The 2nd Annual Business of Exchanges Summit Live Chat Software
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The 2nd Annual Business of Exchanges Summit

The 2nd Annual Business of Exchanges Summit

 

The WHCC 2nd Annual Business of Exchanges Summit convenes executives from health plans, hospital systems, brokers, and government organizations to explore strategies for success in both private and public marketplaces. Hear leaders discuss how to engage new members, increase enrollment, improve customer satisfaction, and differentiate products and services.

 

Full Four Day Agenda

Sunday, April 10, 2016
11:00 am -
12:00 pm

Workshop Registration

12:00 pm -
3:00 pm

Pre-Conference Executive Workshops

Workshop A: Use Data to Partner More Effectively with Health Systems

Workshop B: Changing How We Change: Igniting a Culture for Innovation

1:00 pm -
1:15 pm

Workshop Networking and Refreshment Break

3:00 pm -
4:00 pm

Early Congress Registration

4:00 pm -
5:00 pm

KEYNOTE: Voices of the Campaign: A Pulse-Check on What May Change Post-Election

  • Inform scenario planning with insight from both sides of the aisle – How might election results impact your organization?
  • Learn which ACA items to watch in the next 6-9 months
Neera Tanden Neera Tanden
President
Center for American Progress
Former Senior Advisor for Health Reform
HHS

Additional Thought Leaders TBA

5:00 pm -
6:00 pm

Networking Reception

Monday, April 11, 2016
7:00 am -
6:45 pm

Registration Open

7:25 am -
8:20 am

Peer-to-Peer Networking Breakfasts

Remove the stress from networking. Peer-to-Peer Networking Breakfasts allow you to connect with peers, share notes and best practices, and discuss emerging trends in a relaxed environment. Begin your day enjoying breakfast with your counterparts, engaging in stimulating conversations, and building lasting relationships. While at the event, join one of the following groups on Tuesday morning for breakfast:

Peer Breakfast: All Things Data & Technology Peer Breakfast: All Things Policy Peer Breakfast: All Things Clinical
Peer Breakfast: All Things Finance Peer Breakfast: All Things Accountable

8:25 am -
8:30 am

Congress Welcome

8:30 am -
9:00 am

KEYNOTE: The Intersection of Reform and Cost: We’re Moving Faster, but Where are We Going?

  • Discussion of cost trends and major contributors
  • How ACA elements impact cost: Medicaid expansion, exchanges, Medicare
  • The long-term impact of cost shifting and high deductibles on the consumer
  • The role of Medicare Advantage plans in producing value and lowering cost

Thought Leaders TBA

9:00 am -
10:00 am

KEYNOTE: The Journey toward Higher Value: Stakeholder the Shift to Value-Based Care

  • Discuss efforts to meet the mandate of tying 50% of payment to value by 2018 - Are we ready?
  • Explore accountable care models achieving results
  • Foster community-based care and navigate the business impact on hospitals
Richard Migliori Richard Migliori, MD
Executive Vice President, Medical Affairs and Chief Medical Officer
UnitedHealth Group
Mark D. Rothman Mark D. Rothman, MD, CMD
Chief Medical Officer
Kindred Healthcare

Additional Thought Leaders TBA

10:05 am -
10:50 am

Sponsored Concurrent Market Insights A-E

*Additional Market Insight opportunities are available on Monday, Tuesday, and Wednesday.

If you have a product or solution that you would like to showcase in the Market Insight discussions, please contact us.

A-K: Bernie Weiss
Vice President, Business Development
[email protected]
781-939-2502

L-Z: Suzanne Carroll
Manager, Business Development
[email protected]
781 -939-2648

10:55 am -
11:55 am

Achieve Financially-Sustainable SBE Models

  • Understand the long-term future of the marketplace, how it’s evolving, and current obstacles
  • Develop creative ways to shore up expenses, increase revenues, and become self-sustaining
  • Hear approaches to address operational issues and improve decision-making tools, the shopping experience, and overall value
Amy Dowd Amy Dowd
Chief Executive Officer
Be Well New Mexico
James R. Wadleigh, Jr James R. Wadleigh, Jr
Chief Executive Officer
Access Health CT
12:00 pm -
1:15 pm

