The 8th Annual World Health Care Congress
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The 8<sup>th</sup> Annual Health Plan Summit

The WHCC 8th Annual Health Plan Summit convenes over 200 CEO and senior executives focused on creating new business models for improved member retention, consumer preference and cost containment strategies for competitive differentiation. Health Plan and Third Party Administrator CEOs, CFO, Chief Medical Officers, Strategy and Innovation Officers are in attendance as well as Vice Presidents, Medical Directors and Directors of Member Retention, Disease Management.

Alere Logo
Health Dialog (Without Tag) Logo

Chair: James E. Purcell
President and CEO, Blue Cross Blue Shield of Rhode Island;
Board of Directors, Blue Cross Blue Shield Association
 View Biography
 
Monday, April 4, 2011
2:00 pm -
2:55 pm
Health Plan Business Model Re-Engineering to Succeed in a Post-Reform Market and Deliver Improved Market Value
  • Revolutionizing the health plan business model to respond to a new health care landscape and to deliver sustainable market value
  • Understanding consumer, employer and public purchaser demands in a post-reform health insurance market
  • Strategic planning for the short-term and long-term transformation of the health plan and insurance market
Bertram L. Scott
President, U.S. Commercial
CIGNA Corporation
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Mark B. Ganz
President and CEO
Regence Blue Cross Blue Shield
 View Biography
Moderator:
Tom Underwood
Chief Executive Officer
Alere Health
 View Biography
3:00 pm -
4:00 pm
Health Insurance Exchanges—Strategies to Participate in a Insurance Exchange and New Models to Abide MLR Requirements
  • Lessons learned and cautionary approaches to establishing and participating in insurance exchanges – The Massachusetts Experience
  • Competing effectively in a one-stop shop for private insurance products for individual and small group market
  • How the eHealthInsurance models acts as a replicable model for national exchanges – Tips to build consumer friendly models
  • Anticipating state regulations, trends in the private sector and responses from employers
  • Leveraging health IT as new a distribution model and tactic to reduce administrative costs to help successfully abide MLR requirements
W. Patrick Hughes
President and CEO
Fallon Community Health Plan
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Gary Lauer
Chairman & CEO
eHealth, Inc
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Tuesday, April 5, 2011
10:40 am -
11:35 am
Building Accountable Care through Shared Decision Making
  • Under health reform, physician groups are heavily incented to develop more patient-centered care. This means improving access to care, deploying HIT, and developing a care plan for each individual
  • But it also will require a change in the way patients and physicians interact with each other to reach treatment decisions
  • In this session, participants will learn how patient empowerment through shared decision-making can lead to a more positive patient experience, higher quality, and better outcomes
Don Liss, MD
Senior Medical Director, Clinical Programs and Policy
Independence Blue Cross
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Debra Ness, MS
President
National Partnership for Women & Families
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David Wennberg, MD, MPH
Chief Science Officer
Health Dialog
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11:40 am -
12:35 pm
Retooling Payer/Provider Contracting to Deliver High-Quality, Affordable Care
  • The health plan’s role to strengthen patient/physician relations and foster increased consumer engagement
  • Strategies to accelerate integrated delivery system development and promote payment innovations through strengthened payer/provider collaboration
  • Harvard Pilgrim strategies to deliver higher value to the health care purchaser drawing insights from the IOM’s definition of value
  • Insight into BCBS of Tennessee focus on strengthening relationships at the primary care level focusing on new pilots with medical homes and global payments
Robert J. Mandel, MD, MBA
Senior Vice President, Health Care Services
Blue Cross Blue Shield of Massachusetts
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Eric H. Schultz Eric H. Schultz
President & Chief Executive Officer
Harvard Pilgrim Health Care, Inc.
 View Biography
2:50 pm -
3:45 pm
Leveraging Health IT to Drive Down the Cost of Health Care and to Develop a Consumer-Focused Business
  • Successful payer strategies to overcome barriers to integration and improve business processes and efficiencies
  • Technology and strategic solutions to integrate clinical, financial and administrative transactions
  • Payer strategies to promote interoperable health care creating improvements in the quality and efficiency of patient-centric care
Meg McCarthy Meg McCarthy
Chief Information Officer, Senior Vice President of Innovation, Technology and Service Operations
Aetna
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Wednesday, April 6, 2011
10:35 am -
11:30 am
Developing a Business-to-Consumer Business Model—The Drivers of Customer Choice, Loyalty and Satisfaction
  • The Cleveland Clinic Experience Initiative – Cleveland Clinic's commitment to ensure patient experience by ensuring employee engagement and satisfaction, which in turn directly impacts patient experience
  • 360° Patient Experience – Restructuring the patient journey through the system and continually improving experience and satisfaction
  • CIGNA’s strategies to adopt Experience-Based Design methodologies from other industries to foster culture change in health care – A focus on the customer
  • Identifying loyalty drivers that increase individual customer satisfaction and retention
  • Understanding consumer perceptions of health care and how to convey quality information in ways meaningful to consumers
James Merlino, MD
Chief Experience Officer
Cleveland Clinic, Office of Patient Experience
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Ingrid Lindberg Ingrid Lindberg
Customer Experience Officer
CIGNA
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Steve Findlay, MPH
Senior Health Policy Analyst, Consumers Union;
Former Director, Research and Policy, National Institute for Health Care Management
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11:30 am -
12:15 pm
Vertical and Horizontal Integration—Diversifying Business Models to Function as Providers of Care
  • Enhanced managed care diversification and integration strategies to broaden service and product portfolios in response to health reform
  • Assessing the impact -- Wall Street's perspective on managed care’s response to health reform investment strategies to growth and profitability
Bruce J. Goodman
Senior Vice President, Chief Service and Information Officer
Humana
 View Biography
Charles Boorady
Managing Director
Credit Suisse Investment Research
 View Biography
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