Health Care Educational Sessions

presented by

H1: Introduction to Self-Insured Health Plans
This will be an introductory-level session designed to explain the basics of how self-insured group health plans operate, administrative options and stop-loss insurance arrangements. Audience questions will be encouraged to facilitate an interactive learning environment.

Sunday, September 23, 2018, 3:30 pm - 5:00 pm

MODERATOR:

Sally Reppucci
EVP of Operations & Technology
Renalogic

SPEAKERS:

John Augustine
Senior Vice President
WellNet Healthcare


Keith Lemer
Chief Executive Officer
WellNet Healthcare

H2: Broker/Consultant Self-Insurance Solutions Face-Off Challenge
Multiple brokers/consultants “face off” in this unique case study session where they will share information about actual challenging client scenarios with regard to escalating health care costs and then summarize their recommended solutions. All of this information will have been analyzed ahead of time by a third party data analytics firm to determine which broker/consultant presented the most effective recommendation and this determination will be announced at the end of the session – after the attendees will be given the opportunity to vote in real time on who they thought was the winner. Then the real results will be revealed. (Not even the participating brokers will know which was more effective until the “big” reveal) You don’t want to miss what promises to be a highly informative and entertaining session.

Monday, September 24, 2018, 10:15 am - 11:30 am

MODERATOR:

David Contorno
Founder
M Powered Benefits

SPEAKERS:

TJ Morrison
President
Benefit Design Specialists, Inc.


Emma Passé
Account Executive
EBMS


Alex Lickerman, MD
Founder and CEO
Imagine MD

H3: Genomics and Genetic Testing — Implications for Self-Insured Employers and Their Business Partners
There have been tremendous advancements in genomics and genetic testing in recent years, which have created exciting new opportunities for consumers to better understand their health profiles. But as consumers search for answers, obvious questions arise from payers regarding how to balance access to the latest technology with cost control considerations. This session will discuss this balancing challenge within the context of self-insured group health plans and the related implications for their business partners.

Monday, September 24, 2018, 10:15 am - 11:30 am

MODERATOR:

William Schneider
Vice President, Partner Development
Zelis Healthcare

SPEAKER:

Angela Erwin, MD, PhD
Clinical Geneticist
The Cleveland Clinic

H4: Keeping Millennials on Your Self-Insured Health Plan
Self-insured group health plans benefit from having younger plan participants as they help balance an employer’s internal health care risk pool. But it can be challenging to convince these millennials why they should enroll in their company’s plan, especially with the recent repeal of the ACA’s individual mandate and ability of those up to age 26 to stay on their parents’ health plans. This session will discuss plan benefits that have a particular appeal to Millennials, as well as how to most effectively communicate the value proposition of health plan participation.

Monday, September 24, 2018, 10:15 am - 11:30 am

MODERATOR:

Robert Kerr, III
National Director, Organ Transplant
Tokio Marine HCC - Stop Loss Group

SPEAKER:

Erin Weenum
Employee Benefit Strategist
Leavitt Group

H5: The Story Behind All of These Big Claims
Leading industry experts provide the latest analysis on key factors and trends that are driving the increase in big health care claims, including specialty Rx and other pharma costs, triggering stop-loss reimbursements over the past year and preview what we can expect to see in 2019.

Monday, September 24, 2018, 3:15 pm - 4:30 pm

MODERATOR:

William Schneider
Vice President, Partner Development
Zelis Healthcare

SPEAKERS:

Brad Nieland
Vice President, Stop-Loss & Health
Sun Life Financial


Brenda Motheral, RPh, MBA, PhD
CEO
Archimedes

H6: Self-Insurance Solutions -- Fad or Future?
This will be a technology-enabled, roundtable style discussion session where the attendees will have the opportunity to anonymously answer a series of polling questions soliciting opinions on whether a variety of self-insurance industry business strategies are “Fad” or “Future” and then participate in a moderated group discussion. Don’t miss what promises to be a very lively session.

