FUSION EDUCATIONAL SESSIONS

F1: Leveraging AI and Predictive Analytics to Improve Risk Management
Companies in the retail space have been using predictive modeling to influence behavior. Netflix, for example, uses historical customer data to steer customers toward particular types of movies. Similarly, data analytics can be used to leverage risk management and claims management for self-insured companies by identifying so-called “creeping catastrophic claims” early. This session will examine the state-of-the-art predictive analytics, artificial intelligence and machine learning that can enable self-insured employers to better focus their risk management programs.

Tuesday, October 1, 2019, 10:15 am - 11:30 am

MODERATOR:

Theresa Galizia
Chief Underwriting Officer, Medical Stop Loss
IronHealth

SPEAKERS:

Yvette Connor
Principal, Strategic Risk Services Leader
Grant Thornton, LLP


Andrew J. Bent
Risk Director
Sage Group, plc

F2: Bundling Direct Contracting with Risk Protection: A Win-Win for Employers, Providers & Patients
This session will feature a case study of a program combining bundled payments with direct contracting and medical stop-loss coverage to protect against potential cost overruns involving surgeries, radiology and other procedures.

Tuesday, October 1, 2019, 1:45 pm - 3:00 pm

MODERATOR:

Peter Robinson
Managing Principal
Integro Re

SPEAKERS:

Scott Haas
Senior Vice President
USI Insurance Services


Korb Matosich
Cofounder & President
Asserta Health


Regi Schindler
EVP and Director of Insurance Operations
Leavitt Risk Partners

F3: Deep Dive: Using Captives to Fund Medical Stop-Loss of Self-Insured Benefits
Captives can be used by self-insured employers as a vehicle for amortizing self-insured health plan costs over a longer period of time and reducing premiums for excess insurance by financing the first layer of medical stop-loss coverage. This session will explore the use of pure, group and cell captive structures to fund medical stop-loss, access the reinsurance market and reduce the overall cost of employer-sponsored health benefits.

Tuesday, October 1, 2019, 3:15 pm - 4:30 pm

MODERATOR:

Robert Tierney
President
StarLine

SPEAKER:

Berni Bussell
Executive Managing Director, National Healthcare Practice Leader
Beecher Carlson

F4: Captive or Self-Funding of Work Comp Risks: Which is Better?
Industry and business have long enjoyed the benefits of self-insuring workers compensation deductible programs. But which is more advantageous: the use of a captive or self-insurance? This session will examine the benefits of both types of funding vehicles including unbundling, the impact on future losses, tax consequences and cash flow. The session also will compare group captives vs. pure captives.

Tuesday, October 1, 2019, 3:15 pm - 4:30 pm

MODERATOR:

Kimble Coaker
CEO
ATA Comp Fund

SPEAKER:

Bob Davidson
Principal
Davidson Risk Consulting

F5: Understanding Cyber Liability Risks in the Self-Insured Market
This session will address cyber liability risks for companies operating in the self-insured market. Panelists will share real-life examples of claims involving third-party administrators handling group health, workers compensation and other lines of self-insured business. Panelists will dissect the anatomy of a claim starting from the actual breach to ultimate closure, addressing breach response, regulatory requirements, dependent systems and business interruption risks, social engineering and reputational concerns. This session also will cover HIPPA cyber security requirements, multiple jurisdiction responsibilities and costs stemming from responding to cyber breaches.

Wednesday, October 2, 2019, 10:15 am - 11:30 am

MODERATOR:

Shelly Brotzge
Regional Underwriter, Group Self Insurance
Midwest Employers Casualty Company

SPEAKERS:

Mike Smith
Principal/CEO
Axis Insurance Services, LLC


Shawn Ram
Head of Insurance
Coalition, Inc.

F6: The Impact of Natural Disasters on Employee Health & Productivity
As the 2018 California fires and this year’s floods illustrated, severe weather not only can disrupt business operations, it also can adversely affect the health and productivity of workers at self-insured companies. For example, certain types of mental health claims are more common at colder temperatures, while claim rates for cerebrovascular disease tend to fall at extreme low temperatures and respiratory infections occur less often when temperatures rise. This session, based on the findings of research conducted by the Integrated Benefits Institute, will explore the connections between employee illness, severe weather and its impact on employers that self-insure their healthcare, workers compensation and disability programs.

Wednesday, October 2, 2019, 1:45 pm - 3:00 pm

MODERATOR:

Amy Gasbarro
President, Care
United Claim Solutions

SPEAKER:

Brian Gifford
Research Director
Integrated Benefits Institute

F7: Opioid Epidemic: Real World Problems, Real World Solutions for the Self-Insured
The Opioid epidemic continues unabated and the costs to the Self-Insured (both group health and workers’ comp) continue to rise. Behavioral healthcare and the treatment of opioid and polysubstance use addiction is fragmented and often, ineffective. How do risk managers, benefit plan consultants, TPAs, legal advisors, stop loss carriers and the actual self-insured entities begin to address impact of the opioid epidemic in a systematic and effective way? This presentation covers real world problems of plan design, treatment management and evidenced based practice, cost management, legal risks, and integrated systems challenges. Real world solutions and cutting edge applications are discussed.

Wednesday, October 2, 2019, 1:45 pm - 3:00 pm

MODERATOR:

Denise Andrew
Director of Account Management
Boon-Chapman Benefit Administrators, Inc.

SPEAKER:

Robert Mines
Chairman & Chief Psychology Officer
Mines & Associates

F8: Self-Insuring Cannabis Business Risks
Ever since a Southern California cannabis cultivator suffered a million-dollar crop loss in the massive 2017 Thomas fire, the market for commercial crop insurance for cannabis growing operations has tightened. Self-insurance may provide an alternative risk-transfer solution for growers and other cannabis business operations. This session will explore the various self-insurance options available to companies in this nascent industry to insure their myriad business risks as well as to provide employee health benefits.

Wednesday, October 2, 2019, 3:15 pm - 4:30 pm

SPEAKER:
Don McCully
Managing Member
Medical Captive Underwriters L.L.C.

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