Medical Cost Containment Summit 2025

The AGM of Healthcare

September 10-11, 2025
Chicago

Optimize Your Cost Containment

Where health insurance leaders come to reduce costs, share strategies, and explore cutting-edge solutions across the entire claims continuum. From identifying emerging fraud trends through leveraging AI for savings to partnering with providers for efficient & accurate claim payments — this is your go-to destination for everything healthcare finance.

This event will bring together:

  • Payment Integrity Leaders from Health Insurance Companies
  • SIUs from Health Insurance Companies
  • Provider Relations Professionals from Health Insurance Companies
  • Investigators and Agents from HHS OIG
  • Program Integrity Professional
  • Health insurance Specialists from CMS
  • Payment Integrity Vendors
  • FWA Vendors
TAKE ME THERE

Streamline Your Reimbursement

Where hospital leaders gather in an intimate setting to strengthen payer relationships, uncover the root causes of denials, and implement proactive strategies that protect both revenue and partnerships. Join peers from large and mid-sized hospitals and health systems to exchange RCM insights and lead the way in AI adoption.

This event will bring together:

  • Revenue Cycle Leaders from Large/Mid-Sized Hospitals
  • CFO/COOs from Large/Mid-Sized Hospitals
  • Revenue Cycle Leaders from Large/Mid-Sized Health Systems
  • CFO/COOs from Large/Mid-Sized Health Systems
  • Revenue Cycle Leaders from Large/Mid-Sized Clinics
  • CFO/COOs from Large/Mid-Sized Clinics
  • Denial Management Vendors
  • Revenue Cycle Vendors
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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.

Speaker Faculty Includes:

Dr. Priscilla Alfaro, MD, FAAP, CPC, CPMA, COC, CIC, CFE, CRC

Dr. Priscilla Alfaro, MD, FAAP, CPC, CPMA, COC, CIC, CFE, CRC

VP Payment Integrity

Blue Cross NC

Dr. Priscilla Alfaro, MD, FAAP, CPC, CPMA, COC, CIC, CFE, CRC

Dr. Priscilla Alfaro, MD, FAAP, CPC, CPMA, COC, CIC, CFE, CRC

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.

Mandi Heiple

Mandi Heiple

Director of Payment Integrity

Medica

Mandi Heiple

Mandi Heiple

Director of Payment Integrity
Medica

Symone Rosales

Symone Rosales

Director of Revenue Cycle Regulatory Research

SSM Health

Symone Rosales

Symone Rosales

Director of Revenue Cycle Regulatory Research
SSM Health

Deborah Knight-Lauricia

Deborah Knight-Lauricia

Senior Director, Revenue Cycle Strategic Initiatives

Cleveland Clinic

Deborah Knight-Lauricia

Deborah Knight-Lauricia

Senior Director, Revenue Cycle Strategic Initiatives
Cleveland Clinic

Betye Ochoa

Betye Ochoa

Director, Revenue Cycle Redesign

NorthShore University HealthSystem

Betye Ochoa

Betye Ochoa

Director, Revenue Cycle Redesign
NorthShore University HealthSystem

Lacey Crowl

Lacey Crowl

VP of Health Plan Operations

Longevity Health Plan

Lacey Crowl

Lacey Crowl

VP of Health Plan Operations
Longevity Health Plan

Lacey Crowl is the Director of Claims Operations for Longevity Health Plan, responsible for the accuracy of claims processing focused on Medicare members. Lacey has experience in the Commercial, Medicare and Medicaid environments, developing prospective and retrospective payment integrity solutions for both clinical and claim coding reviews. She has operated within various claims processing platforms to develop, code and implement new audit concepts while operating within the Managed Care space.

Rae A. McIntee, DDS, MD, MBA, FACS, CPE

Rae A. McIntee, DDS, MD, MBA, FACS, CPE

Medical Director Clinical Solutions (Supporting Payment Integrity & SIU)

Louisiana Blue

Rae A. McIntee, DDS, MD, MBA, FACS, CPE

Rae A. McIntee, DDS, MD, MBA, FACS, CPE

Medical Director Clinical Solutions (Supporting Payment Integrity & SIU)
Louisiana Blue

Deepak Nalli

Deepak Nalli

Vice President Revenue Cycle Operations

Spire Orthopedic Partners

Deepak Nalli

Deepak Nalli

Vice President Revenue Cycle Operations
Spire Orthopedic Partners

Corella Lumpkins

Corella Lumpkins

Manager of Coding, Compliance and Provider Education

Loudoun Medical Group P.C.

Corella Lumpkins

Corella Lumpkins

Manager of Coding, Compliance and Provider Education
Loudoun Medical Group P.C.

