Private Exchange FORUM Baltimore – Workshops

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  • LEARN sessions introduce you to emerging innovations, solutions and services.
  • CONNECT sessions are where you collaborate with peers on industry strategies, best practices and case studies.
  • sessions allow for open discussions on the most current industry topics of interest.

Track # 1 – Workshops

Wednesday, September 2nd, 2015 • 11:15 a.m. – 12:15 p.m.

LEARN SESSION 101 – Providing the Right Benefit Mix in Your Exchange: Supplemental Health Benefits, Pet Insurance, Legal Insurance and More

Should employers add supplemental benefits to the product mix when implementing a private exchange? In order to answer this question, employers should first identify the pros and cons of doing so. The success of an employer’s exchange hinges on employee perceptions of value, as well as leveraging the benefits offered to provide employees with a comprehensive benefits arrangement that meets the individual, specific needs of their employees.

Companies who implement private exchanges report significant increases in voluntary benefit purchases following adoption of the private exchange. However, to ensure ongoing success, employers should offer a menu of high quality products their employees will appreciate and use. Employers should also consider what mix of benefits their employees prefer. Companies implementing a private exchange with a diverse menu and mix of additional benefits need to anticipate that employees, if given too many options without appropriate support, could become overwhelmed. Companies should identify, evaluate and implement the decision support tools that best fit their employee population.

The audience should leave this session with answers to the following questions:

  • Employers: With the menu of voluntary benefits growing continuously, what mix is best for your employee base? Should the right benefit mix be a consideration that impacts your private exchange selection? What decision support tools would your employee base need?
  • Exchange Platform Providers: What supplemental health, voluntary benefits or ancillary products could increase market share for your exchange?
  • Brokers and Consultants: Which ancillary products, outside of dental, vision, life and disability, will employers and their employees ask for? Will your private exchange recommendations provide the same? Will enrollments increase?

Moderator: Craig Hasday, Chief Operating Officer, Frenkel Benefits

Panelists: Ryan Thomson, Director of Private Exchanges, Group Voluntary Auto & Home, Liberty Mutual Insurance; JoAnne K. Novak, AVP Business Development, Hartville Pet Insurance Group/ASPCA Pet Health Insurance; Mark Parabicoli, Managing Director for Exchanges, ARAG Group; Eric Runci, Senior Enrollment Firm Development Manager, Aflac Broker Channel

CONNECT SESSION 102 – Private Exchange Trends and Strategies for Retirees

The market continues to respond to demands for coverage facilitation for retirees through private exchanges. While this strategy originated in the context of offering Medicare-eligible retirees a wider choice of health plans, it continues to appeal to employers who offer retiree health benefits. In this arrangement, the retiree is given a set dollar amount from the former employer that he or she may then use in the private exchange to purchase benefits. Retirees, much like active employees who participate in an employer’s private exchange, are given more control over where their benefit dollars are invested.

With, in some cases, up to ten years of historic data to evaluate, our panelists discuss best practices with respect to providing retiree health in connection with a private exchange, educating retirees about the choices available, and the enrollment process. The data also demonstrates, from the employer’s perspective, the cost savings that result from implementing a private exchange for their retirees, via controlling future retiree health care costs, eliminating consulting fees, gaining administrative savings from outsourcing, and limited reported liabilities due to a switch from a defined benefit approach to a defined contribution approach.

Attendees will leave this session with an appreciation for:

  • Private exchange options available for employers who offer, or are obligated to provide, retiree health benefits;
  • Best practices in providing retiree health benefits through a private exchange;
  • The cost savings an employer can anticipate by implementing a private exchange option to satisfy retiree health obligations.

