NOTE: Click titles to expand agenda

• 4:30 PM
  COVID-19 Rapid Testing
  4:30 PM - 6:30 PM
  Room 615 A & B (6th Floor)
  

  Provided by:
  

  
• 5:30 PM
  Early Registration Reception
  5:30 PM - 6:30 PM
  Reverbery Room (Lobby Level)‍
  

  Pick up your registration packet early and enjoy food, drinks, and an opportunity to network with industry leaders before the start of the conference.
  

NOTE: Click titles to expand agenda

• 7:30 AM
  Registration Desk Open
  7:30 AM - 4:00 PM
  Austin Grand Ballroom Foyer (6th Floor)‍

  Sponsored by:
  

  
• 8:00 AM
  COVID-19 Rapid Testing
  8:00 AM - 4:00 PM
  Room 615 A & B (6th Floor)
  

  Provided by:
  

  
• 7:30 AM
  Grab & Go Breakfast
  
  7:30 AM - 8:30 AM
  Austin Grand Ballroom Foyer (6th Floor)‍
  

  Grab a quick breakfast and join your colleagues at one of our breakfast sessions.
  
• 8:00 AM
  Breakfast Session⎪Don’t Be Surprised, Be Prepared! What you need to know about the New Provider Directory Verification Mandate, listed in the No Surprises Act
  
  8:00 AM - 8: 50 AM
  Austin Grand Ballroom F (6th Floor)
  

  The No Surprises Act addressed more than surprise billing — it also brought private health insurance into the regulatory fold with the mandated provider directory accuracy standards for Medicare Advantage and Medicaid. Learn what this means for you and how your team can be compliant with the new requirements by January 1, 2022.
  

  

  Janice Fagen

  Senior Strategic Advisor, Sellers Dorsey
  

  

  Colby Tiner

  Policy Manager, CAQH
  

  

  Scott Westover

  Senior Vice President, Network and Regulatory Strategy, Quest Analytics
  

  

  Tania Colon, Moderator

  UHC
  
• Breakfast Session⎪How to Maximize the Value from your Analytics Investment
  
  8:00 AM - 8: 50 AM
  Austin Grand Ballroom G (6th Floor)

  Over the years Health Plans have invested heavily in technology and resources to build that killer data warehouse to solve all of their information needs. Investing in technology alone does not guarantee a return on your investment in creating an information rich organization but the establishing a framework in how you manage that investment, specifically working across your organization to create a governance framework that supports the standardization and democratization of data. Hear from Change Healthcare Consultants who have done this before and how this led their clients to become an information rich Health Plan.
  

  

  Bob Hoover

  VP Consulting, Change Healthcare Consulting
  

  

  Phillip King

  Senior Manager Insight and Analytics Practice, Change Healthcare Consulting
  
• Breakfast Session⎪Genetic Testing for Children with Autism and Other Developmental Disabilities
  
  8:00 AM - 8: 50 AM
  Room 616 A & B (6th Floor)

  Chromosomal microarray analysis was recently added as a covered benefit for TX Medicaid. Join Lineagen as they discuss the purpose, benefits, and limitations of genetic testing for children with neurodevelopmental disabilities and how genetic testing may help inform therapies such as applied behavioral analysis.
  

  

  Annemarie Benton

  Director of Managed Care, Lineagen, a Bionano Genomics company
  

  

  Justin Leighton, MS, CGC

  Vice President and General Manager, Lineagen Division, Bionano Genomics
  

  

  Karl Serrao, MD, MBA, Introduction

  Chief Medical Officer, Driscoll Children's Health Plan
  
• 9:00 AM
  Texas is Joining the All Payer Claims Database Race
  
  9:00 AM - 9:50 AM
  Austin Grand Ballroom F (6th Floor)
  

  There is new momentum to establish and implement APCDs. Texas has now joined 18 other states that have or are actively establishing APCDs. Is this an opportunity for Texas to use comprehensive data to address growing health care costs and improve public health? Learn more about what you need to know as Texas begins implementation
  

  

  Cecilia Ganduglia

  Co-Director, Center for Health Care Data, University of Texas School of Public Health
  

