8:30AM - 9:25AM

Lessons from Pennsylvania on Reducing the Cost of Health Coverage: Insights from the Keystone State on 1332 Waivers and Running Its Own Health Insurance Exchange

The availability of 1332 waivers, which allow states to waive key portions of the ACA, gives Texas the opportunity to make changes that increase the stability of the individual health insurance market, encourage competition, and reduce the cost of coverage. This panel will discuss how Pennsylvania is taking advantage of the 1332 waiver and adopting a state-based exchange to lower the cost of health insurance.

Speakers

• Jessica Altman, Pennsylvania Insurance Commissioner
• Zach Sherman, Executive Director, Pennsylvania Insurance Exchange

Moderator

• Ken Janda, Founder and Principal, Wild Blue Health Solutions

Presentation

• Lessons from Pennsylvania on Reducing the Cost of Health Coverage

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9:30AM - 10:10AM

A Conversation on the Role of Marketplaces in Re-Envisioning Commercial Health Insurance Coverage Post-COVID-19

The economic crisis induced by the coronavirus pandemic highlights a flaw in linking health insurance to employment. As unemployment climbs, so does the loss of employer-sponsored insurance. However, individual health insurance marketplaces continue to meet individuals’ need for coverage as they transition from their employer coverage. National experts Kathy Hempstead from the Robert Wood Johnson Foundation and Ken Janda from Wild Blue Health Solutions will discuss the national outlook for the Marketplace, 1332 waivers, insurance markets, and affordable coverage in states.  

Speakers

• Kathy Hempstead, Senior Policy Advisor, Robert Wood Johnson Foundation

Moderator

• Ken Janda, Founder and Principal, Wild Blue Health Solutions

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10:15AM - 11:00AM

Regulatory Round-up With the Texas Department of Insurance

Senior staff from the Texas Department of Insurance will discuss how recent changes in state and federal law will impact the Texas health insurance market and regulatory environment.

Speakers

• Rachel Bowden, Director of Regulatory Initiatives for the Life and Health Division, Texas Department of Insurance
• ‍Libby Camp Elliott, Associate Commissioner for Agency Affairs and Government Relations Director, Texas Department off Insurance
• Chris Herrick, Deputy Commissioner, Customer Operations Division, Texas Department of Insurance
• ‍Rich Lunsford, Deputy Commissioner, Life and Health Division, Texas Department of Insurance

Moderator

• Melissa Eason, Texas Association of Health Plans

Presentations 

• Libby Camp Elliott, Regulatory Round-up with the Texas Department of Insurance

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11:05AM - 11:50AM

Changing the Model for Provider Data and Directories:  Navigating trends and demands for improved solutions to enable a better member experience and higher provider satisfaction

Member expectations are advancing related to how and where they receive care.  Providers want to spend time seeing patients versus responding to numerous ongoing administrative requests. CMS and other regulatory agencies continue to push for advances in quality and technology.  Provider onboarding needs to be faster and provider data quality needs to be better.  Networks need to be more configurable and easily conveyed to members and other constituents. Yet, for those managing networks and the provider administration within a health plan or system, meeting these demands isn’t easy and is often complicated by siloed and disconnected processes and systems.
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In this session, we will explore several industry trends that are putting pressure on healthcare organizations to manage providers better, onboard them faster, and facilitate more complex network models that work.  We will discuss how some organizations are navigating through these challenges and driving improvements that lead to more effective member and provider relationships.

Speaker

• ‍Kymberly Eide, President, Aperture

Moderator

• Karen Love, President & CEO, Cook Children’s Health Plan

Presentation

• Kymberly Eide, Changing the Model for Provider Data and Directories

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11:55AM - 12:40PM

Encouraging Appropriate Care In Your Membership: Delivering Lower Costs and Better Value

Health plans have been tasked with keeping medical spend down while improving patient outcome. During this presentation, Advisory Board will share how health plans can efficiently engage providers, serve members, and partner with community organizations to achieve these goals.

Speaker

• Sally Kim, Senior Researcher, Advisory Board

Moderator

• Kathryn Wylly, Director, Research Solutions, Advisory Board