Advisors:
Charles Berg, CEO, Oxford Health Plans
George C. Halvorson, Chairman and CEO, Kaiser Foundation Health Plans
Leonard D. Schaeffer, Chairman & CEO, WellPoint Health Networks

1. Consumer-Driven Healthcare – Analysis of Successful Product Design and Financial Incentives
   • Consumer education – Decision support and health education tools to increase accountability and change behavior
   • Implementing appropriate financial incentives for consumers and providers
   • Operational challenges of implementing multiple benefit designs and auto-adjudication
   • Backlash on provider quality reporting and shifting the burden of collection onto providers

   Charles Berg, CEO, Oxford Health Plans

2. Top Ten Issues Facing Health Plans and Insurers in 2004
   • Fundamental cost drivers and pressures facing health plans
   • Pending legislation and regulation in election year 2004
   • Consumerism and employer demands
   • Successful strategies employed by the most progressive health plans to maintain competitive positioning

   Peter R. Kongstvedt, MD, FACP, Vice President, Cap Gemini Ernst & Young, LLC

3. Adapting to a New Health Care Environment – Strategic Approaches to New Business and Product Development
   • Diversification strategies to maintain consistent growth
   • Strategic responses to reduce costs and improve quality
   • New product development to improve competitive positioning (including tiered networks, consumer-driven products)
   • Product architecture approach – Create and roll out new products quickly, more cheaply and pilot products easily

   Blue Cross Blue Shield of Florida:

   • Managing the shift to a retail market and adapting your business model
   • Developing a “Platform for Affordable Choices”
   • Applying strategy to operational goals – Product development, enrollment, customer service, chronic care management

   Robert Lufrano, MD, CEO, Blue Cross Blue Shield of Florida

4. The Business Case for Population Based Health and Disease Management
   • Measuring ROI – Increased revenues, improved outcomes and consumer satisfaction
   • Implementing effective disease management programs and improving participation
   • Manage medical costs and improve outcomes through disease management and prevention
   • Case study from BCBS MN – Measuring clinical and financial outcomes across 17 disease states

   Mark Banks, MD, CEO, Blue Cross Blue Shield of Minnesota
   William Gold, MD, Chief Medical Officer, Blue Cross Blue Shield of Minnesota

5. Transforming Care Delivery – Transparency, Performance-Based Contracting and Re-Engineering Wellpoint Case Study:
   • How to structure partnerships on quality measures and financial incentives
   • Providing appropriate incentives to providers to collect and report on quality

   HealthPartners Case Study:

   • Strategic redesign of care delivery
   • Building a safer, modern delivery platform for providers
   • Implementing evidence-based care with hospitals and physician groups
   • Engaging consumers directly and using technology to change behavior
   • Measuring, reporting and rewarding improved outcomes

   Woodrow A. Myers, Jr., MD, Executive Vice President and Chief Medical Officer, WellPoint Health Networks
   George Isham, MD, MS, Medical Director and Chief Health Officer, HealthPartners

6. IT and Connectivity Strategies – Improve Operations and Reduce Administrative Costs
   • IT investment spending -- How much to spend, balancing the investment vs. the ROI, and how to project the payoff
   • The outsourcing decision – which systems are better managed by a vendor vs. internally?
   • Designing flexible systems to enable product innovation and launch