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May 16
2013
Out-of-Network Rates for New Plan Models: How FAIR Health and Other Data...
Robin Gelburd of FAIR Health, Inc., and Robert Parke of Milliman discuss data-driven decision making for UCR, ACOs and exchanges
May 14
2013
Private Exchanges: What Their Product Design and Results Foreshadow for...
Alan Cohen of Liazon Corp. and Simeon Schindelman of Bloom Health delve into real life examples of private exchanges operating in today’s market, and how…

Co-hosted by Gorman Health Group and AIS

May 2
2013
CMS’s Draft 2014 MA and Part D Marketing Guidelines: Implications for...
Leading consultants from Gorman Health Group discuss what to do and when to do it in response to CMS’s draft 2014 marketing guidelines
Apr 23
2013
2014 Benefit Design: What Changes Are Health Plans and Large Employers...
Erich Blumberg of Lockton Dunning Benefits Co. and Todd Van Tol of Oliver Wyman discuss what 2014 benefit design strategies plan sponsors will offer this…
Apr 17
2013
Designing Health Plan/Specialty Pharmacy Partnerships to Reduce Costs and...
Debbie Stern, R.Ph., of Rxperts, Inc., and Randy Falkenrath of CVS Caremark Corp. discuss how health plans and specialty pharmacies can work together to optimize…
Apr 3
2013
Designing a Mobile Device HIPAA Plan: Risk Analysis, Policies and...
Chris Apgar, CISSP, president of Apgar & Associates, LLC, discusses the steps your organization should take to reduce the enormous privacy and security risks associated…
Mar 28
2013
Medicare Star Ratings: An Integrated Approach to Improving Medication...
David Lassen, Pharm.D., of Prime Therapeutics LLC and Cynthia Griffin, Pharm.D., of Florida Blue discuss how to develop an adherence management strategy that will help…

