- Monday, May 8, 2023
7:30 AM – 8:25 AM EDT
Breakfast
7:30 AM – 8:25 AM EDT
Breakfast
Location: International Ballroom, Ballroom Commons
7:30 AM – 7:00 PM EDT
Information & Registration Desk
7:30 AM – 7:00 PM EDT
Registration & Information Desk
8:30 AM – 9:00 AM EDT
Welcome Keynote
8:30 AM – 9:00 AM EDT
Welcome Keynote
Location: National Ballroom
9:00 AM – 10:00 AM EDT
Guest Keynote - The Future of Healthcare - Marty Makary
9:00 AM – 10:00 AM EDT
Guest Keynote - The Future of Healthcare - Marty MakaryLocation: National Ballroom
10:00 AM – 10:20 AM EDT
Experience Center Break
10:00 AM – 10:20 AM EDT
Experience Center Break
Location: Experience Center - Osceola Ballroom Foyer
10:00 AM – 6:00 PM EDT
Video Testimonials
10:00 AM – 6:00 PM EDT
Video Testimonials
Location: Allendale B
10:20 AM – 11:10 AM EDT
Addressing Short Stay Admissions with MCG Solutions
10:20 AM – 11:10 AM EDT
Addressing Short Stay Admissions with MCG SolutionsLocation: Osceola Ballroom A, B – Arkansas Blue Cross and Blue Shield
– Arkansas Blue Cross and Blue Shield
– Arkansas Blue Cross and Blue Shield
Rachelle Lewis, BSN, RN, PAHM – Arkansas Blue Cross and Blue Shield ### 1824725###Lead Speaker###Utilization Management Clinical Services and Population Health Manager###Arkansas Blue Cross and Blue Shield###Lead Speaker: – Arkansas Blue Cross and Blue Shield
### @@@ Chelsea H. Henry, BSN, RN (she/her/hers) – Arkansas Blue Cross and Blue Shield ### 1824728###Co-Speaker###Clinical Research Coordinator###Arkansas Blue Cross and Blue Shield###Co-Speaker: – Arkansas Blue Cross and Blue Shield
### she/her/hers @@@ Aaron Novotny, PhD (he/him/his) – Arkansas Blue Cross and Blue Shield ### 1913935###Co-Speaker###Director, Healthcare Economics###Arkansas Blue Cross and Blue Shield###Co-Speaker: – Arkansas Blue Cross and Blue Shield
### he/him/his
10:20 AM – 11:10 AM EDT
Automating Medical Necessity for Prior Authorization
10:20 AM – 11:10 AM EDT
Automating Medical Necessity for Prior AuthorizationLocation: Osceola Ballroom E – MCG Health
– MCG Health
Rajesh Godavarthi – MCG Health ### 1022777###Track Leader###Associate Vice President of Technology & Interoperability###MCG Health###Track Leader: – MCG Health
### @@@ Lisa Mahoney, RPh – MCG Health ### 1876110###Co-Track Leader###Manager of Clinical informatics###MCG Health###Co-Track Leader: – MCG Health
###
10:20 AM – 11:10 AM EDT
Case Management and MCG Collaboration: Mount Sinai’s Experience
10:20 AM – 11:10 AM EDT
Case Management and MCG Collaboration: Mount Sinai’s ExperienceLocation: Osceola Ballroom C – Mount Sinai Health System
Arun Nandi – Mount Sinai Health System ### 1824711###Lead Speaker###System Medical Director, Case Management###Mount Sinai Health System###Lead Speaker: – Mount Sinai Health System
###
10:20 AM – 11:10 AM EDT
The Continuing Shift of Procedures to Outpatient Sites of Care
10:20 AM – 11:10 AM EDT
The Continuing Shift of Procedures to Outpatient Sites of CareLocation: Osceola Ballroom D
Lashana Narayan, ASA, MAAA – Milliman ### 922404###Track Leader###Director, Clinical Analytics###Milliman###Track Leader: – Milliman
###
11:20 AM – 12:10 PM EDT
Building a Total Joint Replacement Inpatient Program with MCG
11:20 AM – 12:10 PM EDT
Building a Total Joint Replacement Inpatient Program with MCGLocation: Osceola Ballroom E – Emkes Consulting, LLC
– Ascension St. Vincent
Bernie Emkes, MD (he/him/his) – Emkes Consulting, LLC ### 1824712###Lead Speaker###Owner and CEO###Emkes Consulting, LLC###Lead Speaker: – Emkes Consulting, LLC