  

  Bernie Inskeep

  Regulatory Financial Operations APCD Program Director, UnitedHealthcare
  

  

  Charlie Mills, FSA, MAAA

  Principal & Consulting Actuary, Milliman

  

  Lee Spangler, Moderator

  Independent Consultant
• Building a More Inclusive and Equitable Health Care System
  
  9:00 AM - 9:50 AM
  Austin Grand Ballroom G (6th Floor)
  

  Racial/ethnic minority populations, socioeconomically disadvantaged populations, and rural populations continue to share a disproportionate burden of diseases and adverse health conditions. Join us for a conversation about the opportunities and efforts to achieve health equity and ensure no one is at a disadvantage in receiving care because of social circumstances.
  

  

  Connie Ducaine

  Senior Vice President of Strategic Solutions, Vital Decisions
  

  

  Juny Simpson

  Customer Engagement Health Equity Director, Genentech
  

  

  LeChancy Woodward, MD, MPH

  Director, Humana Integrated Health System Sciences Institute, University of Houston
  

  

  David Gonzales, Moderator

  Corporate Affairs, Humana
• Updated USPSTF Colorectal Cancer Screening Recommendation: From Release to Implementation
  
  9:00 AM - 9:50 AM
  Room 616 A & B (6th Floor)
  

  Recently, the U.S. Preventive Services Task Force released updated recommendations around the need to begin screening for colorectal cancer for average risk individuals beginning at age 45. This Exact Sciences sponsored presentation, “Updated USPSTF Colorectal Cancer Screening Recommendation: from Release to Implementation”, will review the 2021 USPSTF CRC screening recommendation, highlight evidence relevant to USPSTF’s updated recommendation, review evidence gaps related to CRC screening in the U.S. and Texas, discuss implications for increased screening participation, discuss strategies for applying and adopting the USPSTF recommendation and discuss the significance of new Texas legislation eliminating cost-sharing for colorectal cancer preventive screening.
  

  

  Durado Brooks

  Deputy Chief Medical Officer, Screening, Exact Sciences Corporation
  

  

  Ira Bell III, Introduction

  Medical Director, FirstCare Health Plans—part of Baylor Scott & White
  
• 10:00 AM
  No Surprises Act: The Ambulance Industry and Payer Contracting
  
  10:00 AM - 10:50 AM
  Austin Grand Ballroom F (6th Floor)
  

  The Texas Law and the No Suprises Act doesn't apply to ground ambulances, because of the complexities of these services. However, it did call for an advisory committee to review options to address this issue. Join this panel as they discuss the status of the federal advisory committee and the additional considerations that need to be addressed to protect patients from surprise billing in these situations.
  

  

  Patricia Kelmar, JD

  Health Care Campaigns Director, U.S. PIRG
  

  

  Asbel Montes

  Managing Partner, Solutions Group Consulting
  

  

  Pati McCandless, Moderator

  Vice President of Texas Government Relations, Blue Cross Blue Shield of Texas
  
• Not Every Health Care Problem Can—or Should—Be Addressed with a Prescription Pad: Addressing Social Barriers to Improve Health
  
  10:00 AM - 10:50 AM
  Austin Grand Ballroom G (6th Floor)
  

  The COVID-19 crisis is drawing attention to how social needs affect health at both the individual and community levels. This panel will explore innovative benefits and programs that meet families where they live, work, and play—helping them overcome social barriers and access the care they need to get healthy and stay healthy. Come take an in-depth look at how we can break down these barriers.
  

  

  Bridget McKenzie

  Clinical Business Solutions Executive, Conduent
  

  

  Tim Conroy

  National Vice President, Government & Healthcare Partnerships, Mom's Meals
  

  

  Stan Sipes

  EVP of Business Development, Veyo
  

  

  Steven Feist, Moderator

  Senior Vice President of Client Services, ModivCare
  
• Alternative Payment Model Continuum: Finally Making the Move from Process to Risk
  
  10:00 AM - 10:50 AM
  Room 616 A & B (6th Floor)
  

  Learn how to effectively partner with independent practices and support their advancement along the APM continuum to the ultimate goal of risk. Equality Health will discuss strategies and best practices for managing risk-based contracts in Medicare and Medicaid as well as how to communicate meaningful data through workflow tools, dashboards, and innovative applications for the modern provider practice.
  

