Live Chat Software The 15th Annual World Health Care Congress
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9:00 am
9:01 am

A crop of new health care companies delivers predictably better health outcomes at lower cost than conventional approaches in high value niches of clinical, financial, and administrative risk. Purchasers using a combination of these firms can reasonably expect (often, with guarantees) a 20% reduction in spending in Year 1 and a 40% reduction by Year 3.

This workshop brings together purchasers, benefits advisers, and solutions providers to discuss the dynamics, barriers, and potential within this sector. Topics will include:

  • Identification and vetting of high-performance
  • Scalability and financial guarantees of performance as litmus test issues
  • Why the legacy health care sector has been so resistant to high-performance service offerings
  • Why these high-performance organizations will find one another and come together
  • How "making an offer an employer can't refuse" is the way forward

Workshop Leaders:

Dave Chase
Dave Chase
Institute CEO and Group Cofounder, Health Rosetta; Author: The CEO’s Guide to Restoring the American Dream

David Contorno
David Contorno
President
Lake Norman Benefits

Barry Cross
Barry Cross
Director, Corporate Business Services, Personnel
Michelin

Fred Goldstein
President
Accountable Health, LLC

Scott Haas
Scott Haas
Senior Vice President
USI Insurance Services

Eric Haberichter
Eric Haberichter
Co-Founder and Chief Executive Officer
Access HealthNet

Brian Klepper
Brian Klepper, PhD
Principal
Worksite Health Advisors

Lee Lewis
Lee Lewis
Area Vice President and Managing Director, Innovation Lab Practice
Arthur J. Gallagher

James Millaway
James Millaway
Chief Executive Officer
The Zero Card

Angela Mitchell
Angela Mitchell
Leader, US Health Care Delivery
Intel Corporation

Edward Smith
Edward Smith
Executive Vice President
Hutchinson Traylor

Tom Stoeckle
Tom Stoeckle
Director, Compensation and Benefits
Seattle Children’s Hospital

Richard Sutton
Richard Sutton
Employee Benefits Consultant
RE Sutton & Associates

9:02 am

Attend this workshop and learn the ABC's of the drug contracting process, starting with the manufacturer. Learn how discounts, formularies, and rebates work and take control of your drug spend. Leverage strategies used by the pharma supply chain in your favor rather than the other way around.

  • Learn how pharma brings drugs to market
  • Identify specialty drugs which are the new 'brand'
  • Understand drugs trials and how that data is used today in decision making
  • Gain insight on orphan drugs
  • Examine how organizations like NCCN create guidelines that become practice
  • Find answers to the following questions and more:
    • How can you take control of your contracting process?
    • What can you do differently to bend the cost curve?
    • What does the next generation of outcome-focused contracting look like?

Workshop Leaders:

Pramod John
Pramod John
Chief Executive Officer
Vivio Health

9:03 am

Individual health care risk management programs will inevitably give way to "platforms" that integrate a range of solutions to high value cost drivers and barriers to quality. This advanced session will explore the cumulative quality and cost impacts available when high performance solutions are brought to bear under a single organizational or contractual umbrella.

The first half of this workshop will describe the challenges and results of a collaborative management effort by an on-site clinic company, and a musculoskeletal disorder management company, across several sites. The project relies on advanced analytics, worksite primary care, musculoskeletal management, and other capabilities, and provides a glimpse of the efficiencies and effectiveness readily available to employers willing to genuinely think outside the box. In the second half of the workshop, Adam Russo from The Phia Group, focused on efficient employer health plan management, will detail how to control health plan costs and protect plan assets through:

  • Comprehensive cost containment consulting services
  • Legal expertise
  • Plan document drafting
  • Subrogation and overpayment recovery
  • Reference-based re-pricing
  • Claim negotiation
  • Plan defense

Workshop Leaders:

Mary Delaney
Mary Delaney
Managing Director
Vital Incite

Chad Gray
Chad Gray, PT
Cert. MDT, Chief Executive Officer
Integrated Mechanical Care (IMC)

Igor Kozunov
Igor Kozunov, MBA, MHA
Chief Executive Officer
Wellness For Life Medical, LLC

Adam Russo
Adam Russo, Esq.
Co-Founder and Chief Executive Officer
The Phia Group

11:30 am
12:30 pm
12:30 pm

This case-based MasterClass explores the drama and trauma of daily management, including resistance to change. Discuss critical success factors that transform professionals into more effective leaders, who in turn distinguish their organizations as industry frontrunners. Understand pre-conditions for higher productivity and performance – more speed and lower cost – based on theory and practical examples. A unique highlight of the workshop is a case discussion about healthier leadership and our responsibilities to ourselves, to others, and to our change initiatives.

  1. Engage in a provocative case discussion that challenges participants’ decision-making process
  2. Explore several enablers that transform individuals into leaders who create a unique and adaptable competitive advantage
  3. Understand the tie-in between these pre-conditions for change and the ability to successfully launch, lead, and realize value from change initiatives.

This live activity is eligible for 3.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity and 3.0 contact hours through the Florida Board of Nursing, Provider # 50-94.

Workshop Leaders:

David A. Shore
David A. Shore, PhD
Faculty, Harvard University; Former Associate Dean
Harvard University School of Public Health
Distinguished Professor of Innovation and Change
Tianjin University of Finance and Economics (China)

12:30 pm

This workshop explores new models of collaboration that address health system sustainability. Across the world, states and cities face huge health and social care challenges in an environment of increased patient expectations and economic challenges. Solutions require concerted action, imaginative policies, and innovative partnerships harnessing academic, industry, government, health, and social care resources to discover, develop, and deliver accelerated health care innovation. In this workshop, attendees explore, debate, and discuss optimal models of collaboration.

  1. Hear innovative health system and industry perspective
    1. Development of a health innovation district in Greater Manchester, the first fully devolved and integrated health and social care system in the UK
    2. Progress and lessons-learned in forging new strategies and partnerships to tackle local and global challenges of financial sustainability
  2. Industry case study
  3. Open discussion and debate of optimal models of collaboration

This workshop paves the way for a wider European and worldwide perspective on health system sustainability at the World Health Care Congress (Europe) in Manchester, UK on March 5-7, 2019.

Workshop Leaders:

Jackie Oldham
Jackie Oldham
Director Health Innovation
Manchester’s Oxford Road Corridor, UK

12:30 pm

This workshop showcases five high-performance health care organizations that excel in clinical, financial, and administrative risk management. Learn how these organizations deliver improved health outcomes while curbing costs. Examine direct contracting models that are scalable, significantly reducing financial burden while optimizing care delivery.

  • Discuss an approach to allergy management that provides effective, disease-modifying care at half the cost of conventional methods
  • Gain strategies to use a primary care platform to manage downstream risk, drive appropriate care, and more importantly, disrupt inappropriate care
  • Explore a pharmacy benefit management approach that is transparent and delivers 15%-25% below typical PBM cost
  • Assess a claims review process that typically recovers 5%-10% of total health care spend
  • Learn how outpatient surgery centers provide transparent pricing at a fraction of typical cost, and shake up the market in the process

Workshop Leaders:

Anne Hendrickson
Anne Hendrickson
Vice President ,Operations & Marketing Communications
Allergychoices Inc.

Jeff Kessler
Jeff Kessler, MBA, FACHE
President and Director
Allergychoices Inc.

