Sunday - June 28, 2026

8:00 AM

8:00 AM – 4:30 PM

Information Desk Open

Location: Rydercup Ballroom West Foyer

9:00 AM

9:00 AM – 12:00 PM

Workshop A: Quality Data Evolution: Best Practices in a Time of Change

Location: Wanamaker EFG

Join Ingenia Health and Jessica Muratore for an interactive session focused on strategic planning in response to the Stars program redesign. We will collectively work through a strategy planning and Stars math path modeling exercise for a hypothetical MA plan that we are all running together.

You will learn about new tools and approaches to Stars math modeling and develop strategies that you can bring back to your team to set you up for success for Rating Year 2028 and beyond.

 

Photo of Liz Carr

Speaker

Liz Carr

VP of Product and Growth at Ingenia Health

Photo of Rodolfo Velasco

Speaker

Rodolfo Velasco

Chief Revenue Officer at Ingenia

Photo of Jessica Muratore

Speaker

Jessica Muratore

Founder & Principal Consultant at Muratore Advisory Services

10:15 AM

10:15 AM – 10:30 AM

Networking Break

12:00 PM

12:00 PM – 1:00 PM

Networking Lunch

Available to registrants who have registered for the 3-Day Pass.

1:00 PM

1:00 PM – 4:00 PM

Workshop B: Winning the New Stars game: Exclusive National CAHPS & HOS Insights, HOS 101 to Advanced Strategy, and What CMS is Building Next

Location: Wanamaker EFG

As operational measures phase out of Medicare Advantage Stars, member-reported survey data is rapidly becoming one of the most important drivers of overall plan performance. Join national Stars experts from Press Ganey’s Stars Center of Excellence (Jessica Assefa, Caroline Yaun & Rebekah Dube) for an interactive, highly practical workshop exploring the evolving role of CAHPS, HOS,  and future patient-reported outcomes measures (PROMs) within the Stars program.

This workshop is designed for health plan leaders, quality leaders, Stars teams, HEDIS leaders, member experience teams, analytics leaders, and anyone preparing for the next evolution of Medicare Advantage Stars.

This session combines national survey insights that ONLY Qualtrics/Press Ganey can bring, regulatory strategy, technical HOS education, and real-world operational application to help plans prepare for the next era of Stars.

Attendees will learn:

  • Why CAHPS and HOS now influence nearly half of overall Stars performance 
    Early national insights and themes emerging from the Spring 2026 CAHPS fielding 
    HOS 101 fundamentals, including measure logic, longitudinal methodology, numerators/denominators, and oversampling strategy
  • What changed historically with Improving Physical Health and Improving Mental Health measures, and what current trends may signal for the future
  • A deep dive into PFADL, the HOS display measure CMS continues to signal as a likely future Stars measure
  • How HOS connects to broader Stars strategy, including falls, care transitions, adherence, chronic disease management, and member engagement
  • Which CMS HOS reports, data files, and resources plans should be using now to strengthen strategy
  • Real-world examples of how plans can translate HOS insights into operational action 
Photo of Jessica Assefa

Speaker

Jessica Assefa

Partner, Strategic Consulting at Press Ganey

Photo of Rebekah Dube

Speaker

Rebekah Dube

Principal at Press Ganey’s Stars Center of Excellence

Photo of Dan Ready

Speaker

Dan Ready

Enterprise Strategy at Press Ganey

Silhouette of a person

Speaker

Kori Haddix

1:00 PM – 4:00 PM

Workshop C: Medicare Advantage 101-201 (Understanding the Fundamentals and Why Star Ratings Drive Everything)

Location: Wanamaker ABCD

Before you can improve performance, design competitive benefits, or respond to regulatory change, you need to understand the foundation: how Medicare Advantage plans are structured, how they are paid, how quality is measured, and how Star Ratings shape financial success. This highly interactive half-day workshop breaks down the “how it works” behind Medicare Advantage and connects the dots between strategy, operations, finance, and performance. Whether you are new to the industry or operate at a leadership level removed from day-to-day execution, this session will provide a clear, practical roadmap to understanding how plans succeed (or struggle) in today’s environment. 

