Managed Healthcare Industry Forum
on Emerging Technology Presents:

IT and the Future of Managed Care:
The Next Wave

Monday, March 29, 2010 • New York City

Preliminary Agenda

7:30-8:30  Registration and Continental Breakfast

8:30-9:30  Morning Keynote Address: IT and the Future of Managed Care
Healthcare information technology is no longer simply an operational tool to streamline administration.  It is a strategic imperative closely tied to consumer engagement and care management.  Health plans are investing big money in technology to differentiate themselves in a post-reform world – a world in which profit margins are sure to be squeezed and only the best plans at controlling costs will survive.  In this keynote address, you’ll hear about the growing – and evolving – importance of health IT from the CIO of one of the nation’s top health plans.

Meg McCarthy Chief Information Officer Aetna Inc. (View Biography)

9:30-10:45  Informatics: The Technology of Population Management
The ability to manage healthcare cost will be the key competitive edge for any health plans in a post-reform world.  Central to controlling costs is population management through information technology – the ability to identify and engage at-risk populations for prevention, care management, and behavior change.  On this panel, you’ll hear a frank discussion from health plan executives on the front lines about the successes and challenges of meaningful population management through technology.

	Jay Levine Senior Vice President, Chief Information Officer BCBS-MN
	Anne-Marie J. Audet, MD Vice President, Quality Improvement and Efficiency, The Commonwealth Fund (View Biography)

10:45-11:00  Coffee Break

11:00-12:00  Roundtable Discussion: PHRs, EMRs, EHRs – Is the Future Now for Managed Care?
Adoption is slow and return on investment is non-existent.  Still there are many who view personal and electronic medical records as the future of healthcare – a key tool in helping consumers manage their own health.  In this eye-opening roundtable discussion, you’ll hear managed care industry executives offer both praise and doubt for the concept of PHRs, EMRs, and EHRs.  Is this technology tied to unrealistic visions of a consumer-driven future?  Is its success limited to fully integrated systems such as Kaiser or the Veterans Administration?  Or are electronic medical records the future of healthcare?

	Carolyn W. Luther Senior Vice President, Chief Information Officer Independence Blue Cross (View Biography)
	Lisa Caplan Vice President, Business Information Officer, Kaiser Permanente (View Biography)
	John Moore Managing Partner, Chilmark Research (View Biography)

12:00-1:00  Lunch

1:00-1:30  A Holistic Approach to Managed Care IT
In one way or another, healthcare IT touches every constituent in the healthcare continuum – patient, provider, employer and administrator.  Successful health IT requires an integrated, holistic approach.  Sometimes that even means tricky collaborations with competitors, overcoming very real challenges inherent in getting everyone connected, and making health IT really pay.  In this keynote address, you’ll hear a leading health plan CIO discuss the role that technology will play in facilitating transactional capabilities that yield administrative savings and care management capabilities that help members achieve better outcomes – and how health IT can be integrated to serve double duty.

John Kelly Director of eBusiness Architecture Harvard Pilgrim Health Care (View Biography)

1:30-2:30 Real-Time Claims Adjudication: The Next Wave of Growth
Has real-time claims adjudication hit a wall – or is the industry about to reach a tipping point?  Once thought an inevitability because of the growth of consumer-driven healthcare, real-time claims is facing a new reality; batch may be more efficient for the bulk of claims not requiring price check and approval at the point of care.  Find out how health plans are balancing their investment in real-time with its ultimate potential – and learn whether real-time adoption has hit a wall or is about to reach a tipping point.

Stephen Wiggins Chief Information Officer Blue Cross Blue Shield of South Carolina

2:30-3:30 Healthcare IT Legal and Regulatory Update
A wide variety of federal and state regulations will impact the utilization and adoption of healthcare information technology. Among the most significant are government reimbursement incentives to providers who become "meaningful users" of electronic information technology. The implications of this and other regulatory initiatives at the state and federal level - including the likely impact on payers and providers - is the subject of this panel.

3:30-4:00 Coffee Break

4:00-5:00  The Outlook for Managed Care IT
Corporate Research Group delivers the results of its semi-annual study on managed care information technology trends and developments. The report include projections for utilization and penetration rates of various technologies, such as ePrescrib

Carl Mercurio President and Publisher Corporate Research Group