Sunday - June 28, 2026

12:00 PM

12:00 PM – 5:00 PM

Value-Based Care in Action: From Contract Design to Operational Execution

This immersive, interactive workshop bridges the gap between how value-based care contracts are structured and how they actually perform in the real world.

Participants will gain a 360-degree view of value-based care, connecting contract intent to operational reality across Medicare Advantage, ACOs, and risk-bearing provider organizations.

Contract Foundations - What You’re Really Signing Up For 

  • Core principles of VBC contracts vs. fee-for-service 
    Key models: shared savings, downside risk, capitation, bundles 
    Financial levers: risk adjustment, quality incentives, utilization controls 
    Regulatory guardrails: CMS requirements, Stark, Anti-Kickback 

Translating Contracts into Operations 

  • How contract terms drive: 
    Risk adjustment strategies (prospective, concurrent, retrospective) 
    Quality programs (Stars, HEDIS, member engagement) 
    Total cost of care initiatives (site of service, network strategy, utilization management) 
    Prioritization: what matters most this year vs. what can wait 
     

Operational Excellence in Practice

  • Building and managing programs: 
    Coding teams, home assessments, outreach campaigns 
    Provider engagement using adult learning principles 
    Oversight models for both plans and provider groups 
    Interdepartmental alignment: who owns what and how often to communicate 
     

Data, Analytics & Performance Management

  • Turning data into action: 
    Performance dashboards and executive reporting 
    MAO-004, encounter data, and reconciliation insights 
    Monitoring financial performance throughout the year 
    Identifying early warning signs and course-correcting 

 

Collaboration & Ecosystem Strategy

  • Payer-provider alignment strategies that actually work 
    Evaluating vendors and community partnerships 
    Change management in complex environments 
     

Risk Mitigation & Real-World Challenges

  • Common breakdowns in VBC execution and how to fix them 
  • Aligning contract expectations with operational capacity 
  • Preparing for audits, RADV, and increasing regulatory scrutiny 

Monday - June 29, 2026

8:00 AM

8:00 AM – 6:00 PM

Exhibit Hall Open

8:00 AM

8:00 AM – 9:00 AM

Information Desk Opens and Networking Breakfast

9:00 AM

9:00 AM – 9:10 AM

Welcome Remarks

9:10 AM

9:10 AM – 10:10 AM

Keynote Address

Keynote Address

10:10 AM

10:10 AM – 11:00 AM

Regulatory Shifts in Value-Based Care: Medicaid, Medicare, and What’s Next

  • Summarize key Medicaid and Medicare regulatory changes impacting value-based care participation and performance
  • Examine how more frequent Medicaid eligibility redeterminations affect member attribution, continuity of care, and contract stability
  • Assess increased regulatory focus on fraud, waste, and abuse and how it influences compliance strategies within value-based models

11:00 AM

11:00 AM – 11:20 AM

Networking Break

11:20 AM

11:20 AM – 12:10 PM

Who Owns the Patient? Fixing Attribution and Membership in Value-Based Care

  • Define the role of attribution and membership accuracy in driving success within value-based and risk-based care models
  • Examine proposed policy changes for 2027, including unlinked encounters, and their potential impact on attribution methodologies
  • Evaluate approaches to correctly identify and manage high-priority populations, including SNP and dual-eligible (Medi-Medi) members

12:10 PM

12:10 PM – 1:15 PM

Networking Lunch

1:15 PM

1:15 PM – 1:30 PM

Track 1

Tools & Technology Spotlights

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.

1:15 PM – 1:30 PM

Track 2

Tools & Technology Spotlights

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.

1:30 PM

1:30 PM – 2:15 PM

Track 1

What Moves the Needle on Stars, HEDIS, and Cost in Risk Contracts—and What Doesn’t

  • Revisit the role of attribution in value-based arrangements and its impact on quality measurement and performance 
  • Analyze persistent challenges related to misalignment, non-utilizers, and attribution volatility across Medicare and Medicaid models 
  • Identify strategies to close quality gaps across attributed populations, including outreach, engagement, and care coordination approaches

1:30 PM – 2:15 PM

Track 2

Operationalizing Value-Based Care: Aligning People, Process, and Technology for Sustainable Performance

  • Identify key roles, team structures, and leadership alignment needed to support VBC execution across organizations
  • Examine operational workflows that enable effective care coordination, performance tracking, and contract management
  • Evaluate the technology and data infrastructure necessary to support real-time decision-making and performance improvement

2:15 PM

2:15 PM – 2:20 PM

Session Transition

2:20 PM

2:20 PM – 3:05 PM

Track 1

From Static Risk to Real-Time Strategy: How Actuarial AI Is Powering Value-Based Care

  • Define Actuarial AI and differentiate it from traditional predictive analytics and population health tools
  • Examine how real-time performance tracking and forecasting improve financial and clinical decision-making in value-based contracts
  • Identify key data, infrastructure, and governance requirements needed to operationalize risk at scale

