Conference Outline

Agenda

6:30 AM - 8:00 AM
Registration, Breakfast Buffet, and Exhibits
8:00 AM - 8:10 AM
Welcome and Introductions
8:10 AM - 8:50 AM
Conference Keynote Session: Healthcare as Big Business - And What Employers Can Do About It

Our Conference Keynote Speaker, Dr. Elisabeth Rosenthal will breakdown the individual industries—hospitals, doctors, insurance companies, and drug manufacturers—that together constitute our healthcare system. She will expose the recent evolution of American medicine as never before. How did healthcare, the caring endeavor, become healthcare, the highly profitable industry?

Speaker: Dr. Elisabeth Rosenthal, Editor-in-Chief of Kaiser Health News and Author of An American Sickness
8:55 AM - 9:35 AM
Plenary Session 1: Population Health - Health & Benefits Literacy as a Key to Cost Management

There is mounting evidence that health literacy is the single strongest determinant of health status, wellbeing, life expectancy and how much health care a person will consume in a lifetime. Unfortunately, most plan members do not have the basic skills to understand how to navigate through available benefits and the health system. Employers are beginning to understand a key to improved population health outcomes is benefits and health literacy. This panel discussion will highlight the evidence supporting the need for benefits and health literacy, how they support member engagement, and a few of the new high tech tools now available to support literacy.

Speakers: Philip Bruns, Senior Vice President and General Manager, Analytics, Benefitfocus
Jeff Greene, CEO, MedEncentive
Kenneth Janis, Vice President of Healthcare Finance, Kelsey-Seybold Clinic
Valerie Hulse, Vice President of Global Compensation, Benefits and HRIS, KBR, Inc.
9:40 AM - 10:20 AM
Plenary Session 2: Innovative Payment and Delivery - Be Bold to Change the Status Quo

Effective use of health benefits by employees and their dependents is a challenge for employers. Most employees and their dependents are not aware, nor can keep up with available resources intended to improve their health and help make better healthcare decisions. Comcast NBCUniversal will share the rationale for and value of an innovative, personalized health and benefits solution that improves the experience and cost in health services delivery. This will be followed by a panel discussion highlighting additional innovative solutions that can be incorporated into the platform to further improve cost, quality and experience.

Speakers: Jennifer Roberts, Director SW Region, Vera Whole Health
Jed Constantz, DBA, Board Member, Primary Care Innovators Network, Co-founder and Chief Strategy Officer, Employer Advantage Health Care Solutions
Paula Bush, VP of Service Operations Solutions, Accolade
Julie Cameron, Sr. Director of Benefits, Comcast NBC-Universal
10:20 AM - 10:50 AM
Break and Exhibits
10:50 AM - 11:30 AM
Breakout Session 1: Workshops 1 - 3

Ballroom A
Workshop 1: 80 Employers In Houston Use Compass Healthcare Navigation. Learn Best Practices from Their Experience

Employees are used to the ease of Internet shopping. Unfortunately, navigating healthcare is more complicated and current solutions do not remove the hassles or empower employees to make smarter healthcare decisions. Learn how a large Houston employer implemented a healthcare navigation solution to simplify healthcare for their employees and their families.

Speakers: Eric Bricker, MD, Co-Founder and Chief Medical Officer, Compass Professional Health Services
Lauren Tadlock, CBP, PHR, SHRM-CP, Senior Benefits & Wellness Specialist, TDECU-Your Credit Union

Ballroom B
Workshop 2: High Value Accountable Primary Care

This session covers four key dimensions of primary care practice operations self-funded employers can use to fully explore and evaluate community based primary care ready, willing, and able to be held accountable for performance. Performance, in this regard, is defined as reducing an employer's aggregate health benefit plan spend, measured improvement in the health status of an employers covered individuals, and high levels of patient activation and satisfaction. In addition, the session takes a fresh look at compensation strategies for primary care that reimagines primary care as an investment, leading to a reduction in downstream healthcare spending. This session will include a case study that documents and demonstrates the impact of this strategy for an Ohio based hospital that implemented the model for itself as an employer, setting the stage for other self-funded employers in the area to benefit from high value, accountable primary care finance and delivery.