Brian Klepper
Brian Klepper, PhD
Principal
Worksite Health Advisors

James R. Napoli
James R. Napoli
Chief Executive Officer and General Counsel
Medliminal, LLC

Ryan Schmid
Ryan Schmid
Co-Founder, President and Chief Executive Officer
Vera Whole Health

Alex Schuman
Alex Schuman
Journalist, Founder and Chief Executive Officer
Informavore Media

G. Keith Smith
G. Keith Smith, MD
Co-founder
The Surgery Center of Oklahoma

Tom Stoeckle
Tom Stoeckle
Director, Compensation and Benefits
Seattle Children’s Hospital

Danny Toth
Danny Toth
Principal
Timber Ridge Consultants

12:30 pm

Status quo employee benefits agencies produce status quo results: “less bad” annual premium increases. It is time for advisers to start delivering real bottom-line results to employers: lower health care costs with better benefits. Leading benefits advisers are putting their compensation at risk to guarantee bottom-line results and are working with the C-Suite to manage the health care supply chain and lower health care costs.

In this workshop discover proven strategies from Nelson Griswold, the industry’s top innovation consultant, and some of these next gen benefits advisers who are revolutionizing the benefits industry:

  • Learn the three steps to transform into a next-generation benefits firm
  • Discover the success secrets of three Employee Benefit Advisers of the Year who have become next-generation benefits advisers
  • Hear directly from an adviser who in a single year doubled his firm’s revenue organically to $5 Million; another who won 15 straight letters of record for mid-market groups; and one from a small agency who took a 3,000-life group from a Top-3 national broker
  • Discuss proven strategy and lessons-learned:
    • Why taking fees instead of commission is so critical with the C-Suite
    • How to have the conversation with your client about moving to fees
    • Moving to performance-based compensation: How does it work?
    • How to get access to the CEO/CFO and how to speak to them in the language of the C-Suite
    • The two strategies that can take business from almost any Status Quo broker
    • Why self-funding is necessary to lower the cost of health care
    • The two often-fatal mistakes brokers make with self-funding
    • Why “managing the health care supply chain” changes everything in employee benefits
    • What is “supply chain management” and how do you make it work?
    • Five key cost-containment strategies that are guaranteed to lower costs

Workshop Leaders:

Bob Gearhart, Jr.
Bob Gearhart, Jr.
Partner
DCW Group

Nelson L. Griswold
Nelson L. Griswold
President, Bottom Line Solutions, Inc.; Author, DO or DIE: Reinventing Your Benefits Agency for Post-Reform Success

Mick Rodgers
Mick Rodgers
Principal and Managing Partner
Axial Benefits Group

John Sbrocco
John Sbrocco
Founder
Questige Consulting

Trey Taylor
Trey Taylor
Chief Executive Officer
Taylor Insurance Services

12:30 pm
  • Explore a data-driven approach to community health
    • Case study of how a 10-hospital health system and community partners are improving outcomes
      • Discuss the groundwork for a successful partnership
      • Connect individuals with additional means to access both clinical and non-clinical services
    • Understand how the partnership uses a population health approach and leverages data pre- and post-service
      • Use data to understand ROI
      • Develop a long-term follow up program via data
    • Discuss critical data points to collect including common metrics and changes in self-efficacy
      • How do changes indicate the value of the program?
  • Reframing Change: Connecting Systems and Organizational Level Change to Person Centered Holistic Practice
    • Discuss a state government’s approach to incorporating Social Determinants of Health
    • Connect Social Determinants of Health to a framework for organizational and practice change
    • Understand key principles of the Charting the LifeCourse framework and how they can be applied to change efforts
    • Explore how the framework is being used to blend population health and individual health

Workshop Leaders:

Craig Behm
Craig Behm
Senior Director of Marketing and Product Development
Chesapeake Regional Information System for our Patients (CRISP)

Dawnavan S. Davis
Dawnavan S. Davis
Assistant Vice President of Community Health
MedStar Health

Leigh Ann Eagle
Leigh Ann Eagle
Executive Director, Living Well Center of Excellence (LWCE)
Mac, Inc

Sue Lachenmayr
Sue Lachenmayr
State Program Coordinator, Living Well Center of Excellence
MAC, Inc.

Susan Mosier
Susan Mosier, MD, MBA, FACS
Former Secretary, Kansas Department of Health and Environment; Former State Health Officer, Former Medicaid Director
State of Kansas

Michelle (Sheli) Reynolds
Michelle (Sheli) Reynolds
Director of individual Advocacy and Family Support, Institute for Human Development
University of Missouri-Kansas City

Sharon Williams
Sharon Williams
Consultant
National Council on Aging (NCOA)

12:30 pm

Wonder whether your wellness program delivers savings and results? Want to make sure you are choosing programs with the highest impact and best savings? In this workshop, find answers to the above questions and walk away with:

  • Useful, practical tools to discern high-value from hype
  • Scientific methods to assess a vendor’s ROI promises
  • Confidence to make great choices for your wellness programs

Understand population health metrics, how measures work, and the role of measure stewards. Learn from case studies, engage in small group discussions, and gain strategies to maximize savings.

This activity, has been approved for 2.75 HR (General) recertification credit hours toward aPHR™, PHR®, PHRca®, SPHR®, GPHR®, PHRi™ and SPHRi™ recertification through HR Certification Institute® (HRCI®). Please make note of the activity ID number on your recertification application form. For more information about certification or recertification, please visit the HR Certification Institute website at www.hrci.org

Workshop Leaders:

Al Lewis
Al Lewis, JD
Chief Executive Officer
Quizzify

Linda K. Riddell
Linda K. Riddell
Population Health Scientist and Independent Validator
Care Innovations™ Validation Institute

12:30 pm

With the global health care market expanding, and health care consuming a growing proportion of the GDP in most countries, discussions about health care are consuming a larger share of popular attention and media coverage. Those responsible for paying for health care, managing its delivery and determining policies to assure quality and outcomes have been caught up in these debates, discussions and public arguments.

Politics and rhetoric aside, there is much that countries, jurisdictions, providers and regions can learn from each other about how best to manage the transition from volume-based, fee-for-service care to value-based health care. Consumers traveling for medical services from one location to another – “medical travelers” – may be paving the way for an international exchange of ideas that will ultimately benefit insurance companies, intermediaries managing care, providers delivering care and governments overseeing health care. The markets have moved faster than the legacy systems which are responsible for funding, managing and delivering healthcare.

This Masterclass provides insights into these topics: Hosted by:

  • Medical travel and tourism market review
  • Employer funded medical travel
  • U.S.providers and medical travel
  • Legal issues: Liability and jurisdiction
  • Marketing medical travel
    

Workshop Leaders:

Keith Pollard
Keith Pollard
Editor in Chief
International Medical Travel Journal

Irving Stackpole
Irving Stackpole
President
Stackpole & Associates

Steve Weiner
Steve Weiner
Partner
Mintz, Levin, Cohn, Ferris, Glovsky and Popeo

12:30 pm

Connect with leading digital health startups that have promising innovations that is expected to have a big impact on the industry at large. Our pitch session consists of 25 vetted startups who will present innovative solutions in digital healthcare.

