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Day 2
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Wednesday, July 25, 2012
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7:00 am -
8:00 am
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8:00 am -
8:15 am
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8:15 am -
9:15 am
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OPENING KEYNOTE ADDRESS: Investing in the Health Plan Infrastructure Overhaul |
- Hear what is being done to overhaul insurance infrastructure to help consumers understand their healthcare costs
- Why are these changes important, regardless of regulatory developments and possible changes?
- How can these changes to insurer business models contain costs and improve quality of care for customers?
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Kirk Roy
Vice President, National Health Reform
Blue Cross Blue Shield of Michigan
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9:15 am -
10:00 am
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CASE STUDY: Health Choices: Building an Insurance Marketplace |
As a state designed solution to ease the burden for small businesses purchasing health insurance, Florida’s Marketplace strives to succeed
while keeping an eye on a changing health care landscape.
- Understand the organizational environment
- Find out what stakeholders may need to know
- How to identify resources and gaps
Stakeholder Groups: If you are not at the table, you are on the menu
Building A Marketplace: Construction zone, hard hat required
On A Shoestring: Estimates vary, what does It really take? Marketplace v. Exchange: Know the difference
Changing Landscape: Who will survive and thrive? |
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Rose Naff
Chief Executive Officer
Florida Health Choices
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10:00 am -
10:30 am
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10:30 am -
11:15 am
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CASE STUDY: The Colorado SHOP Exchange |
Colorado has made solid progress in creating a state health insurance exchange including plans for a viable SHOP Exchange. The effort has
been bipartisan but not without its controversy. How were they able to bring diverse groups together and what challenges still lay ahead?
- Bringing stakeholders into the process
- Discuss strategies for attracting employers
- Employing multiple distribution channels
- Avoiding adverse selection
- premium rates
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Jim Sugden
Exchange Coordinator, Colorado,
National Association of Health Underwriters;
Member, SHOP exchange working group,
Colorado Health Benefit Exchange
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11:15 am -
12:00 pm
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12:00 pm -
1:00 pm
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1:00 pm -
1:45 pm
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Health Plan Strategies for the Public vs. Private Exchange Marketplace |
- Examine private exchange models for Medicare, small groups, large groups and individuals
- Explore strategies for selling products on the private exchange and differentiating yourself in this marketplace
- Discuss the impact on the industry and consumers of the shop and compare models
- Integrate existing multi-department systems and legacy software applications to deliver high-quality data for exchanges
- Understand an automated exchange integration platform and process tasks to minimize risks within current environments
- Review of a one-to-many methodology with efforts and operational functions driven by program and business rules
- Outline a rapid deployment of a flexible phased approach including: interoperability certification, operational support, automated data validation & function monitoring
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DeLana Anderson
Consultant
ACA-Solutions
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Scott P. Polansky
Chief of Business Development
Boston Medical Center HealthNet Plan
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1:45 pm -
2:30 pm
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Brokers, Agents and Navigators: The Future of New and Existing Industry Roles |
- How can agents and brokers compliment navigators in a new exchange-based market environment?
- Understand why agent and broker participation in state-based exchanges is critical to ensure exchange participation and year-round health
plan service support for both individual and small employer health plan consumers
- Hear how agents and brokers assisting qualified individuals in obtaining any premium tax credits or cost-sharing assistance that may be
available to them will only increase overall coverage rates
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David Shore
President Elect
Massachusetts Association of Health Underwriters
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Jessica Waltman
Senior Vice President of Government Affairs
National Association of Health Underwriters
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2:30 pm -
3:15 pm
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3:15 pm -
3:30 pm
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