Private Exchange FORUM Baltimore – General Sessions

Opening General Session

Tuesday, September 1st, 2015 • 2:00 p.m. – 3:00 p.m.

Private Exchanges: What’s Working, What’s Not and What Lies Ahead

An expert panel of objective consultants deliberate the current state of private exchanges, predict where the market is headed and identify the pain points for employers using current exchange models.

The primary focus of private exchanges in the last several years has been on retirees, those covered by COBRA, part-time and other seasonal workers. However, the transition of active employees to private exchanges in 2014 and 2015 has infused the market with new energy, causing some to take a step back and examine whether implementing a private exchange for active employees makes sense.

According to Forbes, many advisors – including Accenture, Goldman Sachs and William Blair – predict enrollment on private exchanges to outpace enrollment on public exchanges by 2018. In fact, Accenture predicts the number of private exchange enrollees to reach an astonishing 40 million by 2018 – up from six million in 2015.

On the other hand, some experts have adopted more cautious posturing, warning that private exchanges for active employees have yet to prove their bottom-line value to employers. In a PwC and Private Exchange Evaluation Consortium (PEEC) survey, this dichotomy in opinion was confirmed. Nearly half of employers indicated they would consider private exchanges for their full-time employees, but less than 25 percent believed they would save money doing so. Leading the pack in this regard, several of the largest employers, including Sears and Walgreens, have signed up with leading private exchange operators.

Come hear this keynote panel discuss what’s working, what’s not and what lies ahead. Attendees will hear:

  • An overview of the various models;
  • How they "fit" for different workforces;
  • And future predictions on the marketplace.

Moderator: Doug Field, CEO, The Institute for HealthCare Consumerism

Panelists: Barbara Gniewek, Principal, GHRS, PricewaterhouseCoopers; Mike Smith, Director of Exchange Solutions, Lockton Benefit Group; Paul Rogers, President & COO, Pacific Resources, Faisal Saleh, Principal, Hager Strategic

Afternoon General Session

Tuesday, September 1st, 2015 • 3:15 p.m. – 4:15 p.m.

Understanding Private Exchange Models and Implementation Options

The private exchange provider’s perspective: innovators explain technology behind private exchanges.

With so many private exchange options available in the market, finding the right fit for each employer – taking into account an employer’s workforce and unique benefits requirements – can be challenging. Employers can, however, use this technology to deliver an online environment that allows consumers the opportunity to shop for health care much like they do for other consumer goods, including comparing costs and making value determinations.

With these advances in technology, a single platform may be used for different purposes by different parties, including health plan insurers, health plan sponsors, third party administrators and employees. Not only are technological advances allowing employers more choice, employers are using one platform to deliver health care benefits via exchanges while simultaneously offering a benefits administration solution. Of particular interest, employers are able to use this technology to analyze prior history data in helpful and potentially cost-saving ways. Experts have found that these advances in technology support a more seamless integration between an employer’s core administration systems, state/federal exchanges, and the underlying health plans. These innovated platforms can also integrate financial premium billing systems and payment processing.

If your company is one of the forty-five percent of employers who are considering implementing private exchanges for their full-time employees before 2018, you don’t want to miss this session. This panel of exchange providers will:

  • Identify the key features and capability of the technology behind each of the private exchange models;
  • Discuss real-world implementation success stories;
  • Evaluate the impact of this technology on key stakeholders;
  • And assess best practices with respect to implementing and utilizing a single platform.

Moderator: Barbara Gniewek, Principal, GHRS, PricewaterhouseCoopers

Panelists: Daniel Hughes, National Account Executive, Healthcare Reform, Softheon; Dana Leopold, Director of Emerging Markets, Connecture; Scott Carver, President, PlanSource; Robert Steele, President, Quadrant4 Health; and William Giaconia, Vice President, Healthcare Strategy, ADP, LLC

Closing General Session

Tuesday, September 1st, 2015 • 4:30 p.m. – 5:45 p.m.

