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The World Health Care Congress 9th Annual Health Plan Summit is a two day Summit that will provide an opportunity for national and regional health plan CEOs, and senior executives (Health Management, Provider Services and Network Managers, CMOs, CSO, COOs and heads of Diversification) and opportunity to uncover and identify new models to compete and succeed in a value-driven market. Participants will have the opportunity to hear from the most active and innovative payer executives on new models that payers must consider to survive the post-reform market.

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1:15 pm - 2:10 pm
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Competing in the New Consumer Market - Revamping Product Design, Underwriting Approaches, and Wholesale/Retail Mix of Business
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- A new era of consumerism -- Strategies for health plans to “rethink” the value of their core business and reconfigure their business model
- New payer models to deliver new consumer-driven products including new profit lines
- Case study from Harvard Pilgrim – Network and product changes and lessons learned from distribution through the MA Health Connector
- Developing new consumer-friendly products, tiered-networks and education for consumers and physicians
- CIGNA's approach to delivering value to the consumer through consumer engagement and physician engagement
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| Panelists: |
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Eric H. Schultz
President & Chief Executive Officer
Harvard Pilgrim Health Care, Inc.
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| Moderator: |
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Marc Ruggiano
Partner and Healthcare Practice Leader
Peppers & Rogers Group
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2:15 pm - 3:05 pm
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The Health Plans Role in Improving Health, Health Care, Quality and Cost
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- How health plans are leading innovation, improving industry collaboration and aligning communication to improve access and affordability
- Strategies for improving health and wellness and innovative approaches for managing chronic diseases
- Introducing Carolina Advanced Health – A collaborative approach to care delivery that enhances efficiency and provides more coordinated care
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Rhonda M. Medows, MD, FAAFP
Executive Vice President & Chief Medical Officer
UnitedHealthcare Quality Management & Performance
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Brad Wilson
President and Chief Executive Officer
Blue Cross and Blue Shield of North Carolina (BCBS NC)
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10:45 am - 10:35 am
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11:40 am - 12:30 pm
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Payer Capabilities to Transform Care-Harnessing the Power of Data Analytics, HIEs and Cloud Computing |
- Leveraging an enterprise data warehouse for advanced data analytics to build standard reporting systems and give analysts access for clinical and administrative assessments and business operations
- Utilizing data for service line clinical program improvement – Data analytics of the clinical practice to identify areas for improvement and measurement toward goals
- Making tools more user-friendly for clinicians so that clinicians can access data in a useable format
- Exploring cloud computing to collect and disseminate data inexpensively and achieve interoperability while meeting meaningful use standards
- Cloud computing – Assessing the security risks of cloud vendors and liability
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Nick Coussoule
SVP & CIO
BlueCross BlueShield of Tennessee
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Joseph W. Hales, PhD, FACMI
Regional Director of Information Systems
Intermountain Healthcare
Associate Professor of Biomedical Informatics
University of Utah
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2:35 pm - 3:25 pm
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Private Benefit Exchanges and Defined Contribution Models |
- Snapshot of J.D. Power research on member satisfaction with commercial health insurance and implications for private exchanges
- High level discussion on strategies to better manage benefits spending through defined contribution models
- Creating consumer-oriented, online insurance marketplaces that promote transparency and provide a tailored approach to health care
- Significant differentiation between private exchanges and public exchanges
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Catherine B. Campbell
Vice President
Strategy, Planning & Business Development
Commercial Business
WellPoint, Inc.
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Jeff Welch
Divisional Vice President of Consumer Markets
Health Care Service Corporation
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