Moderator: Christopher E. Condeluci, Principal, CC Law & Policy PLLC

Panelists: Thomas J. Dimmer, Vice President–Business Development, Individual Markets & Exchanges, Renaissance Dental, Renaissance Life & Health Insurance Company of America; Girish Panicker, Chief Commercial Officer, Benefitalign; Michael Cho, Chief Innovation Officer, Connecture; Rob Harkins, Practice Leader, Private Exchanges, Willis

SESSION 103 – Engagement and Decision Support Considerations for Private Exchanges

In a 2013 Accenture survey of 2,000 consumers, 87 percent of respondents said that decision support tools were an important feature of a private exchange, and a majority identified this as a critical feature. Consumers are asking for help in making the right health care decisions, and if private exchanges are to deliver on their promises, they will need to offer highly personalized experiences with data-driven insights that help consumers find the best-fit health plan and voluntary benefits for their lifestyle. Private exchanges mean greater choice for consumers, but many employees – already uncomfortable with benefits enrollment – will get lost in the array of options without some help.

Providing employees with tailored choices, rooted in strong analytic capabilities, is essential for the success of private exchanges. In this session, hear from panelists on how to drive employee engagement through the right set of decision support tools in a private exchange. Audience takeaways:

  • Learn how decision support tools are evolving as private-exchanges develop more robust functionality
  • Discover new ways web technologies are engaging consumers using data analytics to tailor the consumer experience
  • Hear how on-demand education, videos and animations address the consumer learning curve and enhance understanding of benefits

Moderator: Paul Smith, Chief Strategy Officer, CodeBaby

Panelists: Anne Savoca, Broker Sales Executive, CareFirst BlueCross BlueShield; Shandon Fowler, Director of Product Management for Marketplaces, Benefitfocus; Robert P. Poli, CBC, President and Chief Operating Officer, Insurance Marketing Center

SESSION 104 – The Importance of Integrating Health Management and Private Exchange Models

Employers are begging their employee benefit consultants and brokers for benefit solutions that drive down costs, via private exchanges. Simultaneously, they acknowledge the need for ways to manage employee health and wellness. .This is no longer a hypothetical issue that might happen some day. Population health continues to decline at alarming rates, and employers are bearing the brunt of that through increased employee health care costs and loss of productivity due to employee illness. Progressive employers, who acknowledge the correlation between the two, are intentionally creating work environments and cultures that incorporate general health and wellness tactics into the daily work lives of their employees.

In response to these demands, many well-known consultants are designing private exchange models and consulting approaches with a focus on healthcare consumerism and defined contribution plan designs. One such consultant, Willis, addresses this head on, saying "our differentiation lies in our integrated health management capability aimed at addressing medical utilization trends."

After this session, you will understand:

  • How successful private exchange models promote healthy behavior;
  • How to satisfy the diverse lifestyle needs of an employee population;
  • How to deliver overall cost reduction while increasing employee productivity for employers.

Moderator: Ernie Harris, NPDP, Conference Co-Chair, EVP of Business Development, Maestro Health

Panelists: Jim O’Connor, President, CBIZ Employee Benefits Services; Dr. Bruce Sherman, MD, FCCP, FACOEM, Medical Director, Population Health Management Health Exchange Solutions, Xerox, Tricia Johnson, Director of Marketing, Interactive Health

Track # 2 – Workshops

Wednesday, September 2nd, 2015 • 3:00 p.m. – 4:00 p.m.

LEARN SESSION 201 – Private Exchanges Compliance 101

The healthcare landscape has grown monumentally complex in the past several years, and it’s about to get worse. This session will give consultants and employers large and small an overview of various “private exchange” and defined contribution funding options and how the Affordable Care Act affects them. In this regard, what exactly is a private exchange, and why do I (and my employees) want one?

On the docket for this session:

  • Defined contribution approaches for health care and how the ACA affects them
  • Impact of ACA limitations on health reimbursement arrangements (HRAs) on private exchange arrangements
  • Differences between private exchanges that utilize group coverage (and a slice approach) and individual coverage options

Bring your questions!!!

