Welcome to the Medical Cost Containment Series - where healthcare finance meets innovation and impact
Join us for an all-encompassing event tailored to professionals working in healthcare finance. From payment integrity through revenue cycle management all the way to risk adjustment, we cover all aspects of the healthcare business. Our focus is on delivering actionable insights into claims optimization, value-based care, and denial management—with an emphasis on fostering payer-provider collaboration.
You'll connect with peers and vendors who can help you reduce costs, streamline operations, and boost your organization's efficiency. Expect to leave with fresh strategies, valuable contacts, and practical solutions to help your business succeed in today’s evolving healthcare landscape.
Optimizing Your Claims Management
Where healthcare leaders come to increase savings, share strategies, foster collaboration and discover innovative solutions to tackle challenges along the claims continuum and identify cost containment opportunities.
This event will bring together:
- Insurers
- Healthcare Providers
- PI Vendors
- FWA Vendors
- AI Healthcare Vendors
Optimizing Your Accounts Receivable Strategies
Where healthcare leaders gather to maximize revenue, exchange best practices, foster collaboration, and explore innovative solutions.
This event will bring together:
- Hospitals
- Healthcare Systems
- Physician Networks
- Clinical Practices
- Patient Access Vendors
- Accounts Receivable Management Vendors
- Medical Billing Vendors
- Denial Management Vendors
Key Themes:
Build Efficient Payer-Provider Collaboration
Gain actionable insights into fostering stronger partnerships between payers and providers to streamline processes, reduce costs, and improve patient outcomes. Experts will share real-world strategies and case studies to help your organization overcome common barriers and unlock the full potential of collaboration.
Identify the Potential of AI-Driven Healthcare
Discover cutting-edge applications of AI that are transforming healthcare operations. Learn how to harness AI to enhance claims processing, billing accuracy, resource allocation, and administrative efficiency while staying ahead of industry trends.
Your Guide to a Shifting Policy Landscape
Stay informed on evolving healthcare regulations and policies, with a focus on understanding their financial and operational implications. Hear from policy experts on strategies to navigate regulatory changes while maintaining compliance and optimizing organizational outcomes.
Putting the Patient at the Center of Healthcare
Explore innovative approaches to prioritizing patient-centric care. From improving the patient financial journey to enhancing care accessibility and satisfaction, sessions will emphasize actionable steps to align administrative strategies with patient needs and expectations.
Speaker Hall of Fame Includes:
Dr Priscilla Alfaro, MD, FAAP, CPC, CPMA, COC, CIC, CFE
VP Payment Integrity
Blue Cross NC
Dr. Priscilla Alfaro is a seasoned healthcare professional with extensive experience in executive medical management, fraud prevention, and healthcare analytics. A certified medical coder, fraud examiner, and auditor, she has a proven track record of improving healthcare efficiency and preventing fraud, waste, and abuse across various roles and affiliations, including the Texas HHS and Anthem.
Lawrence M. Simon, MD, MBA, FACS
Interim Senior Medical Director
Blue Cross and Blue Shield of Louisiana (BCBSLA)
Dr. Larry Simon is the Interim Senior Medical Director and Managing Medical Director for Medical Policy and Medical Appeals for Blue Cross and Blue Shield of Louisiana (BCBSLA), where he also serves as the Medical Director for Coding and Reimbursement and Chair of the Credentialing and Medical Quality Management Committees. He is a member of the AMA CPT Editorial Panel, serving on the Executive Committee and as Co-Chair of the Molecular Pathology Advisory Group and Genomic Sequencing Procedures Workgroup. He also chairs the Medical Director’s Forum for both the Louisiana Association of Health Plans and the National Anti-Fraud Advisory Board of the Blue Cross and Blue Shield Association. Prior to joining BCBSLA, Dr. Simon served in numerous leadership roles for the American Academy of Otolaryngology, the American Medical Association, the American College of Surgeons, and the Louisiana State Medical Society.
Dr. Simon is an alumnus of Louisiana State University, Baylor College of Medicine, Rady Children’s Hospital, and the BI Moody College of Business Administration at the University of Louisiana. A diplomate of the American Board of Otolaryngology and a Fellow of the American College of Surgeons, Dr. Simon has over 15 years of experience in Health Policy and Healthcare Reform, and he has presented over 170 lectures and seminars on these topics.
A Rotarian, an animal rescuer, a member of multiple civic boards, and a patron of the arts, Dr. Simon enjoys spending his time outside of work serving his community, helping the animal shelters and abandoned dogs of Louisiana, and travelling and enjoying life with his wife and their family and friends.
