Overview | Agenda/Faculty Materials | Scholarships | Promotional Opportunities
Speaking Proposals | Administration | Log In | Contact Us | Past Congresses | Home




AGENDA: DAY II
Thursday, January 20, 2011

7:00 a.m. Registration Commences

DAY II: PLENARY SESSION
8:00 a.m. Welcome and Introduction

Susan Dentzer
Editor-in-Chief, Health Affairs; Health Policy Analyst, The News Hour with Jim Lehrer, Washington, DC (Co chair)
8:15 a.m. Congressional Staff Panel on Health Insurance Reform Policy

Nick Bath
Senior Health Policy Advisor, Sen. Tom Harkin, Senate HELP Committee, United States Senate, Washington, DC

Chuck M. Clapton, Esq.
Health Policy Director, Health, Education, Labor and Pensions (HELP) Committee, United States Senate; Former Chief Health Counsel, Republican Staff, Ways and Means Committee, United States House of Representative, Washington, DC

Dan Elling, MA
Republican Staff Director, Subcommittee on Health, Ways and Means Committee, United States House of Representatives; Former Health Policy Aide, Congresswoman Nancy Johnson, Washington, DC

Wendell Primus
U.S. House of Representatives, Washington, DC

Susan Dentzer
Editor-in-Chief, Health Affairs; Health Policy Analyst, The News Hour with Jim Lehrer, Washington, DC
9:15 a.m. Bending the Cost Curve: What Would We Have the President Do?

Uwe E. Reinhardt, PhD
James Madison Professor of Political Economy, Woodrow Wilson School, Princeton University, Princeton, NJ
Presentation Material (Acrobat)
9:45 a.m. Transition Break

MINI SUMMITS - GROUP I
MINI SUMMIT I: HIGH RISK POOLS
10:15 a.m. Overview of State High-Risk Pools and the Federal Alternative

Bernadette Fernandez
Specialist in Health Care Financing, Domestic Social Policy Division, Congressional Research Service, Library of Congress, Washington, DC

Mark Newsom, MSc
Analyst in Health Care Financing, Domestic Social Policy Division, Congressional Research Service, Washington, DC
10:35 a.m. Multiple Approaches: Analyzing the Variations Among State Based High-Risk Pools

Richard Cauchi
Program Director, Health, National Conference of State Legislatures, Denver, CO
Presentation Material (Acrobat)
10:55 a.m. Update on OCIIO High-Risk Pools Initiatives

Richard Popper, MS
Director, Insurance Programs, HHS Office of Consumer Information and Insurance Oversight, Former Executive Director, Maryland Health Insurance Plan (MHIP), Former Assistant Director, California Managed Risk Medical Insurance Board, Washington, DC
Presentation Material (Acrobat)
11:15 a.m. What Happens to High-Risk Populations when the Full Health Reform Program Kicks In: Implementing the Reinsurance, Risk Corridors, and Risk Adjustment of PPACA

Mark Merlis, MA
Independent Health Policy Consultant; Author, Health Coverage for the High-Risk Uninsured: Policy Options for Design of the Temporary High Risk Pool, May 2010, Philadelphia, PA
Presentation Material (Acrobat)
11:35 a.m. Faculty Q&A
11:45 a.m. Networking Luncheon

MINI SUMMIT II: THE FUTURE OF MEDICARE ADVANTAGE
10:15 a.m. Introduction and Overview to the Future of Medicare Advantage

John Gorman
Chief Executive Officer, Gorman Health Group, LLC, Washington, DC
10:45 a.m. Roundtable on the Future of Medicare Advantage

Herbert A. 'Herb' Fritch
Chief Executive Office, HealthSpring, Franklin, TN

David Howes, MD
President and Chief Executive Officer, Martin's Point Health Care, Portland, ME

Frank Ingari
Chairman and Chief Executive Offcier, Essence Healthcare, Maryland Heights, MO

John Gorman, MD
Chief Executive Officer, Gorman Health Group, LLC, Washington, DC (Moderator)
Presentation Material (Acrobat)
11:45 a.m. Networking Luncheon

MINI SUMMIT III: QUALITY AND ACCESS DISPARITY ISSUES IN HEALTH INSURANCE REFORM
10:15 a.m. Measuring the Clinical Quality of Exchange Plans

Margaret O'Kane
President, National Committee for Quality Assurance, Washington, DC
Presentation Material (Acrobat)
10:45 a.m. Coverage and Access Disparities in Massachusetts' and National Health Reforms

Dharma Cortés, PhD
Senior Research Associate, Mauricio Gastón Institute for Latino Community, Development and Public Policy, University of Massachusetts, Boston, MA
Presentation Material (Acrobat)

