Payer Analytics Optimization for Care Transformation

Health Plan Innovations to Optimize Data, AI, and Technology to Enhance Care Delivery and
the Member Experience

November 5-6, 2025
Scottsdale, AZ

About The Event

Future facing payer organizations know that data analytics is the powerhouse that drives transformation of the care landscape. This conference will address how leading health plans are leveraging actionable insights and technology advances to improve patient outcomes, personalize care delivery, increase provider quality and network optimization, enhance the member experience, and advance operational efficiencies.

Speakers

Speaker 6

Chris Esguerra, MD

Chief Medical Officer

Speaker 6

Jim Milanowski

CEO

Speaker 6

Janine Angel

Senior Director, Medicare Strategic Business Operations & Compliance

Speaker 6

Lucy Marrero MA LMFT CPHQ

Director of Behavioral Health & Social Programs

Speaker 6

Alan Rice

Population Health Specialist

Speaker 6

Jennifer D’ Angelo

COO & EVP

Speaker 6

Robert Millette

CEO

Speaker 6

Mina Chang

Senior Policy Adviser

Speaker 6

Marcela Ruiz

Director, Value Based Purchasing

Speaker 6

Shannon Smith

Director, Care Transformation

WHO SHOULD ATTEND


Medicare, Medicaid, Duals, and Commercial Health Plans
Health Care Providers
Industry Solution Providers

Designed for Executives with these titles:

  • Chief Medical Officer
  • Chief Data Officer
  • Medical Directors

Designed for Executives with these titles:

  • Care Management
  • Value Based Care
  • Integrated Care
  • Data Analytics
  • Network Management
  • Payer-Provider Partnerships
  • Healthcare Informatics
  • AI/ML
  • Data Science
  • Health Information Technology
  • Quality
WHAT YOU WILL LEARN


DATA ANALYTICS TO TRANSFORM THE CARE LANDSCAPE
  • Becoming a Data-Driven Healthcare Organization: Creating a Culture that Optimizes the Member Experience through Informed Care Delivery
  • Transforming Raw Data into Actionable Insights—Delivering the Right Data at the Right Time to Develop Informed Care Models that Prioritize the Individual Health Journey
  • Leveraging Enhanced Analytics to Identify Trends, Patterns and Insights to Develop Initiatives that Influence Member Actions and Decisions
  • Applying Predictive Data Analytics to Expedite Claims Processing, Reduce Inefficiencies, and Identify Opportunities for Automation
  • Centralizing Data Across the Care Continuum: Ensuring that Medical and Pharmacy Teams are Sharing Data to Drive Streamlined Operations, Improved Care Management, and Medication Adherence
  • Creating Personalized Care Strategies Fueled by Member Data, Advanced Analytics, and Alignment with Value Based Care
  • Prioritizing Data Integrity to Ensure Patient Safety and Continuation of Care

INFORMED INTERVENTIONS FOR HIGH RISK MEMBERS
  • Conducting a Comprehensive Care Gap Analysis for High Risk Members
  • Harnessing the Power of Data to Gain Population-Level Insights: Identifying High- Risk Patients and Making Informed Decisions to Lower Costs and Improve Care
  • Analyzing Individual Health Data within Targeted Populations: Identifying the Prevalence of Chronic Disease and Risk Factors
  • Determining Readmission Risk and Keeping At-Risk Members Out of the Hospital: Leveraging Real Time Data Analysis to Lower Readmissions, Minimize Treatment Errors, and Prevent Emergencies
  • Empowering Case Managers with Real Time Insights to Guide Proactive Intervention and Ensure Continuity of Care
  • Bridging the Gap Between Home Care and Traditional Settings: Transforming Home Environments into Essential Components of the Healthcare System

NETWORK OPTIMIZATION AND PROVIDER QUALITY
  • Identifying High-Performing Providers to Drive Quality Improvement: Using Analytics to Build and Optimize Your Network, Evaluate Performance, and Increase Your Footprint
  • Leveraging Data Analytics to Manage the Transition to Value Based Care
  • Elevating Provider Network Performance: Continuously Monitoring and Adjusting Based on Data Insights to Improve Care and Costs
  • Enhancing Payer-Provider Collaboration: Fostering Transparent Relationships and Driving Cost Efficiency

TECHNOLOGY TOOLS TO UNLEASH THE POWER OF DATA
  • Tech Advances to Unlock the Potential of Real World Data: Investing in Technology Platforms that Enhance Efficient and Member Engagement while Providing Actionable Insights
  • Crafting a Comprehensive Strategy for Interoperability: Improving Member, Provider and Payer Access to Data and Reducing Administrative Burdens
  • Leveraging the Power of Big Data & AI Algorithms to Produce Actionable Insights: Uncovering Hidden Patterns of Clinical Behavior
  • Managing the Rapid Expansion of Digitalized Data: Addressing Challenges, Robust Data Protection, Seamless Integration
  • Leveraging AI and Machine Learning to Enhance Every Stage of the Patient Journey: Diagnostics, Treatment, Post Operative Care
  • Maximizing the Synergy Between Data-Driven Devices and Home Based Care Models: Remote Monitoring, AI Enhanced Diagnostics, and Prioritized Patient Centered Care
  • Transforming Medical Devices into Intelligent Systems that Augment and Optimize Best Practices through AI, Data Science, and Other Advanced Technologies


SPONSORS

To Be Announced...