Schedule at a Glance

Monday, November 17
11:00 am – 5:30 pm	Registration and Information Desk Open Sponsored by the AHIP Center for Insurance Education and Professional Development
12:30 pm – 3:00 pm	WORKSHOPS Forces of Change and the Incredible Intangibles: The Expanding Role of Brand, Reputation, and Trust in Building a Unique and Sustainable Competitive Advantage (Grand Ballroom I, Second Floor) You must be a full Business Forum conference registrant; space is limited; ticket required In today's market, almost any service or product can be transformed into a commodity quickly. In this workshop, participants will learn how to position and brand services and products in the health care marketplace in order to prevent them from being turned into commodities. Case examples will be used to illustrate theory, with special attention to the role of reputation and trust as drivers of both mission and financial profitability. We will look at the growing role of intangible assets and examine Shore's Five Capitals model. David A. Shore, PhD Associate Dean, Founding Director, Trust Initiative; Director, Forces of Change Program, Harvard School of Public Health
3:15 pm – 6:00 pm	Value in Health Care: Advancing Real World Application of Value Based Benefit Design Workshop (Grand Ballroom I, Second Floor) sponsored by sanofi-aventis US, LLC You must be a full Business Forum conference registrant; space is limited; ticket required Value-based benefit design continues to be heralded as one of the leading efforts to reducing costs and improving the nation’s health care system. But how do you measure value? This workshop will examine how we define value in health care; what research demonstrates and where more research necessary; the challenges to implementing value-based benefit designs for employers and health insurance plans; how health insurance plans demonstrate evidence when there is none; how health insurance plans and employers can partner to meet the changing needs and what the future entails. Researchers, health insurance plans and employers at the forefront of this effort will share their insights into designing successful programs. You’ll learn about the challenges of driving behavior change and measuring outcomes that matter to the consumer and employer. Larry S. Boress President and CEO, Midwest Business Group on Health Brian B. Kiss, MD Corporate Medical Director, Professional Programs Blue Cross Blue Shield of Florida Robert Kritzler, MD Deputy Chief Medical Officer, Johns Hopkins HealthCare, LLC David P. Mirkin, MD Principal, Physician Healthcare Management Consultant, Milliman Michael Taylor, MD Medical Director, Health Promotion, Caterpillar
5:45 pm – 6:15 pm	Value in Health Care Workshop Networking Reception (Grand Ballroom VI, Second Floor) sponsored by sanofi-aventis US, LLC
6:15 pm – 7:30 pm	Opening Night Reception in the Sponsor Display Area Sponsored by AHIP HI-WIRE
Tuesday, November 18
7:00 am – 5:30 pm	Registration and Information Desk Open Sponsored by the AHIP Center for Insurance Education and Professional Development
7:30 am – 8:30 am	Breakfast Symposia The Impact of Highly Granular, Patient-Specific Analytics on the Clinical & Financial Outcomes of Disease Management (Renaissance A, Third Floor) Presented by MedAssurant, Inc. The success of disease management initiatives is paramount in the health care community’s effort to concurrently improve clinical and quality outcomes along with the achievement of financial performance and efficiency. To date, many efforts of disease management have provided less than desired results. The application of a highly granular, patient-specific approach to relevant health care data analytics has been shown to change this—delivering far superior member disease and comorbidity identification, stratification, and prioritization—enabling a highly patient-specific experience and results significantly surpassing what historical findings have otherwise typically supported. Keith Dunleavy, MD, President, MedAssurant, Inc. Impact of Automating Contract and Network Management (Renaissance B, Third Floor) Presented by Kryptiq Corporation A health insurance plan's provider network is their most valuable asset, yet most plans still manage their network using manual and paper based methods. A major health insurance plan that has been automating network management for over a year will showcase the changes they have seen in their organization as a result of automation. Learn how automating network management enables improved decision making, rapid response to changing market conditions, and maximum operational efficiency. Chris Beck, Provider Contracting, Martin’s Point Health Care Using Health Information Technology to Impact Care Management (Renaissance A, Third Floor) Presented by MEDecision, Inc. This session will examine the changing role of health plans as investors in and adopters of health information technology. The speakers in this session will discuss how payers are using health information technology to impact business practices. The speakers will also provide their thoughts on the future of the health care industry and how it will be impacted by the use of technology. David St.Clair, Chariman of the Board and Chief Executive Officer, MEDecision, Inc. William Gerardi, M.D., MBA, Executive Medical Director – Enterprise Clinical Programs, Policy and Technology, Health Care Service Corp.