  

  Mark Stephan MD, MBA

  Chief Medical Officer, Equality Health
  

  

  Ralph Pettingell, MPA, Introduction

  Vice President, Network Development & Contracting, Superior HealthPlan
• 11:00 AM
  Real State Health Insurance Reform in the New Normal
  
  11:00 AM - 11:50 AM
  Austin Grand Ballroom F (6th Floor)
  

  Hear from thought leaders about where federal health care policy is headed and what it could mean for the Lone Star State.
  

  

  Randy Pate

  Founder, Randolph Pate Advisors LLC
  

  

  Charles Miller

  Senior Policy Advisor, Texas 2036
  
• Discover Optimal Opportunities for Payer-Provider Collaboration
  
  11:00 AM - 11:50 AM
  Austin Grand Ballroom G (6th Floor)
  

  In an ideal world, health care would include a collaborative exchange of information resulting in better-coordinated care, reduced burden from prior authorizations, and outcome-driven health care. But to realize this change, payers and providers will need to come together and combine efforts. This panel will explore opportunities to help bridge the existing payer-provider divide for a more effective health care system.
  

  

  Eric Gratias, MD, FAAP

  Chief Medical Officer, eviCore
  

  

  Andrew Hertler, MD, FACP

  Chief Medical Officer, New Century Health
  

  

  Andrew Mellin, MD, MBA

  Chief Medical Information Officer, Surescripts
  

  

  Brian Covino, MD, Moderator

  Co-Founder & COO, Cohere Health
  
• Pulling Out All the Stops for Better Asthma and Diabetes Care Coordination
  
  11:00 AM - 11:50 AM
  Room 616 A & B (6th Floor)
  

  Careful planning and frequent collaborative meetings have always been key to the successful launch of our care coordination program, but maintenance of the program became much more challenging during COVID-19, requiring adjustments to outreach, messaging, and disease identification.Learn how a whole-person approach with significant focus on social determinants of health, preventive care, and behavioral health has been critical to managing care coordination.
  

  

  Dr. Mark Clanton

  Chief Medical Officer, Parkland Community Health Plan
  

  

  Dr. Lisa Doggett

  Senior Medical Director, HGS AxisPoint Health
  

  

  Kay Ghahremani, Introduction

  CEO, Texas Association of Community Based Plans
  
• 12:00 PM
  Taco Tuesday Lunch in the Exhibit Hall
  12:00 PM - 1:30 PM
  Austin Grand Ballroom H-J (6th Floor)
  

  Join your colleagues for a classic Taco Tuesday with tacos, mock-a-ritas, lemonade, and aqua fresca.
  
• 1:30 PM
  Health Care Prices and Consolidation are Out of Control: Where Do We Go From Here?
  
  1:30 PM - 2:20 PM
  Austin Grand Ballroom F (6th Floor)
  

  Provider consolidation was a pressing issue even before the COVID-19 pandemic, but now the issue is more urgent than ever. As providers consolidate how can we protect patients and payers? What should consumers and regulators watch for, and what will be the effect on the health care industry?
  

  

  Loren Adler

  Associate Director, USC-Brookings Schaeffer Initiative for Health Policy
  

  

  Niall Brennan

  President & CEO, Health Care Cost Institute
  

  

  Robert Town, PhD

  James L. and Nancy Powell Centennial Professor, Department of Economics, University of Texas-Austin
  
• A Healthy Nudge: Using Technology and Texting to Nudge Better Health Care
  
  1:30 PM - 2:20 PM
  Austin Grand Ballroom G (6th Floor)
  

  There’s an app for everything these days, yet no health care app has taken center stage and dominated the market. Utilizing technology to engage clients introduces countless possibilities for improving health care, and recent legislative changes in Texas make texting Medicaid clients more of a reality than ever before. Join this panel to hear what the future holds for patient engagement and coordination through technology
  

  

  Christian Bagge

  Vice President of Digital Solutions, HealthCrowd
  

  

  Travis Skidmore

  SVP, Client Services, Welltok
  

  

  Patrick Coulson, Moderator

  Chief Growth Officer, Advantasure
  
• At the Intersection of Health Care, Technology, and Data: What Does the Future Hold and How Can It Improve Health Care Value?
  
