The WHCC 12th Annual Health Plan and Payer Summit

Workshop A: Cutting Costs in Employer-Sponsored Health Care

Workshop B: Preparing People and Organizations for the Challenge of Change: Seven Critical Success Factors

Workshop C: The Future of Interoperable Health IT: Direct, eHealth Exchange, and Beyond

Workshop D: Employee Engagement Strategies for HR Professionals

Workshop E: PPACA Certification Course

• How does patient churn between plans and provider networks affect the marketplace and patient-provider relationships, and what are possible approaches to overcome problems posed by churn?
• Evolution to a more sustainable Medicare payment system - Will Medicare Advantage replace traditional Medicare?
• What possibilities do employers and plans see in defined contribution and private exchanges?

• Hear how data is impacting traditional care methods
• Explore money-saving innovations that add value
• Apply science and big data to the bedside with genomic medicine

Market Insight A: Patients Take the Wheel: The Road Ahead

Market Insight B: Innovations in ePayment: The Evolving Face of the Virtual Card

Market Insight C: Your Communication Channels Are Broken: Here’s How To Fix Them

• Discuss efforts to keep up with changes driven by ACA implementation including increased membership in government markets
• oversight, tracking, and strategy to support regulated markets
• Understand progress in the move toward transparency: What cost and quality initiatives are driving value-based health care decisions?
• Explore the evolving payer role in world of increased provider consolidation, provider-led plans, and ACOs
• Discuss the shift to defined contribution - what does this mean for plans?

• Discuss key elements in the journey to value - are we moving fast enough?
• Payer role in catalyzing and assisting the delivery system shift from FFS to FFV
• develop provider-based strategies to assess readiness
• benefit design to support providers as they move to FFV
• Current models that incentivize value-based design

• Explore what differentiation means in both commercial and highly-regulated government markets
• where and what types of creative service offerings are possible?
• how are narrow and tiered network designs impacting members?
• Discuss differentiation strategy – What are consumers looking for and how can plans meet them where they are?
• Move beyond product design including services that create transparency, convenience, and encourage accountability for members
• Examine trends in service taking place national to match consumer expectations with service delivery

• Strategic insights from health system, plan, and other leaders transitioning from FFS to value-based care
• Why have some ACOs failed and others succeeded?
• Where is industry experiencing measurable benefits?
• How has the ACO model started disruptive processes for providers, payers, and hospital financing

• Perspective on how the business community can influence delivery reforms
• Approaches to reduce cost by equipping employees to partner in health care decisions
• Uptake and outcomes of financial incentive programs and cost transparency tools

• Economic determinants impacting provider, payer, employer, and supplier business strategies
• How could the ACA Marketplaces be reformed and expanded?
• The potential of market forces to affect pricing, overall cost, and innovation in health care

• Discuss levers that payers, providers, and employers can pull to impact health care cost
• Hear about Rosencare, an employer-led alternative to the ACA that is dramatically reducing cost while providing richer health benefits, and how it can apply to the broader U.S. health system
• Gain insight into trends impacting the cost curve including provider consolidation, utilization, and specialty drug pricing

Market Insight A: Bringing the Amazon Service Experience to Healthcare

Market Insight B: Demand-Driven Customer Engagement Strategies for Payers

• Evolve organizational culture to put the consumer first
• Engage members as equal decision making partners in care management
• Implement digital and mobile tools in an era of transparency
• Consider the cost-benefit of efforts for your organization and the consumer

• Discuss how various stakeholders can create a holistic approach to prevention and care
• Understand how plans can enable effective population health management at the provider level and in an ACO arrangement – what framework is necessary?
• Examine progress in furnishing tools and capabilities to providers that transform data into a usable, holistic view of the patient
• Improve outreach to cost-effectively engage and manage high-need and at-risk members

• Discuss what the health plan of the future looks like
• Hear a forecast of the challenges and opportunities health plans will face
• Gain insight into strategies health plans will leverage to remain successful while adapting to industry changes
• Explore the DNA of the health plan of the future, which includes:
• Core capabilities
• Consumer engagement initiatives
• Adoption of new business models (including public and private exchanges, etc.)
• Technology investments

• The missing link in patient care – a focus on compassion
• The move toward a “System for Health” with patient-centered wellness and education

• Impacts of value-driven alliances and partnerships between payers, providers, employers, and suppliers
• Provider consolidation and the future of these affiliations
• The rise of the employed physician and how that changes health care delivery
• Vertical integration of plans and health systems: How is that working?

• Consumer engagement in an era of high-deductibles, narrow networks, and transparency
• Strategies to improve experience and influence choice throughout the consumer journey as purchaser, member, and patient
• Leveraging technology and data to effectively engage members, improve health outcomes, and enhance the member experience

• What does connected mean? Is it theory, tools, or the Consumer Electronics Market (CEM)?
• Explore results of implementing patient engagement tools and the effectiveness of wearables
• How does virtual medicine impact the provider-patient relationship? Where does responsibility begin and end?
• Can the current system adapt or is it poised for a revolution?

Market Insight A: Meet the Demands of Consumerism: The New Importance of Payments

Market Insight B: Creating Harley Davidson Loyalty in a Chronic Care World – What Retail Brands Can Teach Health Care about Consumer Engagement