Luncheon in the Executive Networking Lounge

1:20 pm -
2:20 pm

Forecast, Mitigate, and Manage Risk in an Uncertain Market

  • Employ a risk optimization strategy to offset losses as reinsurance and risk corridor programs conclude
  • Reduce pharmacy spend and other high-cost areas by implementing targeted clinical intervention programs and improving care management
  • Consider changing the individual risk adjuster methodology for a better correlation between member risk and cost
  • Develop pricing strategies or product portfolios to make up for possible shortfalls
  • Discover ways that plans have grown revenue and increased market share
Speaker Photo Unavailable Wu-Chyuan (Gary) Gau, PhD, ASA, MAAA
Predictive Modeling Lead, Actuarial Department
Florida Blue
Martin E. Hickey Martin E. Hickey, MD
Chief Executive Officer
New Mexico Health Connections
Scott E. Streator Scott E. Streator
Senior Vice President, Market and Product Group
CareSource
Paul Wingle
Executive Director, Individual Business and Public Exchange Operations and Strategy
Aetna
Moderator:
Steve Davis Steve Davis
Managing Editor, Inside Health Insurance Exchanges and The AIS Report on Blue Cross and Blue Shield Plans
Atlantic Information Services, Inc.
2:25 pm -
3:25 pm

Ensure the Integrity of Eligibility, Enrollment, and Payment Processes for Long-Term Viability of Exchanges

  • Assess the impact of regulations and strategies for compliance
  • Build a foundation of reliable member data to accurately analyze and predict population risk
  • Discuss where the public marketplace may be headed and future guidance impacting payers
  • Identify ways to improve the consumer experience
Heather Kane
Chief Executive Officer, Public Exchange Marketplace
UnitedHealthcare
Jonathan Mayhew
Vice President, Individual and Public Exchanges
Aetna
J. Gabriel McGlamery J. Gabriel McGlamery
HCR Policy Consultant, Florida Blue Center for Health Policy
Florida Blue
Adam Pittler Adam Pittler
Director, Product Development
UPMC Health Plan
Moderator TBA
3:30 pm -
4:10 pm

Refreshment Break in the Executive Networking Lounge

4:15 pm -
5:15 pm

KEYNOTE: Consolidation and Collaboration in Health Care: How are Mega-Mergers Poised to Impact Industry?

  • Explore the M&A; climate and the potential pros and cons of mega-mergers
  • What are the implications of deals for payers, providers, and for consumers five years out?
  • Discuss the convergence of health care companies including new partnerships, integration, and collaboration

Thought Leaders TBA

5:15 pm -
6:45 pm

Reception in the Executive Networking Lounge

Tuesday, April 12, 2016
7:30 am -
6:15 pm

Registration Open

7:30 am -
8:15 am

Breakfast in the Executive Networking Lounge

8:15 am -
8:20 am

Opening Remarks

8:20 am -
9:05 am

KEYNOTE: Cognitive Systems and the Future of Health Care

  • Learn about the role of data and analytics in transforming health care and revolutionizing personalized medicine
  • Explore a new era of cognitive computing, which is augmenting human capacity to understand and improve complex health care systems
  • Gain a better understanding of emerging technologies and their impact on the future of health care
Ginni Rometty Ginni Rometty
Chairman, President and CEO
IBM

Moderator TBA

9:05 am -
10:05 am

KEYNOTE: Lessons Learned: A New Approach to Pandemic Risk

  • Explore a global, public- and private-sector collaboration to help prevent and respond to devastating epidemics
  • Hear lessons from the Ebola outbreak including its impact on hospitals and health care resources
  • Understand how health care organizations can successfully partner with governments and engage local communities to catalyze change
Stanley M. Bergman Stanley M. Bergman
Chairman of the Board and Chief Executive Officer, Henry Schein Inc.; Governor, Global Health and Healthcare, World Economic Forum
Ertharin Cousin Ertharin Cousin
Executive Director
United Nations World Food Programme

Additional Thought Leaders TBA

10:10 am -
10:55 am

Sponsored Concurrent Market Insights A-E

*Additional Market Insight opportunities are available on Monday, Tuesday, and Wednesday.

If you have a product or solution that you would like to showcase in the Market Insight discussions, please contact us.

A-K: Bernie Weiss
Vice President, Business Development
[email protected]
781-939-2502

L-Z: Suzanne Carroll
Manager, Business Development
[email protected]
781 -939-2648

11:00 am -
12:00 pm

Successfully Navigate Private Exchanges: Payer Experiences

  • Follow a personalized approach and re-invent private exchange platforms
  • Assess the impact of the Cadillac Tax on exchange growth and modify plan design to succeed in a defined contribution model
  • Understand how private exchanges support price transparency and help consumers make informed decisions
Melinda L. Hews Melinda L. Hews
Executive Director, Health Insurance Exchanges, Health Plan Division
Group Health Cooperative
Matthew Marek Matthew Marek
Vice President, Product and Marketing
Blue Cross and Blue Shield of Minnesota
John Mills John Mills
Senior Director, Commercial Products
UPMC Health Plan
Moderator TBA

