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Emerging Strategies for Competitive Differentiation, Product Design, Prevention and Population-Based Health in an Era of Health Reform

The WHCC Health Plan Executive Leadership Summit convenes over 150 CEO and senior executives focused on creating new business models for improved member retention, consumer preference and cost containment strategies for competitive differentiation. Health Plan and Third Party Administrator CEOs, CFO, Chief Medical Officers, Strategy and Innovation Officers are in attendance as well as Vice Presidents, Medical Directors and Directors of Member Retention, Disease Management.

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Chair:
H. R. Brereton (Gubby) Barlow,MBA
President and CEO
Premera Blue Cross

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Monday, April 12, 2010
1:35 pm -
2:25 pm
Competitive Payer Strategies in an Era of Potential Health Reform
  • Assessing the financial and competitive impact of possible health reform on the small employer group market
  • Adapting the health plan business model to accommodate the needs of the individual market
  • Implications for provider network management and contracting to control costs
Chester Burrell
President and CEO
CareFirst BlueCross BlueShield

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Richard Chung, MD
Senior Vice President, Health Services Division
Hawaii Medical Service Association

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Moderator:
Stefen F. Brueckner
President, Chief Operating Officer
Healthways

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2:30 pm -
3:20 pm
Gaining a Competitive Advantage to Retain Members and Decrease Health Care Costs
  • How to reframe health plan business strategy in a competitive market
  • Developing divergent strategies for member retention management vs employer group relationship management
  • Key member retention strategies as a business imperative for profitability
  • The shift to a business-to-consumer environment and why health plans must think like retailers
Andrew Halpert, MD
Senior Medical Director, Network Medical Management
Blue Shield of California

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Jonathan Harding, MD, FACPE
Medical Director, Senior Products
Tufts Health Plan

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Fred M. Volkman, MD, FAAP
Chief Medical Officer
Select Health of South Carolina, An AmeriHealth Mercy Company

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Moderator:
Gordon Norman - Speaker Photo Gordon Norman, MD, MBA
Chief Innovation Officer
Alere

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Tuesday, April 13, 2010
10:20 am -
11:20 am
Care Management: State of the Industry During a State of Reform
  • Up-to-date, multi-stakeholder review of the care management industry, particularly in light of health reform
  • Strategies for health plans to maximize investments in care management programs
  • Overcoming health plan challenges on key issues such as program structure, how broadly or deeply to target, and the value of wellness
  • Health plan successes in providing value to employer group clients and developing programs they can stand behind
Panelists:
Chris Coloian
Senior Vice President, Health Services
Health Dialog

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Bruce Prangley
Principal
Mercer

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Richard Snyder, MD
Chief Medical Officer
Independence Blue Cross

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Moderator:
Jason Robart
Senior Vice President, Client Development
Health Dialog

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11:15 am -
12:05 pm
Quality-Focused End-of-Life Care
  • Payer considerations for policy decisions in the delivery of quality end-of-life care
  • Establishing operational excellence in end-of-life care
  • Quality initiatives – Setting benchmarks and standards of hospice care
  • Bioethical issues and how to reach the underserved populations
Mark Leenay, MS, MD
Senior Vice President, Medical Management and Physician Services
Ovations, a division of UnitedHealth Group

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Tricia Nguyen, MD, MBA
Senior Medical Director
Blue Cross Blue Shield of Florida

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Tim O'Toole
Chief Executive Officer
VITAS Innovative Hospice Care

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Business Case Forum 6: Health Plan Growth Strategies in an Uncertain Era of Reform
2:25 pm -
3:10 pm
Expansive Thinking for the Individual Market—Innovation in Consumer-Focused Plan Design
  • Individual market growth projections under various reform scenarios
  • Impact of a potential individual mandate and expansion of the individual market
  • How a retail perspectives changes everything – The “4Ps” Perspective
  • Opportunity for disruptive innovation that repositions insurance industry for future success
  • Retention at every customer touch point
  • Importance of applying analytics across the entire customer lifecycle
LeeAnn Anderson
Senior Director, Corporate Strategy
Blue Cross Blue Shield of Florida

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Christine Kowalczyk
Vice President, Healthcare
Convergys Corporation
3:15 pm -
4:15 pm
Redesign for the "New Consumer Customer"
Part 1: Employing Experience Based Design to Health Care Services and Products
  • Identifying loyalty drivers that increase individual customer satisfaction and retention
  • Listening to the voice of the consumer to understand customers (dis)satisfaction levers
  • Adapting Experience-Based Design methodologies from other industries to foster culture change in health care – A focus on the customer
  • Launch of 24/7 nurse lines for customers and rewriting consumer materials and terminology resulting in 150% improvement in customer understanding
Ingrid Lindberg - Speaker Photo Ingrid Lindberg
Customer Experience Officer
CIGNA

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Part 2: Changing What We Do and How We Deliver Health
  • BCBS of Minnesota's evolution from a health plan to a health company
  • Addressing the fundamental market changes that are driving strategy redesign
MaryAnn Stump - Speaker Photo MaryAnn Stump, RN
Senior VP & Chief Strategy and Innovation Officer; President, Consumer Aware
Blue Cross Blue Shield of Minnesota

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Moderator:
Alexandra Drane
President and Co-Founder
Eliza Corporation

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Wednesday, April 14, 2010
10:30 am -
11:10 am
New Revenue Streams through Voluntary Products for Employees
  • Voluntary Benefits – Assessing the value of voluntary benefits in an changing economy and industry growth trends.
  • How to position voluntary benefits as a critical component of employers’ benefit strategies
  • Identifying new revenue streams and up-selling supplemental benefits: Vision, dental, disability, lifestyle and wellness, condition management and concierge management
Elizabeth Bierbower - Speaker Photo Elizabeth Bierbower
Chief Operating Officer, Specialty Benefits
Humana

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11:15 am -
11:55 am
Massachusetts Health Care Reform and Emerging Federal Regulations: Impact on Self-Funded Employers
  • The impact of ERISA preemptions on self-funded employers
  • How state-funded health plans are affecting the small employer market
  • A history of the Massachusetts employer landscape and the impact of potential health reform on the small business market
William R. Breidenbach
President
Health Plans, Inc. a subsidiary of Harvard Pilgrim Health Care

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Eileen Riethle
Vice President of Corporate Compliance
Health Plans, Inc.

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