  • Medicare Advantage Basics: The Structural Blueprint
    • MA plan types and the idiosyncrasies of each 
    • How MA plans are organized (Parent Orgs, Legal Entities, Contracts, PBPs, segments) 
    • How benefits are designed and submitted through the bid process 
    • The annual regulatory cycle: Advance Notices and Announcements, Proposed and Final Rules, bids, and rate setting 
    • The roles of CMS, health plans, providers, and vendors
  • How Plans Get Paid: The Financial Engine 
    • Benchmarks, bids, and rebates simplified 
    • Risk adjustment fundamentals and why coding accuracy matters 
    • How revenue is earned, retained, or lost 
    • The connection between quality, growth, and margin 
  • Star Ratings: The Ultimate Performance Scorecard 
    • What Star Ratings measure and how they are calculated 
    • Why 4 Stars is a tipping point for financial and competitive success 
    • The role of CAHPS, HOS, HEDIS, pharmacy measures, and operational metrics 
    • How Stars influence bonus payments, marketing, and enrollment
  • The Business Impact of Performance… Beyond Stars 
    • How quality translates into financial impact beyond revenue 
    • Why small performance shifts create outsized financial consequences 
    • The competitive dynamics of high-performing vs. low-performing plans 
  • The Member Experience Imperative 
    • Who today’s MA member is 
    • Why member experience now directly drives revenue 
    • How benefit design, access, and service impact satisfaction and retention 
Photo of Ana Handshuh

Speaker

Ana Handshuh

Principal at CAT5 Strategies

Photo of Melissa Newton Smith

Speaker

Melissa Newton Smith

Founder, Senior Advisor at Newton Smith Group

2:30 PM

2:30 PM – 2:45 PM

Networking Break

4:00 PM

4:00 PM – 4:10 PM

Transition Break

4:10 PM

4:10 PM – 5:00 PM

Regulatory Update 2026: What’s New, Now, and Next (all attendees welcome)

Location: Wanamaker ABCD

  • Unpack the latest finalized changes to HEDIS and the Stars program—and what they mean for health plans and providers
  • Explore how evolving regulatory requirements can be leveraged to close care gaps, elevate the member experience, and reduce health disparities
  • Gain insight into the financial impact of upcoming changes and strategies for maximizing quality improvement investments 
Photo of Ana Handshuh

Speaker

Ana Handshuh

Principal at CAT5 Strategies

Photo of Ryann Hill

Speaker

Ryann Hill

MPH, Founder & CEO at Indigo Hill Strategies

5:00 PM

5:00 PM – 6:00 PM

Networking Cocktail Reception

Location: Ryder Cup Ballroom D-H

All conference attendees invited

Monday - June 29, 2026

8:00 AM

8:00 AM – 6:00 PM

Exhibit Hall Open

Location: Ryder Cup Ballroom D-H

8:00 AM

8:00 AM – 4:00 PM

Information Desk Open

Location: Wanamaker South Foyer

8:00 AM

8:00 AM – 9:00 AM

Networking Breakfast

Location: Ryder Cup Ballroom D-H

9:00 AM

9:00 AM – 9:10 AM

Opening Remarks

Location: Wanamaker ABCD

Photo of Andy Gonerka

Speaker

Andy Gonerka

SVP, Engage + Predict at mPulse

Photo of Sy Zahedi

Speaker

Sy Zahedi

President & CEO at MeaeCare

9:10 AM

9:10 AM – 10:10 AM

Keynote Address

Fireside Chat: Where Do We Go from Here? The Transition to Digital Quality Measurement

Location: Wanamaker ABCD

  • Learn why digital quality measurement is more than a technology shift—it’s an organizational shift from measurement as compliance to measurement as enablement 
  • Envision ways to seamlessly integrate digital measures into care delivery and care management workflows 
  • Understand how digital measures can help any organization—regardless of size or technical sophistication—quickly understand how it is performing and where there are opportunities to improve 
  • Find out what NCQA is doing to advance digital HEDIS® measures and how organizations can prepare for the transition 
Photo of Sy Zahedi

