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May 1 – 3, 2013 Washington, DC Hyatt Regency Crystal City Online: in Your Own Office Or Home Live Via the Internet with 24/7 Access for Six Months

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May 1 – 3, 2013 Washington, DC Hyatt Regency Crystal City Online: in Your Own Office Or Home Live Via the Internet with 24/7 Access for Six Months THE FIRST Onsite: NATIONAL May 1 – 3, 2013 Washington, DC Hyatt Regency Crystal City Online: In your own office or home live via the Internet with 24/7 access for six months FEATURED FACULTY Jay Angoff, Esq., Partner, Mehri & Skalet Joel Ario, MDiv, JD, Managing Director, Manatt Health Solutions John Bertko, Senior Actuary, CCIIO Troyen Brennan, MD, EVP & CMO, CVS Caremark Michael Cannon, MA, JM, Director of Health Policy Studies, Cato Institute Alan Cohen, MBA, Chief Strategy Officer and Co-Founder, Liazon Michael Consedine, JD, Pennsylvania Insurance Commissioner Kevin Counihan, CEO, Connecticut Health Insurance Exchange Rex W. Cowdry, MD, MPH, Former Director, CMS SHOP Program Cynthia Crone, MNSc, Arkansas Director, Health Insurance Exchange Planning Rick Curtis, President, Institute for Health Policy Solutions Krista Drobac, MPP, Division Director, National Governors Association Robert Dubois, MD, PhD, Chief Science Officer, National Pharmaceutical Council Steve ErkenBrack, JD, President & CEO, Rocky Mountain Health Plans Marybeth Farquhar, PhD, Vice President of Research and Measurement Mark Fendrick, MD, Director, Center for Value-Based Insurance Design Christine Ferguson, Esq., Director, Rhode Island Health Benefits Exchange Mike Gelder, MHA, Senior Health Care Policy Advisor to Illinois Governor Paul Ginsburg, PhD, President, Center for Studying Health System Change Jonathan Gruber, PhD, Professor, M(s)-DTD(-(c TD(P)-(e O)-((S))-2Dn(h)-2D)(Tw 08i)-()-0(tT-0(t(o)-(v)-(i)(s)( Gge)TJ/T2(v)-8(e -8(r)T n-2(t)T 8(r)Tl(s)-(s)-8(e G2-22(l)-20((n)-(B)-(r)-20(a)-(c)-2(k)-22(, M)-0(D)(, )TJ/T Tf(D)-(i)T)220(H)-(A)-n)-(i)-(d)-a)-(l)-2-(o)--(s)-(e)-2(d)TJ( )Tj0 - TD(I)-El G)-x/T Tfh))(e O)- - TDg(-(c(n)-0(g H)(h)(a)(o)-(n)-0(a)-)-2((r)-n) -0.0Tw 0)-2ocnois Governortu E fh i ttrainBracR Tw W(k)-J(t)F, Cee Oe0(c)(c F)w/T(P)-(rTk D)(,)( )Tn , MD, The Leading Forum on Public and Private Insurance Exchanges and Responsive Strategies by Government, Plans and Providers www.HealthInsuranceExchangeSummit.com T I he Supreme Court has ruled. The President has been reelected. QHP selection, systems testing for exchanges and a WHO SHOULD AttEND: whole new eligibility determination process, and intensive outreach to the uninsured and other target popula- From Federal Government: UMM tions is a scant 7 months away. With the major exception of state ability to opt out of the Medicaid expansion, ACA • CMS Staff S T E implementation is now in overdrive to prepare for October 1, 2013. • OCIIO Staff NG As a major element of the ACA, health insurance exchanges (HIXs) will operate in all states for coverage, effective Janu- • DOJ Staff HA • FTC Staff ary 1, 2014. States may choose to develop their own state-operated exchanges (18 + D.C. at last count), participate in a XC From States: E state-federal partnership (six at last count), or defer to a federally facilitated exchange (FFE) to operate in the state. States E opting for a partnership exchange can choose to operate certain plan management functions, certain consumer assistance • Exchange Board, Leadership and Staff NC functions, or both. State-based exchanges are sprinting to the finish line. Even states that defer to the FFE will face many • Medicaid Officers RA • Department of Health & Human Services points of coordination, including, plan certification and oversight functions, consumer assistance and outreach, and on U S • Department of Insurance N streamlining eligibility determinations, and all the private-sector participants have only months to determine how they I • Heads of Technology H will participate. T • Heads of Operations Given the aggressive timeline for HIX implementation, states and the federal government are working hard to make • Heads of Regulation/Policy HEAL • Heads of Healthcare Reform strategic policy decisions regarding the model of exchange for each state, who will participate, which populations to target AL for enrollment, how to reach them, how to manage brokers, navigators, customer service centers, while building new From Managed Care Organizations, N eligibility determination systems. Federal and state officials, with the help of HIX consultants, legal counsel and technology Medicaid and Commercial Health Plans: IO T vendors, are working overtime on implementation projects across the nation. • Chief Executive Officers A • Chief Financial Officers N At the same time private health insurance exchanges, many with a defined contribution approach, are emerging in the • Chief Operating Officers HE T marketplace. • Chief Marketing Officers • Chief Medical Officers The private sector is