Monday, February 28, 2022
3:00 pm - 6:00 pm Registration
5:00 pm - 7:00 pm Welcome Reception with Exhibitors
Tuesday, March 1, 2022
7:30 am – 8:30 am Networking Breakfast
8:30 am – 8:45 am Welcome Remarks


Kari Niblack, JD, SPHR
Chairwoman of the Board, Self-Insurance Institute of America, Inc.
CEO, ACS Benefit Services
8:45 am - 9:45 am Policy Primer: Self-Insured Plans and Federal Price Transparency Rules
SIIA’s Government Relations Team will provide insights and need to know analysis on current federal price transparency activities, ranging from the Hospital Price Transparency and Transparency in Coverage Rules to the ongoing implementation of the No Surprises Act.

Panelists:

Ryan Work
Vice President Government Relations
Self-Insurance Institute of America, Inc.


Chris Condeluci
Washington Counsel
Self-Insurance Institute of America, Inc.
9:45 am -10:30 am A Conversation with Regulators: Price Transparency Viewpoints & Directions
Key federal agency regulators will discuss details on federal transparency rules, in addition to insights into future guidance and implementation recommendations.

Panelists:
Deborah Bryant
Special Advisor for the Consumer Support Group
Center for Consumer Information and Insurance Oversight (CCIIO)
Centers for Medicare & Medicaid Services

Matt Litton
Office of Health Plan Standards and Compliance Assistance
U.S. Department of Labor

Lindsey Murtagh
Director, Market-Wide Regulation Division, Center for Consumer Information and Insurance Oversight (CCIIO)
Centers for Medicare & Medicaid Services
10:30 am - 11:00 am Networking Break
11:00 am - 12:00 pm What Surprise Billing Payment Strategies Work? Calculating the Payment Amount through QPA and Database Usage
The dust has settled and providers are receiving payments under the No Surprises Act. What are the early learnings around QPA pricing and the portion of claims that use a network-based or plan-based QPA versus an external database? Is the industry coalescing around certain QPA pricing standards? How has the provider community been reacting? Are there more QPA considerations for health plans in order to comply properly based on any initial good faith efforts? Ultimately, will the use of the QPA help drive down the cost of healthcare in the long-term? Panelists will review experience with audience participation and stories.

Panelists:

Amy Gasbarro
Chief Operating Officer
Válenz


Troy Sisum
Senior Vice President, Chief Counsel
ELAP Services


Brian Wroblewski
Executive Vice President
ClearHealth Strategies
12:00 pm -1:00 pm Hosted Luncheon
1:00 pm - 1:45 pm Winning Strategies to Tackle the Surprise Billing Arbitration/ IDR Process
With surprise billing protections just beginning, how can industry and plan participants work together to strategize through arbitration process. Are specific tools available or being developed to manage the IDR process? Could the public availability of pricing data result in the development of new tools that could be leveraged in provider negotiations? What are the potential negotiations strategies that can help drive down prices?

Panelists:

Scott Bennett
Vice President, Provider Relations
The Phia Group, LLC


Liz Longo, Esq.
Vice President, Subrogation & Arbitration Solutions
MultiPlan, Inc.


Brad Roehrenbeck
General Counsel
MedCost
1:45 pm - 2:30 pm The Real World: Price Transparency & Surprise Billing Case Studies
A self-Insured health plan team, including a TPA, broker and stop-loss carrier, will walk through example ‘real-life’ surprise billing scenarios from start to finish, including payment strategies, QPA calculations, arbitration approaches, and final payments. Panelists will also discuss how to handle claims under the new surprise billing and federal transparency rules.

Panelists:

Christine Carlson
Senior Vice President, Claims
Tokio Marine HCC – Stop Loss Group


Kari Niblack
CEO
ACS Benefit Services, LLC
2:30 pm - 3:00 pm Networking Break
3:00 pm - 4:00 pm Healthcare Payor Preparedness: Are You Ready for Transparency in Coverage Requirements?
New requirements established in the No Surprises Act (NSA) and Transparency in Coverage Rule (TiC) place a heavy burden on healthcare payors. Now, more than ever, there is clear need for these payors to understand how they will meet regulatory requirements, and even the consequences of non-compliance. Do payors think the new regulations help them reduce payments and costs?

Join industry peers to discuss requirements, deadlines and capabilities that payers must implement for:
• Evolution of Out-of-Network Reimbursements
• Price Comparison
• Defense in an Independent Dispute Resolution
• Machine Readable Files
• Provider directories

Panelists:

Christine Cooper
CEO
aequum, LLC


Lisa LaMaster
Vice President of Business Solutions - Out-of-Network
Zelis


Mary Piecuch
Senior Vice President, Member Advocacy Operations & Product Strategy
Payer Compass, LLC
4:00 pm - 4:45 pm

Empowering Employers and Patients: Consumerism, Protections, Perspectives & Understanding
Many of the new price transparency requirements are designed to empower consumers by protecting them from surprise bills and making healthcare costs more transparent. These provisions, from Advanced EOBs to the patient portal, are complex.

Will this new spate of regulations aimed at increasing transparency pressurize providers to lower prices? Could the public availability of pricing data result in the development of new tools for patients to more aggressively shop for services? Will consumers utilize and understand this, what benefits will ultimately come to fruition, and what does the industry need to do now for development and implementation?

Panelists:

Dawn Cornelis
Co-Founder
ClaimInformatics


Mark Galvin
CEO
TALON

4:45 pm -5:00 pm Closing Remarks
5:00 pm - 6:30 pm Networking Reception
7:00 pm - 8:30 pm SIPAC Dinner – Invitation Only
The Self-Insurance Political Action Committee (SIPAC) will host a fundraising dinner to support political advocacy activities leading up to the 2022 federal mid-term elections. Network with other industry executives and learn about the latest political hot topics

 

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