Corella Lumpkins is the Manager of Coding, Compliance & Provider Education at Loudoun Medical Group (LMG) - one of the largest and most diverse physician-owned, multi-specialty Accountable Care Organizations in Northern Virginia/DC suburbs. As a subject matter expert, Corella has over 35 years of experience working in every area of the healthcare revenue cycle. Corella holds a bachelor’s degree and eleven certifications with an extensive background in auditing, billing, coding, implementing corporate compliance programs, CDI, education, denial and practice management. Prior to joining LMG, Corella has held leadership roles at Lifebridge, Medstar, Johns Hopkins and the University of Maryland health systems.

Corella is an author, adjunct faculty member and national speaker currently serving on both the AAPC National Advisory Board and Association of Clinical Documentation Integrity Specialists (ACDIS) Leadership Council. Corella works closely with providers in navigating patient-centric value-based care. 

Lourdes Centeno Fanjoy

Lourdes Centeno Fanjoy

Payment Policy Manager

Mass General Brigham

Lourdes Centeno Fanjoy

Lourdes Centeno Fanjoy

Payment Policy Manager
Mass General Brigham

With over 15 years of experience in revenue cycle management, compliance, payer policy advising, and executive presentations, Lourdes is a results-oriented leader dedicated to optimizing operational strategies and driving corporate success. Her resource allocation, process redesign, and capacity planning skills enable her to enhance profit margins and achieve strategic goals. Lourdes brings expertise in Medicare and Medicaid reimbursement policies, ensuring effective and compliant financial practices.

Novelette Wallace, MPH, PMP, CSSBB

Novelette Wallace, MPH, PMP, CSSBB

Head of Payment Integrity

Johns Hopkins Healthcare

Novelette Wallace, MPH, PMP, CSSBB

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

Simi Binning

Simi Binning

Responsible AI Lead

HCSC

Simi Binning

Simi Binning

Responsible AI Lead
HCSC

Simi Binning is an accomplished healthcare professional with over a decade of experience in developing and executing successful strategies that drive business growth. Currently serving as a Responsible AI lead at HCSC, her focus is on AI governance and innovative problem solving.

Your go-to for everything Healthcare

Enhanced Payer-Provider Networking

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

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

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

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.

  • UnitedHealth
    “It's a unique forum that brings together providers, payors, vendors and regulators for collaboration, education and information sharing.”

    — UnitedHealth

  • Staff VP, Cost Optimization, Coordination of Benefits at Elevance Health
    “HPRI Nashville delivered in a big way in regards to the speakers, content and vendor interactions.  The topics were excellent and provided practical insights to improve Payment Integrity across several different areas.”

    — Staff VP, Cost Optimization, Coordination of Benefits at Elevance Health

  • Health Care Services Corporation
    “It was a seamless process and the intimate meeting space was ideal to allow for more collaboration”

    — Health Care Services Corporation

  • Director of Analytics, HealthEZ
    “Wonderful opportunity to learn more about what the world of medical cost containment is doing.”

    — Director of Analytics, HealthEZ

  • Performant Corp
    “The quality of the event, sessions, speakers and Health Plan attendees scored high”

    — Performant Corp

  • Director, Compliance Risk and Oversight, ScionHealth
    “A great venue to keep abreast of changes in the healthcare revenue cycle and use of technology to effectively manage each component and to address risk”

    — Director, Compliance Risk and Oversight, ScionHealth

  • Boulder Care
    “The event was very informative and I learned a great deal about payment integrity process in addition to my own RCM knowledge.”

    — Boulder Care

  • MedReview
    “Great job putting on your inaugural show. I'm certain that the show will continue to grow and get even better in the future. ”

    — MedReview

  • Apixio
    “I think the conference has good potential going forward. It fits a niche in the industry.”

    — Apixio

  • Blue Cross and Blue Shield of North Carolina
    “This conference filled the much needed gap in focusing on Payment Integrity issues and initiatives”

    — Blue Cross and Blue Shield of North Carolina

  • EXL
    “We finally have a PI conference! ”

    — EXL

  • Carelon
    “This PI conference was wonderful. We’d rank it 10/10 with representation from all across the industry ”

    — Carelon

  • Advanced Medical Solutions
    “This was the most meaningful industry event of the year for Payment Integrity professionals ”

    — Advanced Medical Solutions

  • Devoted Health
    “It was a great opportunity to hear from many subject matter experts over a wide topic of subjects specific to Payment/Revenue Integrity”

    — Devoted Health

Our Community of In-House Counsels and Private Practice Experts

Join the Community

Key Themes

Build Efficient Payer-Provider Collaboration
01

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.

  • Demonstrate your tech and leadership by partnering with us
    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. harry.ludbrook@kisacoresearch.com.
  • Healthcare Payers and Providers attend for free
    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.

2025 Partners

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