Hosted by:

3:00 pm
3:30 pm
3:55 pm
Ian Morrison
Ian Morrison
Author, Consultant, and Futurist

4:00 pm
  • Data-driven discussion of how a large employer has radically improved employee health and reversed chronic illness
  • Exploration of a healthy eating program – How has it evolved? What is the next generation?
  • The importance of top-down leadership to create sustainable change
John Mackey
John Mackey
co-Founder and Chief Executive Officer, Whole Foods Market; Author, The Whole Foods Diet: The Lifesaving Plan for Health and Longevity; Founder, Whole Planet Foundation

4:40 pm
  • Rationale for posting prices and background
  • Categories of buyers: those who care and those who don’t care about cost
  • Industry shortcomings in fulfilling the promise of price transparency
  • Good news of price competition is spreading
G. Keith Smith
G. Keith Smith, MD
Co-founder
The Surgery Center of Oklahoma

5:00 pm
Kenneth Aldridge Jr.
Kenneth Aldridge Jr.
Director, Health Services
Rosen Hotels & Resorts

Ashley Bacot
Ashley Bacot
President
ProvInsure Inc.;
Director, Risk Management
Rosen Hotels & Resorts

Harris Rosen
Harris Rosen
Founder and President
Rosen Hotels & Resorts

5:35 pm

Master of Ceremonies

Ian Morrison
Ian Morrison
Author, Consultant, and Futurist

6:35 pm
7:35 pm
Monday, April 30, 2018
7:00 am
7:20 am
8:10 am
Ceci Connolly
Ceci Connolly
President and Chief Executive Officer
Alliance of Community Health Plans

8:15 am
  • Strategies that meet evolving consumer needs and hold the potential to drastically reduce systemic costs
  • Population health initiatives that emphasize consumer views and feedback to revamp care
  • Connected health – Technology enabling targeted care for costly patients when and where they need it
  • The power of behavior change – Apply feedback and let the consumer lead
Phil Jackson
Phil Jackson
Chief Executive Officer, Health Plan Products
Sutter Health

Paul Kusserow
Paul Kusserow
President and Chief Executive Officer
Amedisys

Karen Springer
Karen Springer
President, Healthcare Operations
Ascension Healthcare

Matt Wallaert
Matt Wallaert
Chief Behavioral Officer
Clover Health

Moderator:

Ceci Connolly
Ceci Connolly
President and Chief Executive Officer
Alliance of Community Health Plans

9:05 am
  • Cross-sector views of persistent and systemic challenges in U.S. health care and how those trickle down and impact individuals
  • Opportunities for business leaders from payer, employer, pharma, and other stakeholder groups to collaborate and realize better outcomes
  • Barriers to aligning incentives around determinants of health
  • Innovation from beyond our borders – replicable examples of excellence
Akram Boutros
Akram Boutros, MD
President and Chief Executive Officer
MetroHealth

Martin Otto
Martin Otto
Current Board of Director and Former Chairman National Association of Chain Drug Stores (NACDS);
Chief Operating Officer
H-E-B

Harold L. Paz
Harold L. Paz, MD
Executive Vice President and Chief Medical Officer
Aetna

William Shrank
William Shrank, MD
Chief Medical Officer
UPMC Health Plan

Moderator:

Ian Morrison
Ian Morrison
Author, Consultant, and Futurist

10:05 am
10:45 am
10:46 am
  • Understand the benefits of integrating Molecular Markers into a cost-effective and comprehensive evaluation of thyroid nodules
    • Overcome clinical challenges including “indeterminate” results for more streamlined testing and patient care
  • Understand evidence supporting the use of Next Generation Sequencing (NGS) markers applied to indeterminate thyroid cytology
  • Identify which patients are a match for this testing and understand the impact on clinical management and outcomes
  • Understand the cost-effectiveness of NGS applied to thyroid nodule evaluation

Moderator:

Heidi L. Gautier
Heidi L. Gautier
VP of Commercial Operations, Thyroid
Sonic Healthcare USA

Panelists:

Steven Hodak
Steven Hodak, MD
Associate Director: Division of Diabetes, Endocrinology and Metabolism NYU School of Medicine; Endocrinology Section Chief, NYU Langone Medical Center

Bryan McIver
Bryan McIver, MD
Deputy Physician-in-Chief
Moffitt Cancer Center

10:47 am
  • Understand how lowering prescription costs for consumers creates a significant savings opportunity for health plans and employers
    • Explore case study implementation and savings results
  • Understand analytics that simplify pharmacy choices and make costly medication regimens affordable
    • How does the tool integrate with your existing programs?
  • Provide real-time, cost-saving choices to members and employees
  • Customize according to benefit plan; stay in plan, consider tier
  • Explore the impact on member and employee behavior
Michael Rea
Michael Rea
Chief Executive Officer
Rx Savings Solutions

Greg Sweat
Greg Sweat, MD
Chief Medical Officer
Blue Cross and Blue Shield of Kansas City

10:48 am
  • The growing Medicare Advantage opportunity for US health systems and health plans
  • Why US health systems are entering the market at an unprecedented rate
  • The challenges of winning in MA
  • Key capabilities necessary to succeed
  • Options for entering the MA market
Gene Cronin
Gene Cronin
Vice President
Priority Advantage

Donald Tuitel
Donald Tuitel
Director, Business Development
Priority Advantage

10:49 am
  • Discuss strategies to reduce and control specialty drug costs
  • Ensure safe use of specialty drugs
    • Align dispensing quantity with FDA-approved dosage guidelines
    • Implement prior authorization and step therapy to monitor drug use
  • Leverage cost-effective contracts to minimize unnecessary spend
  • Align medical policies with drug manufacturer requirements to maximize savings
Martino Luu
Martino Luu
Senior Vice President and General Manager
HealthSmart Rx Solutions

10:50 am

The importance of automation in health care has increased dramatically. Despite more demand for value-based care, improved patient outcomes, regulations, global competition, pricing pressure and the need for more precision medicines, the U.S. market is poised for a technology transition that will aid future business; it is already a major contributor to the growth of AI in health care. In this sessions attendees explore critical questions like:

  • Where are we now and what’s next? Gain an in-depth understanding of what AI means in health care.
  • How do we overcome extra challenges including regulatory barriers, interoperability with legacy hospital IT systems, and serious limitations on access to crucial medical data needed to build powerful health-focused algorithms in the first place?
  • How do we move forward and make Artificial Intelligence more scalable and cost-efficient?
Venky Ananth
Venky Ananth
Vice President, Health Care
Infosys

Jay Atkin
Jay Atkin
VP, Medicaid Business/Program Delivery
Aetna Inc.

10:58 am

An increasingly digital marketing environment has brought with it the ability for rapid, unpredicted changes and the need for quick trajectory shifts. See how to use the information you have in a more robust database, or how to get the data you might still need, to prepare contingency plans for swift changes.

  • Leverage clean, comprehensive data to keep marketing campaigns responsive, agile, and ready to adjust in an unpredictable market
  • Evaluate the benefits of utilizing hyper-local consumer segmentation and multiple data sources to drive organizational innovation
  • Review the importance of continued training and conditioning in-house to ensure your team stays flexible
  • Examine what data points have changed since 2017 and why this matters for 2018 and beyond
Kurt Waltenbaugh
Kurt Waltenbaugh
Founder and CEO
Carrot Health, Inc.

10:59 am
11:35 am
11:37 am
  • Understand the value and impact of creating a holistic well-being culture in the workplace
  • Examine the VOI and ROI of addressing physical, social, mental, and community wellness
  • Gain strategies to engage employees and motivate them to take control of their health and wellness
Brooke Brownlow
Brooke Brownlow
Group Vice President, Total Rewards
H-E-B

Martin Otto
Martin Otto
Current Board of Director and Former Chairman National Association of Chain Drug Stores (NACDS);
Chief Operating Officer
H-E-B

11:37 am
  • Learn how a global employer with 5,000 + U.S. employees significantly reduces health care costs with on-site primary care
  • Understand how on-site health care centers can save current and future dollars by delivering the right care, at the right time, and in the right setting
    • Examine benefits including enhanced care delivery, reduced ER visits and hospitalizations, and decreased claims and pharmaceutical costs
  • Build a workplace culture that values and invests in on-site health care for employees and their families
    • Determine what metrics make sense for employers based on their culture, business model, and perceived workforce value
Gale Adcock
Gale Adcock, RN, FNP
Chief Health Officer
SAS Institute

11:37 am
  • Learn about a self-insured employer's solution to improve health care for its U.S. employees
  • Understand important steps to take when building a customized, high-performance accountable care network
  • Gain strategies to collaborate with local providers
    • Design an incentive structure based on quality of care and improved outcomes over a period of time
    • How are these contracting models evolving?
  • Explore the key drivers of success
    • Enhance care coordination for the chronic populations with dedicated teams
    • Implement a concierge approach to guide patients every step of the way and improve patient satisfaction
    • Ensure EHR interoperability across the entire network
    • Develop employer and providers relationships that are built on innovation, collaboration, and trust
    Angela Mitchell
    Angela Mitchell
    Leader, US Health Care Delivery
    Intel Corporation