Chairperson

Sy Zahedi

President & CEO at MeaeCare

Photo of Melissa Newton Smith

Moderator, Speaker

Melissa Newton Smith

Founder, Senior Advisor at Newton Smith Group

Photo of Tricia Elliott

Speaker

Tricia Elliott

Vice President, Quality Implementation at NCQA

Photo of Marlene McIntyre

Speaker

Marlene McIntyre

AVP, Digital Solutions at NCQA

10:10 AM

10:10 AM – 11:00 AM

Building a Strong Foundation: Data Strategy and Governance for Health Care Quality

Location: Wanamaker ABCD

  • Explain the role of data strategy and governance in enabling health care quality improvement measurement and performance 
  • Identify key components of an effective data governance framework, including ownership, accountability, and stewardship 
  • Assess common data challenges that impact quality reporting, regulatory readiness, and decision-making 
  • Apply practical strategies to strengthen data foundations that support continuous quality improvement initiatives 
Photo of Sy Zahedi

Chairperson

Sy Zahedi

President & CEO at MeaeCare

Photo of Reid Kiser

Moderator, Speaker

Reid Kiser

MS, Founder & Managing Partner at Kiser Healthcare Solutions, LLC

Photo of Sabrina Zerzouri

Speaker

Sabrina Zerzouri

Lead Program Manager, Medicare Star Rating Program at BlueCross BlueShield of Rhode Island

Photo of Amy Blackledge

Speaker

Amy Blackledge

MBA-HC, MSN, RN, CSSBB, Senior Director of Clinical Quality and Stars at BC of Idaho

Photo of David Burianek

Speaker

David Burianek

MedOrion Technologies

11:00 AM

11:00 AM – 11:20 AM

Networking Break

Location: Ryder Cup Ballroom D-H

11:20 AM

11:20 AM – 12:10 PM

Panel: Omnichannel Outreach: What’s Actually Working?

Location: Wanamaker ABCD

This panel explores how leading organizations are coordinating outreach across teams and vendors to improve engagement, close gaps, and create a better member experience.

  • Identify strategies to improve member response rates across phone, text, email, mail, and digital outreach
  • Coordinate engagement efforts across internal teams and vendor partners to reduce duplication and member abrasion
  • Balance personalization and outreach frequency to improve quality outcomes without over-contacting members
  • Move beyond static segmentation by using AI to predict who is most likely to engage—and tailor outreach timing and channel accordingly
Photo of Andy Gonerka

Chairperson, Speaker

Andy Gonerka

SVP, Engage + Predict at mPulse

Photo of Leon Lead

Speaker

Leon Lead

Founder at Leon Lead Consulting, LLC

Photo of Leigh Elko

Speaker

Leigh Elko

Senior Program Manager, HEDIS Initiatives, Office of Quality & Transformation at Johns Hopkins Health Plans

12:10 PM

12:10 PM – 1:15 PM

Networking Lunch

Location: Ryder Cup Ballroom D-H

1:15 PM

1:15 PM – 1:30 PM

Track A: Building Bridges, Busting Silos

Photo of Sy Zahedi

Track Chair

Sy Zahedi

President & CEO at MeaeCare

Tools & Technology Spotlight

Location: Wanamaker ABCD

Leading service providers will showcase their offerings in a quick-pitch setting. Evaluate the latest and greatest tech tools to bring back to your organization.  

Photo of Oonagh O'Brien

Speaker

Oonagh O'Brien

CEO at Fuze Services

Photo of Beena Thomas

Speaker

Beena Thomas

Head of Strategic Partnerships at Let's Get Checked

1:15 PM – 1:30 PM

Track B: Succeeding with Data-Centric Strategy

Photo of Andy Gonerka

Track Chair

Andy Gonerka

SVP, Engage + Predict at mPulse

Tools & Technology Spotlight

Location: Wanamaker EFG

Leading service providers will showcase their offerings in a quick-pitch setting. Evaluate the latest and greatest tech tools to bring back to your organization.  