Monday, September 24, 2018, 3:15 pm - 4:30 pm

MODERATOR:

Michael Ferguson
President & CEO
SIIA

H7: Vendor Carve Outs – Smart Strategy or Too Much of a Good Thing?
A major advantage of self-insured health plans that utilize independent TPA services is the ability to carve out a variety of vendor services. This “best in class” approach can be very effective, but in some cases an over-reliance can produce diminishing results, or worse be creating plan management inefficiencies. This session will highlight different perspectives regarding vendor carve outs arrangements offered by TPA and plan sponsor panelists.

Monday, September 24, 2018, 3:15 pm - 4:30 pm

MODERATOR:

Denise Andrew
Director of Product Management
Health First

SPEAKERS:

Bobby Ahrens
Owner
Port Alto Technology Systems


Glenn McLellan
President
McLellan Consulting Services


Kenneth Walker
Managing Member
Nexus Insurance Marketing Group, LLC

H8: Getting Employees on the Health Plan Cost Containment Team
While self-insured group health plan sponsors have many tools to help contain costs, arguably the biggest game-changer is their employees – to the extent that they can be effectively educated and motivated to help the plan save money. This session will highlight specific ways that employees can help control health plan costs and how plan sponsors are delivering this message.

Tuesday, September 25, 2018, 10:15 am - 11:30 am

MODERATOR:
Amy Gasbarro
President
Inetico

SPEAKERS:

Jeff Bernhard
President
Continental Benefits


Mark Davenport
Senior Vice President of Sales
PriceMDs.com


Bill Hennessey, MD
CEO
Pratter


Jeff Rice, MD, JD
CEO
Healthcare Bluebook

H9: When Plan Documents Take Center-Stage
While plan documents may seem like a very ancillary consideration for self-insured employers and their business partners, the fact is, there are many circumstances when a plan document is THE most important consideration as part of a variety of complicated claims adjudication scenarios. This will be a case study-style session where some of these scenarios will be highlighted, with employer, TPA and stop-loss carrier perspectives provided.

Tuesday, September 25, 2018, 10:15 am - 11:30 am

MODERATOR:
Brady Bizarro
Director, Healthcare Attorney
The Phia Group, LLC

SPEAKERS:

Kari Niblack
CEO
ACS Benefit Services, LLC


Paul Wann
VP of Operations
Centivo

H10: Hearing the Voice of the Customer – Are You Really Listening?
TPAs and other self-insurance industry service providers often think they have all the answers for their current and/or prospective employer clients. But are you listening clearly enough? This session will feature a panel of employers and broker/consultants who will share real stories when service provider partners did not hear the voice of the customer, as well as what is really on their minds going forward.

Tuesday, September 25, 2018, 10:15 am - 11:30 am

MODERATOR:
Holly Weiske
Vice President of Client Management’
Cypress Benefit Administrators

SPEAKERS:

Tyler Thiesen
Vice President of Benefits/Actuary
Transtar Insurance Brokers


Abby Zahorik
Senior Vice President
Kunkel & Associates, Inc.

Henry Lindeman, CPA
President
Valentine Insurance Services LLC

H11: Conflict and Collaboration in Self-Insured Health Claims Administration
There are often multiple entities/vendors that “touch” claims associated with self-insured health plans at various stages of review/administration/reimbursement. Sometimes these entities collaborate well and sometimes they don’t, with predictable positive or negative effects on the plan. This panel discussion will highlight real world stories of collaboration and conflict and solicit audience input on how key players in the self-insurance industry can work together more efficiently for the benefit of themselves and their employer clients.

Tuesday, September 25, 2018, 1:45 pm - 3:00 pm

MODERATOR:
Barb Tomlin
Director, Quota Share
RGA Reinsurance Company

SPEAKERS:

Suzi Johnson
Managing Director
HIIG Creative Solutions


Mitchell Wilneff
President
Allied Benefit Systems, Inc.