### he/him/his @@@ Christopher Neely, DO, MS, CHCQM-PHYADV – Ascension St. Vincent ### 1824713###Co-Speaker###Physician Advisor###Ascension St. Vincent###Co-Speaker: – Ascension St. Vincent
###
11:20 AM – 12:10 PM EDT
Exploring SDoH: Letting the Data Lead the Way
11:20 AM – 12:10 PM EDT
Exploring SDoH: Letting the Data Lead the WayLocation: Osceola Ballroom D
Suzanne Doran, RN, BSN, FAACM – MCG Health ### 318506###Track Leader###Managing Editor###MCG Health###Track Leader: – MCG Health
### @@@ Lashana Narayan, ASA, MAAA – Milliman ### 922404###Co-Track Leader###Director, Clinical Analytics###Milliman###Co-Track Leader: – Milliman
###
11:20 AM – 12:10 PM EDT
Strategies for Successful Authorization Automation: Preparing for the CMS Rule
11:20 AM – 12:10 PM EDT
Strategies for Successful Authorization Automation: Preparing for the CMS RuleLocation: Osceola Ballroom A, B – MCG Health
– Cleveland Clinic
– CareSource
– CareSource
– MultiCare Connected Care
Daniel Cawood – MCG Health ### 966604###Moderator###Product Manager, Interoperability Solutions###MCG Health###Moderator: – MCG Health
### @@@ Suzanne D. Miller, MSN, RN, ACM – Cleveland Clinic ### 309317###Panelist###Director, Utilization Management###Cleveland Clinic###Panelist: – Cleveland Clinic
### @@@ John Gregory – CareSource ### 1416654###Panelist###Manager, Clinical Systems Integration###CareSource###Panelist: – CareSource
### @@@ Katie Howard – CareSource ### 1656101###Panelist###Clinical Operations Program Manager - Operating Model###CareSource###Panelist: – CareSource
### @@@ Anna Taylor, MS (she/her/hers) – MultiCare Connected Care ### 1418138###Panelist###Associate Vice President, Population Health and Value-Based Care###MultiCare Connected Care###Panelist: – MultiCare Connected Care
### she/her/hers
11:20 AM – 12:10 PM EDT
Using MCG’s Artificial Intelligence (AI) to Optimize Staff Efficiency and Productivity
11:20 AM – 12:10 PM EDT
Using MCG’s Artificial Intelligence (AI) to Optimize Staff Efficiency and ProductivityLocation: Osceola Ballroom C – ECU Health
– MCG Health
Stephanie Smith, MSN, ACM-RN – ECU Health ### 1882130###Lead Speaker###Manager of Utilization Management###ECU Health ###Lead Speaker: – ECU Health
### @@@ Jillian Daugherty, MBA, BSN, RN (she/her/hers) – MCG Health ### 1917284###Co-Track Leader###Lead Account Director###MCG Health###Co-Track Leader: – MCG Health
### she/her/hers
12:10 PM – 1:10 PM EDT
Lunch
12:10 PM – 1:10 PM EDT
Lunch
Location: International Ballroom, Ballroom Commons
1:10 PM – 2:00 PM EDT
Leveraging MCG Solutions to Reduce Secondary Review Referrals and Denials
1:10 PM – 2:00 PM EDT
Leveraging MCG Solutions to Reduce Secondary Review Referrals and DenialsLocation: Osceola Ballroom E – Houston Methodist Hospital
Valerie Morales, MBA, MSN, ACM RN (she/her/hers) – Houston Methodist Hospital ### 1824729###Lead Speaker###Manager, Case Management and Social Work###Houston Methodist Hospital###Lead Speaker: – Houston Methodist Hospital
### she/her/hers
1:10 PM – 2:00 PM EDT
Optimizing Observation Care Management Practices
1:10 PM – 2:00 PM EDT
Optimizing Observation Care Management PracticesLocation: Osceola Ballroom C
Andrea Ortman, RN, MSN – Geisinger ### 1828189###Lead Speaker###VP, Inpatient Care Management and Post-Acute Care###Geisinger###Lead Speaker: – Geisinger
###
1:10 PM – 2:00 PM EDT
Seamless and Fast Prior Authorization: A Payer-Provider Success Story
1:10 PM – 2:00 PM EDT
