HIXs: Health Insurance Exchanges - MA, UT & CA Models

 
 
 
  Wednesday May 4th, 2011
1:00 p.m. to 2:15 p.m. Eastern (10:00 - 11:15 a.m. Pacific)
Click here to find out what time your event starts in your time zone.
 

Register for $225
Call 209.577.4888 or
Click here to register


50% Discount Available
for Federal & State Gov.
Agencies

 
    How HIX Models are Structured in Massachusetts, Utah and California
     Development & Case Experience; Challenges & Successes; Lessons Learned
 
      Developmental and operational lessons learned from these three alternative models
     
Implications from each model's experience and future direction for stakeholders
     
Detailed lessons learned from Massachusetts Health Connector & differences with Federal reform provisions
      Utah Health Exchange defined contribution approach: early experience and future direction

      Structure & developmental activities for California Health Benefit Exchange, designed for Federal reform
  Faculty:
Patty Conner
Director, Utah Office  of Consumer Health
Services
  Faculty:
Norman Thurston, PhD
Health Policy and
initiatives Coordinator
Utah Dept. of Health
  Faculty:
Robert L. Carey
Senior Advisor,
Public Consulting Group
  Faculty:
Denise Hanna
Partner,
Locke Lord Strategies, LP
 
 
Overview
  
The Affordable Care Act provides for states to develop Health Insurance Exchanges to operate beginning in 2014. Two states, Massachusetts and Utah, established state Exchanges before the Act took effect, and are both operational. California became the first state to enact legislation creating a health insurance exchange under the Affordable
Care Act, and developmental activities for the California are well underway. These three state models offer alternative structures and early lessons learned in developing, establishing and operating an exchange that have national implications.

The Massachusetts health care insurance reform law, enacted in 2006, established an independent public authority, the Commonwealth Health Insurance Connector Authority, also known as the Health Connector, which functions as the nation's first state Health Insurance Exchange. The Health Connector offer two primary programs: Commonwealth Choice, offering approved commercial health insurance options, and Commonwealth Care with low or no-cost health insurance for people who qualify.

The Utah Health Exchange is the second oldest state Health Insurance Exchange program. The Exchange allows employers the opportunity to simplify benefits management by offering employees a “defined contribution,” or specified amount of pretax dollars set aside for the purchase of an employee-selected health plan from a menu of various plans and prices. The program provides an internet portal offering consumers applicable health care and health benefit information, facilitates comparison and selection of participating policies, and transacts enrollment through standardized electronic applications. The Exchange launched pilot programs in 2009, with general availability in 2011.

The California Health Benefit Exchange was enacted through state legislation adopted in October 2010. The five member board to the Exchange has been named, and a variety of developmental activities for the Exchange are underway. The federal government awarded California $1 million to fund preliminary planning efforts related to the development of an exchange. Additional federal implementation grants are expected be announced in the spring of 2011. The California Health Benefit Exchange is being designed for individuals and small businesses to compare plans and buy health insurance on the private market starting in 2014.

Please join our panel of expert speakers discussing these respective state models  and share in their observations, insights, perspectives and experiences, which have far-reaching implications for other states as they undertake developing Health Insurance Exchanges.

 
Learning Objectives
 
Participants will be able to:
  1. Share in developmental and operational lessons learned from these three alternative models.
  2. Explore implications from each model's experience and future direction, for stakeholders including consumers, employers, agents, health plans, providers, and government.
  3. Ascertain the similarities and differences between the Massachusetts Health Connector structure and the Affordable Care Act Health Insurance Exchange provisions, and various lessons learned from the Health Connector experience to date.
  4. Understand how the Utah Health Exchange is structured, what early experience is available, what program modifications have been made to date, and what the future direction for the Exchange holds for stakeholders.
  5. Consider the role of the California Health Benefit Exchange in the California health care marketplace; federal and
    state requirements for governance and operation of the California Exchange; how stakeholders are expected to interface with the Exchange; and strategic opportunities and challenges that the Exchange presents to California.
  6. Engage in interactive learning through online question submission, attendee feedback and opportunity for follow up questions, and networking with attendees, faculty and other professionals through dedicated LinkedIn group.
     
Who Should Attend
 
Interested attendees would include:
  • C-Suite Executives
  • Strategy and Planning Executives and Staff 
  • Legal, Regulatory and Policy Executives and Staff
  • Compliance Executives and Staff
  • Managed Care and Revenue Cycle Executives and Staff
  • Business Development Executives and Staff
  • Marketing Executives and Staff
  • Marketing and Business Intelligence Staff

Attendees would represent organizations including:

  • Health Plans
  • Employers
  • Agents and Benefit Consultants 
  • Government Agencies 
  • Pharmaceutical Benefit Management Organization
  • Provider Network 
  • Solutions Providers 
  • Associations, Institutes and Research Organizations 
  • Media
  • Other Interested Parties
Registration
  
Individual Registration Fee: $225
. Audio Conference CD-ROM: $40 for attendees; $285 for non-attendees after the event.
 State and Federal Government agencies qualify for a 50% registration discount, and may use the discount code "GOV" when registering.

Corporate Site licensing also available. Click here to register or call 209.577.4888 We look forward to your participation in this event!

