The 8th Annual American Health Care Congress and Exhibition

The 2011 AHCC Health Plans and Brokers Summit

The 2011 AHCC Health Plans and Brokers Summit convenes CEOs and senior executives focused on creating new products for a consumer-centered business model, increasing provider and consumer engagement, and cost containment strategies to deliver value in health care. Health Plan and Third Party Administrator CEOs, CFOs, Chief Medical Officers, Strategy and Innovation Officers are in attendance as well as Vice Presidents, Medical Directors and Directors of Member Retention, Disease Management.
Monday, December 5, 2011
Health Plans and Brokers—Product Design for a Consumer-Centered Business
2:15 pm -
3:00 pm
Transitioning to Value Based Care with a Consumer Focused Business Model
  • Making the transition to a consumer focused model through improved quality and overall value in health care
  • Benefit design models to foster shared decision making and improve consumer experience, outcomes and quality
  • The intersection of ACOs, provider strategies and product design to deliver consumer focused health care
Roberta Herman, MD
Chief Operating Officer
Harvard Pilgrim Health Care
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Session Leader
Marc Ruggiano Marc Ruggiano
Partner and Healthcare Practice Leader
Peppers & Rogers Group
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3:00 pm -
3:45 pm
Proven Incentives for Consumers and Providers to Demonstrate Improved Outcomes and Engagement
  • Strategies to encourage consumer behavior change and enlist members as active participants in improving their health status
  • Payment methodologies to engage providers and foster accountability throughout the delivery system
Christopher De Rosa Christopher De Rosa
Regional Vice President, West Segment
CIGNA Healthcare
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4:30 pm -
5:15 pm
Leverage Consumer Prevention Tools to Reduce Costs and Improve Population Management
  • Benefit models and prevention and wellness tools that increase consumer engagement and reduce health risks
  • Key strategies for leveraging health plan core competencies in partnership with the delivery system to improve overall value in health care
  • Analyze key drivers of consumer behavior change and how to leverage them in the transition to a consumer focused business model
Joel Bender, MD, PhD, FACOEM
Global Medical Director
U.S. Preventive Medicine, Inc.
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5:15 pm -
6:00 pm
Key Operational Issues and Strategies for Successful Participation in Health Insurance Exchanges
  • How and why public plans should participate in the Exchange
  • Key strategies around enrollment, retention and network to target membership and successfully participate
  • Key operational issues to address prior to participate to ensure success
Bradley P. Gilbert Bradley P. Gilbert, MD, MPP
Chief Executive Officer
Inland Empire Health Plan
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Tuesday, December 6, 2011
Health Plans and Brokers—Leveraging Health IT to Improve Costs
10:55 am -
11:40 am
Advances in Clinical IT Integration for Improved Population Health Outcomes
  • Ensuring buy in of all health IT stakeholders for EHR adoption necessary to impact population health outcomes
  • The role of the health plan in supporting successful HIE deployment and the private and secure sharing of data as the crux of improving health care quality and outcomes
Brian J. Kelly, MD
Head of Informatics and Strategic Alignment, National Medical Director for National Accounts, Aetna;
Former Leader, Healthcare Information Management and e-Business Programs, TRICARE, Department of Defense
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