Seamless and Fast Prior Authorization: A Payer-Provider Success StoryLocation: Osceola Ballroom A, B – MultiCare Connected Care
– Regence Health Plans
– MCG Health
Anna Taylor, MS (she/her/hers) – MultiCare Connected Care ### 1418138###Co-Speaker###Associate Vice President, Population Health and Value-Based Care###MultiCare Connected Care###Co-Speaker: – MultiCare Connected Care
### she/her/hers @@@ Heidi Kriz, MPH, RD – Regence Health Plans ### 1418137###Co-Speaker###Director of Medical Policy and Medical Management; PA Transformation Lead###Regence Health Plans###Co-Speaker: – Regence Health Plans
### @@@ Rajesh Godavarthi – MCG Health ### 1022777###Track Leader###Associate Vice President of Technology & Interoperability###MCG Health###Track Leader: – MCG Health
###
1:10 PM – 2:00 PM EDT
What’s New for Medicare in 2023
1:10 PM – 2:00 PM EDT
What’s New for Medicare in 2023Location: Osceola Ballroom D – MCG Health
– MCG Health
Cheyenne Zychowski, MSN, RN – MCG Health ### 922402###Co-Track Leader###Managing Editor###MCG Health###Co-Track Leader: – MCG Health
### @@@ Leigh Elwood – MCG Health ### 1825055###Track Leader###Nurse Editor###MCG Health###Track Leader: – MCG Health
###
2:10 PM – 3:00 PM EDT
Bringing Peer-to-Peers and Appeals In-House: A Children’s Hospital Success Story
2:10 PM – 3:00 PM EDT
Bringing Peer-to-Peers and Appeals In-House: A Children’s Hospital Success StoryLocation: Osceola Ballroom E – Children's Health System of Texas
– Children’s Health System of Texas
Bianca Barraza, MHA, BSN, RN (she/her/hers) – Children's Health System of Texas ### 1824715###Lead Speaker###Vice President, Utilization Management###Children's Health System of Texas###Lead Speaker: – Children's Health System of Texas
### she/her/hers @@@ Katherine Johnson, MD – Children’s Health System of Texas ### 1824716###Co-Speaker###Pediatric Hospitalist; Medical Director of Utilization Management###Children’s Health System of Texas###Co-Speaker: – Children’s Health System of Texas
###
2:10 PM – 3:00 PM EDT
Implementing Transformational, Patient-Centered Care Models in Case Management
2:10 PM – 3:00 PM EDT
Implementing Transformational, Patient-Centered Care Models in Case ManagementLocation: Osceola Ballroom A, B – Sharp Healthcare
– Sharp Rees Stealy
Janet M. Appel, RN, MSN, CCM – Sharp Healthcare ### 309299###Lead Speaker###Director of Population Health###Sharp Healthcare###Lead Speaker: – Sharp Healthcare
### @@@ Kelly Meyers, MSN,RN,CCM – Sharp Rees Stealy ### 1656127###Co-Speaker###Manager, Population Health, Ambulatory Care Programs###Sharp Rees Stealy###Co-Speaker: – Sharp Rees Stealy
###
2:10 PM – 3:00 PM EDT
Prevention and Early Detection of Behavioral Health Conditions
2:10 PM – 3:00 PM EDT
Prevention and Early Detection of Behavioral Health ConditionsLocation: Osceola Ballroom D
Stacey Popko, MD, MBA (she/her/hers) – MCG Health ### 309271###Track Leader###Associate Vice President and Managing Editor###MCG Health###Track Leader: – MCG Health
### she/her/hers
2:10 PM – 3:00 PM EDT
Unlocking Patient Data to Make Evidence-Based Care Decisions with Indicia
2:10 PM – 3:00 PM EDT
Unlocking Patient Data to Make Evidence-Based Care Decisions with IndiciaLocation: Osceola Ballroom C – Stormont Vail Health
– Stormont Vail Health
– Stormont Vail Health
Chad Yeager, RN, MSN – Stormont Vail Health ### 947154###Lead Speaker###Vice President of Clinical Quality###Stormont Vail Health###Lead Speaker: – Stormont Vail Health