  1:30 PM - 2:20 PM
  Room 616 A & B (6th Floor)
  

  Researchers have estimated that approximately 30% of U.S. health care expenses are related to unnecessary, inappropriate, or wasteful care — truly staggering numbers. Can you imagine what more we could achieve if those resources were invested in improving patient outcomes rather than wasted? Join us to learn about innovative solutions both health plans and providers can use in their efforts to deliver better care at a better value.
  

  

  William Barrar

  Client Engagement and Strategy Executive, 3M
  

  

  Jon Bloom, MD

  CEO, Podimetrics
  

  

  Christopher Dodd, MD

  Chief Medical Officer, PopHealthCare
  

  

  Enam Noor, Moderator

  Founder and CEO, Insightin Health
  
• 2:30 PM
  Fulfilling the Promise of Telemedicine: What’s Next? Opportunities for Telehealth and Telemedicine
  
  2:30 PM - 3:20 PM
  Austin Grand Ballroom F (6th Floor)
  

  COVID-19 has demonstrated the importance of telehealth technology in providing increased access to health care. Come listen as the panelists explore the future of telehealth and how to sustain its momentum after the pandemic.
  

  

  Michael Fu

  National Director of Behavioral Health, Hazel Health
  

  

  Claudia Tucker

  Senior Vice President, Government Affairs, Teladoc Health
  

  

  Rebecca Vos

  VP, Innovative Solutions, Virtual Health
  

  

  Stephanie Rogers, Moderator

  Chief Executive Officer, Medicaid, Aetna
  
• Big Data, Big Problems, Big Promises: A Road Map for Addressing Data Challenges in Health Care
  
  2:30 PM - 3:20 PM
  Austin Grand Ballroom G (6th Floor)
  

  Today’s health care system is burdened by a fragmented and inefficient approach to managing health care data. Panelists will discuss the latest in data and analytics solutions for improving the delivery of health care.
  

  

  Robert Dwyer

  EVP, Chief Data Scientist, Certilytics
  

  

  Kymberly Eide

  President, Aperture Health/Verisys Corporation
  

  

  Jennifer Dieter

  Director, Payer Market, TransUnion
  

  

  Chris Rofidal, Moderator

  Vice President, Market Access & Reimbursement, Verrica Pharmaceuticals Inc.
  
• Innovative Delivery Models for Individuals with Intellectual and Developmental Disabilities
  
  2:30 PM - 3:20 PM
  Room 616 A & B (6th Floor)
  

  Individuals with I/DD have complex service needs that are met by a broad array of providers and settings. The shift from institutionally-based care to home- and community-based care requires that services be tailored to fit this more person-centered environment. This panel will focus on new models of care that focus on integrated systems that deliver better value and care.
  

  

  Dr. Maulik Trivedi, MD, FACEP

  Chief Strategy Officer, StationMD
  

  

  Center for Health Care Strategies

  TBD
  

  

  Moderator TBD

  TBD
  
• 3:30 PM
  Don’t Be Left Behind: ICHRAs, QSEHRAs and the Rapid Expansion of Defined Contribution Health Coverage
  
  3:30 PM - 4:20 PM
  Austin Grand Ballroom F (6th Floor)
  

  Individual Coverage Health Reimbursement Arrangements (ICHRAs) and Qualified Small Employer Health Reimbursement Arrangements (QSEHRAs) have only been around for a short time and come from different statutory and regulatory environments. Nonetheless, a growing number of advocates predict that they will dramatically change the landscape of employment-based health coverage over the next 10 to 20 years. What are they, what are the differences, and why may they be just what employees and employers are looking for?
  

