted for her expertise in healthcare policy. On behalf of her clients, Tracy has played a leading role in the consideration, negotiation and implementation of the Affordable Care Act (healthcare reform); Medicare and Medicaid legislation; passage and implementation of MACRA and healthcare delivery system reform; and the value and innovation of prescription drugs.

Tracy is a graduate of Hobart and William Smith Colleges in Geneva, NY where she earned her bachelor's degree in Political Science. She is married to George Spicer and has three children, Dylan, Tess and Callie.
May
7
Start 4:00 PM (CT)
End 5:00 PM (CT)
Entertainment TBD 001
Open to All Audiences
May
11
Start 8:00 AM (CT)
End 8:30 AM (CT)
BeFit Morning Wellness Activity - Day 5
Open to All Audiences
Description:
It's more important than ever to stay active while at home. Exercise has been known to boost the immune system, reduce stress and improve sleep. Start the conference day with our wellness activity!
May
11
Start 10:15 AM (CT)
End 10:45 AM (CT)
Morning Coffee Chat
Open to All Audiences
Description:
Start your day by networking with a virtual Morning Coffee Chat. As the chat host appears on screen, you will participate in the chat. These 30 minute coffee chats may be topic specific and will provide BCBS Plan attendees the opportunity to interact with peers that we all miss from an in-person event.
May
11
Start 11:00 AM (CT)
End 12:00 PM (CT)
Back to Business: Preparing for What's Next
Open to All Audiences
Speaker:
Bozoma Saint John, Chief Marketing Officer, Netflix
Description:
Bozoma Saint John became a trail blazing brand marketing executive and change agent by humanizing some of the most popular brands. She is keenly focused on being bold and fearless – being your true authentic self – while embracing empathy and compassion for others in the process. In our session, she will share how pop culture's ability to disrupt narratives is a real opportunity for all of us to challenge ourselves to think differently and reach our highest potential in business and in our personal lives.
1.0 CPE
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Bozoma Saint John, Chief Marketing Officer Netflix
Bozoma Saint John is Chief Marketing Officer at Netflix. Over the course of her career, Boz has earned a formidable reputation as a trailblazing marketing and advertising executive. She most recently served as CMO of Endeavor, a global leader in entertainment, sports and fashion. Operating in more than 30 countries, Endeavor is the parent of a number of subsidiaries with leadership positions in their respective industries, including WME, IMG and UFC. Collectively, Endeavor specializes in talent representation and management; brand marketing, sponsorship and licensing; media development, sales and distribution; and event operation, sports training and league development. In her role, Boz focused on driving marketing efforts across Endeavor's growing portfolio, as well as its 160over90 business, which works with premium brands including Anheuser Busch InBev, Marriott, Microsoft, T-Mobile, USAA and Visa.

Boz also served as Chief Brand Officer for Uber, where she was tasked with telling the stories of millions of riders and driver partners across 600+ cities. Prior to Uber, Boz served as Head of Global Consumer Marketing for Apple Music and iTunes, spearheading campaigns geared towards growing consumer brand recognition, loyalty and equity around the world. She stole the show at Apple's keynote World Wide Developers Conference in 2016, where she introduced the new interface for Apple Music. Following the presentation, Buzzfeed called her the "coolest person to ever go on stage at an Apple event."

Prior to Apple, Boz served as Head of the Music and Entertainment Marketing Group at Pepsi-Cola North America, where she drove breakthrough consumer engagement plans for brands across the soda giant's beverages portfolio by engaging tastemaker-consumers. Before Pepsi, Boz served as VP of Marketing for Ashley Stewart, a women's fashion brand, as well as managed accounts at advertising agencies Arnold Worldwide and Spike Lee's SpikeDDB.

Boz has been recognized for her breakthrough work by both the industry and her peers. She has been inducted into Billboard's Women in Music 2018 Hall of Fame and in 2014, she was inducted into the American Advertising Federation Hall of Achievement, where she currently sits on their Executive Committee. Most recently, Saint John launched a podcast alongside award-winning journalist Katie Couric, "Back to Biz with Katie and Boz," which explores the ways thought leaders, CEOs and innovators are responding to the societal shifts that have been ushered in by the coronavirus pandemic.

In spite of all of her professional success, Boz considers her greatest accomplishment to be mothering her 11 year old daughter, Lael. After the death of her husband, Peter, to cancer in 2013, Boz also took on the efforts of raising funding for cancer research and has been recognized by the TJ Martell Foundation for her devotion to the cause. Boz's other philanthropic efforts include representing Pencils of Promise as a Global Ambassador to Ghana and serving on the boards of Girls Who Code and Vital Voices.
May
11
Start 12:30 PM (CT)
End 1:30 PM (CT)
Mobile App Innovations that Score High with Members
BCBS Only, Government Programs, Development & Innovation
Speakers:
Susan Browdy, Managing Director, Product Development & Implementation, Blue Cross Blue Shield Association
Jose Porro, Managing Director, BCBSA - FEP
Jay Govani
Description:
Learn how FEP has continued to achieve high ratings on the App Store and over 1M downloads of its fepblue mobile application.  Design, functionality, security and accuracy are key components to get consumer buy-in, high utilization and return on investment.
1.0 CPE
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Susan Browdy, Managing Director, Product Development & Implementation Blue Cross Blue Shield Association
Susan Browdy is the Managing Director, DX Product Development and Implementation for the Member Experience team within the Federal Employee Program (FEP) division of the Blue Cross Blue Shield Association. With over 25 years experience in the healthcare payer industry, Susan has led projects focused on product system implementation, data integration, analytics and software development with a particular emphasis for the Blues in the areas of FEP and BlueCard.

In her current role, Susan and her team provide leadership and oversight for all of the online digital solutions available to FEP members. These include the FEP website (fepblue.org), MyBlue member portal, the fepblue mobile app, the FEP member incentive programs, FEP's AskBlue medical plan finder and the FEP consumer tools providing cost transparency, health & wellness and provider information.

Susan holds a Bachelor of Science in Business Administration from American University in Washington, DC and a Master of Public Administration in Health Policy & Management from New York University.
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Jose Porro, Managing Director BCBSA - FEP
Jose Porro is the Managing Director of EIT at BCBSA responsible for the technical aspects of the FEP DX Program. Jose has been with the association for 7 years. Jose brings over 30 years experience in technology, both on the hardware and software side, working in various industries including the military, retail, hospitality, travel, and education.
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Jay Govani
May
11
Start 12:30 PM (CT)
End 1:30 PM (CT)
Health Equity & Addressing SDOH at the Local Level
Strategic Marketing & Communications
Description:

By leveraging data, local relationships, community initiatives, corporate philanthropy & Foundation strategies, BCBS Plans have been addressing Health Equity and the Social Determinants of Health at the local level for decades. These initiatives, growing in reach and impact seek to tackle health inequities head on to create a healthier future for our communities.


1.0 CPE
May
11
Start 12:30 PM (CT)
End 1:30 PM (CT)
Protecting Our Children: Early Childhood Development, ACEs & COVID-19
Speaker:
Paul Hollie
Description:
1.0 CPE; CME TBD
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Paul Hollie
May
11
Start 12:30 PM (CT)
End 1:30 PM (CT)
Controlling Healthcare Cost Growth: Ideas from Washington and Academia Part 2
Office of Policy & Representation
Speakers:
Stuart Hagen, Managing Director, Health Policy Analytics, Blue Cross Blue Shield Association
Niall Brennan, President and CEO, Health Care Cost Institute
Lanhee Chen, David & Diane Steffy Fellow in American Public Policy, Hoover Institution
Michael Chernew, Leonard D. Schaeffer Professor of Health Care Policy, Harvard Medical School
Description:
Continue the conversation on ways to control cost growth while maintaining the important role of private plans with experts in academia.
 
1.0 CPE
Objectives:
Session attendees will learn about realistic policy options for constraining growth in the health care costs, primarily by constraining the growth of private health insurer payment rates for services provided by facilities and providers.
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Stuart Hagen, Managing Director, Health Policy Analytics Blue Cross Blue Shield Association
Stuart Hagen is Managing Director for Health Policy Analytics at BCBSA, and is responsible for economic and quantitative analyses, including modeling legislative proposals affecting health care financing. Prior to joining the Association, Stuart was a senior analyst at the Congressional Budget Office for many years, where he specialized in private health insurance markets, health information technology, long-term care financing, and medical liability tort reform. He initiated the development of a micro-simulation model that was later used by CBO to estimate the impact of major reforms, notably the Affordable Care Act. He began his career at FHP Health Care, where he was a provider network executive. Stuart has a PhD in public policy studies from the University of Chicago.
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Niall Brennan, President and CEO Health Care Cost Institute
Mr. Brennan is the President and CEO of the Health Care Cost Institute. In this role, he is responsible for overseeing HCCI's overall research agenda that seeks to highlight trends in US health care spending and the factors behind those trends. Niall also works to maximize the reach of HCCIs data by licensing directly to leading academic researchers and through HCCIs role as a Medicare certified Qualified Entity. Niall works closely with federal and state policymakers, including the US Congress on key health policy issues. He is a nationally recognized expert in health care policy, the use of health care data to enable and accelerate health system change, and data transparency. He has published widely in leading academic journals, including the Journal of the American Medical Association, the New England Journal of Medicine and Health Affairs. Prior to joining HCCI, Mr. Brennan was Chief Data Officer at the Centers for Medicare and Medicaid Services (CMS). He has also worked at the Brookings Institution, the Medicare Payment Advisory Commission, the Congressional Budget Office, the Urban Institute, and PricewaterhouseCoopers.

Mr. Brennan received his MPP from Georgetown University and his BA from University College Dublin, Ireland.
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Lanhee Chen, David & Diane Steffy Fellow in American Public Policy Hoover Institution
Lanhee J. Chen, Ph.D. is the David and Diane Steffy Fellow in American Public Policy Studies at the Hoover Institution; Director of Domestic Policy Studies and Lecturer in the Public Policy Program at Stanford University; and an affiliate of Center on Democracy, Development and the Rule of Law at Stanford's Freeman Spogli Institute.
A veteran of several high-profile political campaigns, Chen has worked in government, the private sector, and academia.
Chen has worked on four presidential campaigns, including as the policy director of Romney-Ryan 2012. In addition to serving as Governor Mitt Romney's chief policy adviser, he was also a senior strategist on the campaign. Chen advised Florida Senator Marco Rubio's 2016 bid; was the Domestic Policy Director of Romney's 2008 effort; and a health policy adviser to the Bush-Cheney reelection campaign in 2004. In the 2014 and 2018 campaign cycles, he was the Senior Adviser on Policy to the National Republican Senatorial Committee (NRSC). In 2015, Chen was honored as one of the POLITICO 50, a list of the "thinkers, doers, and visionaries transforming American politics" and in 2012 was named one of POLITICO's "50 Politicos to Watch."

Chen previously served as a presidentially-appointed and Senate-confirmed member of the Social Security Advisory Board and during the George W. Bush Administration was a senior official at the U.S. Department of Health and Human Services.

In addition to his academic appointments, Chen is a Senior Counselor at the Brunswick Group, a global business advisory firm; a Strategic Advisor at New Road Capital Partners, a private equity fund; and Chair of the Board of Directors at El Camino Health, a network of health care providers in Northern California.

Chen is a regular contributor for CNN Opinion, and his writings have appeared in a variety of outlets, including The Wall Street Journal, The New York Times and The Washington Post. He has provided political analysis and commentary on every major television network and is a regular guest on the nation's top news programs. Chen is also a member of the Editorial Board for the Salem Media Group.

Chen serves in a variety of nonprofit leadership roles. He is a Director of the Foundation for Research on Equal Opportunity (FREOPP), a Director of the Healthcare Consumer Rights Foundation, and a member of the Committee of 100, an organization of prominent Chinese Americans.

He earned his Ph.D. in Political Science, A.M. in Political Science, J.D. cum laude, and A.B. magna cum laude in Government, all from Harvard University.
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Michael Chernew, Leonard D. Schaeffer Professor of Health Care Policy Harvard Medical School
Michael Chernew, PhD, is the Leonard D. Schaeffer Professor of Health Care Policy and the Director of the Healthcare Markets and Regulation (HMR) Lab in the Department of Health Care Policy at Harvard Medical School. Dr. Chernew's research examines several areas related to improving the health care system including studies of novel benefit designs, Medicare Advantage, alternative payment models, low value care and the causes and consequences of rising health care spending.

Dr. Chernew is currently serving as the Chair of Medicare Payment Advisory Commission (MedPAC) while previously serving as the Vice Chair from 2012-2014 and a Member from 2008-2012. In 2000, 2004 and 2010, he served on technical advisory panels for the Center for Medicare and Medicaid Services (CMS) that reviewed the assumptions used by Medicare actuaries to assess the financial status of Medicare trust funds. He is a member of the Congressional Budget Office's Panel of Health Advisors and Vice Chair of the Massachusetts Health Connector Board. Dr. Chernew is a member of the National Academy of Sciences, a research associate at the National Bureau of Economic Research and a senior Visiting Fellow at MITRE. He is currently a co-editor of the American Journal of Managed Care.

