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
TELL ME MORE

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:

Bruce Lim

Bruce Lim

Deputy Director, Audits and Investigations

California Department of Health Care Services (DHCS)

Bruce Lim

Bruce Lim

Deputy Director, Audits and Investigations
California Department of Health Care Services (DHCS)

Bruce Lim serves as the Deputy Director, Audits and Investigations, for the California Department of Health Care Services (DHCS) and is the designated Program Integrity Director for Medi-Cal, California’s Medicaid program. Mr. Lim is a certified public accountant (CPA) with over 32 years of audit and financial management experience in both the private and public sectors. Past employers include Kenneth Leventhal and Company, CPAs (Ernst & Young Kenneth Leventhal Real Estate Group), Packard Bell NEC, and the California Department of Food and Agriculture.

Christopher Draven

Christopher Draven

Senior Director of Payment Integrity Analytics & AI

HCSC

Christopher Draven

Christopher Draven

Senior Director of Payment Integrity Analytics & AI
HCSC

Christopher Draven is Senior Director of Payment Integrity Analytics & AI at HCSC where he leads a cross-functional team focused on delivering actionable insights and savings. He has over 25 years experience in healthcare, starting in direct patient care.

Crystal Son

Crystal Son

Executive Director of Enterprise Data Analytics Solutions

HCSC

Crystal Son

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), the largest customer-owned health insurer in the United States. HCSC provides access to care nationwide through Blue Cross Blue Shield plans in Illinois, Montana, New Mexico, Oklahoma and Texas as well as through its broad portfolio of companies. Crystal has 20 years of experience in deriving intelligence from data and mobilizing teams to action.

At HCSC, she leads the Strategic Initiatives & Partnerships team, which leads key programs such as Payment Integrity, Responsible AI and AI Literacy and Workforce Readiness. She is passionate about real-world applications of data-driven insights, storytelling through data, and building high-performance teams. 

Prior to joining HCSC in October 2022, Crystal held several roles at previous organizations, including delivery of data science advisory services, management of healthcare and government customer portfolios, and the development and launch of several new products.  She began her career in data as an epidemiologist, first for the City of New York, then with Memorial Sloan-Kettering Cancer Center but has called downtown Chicago home for the last 11 years.

Helen Liu, Pharm.D.

Helen Liu, Pharm.D.

Health Plan Leader

Independent

Helen Liu, Pharm.D.

Helen Liu, Pharm.D.

Health Plan Leader
Independent

Helen Liu, PharmD, brings 29 years of diverse pharmacy experience, blending clinical expertise, operational efficiency, technological innovation, and management across various healthcare settings.
Over the past four years, Helen has successfully led pharmacy operations at ATRIO Health Plans (Medicare), achieving significant milestones in PA/ST, FWA, MTM programs, resulting in over $4.5M in savings. She’s conducted formulary analyses to support actuary Medicare annual bid submissions, including IRA and M3P programs, collaborated with partners and the Pharmacy Benefit Manager (PBM) to identify cost-saving opportunities through formulary alternatives, biosimilars, and rebate strategies, and partnered in the RFP PBM selection process and resolved complex pharmacy-related issues through cross-departmental collaboration.
Before ATRIO, Helen spent seven years at Kaiser Permanente, where she served as Regional Assistant Director to implement hospitals Drug Use Management Program. Her efforts led to over $20 million in savings through inventory management, drug cost-saving initiatives, and the standardization of clinical content/practice guidelines.

Kelly Bennett, JD, CFE, AHFI

Kelly Bennett, JD, CFE, AHFI

State Medicaid Fraud and Abuse Leader

Independent

Kelly Bennett, JD, CFE, AHFI

Kelly Bennett, JD, CFE, AHFI

State Medicaid Fraud and Abuse Leader
Independent

Kelly Bennett graduated from the University of Tampa and Florida State University College of Law.  She has been a member of the Florida Bar since 1997 and is a Certified Fraud Examiner and an Accredited Health Care Fraud Investigator.  She has worked at the Florida Agency for Health Care Administration since 2001 and has served in several roles, including as a Senior Attorney within the Medicaid Division of the Office of the General Counsel, the Assistant Bureau Chief for the Bureau of Medicaid Program Integrity, the Agency’s Medicaid
Fraud Liaison, and is currently the Chief of Medicaid Program Integrity, where she has served since July of 2014.  She is currently the President for the National Association for Medicaid Program Integrity and is an active participant in training and collaboration initiatives with the National Health Care Antifraud Association.

Cynthia Johnson

Cynthia Johnson

(former) Senior Director, Referral & Claims Administration

Kaiser Permanente

Cynthia Johnson

Cynthia Johnson

(former) Senior Director, Referral & Claims Administration
Kaiser Permanente

Andrew Zurick

Andrew Zurick

Medical Director Cardiac CT & MRI, Staff Cardiologist

Ascension, St Thomas Heart

Andrew Zurick

Andrew Zurick

Medical Director Cardiac CT & MRI, Staff Cardiologist
Ascension, St Thomas Heart

Becky Peters

Becky Peters

Executive Director, Patient Access Services

Banner Health

Becky Peters

Becky Peters

Executive Director, Patient Access Services
Banner Health

Betye Ochoa

Betye Ochoa

Director, Revenue Cycle Redesign

NorthShore University HealthSystem

Betye Ochoa

Betye Ochoa

Director, Revenue Cycle Redesign
NorthShore University HealthSystem

Ebrahim Barkoudah

Ebrahim Barkoudah

System Chief & Regional Chief Medical & Quality Officer

Baystate Health

Ebrahim Barkoudah

Ebrahim Barkoudah

System Chief & Regional Chief Medical & Quality Officer
Baystate Health

Jordan Limperis

Jordan Limperis

Data Scientist

LA Care

Jordan Limperis

Jordan Limperis

Data Scientist
LA Care

Highly motivated Data Scientist with a strong background in healthcare data and systems. Experienced in Inpatient Hospital and Laboratory Epic Systems, where I applied data-driven insights to improve clinical and operational efficiency. Currently, I am pursuing my career at L.A. Care, focusing leveraging advanced machine learning techniques to analyze noisy data, ensuring accuracy and efficiency in healthcare operations, particularly in payment integrity.

Monique Pierce

Monique Pierce

Payment Solutions & Operations

Cohere Health

Monique Pierce

Monique Pierce

Payment Solutions & Operations
Cohere Health

Monique started her Payment Integrity career in COB at Oxford HealthPlans.  After the merger with UnitedHealthcare, she led multiple teams and was responsible for creating innovative programs. Monique joined SCIO Health Analytics in 2014 and was responsible for system and process improvements before being promoted to VP of client engagement and business optimization   In 2020, Monique joined start-up Devoted Health and created a full suite of programs from the ground up.   Based on a passion for metrics and measuring performance, she centralized and standardized all programs reducing implementation time and maximizing savings.   Today, Monique is driving opportunities to improve claim payment by designing and developing new prior auth and claim reconciliation products at Cohere Health.  

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 Payers and Providers

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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