Concurrent Sessions

Tuesday, November 18 ** 10:45 am - 11:45 am

Sales Distribution Transformation
(Grand Ballroom IV, Second Floor)
Presented by ikaSystems

The use of technology in growing a business can be innovative, efficient, and successful, representing best practices in an industry. This presentation will reveal both the strategy of how to approach sales transformation as well as how the use of web-based technology is essential for success. Learn from a peer how to expand products, find new channels, and improve sales efficiencies.

• Dave Henderson, Chief Medical Officer and Executive Vice President, Marketing, MVP Health Plan

 

The Journey to Integrated Healthcare Management: Navigating the Final Mile
(Grand Ballroom V, Second Floor)
Presented by The TriZetto® Group, Inc

Fundamental challenges in the existing healthcare market are driving demand for change. There is widespread recognition that payers must transform themselves from retrospective/transaction oriented organizations to proactive/health and wellness companies. Embracing an integrated healthcare management approach provides payers with a roadmap for industry transformation where shared information and aligned incentives create a better healthcare system for all constituents. In this session, the speakers will discuss the key technology competencies important for this to be successful, including how payers must be prepared to design, adjudicate, and fulfill value-based benefits; and how payers must support new provider reimbursement models designed to promote consumer engagement, provide health/wellness/prevention coverage, and reward improved health decision-making and outcomes.

• Richard Weil, Associate Partner, Health and Life Sciences Practice, Oliver Wyman
• Stephen Furia, Vice President, Payer Markets, The TriZetto Group, Inc.

 

Provider Data Auto Pilot: Does Your Database Automatically Verify and Update Itself?
(Gold Coast Room, Third Floor)
Presented by Medversant Technologies LLC

One of the biggest challenges for health care organizations involves the credentialing and re-credentialing of health care providers.. In this session, you will learn how technology can be used to automate manual processes to provide continuous verification of provider data and simplify your health insurance plans’ administrative processes. By using an easily deployable web based platform to continuously monitor and update changes to provider data and credentials status, your health insurance plan can realize significant advantages to their credentialing operation and fraud prevention programs.

• Matt Haddad, Chief Executive Officer, Medversant

 

Tuesday, November 18 ** 2:05 pm – 3:05 pm

Increasing Productivity & Efficiency By Leveraging a Hosted Solution-Allowing the Painters To Paint
(Grand Ballroom IV, Second Floor)
Presented by SAS Institute

The ever-growing volume of data associated within healthcare presents the health plan community with a unique opportunity and challenge. Data can serve as the foundation for improved insight into business operations impacting healthcare cost, quality, and outcomes. The challenge is to leverage and optimize an organization’s analytic personnel in a manner that facilitates an executive’s ability to swiftly react to the intelligence surfaced. In this session, you’ll learn about the opportunities for increased productivity and efficiency through a hosted solution and gain insight into how to create an environment that supports the creativity and insight of a professional analytic or health informatics team.

• Stephen Buck, Vice President, Analytic Services, McKesson
• Jimmy Shelley, Business Director, SAS Solutions onDemand

 

Putting Information at the Center of Care: A Vision for Engaging Consumers in Their Care Decisions
(Gold Coast Room, Third Floor)
Presented by Ingenix

Patient-centered care is about sharing in-depth knowledge of the patient. The goal of patient-centered care is to change behavior, promote health, and add value. The process starts with access to information about the patient’s care and health at the point of care where decisions are being made. Access to this information is particularly difficult for chronically ill patients with conditions such as diabetes, depression, back pain who may have multiple physicians, care managers, and other providers involved in their care. Providing effective, patient-centric care requires informed, activated patients, prepared practice teams, and integrated support from care management teams. In this session, the speakers will discuss how to place actionable, patient-centric information in the hands of each constituent as at the point they are helping consumers make decisions about their care.

• Dogu Celebi, MD, MPH, Chief Medical Officer, Commercial Payer and Government Solutions

 

Health 2.0-The Transformation to Online Care
(Grand Ballroom V, Second Floor)
Presented by American Well Inc.

The application of Web 2.0 technologies to the healthcare industry is changing the world of healthcare. With the availability of new technologies, innovative services are rapidly and radically revolutionizing how healthcare is offered and consumed. Healthcare is finally catching up with other industries like travel, entertainment, and retail to bring care online. In this session, the speakers will discuss the current landscape of Health 2.0 technologies, define Online Care, and introduce the Online Healthcare Marketplace, an innovation at the cutting edge of Health 2.0.

• Roy Schoenberg, President & Chief Executive Officer, AmericanWell
• Wendy Nakasone, Director of Marketing at HMSA Blue Cross Blue Shield of Hawaii

 

Tuesday, November 18 ** 4:35 pm – 5:35 pm

Modernizing Traditional DM Programs: Technologies that Advance Patient Care
(Grand Ballroom V, Second Floor)
Presented by Vermont Clinical Decision Support, LLC

Traditional disease management programs are limited by numerous challenges including provider resistance to intrusive technology and processes, daunting investment requirements, difficulty in verifying net cost savings, and the inability of these systems to be compatible with a wide range of high and low tech provider environments. Learn about a program that demonstrates significant cost savings and works equally effectively in provider settings that are EMR based, and those that use no Internet based technology at all. Hear about strategies for implementing a DM program that readily fits into established provider office protocols.

