|
Managed Healthcare Industry Forum Presents:
How Health Plans Can Survive Reform
Monday, June 28, 2010 • New York City
Preliminary Agenda
7:00-8:00 Registration and Continental Breakfast
8:00-9:00 Morning Keynote Address: How Health Plans Can Survive Reform
Healthcare reform is certain to put pressure on health plan profits. But that doesn’t mean the industry can’t survive and even thrive. The key to success will be to focus on four areas: 1. Products and services that improve quality and control costs; 2. Convenient tools and easy-to-understand information to help members make better-informed healthcare decisions; 3. Transparency; 4. New wellness and prevention programs. In this keynote address, you’ll hear how a leading health plan is positioning itself to win in the market following reform.
9:00-10:30 Roundtable: Implications of New Regulations – from Minimum MCRs to Insurance Exchanges
The various rules and regulations in the healthcare reform legislation will dramatically impact plan operations and performance. These changes include healthcare exchanges, individual and small group insurance reforms, minimum medical cost ratios, expanded Medicaid eligibility, cuts to Medicare Advantage payments, and new industry taxes. On this panel, leading managed care industry analysts will discuss the likely fallout of reform on health insurance plans.
10:30-10:45 Coffee Break
10:45-12:00 Medicaid Expansion: How to Get Your Share without Sinking the Ship
Healthcare reform will add approximately 16 million Medicaid enrollees – a large percentage of whom will join managed care plans. But Medicaid remains a challenging market – with low margins, strict regulatory requirements, and difficulties in maintaining an adequate provider network given low fee schedules and shortages of primary care physicians. Furthermore, most new Medicaid members will be childless adults – many of whom have untreated conditions or incomplete medical histories. On this panel, you will learn how to navigate these uncertain waters and win business without sinking the ship.
 |
Joyce Hagen
SVP, Chief Marketing and Development Officer
AmeriHealth Mercy
(View Biography) |
 |
Carl Mercurio
President and Managed Care Analyst
Corporate Research Group |
12:00-1:00 Lunch
1:00-2:00 Afternoon Keynote Address: Innovations in Provider Payment and Incentives
To survive in a post-reform world, health plans must develop innovative, next-generation products, services and strategies that deliver on the original promise of managed care: higher quality at a lower cost. In this roundtable discussion, a leading health plan executive will discuss his company’s efforts with new provider payment methods, new product design, decision-support tools, population management, consumer-directed healthcare – and a variety of other evolving products that will be needed to save managed care.
2:00-2:45 Individual Health Plans: How to Protect Profits and Differentiate Products
Healthcare reform will turn the individual and small group markets upside down. While reform will add millions of members, health plan margins will be strained by the commoditized benefit structures mandated by the legislation and because the law requires guaranteed issue of health insurance without a strong mandate. Only the most efficient plans will survive. On this panel, you’ll hear how health plans will deal with these changes– and what reform will mean for the long-term prospects of the individual and small group segments.
| |
Walter Meyers
Director, Competitive Assessment
Kaiser Foundation Health Plan |
2:45-3:30 Medicare Advantage Outlook: Who Will Survive the Cuts?
Medicare Advantage plans have enjoyed a good ride in recent years, but all that is about to change now that reform is certain to cut into Medicare Advantage reimbursements, strain plan profitability, drive industry consolidation and force executives to develop new skills to succeed. Can Medicare Advantage survive or will health plans abandon the market like many did a decade ago the last time reimbursements were slashed? On this panel, you’ll get a sober assessment of the prospects for Medicare Advantage as well as an inside track on who the likely winners and losers will be.
3:30-4:00 Coffee Break
4:00-5:00 Outlook for Managed Care
Analyst Carl Mercurio provides his outlook for the managed care industry for 2010 – with an emphasis on how reform will impact health plan membership, profits and products.
|
Carl Mercurio
President and Managed Care Analyst
Corporate Research Group |
|