Speakers: Jed Constantz, DBA, Board Member, Primary Care Innovators Network, Co-founder and Chief Strategy Officer, Employer Advantage Health Care Solutions
Scott Conard, MD, Healthcare Strategist & Advisor, Converging Health

Concorde Room
Workshop 3: North American Specialty Hospital – Five Innovations in Travel-for-Treatment

North American Specialty Hospital is a Center of Excellence in the Delivery of Healthcare. By incorporating US clinical protocols, US medical equipment and supplies, US surgeons, and US malpractice insurance coverage, NASH is changing the face of US outbound travel-for-treatment. NASH utilizes a triple-accredited near-shore facility, specifically in Cancun, to perform procedures. Attached to the hospital, a US-branded Sheraton hotel provides outstanding hospitality. NASH CEO Jim Polsfut will present a self-funded employer case-study and share several innovations in NASH's clinical delivery model which are redefining the value proposition: higher expected quality outcomes in a transparent, lower-priced bundle.

Speaker: Jim Polsfut, CEO, North American Specialty Hospitals
11:40 AM - 12:20 PM
Breakout Session 2: Workshops 4 - 6

Ballroom A
Workshop 4: Why manage diabetes when you can reverse it?

Virta Health and Purdue University partner to reverse type 2 diabetes while safely reducing the need for expensive medications. Virta Health delivers the first clinically-proven treatment to safely and sustainably reverse type 2 diabetes and other chronic metabolic disease without the risks, costs, or side effects of medications or surgery. Join us for this educational session as we review the impact the Virta Treatment has had within the employee population at Purdue University. Learn how Virta Health can help your organization reverse type 2 diabetes for your employees while safely reducing the need for expensive medications.

Speaker: Bill Snyder, Enterprise Partnerships Lead, Virta Health

Ballroom B
Workshop 5: Transform Healthcare through Worksite Clinics: A Children's Hospital Success Story

It's no secret that all is not well in healthcare. Minimal access. Poor quality. Rising costs. And it's employers like you left facing these challenges and navigating potential solutions. Join Vera Whole Health - a premier on- and near-site clinic provider - as they share a case study on how they are transforming healthcare through a partnership with Seattle Children's, a top-ranked hospital for 25 consecutive years by US News and World Report. Learn how the innovative integration of on-site healthcare delivery - incorporating services like including primary and acute care, occupational health, and health coaching - effectively improves employee health and productivity, and directly reduces costs through better access, managed care, and organizational culture change.

Speaker: Jenn Roberts, Director Southwest Region, Vera Whole Health

Concorde Room
Workshop 6: Solutions that Engage and Direct Employees to Low Cost Commodity Care

Real Medical Cost Transparency is Here. Dr. Bill Hennessey will define medical cost transparency, review an employer's medical cost savings analysis, and demonstrate a search and save engine for the employee. Attendees will learn how to ask for medical claims data, avoid TPA contract pitfalls, and discuss an employer's right to access and review the medical bills it pays. Making medical cost transparency actionable to create savings will complete this session.

Speaker: Bill Hennessey, MD, Founder and CEO, Pratter
12:20 PM - 1:10 PM
Gourmet Boxed Lunches
1:10 PM - 1:50 PM
Plenary Session 3: Pharmacy Market Trends: The Value Chain and the Impact on Key Stakeholders

In this session, Alex Jung will highlight the latest pharmaceutical market trends and explain the increasing effect on employers. She will discuss prescription drug growth, retail spend, pricing pressures, emerging specialty drugs, clinical trends and the impact of technology. Alex will also provide a clear summary of trend implications and strategic opportunities for employers.

Speaker: Alex Jung, Partner/Managing Director, Parthenon EY
1:55 PM - 2:35 PM
Plenary Session 4: Beyond the Data Warehouse: Using an integrated approach to unlock the power of employer benefits data

This session will focus on the critical need for employers to integrate the functions, processes, and data of their entire health investment portfolio into one central repository, and include guidance for how a data platform can empower employers to improve quality of care, improve their population's health, and reduce costs. Whether you use your consultant, health plan and /or another data aggregator, you will gain a better understanding of why to collect, what to collect, how to collect, what questions to ask, and your rights to your data.

Speakers: Emilie DeBaie, Solutions Engineer, Artemis Health
Sheryl Dacso, Partner, Seyfarth Shaw
Mark Granson, MD, Founder, Surgeon Check, LLC
Ted Barrall, Director, Compensation and Benefits, The Friedkin Group
2:35 PM - 3:05 PM
Break and Exhibits
3:05 PM - 3:45 PM
Breakout Session 3: Workshops 7 - 9

Ballroom A
Workshop 7: Results of the HBCH Specialty Pharmacy Collaboration

This session will present the results of the HBCH Employer Specialty Pharmacy Collaborative in which six local employers conducted a SWAT Analysis™. The results will review how employers can provide full visibility into all SP drug prices, identify key drivers of drug spend, quantify pricing variability in pricing under the medical plan, determine the lowest sites of care across all benefits, uncover specialty drug waste and clinical management opportunities, and take action steps required to better control specialty drug spend. Employers who have completed the SWAT Analysis will speak to their experience in reviewing and implementing the findings.