11:37 am
  • Discuss strategies to move toward value-based care delivery
  • Examine the growing role of TPAs and brokers to meet consumer needs and provide quality care at affordable prices
  • Shift the TPA role from a claims administrator into a full-service consumer engagement entity
    • Enhance TPA value with investments in technology
  • Understand the importance of employer, provider, and TPA partnerships to make data-centric decisions
David Contorno
David Contorno
President
Lake Norman Benefits

Vincent Esposito
Vincent Esposito
Chief Strategy and Business Development Officer
BuffCo Holdings

Lee Lewis
Lee Lewis
Area Vice President and Managing Director, Innovation Lab Practice
Arthur J. Gallagher

Josh Luke
Dr. Josh Luke, PhD
Healthcare Futurist; Faculty, University of Southern California;
Contributor, Forbes; Author, Health-Wealth: Is Healthcare Bankrupting Your Business? 9 Steps to Financial Recovery

Moderator:

Adam Russo
Adam Russo, Esq.
Co-Founder and Chief Executive Officer
The Phia Group

11:37 am
  • Strategy to engage top-level financial decision makers
    • How do top advisers engage the CFO or CEO?
  • Learn how advisers engage and build relationships with C-suite executives
    • Birds-eye view into how these critical conversations unfold and value-propositions used
Gary Bender
Gary Bender
Chief Financial Officer
SISD Inc.

Craig Lack
Craig Lack
President
ENERGI

Andy Neary
Andy Neary
Healthcare Strategist
The Olson Group

Tim Olson
Tim Olson
President and Managing Partner
The Olson Group

Brian Tolbert
Brian Tolbert
Principal & Benefits Practice Leader
Bernard Health

11:38 am
  • Who’s in and who’s out?
    • What’s really going on in the medical travel market?
    • Why has it failed to deliver on the early expectations?
    • What does the future hold?
  • Will medical travel ever make it to the mainstream?
    • Is "medical travel" a business, industry and/or sector by any reasonable and agreed-upon definition
    • What are the reasonable limitations to the growth or eventual size of the medical travel markets
    • What are the parameters to be monitored regarding the size or growth of this market
Keith Pollard
Keith Pollard
Editor in Chief
International Medical Travel Journal

Irving Stackpole
Irving Stackpole
President
Stackpole & Associates

11:39 am
  • Understand the benefits and opportunities between the two major self-insurance methods (Carrier vs. TPA)
  • Why does price transparency vary?
  • Discuss alternatives to the traditional PPO model
  • Learn how partnering directly with a health care provider may be a better strategy
  • Gain strategies to optimize your health insurance broker and other advisers
Panelists:
Ray Bowman
Ray Bowman
Senior Vice President, Talent & Development
MarineMax

Bernie Heer
Bernie Heer
Strategist, Ally, Advocate
Frenkel Benefits

Steve Kelly
Steve Kelly
Chief Executive Officer
ELAP Services

Moderator:
Bill Lacy
Bill Lacy
President and Chief Executive Officer
ACHRM

12:20 pm
12:21 pm

* This session is available only to attendees of the Medical Travel Track

  • The changing global landscape in the cross border purchasing of health care services including international trends as well as transactional pillars that remain the same
  • The blurring of the lines between consumer driven “medical tourism” and the role of governments and private sector in purchasing and selling health care services
  • Effective strategies that work for governments and providers are revealed based on practical experience to deliver health care services essential to healthy populations
Graham Elderfield
Graham Elderfield
International Healthcare Consultant
Glenfield Consulting

Michele Forzley
Michele Forzley
Director
Forzley & Associates

Elizabeth Ziemba
Elizabeth Ziemba
President
Medical Tourism Training

1:20 pm
Seema Verma
Seema Verma
15th Administrator
Centers for Medicare and Medicaid Services (CMS)

1:40 pm
1:42 pm
  • Establish an enterprise-wide health and well-being infrastructure of support
  • Develop a grassroots, user-centric, habit-based workforce well-being program
  • Link engagement with well-being to reward healthy habits and sustain behavior change
  • Integrate traditional and non-traditional health and well-being resources to achieve optimal results
  • Create robust metrics to demonstrate an impact on employee’s quality of life
Nebeyou Abebe
Nebeyou Abebe, MA, PMP
Vice President, Health & Well-Being
Sodexo

1:42 pm
  • Discuss population trends in mental health and substance abuse disorders
  • Gain strategies from GE Appliances to bolster workplace behavioral health and wellness programs
    • Examine the importance of plan design
  • Leverage public health collaboration to offer educational materials for employees and support early detection of mental health issues
  • Strengthen the EAPs role to personalize behavioral health programs
    • Utilize worksite clinics to offer coaching and counseling sessions
    • Work with employees to determine treatment plan
    • Explore telemedicine to connect employees with behavioral health specialists and provide on-demand care
Diana Han
Diana Han, MD
Chief Medical Officer
G.E. Appliances, a Haier Company

1:42 pm
  • Transform care delivery: Launch an employer-led COE for medical procedures including cardiovascular and hip and knee replacements
  • Offer employees access to high-quality providers and effectively negotiate bundled payments
    • Understand operational requirements
    • Evaluate financial savings
  • Learn from an employer about identifying the right providers, site-selection for medical travel, challenges, and lessons-learned
  • Gain strategies to engage employees and motivate them to use COE sites
    • Examine employee satisfaction rates and reductions in out-of-pocket costs
    Marcus Osborne
    Marcus Osborne
    Vice President, Health & Wellness Transformation
    Walmart

    Olivia Ross
    Olivia Ross
    Associate Director, Employers Centers of Excellence Network (ECEN)
    Pacific Business Group on Health (PBGH)

1:42 pm
  • Incentivize brokers based on performance to efficiently meet employee needs and enhance quality
  • Align broker/TPA compensation and rewards with employer goals and effectively manage cost
    • Increase revenue and drive innovation
  • Learn how employers, providers, and TPAs can collaborate to design performance-based contracts: How does collaboration benefit all parties?
David Contorno
David Contorno
President
Lake Norman Benefits

Valerie Maziarz
Valerie Maziarz
Vice President, Human Resources
SavATree

1:42 pm
  • Explore the imperative to align adviser incentives with employers
    • Impact on health care cost containment and the potential for innovation
  • Learn how advisers use performance-based compensation to move their chair to the client’s side of the table
Mick Rodgers
Mick Rodgers
Principal and Managing Partner
Axial Benefits Group

John Sbrocco
John Sbrocco
Founder
Questige Consulting

Scott Wood
Partner
Benefit Commerce Group

1:43 pm
  • Malaysia: A sustainable medical travel destination
    • The role of a public-private government agency (Malaysian Health Travel Council) in the development of a successful inbound medical travel business
    • Lessons learned in coordinating private provider interests with a broader government agenda
    • Maintaining and improving quality across a portfolio of private providers
  • Build an international brand
    • How do patients pick and choose a destination? A hospital? A doctor or a clinic?
    • Could it have something to do with reputation? And if so, who’s reputation?
    • How do you build the next Cleveland Clinic or Johns Hopkins brand?
Sherene Azli
Sherene Azli
Chief Executive Officer
Malaysia Healthcare Travel Council (MHTC)

Pamela Frank
Pamela Frank
Director, International Services
Children’s Mercy Kansas City

Ilan Geva
Ilan Geva
Managing Director
Ilan Geva and Friends

1:44 pm
  • Discuss why public entities struggle to understand the benefits and opportunities between the two self-insurance methods
  • How can civic leaders overcome the unique challenges of current and retired employees, unions, approvals, implementation, and management? Do geographies matter?
    • Learn from two employer case studies
Panelists:
Jeff Crouse
Jeff Crouse
Superintendent
Charlevoix-Emmet Intermediate School District

Brian Flowerday
Brian Flowerday
Chief Administrator, Employee Benefit Services
SET SEG

Flip Steinour
Flip Steinour
Director of Human Resources
Lancaster-Lebanon Intermediate Unit# 13

Moderator:
Bill Lacy
Bill Lacy
President and Chief Executive Officer
ACHRM

2:30 pm
2:32 pm
  • Learn how to effectively assess the energy and health of your organization
  • Identify key programs, best practices, and lessons-learned that can positively impact the overall health and energy of your population
    • Examine the factors when developing well-being programs
  • Integrate health and well-being into business processes
Jason Morgan
Jason Morgan
Senior Manager, Health and Well-Being
Mars, Inc.

