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Wednesday,
June 29th,
2011
1:00 p.m. to 2:00 p.m. Eastern (10:00 - 11:00 a.m. Pacific)
Click here
to find out what time your event starts in your time zone. |
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Register
for $195
Call 209.577.4888 or
Click here to register |
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Utilization Impact of the Affordable
Care Act on Preventive Care
Issues Involved in Measuring and Evaluating the
Impact on Services
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New preventive care requirements
under the Affordable Care Act
Issues involved in
evaluating the impact of reform upon coverage and
provision of preventive care
Process involved in benchmarking
preventive care
Case examples of specific services including flu shots,
hepatitis B screenings and osteoporosis screenings
Estimated level of current
applicable utilization compared to provisions under the
Affordable Care Act |
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Faculty:
Jason T.
Nowakowski,
FSA, MAAA
Consulting Actuary
Milliman, Inc. |
Faculty:
Edward Jhu,
FSA, MAAA
Consulting Actuary
Milliman, Inc. |
Faculty:
Patricia
A. Zenner, RN
Healthcare Management
Consultant
Milliman, Inc. |
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What will be the utilization impact of the Affordable Care Act
upon preventive care services?
The provisions of the Patient
Protection and Affordable Care Act of 2010 require plans to offer
preventive care services with no cost sharing. In broad terms, health
plans other than those that choose to remain grandfathered - eventually
all health plans will be affected, are required to provide preventive
services to their members without imposing cost-sharing obligations. As
a result, there is some expectation that higher utilization of
preventive care services may be seen in the coming years.
This presentation examines various issues involved in measuring and
evaluating the impact of the Affordable Care Act with respect to
preventive care services. Results of a Milliman study of three specific
preventive services: flu shots, hepatitis B screenings and osteoporosis
screenings, are provided as a means of benchmarking cost and utilization
of applicable preventive services in order to evaluate the effect of the
Affordable Care Act.
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Participants will be able to:
- Understand the new preventive care requirements under the
Affordable Care Act
- Consider the issues involved in evaluating the impact of reform
upon coverage and provision of preventive care
- Identify potential obstacles that may be encountered when
attempting to benchmark preventive care services
- Examine the process involved in benchmarking preventive care
through case examples of specific services including flu shots,
hepatitis B screenings and osteoporosis screenings
- Determine the estimated level of current applicable preventive
services utilization compared to clinical recommendations under the
Affordable Care Act.
- 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:
- Actuarial and Underwriting Executives and Staff
- Analytics and Informatics Executives and Staff
- Medical Directors
- Preventive Care & Wellness Executives
- Care Management Executives
- Regulatory and Policy Executives and Staff
- Strategy and Planning
Executives and Staff
- Other Interested
Parties
Attendees would
represent organizations including:
- Health Plans
- Third Party Administrators
- Employers
- Provider Networks
- Care Management and Wellness Organizations
- Accountable Care Organizations
- Patient-Centered Medical Homes
- Pharmaceutical Organizations
- Solutions Providers
- Government
- Associations,
Institutes and Research Organizations
- Media
- Other Interested
Organizations
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Individual Registration Fee: $195. Audio Conference CD-ROM: $40
for attendees; $255 for non-attendees after the event.
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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Jason T. Nowakowski, FSA, MAAA
Consulting Actuary
Milliman, Inc.
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Jason is a consulting actuary with the Seattle office of Milliman. He
joined the firm in 2003. Jason's areas of expertise are managed care,
benefit pricing, and prescription drugs. He works primarily with group
healthcare programs, including commercial, Medicare, Medicaid and
veteran populations. He assists clients with benefit design, pricing,
healthcare cost projections, rate filings, and utilization benchmark
analysis.
Jason is proficient with taking large data sets and using them to
help clients answer questions about their particular issues. His current
responsibilities include modeling and analysis of medical and
prescription drug benefit plans as well as utilization benchmarking and
potential savings analyses.
In the commercial market, Jason has worked at all levels for carriers.
He has reviewed rating approaches and formulas, developed rating manuals
and models, analyzed historical experience for projections and
benchmarking purposes, completed reserve analysis, and provided
strategic consulting on a host of other items.
Jason is a member of the American Academy of Actuaries Small Group
Market Task Force committee, and Fellow, Society of Actuaries. Jason has
a BS in Mathematics from Central Washington University, Ellensburg |
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Edward Jhu, FSA, MAAA
Consulting Actuary
Milliman, Inc.
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Ed is a consulting actuary specializing in healthcare consulting in the
Seattle office of Milliman. He joined the firm in 1999. Ed’s experience
as a healthcare consultant includes evaluations of healthcare costs,
experience studies, provider case mix analyses, Medicare Advantage bids,
and valuations of employee benefits.
Ed has also worked in the employee benefits field, including Milliman’s
Employee Benefits practice in Seattle. His responsibilities encompassed
a wide range of services, including actuarial valuations for pension and
retiree medical plans, funding and financial reporting calculations,
development and use of asset/liability projection models, and
qualitative evaluations of employee benefits packages.
Ed is a Fellow, Society of Actuaries and Member, American Academy of
Actuaries. He received his BA in Mathematics, Actuarial Science from the
University of Waterloo, Waterloo, Ontario |
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Patricia A. Zenner, RN
Healthcare Management Consultant
Milliman, Inc.
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Pat is a healthcare management consultant in the Healthcare Management
Consulting group practice. She began her association with the firm in
1995. Pat has a rich and varied background in the operational and
business aspects of healthcare management.
Pat has more than thirteen years of consulting experience in healthcare
management operations and 33 years of industry-related experience
providing advice to insurance companies, health plans, hospitals,
disease management companies, medical management vendors, governments,
and other healthcare entities managing commercial, Medicare, and
Medicaid populations.
She has significant experience in the design and implementation of
healthcare management programs, including clinical tools, strategy
development, program evaluation, and data analytics such as provider
profiling software. She also performs outsourcing evaluations for vendor
and system implementation.
Pat received her BS in Nursing from West Chester University
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