Photo of Stephanie Campbell

Speaker

Stephanie Campbell

Director of Solutions Consulting, Medical Affairs at Hello Heart

1:30 PM

1:30 PM – 2:15 PM

Track A: Building Bridges, Busting Silos

Photo of Sy Zahedi

Track Chair

Sy Zahedi

President & CEO at MeaeCare

Create Winning Vendor Partnerships: What Health Plans and Vendors Need to Know

Location: Wanamaker ABCD

Health plan–vendor relationships can accelerate performance or quietly derail it, leaving both sides wondering what went wrong. In this candid panel discussion, hear directly from national, regional, and community health plan leaders who make vendor partnership decisions every day. They’ll share what truly drives vendor selection, what sustains successful relationships, what causes them to fail, and how both sides can structure partnerships for measurable, sustainable impact.

  • Deep dive into operational readiness and implementation reality, planning for vendor onboarding, navigating security assessments, aligning internal stakeholders, and understanding when a solution will realistically begin to impact performance 
  • Understand how health plans want vendors to demo, pitch, and sell, including what resonates with decision-makers and what immediately erodes credibility. 
  • Explore what makes partnerships work (and why they fail) 
  • Examine vendor differentiation, including what actually captures attention, how innovation and outcomes are evaluated, and what makes a vendor indispensable long-term 
Photo of Jessica Muratore

Moderator, Speaker

Jessica Muratore

Founder & Principal Consultant at Muratore Advisory Services

Photo of Becky Simmons

Speaker

Becky Simmons

MBA-HCA, BSN, RN, Director, Health Plan Quality at Aspire Health

Photo of Liz Haynes

Speaker

Liz Haynes

MSN, RN, CCM, Vice President of Quality, STARS, & Risk Adjustment at CareFirst BlueCross BlueShield

Photo of Tracey Papas

Speaker

Tracey Papas

VP of Quality Strategy and Innovation at Elevance Health

1:30 PM – 2:15 PM

Track B: Succeeding with Data-Centric Strategy

Photo of Andy Gonerka

Track Chair

Andy Gonerka

SVP, Engage + Predict at mPulse

Checkpoints Along the Digital Quality Highway: Is Your Organization Ready for Digital HEDIS?

Location: Wanamaker EFG

  • Examine ten critical checkpoints that address both technical and organizational readiness for transitioning to digital HEDIS measures 
  • Assess organizational readiness: Evaluate your existing data sources, technical capabilities, and vendor partnerships to identify what's working and what needs immediate attention 
  • Avoid the roadblocks: Understand the most common failure points that derail digital transitions and discover how to build sustainable, interoperable infrastructure from the start 
  • Dive into the details: Discover critical considerations for HEDIS data acquisition, digital readiness assessment, and quality management approaches that enable smooth transitions 
Photo of Mary Goble

Speaker

Mary Goble

Quality Consultant at Capital Health Plan

Photo of Katharine Iskrant

Speaker

Katharine Iskrant

Practice Leader at Healthy People

2:15 PM

2:15 PM – 2:20 PM

Transition Break

2:20 PM

2:20 PM – 3:05 PM

Track A: Building Bridges, Busting Silos

Photo of Sy Zahedi

Track Chair

Sy Zahedi

President & CEO at MeaeCare

From Fragmented to Intentional: Building a Unified, Member-Centered Communication Strategy Across a Health Plan

Location: Wanamaker ABCD

  • Identify common pitfalls of fragmented member outreach and understand how misalignment impacts member experience, CAHPS, and quality outcomes 
  • Apply a structured, cross-functional approach to designing an annual member communication plan that aligns strategy, operations, and technology 
  • Design a future-state member journey that balances regulatory requirements with digital-first, personalized engagement 
  • Implement governance and orchestration models that reduce redundancies, clarify accountability, and sustain improvements over time 
  • Leverage communication strategy as a quality improvement lever, supporting gap closure, health literacy, and proactive member engagement 
Photo of Leigh Elko

Speaker

Leigh Elko

Senior Program Manager, HEDIS Initiatives, Office of Quality & Transformation at Johns Hopkins Health Plans

Photo of Ziad Amer

Speaker

Ziad Amer

Program Manager, Quality Improvement for USFHP and EHP at Johns Hopkins Health Plans