Moderator: Ronald E. Bachman FSA, MAAA, CHCC, Chairman, Editorial Advisory Board, The Institute for HealthCare Consumerism

Speaker: John Hickman, Partner, Alston + Bird LLP

CONNECT SESSION 202 – Best Fit Exchange Solutions for Mid-Market Employers

Health insurance exchanges are designed to provide quality benefits, through seamless enrollment and ongoing administration processes, in a cost effective manner for both the employer and their employees. A recent Accenture report predicted that mid-size employers defined as those with between 100 and 2,500 employees, will drive most of the growth in the private exchange market in the near term. This may be due to the fact that even large employers who want to implement a private exchange will have a longer implementation horizon due, in part, to internal approval processes.

The mid-market may be more nimble than large employers in this regard, but they have obstacles of their own to overcome, such as limited resources available to dedicate to the investigation, ongoing administration and effort necessary to effectively identify and implement one. Private exchanges are acknowledging that these obstacles exist and offering employers help in overcoming them. Private exchanges harness technology to offer employees more benefit plan choices, reduce an employer’s spend on health care administration and work with companies to reduce costs of benefit coverage through plan design and other strategies. At the same time, private exchanges empower employees by simplifying the decision-making process and improving transparency, through decision support features that help employees make informed choices.

Come hear this panel address:

  • The capabilities of health insurance exchanges
  • The value of exchanges to both employees and employers
  • Recommendations regarding solutions that best fit mid-sized employers and their employees

Moderator: Zack Pace, Senior Vice President, Benefits Consulting, CBIZ

Panelists: Frank B. Mengert, Partner & Director of Exchange Technology, ebenefit Marketplace; Jeff Yaniga, Chief Revenue Officer, Maestro Health; Megan Urbaniak, Director of Business Development, WebInsure Benefits, hCentive

SESSION 203 – The Game-Winning Combination of HSAs and Private Exchanges

This session on health savings accounts will open with facts and challenges from a white paper by the same name written by the moderator of this session, Todd Berkley, and its co-author, John Young. We will focus on the remarkable natural link between HSAs and private health insurance exchanges and how effort to integrate HSA accounts into private exchange offerings can add value and create stickiness for exchange providers.

The session will then shift its attention to its panelists, as they describe their early experiences integrating HSA know-how into their exchange offerings. Join us as some of the early pioneers of this "combination" share their successes and generally set a vision for what could be a very powerful partnership going forward for employers.

Audience takeaway learning points include:

  1. Understand the powerful emerging combination of HSA and private exchanges;
  2. Learn how to incorporate HSA account education and sign-up to enhance private exchange experience;
  3. Observe how successful early partnerships have been formed to the mutual benefit of both HSA and private exchange vendors.

Moderator: Todd Berkley, President, HSA Consulting Services, LLC

Panelists: Nitra LaGrander, Vice President of Strategic Markets, Evolution1; Gregg Larson, Senior Vice President and Managing Director, Healthcare Consumerism, Xerox HR Solutions, LLC; Dean Mason, CEO and President, Acclaris

SESSION 204 – Optimizing Employee and Employer Needs in a Private Exchange – From Enrollment to Premium Billing

Private exchanges enable employees to shop for a wide range of benefits simply unattainable under the traditional model – an employer selected set of benefits attempting to fit all employees. While the enrollment, shopping and selection experience of private exchanges continue to become more employee friendly, vast product selection by employees has created administrative burdens for employers. These burdens, just now becoming apparent, include increased billing management, billing reconciliation and payment challenges. From bill and payment consolidation to defined contribution and split billing, change and opportunities are abundant.

In this informative session you will learn:

  • How online enrollment streamlines plan selection and eases complications that come from offering employees greater product choice.
  • The advantages of easy administration when front-end enrollment systems are fully integrated with premium billing and payment acceptance capabilities.
  • Key questions you should be asking your broker or carrier when considering an exchange.

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

Speakers: Kismet Toksu, President, EBenefits Solutions; Brian Ridder, Vice President, Business Development, Benaissance; Greg Licata, VP for Product Development, DataPath; Jay Belschner, CEO & Founder, Certifi

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 toward this designation.

Have a question or comment? Contact us today!