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Webinar Details

  • Pub Code: C2R17-11WEB
  • Speakers
    • Joel Ario
    • Jon Kingsdale
    • Daniel Schuyler
    • Rebecca Pearce

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New Insurance Exchange Regs: Strategies for Seizing the Opportunities Ahead

April 5, 2012 Webinar - Listen On-Demand or Get a CD!

On March 12 HHS issued its long-awaited and critically important final guidance on insurance exchanges. To help you navigate the complexities — and develop your strategies for the brave new marketplace of the future — AIS has assembled a powerhouse panel of experts:

  • Joel Ario, former head of CMS’s Office of Health Insurance Exchanges
  • Jon Kingsdale, former executive director of the Massachusetts Commonwealth Health Insurance Connector Authority
  • Daniel Schuyler, former director of technology at the Utah Health Insurance Exchange
  • Rebecca Pearce, executive director of the Maryland Health Benefit Exchange

Get valuable strategic guidance on this long-awaited rulemaking and answers to all of your questions about insurance exchanges.

Place your order through our secure shopping cart

$329.00
$329.00

The On-Demand recording will be available immediately upon purchase* as a link within a PDF file of the accompanying written materials. CDs and printed materials are shipped via USPS.

Sponsored by Atlantic Information Services, Inc., publisher of Inside Health Insurance Exchanges, Health Plan Week, AIS’s Health Reform Week, Medicare Advantage News and ACO Business News

On March 12, HHS Sec. Kathleen Sebelius released the much-anticipated blueprint that states will use in developing and operating insurance exchanges, which HHS must certify or conditionally certify by Jan. 1, 2013. Among other critical issues, the final rules give states the ability to use third-party Web-based entities to sell qualified health plans.

The latest round of rules is complex and extremely important for all stakeholders — health plans, state health officials, hospitals and health systems, brokers, employers and Web-based entities. Hear three of the country’s leading experts on insurance exchanges offer their insights on the new regs ... and steps your organization can take to take advantage of new opportunities. You’ll get all the details about:

  • Participating insurers: State exchanges will determine the number and type of health plans that are made available, within broad standards set by the federal government. How is this likely to work, and how well are insurers that don’t participate likely to do outside of the exchanges?
  • Agents and brokers: States have the ability to determine a role — and compensation — for agents and brokers who sell exchange-based coverage. But how are states likely to determine compensation?
  • Navigators: States can choose at least two “navigator” organizations, one of which must be a community or consumer-focused nonprofit organization. Will navigators overlap with or complement agents and brokers?
  • Standards for health plans: States, working with their insurance departments, will set specific standards to ensure that each qualified health plan gives consumers access to a variety of providers within a reasonable period of time. What steps must insurers take in developing exchange-friendly plan designs?
  • Certification, recertification and decertification: What hurdles will insurers face in becoming a “qualified health plan”? How difficult will it be to maintain certification?
  • Network adequacy: How much influence will exchanges have on provider networks? How will hospitals and physicians be affected?

Speakers

JOEL ARIO is a managing director with Manatt Health Solutions (MHS), within the firm’s interdisciplinary policy and business advisory division. Prior to joining Manatt, Mr. Ario was at HHS, where he served as the first director of the Office of Health Insurance Exchanges. There he was the administration’s point person in leading health insurance exchange initiatives under the health reform law. Working with stakeholders, he led development of the regulatory framework for exchanges, including consumer standards, insurer accountability, transparency, state certification, and state and federal partnership opportunities. Before joining HHS, Mr. Ario served as Pennsylvania Insurance Commissioner. He also served as the Oregon Insurance Administrator.

JON KINGSDALE was the founding executive director of the Commonwealth Health Insurance Connector Authority, an independent state agency established in 2006 under Massachusetts' landmark health reform legislation. As executive director for the country's inaugural health benefit exchange, Mr. Kingsdale led key initiatives to make health insurance universally available and to reform health care financing in Massachusetts. As a senior executive at Tufts Health Plan for 20 years, he was responsible for strategic planning, product development, public affairs and government relations. Prior to Tufts, Mr. Kingsdale worked in strategic planning and reimbursement at Blue Cross Blue Shield of Massachusetts, researched hospital finances at Harvard School of Public Health, consulted on health policy issues in Washington, D.C., and worked as a reporter for Forbes magazine.

DANIEL SCHUYLER is a director at Leavitt Partners, where he helps guide the firm’s health insurance exchange practice. Prior to his work with Leavitt Partners, Mr. Schuyler was the director of technology for the Utah Health Insurance Exchange, where he was responsible for defining the technical goals and business processes associated with the exchange. Utah’s exchange was only the second of its kind in the United States when created in 2009. Prior to his post with the Utah Health Insurance Exchange, Mr. Schuyler was the manager for the Dept. of Environmental Quality, National Environmental Information Exchange Network.

REBECCA PEARCE was appointed as executive director of the Maryland Health Benefit Exchange in September 2011. Prior to her appointment, she was the director of benefits administration at Kaiser Permanente, where she was responsible for negotiating and implementing benefit exceptions for major national companies throughout the Kaiser Permanente organization. She also helped to develop Kaiser Permanente’s national preventative benefit package as required by the Affordable Care Act. Prior to that, she managed the Medicare Advantage product nationally for Kaiser Permanente. She began her health care career in product development at CareFirst BlueCross BlueShield in Owings Mills, Md., where she was responsible for the growth and viability of each product and/or segment of the market. As the director of the small-group market, she worked with the Maryland Health Care Commission to modify the comprehensive standard health benefit plan benefits to stay within statutory requirements. Pearce earned a bachelor’s degree from Washington University in St. Louis and an MBA from the University of Maryland College Park. She resides in Baltimore County, Md.

Moderator: Steve Davis, managing editor of AIS's Health Plan Week and Inside Health Insurance Exchanges

Designed Especially For

  • Health plans
  • CEOs, COOs and CFOs
  • Provider relations directors
  • Actuaries
  • Attorneys
  • Product developers
  • Market research analysts
  • Government and public affairs directors
  • State insurance exchanges and Medicaid offices
  • Health systems and other provider organizations
  • Administrators
  • Finance officers
  • Managed care contracting directors
  • Financial analysts, including securities and credit analysts
  • Consultants

Shipping Information

CDs (and accompanying written materials) are shipped via UPS. Please give us your street address when you order (UPS does not deliver to PO boxes). You should receive your order within two weeks.* Shipping and handling cost is $12.

The On-Demand Recording will be delivered as a link within a PDF file of the accompanying written materials. Shipping will NOT be charged for this item.

  • If you order the On-Demand Recording before the conference date (by itself or in combination with the live Webinar), you will be sent an e-mail with the PDF file attached once the recording is available.*
  • After the On-Demand Recording is available*, if you order on this website through our secure shopping cart, you will receive an e-mail, immediately after submitting your order, with a link directing you to download the PDF file. If you order through our customer service department (by phone, mail, fax or e-mail), you will be sent an e-mail with the PDF file attached.

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*On-Demand recordings will be available within a week of the conference and CDs will be available within two weeks.

Written Materials

Listeners will also receive practical written information to supplement information covered by the Webinar speakers. A copyright release in the Printed Materials will permit you to make photocopies for each person listening to the Webinar and/or the On-Demand Recording.

New Insurance Exchange Regs: Strategies for Seizing the Opportunities Ahead

Place your order through our secure shopping cart

$329.00
$329.00

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