Success implementing transparent, value-based NextGen healthcare plans requires a financial, strategic conversation with the CEO and/or CFO. These top advisers will reveal how the C-Suite healthcare conversation is evolving, the importance of using C-Suite language with executives, effective messaging that drives change, and the importance of discovering what the CEO & CFO want.

• Hear perspectives on why employers must modify their approach to benefit program design to meet the needs of today’s workforce and retain talent
• Discuss the importance of implementing holistic health and well-being programs to drive healthy behavior change, improve productivity, and reduce healthcare costs
• Explore novel models to coordinate care, promote healthy lifestyles, and ensure timely access to resources and support for employees and their families

• Personalize patient and member engagement strategies to identify opportunities, address barriers, and close care gaps
• Drive cultural change within healthcare organizations to build trust and enable humanized, empathic, and compassionate care
• Adopt an orchestrated multi-channel approach to effectively engage patients/members throughout their healthcare journey
• Understand the role of technology in enabling timely access to resources and reducing communication barriers
• Leverage AI and Machine Learning to predict behaviors and tailor care accordingly
• Develop actionable strategies to elevate the patient experience, engage members, and build long lasting relationships

• Outlook on leveraging partnerships to bring innovation to the US healthcare system amidst current industry challenges
• Examine the current and future state of value-based care
• Discuss recent payer-provider arrangements that are centered around quality and outcomes improvement
• Redefine care delivery: Develop a comprehensive, data-centric, personalized journey for patients and members

• Incorporating inclusivity and equity across all healthcare business lines
• Discuss leadership efforts to create an inclusive environment both within the organization and among the community
• Leverage community partnerships to deliver quality care to underrepresented groups
• Explore innovative approaches to identify disparities and enhance equity efforts across the care continuum
• Access accurate socioeconomic, demographic, race, ethnicity related data in a timely manner to significantly improve health outcomes

Whether it’s a BUCA fully insured plan or a BUCA administrative services only (ASO) arrangement in a self-funded plan, disintermediating (i.e., getting rid of the middleman) the BUCA carrier is necessary to take control of the healthcare spend. Experts will lay out the key considerations and potential landmines when building a NextGen replacement to the BUCA plan.

• Hear perspectives on recent innovations in employer-provider partnerships that prioritize quality and value
• Reexamine direct contracts and focus on arrangements that enhance patient experience and outcomes.
• Discuss cost control strategies for employers via alternative payment models in telehealth and virtual care
• Explore opportunities in advanced primary care specific arrangements to deliver appropriate care and eliminate waste

• Understand how current digital health trends that can bring care closer to the consumer
• Discuss strategies to implement the right type of digital technology that create seamless experiences for members and patients while building trust
• Learn how to effectively leverage technology to optimize care coordination throughout an individual’s healthcare journey

• Leverage virtual care, digital apps, and RPM to offer continued support to patients, monitor their health, and enhance their engagement with care teams
• Learn how technology including wearables and remote monitoring devices enable patients and caregivers to better manage conditions
• Offer tools to optimize medication adherence, identify gaps, and personalize care

• Examine the state of maternal health and the root causes for disparities
• Explore recent advocacy and legislative efforts to address  maternal health and maternal care disparities
• Delve into recent progress, programs, and partnerships among private and public sector, and community organizations to advance maternal care equity
• Discuss efforts to stratify data and develop a material health equity strategy

Even though most employers are eligible to move to a transparent, value-based NextGen health plan, not all owners and executives are ready to leave the mental comfort of a BUCA provider network or the perceived comfort of a BUCA logo on the insurance card. These experts will share NextGen strategies that bring value to the client while meeting them where they are.