trying to figure out how best to respond. Health plans are developing varied strategic responses to • Chief Information Officers the exchange movement, determining whether to participate as qualified health plans (QHPs) and if so, how. Healthcare • Chief Administration Officers providers seek to integrate exchange participation strategies into their ACO and medical home programs and value-based • Heads of Product Development payment reform initiatives. PBMs, pharmacies and pharmaceutical and medical device manufacturers are positioning to • Heads of Marketing/Sales/ participate in exchange programs. Business Development • Heads of Enrollment The Health Insurance Exchange Summit seeks to bring all parties involved in HIX implementation to share HIX strategic • Heads of Technology visions and best practices. • Heads of Operations • Heads of Regulation/Policy LIVE And ARCHIVED From Healthcare Providers: PARTICIPATION IntERNET AttEndANCE • Chief Executive Officers OptIONS Watch the conference in live streaming • Chief Financial Officers video over the Internet and at your con- • Chief Operating Officers TRADITIONAL venience at any time 24/7 for six months • Chief Medical Officers OnSITE immediately following the event. • Chief Information Officers AttEndANCE The archived conference includes At your office . • Chief Marketing Officers Simply register, speaker videos and coordinated Power- • Managed Care Contracting Staff travel to the Point presentations. • ACO and Medical Home Development Staff conference city PROS: Live digital feed and 24/7 Internet and attend in • Bundled and Shared Service Payment Staff Onsite access for the next six months; acces- person. sible in the office, at home or anywhere From Life Sciences: PROS: subject matter immersion; profes- worldwide with Internet access; avoid • PBM and Pharmacy Strategy Staff sional networking opportunities; faculty travel expense and hassle; no time away • Pharmaceutical and Medical Device interaction. from the office. or home Manufacturer Strategy Staff • Formulary Staff And: HCCA CHAngES NAME AND BIfuRCATES OpERATIONS • Private Exchanges Health Care Conference Administrators, LLC (HCCA), www.eHCCA.com, after offering over 200 major healthcare and life • Advocacy Groups sciences conferences over the past 15 years, is changing its name to Global Health Care, LLC (GHC, LLC) and will operate • Health Services Researchers the following two separate lines of business “GHC, LLC Health Care” and “GHC, LLC Life Sciences.” GHC, LLC Health Care • Agency and Capitol Hill Staff will offer healthcare policy and practice conferences. GHC, LLC Life Sciences will offer conferences principally focused on • Brokers and Agents legal and compliance issues for pharmaceutical, medical device and biotechnology companies. New GHC, LLC Health Care • Legal Counsel and GHC, LLC Life Sciences websites will be launched shortly. • Consultants • Software and Technology Providers Heap © 2011 Steven Photo iStock PHOTO: COVER 2 GROUP II WEdnESDAY, MAY 1, 2013 Preconference III: Advanced Provider Strategic Alternatives in PRECONFERENCE SYMPOSIA the New Health Insurance Exchange Marketplace 10:15 am Welcome and Introduction 7:00 am Summit Registration William T. Eggbeer, MBA, Managing Director, BDC Advisors, GROUP I Washington, DC (Moderator) Preconference I: Health Insurance Exchanges 101 10:30 am Laying the Groundwork for Provider Success 8:00 am Welcome and Introduction • Insurance Exchange Basics Kim Holland, Director for State Affairs, Blue Cross Blue Shield Association; • New HIX Products Former Insurance Commissioner, Oklahoma, Washington, DC • The Continuum of Provider Opportunities John Kaelin, Senior Vice President, Health Reform, UnitedHealth Group, Minneapolis, MN Fran Kelleher, MBA, PhD, Principal, BDC Advisors, Washington, DC Jean (Qing) Yang, MS, MBA, Executive Director, Massachusetts 11:00 am Working with Insurers Health Connector; Former Director, Contracting Strategy, Tufts Health Kevin Sears, Vice President, Payer & Product Innovation, Plan, Boston, MA Trinity Health, Livonia, MI Patricia M. Boozang, MPH, Managing Director, Manatt Health Solutions, New York, NY (Moderator) 11:30 am Preparing for Transparency and Population Health • Quality Reporting 10:00 am Adjournment • Practice Efficiency and Effectiveness Lynne Eickholt, Vice President, Business Planning and Market Preconference II: The Role of Brokers/Navigators in the New Development, Partners Community HealthCare, Inc., Boston, MA Health Insurance Exchange Marketplace 8:00 am Welcome and Introduction Noon Faculty Q&A Mark Argosh, MBA, Managing Principal, Sterling & Sterling, Inc., 12:15 pm Preconference Adjournment; Box Lunches New York, NY for Group II Preconference Attendees Kevin J. Counihan, Chief Executive Officer, Connecticut Health Insurance Exchange; Former President, Choice Administrators Exchange Solutions, Hartford, CT Preconference IV: Advanced Payor Strategic Alternatives in
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