2:32 pm
  • Learn how to align well-being initiatives using worksite clinics as whole health hubs to drive health outcomes, improve productivity and retention, and cut costs
  • Hear from diverse organizations on how they effectively apply a systems-based approach to achieve and sustain healthy behaviors
  • Discuss how integrating services (and data) across wellness initiatives – including on-site coaching, fitness programs, and health councils – motivates employees and drives engagement
Jennifer Sargent
Jennifer Sargent
Chief Revenue Officer
Vera Whole Health

Nicole B. Stec
Nicole B. Stec, MBA
Employee Health and Wellness Manager
City of Mesa

2:32 pm
  • Consider an outpatient surgery model to provide quality care and lower cost
  • Partner with certified physicians to enhance treatment and reduce return-to-work time
    • Set a bundled rate to ensure cost savings
    • Adopt a concierge approach and provide hassle-free care pre- and post-surgery
  • Leverage telemedicine to ensure patient-doctor connectivity and on-demand care delivery
William Slocum
William Slocum
Executive Vice President
ESurgeries.com

Suzanne Webb
Suzanne Webb
Founder and Chief Executive Officer
Esurgeries.com

Additional Thought Leaders TBA

2:32 pm
  • Learn how an employer increased benefits plan value among employees while significantly reducing overall costs
    • Mitigate gross costs that affect the employer and employees
    • Modify plan design to deliver optimal results for employees and positively impact the bottom line
  • Dig into data: Collect and assess data from health plans, TPAs, and pharma providers on a regular basis
    • Make meaningful employee health and wellness decisions based on data analysis
  • Collaborate with health care stakeholders and build long-term relationships to manage cost and enhance employee benefits engagement
Sarah Redgrave
Sarah Redgrave
Vice President, Total Rewards
KinderCare Education

2:32 pm
  • Learn how benefits advisers mitigate employer health care costs by efficiently managing the health care supply chain
  • Gain strategies to introduce cost-reduction strategies to employers: What benefits advisers must know
Bob Gearhart, Jr.
Bob Gearhart, Jr.
Partner
DCW Group

Ben Krambeck
Ben Krambeck
Chief Executive Officer
ClaimDOC

Carl Schuessler, Jr.
Carl Schuessler, Jr.
Managing Principal
BenefitStrategies LLC

2:33 pm
  • Learn about the key components of a successful direct contract for both the employer and the provider
    • Discuss employer-provider partnership case studies
  • Understand how self-insuring with a TPA opens greater opportunities
  • Present key attributes of the ACHRM Direct to Employer Contracting Roadmap (processes for employers and providers)
Panelists:
Bev Helkey
Bev Helkey
Executive Director
Employers Healthcare Coalition

George Kelly
National Manager, Business Markets
Cancer Treatment Centers of America

David West
David West
Director, Corporate Development
Group & Pension Administrators, Inc.

Moderator:
Bill Lacy
Bill Lacy
President and Chief Executive Officer
ACHRM

2:34 pm
  • The integration and coordination of business, leisure with health and wellness travel for a U.S. domestic destination
  • Determining the economic measures to estimate return on investment for medical travel
  • Process and pitfalls of coordinating across multiple agencies, personalities and interest groups
Gillian Barclay
Gillian Barclay
Healthcare Specialist
Nevada Governor’s Office of Economic Development

Doug Geinzer
Doug Geinzer
Chief Executive Officer
Las Vegas HEALS, University of Nevada

Stowe Shoemaker
Stowe Shoemaker
Dean of the UNLV Hotel School
University of Nevada

Cheryl Smith
Cheryl Smith, MA, CMP, HMCC
Health & Wellness Tourism Manager
Las Vegas Convention & Visitors Association

3:20 pm
4:00 pm
  • A stakeholder’s view of the ACA and Individual Market – What’s working and what isn’t?
  • Reasons for rising prices in the quest for affordability
  • Actions to improve upon - rather than reverse - positive gains made through the ACA
Chet Burrell
Chet Burrell
President and Chief Executive Officer
CareFirst BlueCross BlueShield

Moderator:

Susan Dentzer
Susan Dentzer
President and Chief Executive Officer
Network for Excellence in Health Innovation (NEHI)

4:20 pm
  • A stakeholder’s outlook on access, coverage, and care delivery
  • Investment in preventive health, behavioral care, and technology
  • Work that must be done on the regulatory and delivery system front to enable integrated, lower-cost care
Steven J. Corwin
Steven J. Corwin, MD
President and Chief Executive Officer
NewYork-Presbyterian

Moderator:

Susan Dentzer
Susan Dentzer
President and Chief Executive Officer
Network for Excellence in Health Innovation (NEHI)

4:40 pm
Chet Burrell
Chet Burrell
President and Chief Executive Officer
CareFirst BlueCross BlueShield

Steven J. Corwin
Steven J. Corwin, MD
President and Chief Executive Officer
NewYork-Presbyterian

Moderator:

Susan Dentzer
Susan Dentzer
President and Chief Executive Officer
Network for Excellence in Health Innovation (NEHI)

5:00 pm
  • How direct feedback loops between patient and care teams change patient behavior and longevity
  • Startup and health system perspective on implementation, uptake, and results
  • How payers, providers, and pharma companies can leverage change tactics for CMS OCM payments
Elizabeth Maribito
Elizabeth Maribito
Executive Director
Cedars-Sinai Medical Delivery Network

Nikhil Pooviah
Nikhil Pooviah, MD
Co-Founder and Chief Executive Officer
CancerAid

5:20 pm
6:20 pm
Tuesday, May 1, 2018
7:00 am
7:30 am
8:10 am
Merrill Goozner
Merrill Goozner
Emeritus Editor
Modern Healthcare

8:15 am
  • Fixing a broken health care system – Steps needed to deliver affordable, accessible, and quality care
  • Outlook on Medicare and Medicaid innovation
  • The road ahead for MACRA’s Quality Payment Program
  • The ACA - What changes are likely to (and should) happen?
Thomas E. Price
Thomas E. Price, MD
Former Secretary
Health and Human Services (HHS)

8:50 am
John Doerr
John Doerr
Chairman
Kleiner Perkins

Tom Owens
Tom Owens, MD
President, Duke University Hospital;
Senior Vice President, Duke University Health System

9:20 am
  • Value proposition of AI in health care - How will it empower providers? Benefit patients? Improve the system?
  • Practical AI applications to expect in the next 3-5 years
  • Progress on cross-sector partnerships including lessons learned and initial findings
Tom McGuinness
Tom McGuinness
Chief Strategy and Commercial Officer
GE Healthcare

Mark H. Michalski
Mark H. Michalski, MD
Executive Director
MGH & BWH Center for Clinical Data Science

Moderator:
Merrill Goozner
Merrill Goozner
Emeritus Editor
Modern Healthcare

9:55 am
10:30 am
10:31 am

U.S. health care continues to transform radically creating both opportunities and challenges for payers and employers. Market forces are provoking organizations to develop new strategic initiatives and to reprioritize existing ones. The session unveils qualitative and quantitative findings from a national research study of payers and employers and gives insight into how organizations adapt to meet these challenges and harness new opportunities.