2:20 PM – 3:05 PM

Track B: Succeeding with Data-Centric Strategy

Photo of Andy Gonerka

Track Chair

Andy Gonerka

SVP, Engage + Predict at mPulse

Insight to Impact: Leveraging Data to Drive Continual Quality Improvement

Location: Wanamaker EFG

  • Explore how data can be transformed into meaningful action through a structured approach to performance improvement 
  • Uncover insights and learn how teams analyzed data to identify opportunities and inform strategic decisions 
  • Recognize how to drive change and see how insights are translated into targeted interventions and initiatives 
  • Measure impact and discover practical methods for tracking outcomes and refining approaches to maximize effectiveness 
Photo of Andrea Brambila

Speaker

Andrea Brambila

Director, Quality & Process Improvement at Meridian Health Plan

Photo of Jordan Fry

Speaker

Jordan Fry

Business Analyst IV, Quality & Process Improvement at Meridian Health Plan

3:05 PM

3:05 PM – 3:25 PM

Networking Break

3:25 PM

3:25 PM – 4:10 PM

Shared Risk, Shared Responsibility? Where Plans and Provider Groups Align—and Break Down

Location: Wanamaker ABCD

  • Discover how risk-based contracts are changing accountability for quality and Stars performance 
  • Explore why provider groups struggle under downside risk they don’t fully understand 
  • Mitigate the tension between plan-level performance challenges and provider-level expectations 
  • Learn how to identify who is truly accountable when quality targets are missed—and how contracts define (or obscure) that responsibility 
  • Find the “meeting point” for success: data transparency, education, incentives, and shared governance 
Photo of Shannon Decker

Moderator, Speaker

Shannon Decker

CEO at VBC One

Photo of Savannah Gonsalves

Speaker

Savannah Gonsalves

Director of Quality & Utilization Management, Nevada at Kaiser Permanente

Photo of Anissa Johnson

Speaker

Anissa Johnson

Manager, Quality Practice Advisors at Wellcare

Photo of Susan Waterman

Speaker

Susan Waterman

Director, Risk Adjustment at Baylor Scott & White

Photo of Megan Piotrowski

Speaker

Megan Piotrowski

Sr. Director, Solutions Architecture at Virtix Health

4:10 PM

4:10 PM – 4:15 PM

Transition Break

4:15 PM

4:15 PM – 5:00 PM

Choose Your Own Adventure Roundtable Discussions

Location: Wanamaker ABCD

Participate in a facilitated roundtable discussion and deep dive with peers on timely topics in the industry. 

  1. AI & Health Care Quality: Let’s Chat!  
    Facilitator: Amy L. Reilly MS, OTR/L, CCM, CPC, Director, Health Plan Quality – HEDIS, Health Plan Clinical Quality, Highmark Western and Northeastern New York

  2. Live with a DSNP: Quality’s Reality Check 
    Facilitators: Traco Matthews, Chief Health Equity Officer, Kern Health Systems & Tina Dueringer, BSN, RN, CCM, PCC, CEO, Principal Advisor, Dueringer Advisors

  3. But We Just Wanna Help! Why Members Decline Your Calls—and What to Do About It
    Facilitator: Leon Lead, Founder, Leon Lead Consulting

  4. The Business Case for Reducing Loneliness 
    Facilitator: Ryan Dodson, CRC, Risk Adjustment Consultant, Choice Medical Group

  5. Advocacy Essentials & Sharing Feedback with CMS  
    Facilitator: Ryann Hill, MPH, Founder & CEO, Indigo Hill Strategies

  6. Building a Sustainable Quality Strategy (Despite the Headwinds) 
    Facilitator: Jessica Muratore, Founder & Principal Consultant, Muratore Advisory Services  

  7. Reimagining Rural Healthcare Quality: Collaboration, Equity, and Innovation 
    Facilitator: Sujata Bajaj, CTO, Yuvo Health 
  8. Getting to Digital HEDIS by 2030 Means Starting Now 
    Facilitators:
    Girish Chavan, Chief Technology Officer, Astrata, Inc., Melissa Newton Smith, Founder, Senior Advisor, Newton Smith Group, & Vandna Bhrany, MPH, Principal, 8BAdvisors

 