James Maxwell, PhD
Director of Research, JSI Research & Training Institute, Boston, MA

Karen Schneider, PhD
Senior Research Scientist, John Snow, Inc., Boston, MA
Presentation Material (Acrobat)

Brian Rosman, Esq.
Director of Research, Health Care For All, Former Counsel, Committee on Ways & Means, Massachusetts Senate, Boston, MA
Presentation Material (Acrobat)
11:45 a.m. Networking Luncheon

MINI SUMMIT IV: ENROLLMENT STRATEGIES FOR THE NEW MEDICAID AND HEALTH INSURANCE EXCHANGE POPULATIONS AND THE PLIGHT OF UNDOCUMENTED ALIENS
10:15 a.m. State Medicaid Enrollment Strategies

Kathleen Nolan, MPH
Director, Health Division, National Governors Association, Former Senior Director for Prevention Policy, Association of State and Territorial Health Officials, Washington, DC
10:45 a.m. Health Insurance Exchange Enrollment Strategies

Rachel Klein, MA
Deputy Director of Health Policy, Families USA, Washington, DC
11:15 a.m. Health Reform: What Is The Future For Undocumented Aliens?

Courtney Burke
Director, New York State Health Policy Research Center, Rockefeller Institute of Government, Albany, NY
Presentation Material (Acrobat)
11:45 a.m. Networking Luncheon


MINI SUMMITS - GROUP II
MINI SUMMIT V: THE THREE REINSURANCE PROGRAMS UNDER HEALTH REFORM
1:00 p.m. Overview of the Three Types of Reinsurance Created by Federal Health Reform

Mark Hall, Esq.
Fred D. & Elizabeth L. Turnage Professor of Law, Wake Forest School of Law, Winston-Salem, NC
Presentation Material (Acrobat)
1:30 p.m. Is the Funding Adequate for the Early Retiree Reinsurance Program?

Paul Fronstin, PhD
Senior Research Associate, Employee Benefit Research Institute, Washington, DC
Presentation Material (Acrobat)
2:00 p.m. Implications of the Health Reform Reinsurance Programs for Health Plans

Kris Haltmeyer
Executive Director of Legislative & Regulatory Policy, Blue Cross Blue Shield Association, Washington, DC
Presentation Material (Acrobat)
2:30 p.m. Transition Break

MINI SUMMIT VI: CONSUMER DRIVEN HEALTHCARE
1:00 p.m. Current Employer Consumer Driven Benefit Design, Research and Trends

Alexander "Sander" Domaszewicz
Principal and Senior Consultant, Mercer Health and Benefits Services, Newport Beach, CA
1:30 p.m. Will Consumer Driven Care Flourish under Health Reform?

John C. Goodman, PhD
President and Chief Executive Officer, National Center for Policy Analysis, Kellye Wright Fellow in Health Care, Wright Fellowship, Washington, DC
2:00 p.m. Results of the CIGNA Annual Consumerism Study

John Young
Vice President Consumerism, CIGNA, Minneapolis, MN
Presentation Material (Acrobat)
2:30 p.m. Transition Break

MINI SUMMIT VII: PAYMENT REFORM: BUNDLED PAYMENTS AND PARTIAL AND FULL CAPITATION
1:00 p.m. Overview of Payment Reform Initiatives

Harold D. Miller
President and Chief Executive Officer, Network for Regional Healthcare Improvement; Executive Director, Center for Healthcare Quality and Payment Reform, Pittsburgh, PA
Presentation Material (Acrobat)
1:30 p.m. Case Studies in Multi-Stakeholder Payment Reform Initiatives

Julie Bartels
Executive Director, Wisconsin Health Information Organization, Green Bay, WI
Presentation Material (Acrobat)

Elizabeth Mitchell
Chief Executive Officer, Maine Health Management Coalition, Portland, ME
Presentation Material (Acrobat)

John Sakowski
Chief Operating Officer, Institute for Clinical Systems Improvement, Bloomington, MN
Presentation Material (Acrobat)

Harold D. Miller
President and Chief Executive Officer, Network for Regional Healthcare Improvement; Executive Director, Center for Healthcare Quality and Payment Reform, Pittsburgh, PA (Moderator)
2:30 p.m. Transition Break

MINI SUMMIT VIII: VALUE-BASED INSURANCE DESIGN AND COMPARATIVE EFFECTIVENESS RESEARCH
1:00 p.m. Value-Based Insurance Design: Embracing Value over Cost Alone

