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2016 Executive Forum Schedule


 Schedule at a Glance as of 1/29/16

speakers and topics subject to change

Tuesday, February 9th, 2016

12:00pm - 5:00pm - Registration - Augustus Ballroom foyer 

5:30pm - 7:00pm - Welcome Reception - Augustus Ballroom


Wednesday, February 10th, 2016

7:30am - 5:30pm - Registration - Augustus Ballroom Foyer

7:30am - 8:00am - Breakfast & Networking - Augustus Ballroom

8:00am - 8:30am - Welcome and Opening Remarks

8:30am - 10:00am: Keynote 

An Insider's View on President Obama's Public Policy and Its Implications for the Election of 2016

presented by: Senator Tom Daschle

It’s safe to say that politics hasn’t been “as usual” lately. From unlikely candidates as Republican frontrunners, to fluctuating poll numbers in the Democratic race, to instability in the market, global immigration issues, our decaying infrastructure, and the continued and evolving discussion around Obama Care (including the proposed Cadillac tax)—the factors impacting the year ahead are more varied and more significant as each week passes. Enter former Senate Majority Leader Tom Daschle, who draws from his 30+ year career in political service to deliver his predictions of the who, what, and why that will shape the political landscape over the next year. As the architect of the Obama healthcare reform initiatives, Daschle offers expert perspective on the implications of a range of possible future scenarios, revealing insight into what individuals, businesses and the healthcare industry can expect in 2016 and beyond. 

10:00am - 10:15am - BREAK

10:15am - 11:10am: Session 

Employers and Telemedicine: A New Frontier

presented by: Arjun Chanmugam MD, MBA, Vice Chair, Integration and Health Care Transformation   Department of Emergency Medicine, Johns Hopkins School of Medicine

Telemedicine is no longer a potential trend, its availability is gaining momentum and is proven to be a valuable tool in the delivery of healthcare.  As more employers are implementing consumer-driven healthcare plans (CDHP's), which increase out-of-pocket medical expenses for plan participants, what's next?  What tools can be used to educate the healthcare consumer to enable the best decision making at the "point of concern"?  How is the medical community adapting to this changing environment?

11:10am - 12:00pm: Session 

Healthcare in the Crosshairs: Managing the Persistent Threat of Cyber Attack

presented by: Serge Solski - VP, Business Development of Watsec Cyber Risk Management

Every day we read about an increasing number of cyber attacks affecting businesses especially those in healthcare. Most attacks require very little effort to be successful. Why are businesses so unprepared for cyber threats?  Here are some common misconceptions businesses have about cyber risk:

“We’re too small to be a target of a cyber attack. Cyber is a big business problem.”
“We are HIPAA compliant. We don’t need to manage our cyber risk.”
“Cyber risk is an IT risk. I trust my IT team to handle that.”

Any of these statements sound familiar? If so, your business could end up in the headlines for all the wrong reasons. So what can senior leaders such as yourself do to prevent this from happening? Join us to hear an expert in cyber risk management talk about the rapidly growing number of cyber attacks on healthcare and why you should take this emerging threat very seriously. 

You will walk away from this session with a far greater understanding that cyber risk is very real to your business and should not be marginalized. You will also gain as an appreciation of the critical role you must play in managing your business’ cyber risk exposure. Our expert will also share a strategic framework for an effective program view of cyber risk management that will put your business on the road to becoming truly cyber resilient.


Noon - 1:00pm - Lunch

1:05pm - 2:05pm: Session 

2016 and Beyond - Increase Your Self Insured Opportunities Through Innovative Cost-Containment and Creative Alternatives

presented by: Adam Russo JD, The Phia Group

As a result of health care reform and additional state and federal regulations, brokers and employers are considering self-insurance more than ever.  There has never been a better time to service the administrative and consulting needs of these entities than today – but new regulations are creating hurdles nonetheless.  Join Adam V. Russo, CEO of The Phia Group, as he discusses the current health care environment and offers an in-depth analysis of services, alternatives, and unconventional tactics that are indispensable to all players in the self-funded industry.  He will discuss how to differentiate yourself from the traditional way of thinking through plan design, cost-containment techniques, the most innovative opportunities available in the industry, and how to offer better benefits and lower the overall cost of coverage. 

2:05pm - 2:50pm: Session 

Tools to Enhance Participant Consumerism

presented by: Bill Kampine of HCBB, Nick Fitzsimmons of Global Excel, and Ann Mond Johnson, CEO of Zest Health


With the increase in plan deductibles and out of pocket expense, plan participants have an increasing vested interest in becoming as wise a consumer of healthcare services as they generally have been in all other aspects of their lives.  This has resulted in the development of consumer tools designed to provide participants with provider cost and quality information.