Photo of Amy Reilly

Speaker

Amy Reilly

Director, Health Plan Quality – HEDIS Operations at Highmark Health

Photo of Leon Lead

Speaker

Leon Lead

Founder at Leon Lead Consulting, LLC

Photo of Ryan Dodson

Speaker

Ryan Dodson

CRC, Risk Adjustment Consultant at Choice Medical Group

Photo of Ryann Hill

Speaker

Ryann Hill

MPH, Founder & CEO at Indigo Hill Strategies

Photo of Jessica Muratore

Speaker

Jessica Muratore

Founder & Principal Consultant at Muratore Advisory Services

Photo of Sujata Bajaj

Speaker

Sujata Bajaj

CTO at Yuvo Health

Photo of Tina Dueringer

Speaker

Tina Dueringer

CEO, Principal Advisor at Dueringer Advisors

Photo of Traco Matthews

Speaker

Traco Matthews

Chief Health Equity Officer at Kern Health Systems

Photo of Girish Chavan

Speaker

Girish Chavan

CTO at Astrata, Inc

Photo of Vandna Bhrany

Speaker

Vandna Bhrany

MPH, Principal at 8BAdvisors

Photo of Melissa Newton Smith

Speaker

Melissa Newton Smith

Founder, Senior Advisor at Newton Smith Group

5:00 PM

5:00 PM – 6:00 PM

Networking Cocktail Reception

Location: Ryder Cup Ballroom D-H

Tuesday - June 30, 2026

8:00 AM

8:00 AM – 1:30 PM

Exhibit Hall Open

Location: Ryder Cup Ballroom D-H

8:00 AM

8:00 AM – 11:00 AM

Information Desk Open

Location: Rydercup Ballroom West Foyer

8:00 AM

8:00 AM – 9:00 AM

Networking Breakfast

Location: Ryder Cup Ballroom D-H

9:00 AM

9:00 AM – 9:10 AM

Welcome Remarks

Location: Wanamaker ABCD

Photo of Andy Gonerka

Speaker

Andy Gonerka

SVP, Engage + Predict at mPulse

Photo of Hunter Zahedi

Speaker

Hunter Zahedi

VP of Sales & Marketing at MeaeCare

9:10 AM

9:10 AM – 9:55 AM

Advancing Medicaid Quality in a Volatile Landscape

Location: Wanamaker ABCD

  • Identify the Medicaid quality measures and program priorities most likely to impact plan performance in 2026, including vaccinations, pediatric preventive care, chronic conditions, and utilization-driven measures 
  • Compare and align quality strategies across Medicaid, D-SNPs, and Medicare Advantage, distinguishing where measure overlap enables shared infrastructure versus where state-specific requirements require tailored execution 
  • Discuss strategies to maintain vaccination, pediatric, and member engagement performance amid political uncertainty and declining mandates 
Photo of Andy Gonerka

Chairperson

Andy Gonerka

SVP, Engage + Predict at mPulse

Photo of Nate Lucena

Moderator, Speaker

Nate Lucena

President & Managing Director at RWC

Photo of Crystal Redfern

Speaker

Crystal Redfern

Senior Director of Clinical Improvement at Novant Health Medical Group

Photo of Laura Wilhelm

Speaker

Laura Wilhelm

Medicaid Practice Leader at RWC

Photo of Kyle Ayrey

Speaker

Kyle Ayrey

QI Manager at BCBSAZ

Photo of Brandy Lanns

Speaker

Brandy Lanns

Director, Quality and Population Health at Parkland Community Health Plan

9:55 AM

9:55 AM – 10:40 AM

HOS and Star Ratings: From Measurement to Meaningful Improvement

Location: Wanamaker ABCD

  • Separate fact from fiction, making sense of common misconceptions about HOS 
  • Discuss scalable, interventions that drive HOS improvement and contribute to measurable Stars impact 
  • Explore why—and how—to take a proactive vs reactive approach to HOS 
Photo of Hunter Zahedi

Chairperson

Hunter Zahedi

VP of Sales & Marketing at MeaeCare

Photo of Ryan Peterson

Speaker

Ryan Peterson

Principal at Upward Growth

Photo of Sabrina Zerzouri

Speaker

Sabrina Zerzouri

Lead Program Manager, Medicare Star Rating Program at BlueCross BlueShield of Rhode Island