  • Assess key market threats and challenges for payers and employers
  • Adapt and innovate: Understand new programs and services developed to position organizations for success
    • Current strategies and lessons learned
  • Explore the rationale and progress of major organizational initiatives: What defines an organization’s response to health care changes?
  • Determine survival strategy: How confident are organizations that they can adapt for long-term success? How do they see their role evolving in the marketplace?
  • Invest wisely: Where will the big payoffs be in the future? How would organizations allocate investment dollars across the strategies discussed?
Michael J. Bennett
Executive Vice President, Chief Strategy and Transformation Officer
Highmark Health

Gregory M. Jelinek
Gregory M. Jelinek
Executive Vice President, National Sales Director Treasury Management
PNC Healthcare; The PNC Financial Services Group

Sara Parikh
Sara Parikh, PhD
President
Willow Research

10:32 am
  • Understand how improved vision, oral, and hearing health care can impact Medicare members’ wellness, health care costs, productivity, and satisfaction
  • Gain strategies for connecting wellness efforts to ancillary benefits, including educational efforts and incentives that motivate action
  • Learn the "do's and don'ts" of working with ancillary benefits for maximum wellness integration and measurement
Mike Reha
Mike Reha
Vice President of Sales and Marketing
EPIC Hearing Healthcare

10:33 am

Managing health care costs as a self-funded employer requires constant and consistent monitoring of employee health, and not just plan design changes and cost shifts. In this session, Quest Diagnostics will share how they successfully achieved lower than benchmark increases for their 61,000 member health plan, moving from a consistent 6% upward trend through 2015 to a -1% trend in 2017.

  • Understand how to identify future high-cost claimants and conditions
  • Gain proactive strategies to connect members with the right care at the right time
    • Prevent individuals from advancing to future high-cost conditions
  • Discuss expected outcomes from interventions
  • Learn how to evaluate programs within your own population
Wendi Mader
Wendi Mader
Director, Marketing and Senior Health & Well-being Strategist
Quest Diagnostics

Tom Pela
Tom Pela
Director, Health and Wellness, Healthcare Management
Quest Diagnostics

10:33 am
  • Technology considerations for integrated clinical management
    • Population health strategy to identify and manage behavior
    • Leveraging the right data to inform clinical decision-making
  • Exploration of a payer clinical management case study
    • Key challenges, leadership approach, and redefining goals
    • Partnership development and results to-date
  • What does success look like?
Deb Smyers
Deb Smyers
Plan Product President
Sunshine Health

Lisa Strouss
Lisa Strouss
Director, Field Medical Strategy
ODH Inc.

10:59 am
11:25 am
11:27 am
  • Gain strategies to efficiently change behavior to improve health outcomes and produce measurable and significant cost reduction
    • Understand how a holistic and personalized approach to sleep, stress, nutrition, and exercise restores employee health and happiness
  • Learn how Caterpillar Inc. tailored a program targeting 30% of its population that contributed to 70% of total health care spend
    • Discuss the importance of insulin resistance
    • Examine factors to drive meaningful and long-term member engagement (90% or higher)
  • Discover how CAT saved $1500+ PMPY and reversed chronic disease factors for participating population
    • Todd Bisping
      Todd Bisping
      Global Benefits Manager
      Caterpillar

      Joseph Marullo
      Joseph Marullo
      Director, Operations and Strategic Analytics
      Restore Health

11:27 am
  • Offer cost-effective disease state programs within a worksite medical home environment to improve productivity and reduce chronic disease management costs
  • Discuss innovative worksite care models to achieve productivity and cost objectives
  • Gain strategies to offer programs for specific disease states such as cancer, diabetes, and behavioral health
Dave Beech
Dave Beech
Director, Health Management
Trion

Stuart Sutley
Stuart Sutley
Corporate Health Advisor
Johns Hopkins Medicine

11:27 am
  • Understand how direct contracting reduces employer health care costs and improves outcomes: Review current trends
  • Discuss the economics of employer-health system contracts: What employers and providers must know to develop mutually-beneficial relationships
  • What employers must consider before partnering with health systems
    • Assess hospital culture, leadership, and morale
    • Understand and contextualize hospital outcomes, errors, and infections data
  • Leverage data analytics to improve the value of direct contracts
  • Explore next steps in direct contracting for increased savings and long-term benefits

Moderator:

Paul Fronstin
Paul Fronstin
Director, Health Research and Education Program
Employee Benefits Research Institute (EBRI)

Panelists:

Robert E. Andrews
Robert E. Andrews
Chief Executive Officer
Health Transformation Alliance
former Chairman of the HELP Subcommittee of the House Committee on Education and the Workforce
US House of Representatives

Leah Binder
Leah Binder
President and Chief Executive Officer
The Leapfrog Group

David Henka
David Henka
President and Chief Executive Officer
ActiveRADAR

Michael Thompson
Michael Thompson
President and Chief Executive Officer
National Alliance of Healthcare Purchaser Coalitions

11:28 am

Panel I – Medical Management

Moderator:

Nelson L. Griswold
Nelson L. Griswold
President, Bottom Line Solutions, Inc.; Author, DO or DIE: Reinventing Your Benefits Agency for Post-Reform Success

Panelists:

Deb Ault
Deb Ault
Founder & President
Ault International Medical Management

Karen Gast
Karen Gast
Owner
K2 Benefits

Bill Geraci
Bill Geraci
President
MAGIC Health Insurance Solutions

Dan Thompson
Dan Thompson
Partner
Gulfshore Insurance

Panel II – Pharmacy and Specialty Drug Costs

Moderator:

Nelson L. Griswold
Nelson L. Griswold
President, Bottom Line Solutions, Inc.; Author, DO or DIE: Reinventing Your Benefits Agency for Post-Reform Success

Panelists:

Spencer Allen
Spencer Allen
Vice President and Employee Benefits Practice Leader
Insurance Office of America (IOA)

Gary Becker
Gary Becker
President
ScriptSourcing

Eric Levin
Eric Levin
Partner
Scripta, Inc.

Derek Rine
Derek Rine
Vice President & Benefits Practice Leader
David Rine Insurance

Ziad Rubaie
Ziad Rubaie
Senior Vice President, Sales
LDI Integrated Pharmacy Services

11:28 am
  • Offer an economical food program for employees to better manage and prevent chronic conditions such as diabetes
  • Learn from a public school system-led wellness pilot to improve employee health with a trickle down goal of decreasing childhood obesity
    • Tailor food options to efficiently meet the needs of high- and low-risk populations
    • Collaborate with on-site clinic providers and health coaches
  • Incentivize employees for making healthy choices and promote nutritious eating
  • Partner with local vendors to increase healthy food choices
    • Collaborate with farmers’ markets to ensure access to fresh produce
Susan DeLong
Susan DeLong
Assistant Superintendent, Personnel
Tippecanoe School Corporation

Richard Sutton
Richard Sutton
Employee Benefits Consultant
RE Sutton & Associates

11:28 am
  • If Disney ran a medical travel business: guest services, management and leadership principles
    • Setting the culture and designing unique guest experiences,
    • Quality assessment and the Patient Xperience
    • Bringing some of the Disney magic to medical
  • Medical travel: Before and after
    • Preparing consumers for travel and medical care – “prehab”
    • Preparing consumers while receiving care for the necessary follow-up
    • Following consumers after care, when they return to their source location
Fred deMicco
Fred deMicco
Professor
The University of Delaware