What Defined Contribution and Private Exchange Solutions Are Leading Brokers/Consultants Offering Their Clients?

A panel of experts from the nation’s four largest private exchange providers share lessons learned based on hard data derived from multiple enrollment periods.

In this session, Aon Hewitt, Mercer, Towers Watson and Buck Consultants discuss how the combination of private exchanges and employer-funded defined contribution accounts has resulted in better healthcare cost management. These big 4 private exchange carriers command more than 75% of the private exchange market, with more than 5 million covered lives.

These companies serve many large companies, including Walgreens, Time, Sears, Darden and more. Employers that completed a second-year renewal had average annual cost increases of 2.6 percent over the two years they were on the exchange. By comparison, the average cost increase during that same time for large U.S. employers with similar benefit structures is projected to be 6.5 to eight percent this year.

Though there is no single exchange model yet dominating the market, developments in technology and demand for increased employee choice are expected to accelerate the transition from a business-to-employer model to a business-to-consumer approach. This expert panel will share:

  • Thoughts on the evolution of defined contribution account models as used in connection with a private exchange solution
  • Based on the populations enrolled in their private exchange solutions, trends they are observing regarding costs of care, enrollment levels, etc.

Moderator: John Young, CHCC, CEO, Consumerdriven, LLC, Conference Co-Chair

Panelists: Eric Grossman, Senior Partner, Marketplace Active Exchange, Mercer; Karen Frost, Senior Vice President, Health Strategy & Solutions, Aon Hewitt; Dan Graovac, Principal, Health Exchange Solutions, Buck Consultants LLC, A Xerox Company; Travis H. Brashear, J.D., West Division Client Development Leader, Towers Watson

Opening General Session

Wednesday, September 2nd, 2015 • 8:30 a.m. – 9:45 a.m.

Leading Health Plans Reveal Product Strategies for Their Own Exchange Solutions (And Inside Other Exchanges)

A panel of experts from leading health plans share strategies for serving a dual role in the private exchange exchange market.

Health insurance exchanges can be a significant market opportunity for health plans that better prepare strategically for the uncertain ways that the market may evolve. Those that understand the exchange models that may emerge and develop a strategic response that is flexible will have a decided advantage. Proper strategies must carefully evaluate potential markets to enter and identify capabilities needed and associated investments required.

To compete, health plans must anticipate the need to develop viable products, particularly those that are competitive from a network, price and brand perspective. By adopting more efficient, lower cost solutions, health plans can remain competitive with respect to pricing, play to their product strengths and gain long-term strategic advantage.

Come hear what factors these health plans consider when making strategic business decisions, including internal price drivers, external factors that influence market entry, competitive positioning and more.

Moderator: Paul Lambdin, Exchange and Retail Practice Operating Model Practices Leader, Health Plans, Deloitte Consulting LLP

Panelists: Lisa Feddema, Executive Director, Exchange Management, Health Care Service Corporation (HCSC); John Mills, Senior Director of Commercial Products, UPMC Health Plan; Joseph Berardo, Chief Executive Officer, MagnaCare; Chris Culotta, Health Care Reform Portfolio Manager, CareFirst BlueCross BlueShield

Mid-Morning General Session

Wednesday, September 2nd, 2015 • 10:00 a.m. – 11:00 a.m.

Defined Contribution Health Care — Why Do It, How to Do It and What to Do in Renewal Years

The audience will hear from four different industry stakeholders – all with extensive experience with defined contribution health care and private exchanges.

The defined contribution concept remains confusing to many employee benefit professionals. Yet, it is critically important in the context of employee benefits. Improving health is maximized with account-based plans, and account-based plans are adopted much more frequently as part of a defined contribution strategy in private exchanges.

Defined contribution does much more than merely help employers budget for health care and other benefits. It builds better consumers, and better consumer health. While popular in concept, however, it is estimated that defined contribution health care is implemented as a component in only 20 percent of private exchange strategies. Why? Because there is a fair amount of confusion regarding what it is and how it works.