 
Faculty
 
 
Patty Conner
 

Patty Conner
Director of the Office of Consumer Health Services,
State of Utah
 

 

Patty Conner leads the office which is responsible for the development of the Utah Health Exchange. One of only two exchanges currently in operation in the country, the UHE is currently ramping up small and large business portions of the cite to provide an online platform for Utah businesses and individuals who need insurance coverage tailored specifically to their needs and budgets.

Ms. Conner's diverse levels of management, marketing, and financial experience bring a new dimension to OCHS as the health exchange begins to ramp up in 2011. Patty's experience includes an impressive track record of partnership amongst the carrier and broker community which mentors a positive synergy for the director's position.

Conner was senior manager of the Health and Welfare Relationship Management team at Ceridian for seven years. Before joining Ceridian, she worked in management positions for Health Benefits America and employee benefit company ADP. She has a degree in business with an emphasis on management and human resources from the University of Montana and special certifications from the Wharton School of Business at the University of Pennsylvania.

 


 
 
Norman K. Thurston, PhD

Norman K. Thurston, PhD
Health Policy & Reform Initiatives Coordinator
Utah Department of Health
 
  Dr. Thurston has been a policy analyst and health economist for the Utah Department of Health for the past six years. In his current role, he serves as a policy advisor and executive staff for health system reform efforts in the State of Utah.

Before joining the state, Dr. Thurston worked for eight years as an assistant professor of economics at Brigham Young University. He has published several articles on health care markets in nationally recognized economics journals.

He is a life-long resident of Utah, growing up in Morgan County. He has native-level fluency in Spanish and was a Fulbright Scholar teaching economics in Argentina in 2001.

Dr. Thurston has a Masters and Ph.D. in economics from Princeton University, and an undergraduate degree in Spanish and Agribusiness Management from Brigham Young University. His areas of specialty include insurance markets, health care provider markets, labor markets, and public finance/economics.
 


 
 
Robert Carey

Robert L. Carey
Senior Advisor
Public Consulting Group

 
 

Bob Carey brings more than 15 years of public sector and state health insurance program experience to his role as a senior advisor at PCG, having helped Massachusetts to design and implement new health insurance programs pursuant to the state’s landmark health reform law of 2006. At PCG, he is principally responsible for providing strategic consulting and technical assistance to states in the implementation of the federal health reform law and the establishment of state-based health insurance exchanges.

Prior to joining PCG, Mr. Carey was Director of Planning and Development for the Commonwealth Health Insurance Connector Authority, an independent authority established to implement the 2006 Massachusetts Health Care Reform Law. In this role, Mr. Carey helped design and implement new health insurance programs, including publicly-subsidized and commercial health benefit plans, as well as health insurance financing arrangements. Mr. Carey was also responsible for coordinating activities across state agencies to implement the numerous components of the Massachusetts health reform law.

Prior to his work at the Connector Authority, Mr. Carey served as Director of Policy and Program Management at the Massachusetts Group Insurance Commission, the state agency responsible for providing health and welfare benefits to over 325,000 state and local employees, retirees and dependents. His work experience includes senior research and policy positions with non-governmental research organizations, government oversight boards, and senior policy positions with the US Congress

Mr. Carey received an M.S. degree in public policy and management with a concentration in economics from Carnegie Mellon University and a B.A. in English literature from the University of Maine at Fort Kent.
 


 
 


Denise Hanna
Partner-Locke Lord Strategies, LP
 

Denise E. Hanna has been involved in health care public policy and transactional matters for more than 20 years. Ms. Hanna has represented health care payors and providers, pharmacy benefit management (PBMs) companies, third party administrators, health and wellness companies, trade associations and other health care organizations in a range of transactional matters and in legislative, regulatory and administrative proceedings. Ms. Hanna has closely tracked the enactment of federal health care reform and now advises clients on implementation issues, compliance obligations and strategic opportunities under health reform.
 
Ms. Hanna has substantial experience representing health care organizations in general corporate matters, mergers and acquisitions, strategic ventures, financings, complex business transactions and antitrust matters, many of which involve issues and business relationships of first impression. She advises clients of the impact of federal and state health care regulation on a variety of business transactions and has extensive experience in developing and negotiating contracts for her clients’ standard operations, marketing and distribution arrangements and business process outsourcing.

Ms. Hanna also advises PBMs offering managed group health and workers’ compensation pharmacy benefits. She has counseled both health plan and PBM clients on the interpretation of Part D of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003, and in the development of contracts for the administration of Medicare Part D prescription drug benefits.

Through her active involvement on the national health care scene, Ms. Hanna has a keen awareness of the most important issues that are shaping the health industry. She was Chair of the National Bar Association’s Health Law section during the 2009-2010 year. Ms. Hanna also participates in seminars across the country and was instrumental in organizing the NBA Health Law Section’s Health Care Law Summit in 2009 and 2010. Ms. Hanna is co-editor of the firm’s Health Care Reform Update.

Ms. Hanna receive her J.D. from Stanford Law School in 1986, and her B.A. in Behavioral Sciences with honors, from the University of Chicago in 1983. She was admitted to the Bar in California in 1987.
 


 
 
 
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