* Shared Session with Health Plan and Payer Summit

12:05 pm -
1:20 pm

Luncheon in the Executive Networking Lounge

1:25 pm -
2:25 pm

Deliver Consumer-Oriented Health, Wealth, and Wellbeing Benefits on a Private Exchange to Customize the Marketplace

  • Weigh the pros and cons of adding ancillary and other benefits and services to complement group insurance products
  • Strategic approaches to working with ancillary and other partners
  • Hear about successful approaches to bundling products

    Thought Leaders TBA

    2:30 pm -
    3:30 pm

    Build Loyalty and Enrich Consumer Experience by Providing Convenience, Choice, and Decision-Making Tools

    • Employ effective tools that simplify comparison shopping and increase transparency
    • Create a journey map and offer tailored benefits and program features to build customer loyalty
    • Plan and pilot innovative products to differentiate your exchange offerings and bring value to the employer and employee
    Dawn Bonder Dawn Bonder
    President and Chief Executive Officer
    Health Republic
    Additional Thought Leaders TBA
    3:35 pm -
    4:20 pm

    KEYNOTE: Putting the Consumer First - What Does Consumer-Driven Coverage and Care Look Like?

    • Engagement strategies that enhance the health care user experience
    • Models that combine convenience and the right level of care to meet people where they are both in their lives and in their health care journey
    Robert Pearl Robert Pearl, MD
    Executive Director and Chief Executive Officer, The Permanente Medical Group
    Kaiser Permanente
    Contributor, Forbes

    Additional Thought Leaders TBA

    4:20 pm -
    5:05 pm

    KEYNOTE: Disrupting Primary Care with Novel Delivery Models

    • Explore the impact of emerging PC models - retail, virtual, urgent care, clinic, and community-based – on patient outcomes and the industry
    • Examine innovative models gaining scale nationally and globally
    • Discuss what primary care and patient-provider relationship may look like in five to 10 years
    Rushika Fernandopulle Rushika Fernandopulle, MD
    Chief Executive Officer
    Iora Health
    Martin G. Kistin Martin G. Kistin, MD
    Professor of Medicine, Division of Gastroenterology and Hepatology
    University of New Mexico; Replication Team
    Project ECHO

    Additional Thought Leaders TBA

    5:05 pm -
    6:15 pm

    Reception in the Executive Networking Lounge

    Wednesday, April 13, 2016
    7:30 am -
    12:10 pm

    Registration Open

    7:30 am -
    8:00 am

    Networking Breakfast

    8:00 am -
    8:05 am

    Opening Remarks

    8:05 am -
    9:05 am

    KEYNOTE: Move Behavioral Health Integration Forward: Where Are We Today?

    • Cutting-edge research that addresses integration from behavioral and physical sides of the equation
    • Industry investment and progress in integration
    • Cross-sector collaborations to improve care coordination and outcomes
    • Diverse models across settings (e.g., schools, churches) including digital, virtual, and grassroots campaigns that are moving into the mainstream
    Robert K. Heinssen Robert K. Heinssen, Ph.D.
    Director, Division of Services and Intervention Research
    National Institute of Mental Health (NIMH)
    Bernadette M. Melnyk Bernadette M. Melnyk, PhD, CPNP/PMHNP, FAAN
    Associate Vice President for Health Promotion; University Chief Wellness Officer; Dean and Professor, College of Nursing; Professor, Pediatrics and Psychiatry, College of Medicine, The Ohio State University
    Linda Rosenberg Linda Rosenberg
    President and Chief Executive Officer
    National Council for Behavioral Health

    Moderator:

    Robin Strongin
    Founder
    Disruptive Women in Health Care

    Additional Thought Leaders TBA

    9:05 am -
    10:05 am

    KEYNOTE: Empowering Innovation and Change in Health Care

    • Discuss how virtual medicine is reshaping the health care industry
    • Elevate services with a new level of speed and personalization to better meet consumer and patient needs
    • Explore how technology catalyzes true change

    Thought Leaders TBA

    10:10 am -
    10:55 am

    Sponsored Concurrent Market Insights A-C

    *Additional Market Insight opportunities are available on Monday, Tuesday, and Wednesday.

    If you have a product or solution that you would like to showcase in the Market Insight discussions, please contact us.

    A-K: Bernie Weiss
    Vice President, Business Development
    [email protected]
    781-939-2502

    L-Z: Suzanne Carroll
    Manager, Business Development
    [email protected]
    781 -939-2648

    11:00 am -
    11:10 am

    Afternoon Remarks

    11:10 am -
    12:10 pm

    Closing Keynote address

    12:10 pm

    Close of Congress