SPeaKer - SIIA

Presented by:
HealthcareTRack
Continued
Targeting Unnecessary Medical Spend: A Treatment Decision Support Study
According to some reports, up to 30% of care delivered in the U.S. may be unnecessary, and the impact on health outcomes and medical spend is
dramatic. Consumers play a critical role in overcoming this challenge. However, they often lack the support and resources they need to make an informed
medical decision. Treatment decision support programs empower consumers with objective medical information that helps them partner with their provider
to make better decisions, saving everyone health care dollars. In this session, review a new study of national employer groups which demonstrates
the savings generated from treatment decision, discover how key demographic attributes impact consumer engagement in treatment decision support
programs and understand the role treatment decision support programs can play in generating health care value for employers and health plans.
SPEAKER
800.851.7789 | www.siia.org
Thomas Knabel, MD
Vice President of Healthcare Informatics Consulting
Ingenix Consulting
Does Your Self-Funded Health Plan Pass Nondiscrimination Muster?
Identifying and Correcting Potential Tax Issues in Your Plan Design
Although the provisions in Section 105(h) of the Internal Revenue Code – which prohibit offering more favorable eligibility terms and benefits
under a self-funded group health plan for employees deemed “highly-compensated” without adverse tax consequences - have been in place
for decades, these nondiscrimination concepts have received renewed scrutiny with the passage of health care reform and the extension
of Section 105(h) concepts to fully-insured health plans. This session will break down the nondiscrimination requirements of Section 105(h)
applicable to self-funded health plans, as well as review the potential penalties for noncompliance. The session will also offer practical
approaches for identifying and correcting potential nondiscrimination issues. Finally, this session will offer insight into relationship between
Section 105(h) requirements and the extension of these requirements to fully-insured health plans in light of health care reform.
SPEAKER
Catherine Stowers
Senior Attorney
Kreig DeVault LLP
Medical Stop-Loss Market Trends – A Review and Preview
A panel of leading independent stop-loss marketplace analysts discusses major trends witnessed during 2011 and previews what is on the horizon
for 2012. Specific topics will include organic growth, mix of business, claims experience (cat cases, etc.), use of captives, carve outs (transplant,
neonate, etc.) types of networks and network contracting. Session time will be reserved for the panel to take questions from the audience.
SPEAKERs David Wilson Horace F. Garfield
Partner
Windsor Strategy Partners
President
AEGON Alliances, Inc.
Self-Insured Employer Embraces Innovative CDH Strategies
This case study-style presentation will describe how a mid-sized self-insured employer has incorporated and integrated innovative consumerdirected
health care (CDH) strategies, which have produced tangible results as measured by a healthy and productive workplace. Specific
topics will include wellness programs, on-site medical care and disease management approaches.
SPEAKER
Mark Hopkins
Senior Director, Compensation, Benefits & HRIS
Mohawk Industries, Inc.
Leveraging PPO Value for the Self-Insured Employer and TPA
SIIA’s Health Care Committee is working to develop recommendations on how to better leverage the value that preferred provider organizations
(PPOs) provide to self-insured employers and their TPAs. This “working” session will provide a forum to present these recommendations and solicit
feedback from attendees in an informal, roundtable-style setting. Based on this dialogue, the association will explore ways to use this information in
a way that will be helpful to employer, TPA and PPO members.
SPEAKERs Representatives of SIIA’s Health Care Committee