| Tuesday, June 19 |
| 4:00 pm - 6:00 pm | Registration and Information Desk Open |
| Wednesday, June 20 |
| 7:00 am – 5:30 pm | Registration and Information Desk Open |
| 7:45 am – 8:45 am | Networking Breakfasts
How and Why Consumers Buy Health Insurance Online: Optimizing Conversion in Private Exchanges
Presented by eHealth
In this session, attendees will hear about findings from a new study that examines consumer behavior in private health insurance exchanges. The research details best practices for internet distribution of health insurance products. This study will examine consumers in this market, and the roles that plan portfolio management and consumer shopping tools play in maximizing conversion (application and enrollment) through private health insurance exchanges. Research will demonstrate the role brand strength can play in conversion, the role application approval times can have on enrollment, and the rapidity with which optimization of plan pricing can boost enrollment.
Rob Mercado, Vice President of Technology Products & Services at eHealth, Inc
Paul Rooney, Vice President, Carrier Relations, eHealth, Inc
Bill Hanis, Vice President, eHealth Technology
Health Insurance Exchanges: Plan Management & QHP Certification
Presented by Connecture, Inc.
Several health insurance exchanges have already started implementation, and it is only a matter of time before other states start moving forward. The big question on each health plan’s mind is: What is needed to prepare health plan offerings for 2014? During the presentation, leaders in health insurance will discuss the different plan management options considered by State Exchanges, and highlight some approaches health plans are considering to prepare their plan portfolio.
Sarah Rodehhorst, Director Government Health Programs, Connecture, Inc.
Health Insurance Exchanges: Are you Ready?
Presented by Ernst & Young
At the end of 2013, government sponsored exchanges will conduct an open enrollment period, and on January 1, 2014, these exchanges will commence operations. Private exchanges are expected to proliferate as an alternative marketplace for individuals and businesses of all sizes. This session will discuss capabilities needed to engage new consumers, operate efficiently, and manage the population effectively. These capabilities will serve you well as public sector programs expand and employers and consumers continue to seek greater value. The speakers in this session will provide an execution-oriented discussion on steps you can take to enhance the capabilities required to operate a qualified health plan on government sponsored exchanges and partner with private exchanges.
Alex Jung, Partner, Ernst & Young LLP
Amy Dowd, Manager, Ernst & Young LLP
Bill Fera, Executive Director, Ernst & Young LLP
|
| 9:00 am – 9:45 am | Opening General Session
Exchange Regulations and Update on the Federal Exchange
Timothy B. Hill, Deputy Director, Center for Consumer Information and Insurance Oversight (CCIIO), Centers for Medicare & Medicaid Services, Department of Health and Human Services
|
| 9:45 am – 10:45 am | General Session
The Unanswered Question: How Should you Prepare for Year One?
There will be great disruption in the marketplace. As health insurance plans prepare for an Exchange, what’s left to be considered? Where will your state be in their Exchange process, and what do you need to consider for your operations to be ready? This session will help to level set what we know at this point, and what you need to think about as you gear up for 2013. What can you work on right now as you await the final pieces of implementation? What are the key concerns for insurers, regulators and consumers in preparing for Year One, and what are some solutions?
Alison Hagan, Principal, Deloitte Consulting LLP
Jim Whisler, Principal, Deloitte Consulting LLP
|
| 10:45 am – 11:00 am | Break |
| 11:00 am – 12:00 pm | General Session
Making Subsidies Work
About 20 million people will qualify for subsidized insurance according the Congressional Budget Office. But, how much will the credit be and how easy will it be for people to understand? What about the unanswered questions about changing incomes, non-tax filers, annual and special enrollment periods? The speakers in this session will take a closer look at these complex issues and provide some insight into the technical and operational aspects of how subsidies will work.
Judith Solomon, Vice President for Health Policy, Center on Budget and Policy Priorities
Lindy Hinman, Director, Office of Health Care Reform, Horizon Blue Cross Blue Shield of New Jersey
|
| 12:00 pm – 1:15 pm | Networking Lunch and Dessert with Table Tops |
| 1:15 pm – 2:15 pm | General Session
Medicaid and Exchange Linkages
The linkage between the Medicaid program and the state-based Exchanges is complex. This session is designed to examine the critical issues surrounding the intersection between Medicaid and the new Health Insurance Exchanges in 2014. With the recent release of the federal regulatory guidance and current state initiatives, many interesting issues have come into focus. The speakers in this session will discuss how the guidance relates to eligibility determinations and state options, as well as the role of technology infrastructure in achieving the vision of a streamlined enrollment process.