This panel, comprised of three of the leading transparency vendors will expose the audience to three types of consumer engagement tools that are currently being used by industry TPAs.  They will focus on the core features of their products and their approximate cost/benefits, and will avoid specific cost information and/or commercials.


2:50pm - 3:05pm - BREAK

3:05pm - 4:00pm - Session

Everything You Always Wanted to Know but Were Afraid to Ask About PBM Pricing Offers and Contracts

presented by: John Adler, Adler Rx Consulting, LLC

This session will arm you with the questions necessary to understand the differences between PBM pricing offers and create a true comparative pricing analysis.  In addition, we will talk about the tidal wave of Specialty Rx risk and potential plan designs and clinical criteria that can help manage these medications, including Hepatitis C and Super Statins.


4:00pm - 4:55pm - Session

Value Based Reimbursement (VBR) – Is it the Right Answer?

presented by: Paul Forte, VP of Strategic Planning, Health Plans, Inc.

Learn the basics of VBR and the premise for improving health care cost and quality through the shifting of provider reimbursement from FFS to value through incentives.  Answer the questions of why providers would consider VBR, how self-funded employers and their population can benefit and, what needs to happen for success.

4:55pm - 5:00pm - Wrap-Up and Notices

5:30pm - 7:00pm - Reception


Thursday, February 11th, 2016

7:30am - Noon - Registration - Augustus Ballroom Foyer 

7:30am - 8:00am - Breakfast & Networking - Augustus Ballroom

8:00am - 8:10am - Welcome and Opening Remarks - Augustus Ballroom

8:10am - 9:45am - Keynote

The Future of Health & Medicine: Where Can Technology Take Us?

presented by: Dr. Daniel Kraft, Founder and Executive Director, Exponential Medicine and Faculty Chair for Medicine Singularity University

Dr. Kraft examines rapidly emerging, game changing and convergent technology trends and how they are and will be leveraged to change the face of healthcare and the practice of medicine in the next decade.

A deep dive into where emergent fields such as low cost personal genomics, the digitization of health records, crowd sourced data, molecular imaging, wearable devices & mobile health, synthetic biology, systems medicine, robotics, artificial intelligence, nanotechnology, 3D printing and regenerative medicine are transforming healthcare, and have the potential to enable clinicians, empower patients, and deliver better care and outcomes at lower cost.

9:45am - 9:55am - BREAK

9:55am - 10:50am - Session

Positioning Your Company Amid the Expanding and Consolidating Industry

presented by: Orlo (Spike) Dietrich, Ansley Capital Group, LLC

The TPA Market:  Expanding, Contracting and Consolidating. The Health Plan Market: Significant Consolidation.  ACOs, Public and Private Exchanges, Narrow Networks, Clinically Integrated Networks, and the rapid emergence of the Fully Integrated Delivery System: How are these changing the market?  Who will be driving the bus, and what is the role of the Third Party Administrator?

The larger Private Equity and Venture Capital firms have clearly targeted our space as a priority for their investments and they each have a clear (but often differing) strategic view. How do each of our members, many of whom have very different strategic and personal goals, position their Company for this rapidly evolving future?

The intent of this session is to provide critical information, and actionable strategies, to help our members make certain they are well prepared when they make the decision to explore a possible financial transaction, of any nature. We have asked Spike Dietrich, the founder of HealthScope Benefits, the original Chief Operating Officer of CoreSource, the past Chairman of WebTPA, and now a Managing Director of The Ansley Group, a strategic consulting and investment bank with an exclusive focus on healthcare to give us his thoughts and experience.


10:50am - 11:40am - Session

ACA Information Reporting - A Business Opportunity

presented by: Cori Cook JD, CMC Consulting LLC 




Employers subject to section 4980H of the Internal Revenue Code (“Code”) are required to report specific information as required under Code sections 6055 and 6056 about offers of health coverage and enrollment in health coverage for their employees.  As set forth in the ACA, the first reports are due the beginning of 2016, reporting 2015 information.  Cori M. Cook will walk us through what should have happened, what actually happened, and how you can set your organization and your clients up for success going forward.  If you haven’t made the decision already, this could be another business opportunity for TPAs.  What role will your organization play next year?

11:40am - 12:00pm - Sponsor & Partner Prize Drawings (must be present to win)

12:00pm - 12:15pm - Closing Remarks and Adjourn








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