Dr. Chernew earned his undergraduate degree from the University of Pennsylvania and his PhD in economics from Stanford University. In 1998, he was awarded the John D. Thompson Prize for Young Investigators by the Association of University Programs in Public Health. In 1999, he received the Alice S. Hersh Young Investigator Award from the Association of Health Services Research
May
11
Start 12:30 PM (CT)
End 1:30 PM (CT)
Health Care in the National Privacy Debate
Privacy & Cybersecurity, Lawyers & Legal Assistants
Speaker:
Kirk Nahra, Partner, WilmerHale
Description:
The health care privacy landscape is undergoing the most significant change since the inception of the HIPAA era. Changes in the health care system itself are putting meaningful pressure on how the current rules support innovation in health care. At the same time, the development of health care information outside the HIPAA structure also is growing exponentially, creating risks for consumers and challenges for health care businesses. The COVID-19 crisis is putting additional pressure on our privacy system and practices. Today, there is a meaningful debate at the state and national level about implementing overall privacy laws. There are various options and models going forward. However, the health care system risks harm, disruption and confusion if effective health care concepts are not integrated into this overall debate, and this role for health care leaders is missing in the debate today.
1.0 CPE
Objectives:
Understand how the health care system is being disrupted by privacy changes and issues today
Understand the various models for addressing health care privacy going forward
Evaluate the current proposals for addressing health care as part of the national privacy debate
Analyze the implications for the health care system of the various models being proposed for privacy law
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Kirk Nahra, Partner WilmerHale
Kirk J. Nahra is a partner with WilmerHale in Washington, D.C., where he specializes in privacy and information security litigation and counseling, along with a variety of health care and compliance issues. He assists companies in a wide range of industries in analyzing and implementing the requirements of privacy and security laws across the country and internationally. He provides advice on data breaches, enforcement actions, contract negotiations, business strategy, research and de-identification issues and privacy, data security and cybersecurity compliance. He advises companies in virtually all industries, ranging from Fortune 500 companies to start-ups. He also works with insurers and health care industry participants in developing compliance programs and defending against government investigations into their practices. A long-time member of the Board of Directors of the International Association of Privacy Professionals, he is the editor of Privacy Advisor, the monthly newsletter of the International Association of Privacy Professionals. He is also a founding Board Member of the Privacy Bar Section of the IAPP, and is a Certified Information Privacy Professional. He served as the Co-Chair of the Confidentiality, Privacy and Security Workgroup, a panel of government and private sector privacy and security experts advising the American Health Information Community (AHIC) on privacy and security issues arising from health information technology. Rated by Chambers USA in the nation's top-tier of privacy attorneys, sources remark that he is "the guy you need to call" (2014) and is in "'the top echelon' of data privacy lawyers" (2013). Clients report that he is "great to work with, incredibly knowledgeable and always available" (2016). He is also praised for his "pragmatic advice on complex issues" (2015), "almost encyclopedic knowledge of the law and its application" (2012), and his professional sensitivity to "both costs and delivering results on time" (2013). Clients have commended him as "a fantastic lawyer who keeps abreast of new developments in the field" who "avoids legal jargon and goes the extra mile for his clients" (2011). He is also lauded for his "practical knowledge of what other health care organizations are doing and how they are interpreting the law" (2010). Kirk has also been named an expert practitioner by the Guide to the Leading US Healthcare Lawyers, a leading health care lawyer by The Best Lawyers in America directory and one of the leading privacy "hired guns" by Computerworld.

Mr. Nahra received his law degree from Harvard Law School, Cum Laude, in 1987. He received his undergraduate degree from Georgetown University, magna cum laude and Phi Beta Kappa, in 1984. He can be reached at 202 663 6128 or kirk.nahra@wilmerhale.com. Follow him on Twitter @kirkjnahrawork.
May
11
Start 12:30 PM (CT)
End 1:30 PM (CT)
Innovations in Genetic Testing
Office of Clinical Affairs
Description:
1.0 CPE; TBD CME
May
11
Start 1:45 PM (CT)
End 3:00 PM (CT)
Solutions Center Hours
Open to All Audiences
Description:
  • Visit Company Profile Listings to view innovative and relative solutions by discovering case studies, products and services, and published content that address your key challenges.
  • Delve into real-time content that highlights case studies, thought leadership articles and more. 
  • Participate in Virtual Passport Program.
  • Visit the Spotlight Theater to gain insights from subject matter experts through on-demand, bite-sized learnings available through-out the event.
May
11
Start 1:45 PM (CT)
End 2:30 PM (CT)
Diamond Session - Sponsored by Advantasure
Open to All Audiences
Description:
Mark your calendars and join your peers for a 45 minute session to hear case studies and best practices. This thought leadership session will focus on relevant health care topics and deliver results for you to take back to your organization. 
May
11
Start 3:00 PM (CT)
End 4:00 PM (CT)
Brand Innovation Award Winning Programs
Brand & Consumer Experience
Description:
TBD based on the winners selected in March
1.0 CPE
Objectives:
TBD based on the winners selected in March
May
11
Start 3:00 PM (CT)
End 4:00 PM (CT)
Embracing Agile
Internal Audit
Speakers:
Ana Antoski, Enterprise Audit Manager, Blue Cross Blue Shield of MI
Shannon Desjardins, Senior Director, Corporate and IT Audit & Advisory Services, Blue Cross Blue Shield of Michigan
Description:
1.0 CPE
Objectives:
• Define Agile and key terms • Describe the different ways of embracing Agile • Clarify how assessment processes can be modified to implement Agile
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Ana Antoski, Enterprise Audit Manager Blue Cross Blue Shield of MI
Ana Antoski is an experienced risk management and information technology internal controls leader. She has over 15 years of IT and Internal Audit experience with demonstrated capabilities in business process improvement, program and system implementation reviews, corporate strategy modeling and assessments, and information technology transformations. Ana has specialized knowledge in government compliance, including CMS, SOX, MAR, and HIPAA and strong professional services experience in both internal and external auditing, pre-implementation security risk assessment, complex special projects like mergers and acquisitions, and process reengineering.

Ana joined Blue Cross Blue Shields of Michigan in 2011, and currently leads IT Project Advisory. Prior to joining the Blue's, Ana worked at Deloitte in their security and privacy services practice and earned a bachelor's degree in Business Information Technology and a Master of Business Administration.
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Shannon Desjardins, Senior Director, Corporate and IT Audit & Advisory Services Blue Cross Blue Shield of Michigan
Shannon Desjardins is the Director within the Corporate and IT Audit & Advisory Services department at Blue Cross Blue Shield of Michigan. Shannon has over 19+ years of professional experience in the health insurance (payer), healthcare (provider), automotive, manufacturing and financial services industries. Shannon has significant experience providing risk management and controls (including information technology) guidance through program and project risk assessments, application security, IT general controls and system implementation reviews, business process risk assessment/(re)design and Service Organization and Control Reporting (SOCR) under the SSAE 18 Standard SOC1 and SOC2.
May
11
Start 3:00 PM (CT)
End 4:00 PM (CT)
BlueCard Modernization - Technology Focused
BCBS Only, Enterprise Information Technology, Data Solutions
Speakers:
Boris Vaysburg, Executive Director, BlueCross BlueShield Association
Jeffrey Norton
Noor Hussain, Director, BlueCross BlueShield Association
Description:
BlueCard Modernization - Achieve program goals per Board mandates
1.0 CPE
Objectives:
Learn how BlueCard Modernization
1. Support BCBS Plan success in national account and government markets.
2. Strengthen capabilities that enable and improve member, account and provider engagement.
3. Enable greater access to Plans' value-based arrangements.
4. Create administrative efficiencies for BCBS Plans and their customers and providers.
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Boris Vaysburg, Executive Director BlueCross BlueShield Association
Boris Vaysburg is an Executive Director in the Enterprise Information Technology division at BCBSA. For the last 12 years, he has managed delivery of BlueCard transaction applications, which include ITS, Blue2, and Blue Exchange among others. For the last two years, he has also focused on the BlueCard Modernization initiative and is a part of the Strategic Program Management for this program.
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Jeffrey Norton
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Noor Hussain, Director BlueCross BlueShield Association
A widely recognized business technology leader experienced in transformation, collaboration, and innovation within a broad spectrum of industries and business models with global level success. A proven, results-oriented and highly motivated leader who balances vision, strategy, talent, and execution to deliver customer and business value. An effective collaborator, influencer, and communicator resulting in strong partnerships throughout the organization. Dynamic leadership and management career with a rare combination of business, finance, operations, administration, and technology acumen offering a gratifying career span of over 20 years. Currently managing BluesNet and Managed Services Excellence.
May
11
Start 3:00 PM (CT)
End 4:00 PM (CT)
Resilience in the Face of an Economic Recession
Finance
Speaker:
John Siminerio, Director, Capital Allocation, Highmark Health
Description:
America is in currently the midst of the economic expansion.  History has shown that organizations that actively plan ahead can not only diminish the negative impacts of a recession, but also better position their organization to separate from their competition when the economy ultimately recovers.  This session describes how Highmark is evaluating, planning, and acting upon the threats and opportunities that an economic recession may present.
 
1.0 CPE
Objectives:
• Understand how Highmark identified this need and created the proper sense of urgency and executive leadership buy-in. • Learn the process by which Highmark collected, synthesized, and prioritized key recession threats and opportunities • Learn the methodology that Highmark used to quantify risks and identify appropriate monitoring triggers • Learn the methodology that Highmark used to develop actionable mitigation strategies, accountable owners, and related governance.
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John Siminerio, Director, Capital Allocation Highmark Health
John Siminerio's 15 year career has been centered around helping organizations set strategy, allocate resources, and make better decisions with risks in mind. He is currently the Director of Capital Allocation at Highmark Health, where he helps the organization optimize available capital across the enterprise's business units, develop business cases, and operationalize strategic initiatives. Before joining Highmark Health, John began his career as a CPA, received his MBA from Georgetown University, and served as a Senior Manager in Deloitte Consulting's Strategy and Operations service area.
May
11
Start 3:00 PM (CT)
End 3:30 PM (CT)
Putting Your Customer in the Center of Your Engagement Model- Sponsored by ADOBE
Brand & Consumer Experience
Speaker:
Thomas Swanson, Industry Expert and Thought Leader, ADOBE
Description:
Join us as we discuss the four significant changes we have witnessed in the last year that have moved your customers – be they members, brokers, or HCPs – to the center of the digital engagement model: 
  • The Return of the House Call – as telehealth and virtual care has exploded in the last year, it is critical that BCBS adapt their coverage and re-imbursement models to make telehealth a permanent part of the healthcare ecosystem.
  • Empathy as a Strategy – an interesting side-effect to the emergence of telehealth as a primary engagement model has generated the perception that HCPs are more empathetic, more understanding, and are taking more time with their patient to truly understand their patient’s personal journey; the healthcare industry as a whole needs to take that cue and make Empathy a central digital strategy.
  • Personalization of Digital Experiences – in order to build empathy with your members and establish BCBS as a trusted partner in their management of wellness, personalization of digital experiences is key; personalize content, delivery channels, and connect offline engagements with online engagements to show your members that you know who they are and where they are in their personal healthcare journeys.
  • Redefinition of Loyalty – as your members demand access to information, their personal data, convenience and cost transparency, the entire notion of loyalty to a plan or HCP is being completely redefined; today’s informed and empowered member is willing to take their money to where they receive the most personalized and delightful experiences. 
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Thomas Swanson, Industry Expert and Thought Leader ADOBE
May
11
Start 4:00 PM (CT)
End 4:30 PM (CT)
Bingo Sponsored by Proje Inc.
Open to All Audiences
Description:
Wind down for the day with a fun game of Bingo. Put on your competitive shoes and be ready to compete to win one of three prizes, sponsored by Proje Inc. 
May
12
Start 8:00 AM (CT)
End 8:30 AM (CT)
BeFit Morning Wellness Activity - Day 6
Open to All Audiences
Description:
It's more important than ever to stay active while at home. Exercise has been known to boost the immune system, reduce stress and improve sleep. Start the conference day with our wellness activity!
May
12
Start 10:15 AM (CT)
End 10:45 AM (CT)
Morning Coffee Chat - Sponsored by Healthsparq
Open to All Audiences
Description:
Start your day by networking with a virtual Morning Coffee Chat. As the chat host appears on screen, you will participate in the chat. These 30 minute coffee chats may be topic specific and will provide BCBS Plan attendees the opportunity to interact with peers that we all miss from an in-person event.
May
12
Start 11:00 AM (CT)
End 12:00 PM (CT)
Payment Integrity in a BlueCard World
BCBS Only, Business & Operational Excellence
Speakers:
Jason Fedgchin, Director, Payment Integrity and Audit, Independence Blue Cross
Graham Williams, Executive Director Inter-Plan Business Solutions, Health Care Service Corporation
Description:
General overview of the latest requirements and successes.  Also, get a sneak peek into the future for 2021 and beyond. Learn how two Plans are working to implement the new requirements and their lessons learned. 
1.0 CPE
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Jason Fedgchin, Director, Payment Integrity and Audit Independence Blue Cross
As Director or Payment Integrity and Audit, Jason has responsibility over Independence Blue Cross provider audit, payment integrity and third-party recovery vendor functions. In this capacity, he is entrusted with reviewing and auditing all professional and facility provider billings to determine appropriate reimbursement for the enterprise. This includes the review of charges, utilization of medical services, medical documentation, billing accuracy, appropriate coding and claims processing. Jason's department also helps identify patterns of potential fraud, waste and abuse with support and referral to the Financial Investigations team plus collaboration with Operations, Medical Policy, Provider Network and Sales for enterprise projects and recovery initiatives.

Jason has spent over 22 years in healthcare, with careers at various levels of the healthcare continuum, including provider, healthcare supplier, third party health plan partner and current Blue Plan Director. Prior to joining Independence Blue Cross, Jason most recently served as Director for a third-party payment integrity vendor with responsibility over operations and client management. Earlier in his career, Jason held positions in physical rehabilitation, medical device reimbursement and healthcare claim policy.

Jason has earned his Bachelor of Health Sciences and Master of Physical Therapy from University of the Sciences in Philadelphia and his MBA in Corporate Management from Villanova University.
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Graham Williams, Executive Director Inter-Plan Business Solutions Health Care Service Corporation
Graham Williams is Executive Director of HCSC's Inter-Plan Business Solutions area. Graham has worked for HCSC for 17 years, and holds a Degree in Public Policy from Duke University.
May
12
Start 11:00 AM (CT)
End 12:00 PM (CT)
Improving the Customer Experience through Advanced Digital Approaches
BCBS Only, Customer Contact Center & Claims, Business & Operational Excellence
Speakers:
Carla Dailey, Sr. Director, Customer Engagement Capabilities, Blue Shield of California
Neal Keene, Field CTO, Smart Communications
Description:
Going from a siloed one-size-fits all communication style to a targeted, personalized conversation model, Blue Shield of California has been able to focus on improving the customer experience through advanced digital approaches. By optimizing print services, Blue Shield of California are no longer sending paperwork and updates out as a one-off. They’ve been able to scale personalization—delivering customized correspondence vs. a one-size-fits-all approach.

 
1.0 CPE
Objectives:
Learn how to:

1. Leverage and scale personalization within printed resources
2. Implement full-service team to quickly identify and escalate customer issues
3. Prioritize Telehealth services with cost savings from print consolidation
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Carla Dailey, Sr. Director, Customer Engagement Capabilities Blue Shield of California
Carla has over 25 years of consumer retail and healthcare experience. She has held key leadership positions in Product, Program and Project Management, Operations, Business Analysis, and Strategy. In these positions, Carla has delivered on various B2B and B2C technology solutions across customer experience driving transformation and addressing complex problems to enable growth and improved satisfaction for customers and employees. Most recently, at Blue Shield of CA, she has delivered on an omnichannel, personalization strategy by standing up a customer decisioning and marketing platform to bring personal and relevant messaging to their members. She also delivered a customer service desktop for a 360 view of their members for their Medicare line of business, and built out digital platforms to enable paperless and honor member's preferences in all communications. Carla enjoys spending time with her family, vacationing and being outdoors, however with COVID, has a new found love of her Peloton, enjoying the cycling and yoga classes indoors.
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Neal Keene, Field CTO Smart Communications
Neal is the field CTO at Smart Communications, focused on helping organizations reimagine and transform their customer experience. Neal has more than 25 years of experience helping businesses – especially those in insurance and financial services – to modernize their customer communication and business process tools to take advantage of digital innovation. Having worked with a range of clients, from small businesses to large enterprises, Neal has deep experience in strategic product planning, business development, industry solutions and analyst relations.
May
12
Start 11:00 AM (CT)
End 12:00 PM (CT)
How to Unearth Success with Global: Finding Hidden Success with Global Opportunities
Development & Innovation
Description:
It’s no secret that international travel has been greatly impacted by the pandemic.  Despite the current climate, many BCBS Plans have had great success with leveraging Blue Cross Blue Shield Global’s international product portfolio through GeoBlue in ways that may surprise you.  There is a treasure trove of account growth and expansion opportunities waiting out there, if you know where to look.
 