Photo of Jenn Kerfoot

Speaker

Jenn Kerfoot

President and Chief Operating Officer at DUOS

10:40 AM

10:40 AM – 11:00 AM

Networking Break

Location: Ryder Cup Ballroom D-H

11:00 AM

11:00 AM – 11:45 AM

The Future of Quality Measures: Moving from Process to Care Outcomes & Experience

Location: Wanamaker ABCD

  • Discuss the anticipated CMS rule changes, including retiring process measures and the increasing weight on outcome measures, such as CAHPS and Star Ratings 
  • Consider strategies for member education, health literacy, and medication management as drivers of care and member experience 
  • Understand the specific strategic impacts of the returning CMR measure, the new polypharmacy measures, and triple-weighted adherence on overall Star Ratings performance
Photo of Hunter Zahedi

Chairperson

Hunter Zahedi

VP of Sales & Marketing at MeaeCare

Photo of Tina Dueringer

Moderator

Tina Dueringer

CEO, Principal Advisor at Dueringer Advisors

Photo of Leon Lead

Speaker

Leon Lead

Founder at Leon Lead Consulting, LLC

Photo of Jimmy WuRohe

Speaker

Jimmy WuRohe

Chief Product Officer at Clarest Health

11:45 AM

11:45 AM – 12:30 PM

Beyond the Measures: How Quality Leaders Build the Case, Gain Buy-In, and Lead in a Changing Role

Location: Wanamaker ABCD

  • Describe how the role of the health care quality professional is evolving, including expanded expectations related to advancing technology and increased strategic influence, financial stewardship, and cross-functional leadership 
  • Learn how to develop a clear, executive-ready business case for quality initiatives, connecting quality outcomes to cost, risk, regulatory performance, and organizational priorities 
  • Explore how to translate quality data and performance metrics into compelling narratives, enabling quality professionals to advocate for resources, sustain programs, and drive organizational change 
Photo of Andy Gonerka

Chairperson

Andy Gonerka

SVP, Engage + Predict at mPulse

Photo of Dwight Pattison

Speaker

Dwight Pattison

Founder & Principal Consultant at QPAdvantage

Photo of Bill Rayball

Speaker

Bill Rayball

Vice President, Government Quality at Highmark

Photo of Vandna Bhrany

Speaker

Vandna Bhrany

MPH, Principal at 8BAdvisors

12:30 PM

12:30 PM – 12:45 PM

Transition Break with Grab & Go Lunch

Pick up your lunch in the exhibit hall and return to the general session room for a working lunch as we deep dive into measure-specific discussion groups. 

12:45 PM

12:45 PM – 2:15 PM

Work Groups: Quality Improvement, Measure-by-Measure (Working Lunch)

Location: Wanamaker ABCD

This interactive session is designed to facilitate constructive dialogue regarding specific HEDIS and Stars measures. Participants will engage in deep, collaborative discussions to identify barriers, share strategies, lessons learned, and best practices, and explore innovative solutions to improve performance on these measures. 

Round 1 Measures (12:45pm - 1:30pm)  

  1. Readmissions
    Facilitator: Julianne Eckert RN BSN, CCM, CMCN, Associate Vice President, Stars Enterprise Activation, Humana 
  2. HOS
    Facilitator: Ana Handshuh, Principal, CAT5 Strategies 
  3. Diabetes
    Facilitator: Misty Milby, VP Clinical Business Development, Everlywell
  4. Colorectal Cancer
    Facilitator: Tina Dueringer, BSN, RN, CCM, PCC, CEO, Principal Advisor, Dueringer Advisors, Inc 
  5. CBP
    Facilitator: Dwight Pattison, Founder & Principal Consultant, QPAdvantage 
  6. Med Adherence
    Facilitator: Joia Merriweather, HEDIS/Stars Program Director, Texas Independence Health Plan
  7. Depression Screening and Follow-up
    Facilitator: Sean O’Brien, Director, Health Quality and Stars, Humana 
  8. Chlamydia/STI Screenings
    Facilitator: Crystal Redfern, MS, MBA, CPHQ, Senior Director of Clinical Improvement, Novant Health Medical Group 
  9. Transitions of Care
    Facilitator: Savannah Gonsalves, Director of Quality & Utilization Management, Nevada, Kaiser Permanente
  10. KED
    Facilitator: Sophia G. Kim, Chief Growth Officer, Heartbeat Health