Tammy Richmond
Tammy Richmond
Chief Executive Officer
Go 2 Care

11:29 am
  • Understand why the CFO should be an instrumental part of the health care cost containment process
  • Learn about cost containment strategies
    • Motivate your accountant, attorney, and bankers to provide advice on health care cost containment
  • Gain strategies to effectively engage your CFO, and trusted advisers
  • What questions should your CFO be asking?
    • How can health insurance brokers and consultants join the CFO’s trusted adviser team?
Panelists:
Additional Panelist TBD
Josh Ayers
Josh Ayers
Managing Director
BDO USA, LLP

Steve Kelly
Steve Kelly
Chief Executive Officer
ELAP Services

Moderator:
Bill Lacy
Bill Lacy
President and Chief Executive Officer
ACHRM

12:15 pm
1:35 pm
1:37 pm
  • Learn how an employer with 50,000 U.S. employees evolved its grassroots wellness program into a diverse and sustainable model powered by data
  • Create a user-friendly digital platform to centralize wellness offerings: How does this increase participation and enhance engagement?
  • Tailor communication efforts: Leverage social media and motivate employees to actively take control of their health and wellness
  • Offer real-time incentives for long-term engagement
    • Explore gifts cards, cash rewards, and premium reductions
    • Examine the value of setting goal-based incentives
    • Incentivize employees based on intrinsic motivators for long-term behavior change
  • Understand the importance of feedback for wellness program growth
    • Conduct periodic surveys to understand employee needs and alter programs accordingly
Julie Wilkes
Julie Wilkes
North American Wellness Lead
Accenture

1:37 pm

Attendees choose the topic area which interests them most and engage in small group discussion for 45 minutes.

Roundtable A: Leverage Technology and Digital Platforms to Maximize On-Site and Near-Site Clinic Value

Lisa Cummings
Lisa Cummings
Director, Total Rewards
Chesapeake Energy Corporation

Roundtable B: Discuss Effective Worksite Clinic ROI Measurement Strategies

Brooke Brownlow
Brooke Brownlow
Group Vice President, Total Rewards
H-E-B

1:37 pm
  • Learn from State of Montana’s reference-based pricing model for its 33,000 employees
    • Understand the reasoning behind adopting an RBP approach
    • What are the initial steps to launch an RBP model?
      • Discuss reimbursement and strategies to ensure price transparency
        • Address resistance from health systems
      • Understand the TPAs role in contracting with health systems and setting consistent and predictable pricing
      • Offer care coordination programs to ensure value-based care delivery
        • Prevent unnecessary hospitalization, reduce ER use, and personalize treatment
      Marilyn Bartlett
      Marilyn Bartlett
      Administrator, Health Care and Benefits Division
      State of Montana

      Ron Dewsnup
      Ron Dewsnup
      President and General Manager
      Allegiance

1:37 pm

Panel I – Improved Surgical Outcomes

Moderator:

Nelson L. Griswold
Nelson L. Griswold
President, Bottom Line Solutions, Inc.; Author, DO or DIE: Reinventing Your Benefits Agency for Post-Reform Success

Panelists:

Howard Danzig
Howard Danzig
President
Employers Committed to Control Health Insurance Costs (ECCHIC)

Tom Garner
Tom Garner
Executive Vice President, Operations & Network Development
SkyMedicus Inc.

Sanjay Prasad
Sanjay Prasad
Chief Executive Officer
SurgiPrice

Panel II Direct Contracting with Providers

Moderator

Nelson L. Griswold
Nelson L. Griswold
President, Bottom Line Solutions, Inc.; Author, DO or DIE: Reinventing Your Benefits Agency for Post-Reform Success

Panelists:

Gary Everling
Gary Everling
Vice President and Chief Strategy Officer
Hendricks Regional Health

Jeff Fox
Jeff Fox
Principal & Benefits Practice Leader
HJ Spier

Troy Hanratty
Troy Hanratty
President and Co-Founder
Health 180

Deke Lape
Deke Lape
Principal
Mitchell Insurance, Inc.

1:38 pm
  • Utilize actionable data to efficiently track trends, measure health plan performance, and address unique employee needs
  • Adopt the “Lean Startup” approach to rapidly test and implement solutions that create a lasting impact on employees
  • Use claims data to track 60 metrics and ensure the health plan is achieving the triple aim
    • Identify health plan audit opportunities, enroll high-risk members in care management programs, and improve behavioral health access and quality
  • Invest in an in-house data scientist to develop predictive models and address high ER use
1:38 pm
  • Latin America: Source and destination for medical travel
    • Learn how a Latin American country developed a medical travel market
    • The challenges associated with medical travel to and from the Caribbean region
    • Coordinating medical and health care services between and among source and destination locations
  • Lessons from a medical travel pioneer: Costa Rica
    • The metamorphosis from an exclusively government driven initiative to a private public partnership
    • The role of the private providers in assuring market stability and quality
    • The role of national culture and brand in promoting medical travel
Massimo Manzi
Massimo Manzi
Executive Director
Costa Rican Chamber of Health

Luis Santamaria
Luis Santamaria
Director General
Pana Salud

1:39 pm
  • Learn the key financial and legal considerations for an effective and successful strategy to improve employee well-being and reduce costs through health clinics
  • Discuss employer case studies
  • Gain insight from ACHRM’s recent White Paper research findings
Panelists:
Brian Flowerday
Brian Flowerday
Chief Administrator, Employee Benefit Services
SET SEG

Bev Helkey
Bev Helkey
Executive Director
Employers Healthcare Coalition

Flip Steinour
Flip Steinour
Director of Human Resources
Lancaster-Lebanon Intermediate Unit# 13

Moderator:
Bill Lacy
Bill Lacy
President and Chief Executive Officer
ACHRM

2:25 pm
2:27 pm

Attendees choose the topic area which interests them most and engage in small group discussion for 45 minutes.

Roundtable A: Digital and Virtual Strategies to Promote Healthy Behaviors and Improve Care

Siobhan Bulfin
Siobhan Bulfin
Founder and Chief Executive Officer
Melon Health

Roundtable B: Enhance Wellness Communications to Maximize Engagement and Improve Outcomes

Ryan Sledge
Ryan Sledge
Director, Corporate Wellness Operations, Employer Services
OhioHealth

2:27 pm
  • Move toward digital health and bring innovation to worksite health
    • Assess whether virtual clinics are a cost-effective alternative to “brick and mortar” clinics
  • Understand the nuances of offering health services to employees via telemedicine
  • Discuss the benefits of a virtual model including instant access to care for remote and on-site employees
  • Explore communication techniques to increase virtual health care consumption
    • Invest in digital technology and web portals to engage employees and enhance their experience
Lisa Cummings
Lisa Cummings
Director, Total Rewards
Chesapeake Energy Corporation

2:27 pm
  • Drive value and innovation in employer health care by directly contracting with the medical and pharmacy supply chain
  • Hear how direct contracting enables flat pharmacy trends
    • Explore employer-led pharmacy direct contracting and formulary management to curb prescription drug costs
  • Learn how direct contracting provides flexibility to partner with medical providers
    • Discuss an employer’s initiative to enhance primary care for its employees
    • Tailor contracts to improve care quality and outcomes
  • Examine data requirements to track progress and make evidence-based health decisions
    • Understand the importance of data transparency
Todd Bisping
Todd Bisping
Global Benefits Manager
Caterpillar

2:27 pm

Benefits advisers are no longer waiting for others to solve the challenges in employee benefits. Many are developing innovative strategies and ideas to improve benefits and reduce health care costs.

In this interactive roundtable, Advisers discuss their best practices and solutions.