In this session, you’ll hear from your BCBS Plan colleagues who put the clues together to discover success with global:
 
  • Closing gaps and creating competitive advantage: BCBS Global Traveler Companion
  • Protecting your book and growing existing accounts: The Walmart win
  • Landing new business opportunities: Partnering for success (a case study with Anthem)
  • Unexpected opportunities with Individual: Uncovering the profitability of expat business

1.0 CPE
May
12
Start 11:00 AM (CT)
End 12:00 PM (CT)
Uniformed Service Relationship Building
BCBS Only, Government Programs, Strategic Marketing & Communications
Speakers:
Leigh Adler, Managing Director, FEP Care Operations, Blue Cross Blue Shield Association
Joe Campa
Description:
Building trust through uniformed service national community engagement
1.0 CPE
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Leigh Adler, Managing Director, FEP Care Operations Blue Cross Blue Shield Association
Leigh Adler, a graduate from the University of Wisconsin-Madison Communication Arts program as well as completion of higher level education courses in Health Policy and Management, has over 15 years of communications and information technology software development experience in the health care field, ranging from pharmaceuticals to hospitals to health insurance. At the Blue Cross and Blue Shield Association, as Managing Director of FEP Care Operations, where she works across teams and vendor partners to create a meaningful experience for FEP members, collaborates to drive new engagements and strives to identify innovative opportunities, products and capabilities.
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Joe Campa
May
12
Start 11:00 AM (CT)
End 12:00 PM (CT)
Privacy Considerations: Addressing the Nexus of HIPAA and the Interoperability Rules
Privacy & Cybersecurity, Compliance & Ethics
Speakers:
Alison Brunelle, Director, PwC
Jonathan Bausch
Description:
Join representatives from BCBS and PwC's Healthcare Industries Privacy Leader for a presentation of the privacy considerations for complying with both The Health Insurance Portability and Accountability Act of 1996 (HIPAA) and The Interoperability and Patient Access Final Rule (CMS-9115-F). This presentation will focus on individuals' expectations for healthcare interoperability while respecting and honoring their choices; who are the Interoperability Rule organizational stakeholders; and how to mature and maintain compliance by identifying the leading practices that can help health information flow without compromising privacy.
1.0 CPE
Objectives:
What are the privacy considerations for the Interoperability Rule?
Transparency and Notice solutions for healthcare interoperability
Choice and Consent, and Preferences Management solutions for healthcare interoperability
Third Party Risk Management solutions for healthcare interoperability
Access and Information Blocking solutions for healthcare interoperability
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Alison Brunelle, Director PwC
Alison is a Director with PwC's Information Governance and Privacy Solution and is based in PwC's Austin, Texas office. She leads the firm's privacy practice for Healthcare Industries Advisory with a focus on legislative and regulatory compliance, privacy program maturity and sustainability, and specializes in performing assessments and internal audits. Her multifaceted background as a privacy, risk management, and legal professional in both the private and public sectors allows her to solve complex business problems while increasing enterprise value and mitigating risk to highly valued data.
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Jonathan Bausch
May
12
Start 12:30 PM (CT)
End 1:30 PM (CT)
Care Delivery Transformation: BCBS Innovation in an Evolving Market
BCBS Only, Strategy & Data Analytics
Description:
Transformation of care delivery is underway across all Plans with moves to value based reimbursement, virtual care, and deeper partnerships with providers.  Many of these changes were only accelerated by the pandemic.  Hear from Plan leaders on recent innovations and what to expect in the next few years.
 
1.0 CPE
May
12
Start 12:30 PM (CT)
End 1:30 PM (CT)
Blue Strategies for Success in Value Based Payment Arrangements
BCBS Only, Network Solutions
Speakers:
Bryony Winn
Farzad Mostashari
Chris Day
Description:
This session will cover the latest innovations and news in value-based care and equip Blue Plans with best practices for successful value-based contracting with local providers. 
1.0 CPE
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Bryony Winn
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Farzad Mostashari
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Chris Day
May
12
Start 12:30 PM (CT)
End 1:30 PM (CT)
Data Analytics Program Development in Audit
Internal Audit
Speaker:
Al LaBarrie, Data Analytics Manager, Audit, Blue Cross Blue Shield of Michigan
Description:
The Data Analytics Program development in Audit course will provide participants with the knowledge to develop a Data Analytics Program in their internal audit shops. Topics will include how to leverage data analytics, the internal audit data analytics framework, team development and structures, and other program best practices.
1.0 CPE
Objectives:
Participants will gain an understanding of how to develop a Data Analytics Program in their internal audit shop. Participants will learn how to leverage data analytic, how to develop an internal audit data analytics framework, and how to build and structure their data analytics teams.
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Al LaBarrie, Data Analytics Manager, Audit Blue Cross Blue Shield of Michigan
Al LaBarrie is the Manager of Audit Data Analytics at Blue Cross Blue Shield of Michigan. He has over 10 years of experience in audit and more than 5 years of experience in audit analytics. His professional interests include process improvement, risk identification via data mining and model building, and data visualization. Al is a Certified Tableau Associate and holds a CISA certification. Al also holds an MBA from Wayne State University and a Master's Degree in Analytics from Penn State University.
May
12
Start 12:30 PM (CT)
End 1:30 PM (CT)
Business Agility: What We've Learned and Where We're Going
Enterprise Program Management Office
Speaker:
Steve Stein, Agile Coach, Independence Blue Cross
Description:
The landscape of agile delivery in the IT space has been evolving constantly for years. Recognizing that every company is a technology company, this transformation is now extending into the business space.  A company’s ecosystem, culture, and processes each require to be addressed. Learn from direct experience what business agility is, and how it’s transforming the new world of Health Care Insurance for Blues and beyond.
1.0 CPE
Objectives:
-What business agility is - How a company must address ecosystem and culture in addition to process - What Independence has done and what we've learned
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Steve Stein, Agile Coach Independence Blue Cross
Steve Stein is an agile coach, passionate about people and getting twice the work done in half the time.
May
12
Start 12:30 PM (CT)
End 1:30 PM (CT)
Interoperability: You're Required to Build It, Now What?
BCBS Only, Enterprise Information Technology, Business & Operational Excellence
Speakers:
Mike Gould, Business Lead, Interoperability, Blue Cross Blue Shield Association
Gwenn Darlinger
Patricia Taylor, Executive Director, EIT Informatics, BCBSA
Description:
Interoperability is the ability to share meaningful healthcare data electronically and without special effort. Recent regulations have mandated access to and sharing of clinical and administrative data, requiring adoption of standards and leveraging them for improved outcomes. This session will provide an overview of those standards as well as furthering interoperability beyond the regulations. Going beyond Interoperability, the Interoperability NorthStar effort will move BCBS beyond the federal mandates to enable our members, employers, and care providers with access to the information needed to maximize health outcomes for our members. Plan CIOs have come together to shape the Interoperability Framework that will establish a common technology foundation, data, and processes for Plans to achieve our NorthStar vision.
1.0 CPE
Objectives:
1. Become familiar with relevant standards for healthcare interoperability 2. Understand interoperability regulations and their impact on your Plan 3. Discover the desired set of guidelines and constructs for Plans to reference for successful implementation of the Interoperability NorthStar Framework
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Mike Gould, Business Lead, Interoperability Blue Cross Blue Shield Association
Michael Gould is a Business Lead - Interoperability at the Blue Cross Blue Shield Association. Michael works in the Health Information Technology team in Commercial Markets and Enterprise Data Solutions to deliver clinical data exchange solutions and lead system- and industry-wide efforts in health data interoperability. Bridging the business and technology domains, Michael's efforts are directed at supporting the BCBS system and Plans to realize value from health information exchange. Michael also contributes to efforts in HL7 FHIR Accelerators such as the Da Vinci and CodeX projects.

Prior to joining the BCBSA, Michael was a Lead Data Architect at Independence Blue Cross. In this role, he led efforts to integrate clinical data with claims data and he had primary technical responsibility for Independence's relationship with HealthShare Exchange, the regional platform for health information exchange. Michael contributed to the architecture of new systems based on the HL7 FHIR standard and led Independence's efforts as a founding member of the Da Vinci Project.

Michael is active in a variety of professional and entrepreneurial groups nationally and in the emerging health care innovation hub of Philadelphia, PA. He is on the leadership team of the Philadelphia Health Information Technology Circle and active in the Health Information Management Systems Society (HIMSS).
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Gwenn Darlinger
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Patricia Taylor, Executive Director, EIT Informatics BCBSA

Pat Taylor is an Executive Director with Blue Cross and Blue Shield Association's Enterprise Architecture team.

Having served at Blue Cross and Blue Shield of Alabama for several years, Pat brought a depth of Plan knowledge to the Association. She has an ability to work across the BCBS system to deliver new capabilities making use of the National Data Warehouse (NDW), a Value Based Programs Delivery Platform and the Master Member Identifier. A case study of BCBSA's member matching approach was published by the Sequoia Project.

She is currently BCBSA's architecture lead for several Data Strategy, Interoperability, Transparency and Government Market initiatives. She is co-author of the CARIN IG for Blue Button®, the HL7 FHIR Implementation Guide that meets CMS requirements to provide Claims and Encounter data directed by CMS's Interoperability and Patient Access Final Rule on patient access to health data.

Pat holds a Bachelor of Science degree in Mathematics from the University of Nebraska - Kearney and a Master of Business Administration from the University of Alabama.

May
12
Start 1:45 PM (CT)
End 2:45 PM (CT)
Why "Best Practice" Separates Legal from Compliance
Compliance & Ethics, Lawyers & Legal Assistants
Speaker:
Jack Rovner, Attorney & Co-Founder, Health Law Consultancy, Health Law Consultancy
Description:
There are many good reasons for keeping compliance separate from legal and employing a chief compliance and ethics officer ("CCEO") as a member of senior management to lead the compliance function independent of the organization's chief legal officer ("CLO") and the legal function. This program explains the distinct expectations and responsibilities of compliance versus legal, explores cautionary tales that illustrate the organizational compliance challenges that can arise when legal is responsible for compliance, reviews the attitudes of CMS and OIG on the separation of these functions for Medicare Advantage organizations and others involved with federal health care programs, and concludes with the "top ten" reasons that best practice separates legal from compliance.
1.0 CPE
Objectives:
1. Why compliance "best practice" separates an organization's compliance function from its legal function.
2. How real world cautionary tales show the need to avoid the inherent conflict between the roles, expectations and responsibilities of compliance versus legal.
3. Why compliance serves an external function that favors transparency in enforcing an organization's pledge of ethical business conduct.
4. Why legal serves an internal function, operating under the obligation to maintain client confidences in protecting the organization's interests within the bounds of the law.
5. Why compliance and legal must cooperate, coordinate, and complement each other to work in tandem for the best benefit of the organization served.
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Jack Rovner, Attorney & Co-Founder, Health Law Consultancy Health Law Consultancy
Attorney Jack Rovner is co-founder of Health Law Consultancy, a Chicago-based boutique law firm serving the business of health care. He applies keen understanding of health law and its effects on business to serve as legal counselor and strategic advisor. He assists health care organizations to capitalize on opportunities and manage challenges in evolving health care markets. Rovner delivers legal services for participation in commercial health insurance markets, Medicare, Medicaid and other government health programs, payer-provider joint arrangements, antitrust and fraud and abuse law compliance, and health information privacy and security.

Best Lawyers named Rovner the 2014 Chicago health care law "Lawyer of the Year." Chambers USA: America's Leading Lawyers for Business and Best Lawyers in America each lists Rovner as among the top health lawyers in the United States. The health law boutique he co-founded has been rated Chicago Metropolitan Tier 1 in health law by U.S. News-Best Lawyers "Best Law Firms" surveys for 10 straight years and is ranked for health law in Illinois by Chambers USA. In 2002, Rovner was appointed to the U.S. Department of Health and Human Services Secretary's Advisory Committee on Regulatory Reform, serving on its Executive Committee. He has served as an advisory board member of the Bloomberg BNA Health Law Reporter and was an original member of the editorial board the American Bar Association The Health Lawyer.