Co-hosted by Gorman Health Group and AIS

Mar 26
2013
Federally Facilitated Exchanges From Application to Implementation: The...
Leading consultants from Gorman Health Group take a deep dive into FFEs, from application to implementation and reconciliation — and get all your key questions…
Mar 14
2013
Medical Necessity and Cardiovascular Procedures: What Providers and Payers...
Michael Taylor, M.D., and Mark Miani, M.D., of Medical Audit & Review Solutions (MARS) discuss the medical necessity of cardiovascular procedures
Mar 7
2013
CMS’s ‘45-Day Notice’ and Its Potentially Severe Impact on MA Payment...
William A. MacBain of Gorman Health Group and Tim Courtney of Wakely Consulting Group discuss what the surprising preliminary 2014 rate notice and call…
Feb 26
2013
Insurance Exchanges: Winning Strategies for Building, Positioning and...
Fred Karutz of Silverlink Communications and Alok Verma of Stonegate Advisors, LLC, discuss how to build and position products for an exchange
Feb 25
2013
PBM Contracting: Strategies to Achieve Effective Relationships Between...
Helen Sherman, R.Ph., Pharm.D., of Solid Benefit Guidance and Sam Brown of The Phoenix Law Group discuss strategies to secure a positive, effective agreement between…
Feb 20
2013
Medicare Star Ratings: Key Steps to Prepare for Changes in 2014 and 2015
Kristian J. Marquez and April Goss of Inovalon discuss new strategies for boosting Medicare plans’ star ratings.
Feb 13
2013
New Privacy, Security and Breach Rules: What You Need to Know Now about...
This information-packed webinar is devoted to the wide range of new patient privacy and data security requirements (other than new business associate/contractor rules, [see above](#above))…
Feb 12
2013
New Provisions for HIPAA Business Associates and Subcontractors
Veteran HIPAA attorney Reece Hirsch summarizes and analyzes the brave new world of HIPAA business associates and subcontractors ... and provides tips and strategies for…
Jan 31
2013
The Impact of ‘3Rs’ Programs on Insurers: How Big, How Soon, How to Prepare
David Tuomala from OptumInsight and Scott Keefer of Blue Cross and Blue Shield of Minnesota will discuss what to expect from and how to prepare…
Jan 28
2013
Riding the Generics Wave: How to Control Drug Costs and Improve Outcomes
F. Randy Vogenberg, RPh, PhD, of the Institute for Integrated Healthcare and Howard Wild, RPh, of MedImpact Healthcare Systems, Inc., discuss innovative new ways…
Jan 24
2013
Site-of-Care Strategies to Contain the Costs of Infusible Specialty Drugs
Raulo S. Frear, Pharm.D., of RegenceRx and Michael T. Einodshofer, R.Ph., M.B.A., of Walgreens Specialty Pharmacy discuss how site-of-care optimization can result in major savings…
Jan 17
2013
Wall Street’s 2013 Outlook for Health Plans: Where Is the Sector Heading...
Carl McDonald of Citi Investment Research and Analysis, Joseph Marinucci of Standard & Poor’s Ratings Services and Matthew Coffina, CFA, of Morningstar, Inc., discuss how…
Jan 16
2013
Wellness Regs Crash Course: How the New Reform Rules Will Power Wellness...
Chip Kerby from Liberté Group LLC and L.J. (Mac) McCarthy and Michelle Mudge-Riley from McCarthy Actuarial Consulting discuss what new wellness program rules mean for…
Dec 19
2012
MA and Part D: Annual Election Period Trends and Outlook for 2013
Timothy Lightner of Highmark Blue Cross Blue Shield, Roger van Baaren of Independence Blue Cross and Bonnie Washington of Avalere Health LLC discuss the major…
Dec 18
2012
Reducing Hospital Readmission Rates: Strategies for Health Plans and...
Page Babbit of Highmark, Inc., Nick Gettas, M.D., of Cigna Corp., Guy D’Andrea of Discern, LLC and Doreen Salek, R.N., of Geisinger Health Plan discuss…
Dec 12
2012
New HHS Essential Health Benefits Regulation: Insurance Exchange...
Chip Kerby of Liberté Group LLC, and L.J. (Mac) McCarthy and Michelle Mudge-Riley, M.D., of McCarthy Actuarial Consulting discuss what the long-awaited essential benefits guidance…
Dec 10
2012
Effective Oncology Management Strategies for Payers
Beckie Fenrick, Pharm.D., M.B.A., of the Cambridge Advisory Group, Sean H. Karbowicz, Pharm.D., of RegenceRx and Rick Miller of Walgreens Specialty Pharmacy discuss new strategies…
Dec 6
2012
Essential Pharmacy Benefits for Exchanges: Benefit Design Strategies
John Jones of OptumRx and Caroline Pearson of Avalere Health LLC discuss pharmacy benefit design strategies for health insurance exchanges
Nov 28
2012
The Impact of November Elections on Insurance Exchanges: What Health Plans...
Chris Condeluci of Venable LLP, Jordan Battani of the Global Institute for Emerging Healthcare Practices and Daniel Schuyler of Leavitt Partners discuss how to…
Nov 27
2012
Retail and Urgent Care Clinics: A Win-Win for Health Plans and Their...
Susan K. Menendez of Blue Cross and Blue Shield of North Carolina and Tom Charland of Merchant Medicine, LLC explore the opportunities for cost savings…
Oct 18
2012
CMS-State Dual-Eligible Initiatives: What’s Ahead for Health Plans and...
Peter Harbage, consultant for California’s dual-eligibles initiative, Gregory Scott of Deloitte and Valerie Wilbur of the SNP Alliance discuss what the decisions made by…
Aug 29
2012
Payer Strategies to Manage High-Cost Specialty Drugs Expected to Hit the...
Atheer Kaddis, Pharm.D., of Diplomat Specialty Pharmacy, and William Sullivan of Specialty Pharmacy Solutions LLC discuss how to effectively manage the specialty drug pipeline.
Jul 31
2012
2013 Plan Design: What Benefit-Design Changes Will Health Plans and...
Alexander "Sander" Domaszewicz of Mercer Health & Benefits Services, Erich Blumberg of Lockton Dunning Benefits Co. and Todd Van Tol of Oliver Wyman discuss plan-design…

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