(current as of 6/21/10)
Click here to download a complete conference brochure.
- Keynote Presentation:
How to Build a Better You and
Gear Up for a Challenging Future - Session 2: The Politics and Policies
of the Newly Enacted Health Care Reform Law - Session 3: Gearing up for ICD-10-CM/PCS Implementation
- Keynote Presentation:
The Power of Teamwork - Session 5: Shifting Gears, Excelling at PPO Business
- Session 6: Evolution of PBM Strategies
to Control Pharmacy Spend - Session 7: Value Based Plan Administration
- Session 8: Complying with the New Benefit Laws: Practical Examples and Guidance
- Session 9: High Performance Living – Tools to Supercharge Your Life
- Session 10: HCAA Benchmarking Survey Results
- ROUNDTABLE TOPICS
Wed., July 21 - 1:05 - 2:20 p.m.
Keynote Presentation:
How to Build a Better You and
Gear Up for a Challenging Future
Bryan Dodge - Dodge Development
Professional speaker, author, and radio show personality Bryan Dodge will open your mind and heart to help you focus on the most essential aspects of life to meet future challenges. Most importantly, he will inspire you to reach your full potential. To accomplish this goal, Bryan teaches a stair-step method that top producers and effective leaders use to stay on the cutting edge and achieve excellence. Bryan’s keynote will incorporate three basic messages. First, he will show you how to be a leader in today’s diverse environment. Next, he will give you the tools to create a culture that stands strong during tough times. Lastly, he will train you how to harness the power of personal energy and tap its unlimited supply.
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Wed., July 21 - 2:20 - 3:35 p.m.
Session 2: The Politics and Policies of the Newly Enacted Health Care Reform Law
Jay Fahrer – Manager, Government Relations - SIIA
Come learn the must know details of the most comprehensive health care reform law in our nation’s history that will have significant impacts on every aspect of our health care delivery system. For employer-sponsored plans, there will be stringent requirements on many features of plan structure, effects on beneficiary pools and changes to cost of coverage. This session will provide the specific details of what you will need to know to effectively and properly operate plans in the post health care reform landscape. You will be also offered an “insider’s” look into the politics and behind the scenes events that took place to move this highly contentious law over the finish line.
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Wed., July 21 - 3:55 - 4:45 p.m.
Session 3: Gearing up for ICD-10-CM/PCS Implementation
Mary H. Stanfill, MBI, RHIA, CCS, CCS-P Vice President, HIM Practice Resources - AHIMA
This educational session will provide an introduction to the ICD-10-CM and ICD-10-PCS coding systems and the implications of transitioning to these systems. The speaker will address transition planning, including key tasks or milestones that must be completed within specific timeframes for successful compliance by October 1, 2013.
At the conclusion of this session attendees will:
• Understand key distinctions between ICD-9-CM and ICD-10-CM/PCS
• Understand ICD10 compliance requirements and implications for processing claims
• Recognize important milestones and action items to help inform planning efforts
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Thur., July 22 - 8:30 - 9:45 a.m.
Keynote Presentation:
The Power of Teamwork
Michael McMillan
The Blue Angels are considered one of the world's best performance teams. To say they are above average is an understatement; better put, they are abnormal. Sigmund Freud believed by studying the abnormal, we could gain a better understanding of the normal. Based on this thinking, Michael provides insight from the best-selling book he co-authored with Blue Angels pilot Scott Beare.
In this presentation, Michael explores the fundamentals of teamwork and shares the key principles employed by the Blue Angels to help organizations better understand how teamwork relates to their business and to their lives. Learn how these ten principles build the foundation for the most important value of all-trust.
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Thur., July 22 - 9:45 - 10:35 a.m.
Session 5: Shifting Gears, Excelling at PPO Business
Lynne Frost – Vice President, Devon Health Services
A comprehensive overview of PPO networks, including PPO selection, variations in PPOs, and challenges in managing PPO business. Presentation includes reimbursement methodologies, auditing and oversight of PPO networks and special issues, such as claim flow variations and analyzing fees as compared with savings rates.
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Thur., July 22 - 10:55 - 11:45 a.m.
Session 6: Evolution of PBM Strategies to Control Pharmacy Spend
Asif Ally, R.Ph – VP, Market Strategy - CVS Caremark
Health care costs continue to rise. By 2019, national health spending is expected to reach $4.5 trillion and comprise 19.3 percent of GDP1. It is generally accepted that effective use of pharmaceuticals through the pharmacy benefit can have the greatest impact on outcomes and total health care costs.
An evolution has taken place and pharmacy benefit managers (PBMs) now offer plan sponsors cutting-edge solutions that can improve savings and the member experience. For example, today $290 billion of avoidable health care expenditures are directly attributed to medication non-compliance2. Innovative solutions to capitalize on the “generic wave”; improve adherence for those with chronic conditions and control specialty spend are some of the near term opportunities for plan sponsors. In addition, the advancement of utilization management programs with the introduction of pharmacogenomics will change the way pharmacy care is delivered in the next few years.
Asif will provide insights on how pharmacy benefit strategies are evolving and share specific solutions TPAs can employ to help clients improve savings and the member experience.
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Thur., July 22 - 1:00 - 1:50 p.m.