8:30 am – 9:00 am	Break in the Sponsor Display Area Sponsored by AHIP HI-WIRE
9:00 am – 10:15 am	Opening General Session Leading the 21st Century Health Care Organization:  A Conversation with Industry Innovators (Grand Ballroom I, Second Floor) Troyen A. Brennan, MD, MPH Executive Vice President and Chief Medical Officer, CVS Caremark Mark B. Ganz President and Chief Executive Officer, Regence BlueCross BlueShield
10:15 am – 10:45 am	Break in the Sponsor Display Area Sponsored by AHIP HI-WIRE
10:45 am – 11:45 am	Concurrent Sessions 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
11:45 am – 1:15 pm	Lunch in the Sponsor Display Area Sponsored by AHIP Career Source
1:15 pm – 2:00 pm	General Session A Futurist’s View of Health Care (Grand Ballroom I, Second Floor) Leanne Kaiser Carlson Futurist and Co-founder of Kaiser Institute
2:05 pm – 3:05 pm	Concurrent Sessions Increasing Productivity & Efficiency By Leveraging a Hosted Solutions - 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
3:05 pm – 3:30 pm	Break in the Sponsor Display Area Sponsored by AHIP HI-WIRE
3:30 pm – 4:30 pm	General Session The Real ROI: Measuring the Relationship Between Health and Productivity (Grand Ballroom I, Second Floor) Ben R. Leedle, Jr. President and Chief Executive Officer, Healthways, Inc. Kevin McConville Regional Managing Partner, The Gallup Organization
4:35 pm – 5:35 pm	Concurrent Sessions 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
5:35 pm – 6:45 pm	Reception in the Sponsor Display Area Sponsored by AHIP Coverage
Wednesday, November 19
7:00 am – 2:00 pm	Registration and Information Desk Open Sponsored by the AHIP Center for Insurance Education and Professional Development
7:15 am – 8:15 am	Breakfast Symposia E-Prescribing: How Do We Get to the Tipping Point? (Renaissance A, Third Floor) Presented by Novartis Pharmaceuticals Corporation This session will review the current state of electronic prescribing adoption and utilization across a variety of stakeholder communities including health plans, PBMs, employers, physician practices, pharmacies, pharmaceutical manufacturers, government organizations and consumers. The challenges of collaboration in a multi-payer and multi-stakeholder environment will be discussed as well as the market forces impacting the progress of e-prescribing adoption. Review of successful programs and initiatives will help provide practical solutions to implementation challenges in order to capitalize on the significant opportunity to lower the cost and improve the quality of healthcare through e-prescribing. Michael Lake, President, Circle Square, Inc. Embedding Intelligence into Your Core Administrative Processes (Renaissance C, Third Floor) As service expectations continue to intensify, today’s health plans must strive for more streamlined administrative processes, more customized service interactions and an adept ability to predict workload and workforce demands. In this session, learn how to embed business intelligence within your claims administration and core business processes. Hear how health insurance plans can partner to streamline their administrative processes and deliver personalized products, services and offers at every point of interaction with members, proactively identify service bottlenecks and reallocate staff to address backlogs, and standardize and automate processes to dramatically improve customer service while minimizing administrative costs. Ron Crewe, Managing Director, Health Payer Services, BearingPoint The Modern Era of Corporate Wellness Programs: Using Dynamic Data and Engaging Programming to Improve Corporate America (Renaissance B, Third Floor) Multi-dimensional corporate wellness programs have resulted in organizational change in many descriptive and statistical measures including decreased premiums and decreased sick days. This session will highlight how successful corporate wellness programs incorporate an analysis of fitness and wellness components, the use of technology for accountability, and engaging programming for employees. Discuss the essential elements required regardless of corporate size or structure and learn about real data on what works and what it means in the larger perspective of health care reform.
8:15 am – 8:30 am	Break in the Sponsor Display Area Sponsored by AHIP HI-WIRE
8:30 am – 9:45 am	General Session Examining the Value of PHRs (Grand Ballroom I, Second Floor) Hayes Abrams Senior Director, Managed Health Care Delivery, BlueCross BlueShield of Illinois, Texas, New Mexico and Oklahoma Elizabeth Boehm Principal Analyst, Forrester Research, Inc. Jeremy Nobel, MD, MPH Adjunct Lecturer, Health Policy and Management Department of Health Policy and Management Harvard School of Public Health
9:45 am – 10:15 am	Break in the Sponsor Display Area Sponsored by AHIP HI-WIRE
10:15 am – 11:15 am	Concurrent Sessions 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.
11:15 am – 11:30 am	Break in the Sponsor Display Area Sponsored by AHIP HI-WIRE
11:30 am – 12:30 pm	Concurrent Sessions 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
12:30 pm – 2:00 pm	Closing General Luncheon Decision 2008 and What it Means for the Future of Health Care (Grand Ballroom I, Second Floor) Peter Beinart Editor-at-Large of The New Republic, Senior Fellow at the Council of Foreign Relations Amy Holmes CNN Political Analyst