Rovner began his legal career at Kirkland & Ellis, an international law firm, where he practiced commercial litigation and antitrust law and helped develop the firm's health law practice. Thereafter, Rovner successfully established, managed, and grew health law practices at two prominent Chicago law firms.
Rovner received his Juris Doctor, cum laude, from Boston University School of Law, where he was an articles editor of the Law Review. He received his Bachelor of Arts in Economics from Brandeis University. Prior to law school, Rovner served as a commissioned officer in the U.S. Coast Guard and was employed by the U.S. Environmental Protection Agency. He is a member of the American Health Law Association, the American Bar Association, the Illinois State Bar Association, and the Illinois Association of Healthcare Attorneys. He represents his law firm as the Illinois attorney member for life sciences (health law) for IR Global, a Chambers Band 1 international network of professional advisors.
May
12
Start 1:45 PM (CT)
End 2:45 PM (CT)
Improving Quality, Cost and Transparency in Diabetes Care
Office of Clinical Affairs
Speakers:
Joseph Albright, Manager, Clinical Pharmacy Services, Blue Cross and Blue Shield of North Carolina
Libby Johnson
Violet Jones
Description:
Blue Cross and Blue Shield of North Carolina will discuss their innovative work improving quality, cost and transparency in diabetes care.
1.0 CPE; TBD CME
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Joseph Albright, Manager, Clinical Pharmacy Services Blue Cross and Blue Shield of North Carolina
Joseph A. Albright Pharm.D, leads a team that provides clinical pharmacy services to over 1 million commercial members of Blue Cross and Blue Shield of North Carolina. These services include formulary and utilization management strategies to provide optimal clinical outcomes at an affordable price. Additionally, this team engages in the quality and cost management associated with their expanding accountable care organizations. During his tenure at Blue Cross, Dr. Albright has taken a particular focus on modernizing the clinical policies for prescription opioid use and for medication assisted therapy, promoting optimal diabetes management, and increasing medication adherence. Prior to Blue Cross NC, Dr. Albright managed teams in clinical operations for one of the largest Medicare Part D providers in the country. Before his career in managed care, Joseph practiced community pharmacy in the Raleigh, North Carolina. He received both his bachelors in science in pharmaceutical sciences and Doctor of pharmacy from The Ohio State University.
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Libby Johnson
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Violet Jones
May
12
Start 1:45 PM (CT)
End 2:45 PM (CT)
APIs as a High-Value Target for Threat Actors
Privacy & Cybersecurity, Development & Innovation
Speakers:
Jonathan Bausch
Danny Wuckovich, Principal, PwC
Christopher Duffy, Principal, PricewaterhouseCoopers, LLP
Description:
Join representatives from BCBS and PwC's Cybersecurity team on the impact of new Interoperability rules related to
APIs and how the use of APIs makes them high value targets for external threat actors seeking to exploit them as an
attack vector. This session will focus on threat mitigation and security best practices (including the usage of API
Gateways) to help control, configure and enforce security compliance at scale. 
1.0 CPE
Objectives:
Why are APIs considered high value threats?What should our organization do to protect themselves against specific threats to APIs?How can organizations protect APIs at scale across many different development groups / teams?
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Jonathan Bausch
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Danny Wuckovich, Principal PwC
Danny Wuckovich is a Director and leader in PwC's Cloud Security and DevSecOps teams within the Cybersecurity & Privacy practice. He has over 12 years of experience in various security roles both in technical roles and as a programmatic team lead. He has worked in a variety of sectors while primarily supporting clients in the Financial Services, Health Industries, and Technology sectors since 2014.
Danny holds a Master's and Bachelor's in Accounting and Information Systems from Virginia Tech. He is a certified Certified Information Systems Security Professional (CISSP), Certified Information Security Auditor (CISA), and Certified Public Accountant (CPA).

Relevant Project Experience:
- Cybersecurity organizational design and program re-engineering for a Fortune 25 Company
- Post-event Cyber root cause analysis for Fortune 25 Company
- Cloud security operating model and capabilities development for Fortune 25 US Bank
- Application security strategy development, program, and processes/tools implementation for companies in the Fortune 125
- Development of DevSecOps operating model with product risk profiling, baseline security services, and testing and remediation requirements for Fortune 125 companies
- Design security architecture for CI/CD pipelines, application security toolchain, and supported implemented of DAST tool for companies in the Fortune 125
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Christopher Duffy, Principal PricewaterhouseCoopers, LLP
Chris is a Partner in PwC's Cybersecurity Forensics & Privacy Practice in the Washington metro area. He has over 15 years of experience and leads PwC's Cyber Penetration Testing Team (CPT2). Chris has a specialization in large scale advanced technical testing and remediation activities. He has worked in detail with client teams to evaluate critical systems, and data flows to identify areas where controls could be put in place to prevent a compromise of sensitive data. His work has been key to protecting resources based on the information they hold to mitigate risk while maintaining a resilient and effective security program.

Chris is a recognized technical leader within the firm and has provided perspective on emerging trends in the industry. This includes the analysis and design of controls around multi-disciplined technology solutions linked to services such as BlockChain, DNSSEC, and Secure DevOps.

Before PwC, Chris built an advanced Cyber & Attack Penetration Team for a boutique consulting firm in D.C. The team subbed out to other assessment organizations to include the National Incident Response Team (NIRT). The work his team did, encompassed everything from technical testing to FedRAMP readiness assessments.

Chris has led, managed, or executed engagements for a variety of organizations to include Fortune companies, the U.S. Government, medical providers and payers, educational institutes, financial services, research entities, and cloud providers. Prior to private sector work Chris was part of the United States Air Force Cryptographic Computer Network Switching Systems career field managing global infrastructure components in support of drones and spy planes hunting terrorists during the war in Afghanistan and Iraq, he eventually moved on to a Senior Systems Engineer for the Central Security Services where he developed and integrated intelligence solutions and concluded his military career as a Cyber Warfare Specialist after earning his wings at the top of his class.

Relevant Experience
-Multiple publications including three magazine articles and a book "Learning Penetration Testing with Python"
-Research focused on what motivate private sector employees following Security Education sessions
-Speaker for venues such as BSides, the US Cyber Crime Conference, and Articon
-Development of publicly available testing tools

Education & Professional Qualifications
-Bachelor of Science Computer Science
-Master of Science Information Security and Assurance
-Doctor of Science Cybersecurity
-Multiple certification in information security, information technology, engineering, risk and assurance
May
12
Start 1:45 PM (CT)
End 2:45 PM (CT)
How States are Tackling Healthcare Costs: Putting Plans in the Spotlight
Office of Policy & Representation
Speakers:
Pamela Thorburn, Director, State Research and Policy, Blue Cross Blue Shield Association
Deborah Rivkin
Monica Auciello
Description:
A session designed to look at state trends to reduce healthcare costs and how these new laws impact Plan business.
Objectives:
1.0 CPE You will hear from Plans on how they are implementing state programs to reduce healthcare costs, their strategies to address a changing landscape and their lessons learned. This session will continue the conversation from the Controlling Healthcare Cost Growth session.
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Pamela Thorburn, Director, State Research and Policy Blue Cross Blue Shield Association
Pamela Thorburn is the Director of State Research and Policy at Blue Cross Blue Shield Association. Previously, Ms. Thorburn worked as the Manager of State Relations for the American Psychiatric Association and the National Community Pharmacists Association where she provided state legislative and policy research for association members. Prior to joining BCBSA she worked on the Substance Use Prevention and Treatment Initiative at The Pew Charitable Trusts. Before moving to Washington, D.C. Ms. Thorburn worked in the Texas Senate.

Ms. Thorburn earned her Master of Public Service and Administration from Texas A&M University and her Bachelor of Arts in Political Science from Texas Tech University.
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Deborah Rivkin
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Monica Auciello
May
12
Start 1:45 PM (CT)
End 2:45 PM (CT)
From Powerful Insights to Meaningful Action: Taking the Next Step with B2B Content Marketing
BCBS Only, Strategic Marketing & Communications
Speakers:
Julie Cates
James Maule
Description:
Strong content marketing in the business-to-business (B2B) space is about delivering powerful insights and actionable recommendations to clients that help them do their job better and achieve their organization’s objectives. The best brands are providing even more value to their clients. Hear how BCBS Plans in the B2B Marketing Collaborative are going one step further through business-to-business-to-consumer (B2B2C) marketing and communication initiatives to help their employer customers take action on these insights and support their employees’ full health and well-being.
 
1.0 CPE
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Julie Cates
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James Maule
May
12
Start 3:00 PM (CT)
End 4:45 PM (CT)
Solutions Center Hours
Open to All Audiences
Description:
  • Visit Company Profile Listings to view innovative and relative solutions by discovering case studies, products and services, and published content that address your key challenges.
  • Delve into real-time content that highlights case studies, thought leadership articles and more. 
  • Participate in Virtual Passport Program.
  • Visit the Spotlight Theater to gain insights from subject matter experts through on-demand, bite-sized learnings available through-out the event.
May
12
Start 3:00 PM (CT)
End 3:45 PM (CT)
Diamond Session 004
Description:
Mark your calendars and join your peers for a 30 minute session to hear case studies and best practices. This thought leadership session will focus on relevant health care topics and deliver results for you to take back to your organization. 
May
13
Start 8:00 AM (CT)
End 8:30 AM (CT)
BeFit Morning Wellness Activity - Day 7
Open to All Audiences
Description:
It's more important than ever to stay active while at home. Exercise has been known to boost the immune system, reduce stress and improve sleep. Start the conference day with our wellness activity!
May
13
Start 10:15 AM (CT)
End 10:45 AM (CT)
Morning Coffee Chat
Open to All Audiences
Description:
Start your day by networking with a virtual Morning Coffee Chat. As the chat host appears on screen, you will participate in the chat. These 30 minute coffee chats may be topic specific and will provide BCBS Plan attendees the opportunity to interact with peers that we all miss from an in-person event.
May
13
Start 11:00 AM (CT)
End 12:00 PM (CT)
Business as Unusual: Partnering with Big Tech to Drive Improved Member Experience
Open to All Audiences
Description:
Driven in part by the ongoing pandemic, there has been significant evolution across the digital healthcare ecosystem over the past 12 months. As market expectations and capabilities continue to advance at a rapid pace, Plans are exploring innovative opportunities to partner with leading consumer technology companies. This session will highlight two such examples of how Highmark and Horizon have partnered with Google and Amazon, respectively, to streamline and enhance the member experience. From revamping services such as mail order pharmacy to reengineering technology-enabled member navigation, Plans are exploring new opportunities to engage and support members via preferred channels/partners.

This session will provide an overview of these initiatives in addition to providing lessons for how to drive similar partnership exploration efforts.
1.0 CPE
May
13
Start 12:30 PM (CT)
End 1:30 PM (CT)
Transparency in Coverage Rule Execution
BCBS Only, Business & Operational Excellence
Description:
This session will explain how some Plans will be implementing solutions to comply with the Transparency in Coverage Rule and how the Association may assist.
1.0 CPE
May
13
Start 12:30 PM (CT)
End 1:30 PM (CT)
Going Local: Leveraging Data to Make a Grassroots Connection
Brand & Consumer Experience, Strategy & Data Analytics
Speakers:
Gay Poe, Director of Health Programs, Florida Blue
Catherine Bass, Senior Director, Informatics, Onlife Health
Description:
During this session we will describe how Florida Blue and Onlife are partnering to create personalized member experiences for local Florida communities to address the diverse needs of the Florida market.
1.0 CPE
Objectives:
1. How Florida Blue is addressing the diverse needs of its state market by developing targeted, localized strategies that address each individual community's needs and goals.

2. The importance of partnering with a well-being engagement partner to design and execute programs that are customized at the community level.

3. How Florida Blue is leveraging SDoH data to create content (visuals and messaging) that is customized to address the specific SDoH risk factors found in each local community.
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Gay Poe, Director of Health Programs Florida Blue
Gay Poe is Director of Health Programs, Health Promotions and Wellness program for Florida Blue. Gay directs the development and implementation of evidence based health education and sustainable lifestyle improvement programs for Florida Blue members. Gay is also a key driver for innovative solutions to reimagine member engagement through digital innovations, voice assistant technology, and human centered design to improve the health care experience and deliver on our company mission to "help people and communities achieve better health". Gay has a Masters Degree in Human Nutrition, Bachelors in Psychology and is a Certified Corporate Wellness Specialist and Certified Wellness Coach. She also is WELL AP certification for WELL built communities.
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Catherine Bass, Senior Director, Informatics Onlife Health
Dr. Bass serves as the Sr. Director of Informatics at Onlife Health. Her areas of responsibility include data science, advanced analytics, reporting and research. She holds a Ph.D. in Health and Human Performance with an emphasis in Health Promotion and has 20 years of experience in the health and wellness industry, including a national award from the Center for Disease Control and Prevention for innovations in healthy behavior data collection. Her areas of expertise include measurement, incentive design, program planning and health behavior theory.  Dr. Bass has authored articles for peer-reviewed and trade journals, speaks at industry conferences, holds adjunct faculty positions at several universities and is active in the data and technology industry in Nashville.
May
13
Start 12:30 PM (CT)
End 1:30 PM (CT)
Best Practices in Medical Coding
BCBS Only, Government Programs, Business & Operational Excellence
Speakers:
Teresa Money, Managing Director, Blue Cross Blue Shield Association
Lawrence Simon, Interim Senior Medical Director, BCBSLA, Blue Cross and Blue Shield of Louisiana
Description:
Medical coding impacts benefits, programs and analytics. This session will provide best practices in medical coding to ensure operational excellence, accuracy in reporting and analytics, and payment integrity for benefits and contracting. Join us in a robust discussion to gain insights into the world of coding and the tools to be successful.
1.0 CPE
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Teresa Money, Managing Director Blue Cross Blue Shield Association
Teresa Money is Managing Director of Care Delivery Implementation in the FEP division of the Blue Cross Blue Shield Association. In her role, Teresa provides the strategic leadership, direction, identification and implementation of new and innovative practices for the Federal Employee Program to achieve savings in the delivery of care while maintaining and enhancing quality of care metrics.
Teresa is a registered nurse and certified professional coder with professional and facility designations. She has 21 years combined experience in health care. Teresa joined FEP in 2010 as the coding lead for the implementation of ICD-10. In 2003 she joined Independence Blue Cross as an auditor in the Corporate Financial Investigations Department.
Currently, Teresa overseas care management, utilization management, value based reimbursement, medical coding, FEP medical policy, and the implementation of pilots for FEP.
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Lawrence Simon, Interim Senior Medical Director, BCBSLA Blue Cross and Blue Shield of Louisiana
Dr. Larry Simon is the Interim Senior Medical Director for Blue Cross and Blue Shield of Louisiana (BCBSLA), a Rotarian, and an animal rescuer. He is an alumnus of Louisiana State University, Baylor College of Medicine (BCM), the BI Moody College of Business at the University of Louisiana, and Rady Children's Hospital's Pediatric Otolaryngology Fellowship in San Diego, CA.

Dr. Simon oversees the Utilization Management Medical Director team for BCBSLA, where he also serves as the Medical Director for both the Medical Coding Unit and Medicare Advantage. In these roles, he helps with numerous Community Outreach, Payment Integrity, and Cost Containment initiatives. He currently represents the Blue Cross and Blue Shield Association on the AMA CPT Editorial Panel, serving on the Executive Committee of the Panel and as Co-Chair of the Molecular Pathology Advisory Group and the PLA Technical Advisory Group. He also serves on the Blue Cross and Blue Shield Association Payment Integrity Task Force and assists the Medical Policy Panel with analysis of Otolaryngology medical policies and coding education in general.

A diplomate of the American Board of Otolaryngology and a Fellow of the American College of Surgeons, his areas of expertise are Health Policy/Healthcare Reform. He has presented over 170 lectures and seminars on these topics, receiving awards from BCM, the AAO-HNS, ASPO, and SENTAC. He also sits on the Otolaryngology Advisory Council and AC Quality Pillar of the American College of Surgeons and the Practice Management Education Committee and the Annual Meeting Program Committee of the AAO-HNS.

