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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. |
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Participants will be able to:
- Share in developmental and operational lessons learned from
these three alternative models.
- Explore implications from each model's experience and future
direction, for stakeholders including consumers, employers, agents,
health plans, providers, and government.
- 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.
- 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.
- 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.
- 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.
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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
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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!
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Patty Conner
Director of the Office of Consumer Health Services,
State of Utah
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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.
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Norman K. Thurston, PhD
Health Policy & Reform Initiatives Coordinator
Utah Department of Health
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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.
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Robert L. Carey
Senior Advisor
Public Consulting Group
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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.
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Denise Hanna
Partner-Locke Lord Strategies, LP
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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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