 

Round 2 Measures (1:30pm - 2:15pm)  

  1. OMW
    Facilitator: Jennifer Beckett, Principal Consultant, Chief Insight Consulting LLC 
  2. COB/Polypharmacy/IOP
    Facilitator: Leslie Rodriguez, PharmD, Consultant, BCBSAZ Health Choice 
  3. CAHPS
    Facilitator: Amy Blackledge, MBA-HC, MSN, RN, CSSBB, Senior Director, Clinical Quality and Stars, Blue Cross of Idaho 
  4. New Mammography Measures & BiRad Scores 
    Facilitator: Mary Goble, Director Clinical Quality and Performance Improvement, Capital Health Plan
  5. Transitions of Care
    Facilitator: Lindsey O’Brien, Quality Management Analyst, Blue Cross Blue Shield of Rhode Island 
  6. Diabetes
    Facilitator: Amy L. Reilly MS, OTR/L, CCM, CPC, Director, Health Plan Quality – HEDIS | Health Plan Clinical Quality, Highmark Western and Northeastern New York 
  7. Medicaid Child and Adult Core Measure Sets
    Facilitator: Vandna Bhrany, MPH, Principal, 8BAdvisors
  8. Readmissions
    Facilitator: Kyra Valdez-Shipp RN, MSN, CCM, Consultant, HEDIS Strategy & Operations, RWC
Photo of Andy Gonerka

Chairperson

Andy Gonerka

SVP, Engage + Predict at mPulse

Photo of Ana Handshuh

Speaker

Ana Handshuh

Principal at CAT5 Strategies

Photo of Amy Reilly

Speaker

Amy Reilly

Director, Health Plan Quality – HEDIS Operations at Highmark Health

Photo of Tina Dueringer

Speaker

Tina Dueringer

CEO, Principal Advisor at Dueringer Advisors

Photo of Dwight Pattison

Speaker

Dwight Pattison

Founder & Principal Consultant at QPAdvantage

Photo of Jennifer Beckett

Speaker

Jennifer Beckett

Principal Consultant at Chief Insight Consulting LLC

Photo of Leslie Rodriguez

Speaker

Leslie Rodriguez

Consultant at BCBSAZ Health Choice

Photo of Mary Goble

Speaker

Mary Goble

Quality Consultant at Capital Health Plan

Photo of Joia Merriweather

Speaker

Joia Merriweather

HEDIS/Stars Program Director at Texas Independence Health Plan

Photo of Sean O'Brien

Speaker

Sean O'Brien

Director, Stars at Humana

Photo of Crystal Redfern

Speaker

Crystal Redfern

Senior Director of Clinical Improvement at Novant Health Medical Group

Photo of Amy Blackledge

Speaker

Amy Blackledge

MBA-HC, MSN, RN, CSSBB, Senior Director of Clinical Quality and Stars at BC of Idaho

Photo of Lindsey O'Brien

Speaker

Lindsey O'Brien

Quality Management Analyst at Blue Cross Blue Shield of Rhode Island

Photo of Misty Milby

Speaker

Misty Milby

VP Clinical Business Development at Everlywell

Photo of Savannah Gonsalves

Speaker

Savannah Gonsalves

Director of Quality & Utilization Management, Nevada at Kaiser Permanente

Photo of Sophia Kim

Speaker

Sophia Kim

Chief Growth Officer at Heartbeat Health

Photo of Kyra Valdez-Shipp

Speaker

Kyra Valdez-Shipp

Consultant, HEDIS Strategy & Operations at RWC

Photo of Vandna Bhrany

Speaker

Vandna Bhrany

MPH, Principal at 8BAdvisors

2:15 PM

2:15 PM – 2:30 PM

Work Group Wrap Up & Closing Remarks

Location: Wanamaker ABCD

Share key takeaways from roundtables, work groups, and all of Qualipalooza 2026.

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