An active Rotarian, Dr. Simon serves as the Assistant District Governor and Public Image Chair for District 6200. His additional civic work includes chairing the 2019 and 2020 Healthcare Campaigns for the United Way of Acadiana and sitting on the Advisory Councils of the Louisiana State University Ogden Honors College, the Lafayette Animal Shelter and Care Center, and the Health Information Management Department of the University of Louisiana. He also sits on the Boards of Directors of Beacon Community Connections and Junior Achievement of Acadiana, and he and his wife are major donors to the Acadiana Center for the Arts and the Hilliard Art Museum.

Dr. Simon lives in Lafayette, Louisiana, with his wife Lindsay and their many dogs. Together, they founded the LMS Animal Rescue Foundation, a 501(c)(3) charity that operates RuffRider Transports and is dedicated to the fostering and rescuing of animals nationwide. Their foundation saved nearly 2,700 dogs from euthanasia in 2018-2020, and is on track to have another record year in 2021.
May
13
Start 12:30 PM (CT)
End 1:30 PM (CT)
Medicare Advantage Growth – Plan Strategies for Success
BCBS Only, Strategy & Data Analytics
Description:

Medicare Advantage growth requires a combination of focused revenue maximization efforts, effective cost management strategies, provider partnerships with aligned incentives, competitive product offerings, effective distribution channels, and consumer engagement strategies to capture age-ins. After BCBSA provides an overview of key national learnings from a recent assessment on BCBS position in Medicare, two BCBS Plans will share their strategies to grow their MA business.


1.0 CPE
May
13
Start 12:30 PM (CT)
End 1:30 PM (CT)
Using the New Anti-Kickback Safe Harbors to Manage Risk in Value-Based and Other Arrangements
Lawyers & Legal Assistants
Speakers:
Elizabeth Lippincott, Managing Member, Strategic Health Law
Sandra Durkin, Associate, Butler Rubin Saltarelli & Boyd LLP
Lauren Haley, Attorney, Strategic Health Law
Description:
At the tail-end of 2020, HHS-OIG issued two final rules that amend the safe harbors to the anti-kickback statute (AKS). The enhanced safe harbors offer plans an opportunity to mitigate risk under the AKS as they adjust to a new administration and potentially enhanced enforcement environment. The first of the safe harbor rules targets prescription drug pricing by removing protection for rebates under Medicare Part D and creating new safe harbors for point-of-sale rebates and certain PBM service fees. The second rule, issued in connection with HHS’s Regulatory Sprint to Coordinated Care, added a number of new and revised several existing safe harbors with a focus on emerging trends in healthcare such as care coordination and value-based arrangements; electronic health records and cyber security; patient transportation; and patient engagement and beneficiary incentives.

This session will provide an overview of the changes to the AKS safe harbors, including analyzing common themes, and will examine the new and revised safe harbors that are most likely to impact plans. Additionally, we will offer a framework and strategy for health plans to use to review existing contracts and structure new arrangements to comply with the new safe harbors.
1 CLE; 1.0 CPE
Objectives:
Have an understanding of the scope of the recent changes to the AKS safe harbors, with an emphasis on those changes that are most likely to impact health plans; • Receive a practical tool for reviewing arrangements to evaluate compliance in light of the new and amended safe harbors; and • Be equipped to counsel internal business clients on how to mitigate AKS risk in new and existing arrangements.
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Elizabeth Lippincott, Managing Member Strategic Health Law
Elizabeth B. Lippincott is the managing member of Strategic Health Law, which she founded in 2005, and focuses her practice on Medicare Part D, Medicare Advantage, and Medicaid Managed Care plans. She counsels health plans on interpretation and implementation of legal and regulatory requirements, development of effective compliance strategies, and managing regulatory risk. In addition, Elizabeth provides hands-on support to health plans, such as negotiating agreements for key outsourcing relationships, training senior leaders and board members, and policy development. She co-edited the book, Regulation of Medicare Part D Plans, first published by Thompson Reuters in 2015. Elizabeth also served as chair of the Medicare Advantage and Part D Affinity Group of the American Health Lawyers Association's Payers, Plans and Managed Care practice group in 2015-2016.

Following a clerkship with the U.S. Court of Appeals for the Eleventh Circuit, Elizabeth practiced corporate and securities law with the Smith Anderson Law Firm in Raleigh, North Carolina. In 2000, she joined the legal department at Blue Cross and Blue Shield of North Carolina, serving as an in-house lawyer for five years before returning to private practice. Elizabeth received a B.A. from UCLA in Political Science, graduating phi beta kappa and summa cum laude in 1993. Elizabeth graduated order of the coif from Vanderbilt Law School in 1997, where she was Executive Editor of the Vanderbilt Law Review. She also earned a Masters in Theological Studies from Vanderbilt Divinity School through Vanderbilt's Law and Ethics dual degree program.
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Sandra Durkin, Associate Butler Rubin Saltarelli & Boyd LLP
Sandra is a litigator experienced in representing and counseling clients in a variety of complex commercial disputes, including in the areas of healthcare, insurance, consumer class action defense, and M&A post-acquisition disputes. Prioritizing an in-depth understanding of her clients' businesses, she provides counsel to proactively mitigate risk and avoid liability. When conflict arises, she counsels clients on swift resolution strategies to avoid trial. When a matter cannot be resolved, her clients rely on her to act as an aggressive advocate, whether in federal or state courts or in arbitration.

Sandra's litigation experience is diverse. In the healthcare space, she has worked on matters involving contract disputes between healthcare payors and providers, and represented health plans in litigation under the Patient Protection and Affordable Care Act. She also has extensive experience representing insurers in other sectors in cases alleging breach of contract, fraud, and bad faith. Her work includes high stakes litigation—with potential damages reaching into the billions.
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Lauren Haley, Attorney Strategic Health Law
Lauren N. Haley has more than 18 years' experience in healthcare law and compliance, with specific expertise in managed care and health insurance. She brings a wealth of knowledge and perspective to guiding healthcare organizations through complex legal and regulatory requirements, with a deep appreciation of the underlying business objectives.
Ms. Haley has had a diverse career in health law. She gained significant experience in government programs early in her career as a health insurance specialist at the Centers for Medicare & Medicaid Services (CMS), where she had responsibilities for program integrity concerns inherent in the implementation of the Medicare Prescription Drug Benefit. She has worked in private practice at two large international law firms, where she advised various health care organizations on compliance with the legal and regulatory requirements arising from participation in Medicare, Medicaid and other third-party payment programs. Prior to joining Strategic Health Law, Ms. Haley was Vice President, Pharmacy and Medicare Compliance Officer for Magellan Rx Management, Inc., a prescription drug benefit management company that provides integrated offerings, including rebate contracting management and comprehensive clinical programs, to health plans and pharmaceutical manufacturers.
Ms. Haley frequently presents and authors articles relating to Health Care Reform, Medicare Advantage, and Medicare Part D. She is admitted to practice in Virginia and the District of Columbia and is a member of the American Health Lawyers Association and the Health Care Compliance Association. She received her B.A. from the University of Rochester and her J.D. from Seton Hall Law School, where she was the notes and comments editor for The Constitutional Law Journal, and also served as the chair of the Women's Law Forum. Ms. Haley received the National Association of Women Lawyers, Outstanding Woman Law Graduate Award upon graduation.
May
13
Start 1:45 PM (CT)
End 3:00 PM (CT)
Solutions Center Hours
Open to All Audiences
Description:
  • Visit Company Profile Listings to view innovative and relative solutions by discovering case studies, products and services, and published content that address your key challenges.
  • Delve into real-time content that highlights case studies, thought leadership articles and more. 
  • Participate in Virtual Passport Program.
  • Visit the Spotlight Theater to gain insights from subject matter experts through on-demand, bite-sized learnings available through-out the event.
May
13
Start 1:45 PM (CT)
End 2:30 PM (CT)
Diamond Session - Sponsored by Clarabridge
Open to All Audiences
Description:
Mark your calendars and join your peers for a 30 minute session to hear case studies and best practices. This thought leadership session will focus on relevant health care topics and deliver results for you to take back to your organization. 
May
13
Start 3:00 PM (CT)
End 4:00 PM (CT)
Innovation, Collaboration and Interoperability: Improving the Member Experience and Operational Efficiency
BCBS Only, Enterprise Information Technology, Business & Operational Excellence
Speakers:
Ray Green, Chief Architect, Blue Cross Blue Shield of Massachusetts
Gloria Romeo, SVP, Product & Development, HM Health Solutions
Andrew Verboncoeur, Director, Digital and Integration, NASCO
David Weeks, SVP, Chief Digital and Technology Officer, NASCO
Joyson Jacob, Enterprise Architect
Description:

As employers shift to more diversified benefit offerings, health plans are facing cost pressures and demands from groups to interact with more specialized ancillary benefit vendors, each with a unique interface. This is creating fragmented responsibility for accurate benefit management, and reconciling this data to ensure accurate and timely accumulations has resulted in a multi-billion dollar, industry-wide problem that directly impacts the member experience.

Formed with the idea that the future of effective healthcare administration should focus on a positive patient experience, a consortium of several Blue-centric healthcare companies is using the latest technologies to better integrate with diversified benefits partners and offer real-time solutions that create operational unity across the healthcare ecosystem. Learn how BCBSMA, HMHS and the Coalesce Health Alliance are making substantive improvements to the accuracy and timeliness of accumulator data, reducing reconciliation costs, improving the efficiency of onboarding new diversified benefits partners through collaboration and the transparent exchange of information, and identifying new opportunities to deliver breakthrough technologies for the healthcare industry.


1.0 CPE
Objectives:
1. Articulate the positive impact to claim processing accuracy and timeliness across delegated benefit managers, as well as the positive outcomes for the member experience. 2. Describe the benefits of interoperability and leveraging blockchain technologies among plans and their partners. 3. Understand the role of the immutable ledger in delivering a blockchain solution to support auditability and transparency with clients.
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Ray Green, Chief Architect Blue Cross Blue Shield of Massachusetts
Lee Green is Chief Architect for Blue Cross Blue Shield of Massachusetts and an active member in the Blue Cross Blue Shield national network of Architects and Innovation. Prior to his move to Boston, Lee spent 25 years with Atlanta as home base for his consulting career with both Deloitte and PwC. He holds his degree in Computer Science from Georgia Institute of Technology. With a background focused on Enterprise Information Management and Data Architecture Mr. Green has a particular passion for the power of Information, Insights and their ability to affect actions and their capacity to transform the healthcare and payer industry.
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Gloria Romeo, SVP, Product & Development HM Health Solutions
Gloria Romeo, senior vice president of Product and Development at HM Health Solutions (HMHS), has more than 20 years of experience running large transformational programs for payer organizations, as well as hands-on experience in all aspects of the Software Development Lifecycle.

In her current role, Gloria is responsible for the Enterprise Health Solution (EHS), an end-to-end solution that manages functions from sales through claims payment and everything in-between. During her two years at HMHS, Gloria has been leading the organization on its journey from a solutions-based focus to a Product Mindset.

Prior to joining HMHS, Gloria was the vice president of the Market Facing Portfolio at CareFirst BlueCross Blue Shield, where she led the implementation of member, broker, and employer programs. These initiatives included, but were not limited to, the build and launch of the first mobile applications, the automation of the Quote to Bill functions, and the integrations with both the federal and state exchanges. Gloria also spent six years at Accenture where she was responsible for the delivery of a wide range of projects at several health insurance plans, with a focus on the Blues plans.

Gloria holds a BS in Computer Science from Hofstra University and an MBA in Finance and International Business from the University of South Florida.
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Andrew Verboncoeur, Director, Digital and Integration NASCO
Andrew has over 20 years of experience driving strategic technology transformation in healthcare and life science organizations. His specific focus is on the optimization of business operations and the user experience through digital transformation, improved organizational interoperability, and low latency information exchange.

Most recently, Andrew helped conceive of and launch the Coalesce Health Alliance, a governed consortium of healthcare administration organizations. He currently serves as the chief technologist for the consortium, leading the design and delivery of a blockchain based solution for optimizing real-time exchange of accumulator information between consortium organizations. In this role, Andrew applies his experience working with a venture-backed wireless startup to develop a product concept from an initial minimal viable product into a production ready solution that applies API, cloud, and blockchain technologies to solve real world operational healthcare administration problems.

Andrew also holds the role of Director, Digital and Integration with NASCO. In this role, he works closely with NASCO's product management to ensure that NASCO delivers modern API and event driven integration solutions for the benefit our customers. Andrew evangelizes the same API-first, "outside-in" principles in both his NASCO and Coalesce roles.

Andrew holds an undergraduate degree in Finance from the University of Florida and an MBA from Georgia State University. He currently resides in Alpharetta, Georgia and has two amazing daughters; one attending the University of Notre Dame Law School and the other graduating from the Georgia Institute of Technology this spring before heading to graduate school in the fall.
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David Weeks, SVP, Chief Digital and Technology Officer NASCO
As NASCO's Chief Digital and Technology Officer, David oversees NASCO's Products and Technology, including introducing new innovation capabilities and ensuring that we successfully secure and architect our products for the future.

David is an accomplished IT executive with over 30 years of experience in technology innovation and business transformation. He has a proven track record of building teams and transforming existing teams to deliver best-in-class IT products and services.

Prior to joining NASCO, David was a Vice President at Sogeti USA (Capgemini), leading their US Healthcare consulting practice. He spent eight years at Wellmark (BCBS of Iowa and South Dakota) and held several positions over his tenure, including CIO and Chief Technologist. David is originally from the UK, where he worked for EDS for 14 years and was recognized as the EDS Outstanding Employee of the Year in 1989. David graduated from the University of Buckingham in the UK with Bachelor of Science in Business.

