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2007 Summit On-Line Presentations

A case study of Highmark Blue Cross Blue Shield's response to health care consumerism in the marketplace.

Beth Bierbower discusses Humana's consumer driven strategies and offerings.

An interview with Ms. Bierbower is available as a downloadable podcast

An interview with Mr. DeMarco is available as a downloadable podcast
      

Details and examples of the strategies, tactics, program designs and innovations than are being used by plan sponsors to promote and measure greater consumerism in their populations in healthcare. Examples of areas covered include Incentives, Education/Communication, Cost/Quality and Plan Design/CDHP/HRA/HSA. Programs are increasing ways to promote consumerism and create meaningful behavior change across their populations. Everyone involved in the healthcare value chain will be impacted by emerging thinking and options in this area, from companies sponsoring the solutions to plans/vendors delivering the solutions, to providers understanding new patient realities and requirements.

An interview with Mr. Domaszewicz is available as a downloadable podcast

Phil Ellis, the principal author of the recent and highly publicized CBO report on Consumer Driven Care discusses and elaborates on findings from the report.

A synopsis and analysis of consumer and employer based CDH related survey research: including Mathew Greenwald and Associates annual survey for the Employee Benefit Research Institute (EBRI) and The Commonwealth Fund, monitoring the growth of high deductible health plan’s and their impact on the behavior and attitudes of health care consumers; plus analysis of the company's data-base of publicly released survey research studies.

In tonight's crossover episode, Ben agonizes over how many eggs he can eat for breakfast, Jack debates the value of a flu shot and Becky searches for her mislaid empowerment talisman. Don't miss the most depressing morning the group has ever spent. Featuring health as the Holy Grail and industry as the devil: it's the scariest series ever.

An interview with Ms Gelb is available as a downloadable podcast
     

Join Ashley Gillihan, partner with Alston & Bird, LLP as he navigates through the legal compliance maze and explore the pesky business and legal issues associated with wellness and disease management programs. Wellness and disease management programs are useful and viable tools for reducing health plan costs---you just need to know how to design them properly. Ashley will help you do that. 

Integrating EMR, Onsite physician, Medicare Advantage, in a CCRC setting. The aging of America: forgotten consumers? This session describes the implementation of a vision to focus on health and independence in a multi site, multi state, residents from independent to skilled nursing, using what consumers want and need, in a person focused integrated health organization including the first ever closed Medicare demonstration project for over 19,000 potential on site consumers. The successes and the challenges of this will be discussed.     

The movements toward consumerism and the use of sophisticated and meaningful data show no signs of slowing down as more and more people are making active choices in their health care. Consumer-Directed Health Care has the potential to force changes in pricing transparency, discounting / package pricing policies, and point-of-service / self-pay collection practices. Pay For Performance has the potential to force information system changes and/or mandate new investments, as well as compelling staffing increases. Both trends bring the risk of higher costs and lower reimbursement. Providers wishing to thrive in this environment will be those who are prepare and execute the best.

An interview with Mr. Hammer is available as a downloadable podcast
   

An interview with Ms Hughes and Mr. Weed is available as a downloadable podcast
    

An interview with Mr. Hutton is available as a downloadable podcast
    

The personal health record (PHR) can be designed to serve one of two goals: patient compliance or patient control. The former co-opts consumer-oriented language for purposes more beneficial to supply-side entities (providers; payers; employers; vendors) than to consumers. A PHR designed for patient control is owned by the patient, who controls access to the PHR and uses it to manage care and expenditures. Specifications for a PHR to further patient control are presented. Absent the information that should be in a PHR, so-called consumer-directed health plans are little but a cost-shift strategy. 

Christine Keller and Heather Meade review ten key HSA funding issues from a legal and technical perspective.

A transformation in the role of the patient is needed to resolve the complex, expensive and failing elements of our health care system. The Ix solution to start the transformation if focused on the broad implementation of three simple rules: 1) Help people do as much for themselves as they possibly can; 2) Help people ask for the health care they need; 3) Help people say “no” to the care they don’t need. 

 

An interview with Mr. Kemper is available as a downloadable podcast

This session will provide an update on consumer driven health care trends with a particular focus on physician and hospital tiering. You will learn about how providers are reacting as well as the short and long-term strategies they are adopting in response to these trends.

This presentation will focus on: The different web-based decision support tools available including Plan and cost comparison tools, Provider cost and quality information, Health dictionaries and calculators; Health Risk Assessments, Personal Health Records; The importance of these tools to consumers, employers and providers; Ensuring members who are not web enabled have access to this information; How these tools help empower members; Driving members to adopt and use decision support tools.

An interview with Mr. Mills is available as a downloadable podcast

This presentation addresses the following topics: What is (or at least what we see and model) as a consumer directed health plan?; General introduction and preliminary research findings; Graphic conceptual model of consumer behavior; CDHP cost-sharing design creates a budget constraint with 2 kinks; Contrast with ‘standard’ health insurance that uses coinsurance or deductible; Determine expected effects on enrollee behavior; So is there a difference?

Not a big national carrier with your own TPA and debit card services? Well, you probably have or are exploring a relationship with a TPA to provide HRA and/or FSA services to your clients. This presentation explores the pros and cons of outsourcing and what you can do to make it a value-added program rather than a resource drain. We'll look at what you need to consider in terms of eligibility and claim files exchanges. Participants will walk away with some practical guidelines to either develop a new TPA partnership or strengthen their existing one.

Offering an investment option as a feature to an HSA platform adds a differentiator that has been proven to win additional customers and separate and HSA account offering from the competition. We will explore the HSA Investment offerings that exist today, where we see the marketplace moving and what to consider when looking to add investments to an HSA program.

This session will provide an update on consumer driven health care trends.

An interview with Dr. Steinberg is available as a downloadable podcast

Maureen Sullivan shares BCBSA research data that speaks to the continued uptake of HSAs. Her presentation, "Market Experiences with CDHPs: Transformation or Transition?" will focus on consumer reaction to, and the future of, consumer directed health plans. 

This session covers three topics: 1) how HSAs are transforming financing of healthcare; 2) Sterling HSA’s experience with respect to client contributions, distributions, with focus on one of its employer clients; and 3) recent legislative changes and their possible impact on HSAs.

Transformation of healthcare insurance and delivery opens significant opportunities to gain (and lose) market share and positioning. This presentation focuses on understanding major market changes then using consumerism and evidence-driven product portfolio strategies to achieve objectives.

BearingPoint has built a special practice for this emerging market by combining cross-industry teams, significant project CDH/Financial experience, and independent thought leadership. This presentation will cover the following topics: Why do financial institutions care about CDH?; What are financial institutions doing to drive adoption across stakeholders?; and What can we all do together to drive CDH adoption?

An interview with Ms. Trusko and Mr. Dean is available as a downloadable podcast

Attendees will learn: A step-by-step process to modify your current fully-insured plan into a high-deductible plan that will generate immediate savings for your organization and your employees; Engaging and educating your employees to be better healthcare consumers; Effective ways to introduce HSAs and other employee-based savings plans into your new plan design; and Choosing the right TPA, health plan and financial partner to keep you and your employees happy with the new plan.

An interview with Mr. Vittoria is available as a downloadable podcast