Session 7: Value Based Plan Administration
Eric Barthel - Sidles Duncan & Associates
TPAs have managed to survive and thrive by offering a viable and preferable option to the large carriers/administrators. The environment requires, and upcoming health care reform mandates that we cannot rely on most current methods to help employers obtain maximum value from their benefit plans.
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Thur., July 22 - 1:50 - 3:00 p.m.
Session 8: Complying with the New Benefit Laws: Practical Examples and Guidance
John Barlament - Michael Best & Friedrich LLP
We will discuss the "hot" legal changes and offer case studies and practical examples of what actions TPAs should be taking to ensure compliance for themselves and their clients. The focus will be on the most recent changes in the law, including:
• New Mental Health Parity and Substance Use Rules -- How must plans change to accommodate the new rules?
• HIPAA Privacy and Security for TPAs -- What practical steps must you take to comply?
• New Tax Reporting (Form 8928) Rules -- When must you or your clients report plan errors to the IRS? How do you complete the form?
• Dealing with Older Dependents / Domestic Partners -- How do we calculate and report the taxes owed for covered individuals who are not tax dependents?
• Health Care Reform Legislation -- If enacted, we will discuss the short-term and long-term impacts for TPAs and employers.
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Fri., July 23 - 8:55 - 9:55 a.m.
Session 9: High Performance Living – Tools to Supercharge Your Life
Chris Cox – Amplitude, LLC
Moving at over 160 miles per hour in a specially constructed racecar can actually teach you a few lessons about life and leadership! In this presentation, Chris shares some of these lessons from her own experience as a racecar driver, including:
• Getting out of the driveway – how do you get started on that big dream or goal in your life? Often it looks so daunting it’s hard to “get out of the driveway” and get started.
• Looking where you want to go – racers and leaders both know you have to stay focused on the goal. Yet, it’s easy to get distracted by what’s going on around you that pulls you off course – on the track and in life.
• Building a personal pit crew – everyone needs support to achieve their goals – and we frequently forget about the most important supporter of all – our own thoughts. We are often our own worst enemies, and those thoughts are as dangerous as going out on the track without checking the tires and oil level in a racecar.
• The lesson of passing – on the racetrack the obstacles are clear – the cars around you, the wreck in front of you, the oil slick on the track. Obstacles in life are just as dangerous and frequently hold us back from pursuing or achieving our goals. Learning how to confront them and pass them along the way is imperative to our success. Chris has put these and other lessons into a high energy, motivational session that will spark your passion to live the life of your dreams. You will use a “track map” to create, or reconnect with, the dreams of your life. You’ll leave “revved up” with new tools and energy to reach your goals and achieve greater results!
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Fri., July 23 - 10:15 - 11:05 a.m.
Session 10: HCAA Benchmarking Survey Results
Steve Gauldin – Principal Financial Group
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ROUNDTABLE TOPICS
1 | 2 | 3 | 4 | 5 | 6
1) The Value of Integrating Wellness and Benefit Plans – James Berg from Mayo Clinic Health
Managing rising healthcare costs through benefit design changes has produced limited results. And standalone wellness programs have produced mixed results on program engagement and outcomes. During this session, we will explore health plan design concepts that incorporate wellness program incentives, including value-based benefit designs, premium discounts, benefit based wellness incentives, outcomes-based benefit designs and more.
Learn how administrators are successfully integrating multiple approaches to a wellness focused benefit design to
- Keep healthy employees well
- Identify and engage at-risk members
- Focus the chronically ill to effectively manage their illness
2) On-site Clinics – Karen Nauer from wellCenters
The Company "Doc" is back in a new way. The popularity of onsite medical care is growing at a rapid pace and moving beyond urgent and workers compensation care. Disease prevention and management are critical to lowering costs for the employer. We will discuss:
- Services to be provided
- Costs
- Staffing • Nurse Practitioner/Physician or both
- Location
- HIPAA considerations
- ROI
- Communication
3) Winning New Business with the Consultants – Gary Mitchiner from CVS Caremark
Why you chose this round table: Your current opportunities and challenges in working with consultants
- Best-in-Class TPA offers to present to consultants
- Case study of a TPA/Consultant win-win relationship
- Pitfalls - what to watch out for when courting consultants
- Coaching - receive coaching on your current efforts to work with consultants
4) What Reports Really Say – Sandra Hartman from EBMS
This roundtable is designed to open up the discussions on how the BUCAs use their reporting to facilitate the illusion of their effectiveness in managing employer plans. The discussions will focus on understanding the information and definitions used by the BUCAs, how to uncover the potholes in the data and promised savings, and how to communicate this to your clients, prospects, and brokers.
5) Flexibility and Creativity of TPAs vs. BUCAs – Jean LaFavor from America’s TPA
Identify specific areas where TPAs provide more creative, flexible solutions for employers vs. what BUCA offers. Determine how these solutions can be marketed to gain more business.
6) Partnering with Best in Class Organizations to Eliminate Redundancy – Lynne Frost from Devon Health Services
Identify specific areas where TPAs provide more creative, flexible solutions for employers vs. what BUCA offers. Determine how these solutions can be marketed to gain more business.
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Click here to download a complete conference brochure.
Questions regarding TPA University contact:
Sean R. Schuette, CMP, Director of Meetings & Events, HCAA
Phone: 888.637.1605
E-mail: sean@hcaa.org
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