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Joyson Jacob, Enterprise Architect
May
13
Start 3:00 PM (CT)
End 4:00 PM (CT)
BluesNet Next Generation for Blues Data Communication
BCBS Only, Enterprise Information Technology, Data Solutions
Speakers:
Travis Billiet, Network Architect, Blue Cross Blue Shield of Arizona
Bhadresh Patel, Managing Director BluesNet, Blue Cross Blue Shield Association
William Ried, IT Manager II - Data Networking, BCBSM
Noor Hussain, Director, BlueCross BlueShield Association
Description:
BluesNet Services, Capabilities and its Future
1.0 CPE
Objectives:
1. BluesNet Services Offerings 2. BluesNet Capabilities 3. BluesNet Future for Blue Plans Data Communication need
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Travis Billiet, Network Architect Blue Cross Blue Shield of Arizona
I've been with BCBSAZ for 5 years. My background is in Networking, which is what my focus is at BCBSAZ.
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Bhadresh Patel, Managing Director BluesNet Blue Cross Blue Shield Association
Bhadresh Patel has been with the Association since 2012. A graduate of University of Colorado in Boulder, Colorado. Bhadresh brings his 20 years experience to the Association and has already held roles as the Manager of Unified Communication, Directory of Enterprise Networks and recently took over the role of Managing Director of BluesNet. He brings to BluesNet a renewed vision. This vision includes providing a highly reliable, secure and trusted network to the Plans and their partners.
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William Ried, IT Manager II - Data Networking BCBSM
IT Professional since 1978. I began in software development with Ford Motor Company after graduating from the University of Michigan with a B.S. - Mathematics. I completed my M.S. - Industrial and Systems Engineering in 1982 after which I accepted a position with AT&T Bell Laboratories in Holmdel, NJ as a Systems Engineer designing systems in support AT&T Business Units. Staying with AT&T I moved into techincal sales support with AT&T's Large Business Systems supporting the General Motors Account in 1989 in Southfield, MI. Eighteen months later, I accepted an opportunity at AT&T College & University Systems in Ann Arbor, MI where we developed products in support of the colleges, primarily student long distance billing from the dorms. I would spend 10-years in that environment supervising the development group for products for the college market. In 2000, I moved to AT&T Solutions where I was a project manager for this new business unit of AT&T providing managed router solutions on the General Motors, Delphi and Visteon accounts. In 2008, I accepted a position at Visteon as Associate Director for Global Voice and Data Services. In 2014, I accepted a Director - Global Voice & Data at Ecolab working out of Eagan, MN, Naperville, IL and Novi, MI supporting 600+ sites in 100+ countries. This position involved the integration of two companies Ecolab had acquired to merge the myriad of fragmented networks into a single Enterprise Network supporting Ecolab's voice and data needs and the migration to cloud services. In late 2018, I joined Blue Cross Blue Shield of Michigan and currently have responsibiltiy for enterprise voice and data services including migration of services to cloud based services.
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Noor Hussain, Director BlueCross BlueShield Association
A widely recognized business technology leader experienced in transformation, collaboration, and innovation within a broad spectrum of industries and business models with global level success. A proven, results-oriented and highly motivated leader who balances vision, strategy, talent, and execution to deliver customer and business value. An effective collaborator, influencer, and communicator resulting in strong partnerships throughout the organization. Dynamic leadership and management career with a rare combination of business, finance, operations, administration, and technology acumen offering a gratifying career span of over 20 years. Currently managing BluesNet and Managed Services Excellence.
May
13
Start 3:00 PM (CT)
End 4:00 PM (CT)
Medicare Advantage
Office of Clinical Affairs
Speaker:
Greg Strauss, Director - Innovation, Blue Cross Blue Shield Association
Description:
Highmark Blue Cross and Blue Shield will present topics relevant to Medicare Advantege programs including HEDIS measure improvement and risk adjustment, 
1.0 CPE; TBD CME
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Greg Strauss, Director - Innovation Blue Cross Blue Shield Association
For the past 20 years Greg has focused on designing, developing, and deploying scalable, innovative population health and engagement solutions across the health care ecosystem. He has held executive strategy and sales roles with Glaxo SmithKline, MDLIVE, Expert-24. His industry experience encompasses health plans, national accounts, providers, retailers, healthcare financing, and international entities driving programs that increase care access, care quality and elevate consumer and provider satisfaction while driving cost control. Greg is a member of the American College of Healthcare Executives and the American Telehealth Association.
May
13
Start 3:00 PM (CT)
End 3:30 PM (CT)
Sapphire Session - Sponsored by Enhanced Medication Services
Open to All Audiences
Description:
Mark your calendars and join your peers for a 30 minute session to hear case studies and best practices. This thought leadership session will focus on relevant health care topics and deliver results for you to take back to your organization. 
May
13
Start 3:00 PM (CT)
End 4:00 PM (CT)
COVID-19: View from DC and BCBS Plans
Office of Policy & Representation
Speakers:
Anshu Choudhri, Executive Director, Legislative and Regulatory Policy, BCBSA
Richard Snyder, EVP, Facilitated Health Networks and Chief Medical Officer, Independence Blue Cross
Lisa White, SVP, Chief Compliance and Risk Officer, EXCELLUS HEALTH PLAN, INC.
Alicia Berkenmeyer
Description:
Receive the latest update on Association efforts, BCBS Plan priorities, and recent actions from the Administration and  Congress to address COVID-19
1.0 CPE
Objectives:
Gain a better understanding of recent activity in Washington and how the Biden Administration is addressing the pandemic. Learn more about how BCBSA is shaping legislative and regulatory efforts to address the pandemic as well as supporting Plan efforts. Learn from select BCBS Plans about how they are dealing with the pressing challenges of the moment in addressing COVID-19.
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Anshu Choudhri, Executive Director, Legislative and Regulatory Policy BCBSA
Anshu Choudhri, MHS
Executive Director, Legislative and Regulatory Policy
Office of Policy and Representation
Blue Cross Blue Shield Association (BCBSA)

Anshu has been with the Blue Cross Blue Shield Association for sixteen years, serving in multiple capacities in both the clinical and policy divisions of the organization. In his current role in the Office of Policy and Representation, Anshu is responsible for overseeing the development of legislative and regulatory policy analysis, with an emphasis on COVID-19, delivery system reform, transparency, rising prescription drug costs, surprise medical billing, public health, behavioral health and mental health parity, opioid and substance use disorder, healthcare quality, preventive services, health information technology, interoperability, medical management, and networks.

Across these content areas, Anshu works with BCBS Plans and senior leadership to develop strategy and consensus opinion on proposed regulations and legislation, and oversees the development of comment letters to various government agencies or responses to Congressional and Executive Branch requests for information. Additionally, Anshu works closely with government agencies, Congressional staff, and industry stakeholders in Washington to represent the BCBS Plan perspective and to develop partnerships for future collaboration.

Anshu received a B.S. in Mechanical Engineering from George Washington University, in Washington, DC, and an M.H.S. in Health Finance and Management from The Johns Hopkins University Bloomberg School of Public Health in Baltimore, MD.
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Richard Snyder, EVP, Facilitated Health Networks and Chief Medical Officer Independence Blue Cross
Richard Snyder, M.D., is the executive vice president of Facilitated Health Networks and chief medical officer at Independence Health Group (Independence). In this role, he leads the development of Independence's strategic relationships with physicians and health systems, as well as innovative provider contracts to drive improvements in health care quality and costs for Independence's members. He is the company's chief clinical spokesperson and has overall corporate responsibility for medical management and policy.

Dr. Snyder currently leads the Independence effort to drive clinical care transformation by bringing vital clinical information to the point of care, integrating and coordinating care management efforts and more closely aligning financial incentives between Independence and its participating physician and health system partners. This model provides the cornerstone for creation of a more streamlined, high-quality, satisfying and affordable experience for Independence members.

Dr. Snyder is active in a variety of professional organizations. He serves on the board of directors for HealthShare Exchange of Southeastern Pennsylvania, a regional health information organization for which he was founding chair, and is immediate past chair of the board of directors of the American Heart Association of Southeastern Pennsylvania. He also serves on the boards of the Independence Blue Cross Foundation and Tandigm Health, and served on the Mayor's Task Force to Combat the Opioid Epidemic in Philadelphia.

He is a Fellow of the College of Physicians of Philadelphia and a member of the American Medical Association, the Pennsylvania Medical Society,
the American Academy of Family Physicians, and the Pennsylvania Academy of Family Physicians.

Dr. Snyder is a graduate of Franklin & Marshall College and the Medical College of Pennsylvania. He is board certified by the American Board of Family Medicine.
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Lisa White, SVP, Chief Compliance and Risk Officer EXCELLUS HEALTH PLAN, INC.
Lisa A. White
Chief Compliance and Risk Officer
Senior Vice President

As Chief Compliance and Risk Officer, Senior Vice President, Ms. White is responsible for overall Ethics, Privacy & Compliance functions, Enterprise Risk Management (ERM), Corporate Audit, Corporate Governance, Business Resilience, Facilities & Real Estate, and Document Services.

Ms. White assisted in the formulation of the Compliance function for the Company in 1999. Lisa joined Excellus BlueCross BlueShield in 1991, serving in various operational roles within the organization.

Serving the Syracuse community, Lisa is a Board of Trustees member of Make-A-Wish of Central New York, currently in the role of Vice Chair.

Ms. White earned her Master of Science degree in Business, Ethics and Compliance from New England College of Business and Finance and a Bachelor of Science degree in English Literature from Syracuse University. Lisa is a North Carolina State ERM Fellow.
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Alicia Berkenmeyer
May
13
Start 4:00 PM (CT)
End 4:30 PM (CT)
Virtual Cooking Class "Cooking with Your Senses 2021" Sponsored by TruHearing
Open to All Audiences
Description:
Bravo’s Top Chef Jen Carroll and TruHearing’s Ryan Baum-VP of Business Development and Sales, discuss how cooking engages the senses while performing a cooking demo. Ryan shares about the latest technology in hearing health and the importance of not waiting to seek care for hearing loss.
 
Recipe:
Chicken Schnitzel with Chipotle Brussels Sprout Salad
May
14
Start 8:00 AM (CT)
End 8:30 AM (CT)
BeFit Morning Wellness Activity - Day 8
Open to All Audiences
Description:
It's more important than ever to stay active while at home. Exercise has been known to boost the immune system, reduce stress and improve sleep. Start the conference day with our wellness activity!
May
14
Start 10:15 AM (CT)
End 10:45 AM (CT)
Morning Coffee Chat
Open to All Audiences
Description:
Start your day by networking with a virtual Morning Coffee Chat. As the chat host appears on screen, you will participate in the chat. These 30 minute coffee chats may be topic specific and will provide BCBS Plan attendees the opportunity to interact with peers that we all miss from an in-person event.
May
14
Start 11:00 AM (CT)
End 12:00 PM (CT)
Healthcare Policy in 2021
Open to All Audiences
Speakers:
Justine Handelman, Senior Vice President, Blue Cross Blue Shield Association
Donna Shalala, Former Secretary, Health and Human Services
Mike Leavitt, Former Governor, of Utah
Description:
Hear from both sides of the aisle as they discuss key healthcare initiatives with the new administration and Congress. Stay tuned for our exciting political speaker panelists coming soon!
 
1.0 CPE
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Justine Handelman, Senior Vice President Blue Cross Blue Shield Association
Justine Handelman is senior vice president of the Office of Policy and Representation for the Blue Cross Blue Shield Association (BCBSA), a national federation of 36 independent, community-based and locally operated Blue Cross and Blue Shield (BCBS) companies. The BCBS System is the nation's largest health insurer, covering one-in-three of all Americans.

In overseeing BCBSA lobbying and policy development activities, Handelman represents BCBSA's Washington office and BCBS companies with the Administration, Congress, government agencies and other national associations. This includes development of legislative and regulatory policy positions and legislative strategy on a wide range of issues, including healthcare reform, government programs, healthcare financing, tax legislation and health information technology.

Handelman has more than 25 years of experience in providing strategic analysis, policy development and federal representation on legislative, regulatory and federal policy issues pertaining to public and private healthcare. During her tenure, she has developed key policy positions that were incorporated in legislation enacted by Congress on key healthcare issues, including Medicare Modernization Act, the Affordable Care Act, legislation to prevent opioid abuse and legislation to address mental health parity.

Prior to joining BCBSA in 2001, Handelman was the director of the Health Care Practice Group in the Government Relations Division of SmithBucklin. In this capacity, she was responsible for the day-to-day government relations activities for several non-profit professional medical specialty societies and healthcare organizations. Prior to joining the Smith, Bucklin team, she served as a senior legislative associate of MARC Associates, Inc.

Handelman received her bachelor's degree in political science from the Catholic University of America.
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Donna Shalala, Former Secretary Health and Human Services
Donna E. Shalala has more than four decades of experience as an accomplished scholar, teacher, and administrator.

Born in Cleveland, Ohio, Dr. Shalala received her A.B. degree in history from Western College for Women. One of the country's first Peace Corps Volunteers, she served two years in Iran. She earned her PhD degree from The Maxwell School of Citizenship and Public Affairs at Syracuse University. She has held tenured professorships at Columbia University, the City University of New York (CUNY), the University of Wisconsin-Madison, and the University of Miami. She served as President of Hunter College of the City University of New York from 1980 to 1987 and as Chancellor of the University of Wisconsin-Madison from 1987 to 1993.

In 1993, President Bill Clinton appointed her U.S. Secretary of Health and Human Services (HHS) where she served for eight years, becoming the longest serving HHS Secretary in U.S. history.

She served in the Carter administration from 1977 to 1980 as Assistant Secretary for Policy Development and Research at the U.S. Department of Housing and Urban Development.

In 2007, President George W. Bush handpicked Shalala to co-chair with Senator Bob Dole the Commission on Care for Returning Wounded Warriors, to evaluate how wounded service members transition from active duty to civilian society. In 2009 she was appointed chair of the Committee on the Future of Nursing at the Institute of Medicine of the National Academy of Sciences.

Dr. Shalala has more than four dozen honorary degrees and a host of other honors, including the 1992 National Public Service Award and the 1994 Glamour magazine Woman of the Year Award. In 1992 BusinessWeek named her one of the top five managers in higher education and U.S. News & World Report named her one of "America's Best Leaders" in 2005. In 2008 the Council on Excellence in Government named her one the greatest public servants of the past 25 years. In 2008 President Bush presented her with the Presidential Medal of Freedom, the nation's highest civilian award, and in 2010 she received the Nelson Mandela Award for Health and Human Rights, which recognizes individuals for outstanding dedication to improving the health and life chances of disadvantaged populations in South Africa and internationally.

In 2011 she was inducted into the National Women's Hall of Fame in Seneca Falls, New York, and in 2014 she was recognized by the Harry S. Truman Library with the Harry S. Truman Legacy of Leadership Award and received the Greater Miami Chamber of Commerce's highest honor, the Sand in My Shoes Award, for her significant contributions to the Miami community.

One of the most honored academics of her generation, Shalala has been elected to seven national academies: National Academy of Education; the National Academy of Public Administration; the American Academy of Arts and Sciences; the American Philosophical Society; the National Academy of Social Insurance; the American Academy of Political and Social Science; and the National Academy of Medicine. She is also a member of the Council on Foreign Relations.
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Mike Leavitt, Former Governor of Utah
Mike Leavitt is the founder of Leavitt Partners where he helps clients navigate the future as they transition to new and better models of care. In previous roles, Mike served in the Cabinet of President George W. Bush (as Administrator of the Environmental Protection Agency and Secretary of Health and Human Services) and as a three-time elected governor of Utah.