  

  Craig Domeracki

  President of Markets, Friday Health Plans
  

  

  Jack Hooper

  Founder and CEO, Take Command Health
  

  

  Sheilla Jones

  General Counsel and VP Product Development, OneBridge Benefits
  

  

  Ken Janda, Moderator

  Founder and Principal, Wild Blue Health Solutions LLC
  
• Mastering Growth with Government Health Coverage Contracts
  
  3:30 PM - 4:20 PM
  Austin Grand Ballroom G (6th Floor)
  

  Many health plan leaders are focused on growing their business through government contracts as government programs become an ever-larger share of health plans’ book of business. In this session, Optum will share insights into how to think strategically about potential growth opportunities in the public payer landscape and what it will take to succeed.
  

  

  Adolfo M. Valadez, MD, MPH

  Vice President, Chief Medical Officer, Memorial Hermann Health Plan
  

  

  Lisa Wright

  President and CEO, Community Health Choice
  

  

  Nathan Funk, Moderator

  SVP, Medicaid Practice Lead, Optum Advisory Services
  
• Delivering a Best-in-Class Transportation Benefit in Texas
  
  3:30 PM - 4:20 PM
  Room 616 A & B (6th Floor)
  

  Transportation is a complex benefit to administer and manage. Six months into the Texas Medicaid transportation carve-in, there is still much to be improved about transportation in Texas. Watch this panel discussion as Lyft and two partners, AMR and SafeRide, share lessons learned in the program’s first six months, best practices, and industry innovations.
  

  

  Andy Auerbach

  Chief Revenue Officer, SafeRide Health
  

  

  Jenny Clemmens

  Head of Account Management, Lyft
  

  

  Chris Irwin

  Director, Innovative Solutions, Access2Care
  
• 4:30 PM
  Navigating the Health Care Transparency Landscape: New Transparency Rules, Patient Calculators, and Better EOBs
  
  4:30 PM - 5:20 PM
  Austin Grand Ballroom F (6th Floor)
  

  This panel will explore the transparency requirements in the No Surprises Act and discuss considerations for regulators and payors as they begin implementation. Panelists will also explore the opportunities these new regulations provide for clients and payors and discuss the tools that payors will need to come into compliance.
  

  

  Tina Azar

  Vice President, EXL Health
  

  

  Rob Pinataro

  CEO, Payspan Inc.
  

  

  Matt Dale

  Chief Executive Officer, Point Health
  

  

  Natalie Trebes, Moderator

  Director, Health Plan Research, Advisory Board
  
• Transforming Behavioral Health Services During and After a Pandemic
  
  4:30 PM - 5:20 PM
  Austin Grand Ballroom G (6th Floor)
  

  Even as we move into recovery, the COVID-19 pandemic continues to magnify the behavioral health needs of Texans. Join this panel for a discussion about the current challenges, opportunities to respond to these challenges, and efforts to reform and innovate behavioral services in Texas.
  

  

  Andrew Flanagan

  CEO, Iris Telehealth
  

  

  Anna Lindow

  CEO and Co-Founder, Brave Health
  

  

  Hani Talebi, PhD

  Vice President, Health System Integration, Meadows Mental Health Policy Institute
  

  

  Lisa Wright, Moderator

  President and CEO, Community Health Choice
  
• Grow your Medicare Advantage Market Share and Automate CMS PBP Submissions and Document Generation (ANOC, EOC, and SB)
  
  4:30 PM - 5:20 PM
  Room 616 A & B (6th Floor)
  

  Medicare Advantage organizations often depend on Excel grid-driven homegrown processes to manage benefit plans resulting in operational inefficiencies. In this session, you’ll discover how health plans can implement processes and automation to achieve improved accuracy, consistency, and efficiency and enable better collaboration across stakeholders.
  

  

  Mark Manning

  Chief Growth Officer, Simplify Healthcare
  

  

  Kandice K. Sanaie, Introduction

  Senior Director, State Government Affairs, CIGNA
  
• 5:30 PM
  VIP Reception⎪By Invitation Only
  5:30 PM - 6:30 PM
  Austin Grand Ballroom Foyer (6th Floor)
  

  The TAHP VIP Reception is an invite-only event that provides direct access to TAHP leadership as well as an opportunity to develop important new connections and foster existing relationships.
  

