PROGRAM AGENDA
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Monday, February 26th |
3:00 – 6:30 PM |
Registration |
5:00 – 6:30 PM |
Welcome Reception |
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Tuesday, February 27th |
7:30 – 8:30 AM |
Continental Breakfast |
7:30 – 6:30 PM |
Registration Open |
7:30 – 6:30 PM |
Exhibitor Booths |
8:30 AM |
Welcome Remarks
John Capasso
SIIA Board Chairman
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8:45 – 9:30 AM |
Transparency: Policy & Regulatory Update
SIIA’s Government Relations Team will provide the latest insights and discussion on regulatory and legislative activities on PBMs, price transparency, and surprise medical billing, in addition to ongoing Hill debates.
SPEAKERS:
Chris Condeluci, Esq.
Washington Counsel
Self-Insurance Institute of America, Inc.
Ryan Work
SVP, Government Relations
Self-Insurance Institute of America, Inc.
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9:30 – 10:15 AM |
Gag Clauses & Data Sharing: What Should We Do & Where Do We Go From Here?
The Gag Clause Prohibition has been effective for 3 years now, but are plan sponsors getting their data? How are plan sponsors and their service providers handling the “attestations”? What can Congress, the Federal Departments – and even the courts – do to help?
MODERATOR:
Chris Condeluci, Esq.
Washington Counsel
Self-Insurance Institute of America, Inc.
SPEAKERS:
Mark Combs
CEO
Healthcare Reporting
Andrew H. A. Meggison
Director of Regulatory Affairs
Health Plans, Inc.
Scott Behrens
SVP, Director, Government Relations
Lockton Companies
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10:15 –10:45 AM |
Networking Break |
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10:45 –11:30 AM |
Decided in Court: Lawsuits to Access Pricing and Claims Data
Self-insured plan sponsors have filed a number of lawsuits to get access to the plans’ claims data. Other lawsuits have challenged and changed the course of the No Surprises Act. Some cases have settled, while others are still making their way through the courts. What’s the latest? What do these lawsuits mean for increased price and claims data transparency, and how should we plan for the future?
MODERATOR:
Chris Condeluci, Esq.
Washington Counsel
Self-Insurance Institute of America, Inc.
SPEAKERS:
Herman Hofman, Esq.
Partner
Varnum LLP
Julie Selesnick, Esq.
Senior Counsel
Berger Montague
Hugh O’Toole
CEO
Innovu
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11:30 AM – 12:15 PM |
Hospital & Provider Price Transparency: Is It Making a Difference?
Compliance with the Hospital Transparency Rule is still woefully low despite the threat of increased penalties. However, there is an increase in the percentage of hospitals and providers that are making efforts to post pricing information on a public website. Is this pricing information proving useful for self-insured plan sponsors and participants? What more can be done?
MODERATOR:
Ryan Work
SVP, Government Relations
Self-Insurance Institute of America, Inc.
SPEAKERS:
Patrick Haig
CEO
Goodbill
Cheryl Matochik
Managing Director
Third Horizon Strategies
Ahmed Marmoush
CEO
Handl Health
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12:15 –1:15 PM |
Hosted Lunch |
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1:15 – 2:15 PM |
Surprise Billing Arbitration: The Future of Uncertainty
The last year has proven to be challenging for self-insured plans and their service providers defending against disputes initiated by providers over out-of-network care. With fits and starts and changes to the Federal IDR process and the development of the QPA, what should industry participants know and where is this headed?
MODERATOR:
Chris Condeluci, Esq.
Washington Counsel
Self-Insurance Institute of America, Inc.
SPEAKERS:
Christine Cooper
President
aequum LLC
Nick Welle
Partner
Chair, Health Benefits Practice
Foley & Lardner LLP
Eric Hanna
Vice President, Claims and Access Solutions
Vālenz® Health
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2:15 – 3:15 PM |
How Do We Get There: PBMs, Gene Therapy and Drug Pricing Tools
Policymakers and regulators are taking a serious look at PBM practices and drug pricing transparency. With ever-increasing drug costs, and more and more states including self-insured plans in legislative activities, what does the future hold for PBM transparency and the cost of prescription drugs? What best practices are in place for self-insured plans?
MODERATOR:
Ryan Work
SVP, Government Relations
Self-Insurance Institute of America, Inc.
SPEAKERS:
Kristi Bohn
Vice President, Lead Actuary
RGA U.S. Healthcare
Alex Houle
Director of Clinical & Claim Services
The Phia Group, LLC
Dave Parker
Vice President of Sales & Marketing
TrueScripts
Melissa Pearce, MD
Medical Director Stop Loss
Symetra Financial
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3:15 – 3:45 PM |
Networking Break |
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3:45 – 4:30 PM |
Will Price Transparency Lead to Lower Costs?
Great strides have been taken by the government and the private-sector to increase price transparency, but the question on everyone’s mind is: Will all of the new information and data that is now available matter? Will it actually lead to lower costs for self-insured plans and healthcare consumers? Taking into account all the topics and lessons learned throughout the Forum, this panel-led town hall will explore what transparency means for the cost of healthcare.
MODERATOR:
Chris Condeluci, Esq.
Washington Counsel
Self-Insurance Institute of America, Inc.
SPEAKERS:
Francois de Brantes
Senior Partner
HVC Incentives Advisory Group
Dawn Cornelis
Co-Founder
ClaimInformatics
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4:30 – 4:45 PM |
Closing Remarks |
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5:00 – 6:30 PM |
Networking Reception |
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7:00 – 9:00 PM |
SIPAC Event
Event details will be provided separately to SIIA members. |