Mike grew up in Cedar City, Utah, where his upbringing was rooted in the values of the American West, with its emphasis on hard work and common sense. He earned a bachelor's degree in business while working in the insurance industry. In 1984, he became chief executive of The Leavitt Group, a family business that is now the nation's second largest, privately held insurance brokerage.

In 1993, Mike was elected governor of Utah. He served three terms (1993-2003). In 2003, he joined the Cabinet of President George W. Bush, serving in two positions: first as administrator of the Environmental Protection Agency (2003-2005) and then as secretary of Health and Human Services (2005-2009). At HHS, he administered a $750 billion budget — nearly 25 percent of the entire federal budget — and 67,000 employees.

He led the implementation of the Medicare Part D Prescription Drug Program. The task required the design, systematization, and implementation of a plan to provide 43 million seniors with a new prescription drug benefit. By the end of the first year, enrollments exceeded projections, prices were lower than projected, and seniors expressed high levels of satisfaction.


A pattern of innovation runs throughout Mike's career. When he was elected governor, Utah's major freeway system was dangerously inadequate. Taking what some thought was a significant political and financial risk, Mike instigated a design-build system, creating cost and quality incentives between the state and its contractors. The project was finished in half the originally projected time and well under budget.

Collaborator is a word that comes up repeatedly when one examines Mike's background. His skill led his colleague governors to elect him as chairman of the National Governors Association, the Republican Governors Association and Western Governors' Association. His book—Finding Allies, Building Alliances—was released in September 2013 by Jossey-Bass Publishers and chronicles his expertise and passion for collaboration.

Mike is a seasoned diplomat, leading U.S. delegations to more than 50 countries. He has conducted negotiations on matters related to health, the environment, and trade. At the conclusion of his service, the Chinese government awarded him the China Public Health Award – the first time this award has ever been given to a foreign government official.

He and his wife Jacalyn S. Leavitt lead a full life with five children and 15 grandchildren. Mike is an avid golfer. He got his first hole in one on his 60th birthday.
May
14
Start 12:30 PM (CT)
End 1:30 PM (CT)
Managing An Effective IT Audit Team In The Current Environment
Internal Audit
Speaker:
Loretta Moore-Nixon, Senior Manager, Internal IT Audit, Health Care Service Corporation
Description:
How to Manage An Effective IT Audit Team In The Current Environment
1.0 CPE
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Loretta Moore-Nixon, Senior Manager, Internal IT Audit Health Care Service Corporation
Loretta is a Senior Manager in the Internal Audit Department for Health Care Service Corporation (HCSC). HCSC is a mutual legal reserve company and independent licensee of Blue Cross Blue Shield Association (BCBSA). HCSC also operates as Blue Cross BlueShield of Illinois, Montana, New Mexico, Oklahoma and Texas. She has a 34-year track record and career in professional Information Technology (IT) auditing and consulting experience which includes a diversified internal audit background in the federal government (Internal Revenue Service), health insurance industry (Health Care Service Corporation (HCSC)) and banking industry (Northern Trust Bank).


Loretta oversees the daily execution of internal IT Audit engagements and external audit coordinations and manages a team of Information Systems auditors and consultants at Blue Cross Blue Shield of Illinois in Chicago. Her responsibility includes managing the IT Audit Master Audit Plan (MAP) with specific responsibility for engagements that support the National Association of Insurance Commissioners (NAIC) Model Audit Rule (MAR) including Application Interface/Data Integrity Controls (MAR) and IT General Controls (MAR), Physical Security, Risk Management as well as SOC 1, SOC 2 and SOC + and Financial Audit IT engagements. These engagements focus on evaluating risks, controls and exposures associated with IT application systems, security and infrastructure supporting the IT environment and enterprise.

Loretta has been instrumental in developing the Model Audit Rule (MAR) Audit Testing Approach and the Deferred Controls Approach to support compliance with the National Association of Insurance Commissioners (NAIC) MAR Rule for IT, Financial and Operational audits. Given Loretta's extensive experience, she also manages the external audit relationship with the company's external auditors Ernst & Young, LLC. Her experience and business acumen in key areas as information technology and operational controls, risk, governance and compliance fortifies her expertise in translating complex matters and issues into clear concepts resulting in reasonable solutions and timely outcomes.

Additionally, Loretta is a diversity champion having served several leadership roles in the African Americans in Motion (AAIM) Business Resource Group (BRG) at HCSC. As a Board Member, past Vice President and past Membership Reporting Director, she led and directed strategic initiatives and programs to support the AAIM BRG with greater emphasis on strategic employee-focused goals and objectives throughout the enterprise while fostering significant external partnerships and collaborations within the internal organization. Her other professional associations include the National Association of Professional Women (NAPW), National Black MBA Association - Chicago Chapter, Toastmasters International (Local Chapters) and other not-for-profit organizations. Loretta considers herself a "Change Agent." This self-branding embodies who she is as a woman in leadership, corporate leader, business professional and diversity champion.

Loretta holds a Bachelor of Science degree in Information Systems from DePaul University. She is a Chicago native and lives in the southwest suburb with her husband William of 29 years and her two sons, Jamal and William Nixon.
May
14
Start 12:30 PM (CT)
End 1:30 PM (CT)
Concierge Service that Really Values the Customer
BCBS Only, Customer Contact Center & Claims
Speakers:
Derrick Fickling, Director of Operations, Blue Cross and Blue Shield of South Carolina
Melissa Chavis, Senior Director, National Alliance Operations, Blue Cross and Blue Shield of South Carolina
Description:
Let Blue Cross Blue Shield of South Carolina introduce you to the world of Concierge Service in a call center environment.  Hear how their comprehensive advocacy solution has taken their service to the next level.  Learn what valuing the customer's needs really looks like.  It's time to leave standard service behind and 'Level UP', keeping your customer's both retained and satisfied!
1.0 CPE
Objectives:
Learn how to value the customer's needs.
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Derrick Fickling, Director of Operations Blue Cross and Blue Shield of South Carolina
Derrick has been with BlueCross BlueShield of South Carolina for 19 years. Ten years of which has been with National Alliance in an executive leadership capacity.

He currently provides management over the Customer Service Specialty Teams: Pharmacy, Dedicated, and Concierge call centers.

Derrick holds dual Master of Arts degrees in Human Resource Management and Management & Leadership from Webster University. He also holds a Bachelor of Arts in English Education from Benedict College. He serves as the VP of Partnerships and Special Projects for the Association for Talent Development of South Carolina and is a graduate of the Columbia area Chamber of Commerce, Leadership Columbia Class of 2019.

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Melissa Chavis, Senior Director, National Alliance Operations Blue Cross and Blue Shield of South Carolina
Melissa is a 19 year veteran of BlueCross BlueShield of South Carolina, with over 25 years of client relations and healthcare experience in both member and provider business environments.
She has served in an executive leadership capacity with National Alliance for the past eight years; and provides direct management of the Group Advocacy and Relationships team.
She holds a Bachelor of Arts Degree in English with a concentration in Education from the University of South Carolina; and a graduate of the Columbia area Chamber of Commerce, Leadership Columbia Class of 2016.
May
14
Start 12:30 PM (CT)
End 1:30 PM (CT)
Provider Data Transformation (PDT): Where We Are and Where We Are Heading With Implementation
BCBS Only, Data Solutions
Speakers:
Andrew Drinnin, Manager, Business Applications, Blue Cross Blue Shield Association
Lynda McMillin
Renee Braddick
Description:
BCBSA will discuss implementation timelines and takeaways from what we have learned so far. Plans will describe their strategies for mapping their provider data to FHIR profiles, and developing their APIs for exchanging data with PDT.
1.0 CPE
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Andrew Drinnin, Manager, Business Applications Blue Cross Blue Shield Association
Andrew Drinnin has been with BCBSA in the Commercial Markets, Enterprise Data Solutions Division for almost 9 years. He is a Manager on the Business Operations and Delivery team, overseeing the implementation of Provider Data Transformation, API key processing and platform and is the business owner of Analytic Sandboxes. Prior to his current role, Andrew was the Product Manager of Provider Data Repository (PDR) and Application Owner of the National Doctor Hospital Finder and BCBS Axis Cost. Andrew also has previous experience as the Business Lead on Business Applications team that primarily focused on applications such as, ITS, Blue², Claims Administration, Plan Profile, and Prefix Management Portal. Andrew earned his bachelor's degree from the University of Nebraska at Omaha with a major in Management Information Systems and a minor in Marketing.
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Lynda McMillin
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Renee Braddick
May
14
Start 12:30 PM (CT)
End 1:30 PM (CT)
Transparency: Legislative and Regulatory Advocacy Efforts
BCBS Only, Office of Policy & Representation
Speaker:
Jennifer Jones, Director, Legislative and Regulatory Policy, Blue Cross Blue Shield Association
Description:
This session will provide an update to Plans on the price transparency requirements finalized last year as part of the Transparency in Coverage rule and the Consolidated Appropriations Act, and walk through BCBSA's advocacy strategy.
1.0 CPE
Objectives:
Understand the intersection of various federal legislative and regulatory actions related to price transparency. Update awareness of BCBSA's current legislative and regulatory advocacy efforts
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Jennifer Jones, Director, Legislative and Regulatory Policy Blue Cross Blue Shield Association
Jennifer Jones has over nine years of experience in the health insurance field and working with federal and state stakeholders. She is currently a Director of Legislative and Regulatory Policy in the Office of Regulatory Affairs at BCBSA, and focuses on issues including COVID-19, managed care operations, and public health issues. Previously, Jennifer supported the Centers for Medicare & Medicaid Services as well as other federal and state agencies to address operational and policy challenges in federal and state government insurance programs. Jennifer received her undergraduate degree from the University of Michigan and a master's degree in public health from Yale University.
May
14
Start 12:30 PM (CT)
End 1:30 PM (CT)
Medicaid: MLTSS Integration and Addressing Barriers Inhibiting Access to Care & Services for Individuals with Disabilities
Office of Clinical Affairs
Speaker:
Merrill Friedman
Description:
Anthem Blue Cross and Blue Shield will discuss the complexities of MLTSS Integration and Addressing Barriers Inhibiting Access to Care & Services for Individuals with Disabilities..
1.0 CPE; TBD CME
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Merrill Friedman
May
14
Start 1:45 PM (CT)
End 2:45 PM (CT)
Care Management: Hypertension
Office of Clinical Affairs
Speaker:
Violet Jones
Description:
This session will address best practices and innovations in reducing Hypertension in member popoulations, the impact of social determinants of health on hypertension and discuss BCBS programs that have made strides in addressing the root causes of the illness. and empowering members to manage the condition.
1.0 CPE; TBD CME
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Violet Jones
May
14
Start 1:45 PM (CT)
End 2:45 PM (CT)
The Federal Courts as Policymakers in the Health Care Arena and Beyond
Lawyers & Legal Assistants
Speaker:
Anthony Shelley, Member, Miller and Chevalier
Description:
Anthony F. Shelley of Miller & Chevalier returns to the Summit this year to talk not just about the United States Supreme Court but about all the Federal Courts and how their decisions increasingly shape national health care policies that directly affect the Blue Cross and Blue Shield Plans.  
 
1 CLE; 1.0 CPE
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Anthony Shelley, Member Miller and Chevalier
Anthony Shelley's practice focuses on litigation and regulatory issues relating to health and pension plans. Mr. Shelley's experience includes matters involving the Employee Retirement Income Security Act (ERISA), other federal employee benefits statutes, such as the Federal Employees Health Benefits Act, and the Affordable Care Act (ACA). He has defended companies and plans in class actions and individual suits concerning benefits denials, exclusions from coverage, fiduciary issues, provider assignments, and subrogation and reimbursement. He has dealt in depth with issues of federal jurisdiction and the preemption of state law. He has argued before the U.S. Supreme Court and frequently before the U.S. Courts of Appeals. Mr. Shelley also advises insurers and employers regularly on the ACA's requirements and its implementing regulations. Mr. Shelley is a frequent speaker at Blues conferences and other national and industry events. He is ranked in Chambers USA: ERISA Litigation (National), 2009 – 2018, The Best Lawyers in America®: Employee Benefits (ERISA) Law and Litigation - ERISA, 2011 – 2018, Legal 500: Labor & Employment: ERISA Litigation, 2012 – 2018, and Legal 500: Labor & Employment: Employee Health and Retirement Plans, 2018. He is a graduate of Canisius College (B.A., 1984, summa cum laude) and Harvard Law School (J.D., 1987, cum laude). Mr. Shelley served as Chair of Miller & Chevalier's Executive Committee from 2011 to 2017.
May
14
Start 1:45 PM (CT)
End 2:45 PM (CT)
The Economic Burden of Caregiving and Strategies to Support the Caregiver Community
BCBS Only, Strategy & Data Analytics
Description:

The number of Americans providing care to friends or family members with serious medical conditions is growing rapidly. The growth of this uncompensated role has significant direct and indirect implications on the economy. During this session you will learn what the total economic burden of caregiving amounts to and how BCBS Plans are implementing programs and resources to better support caregivers in their communities.


1.0 CPE
May
14
Start 1:45 PM (CT)
End 2:45 PM (CT)
Innovative Incentive Strategies to Foster and Sustain Real Behavior Change
Brand & Consumer Experience, Strategic Marketing & Communications
Speakers:
Paige Rothermel
Pam Shipley
rachel dahlen, Co-Founder, Speak Retail Group
Description:
Instead of wasting precious incentive dollars on gift cards, postage, and cheap knickknacks, come learn about an innovative incentive campaign that helped one BCBS Plan boost new member enrollment by nearly 25% and provided a foundation for long-lasting behavior change. In this session, Paige Rothermel, chief operating officer of Blue Cross Blue Shield of Arizona (BCBSAZ), will be joined by two key strategic partners: Pam Shipley, chief operating officer at Sharecare, and Rachel Dahlen, former Walmart executive and co-founder of Speak Retail. Together, they will share their perspectives on using digital engagement and data to disrupt traditional incentive models; and discuss how they are using a unique blend of health technology, retail payment processing, and behavioral economics to deliver affordable and personalized packages that really work for BCBSAZ members.
1.0 CPE
Objectives:
By attending this session, attendees will:
1. Learn how to increase member engagement by leveraging personalized, data-driven communications through a comprehensive digital health platform.
2. Discover how to enable SKU-level controls to direct redemptions toward specific categories, items, or health services at Walmart and other national retailers.
3. Be armed with five practical (and fun!) strategies to get members excited about and motivated to improve their health.
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Paige Rothermel
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Pam Shipley
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rachel dahlen, Co-Founder Speak Retail Group
Rachel Dahlen is the co-founder of Speak Retail Group, a payment innovations platform designed to simplify and enhance consumer experience. Founded in 2016, Speak partners with health plans to provide members with a customized, easy way of accessing key health benefits. By integrating Speak's unique Direct Spend Technology, plans significantly lower administrative costs, increase member satisfaction, and gain valuable analytical insights into member behavior. Speak is growing exponentially and is projected to manage 10 million lives in 2021.