Margaret Rehayem
Director of Initiatives and Programs
National Alliance of Healthcare Purchaser Coalition

Ellen Motolo, RN, CCM
Director Medical Management & Claims Optum Stop Loss
Optum

H12: Exploring Blockchain Technology Applications for Self-Insurance – One Block at a Time
Blockchain has the potential to rewrite a new roadmap for core transactions in a variety of industries. This session will explore Blockchain’s potential applications for self-insured health claims administration and related stop-loss insurance transactions.

Tuesday, September 25, 2018, 1:45 pm - 3:00 pm

MODERATOR:

Todd Roberti
CEO
Ringmaster Technologies, Inc.

PANELISTS:

Wanda Owen
Vice President Operations
MedCost, LLC


Jeremy Martin
Technology Consultant


Ryan Kelly
CTO
Capital Rx

H13: Taking 360-Degree View of Specialty Drug Issues and Trends Affecting Self-Insured Plans
This session will tackle the vexing subject of rising specialty drug costs by addressing several key variables including utilization and access, as well as business practice strategies such pharmacy carve outs, and international drug purchase opportunities. Industry segment perspectives represented on the panel will include PBM, risk, legal and TPA.

Tuesday, September 25, 2018, 3:15 pm - 4:30 pm

MODERATOR:

Christine Vago
Senior Vice President
OneBeacon Health

SPEAKERS:

Brady Bizarro, Esq.
Director, Healthcare Attorney
The Phia Group, LLC


Steven T. Boyd, PharmD, BCPS
Executive Vice President of Business Development
Southern Scripts


Jakki Lynch
Director of Cost Containment
Sequoia Reinsurance Services, LLC


Marc A. Sweeney, PharmD, M.Div.
Senior Vice President Clinical Consulting
ARMSRx Pharmacy Benefit Consulting

H14: Hot Regulatory and Compliance Issues for Self-Insured Group Health Plan Sponsors
One of the country’s leading attorneys specializing in regulatory and compliance issues for self-insured group health plan sponsors provides updates and guidance on the hottest issues that employers need to focus on now.

Tuesday, September 25, 2018, 3:15 pm - 4:30 pm

MODERATOR:

Thomas Bittner
Region Vice President, Medical Stop Loss
Symetra Financial

SPEAKER:

John Hickman, Esq.
Attorney
Altson & Bird

H15: The “Silent” Epidemic: What Self-Insured Employers Need to Know About Chronic Kidney Disease, ESRD and Dialysis
Join us for a unique and dynamic discussion with industry expert panelists discussing how the dialysis crisis is impacting the self-funded industry. They will set the stage on the “state of the union” of the dialysis marketplace including cost containment and the financial burden self-funded plans are experiencing as they attempt to offer resources to improve their employees’ health and quality of life. This panel will discuss the population demographics driving the increasing problem, and the resulting impacts on self-funded employer groups. They will define existing solutions to the problem, promote awareness on how plans are being challenged by providers, and finally, share their thoughts on the future of dialysis cost containment.

Tuesday, September 25, 2018, 3:15 pm - 4:30 pm

MODERATOR:

Lisa Moody
President & CEO
Renalogic

SPEAKERS:

Erik Fugelstad
Senior Director of Product Solutions
Zelis Healthcare


Rick Garrison
President
Specialty Care Management


Scott Williams
Senior Vice President
Golden Triangle Specialty Network, LLC

H16: Direct Primary Care Arrangements for Self-Insured Employers
An increasing number of self-insured employers are now providing plan participants the option for direct primary care (DPC) arrangements as an alternative to the traditional fee for service model.  This session will provide an overview of typical DPC plan structures, a real world case-study and objective analysis on what plan sponsors/administrators need to know when considering whether to incorporate DPC.

Monday, September 24, 2018, 1:45 pm - 3:00 pm

MODERATOR: 

Christine Vago
Senior Vice President
OneBeacon Health

SPEAKERS:

Glenn McLellan
President
McLellan Consulting Services


Laura Hirsh
President
Nova Healthcare Administrators, Inc.


Alex Lickerman, MD
Founder and CEO
Imagine MD