Moderator

Nelson L. Griswold
Nelson L. Griswold
President, Bottom Line Solutions, Inc.; Author, DO or DIE: Reinventing Your Benefits Agency for Post-Reform Success

Panelists:

Will Glaros
Will Glaros
Managing Partner
Meyers Glaros Group

Craig Lack
Craig Lack
President
ENERGI

Mick Rodgers
Mick Rodgers
Principal and Managing Partner
Axial Benefits Group

Dan Thompson
Dan Thompson
Partner
Gulfshore Insurance

2:28 pm
  • Assess the upward trending cost curve faced by employers
  • Learn how Alliance Coal uses a hybrid reimbursement model which includes direct contracting and Reference-Based Pricing for out-of-network claims
  • Uncover the different types of Reference-Based Pricing models and differentiate between them at a high-level
  • Discuss strategy for establishing direct contracts with local hospitals and physician groups
  • Acquire key action items to build a “culture of trust” between health plans and employees/dependents
Gregory S. Everett
Gregory S. Everett
President and Chief Executive Officer
Payer Compass

S. Paul Mackey
S. Paul Mackey
Vice President, Employee Health and Benefits
Alliance Coal, LLC

2:28 pm
  • The untapped potential of telemedicine in global health care markets
    • Existing models for telehealth and telemedicine
    • New and emerging technologies to enable disruptive innovations in telemedicine delivery
    • Future applications of technology which will transform international healthcare
  • Digital Health: Convergence with medical travel
    • How consumers access medical information today and what these trends bode for the future
    • The role of remote medical services information and access points in consumer care
    • How providers and consumers can best integrate technology in a holistic model of care
Ross Friedberg
Ross Friedberg
General Counsel and Chief Compliance Officer
Doctors on Demand

Irving Stackpole
Irving Stackpole
President
Stackpole & Associates

2:29 pm
  • Navigate the Pharmacy Benefit Management (PBM) maze
  • Understand how to optimize your Rx manufacturing rebates
  • Combat data challenges: How engaging an independent, non-insurance carrier/ TPA can increase access to data
Panelists:
Don Barbuto
Equity Partner
Centurion Benefits

Ray Bowman
Ray Bowman
Senior Vice President, Talent & Development
MarineMax

David West
David West
Director, Corporate Development
Group & Pension Administrators, Inc.

Moderator:
Bill Lacy
Bill Lacy
President and Chief Executive Officer
ACHRM

3:15 pm
3:50 pm
  • Cross-sector initiatives to price prescription drugs based on value and outcomes
  • Novel value-based contracts between key stakeholders including pharma, PBMs, employers, and health plans – Are they working?
  • Immediate next steps and future considerations – Are generics improving affordability? Does precision medicine factor in to current conversations?
Robert E. Andrews
Robert E. Andrews
Chief Executive Officer
Health Transformation Alliance
former Chairman of the HELP Subcommittee of the House Committee on Education and the Workforce
US House of Representatives

Joshua Benner
Joshua Benner
President and Chief Executive Officer
RXAnte

Enrique A. Conterno
Enrique A. Conterno
Senior Vice President, Eli Lilly and Company; President, Lilly Diabetes; President, Lilly USA

Azmi Nabulsi
Azmi Nabulsi, MD,
Deputy Chief Medical and Scientific Officer
Takeda

Moderator:

Sarah Jane Tribble
Sarah Jane Tribble
Senior Correspondent
Kaiser Health News

4:50 pm
Ryan Olohan
Ryan Olohan
Managing Director, Healthcare
Google Inc.

5:15 pm
6:45 pm
Wednesday, May 2, 2018
7:00 am
7:00 am
7:30 am
7:35 am
Alex M. Azar II
Alex M. Azar II
Secretary
U.S. Department of Health and Human Services (HHS)

8:05 am
  • Federal updates and preliminary results of novel state programs
  • Industry response - How are stakeholders mobilizing to stem a rapidly-escalating problem?
  • Leveraging behavioral, mental health, and community social services
  • The role of technology in addressing this crisis
Imelda Dacones
Imelda Dacones, MD
President and Chief Executive Officer
Northwest Permanente, P.C.

Daniel Duhigg
Daniel Duhigg
Medical Director for Addiction Services
Presbyterian Healthcare Services

Paul L. Uhrig
Paul L. Uhrig
Chief Administrative, Legal and Privacy Officer
Surescripts

Moderator:

Pamela Greenberg
Pamela Greenberg
President and Chief Executive Officer
Association for Behavioral Health and Wellness (ABHW)

9:05 am
  • The landscape shaping today’s market and tomorrow’s consumer
  • Successes and failures in engagement – why one size does not fit all
  • How effective digital engagement demands that we rethink business strategy and execution
  • The path forward for private sector consumer innovations in spite of what may or may not happen with the ACA

Moderator:

Susan Dentzer
Susan Dentzer
President and Chief Executive Officer
Network for Excellence in Health Innovation (NEHI)

Panelist:

Amy Compton-Phillips
Amy Compton-Phillips, MD
Executive Vice President and Chief Clinical Officer
Providence St. Joseph Health

David Lansky
David Lansky
President and Chief Executive Officer
Pacific Business Group on Health (PBGH)

Alan Warren
Alan Warren, PhD
Chief Technology Officer and Senior Vice President
Oscar Health

10:10 am
10:11 am
  • Explore an app that integrates data with your EMRs for a seamless clinical workflow
  • Access patient Personal Health Record (PHR) data within seconds, safely and securely
    • Translation capabilities enhance communication between patients and providers
  • Improve compliance, accuracy, patient wait time and intake experience
  • Hear about results: How are consumers, providers and EMR systems using the app now?
Jason Frazier
Jason Frazier
Owner
MedStorm, LLC

Kenneth L. Hill Jr.
Kenneth L. Hill Jr., MD, FAANS
Chief Operating Officer and Co-Founder
WonderHealth, LLC

Robert Lee, DMD
Owner
Omalee Dental

Joel Worral
Joel Worral
Co-Founder
HospitalRun

10:12 am
  • Leverage data to inform benefit design and lower costs
    • identify long-term strategies that lower organizational risk and health care spend
  • Determine costs trends and identify the types of care that add the most value and impact on your specific population
  • Empower physicians to improve care with better patient compliance and treatment information
Kimberly Hutton
Kimberly Hutton, MD
Chief Medical Officer
CareATC

Philip Kurtz
Philip Kurtz
Chief Executive Officer
CareATC

10:13 am

Eighty percent of health care decisions are made by women, who account for 56% of total personal health care spending. Yet much of the current conversation around health system change overlooks women’s health. As the health care system seeks to better meet the needs of consumers and develop more efficient care models, health systems, policymakers, and plans need to be intentional about making sure the health care system works for women. Centering women in health care transformation efforts is a force multiplier that can yield several benefits, from lower costs to improved health outcomes to positive economic impact. Simply put, women's health is the key that unlocks health system transformation.

This panel brings together a clinician leader at a large, multilayered, national health system, with a policy director of a national women’s health care provider group, and a health care executive at a large insurer to consider:

  • How women’s health care is often overlooked from a systems perspective.
  • Ways payers and providers can systematically address and center the health care needs and concerns of women.
  • The benefits and importance of centering women in health system transformation.
  • Examples of what women-centered approaches look like.

Moderator:

Sharon Woda
Sharon Woda
Managing Director, Manatt
Phelps & Phillips, LLP

Panelists:

Karen Shea
Karen Shea, MSN
Vice President Maternal and Child Services
Anthem, Inc.

Emily Stewart
Emily Stewart
Vice President of Public Policy
Planned Parenthood Federation of America

Laurie Zephyrin, MD
Director of Reproductive Health
United States Department of Veterans Affairs

10:59 am
11:00 am
Chris Jennings
Chris Jennings
Founder and President, Jennings Policy Strategies;
Former Deputy Assistant to the President for Health Policy and Coordinator for Health Reform, The White House

Robert E. Moffit
Robert E. Moffit
Senior Fellow
The Heritage Foundation

Moderator:

Mary Agnes Carey
Mary Agnes Carey
Partnerships Editor and Senior Correspondent
Kaiser Health News

12:00 pm