Rachel has 20 years of experience as an executive and entrepreneur. She began her career in business development for Walmart and went on to run several consumer brand focused companies, successfully launching hundreds of new products over the course of a decade. She is a graduate of California Polytechnic University.
May
14
Start 1:45 PM (CT)
End 2:45 PM (CT)
Enabling Value with Analytic Process Automation in Accounting
BCBS Only, Finance
Speakers:
Andy De
Lauren Shampo
Description:
The digital age has transformed the accounting function, enabling organizations to focus on driving business impact, reducing costs and becoming more agile and efficient. Discussion of the transformation of accounting with next generation artificial intelligence, analytics and process automation to deliver actionable insights for health plan executives.
1.0 CPE
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Andy De
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Lauren Shampo
May
14
Start 3:00 PM (CT)
End 4:00 PM (CT)
Sharing ITS Testing Tool Source Code with Plans to Enhance Capabilities and Improve the Process
BCBS Only, Enterprise Information Technology, Business & Operational Excellence
Speakers:
Jeff Bishop, BCBS Capability Product Manager, Premera Blue Cross
John Cooper, SenionSoftware Development Engineer, Premera Blue Cross
Noor Hussain, Director, BlueCross BlueShield Association
Description:
Attendees will learn how Premera Blue Cross collaborated with BCBSA and Plans to share a best practice. Premera will demonstrate a testing tool used to enhance internal ITS testing and to mimic a Partner Plan when testing SF/DF processing. This reduces dependency on another Plan to initiate testing when used and a self-service tool. The tool helps to reduce Plan user time and provides a user-friendly view to ITS record sets.

In response to the cancellation of the March 2020 Customer Forum, BCBSA assisted Premera to sponsor a special All-Plan Technical call. This pivot to a virtual meeting replaced the Technical Session normally presented face-to-face at the meeting in Chicago.

Premera packaged the "Flip UI" tool kit so it could be shared with other Plans. We collaborated with small number of Plans to supply the source code and assisted them with installing and implementing the tool.
1.0 CPE
Objectives:
Plans will view a product demonstration and learn how collaboration leads to more efficient processes and helps Plans meet requirements.
By sharing knowledge, helping one another, and having transparency helps all Plans achieve success together.
Learn how creating an environment to freely communicate and work together is a benefit to the Plan System enterprise.
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Jeff Bishop, BCBS Capability Product Manager Premera Blue Cross
Jeff has been with Premera for 20 years. In his current position as the BCBSA Product Capability Manager he supports multiple strategic projects especially those related to BCBSA mandates and initiatives. His career with Premera includes management of IT Applications supporting ITS, FEP, BlueSquared, BlueExchange, and NASCO systems.

Jeff contributes to agenda and topic planning for the BCBS National Programs Customer Forums and Chairs the Cognizant Partner Plan group. This group meets bi-weekly to share common interests related to Facets ITS system components. He also participates in NPBAW, BCM, and PDT subcommittee workgroups.

A career highlight in 2017 was receiving the BCBSA Richard L. Guffey Leadership Award – presented to the Plan staff member who makes a major contribution to the success of the BCBS system. The award goes to leaders who understand the power of collaboration and transformation. Jeff take great pride in his continued efforts to support collaboration and working with other BCBS Plans and BCBSA especially during these challenging times.
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John Cooper, SenionSoftware Development Engineer Premera Blue Cross
John Cooper is a Senior Software Development Engineer with Premera Blue Cross. He's been developing software solutions for over 30 years, mostly in various healthcare-related fields.
Away from work, John enjoys making music, sailing and crabbing in the beautiful waters of the Pacific Northwest, and especially spending time with his wife and family
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Noor Hussain, Director BlueCross BlueShield Association
A widely recognized business technology leader experienced in transformation, collaboration, and innovation within a broad spectrum of industries and business models with global level success. A proven, results-oriented and highly motivated leader who balances vision, strategy, talent, and execution to deliver customer and business value. An effective collaborator, influencer, and communicator resulting in strong partnerships throughout the organization. Dynamic leadership and management career with a rare combination of business, finance, operations, administration, and technology acumen offering a gratifying career span of over 20 years. Currently managing BluesNet and Managed Services Excellence.
May
14
Start 3:00 PM (CT)
End 4:00 PM (CT)
Project 200
BCBS Only, Government Programs
Speaker:
Teresa Money, Managing Director, Blue Cross Blue Shield Association
Description:
This presentation will provide an update of FEP activities to identify new benefits, programs, and system changes to support strategic cost goals to ensure Product viability.
1.0 CPE
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Teresa Money, Managing Director Blue Cross Blue Shield Association
Teresa Money is Managing Director of Care Delivery Implementation in the FEP division of the Blue Cross Blue Shield Association. In her role, Teresa provides the strategic leadership, direction, identification and implementation of new and innovative practices for the Federal Employee Program to achieve savings in the delivery of care while maintaining and enhancing quality of care metrics.
Teresa is a registered nurse and certified professional coder with professional and facility designations. She has 21 years combined experience in health care. Teresa joined FEP in 2010 as the coding lead for the implementation of ICD-10. In 2003 she joined Independence Blue Cross as an auditor in the Corporate Financial Investigations Department.
Currently, Teresa overseas care management, utilization management, value based reimbursement, medical coding, FEP medical policy, and the implementation of pilots for FEP.
May
14
Start 3:00 PM (CT)
End 4:00 PM (CT)
Leveraging Member Rewards to Attract, Retain and Please Customers while Accomplishing Core Organizational Objectives
Brand & Consumer Experience, Development & Innovation
Speakers:
Mike Archer, Senior Director of Product, Florida Blue
Brittany Powers, Rewards Product Consultant, Florida Blue
Nichole McGrath, Vice President, Client Success, Onlife Health
Felicia Zusman, Managing Director, Brand Experience, Blue Cross Blue Shield Association
Description:
During this session we will describe how Florida Blue and Onlife partnered for a Member Rewards Program that lifted NPS scores, improved retention and allowed our membership to develop a better understanding of their health status and the resources available to them.
1.0 CPE
Objectives:
Attendees will better understand how rewards can be leveraged to advance core organizational objectives and improved member outcomes. This includes:
1. Program Design
2. Marketing and awareness
3. Organizational partnerships
4. Onlife
5. Core Outcomes
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Mike Archer, Senior Director of Product Florida Blue
Michael Archer
Senior Director of Product Solutions Management

Michael Archer is a Senior Director of Product for Florida Blue. In this role, Archer is responsible for a team leading Product Performance Analysis and the Member Rewards Program. Prior to this, he was a key leader at GuideWell Connect implementing and managing their largest client in terms of revenue and products purchased.

Archer is an experienced leader in several areas of health care including Marketing, Operations, Finance and Management with diverse industry experience including managed care and provider health care organizations.

During his time at Florida Blue he oversaw million-dollar projects, directly managed large cross functional teams and has led Blue Cross and Blue Shield Association projects.

He has taught Health Care Marketing and Consumer Issues in Health Care at the University of North Florida for five years and was a board member on the Health Administration Board.

He started and led a Tennis program at the Beaches Boys and Girls Club with funding supplied by many local country clubs and has been a strong supporter of the United Way throughout his career.

Archer holds a Bachelor of Science degree in Health Care, a Master's degree in Health Administration and a Master's degree in Business Administration from the University of North Florida.
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Brittany Powers, Rewards Product Consultant Florida Blue
Brittany Powers received a Masters of Science in Integrated Marketing from Florida State University and is currently a Rewards Product Consultant at Florida Blue. Her professional interest focus on creative problem solving, member experience optimization and their application to product design or member/consumer outreach.
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Nichole McGrath, Vice President, Client Success Onlife Health
As Vice President of Client Success at Onlife Health, Nichole is responsible for the implementation of new strategic partnerships and the operational success of existing clients. Since joining Onlife in 2007, Nichole has served in a number of critical roles, including clinical management, engagement center operations, sales, and account management. With nearly 20 years of experience in the health and wellness industry, Nichole started her career as a clinical dietitian, gaining experience in a variety of settings, including independent clinical trial centers, hospitals and public health clinics. A Registered Dietitian with a strong clinical background and passion for the health and wellness field, Nichole has a B.S. in dietetics from Central Michigan University and a M.Ed. from Grand Valley State University. She completed her dietetic internship at the University of Michigan.
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Felicia Zusman, Managing Director, Brand Experience Blue Cross Blue Shield Association
Felicia Zusman is Managing Director of Brand Experience at the BlueCross BlueShield Association, where she manages the Consumer Experience Leadership Community (CXLC) Workgroup. She works with the CXLC Community, helping to build CX capabilities across the System and managing collaborative design (co-design) efforts to improve the experiences or our members. Prior to working at BCBSA, she led Human-Centered Innovation programs and Design Thinking training at SCJohnson & Sons, Inc. She also championed consumer insights in developing a new brand focused on an omni-channel product experience around wellness and mindfulness. She has spent many years working as a design strategy and design research consultant, working with brands to uncover insights, design better experiences, and apply design strategy within their organizations. She has a Masters Degree in Design from the Institute of Design at Illinois Institute of Technology and a Bachelor of Engineering from the Cooper Union. She is driven by the impact that we can all make to improve the lives of our members.
May
14
Start 3:00 PM (CT)
End 3:30 PM (CT)
Sapphire Session 006
Open to All Audiences
Description:
Mark your calendars and join your peers for a 30 minute session to hear case studies and best practices. This thought leadership session will focus on relevant health care topics and deliver results for you to take back to your organization. 
May
14
Start 3:00 PM (CT)
End 4:00 PM (CT)
Leveraging Claims Data to Better Manage COVID-19 Populations for our Accounts and Plans
Strategy & Data Analytics
Speakers:
Jeffrey Sines, Director, Analytics, Blue Cross Blue Shield of Michigan
Cindy Montgomery, Director, Informatics, BlueCross BlueShield of Arizona
Mary Henderson, SVP, Product Strategy and Business Development, Blue Health Intelligence
Objectives:
Early in 2020, even before COVID-19 claims codes had been implemented, several Blue Plans had begun to leverage clinical expertise and healthcare analytics solutions to identify and manage members populations at the Plan, account, and member level. As claims data became more prevalent and knowledge of the disease expanded, these Plans built on this foundation to better predict and manage the spread of the disease, working closely with their employer accounts to identify the locations and population densities of at-risk populations. Additionally, based on knowledge of the relationship between multiple morbidities and COVID-19 complications, they utilized existing member claims data and their account level analytics solutions to identify high-risk members and recommend interventions where appropriate. In this session, executives from BCBS of Michigan and Arizona will discuss how their Plans are using these account-level COVID-19 tracking and reporting capabilities to protect the health and safety of their members. Along with BHI, they will also share how their Plans are using these healthcare analytics to predict future utilization rates, identify how members fall into the CDC classifications for vaccination, better understand the long-term effects of the disease, and make sound return-to-work decisions for their employees.
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Jeffrey Sines, Director, Analytics Blue Cross Blue Shield of Michigan
Jeffrey is Director of Analytics at Blue Cross Blue Shield of Michigan (BCBSM), and has been with BCBSM for over 10 years. Areas of responsibility include developing standardized, comprehensive reporting packages informed by customer input and industry best practices, and production of all standard customer facing reports through Whyzen Analytics. Additional responsibilities include developing and implementing the Whyzen Analytics roadmap for BCBSM, developing and deploying training programs for internal and external customers/agents/consultants, and the business owner of BCBSM's Whyzen strategy to meet customer needs and optimize the product deployment strategy.

As Director of Analytics, Jeffrey partners with internal stakeholders to build and enhance solutions for employer group reporting, and collaborates with group customers, agents, and consultants to produce and deliver analytic reporting products to help manage their costs and identify actionable insights. Jeffrey also partners with program and product owners to develop standardized reporting specific to those programs or products.

Jeffrey has almost 20 years of experience in healthcare, both on the payer and the provider side. At BCBSM, he began as a health care analyst, rising to senior health care analyst, health care manager, and Director. Before joining BCBSM, he was a consultant for Thompson-Medstat (now IBM Watson) and a senior analyst for a major health insurer. Prior to the payer side, he was on the provider side as a mental health therapist and crisis counselor. He earned a Masters Degree in Business Administration from Wayne State University, and a Masters Degree in Clinical Psychology from Morehead State University.
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Cindy Montgomery, Director, Informatics BlueCross BlueShield of Arizona
As director of informatics for Blue Cross Blue Shield of Arizona (BCBSAZ), Cindy Montgomery functions as a thought and analytic leader to design, recommend, and execute strategic solutions to improve population health management, provider performance and client/member acquisition and retention.

Since creating the Informatics Department, Montgomery has advanced BCBSAZ's data and analytic capabilities. She joined BCBSAZ 26 years ago as an actuarial analyst. Prior to her role as director, Montgomery was senior manager of cost containment and utilization management reporting in the Actuarial Department for BCBSAZ.

Montgomery received a bachelor's degree in quantitative business analysis from Arizona State University. She also has a Master of Divinity from Western Seminary in Biblical Communications.
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Mary Henderson, SVP, Product Strategy and Business Development Blue Health Intelligence
Mary Henderson
Senior Vice President, Product Strategy and Business Development
Blue Health Intelligence

Mary leads Blue Health Intelligence's Product Strategy and Innovations team. The Product Strategy and Innovation team's mission is to provide a state-of-the-art analytic solution and integrated consulting services to support Blue Cross Blue Shield Plans' employer clients as well as other Plan-wide analytic and reporting needs.

Mary has more than 30 years of experience in healthcare reporting and analytics. Prior to joining BHI, Mary served as Senior Vice President at the American Medical Association's (AMA) Health Solutions business unit. Prior to the AMA, Mary was the President of Health Data & Management Solutions (HDMS), where her team successfully launched an analytics platform that was successfully adopted by more than 20 Blue Cross and Blue Shield Plans. Her focus has been designing and implementing business intelligence products in the healthcare reporting and analytics industry. She has also conducted analyses of cost, utilization, and quality of healthcare benefits and health management programs for many top U.S. employers, leading health plans, and large provider organizations.

Mary has a PhD from Brandeis University, focusing on health economics and a BA in Psychology from Temple University, graduating Summa Cum Laude.
May
14
Start 4:00 PM (CT)
End 5:00 PM (CT)
Entertainment TBD 002
Open to All Audiences