Date Book

Thursday, June 16:

11:15 a.m. - Retail Health: Understanding the Consumers' Decision Process in Purchasing Health Insurance
This session will help attendees understand how healthcare reform is affecting the health plans' business model and shifting from a wholesale to retail model. You will also learn now to quickly change products, mindsets, and competencies to overcome challenges and to remain relevant in the new healthcare landscape. Speakers: Jenny Cordina, MBA, Associate Principal, McKinsey & Company; Vishal Agrawal, MD, Principal, McKinsey & Company

1:30 p.m. - Insurers' Efforts to Prevent Health Care Fraud
Evaluate the latest developments in the anti-fraud prevention arena. This session will help you to identify the key role that health insurer anti-fraud programs play in promoting safe, high-quality, and efficient healthcare. Also, learn how public-private cooperation is also vital in the success of healthcare anti-fraud efforts. Speakers: Alanna Lavelle, Director of Investigations, WellPoint; Nicholas J. Messuri, Associate General Counsel and Director of Fraud Prevention and Recovery, Tufts Health Plan; Louis Saccoccio, JD, Executive Director, National Health Care Anti-Fraud Association

4:15 p.m. - Rate Review and MLR: Implications for Health Insurers and the Marketplace
Are you worried about meeting medical-loss ratio requirements set under health reform? If so, this session will help you understand the important regulatory and compliance issues in ACA related to MLR and rate review. You will also learn the corporate infrastructure and business processes required to ensure consistency. Speakers: Andrew J. Hefty, Partner, Health Care Group, Crowell & Moring LLP; Eric Logue, Director, Healthcare Payer Practice, Navigant; Lynn Shapiro Snyder, Senior Member, EpsteinBeckerGreen

Friday, June 17

11:15 a.m. - Priorities and Pathways for Innovation: Medicare's Potential to Transform the Healthcare Delivery System
Learn about the work and opportunities in the Center for Medicare & Medicaid Innovation (CMMI) to transform the delivery model through new partnerships and payment systems. This session will also help you identify the key elements in CMMI efforts for the health insurance community including system design, evolving payment from volume to value, and patient shared-decision making. Speakers: Nancy Nielsen, Senior Advisor, Center for Innovation within the Center for Medicare & Medicaid Services; U.S. Department of Health and Human Services

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