A. Mark Fendrick, MD
Co-Director, University of Michigan Center for Value-Based Insurance Design and Professor in the Departments of Internal Medicine and Health Management and Policy, University of Michigan, Ann Arbor, MI
1:20 p.m. Practical Issues in Implementing Value-Based Insurance Design

David C. Grossman, MD, MPH
Pediatrician and Medical Director of Preventive Care, Group Health Permanente; Senior Investigator, Group Health Research Institute, Seattle, WA
Presentation Material (Acrobat)

Edmund J. Pezalla, MD
National Medical Director, Pharmacy Management, Aetna Health Plans, Hartford, CT
Presentation Material (Acrobat)

Ed Wong, PharmD, BCPS, FASHP
Vice President of Pharmacy Services, Premera Blue Cross, Mountlake Terrace, WA

A. Mark Fendrick, MD
Co-Director, University of Michigan Center for Value-Based Insurance Design and Professor in the Departments of Internal Medicine and Health Management and Policy, University of Michigan, Ann Arbor, MI (Moderator)
2:30 p.m. Transition Break


MINI SUMMITS - GROUP III
MINI SUMMIT IX: MEDICAL LOSS RATIO
2:45 p.m. Overview of the New Medical Loss Ratio Thresholds

Sandy Praeger
Kansas Insurance Commissioner; Chair, Health Insurance and Managed Care (B) Committee and Past President, National Association of Insurance Commissioners (NAIC), Topeka, KS
Presentation Material (Acrobat)
3:15 p.m. The New MLR Regulatory Landscape

Steven Ostlund
Actuary, Alabama Department of Insurance; Chair, PPACA Actuarial Subgroup, Accident & Health Working Group, National Association of Insurance Commissioners, Montgomery, AL
Presentation Material (Acrobat)
3:45 p.m. Actuarial/Financial Perspectives on Health Reform Implementation

Rowen B. Bell, FSA, MAAA
Actuary, Health Care Service Corporation; Chairperson, Medical Loss Ratio Regulation Workgroup, American Academy of Actuaries, Chicago, IL
4:15 p.m. Transition Break

MINI SUMMIT X: DELIVERY SYSTEM REFORM: THE ROLE OF HEALTH PLANS IN ACO AND MEDICAL HOME DEVELOPMENT
2:45 p.m. ACO Formation, Provider Consolidation and related Anti-Trust Issues

Susan DeSanti
Director, Office of Policy Planning, Federal Trade Commission, Washington, DC
Presentation Material (Acrobat)

Steven M. Lieberman, MPhil, MA
Visiting Scholar, Brookings Institution; Managing Member, Lieberman Consulting Inc.; Former Assistant Director, White House Office of Management and Budget; Former Executive Associate Director, Congressional Budget Office, Bethesda, MD
Presentation Material (Acrobat)
3:45 p.m. Insurer Roles in Developing Patient Centered Medical Homes

Edwina Rogers, Esq.
Executive Director, Patient Centered Primary Care Collaborative, Washington, DC
Presentation Material (Acrobat)

Richard L. Snyder, MD
Senior Vice President and Chief Medical Officer, Independence Blue Cross, Philadelphia, PA
Presentation Material (Acrobat)
4:15 p.m. Transition Break

MINI SUMMIT XI: IMPLEMENTING THE INDIVIDUAL MANDATE
2:45 p.m. The New Exchange Subsidies and Insurance Mandates: Can They Work?

C. Eugene Steuerle, PhD
Institute Fellow and Richard B. Fisher Chair, Center on Nonprofits and Philanthropy, The Urban Institute; Former Deputy Assistant Secretary for Tax Analysis, United States Department of the Treasury; Former President, National Tax Association, Washington, DC
Presentation Material (Acrobat)
3:30 p.m. Enforcing the Individual Mandate

Linda J. Blumberg, PhD
Economist and Senior Fellow, The Urban Institute; Co-author, Enforcing Health Insurance Mandates; Former Health Policy Advisor, Office of Management and Budget, Executive Office of the President, Washington, DC
Presentation Material (Acrobat)
4:15 p.m. Transition Break

MINI SUMMIT XII: ANTITRUST-MAKING THE MARKET WORK: COMPETITION AND CONSUMER PROTECTION ENFORCEMENT IN BROKEN HEALTH INSURANCE MARKETS
2:45 p.m. Roundtable on Making the Market Work: Competition and Consumer Protection Enforcement in Broken Health Insurance Markets

Cory Capps, PhD
Partner, Bates White; Former Staff Economist, Antitrust Division, United States Department of Justice, Washington, DC
Presentation Material (Acrobat)