Lisa Griffin, MBA, CCCM
Chief Consumer Officer
University Hospitals
Novelette Wallace, MPH, PMP, CSSBB
Head of Payment Integrity
Johns Hopkins Healthcare
Novelette Wallace is a distinguished Payment Integrity Leader with a rich background spanning over 30 years in the healthcare industry. Her extensive experience includes leadership roles within payment integrity, where she has played pivotal roles in both payment integrity vendor organizations and health plans. Throughout her career, Novelette has demonstrated a remarkable ability to build and lead Payment Integrity departments from their inception. Her expertise has been instrumental in establishing robust processes and strategies to identify and recover inaccuracies in claims, contributing significantly to cost of care savings for health plans year after year.
Novelette has held key leadership positions with industry-leading organizations, including Performant Corp, United Healthcare, and Aetna (previously Coventry). In each role, she has consistently delivered results by optimizing payment integrity processes and driving operational excellence. Currently serving as the Assistant Vice President (AVP) of Payment Integrity for Johns Hopkins Health Plans, Novelette continues to bring her wealth of knowledge and leadership acumen to the forefront. Her dedication to achieving and surpassing cost of care savings goals exemplifies her commitment to advancing the financial health and efficiency of healthcare organizations.
With a proven track record of success and a comprehensive understanding of payment integrity within the healthcare landscape, Novelette Wallace stands as a respected leader in the industry, contributing significantly to the success of the organizations she serve
Drew Satriano
Vice President of Payment Integrity
Highmark Health
Drew Satriano, a seasoned professional with an MBA, CPA, CFE, and JD, brings extensive expertise in payment integrity, accounting, auditing, and legal matters within regulated environments. Notably, he has spearheaded innovative initiatives resulting in a 968% increase in savings since 2014. His recent focus includes leveraging AI and technology for enhanced accuracy and efficiency in provider payment processes.
Sandy Giangreco Brown
VP, Revenue Integrity & Education
Spire Orthopedic Partners
Howard Kung
Senior Director, Revenue Cycle
Mayo Clinic
Lisa Meredith
AVP, Revenue Cycle Management
LifePoint Health
Crystal Son
Executive Director of Enterprise Data Analytics Solutions
HCSC
Crystal Son is an Executive Director of Enterprise Data Analytics Solutions at Healthcare Service Corporation (HCSC). She has 19 years of experience in deriving intelligence from data.
At HCSC, she leads the Strategic Initiatives & Partnerships team, a department that focuses on cross-functional, collaborative analytics delivery on key programs such as Payment Integrity and Stakeholder Engagement, enterprise data and analytics strategy and planning, as well as design and execution of HCSC’s Responsible AI program. She is passionate about real-world applications of data-driven insights, storytelling through data, and building high-performance teams.
Betye Ochoa
Director, Revenue Cycle Redesign
NorthShore University HealthSystem
Your go-to for everything Healthcare
Enhanced Payer-Provider Networking:
The Medical Cost Containment Summit exists to forge stronger connections between payers and providers in a uniquely collaborative environment. With dedicated networking events and informal meet-ups, this is the ideal platform to exchange ideas, build relationships, and explore opportunities for meaningful partnerships that drive mutual success.
Facilitated 1:1 Vendor Connections:
Save time and find solutions faster with personalized introductions to vendors tailored to your organization’s needs. These facilitated 1:1 meetings ensure both payers and providers can explore cutting-edge innovations efficiently, under one roof.
Broader Spectrum of Content:
Gain access to a unique blend of payer and provider perspectives under one roof. From payment integrity strategies to revenue cycle management insights, our event delivers the comprehensive content you need to see the bigger picture and make more informed decisions.
Exclusive Benchmarking Insights:
Gain access to our unique MCC Benchmarking Group. Payers can measure their performance against industry standards using PMPM savings metrics, while providers gain insights into payer metrics and share their input on what really matters for collaboration and success.
OUR COMMUNITY OF PAYERS
Demonstrate your tech and leadership by partnering with us
Partner with us to elevate your brand, and make valuable new connections. Subject to availability, we offer opportunities for thought leadership, branding, and facilitated networking.
Please contact our Partnerships Director, Harry Ludbrook, for more information. [email protected].
Healthcare Payers and Providers attend for free
Step into interactive discussions and engaging presentations on the key challenges and opportunities presented by payment companies.
If you are from a healthcare plan or provider organization, you can join our events for free.
About Kisaco Research
Kisaco Research produces, designs and hosts B2B industry conferences, exhibitions and communities – focused on a specialized selection of topic areas.
Meet industry peers that will help build a career-changing network for life.
Learn from the mistakes of your peers as much as their successes—ambitious industry stalwarts who are happy to share not just what has made them successful so far but also their plans for future proofing their companies.
Note down the inspired insight that will form the foundation for future strategies and roadmaps, both at our events and through our online communities.
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