### @@@ Sri V. Suravarapu, MD, MPH – Stormont Vail Health ### 1730146###Co-Speaker###Medical Director of Utilization Review###Stormont Vail Health###Co-Speaker: – Stormont Vail Health
### @@@ Jamie Crook, MSN, RN, CDEO, CRC – Stormont Vail Health ### 1824727###Co-Speaker###Manager###Stormont Vail Health###Co-Speaker: – Stormont Vail Health
###
3:00 PM – 3:20 PM EDT
Experience Center Break
3:00 PM – 3:20 PM EDT
Experience Center Break
Location: Experience Center - Osceola Ballroom Foyer
3:20 PM – 4:10 PM EDT
Navigating Denials Management with MCG
3:20 PM – 4:10 PM EDT
Navigating Denials Management with MCGLocation: Osceola Ballroom C – Novant Health New Hanover Regional Medical Center
– Novant Health New Hanover Regional Medical Center
– Marion Health
– Cleveland Clinic
– MCG Health
Aileen T. Hill, BSN, RN, CCM – Novant Health New Hanover Regional Medical Center ### 1324456###Panelist###Utilization Review Manager###Novant Health New Hanover Regional Medical Center###Panelist: – Novant Health New Hanover Regional Medical Center
### @@@ Sejal Patel, MD, CHCQM-PHYADV – Novant Health New Hanover Regional Medical Center ### 916586###Panelist###Medical Director for Clinical Resource Services###Novant Health New Hanover Regional Medical Center###Panelist: – Novant Health New Hanover Regional Medical Center
### @@@ Angela S. Mounsey, BSN, RN, CCM, CPHQ, CMAC – Marion Health ### 1824720###Panelist###Manager, Quality Improvement/Care Continuum Department###Marion Health###Panelist: – Marion Health
### @@@ Linda A. O'Donnell, RN, BSN, MHA, CMAC – Cleveland Clinic ### 318187###Panelist###Sr. Director of Care Management Operations###Cleveland Clinic###Panelist: – Cleveland Clinic
### @@@ Dee Miller, MSM-L, BSN, RN (she/her/hers) – MCG Health ### 466729###Moderator###Senior Manager, Product Management###MCG Health###Moderator: – MCG Health
### she/her/hers
3:20 PM – 4:10 PM EDT
Right Patient, Right Place, Right Time: Leveraging MCG Rapid Review Guidelines with Physician Advisor Oversight
3:20 PM – 4:10 PM EDT
Right Patient, Right Place, Right Time: Leveraging MCG Rapid Review Guidelines with Physician Advisor OversightLocation: Osceola Ballroom A, B – Primed/Hill Physicians
– Primed/Hill Physicians
Jan S. Rodgers, RN, BSN, BBA – Primed/Hill Physicians ### 935068###Lead Speaker###Supervisor, Health Resources Management###Primed/Hill Physicians###Lead Speaker: – Primed/Hill Physicians
### @@@ Mary Bernales, LVN – Primed/Hill Physicians ### 1824718###Co-Speaker###Transition of Care Nurse###Primed/Hill Physicians###Co-Speaker: – Primed/Hill Physicians
###
3:20 PM – 4:10 PM EDT
The Complex Role of Ambulatory Surgery Centers
3:20 PM – 4:10 PM EDT
The Complex Role of Ambulatory Surgery CentersLocation: Osceola Ballroom D
Bill Rifkin, MD FACP (he/him/his) – MCG Health ### 309285###Track Leader###Associate Vice President and Managing Editor###MCG Health###Track Leader: – MCG Health
### he/him/his
4:15 PM – 5:15 PM EDT
Featured Demo: Cite Solutions
4:15 PM – 5:15 PM EDT
Featured Demo: Cite Solutions
Location: Heritage Park
4:15 PM – 5:15 PM EDT
Featured Demo: Indicia Solutions
4:15 PM – 5:15 PM EDT
Featured Demo: Indicia Solutions
Location: Partin
4:15 PM – 5:15 PM EDT
Featured Demo: Value-Based Care Solutions
4:15 PM – 5:15 PM EDT
Featured Demo: Value-Based Care Solutions
Location: Lanier
6:15 PM – 7:00 PM EDT
Networking Reception
6:15 PM – 7:00 PM EDT
Networking Reception
Location: Experience Center - Osceola Ballroom Foyer
7:00 PM – 9:00 PM EDT
Dinner
7:00 PM – 9:00 PM EDT
Dinner
Location: Main Pool