Thomas M. O'Brien, Esq.
Assistant Attorney General, Chief, Health Care Division, Office of Attorney General Martha Coakley, Boston, MA
Presentation Material (Acrobat)

Josh Soven, Esq.
Chief, Litigation I, Antitrust Division, United States Department of Justice, Washington, DC

David Balto, Esq.
Law Offices of David A. Balto; Former Trial Attorney, Antitrust Division, United States Department of Justice; Policy Director, Bureau of Competition, United States Federal Trade Commission, Washington, DC (Moderator)
4:15 p.m. Transition Break


MINI SUMMITS - GROUP IV
MINI SUMMIT XIII: PREMIUM RATE REGULATION
4:30 p.m. Insurance Premium Rate Regulation in the Wake of the PPACA: Where We Stand Today

Carolyn Engelhard, MPA
Assistant Professor and Health Policy Analyst, University of Virginia School of Medicine; Director, Masters of Science Program in Clinical Research, UVA Department of Public Health Sciences; Author, Truth and Consequences-Insurance-Premium Rate Regulation and the ACA, The New England Journal of Medicine, Charlottesville, VA
Presentation Material (Acrobat)
5:00 p.m. Why Prior Approval Rate Regulation is Necessary to Protect Consumers

Carmen Balber
Director, Washington, DC Office for Consumer Watchdog, Washington, DC
Presentation Material (Acrobat)
5:30 p.m. Premium Rate Review: Policy Consequences and the Potential for Dispute

Dean Richlin, Esq.
Partner, Foley Hoag LLP; Former First Assistant Attorney General, Commonwealth of Massachusetts, Boston, MA
Presentation Material (Acrobat)
6:00 p.m. Adjournment

MINI SUMMIT XIV: EMPLOYER STRATEGIES FOR SUCCESS FOLLOWING HEALTH REFORM
4:30 p.m. The Future of Employer-Based Health Insurance Following Health Reform

Elise Gould, PhD
Director of Health Policy Research, Economic Policy Institute, Washington, DC
Presentation Material (Acrobat)
5:00 p.m. Keeping your Grandfather Status - Issues to Consider; Plan Changes to Avoid

Richard (Rich) Birmingham, JD, LLM
Partner, Davis Wright Tremaine, Seattle, WA
Presentation Material (Acrobat)
5:30 p.m. Eight Health Reform Compliance Pitfalls...and What Employers Must Do to Survive Them

Sharon R. Cohen, JD
Attorney, Research and Information Center, Towers Watson, Former Senior Attorney, Employee Benefits and Exempt Organizations, Internal Revenue Service, Washington, DC
Presentation Material (Acrobat)
6:00 p.m. Adjournment

MINI SUMMIT XV: WALL STREET'S ASSESSMENT OF THE IMPACT OF HEALTH REFORM ON HEALTH INSURERS
4:30 p.m. Wall Street's Assessment of the Impact of Health Reform on Health Insurers

Charles Boorady, MBA
Co-head Health Care Research, Credit Suisse, New York, NY
Presentation Material (Acrobat)

Thomas J. Main, MBA
Partner and U.S. Market Leader, Health and Life Sciences Practice, Oliver Wyman, Chicago, IL

Carl McDonald, CFA
Equity Analyst, Citigroup Investment Research, New York, NY
Presentation Material (Acrobat)

Douglas B. Sherlock, CFA
President, Sherlock Company, Gwynedd, PA
Presentation Material (Acrobat)

Alan Katz
President, Alan Katz Group LLC, Author, Alan Katz Health Care Reform Blog, Former Senior Vice President, WellPoint, Los Angeles, CA (Moderator)
6:00 p.m. Adjournment

MINI SUMMIT XVI: CONSTITUTIONALITY OF THE INDIVIDUAL MANDATE; LITIGATION UPDATE; IMPLICATIONS OF RULING
4:30 p.m. Why the Individual Health Care Mandate is Unconstitutional

Ilya Somin, MA, JD
Associate Professor of Law, School of Law, George Mason University, Arlington, VA
5:00 p.m. Why the Individual Mandate to Buy Health Insurance is Constitutional

Mark Hall, Esq.
Fred D. & Elizabeth L. Turnage Professor of Law, Wake Forest School of Law, Winston-Salem, NC
Presentation Material (Acrobat)
5:30 p.m. Discussion: What Happens if the Individual Mandate is Found to be Unconstitutional?

6:00 p.m. Adjournment




Overview | Agenda/Faculty Materials | Scholarships | Promotional Opportunities
Speaking Proposals | Administration | Log In | Contact Us | Past Congresses | Home




© Health Care Conference Administrators
Contact Webmaster