Speaker: Brenda Motheral, CEO and Co-Founder, EpiphanyRx, Archimedes

Ballroom B
Workshop 8: The Caterpillar Inc. Pharmacy Management Solution

Pharmacy spend is the fastest rising health benefits cost facing employers. A primary reason for the cost rise is a lack of understanding by employers management opportunities. This session will present the Caterpillar, Inc. management strategy. This strategy has been used to maintain a flat prescription drug trend for a decade. Review steps any company can take to replicate some or all of these principles. A question and answer period will close the session.

Speaker: Todd Bisping, Global Benefits Manager, Caterpillar Inc.

Concorde Room
Workshop 9: Unlocking the "Black Box" of Surgical Care to Achieve Better Quality and Lower Cost

It's time to eliminate the "black box" of surgical care and disrupt the unnatural surgical market, where mediocrity and excellence are rewarded the same. Surgeons and hospitals must begin to compete on value rather than billboards, brand awareness, and perception, and demonstrated surgical value should drive surgical volume. Employers need and deserve a tool that gives them objective insights to drive their value equation, and patients should no longer fly blind during one of the highest stake decisions in their life - the choice of their surgeon. During his session, Dr. Granson will present the power of the SurgeonCheck® platform and the results of a pilot study with Capital BlueCross. Attendees will learn how SurgeonCheck® utilizes historical claims data to reveal significant variation in surgical performance and how this variation impacts both patient quality of life and the cost of care. And, attendees will learn what information they should demand from their health plans and hospitals.

Speaker: Marc Granson, MD, Founder, SurgeonCheck
3:55 PM - 4:35 PM
Breakout Session 4: Workshops 10 - 12

Ballroom A
Workshop 10: Employer Strategies to Monitor PBM Performance

Pharmacy used to be less than 5% of the total medical spend, but not anymore. Tim Thomas will focus on what employers can do to reduce pharmacy costs and why employers need to continuously monitor the performance of their PBM contracts. Case studies will be presented including Tri County Schools Insurance Group and San Diego Electrical Trust and how cost was reduced by new techniques.

Speaker: Tim Thomas, Owner, CrystalClearRx

Ballroom B
Workshop 11: Innovative strategies to manage the financial impact of pharmacy claims

Could your health plan absorb an additional multi-million dollar pharmacy claim each year? What about $7,000,000 per year for one claimant? Join Milliman as we explore the case study of a large hospitality industry employer plan that experienced just that, and the way they developed a comprehensive solution to manage pharmacy (and medical) spend and prepare to manage the next big claimant (it is coming!). We also explore why the PBM and pharmacy coalition did not manage or mitigate this expense and others.

Speakers: Michael Taggart, FSA, MAAA, Senior Health & Group Benefits Consultant, Milliman
Elaine Britt, MBA, SPHR, SHRM-SCP, Health & Group Benefits Consultant, Milliman

Concorde Room
Workshop 12: Evidenced-based outcomes…it's easier than you think!

Everyone wants "evidenced-based outcomes" when it comes to getting a positive return on healthcare dollar spend. While it makes sense that integrating your claims data with wellness, disease management and pharma programs gives you a clear line of sight on measuring effectiveness and good stewardship, where do you start? What do you tackle first? How do you integrate your data for measurable results? How does the integration of data contribute to better program design? This session not only answers these fundamental questions but provides first-hand insight from panelists.

Speakers: Will Herold, VP of Employer Solutions, DHS Group
Melissa Rodriguez, Wellness Coordinator, King Ranch, Inc.
4:45 PM - 5:15 PM
Closing Session: The Culture of Health in Houston- Past, Present & Future

The Honorable Bill White, Houston Mayor from 2004 - 2010, will discuss his perspective of health and wellness in Houston. Mayor White was instrumental in the current-day wellness movement in Houston. He created the Mayor's Wellness Council during his term which led to the formation of the Houston Wellness Association, one of the predecessor organizations to HBCH. Mayor White will share his thoughts on what led to his focus on health improvement in Houston, how he views our current progress, and, what he thinks Houston community and business leaders can do to support health as a strategy for the benefit of all Houstonians. We will also learn the value of health literacy and what Houston employer and community leaders can do to improve it.

Speakers: The Honorable Bill White, Houston Mayor 2004-2010
Jeff Greene, CEO, MedEncentive
5:15 PM - 6:00 PM
Closing Comments, Reception, and Prize Drawings