This session will unscramble the eggs of defined contribution health care, educating participants about what defined contribution health care is, what it looks like, how to use it and implement it and how renewal years are treated.

Moderator: John Young, CHCC, CEO, Consumerdriven, LLC, Conference Co-Chair

Panelists: David A. Osterndorf, FSA, Partner and Chief Actuary, Health Exchange Resources (HER); Barb Vasko, Vice President, Aon Hewitt; Nick Nyhus, VP of Human Resources, University of Minnesota Physicians; Dean Mason, CEO and President, Acclaris

Afternoon General Session

Wednesday, September 2nd, 2015 • 1:45 p.m. – 2:45 p.m.

Providing the Right Consumer Experience: The Value and Importance of Building the Complete Exchange Solution for Employees

A panel of leading experts share best practices for using robust exchange solutions as an e-commerce platform to engage, educate and communicate with employees.

Millenials have now taken over as the largest growing component of the U.S. workforce, and they’ve brought their digital age preferences with them. No longer content to wade through piles of paper every year during open enrollment, they are demanding a complete consumer experience when it comes to health care. They want to navigate benefits enrollment like they do other consumer goods: on intuitive, user-friendly websites like Expedia and Amazon.

Taking into account the demands of the new employee-consumer, the panelists will examine the consumer experience, the importance of delivering on its promises, proper employee education and more. The new face of consumer-based health care will include comprehensive private exchange solutions such as health management, alternative care solutions, consumer decision support, price/quality transparency and more. The health care ecosystem, in other words, the digital world in which employee-consumers find themselves choosing health care and making health care decisions, must be comprehensive, easy to navigate and a positive experience.

During this informative session, the audience will learn:

  • How exchanges can expand consumer choices beyond insurance options;
  • The breadth of information a robust exchanges can provide (including tools for financial management and treatment comparisons);
  • The user experience in a health care ecosystem;
  • How some exchanges will focus on managing the health of populations they serve.

Moderator/Lead Speaker: Shandon Fowler, Director of Product Management for Marketplaces, Benefitfocus

Panelists: Robin Gelburd, President, FAIR Health; Vinay Gidwaney, Chief Product Officer & Co-Founder, Maxwell Health; Dr. Bruce Sherman, MD, FCCP, FACOEM, Medical Director, Population Health Management Health Exchange Solutions, Xerox; Lois Chianese, Principal, Client Services, BenefitWallet®, A Xerox Solution

Closing General Session

Wednesday, September 2nd, 2015 • 4:30 p.m. – 5:30 p.m.

Employer Perspectives on Private Exchanges and Defined Contribution

Employers share their thoughts and experiences with private exchanges – whether they have made the decision to implement or not.

A recent Aon Hewitt found that the majority of human resources directors said their benefit plan decision-making was significantly influenced by the decisions made by peers or competitors. In this session, employers will discuss their perspectives on the private exchange market, whether they performed due diligence with respect to implementing a defined contribution in conjunction with a private exchange and why they made the decision they did.

Come hear how employers addressed the major tasks associated with evaluating, selecting and deciding whether to implement an exchange solution for their specific employee populations. There will be time for a Q&A session at the end, so audience members are invited to bring questions for the panelists.

Moderator: Barry Eyre, Vice President, Business Development, KTP Advisors

Panelists: Nick Nyhus, VP of Human Resources, University of Minnesota Physicians; Randy Spicer, VP, Health & Insurance Services, National Restaurant Association; Douglas Maher, Executive Director – Employee Benefits, EIIA; Bert Cleary, Sr. HR Manager, Compensation and Benefits, Welch Foods Inc.

Want to become Certified in HealthCare Consumerism (CHCC)?

Learn more about the IHC Certification program and how to take credits at the 2015 Private Exchange FORUM & Expo toward this designation.


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