• David L Potter, co-founder, Vermont Clinical Decision Support, LLC
• Glen E. Griffiths, Managing Principal, Patient Relationship Marketing, Inc.
• Randall Messier, MSA, Director of Primary Care Internal Medicine and Family Medicine, Fletcher Allen Health Care

 

Adventures in Transparency: Configuring a PHR That's Right for Your Organization and Your Constituents
(Grand Ballroom IV, Second Floor)
Presented by HealthTrio, LLC

Health care organizations are strategizing to determine the best methods for implementing a Personal Health Record (PHR). Listen as one health insurance plan reflects on their implementation of a PHR. Hear how the organization’s values and choices drove the issues around buying vs. building a PHR. Examine how future evolution in the PHR space demands a flexible configuration and rich feature set to service members and providers as members, providers and payers embrace the value and benefit of PHRs and grow more comfortable with this forum for electronic dialogue around health and wellness.

• Bob Trombly, Deputy Chief Information Officer, Harvard Pilgrim Health Care
• Jennifer Connor, Market Manager, Harvard Pilgrim Health Care

 

Efficiencies for U.S. Insurers through Global Medical Networks
(Gold Coast Room, Third Floor)
Presented by Singapore Medicine

Deloitte’s Center for Health Solutions recently produced a study indicating that 6 million Americans may travel off shore for medical care by 2010; 16.6 million within 9 years. Highly respected U.S. publications have carried similar stories as American residents and insurers will start to seek lower cost, high quality alternatives to the United States system of medical care. U.S. insurers are developing international networks to address this need and take advantage of the 70%-90% lower costs while still providing outstanding care. International medical care is now available to all U.S. insurers, TPAs, underwriters, HSA Administrators, and self-insurer employers.

• Steven Gerst, MD, MPH, MBA, Executive Vice President, Business Development, MedicaView International
• John Linss, President & CEO, MedicaView International
• Jason Yap, MD, MBBS, MMed, FAMS, MBA, Director of Healthcare Services, SingaporeMedicine
• Tom Johnsrud, Senior Consultant, Parkway Group Healthcare

 

Wednesday, November 19 ** 10:15 am – 11:15 am

Inside Online Healthcare-An Overview of the Authenticated Consumer Experience
(Gold Coast Room, Third Floor)
Presented by Metavante Healthcare Payment Solutions

Learn about commissioned research into the current state of online healthcare in its many forms, with an emphasis on the convergence of healthcare and financial services. The research is based on analysis and benchmarking of sixteen top financial services and health insurance plan websites. Learn more about the consumer’s experience as they use these sites to complete day-to-day account management activities such as logging on, interacting with their Consumer Driven Healthcare account, acquiring health & wellness information, getting help from customer service, and learning about cost and quality for a given procedure.

• John Bull, Senior Director, Product Development, Benefits Payment System, Metavante Healthcare Payment Solutions
• Steve Ellis, Founder and Partner, Change Sciences

 

Processing the New Business of Healthcare in a Retail Marketplace
(Renaissance C, Third Floor)
Presented by Healthation, Inc.

The retail transformation of the U.S. healthcare delivery system is causing increased complexity in transaction processing-from point-of-care to point-of-sale-all in real time. The need exists now for a single point of benefit accumulation across multiple funding accounts for a single transaction. True automation will come not only from real time auto-adjudication of claims, but from business processes as well. Performance will impact choice, cost, and reimbursement through auto-adjudicated performance scores and indexes similar to the credit market today. This session will address the processing requirements of this transformed retail market place, and the competitive advantages to be gained through their innovative application today.

• Dan Knies, Chief Technology Officer, Healthation, Inc.

 

Wednesday, November 19 ** 11:30 am – 12:30 pm

The Critical Role of PHR’s in Supporting Value Based Health Plans
(Gold Coast Room, Third Floor)
Presented by Triveris Inc.

This presentation will introduce an important next step in the evolution of Personal Health Records (PHRs) – the PHR as a health care advocate. The next generation of PHRs have built-in analytical tools that support value-based plan designs for both organizations and individuals. For organizations, the analytic engine driving the PHR provides information for development of aggregate HIPAA compliant views of the health status of the entire organization. This knowledge will equip organizations with markers for potential increases in company health costs and provide a roadmap for better planning. For an individual, the PHR monitors and mentors their participation in preventive care and disease management actions and lets them know what is needed in order to stay healthy and comply with a value- based plan.

• Stephen A. Kardos, DO, FAAP, Vice Chairman & Chief Medical Officer, Triveris, Inc.

 

How do Companies Achieve a “Simplification Mindset?”
(Renaissance A, Third Floor)
Presented by Siegel + Gale, LLC

Improving customer experience means shortening the distance between the customer and the company. Learn how simplifying the informational touch points, including applications, policies, websites, and Explanation of Benefits forms can significantly affect customer experience and drive down costs. See how focusing on changes such as customizing the content to each individual and respecting diversity can result in radical transformations. Hear about the benefits that have been realized within the health insurance industry.

• Irene A. Etzkorn, Simplification Practice Advisor, Siegel + Gale, LLC

 

E-Prescribing Impact on Patient Safety, Healthcare Quality, and Cost Savings
(Renaissance C, Third Floor)

E-prescribing is the cornerstone to improving the delivery of healthcare in the United States. As the cost for healthcare continues to rise and soon one out of every five Americans will be over the age of 65, it is imperative to remain focused on patient safety and the quality of healthcare while at the same time look for ways to improve efficiencies and cost savings of healthcare delivery. Learn how health plans are taking advantage of the benefits offered by e-prescribing and how easy it is to get connected to the national network infrastructure that securely connects authorized physicians to critical patient information at the point of care.

• Tom Groom, Senior Vice President, Business Development, SureScripts-RxHub