John Kaelin, Senior Vice President for Health Reform Implementation, UnitedHealthCare
Michael Fogarty, MSW, JD, Chief Executive Officer, Oklahoma Health Care Authority
Joan Henneberry, Principal, Health Management Associates
|
| 2:15 pm – 2:25 pm | Break |
| 2:25 pm – 3:25 pm | General Session
Exchange Requirements: Quality Improvement Strategies
Although the ACA requires Exchanges to provide quality ratings for plans offered and ensure that QHPs are accredited, Exchanges can set higher standards than ACA requirements. What are the quality improvement requirements included in the ACA and the regulations to date? What are States considering as they develop Exchange infrastructure and governance to support quality improvement efforts? How should health plans prepare for the data collection challenges? What role will accreditation play? Discuss the current quality improvement efforts underway in the health plan community and how to prepare for Exchanges.
Christine Leyden, Senior Vice President & General Manager, Client Services and Chief Accreditation Officer, URAC
Sarah Thomas, Vice President, Public Policy and Communications, NCQA
|
| 3:25 pm – 4:25 pm | General Session
A Closer Look at the QHP Certification Process
This session will examine some of the key issues related to the QHP certification process. Our speakers will discuss what is being considered by states as they develop their minimum QHP certification requirements, what’s being considered as they determine the certification process, and how they are trying define both network adequacy and essential health benefits. The session also offers insight into the relationship among stakeholders throughout this process. Attendees have an opportunity to think about what to expect and how to plan accordingly.
Joy Morrison, Assistant Director, SERFF/OPTins
Bridget Kieras, Manager III, SERFF/OPTins, SERFF Plan Management Project Lead
Erin Klug, Health Care Exchange Establishment Grant Project Manager, Arizona Department of Insurance
Jean W. Holliday, CPM, HIA, Regulatory Project Manager/Health Care Reform Supervisor, Life & Health Division, North Carolina Department of Insurance
|
| 4:30 pm – 5:30 pm | Concurrent Sessions
Practical Steps for Exchange Preparation
Presented by Robert E. Nolan Company
Wondering how and where to start with Exchanges? This session will cover some practical steps for tackling Exchanges and a framework that identifies areas of change in your organization. The speakers in this session will examine the probability of these changes in the various business and operational areas allowing you to set priorities and implement a plan relevant to your needs. Some of the issues to be examined include the key organizational areas you should be focused on, and the processes that pose the greatest change to your organization. The speakers will also offer insight into how you should invest when requirements are still being defined.
Mary Hood, Practice Director, Healthcare, Robert E. Nolan
Jeff Layman, Vice President Account Installation & SPAA Operations, Humana
Merit Smith, Vice President, Healthcare, Robert E. Nolan (Moderator)
Subscriber Premium Billing in the Evolving Reform Marketplace
Presented by Benaissance
Healthcare reform continues to re-shape the health insurance market. The individual market is expected to expand significantly — it will require new products and operational capabilities, and health plans continually have to do more with less. Premium billing will be a key differentiator in the new environment. Health plans will need to be able to produce large-scale single-point premium billing, whereby a plan is billing one family for multiple plan premiums in one bill, often including premiums from other health plans. Similarly, health plans will need to adopt large-scale individual payment processing capabilities, including paper payments and card transactions, in addition to ACH debits. A whole new world of partial payments, third-party payments, and subsidized premiums awaits. This session will explore lessons learned from performing large scale single-point premium billing in the Retiree Health Insurance and COBRA markets for the last 17 years.
Mark Waterstraat, Chief Strategy Officer & Co-Founder, Benaissance
Darin K. Kettwig, Merchant Relations and Acceptance Sales, Visa, Inc.
How the Supreme Court Decision Impacts Private Health Benefits Exchanges
Presented by NFP Health
Many are looking to the US Supreme Court to make a decision that will impact the implementation of healthcare reform in America, but will this decision play a role in the tremendous amount of activity with private exchanges? Will insurance carriers continue to invest in self-service tools and online capabilities? Will the decision accelerate or slow down the activity around Private Exchanges? Hear our expert panel discuss the decision, and trends around private exchanges.
Jeff Rich, Chief Executive Officer, NFP Health
Sanjay Singh, Chief Executive Officer, hCentive
Chris Condeluci, Venable LLP
|
| 5:30 pm – 7:00 pm | Reception with Institute 2012 |