2:20 PM – 3:05 PM

Track 2

Closing the Rural Care Gap: How FQHCs Are Leading the Next Wave of Health Care Transformation

  • Summarize recent federal and state-level investments driving rural health transformation and their implications for value-based care
  • Examine how Medicaid policy changes are expanding the role of FQHCs in risk-based and value-based arrangements
  • Identify funding strategies, including population-based payments and state innovation models, that support care transformation in rural settings

3:05 PM

3:05 PM – 3:25 PM

Networking Break

3:25 PM

3:25 PM – 4:10 PM

Track 1

Renegotiating Risk: Strategies to Reset Value-Based Contracts in a High-Pressure Environment

  • Assess the key drivers prompting contract renegotiation, including margin pressure, attribution challenges, and shifting utilization trends
  • Analyze how payer and provider priorities diverge during renegotiation and evaluate strategies to align incentives and risk distribution
  • Redesign contract structures, including benchmarks, and risk corridors to improve sustainability and reduce performance volatility

3:25 PM – 4:10 PM

Track 2

Moving Health Care from Reactive to Proactive to Achieve Better Outcomes at Lower Costs

  • Differentiate reactive, proactive, and preventive care models and assess how each approach impacts clinical outcomes, and total cost of care
  • Identify key drivers of reactive care patterns within value-based arrangements and evaluate opportunities to shift toward earlier intervention and risk stratification
  • Implement data-driven strategies, including predictive analytics and care management workflows, to proactively identify and manage high-risk populations

4:10 PM

4:10 PM – 4:55 PM

Decoding CMMI’s New Models: Strategic Implications for Value-Based Care Leaders

  • Summarize the key components of CMMI’s newly released models and their intended policy goals 
  • Analyze how outcome-based payment structures, particularly in digital health and therapeutic interventions, shift financial risk and incentives 
  • Examine the Access Model and its implications for integrating digital health solutions into the Medicare population

4:10 PM

4:10 PM – 4:15 PM

Session Transition

4:55 PM

4:55 PM – 5:00 PM

Closing Remarks

5:00 PM

5:00 PM – 6:00 PM

Networking Cocktail Reception

Join us for drinks, hors d’oeuvres, and face-to-face networking with peers.

Tuesday - June 30, 2026

8:00 AM

8:00 AM – 1:15 PM

Exhibit Hall Open

8:00 AM

8:00 AM – 11:00 AM

Information Desk Open

8:00 AM

8:00 AM – 9:00 AM

Networking Breakfast

9:00 AM

9:00 AM – 9:10 AM

Welcome Remarks and Day One Takeaways

9:10 AM

9:10 AM – 9:55 AM

Protecting the Bottom Line: Payment Integrity and FWA in Value-Based Care

  • Examine how compliance expectations are evolving in value-based and risk-based arrangements
  • Identify strategies to align payment integrity and FWA programs to protect revenue while maintaining regulatory compliance
  • Evaluate common risk areas, including documentation, coding practices, and vendor oversight

9:55 AM

9:55 AM – 10:40 AM

Engaging Specialty Providers in Value-Based Care: Bundled Payments and Beyond

  • Examine the role of specialty providers in advancing value-based care and managing total cost of care 
  • Identify opportunities to implement bundled payment models across key specialties, including orthopedics, cardiology, oncology, and post-acute care 
  • Evaluate strategies to engage specialty providers and align incentives across episodic and longitudinal care models

10:40 AM

10:40 AM – 11:00 AM

Networking Break

11:00 AM

11:00 AM – 11:45 AM

From Activity to Impact: A Scientific Approach to Tracing Causal Pathways and Attributing Financial Outcomes in Value-Based Care

  • Analyze how CMS reimbursement models such as ACO REACH, ACCESS, and LEAD shift incentives toward demonstrated clinical outcomes and evaluate what this evolution means for performance measurement and reporting
  • Design organizational KPIs that align frontline activities with enterprise goals and help every level of the organization connect operational work to clinical and financial outcomes
  • Demonstrate the business case for value-based care initiatives by establishing clear causal links between care activities, measurable outcome improvements, and cost savings under risk-based arrangements

11:45 AM

11:45 AM – 12:35 PM

Industry Leader Conclusion Panel: Aligning Strategy, Execution, and Innovation

  • Synthesize key regulatory, operational, and strategic themes shaping value-based care across Medicaid and Medicare
  • Evaluate how organizations are adapting to increased risk, evolving contracting models, and shifting payer-provider dynamics
  • Assess strategies to improve quality performance, integrate SDOH, and manage attribution in a dynamic environment

12:35 PM

12:35 PM – 12:45 PM

Closing Remarks

12:45 PM

12:45 PM – 1:15 PM

Networking Grab and Go Lunch

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