  Sponsored by:

  

NOTE: Click titles to expand agenda

• 7:30 AM
  Grab & Go Breakfast
  7:30 AM - 8:30 AM
  Austin Grand Ballroom Foyer (6th Floor)

  Grab a quick breakfast and join your colleagues at our breakfast session.
  
• 8:00 AM
  Breakfast Session⎪Under the Dome: Health Care Highlights from the 87th Texas Legislature and an Update on Implementation
  8:00 AM - 8:50 AM
  Austin Grand Ballroom F (6th Floor)

  Grab your breakfast and join us for a recap of the most important Medicaid, health insurance and health care legislation from this year’s legislative session.
  

  

  Jason Baxter

  Director of Government Relations, Texas Association of Health Plans
  

  

  Melissa Eason

  Regulatory Counsel, Texas Association of Health Plans
  

  

  Laurie Vanhoose

  Director of Policy, Government Programs, Texas Association of Health Plans
  

  

  Jamie Dudensing, Introduction

  CEO, Texas Association of Health Plans
• 9:00 AM
  A Conversation with the Texas Inspector General
  
  9:00 AM - 9:35 AM
  Austin Grand Ballroom F (6th Floor)

  Join us for an update from the Texas Inspector General’s Office and hear about their efforts and coordination with managed care plans to ensure program integrity — quality and efficient care and appropriate use of taxpayer dollars with minimal waste.
  

  

  Sylvia Hernández Kauffman

  Inspector General, Office of the Inspector General (OIG)
  

  

  Craig Smith, Introduction
  

  CEO, Driscoll Health Plan
• 9:45 AM
  Whose job is it anyway? Balancing Federal and State Surprise Billing Law Oversight and Enforcement
  
  9:45 AM - 10:20 AM
  Austin Grand Ballroom F (6th Floor)
  

  States debated surprise billing reform for more than a decade, and Texas passed its own legislation. Now, with the new federal law, how do we navigate the differences between state and federal law? Hear from a panel of experts as they provide insight on questions we still have leading up to a rapidly approaching 2022 deadline.
  

  

  Katie Keith, JD, MPH

  Associate Research Professor, Georgetown University
  

  

  Michael Kolber

  Partner, Manatt, Phelps & Phillips, LLP
  

  

  Harvey Rochman
  

  Partner, Manatt, Phelps & Phillips, LLC
• 10:30 AM
  COVID19 Vaccines: Science vs Antiscience
  
  10:30 AM - 11:05 AM
  Austin Grand Ballroom F (6th Floor)
  

  Join expert Dr. Hotez as he discusses the impact of vaccinating on a new DELTA variant accelerating in the US and advancing a low-cost recombinant protein COVID-19 “people’s vaccine” for global health now going through testing in India. Dr. Hotezalso discuss new trends in anti-vaccine sentiments in the US and an escalating and globalizing antiscience empire.
  

  

  Peter Hotez, MD

  Dean, National School of Tropical Medicine and Professor of Pediatrics and Molecular Virology & Microbiology, Baylor College of Medicine
  

  

  Alicia Pierce, Introduction

  Director of Communications, Texas Association of Health Plans
• 11:15 AM
  Regulatory Round-up with the Texas Department of Insurance
  11:15 AM - 12:00 PM
  Austin Grand Ballroom F (6th Floor)
  

  Senior staff from the Texas Department of Insurance will discuss how recent changes in state and federal law will impact the Texas health insurance market and regulatory environment.
  

  

  Cassie Brown

  Commissioner, Texas Department of Insurance
  

  

  Chris Herrick

  Deputy Commissioner, Life and Health Division, Texas Department of Insurance
  

  

  Michael Nored

  Director and Chief Counsel, Health Market Actions Section, Texas Department of Insurance
  

  

  Jamie Dudensing, Moderator

  CEO, Texas Association of Health Plans