Attendance is limited to AHIP health insurance provider members, AHIP Retained Counsel, and state trade association executives.
Focused discussions | Big picture thinking | Ideas that hit home
Take a few days out of the office to focus on state-level strategic planning. At AHIP’s Annual State Issues Retreat, you’ll get expert guidance on the latest regulatory and legislative issues. You’ll brainstorm with those who face similar challenges, then take home state-specific solutions that can make an impact within the communities you serve.
In a collaborative, retreat style setting that fosters meaningful networking and idea-sharing, we’ll take on the issues that matter most, including:
Don’t miss this unique opportunity. Click here to register.
By Invitation Only
By Invitation Only
Jessica Altman is the Commissioner of Insurance for the State of Pennsylvania, and is the chair of the NAIC Managed Care (B) Committee. Through her committee position, she oversees much of the efforts aimed at health insurance providers that the NAIC is currently debating. In this session, hear her thoughts on topics such as mental health parity, prescription drugs, PBM regulation issues, the future of ACA-related products and market issues. In addition, as Pennsylvania is moving from the federally-facilitated marketplace (FFM) to a state-based marketplace in the coming year, Commissioner Altman is overseeing much of this transition. She will discuss how the state evaluated this opportunity, and describe the learnings achieved as the state moves through implementation.
Health care coverage issues continue to take center stage in both national and state policy discussions. States are increasingly looking to alternative coverage options as viable solutions to their coverage and health care price concerns. This panel will explore alternative coverage legislation that has been introduced in a handful of states, and how stakeholders and the industry can respond.
While the states have been struggling with the debate of who is responsible for out-of-network billing for years, it has recently garnered federal attention. This session will review various proposed and passed benchmarks and walk through lessons learned in the states, as well as expectations on Capitol Hill.
Sponsored by Crowell & Moring LLP
Two years into the Trump Administration, the federal government continues to pursue rulemakings, litigation, and legislation that bears on the state health insurance market. Speakers in this session will present an overview of the key legislative actions, along with a view to the 2020 election cycle, litigation–including discussion of the practical effects of Texas v. U.S.– and the Administration’s regulatory approach.
The NAIC is moving forward with a re-write of its Model Regulation to implement the Model Act governing supplemental insurance products. NAIC is also engaged in important work on several other supplemental coverage fronts – including rating practices for long-term care insurance; examining Medigap coverage and policy changes; and designing key dimensions for scrutinizing disability income insurers. Around the country, we have seen legislation in various states that could have an impact on other supplemental products – such as measures to prohibit common dental plan contracting practices. Join this session to learn how NAIC and state policymaking could affect your company’s supplemental product business.
Health insurance providers faced a barrage of pharmacy related legislation this year, including bills on PBM regulation, drug price transparency, co-pay accumulator programs and cost-sharing. This panel will explore strategies and tools deployed to counter attacks on pharmacy benefit management and advance measures to address unsustainable drug costs.
The MHPAEA is reaching its 10th anniversary, yet questions remain on how to measure adherence. Advocates request more reporting and transparency, so where is the right balance? How are state legislators and regulators addressing issues such as NQTLs? Join this session as the panelists discuss these issues, state-based approaches and what may emerge in 2020.
Great Lakes Region (IN, KY, MI, OH, PA, WI, WV)
Mid-Atlantic Region (DC, DE, MD, VA)
Midwest Region (AR, IA, IL, KS, MO, MN, NE, OK)
Mountain Region (AK, CO, ID, MT, ND, NM, SD, WY)
Northeast Region (CT, MA, ME, NH, NJ, NY, VT)
Southeast Region (AL, FL, GA, LA, MS, NC, SC, TN, TX)
Western Region (CA, AZ, HI, NV, OR, UT, WA)
From the basics to the future in medical management, this session will provide an overview of what prior authorization is and automation of the process. Speakers in this session will demonstrate how technology is improving prior authorization for patients and providers.
This session will continue the discussion on how standard operating rules are helping to improve prior authorization transactions, including current multistakeholder efforts to improve the prior authorization process. Panelists will also expound on how to discuss and defend prior authorization and broader medical management in the legislative environment.
This session will explore why health insurance providers use medical management tools, specifically when it comes to prescription drugs. Issues in the states surrounding prior authorization, step therapy, and formularies will be discussed.
This session focuses on strategies to proactively and/or reactively address provider related issues such as utilization management, provider network issues, provider practices and provider-related drug issues.
Sponsored by Integrated Healthcare Association
Consumers rely on provider directories to make important choices about coverage and care, yet maintaining accurate directories remains a tough operational challenge for health plans and providers. With increasingly prominent discussions on health care reform and price transparency, fixing the way provider data is shared, reconciled and validated in compliance with state and federal requirements is more critical than ever. In this session, a California-based nonprofit will share insights from the first year of the statewide provider directory platform roll-out in California (Symphony Provider Directory), discuss national trends in provider data compliance and share key success metrics from one of the nation’s most complex health care marketplaces.
Hotel Website: www.jwmarriottdc.com
Fall is a fabulous time to be in D.C.
Not too hot, not too cold. And always a comfortable setting to plan for your organization’s coming year in public programs. Conveniently located, AHIP’s State Issues Retreat is a great place to get down to business. Sign up for the conference and receive special hotel rates!
As an added bonus, nearby you’ll find plenty of walkable green spaces, D.C.-only attractions like the White House, Smithsonian Museums and the National Mall, and great restaurants for when you need to take a short break from it all.
Reservation Deadline is Friday, August 23, 2019 or when the room block has sold out. (whichever comes first).
How to book a room – To receive the AHIP-negotiated rates you must register for the 2019 State Issues Retreat, before making your hotel reservation. Once your registration has been confirmed you will receive hotel details within the registration confirmation to book your room reservation using the online Passkey system. Reservation Deadline is Friday, August 23, 2019 or when the room block has sold out. (whichever comes first).