• Understand the impact of adverse childhood experiences, the pandemic, stigma, and other health risks on treating mental health issues
• Identify and treat trauma-related stressors through creative expression and mindfulness
• Gain insights into how employers and healthcare professionals can establish a framework to help individuals cope and heal
• Discuss the value and importance of taking a proactive approach to address mental health including improved health and well-being, increased productivity, and reduction in overall healthcare costs

• Learn about the JHM Office of Population Health and its areas of focus to improve health for populations
• Discuss the development of a cross-functional care team as a team-based model of care
• Review the close partnership between the Office of Population Health and the Office of Diversity, Inclusion and Health Equity and their shared focus on promoting healthy equity

• Learn about the JHM Office of Population Health and its areas of focus to improve health for populations
• Discuss the development of a cross-functional care team as a team-based model of care
• Review the close partnership between the Office of Population Health and the Office of Diversity, Inclusion and Health Equity and their shared focus on promoting healthy equity

Addressing the waste and abuse in prescription medications, and especially high-cost maintenance and specialty drugs, provide the highest ROI in terms of reduced spend vs. plan disruption and noise. This expert panel will share effective cost-containment strategies and case studies.

• • • Access the right data to take a proactive approach on mitigating health risks
    • Discuss the role of data to deliver appropriate care tailored to the unique needs of populations including seniors and individuals residing in rural and underserved communities
    • Discuss the importance of integrating medical and social needs data to improve care access and sustain health improvement

• Discuss collaborative approaches and partnerships that advance food security, housing stability, and medical transportation access
• Deploy programs that address health inequities through market-driven, community informed solutions that support underserved populations
• Explore data sharing mechanisms and tools utilized by providers and payers to integrate SDoH information into EHRs
• Uncover opportunities to align efforts at the state, local, and community level for greater impact in promoting public health policies and measurable program effectiveness
• Determine how a Community Health Needs Assessment (CHNA) and Implementation Plan can advance care delivery efforts

• Discuss collaborative approaches and partnerships that advance food security, housing stability, and medical transportation access
• Address health inequities through market-driven, community informed solutions that support underserved populations
• Explore data sharing mechanisms and tools utilized by providers and payers to integrate SDoH information into EHRs
• Align efforts at the state, local, and community level for greater impact in promoting public health policies and measurable program efficacy
• Determine how a Community Health Needs Assessment (CHNA) and Implementation Plan can advance care delivery efforts

• Assess the impact of benefits that promote equity and inclusivity on both physical and mental health and well-being
• Discuss an employer’s role in accelerating efforts to address SDoH and reduce barriers to healthcare access
• Explore the financial and non-financial returns from investing in benefits such as fertility, reproductive, and caregiver benefits

Managing an employer’s healthcare supply chain – i.e., the employees’ medical and pharmacy purchases – is how advisers can ensure the quality of care and reduce the frequency and severity of claims, which is the only way to reduce the cost of healthcare. These experts will address the opportunities and challenges of managing the healthcare supply chain.

• Gain strategies to support individuals with chronic conditions every step of the way
• Discuss the role of digital tools and applications to proactively communicate with and engage individuals
• Implement a comprehensive chronic-care strategy by providing access to resources, health coaches, medication, and mental/behavioral health support
• Leverage medical and SDoH data to determine unique needs, tailor care, and sustain healthy behavior change

• Examine novel approaches to engage vulnerable populations affected by health inequities
• Gain strategies to meet the needs of individuals with chronic conditions
• Leverage partnerships to identify unmet needs and offer long-term support
• Access and analyzing data in a timely manner to provide personalized care and improve health outcomes

• Discover innovative implementations of AI, VR, and advanced technologies throughout the continuum of care to improve access, quality, and patient satisfaction
• Learn the process and training required to implement and integrate an advance technology solution
• Investigate how ChatGPT and other large language models may be able to enhance healthcare delivery and patients’ quality of life
• Discuss future use cases to implement AI, VR, and advanced technologies in research, preventative strategies, and predictive care

• Identify technological and behavioral barriers to digital health implementation
• Discuss approaches to increase digital literacy and digital health tools adoption
• Explore federal, state, and local efforts to reduce broadband costs and improve access in underserved areas
• Establish a team of digital health navigators within your workforce to increase digital health adoption and effectiveness

Advisers are controlling the cost of healthcare with proven strategies to supplant the misleading and meaningless BUCA network “discounts” – 50% off of…what? – with strategies that reprice the provider’s unreasonable prices. This expert panel will discuss using a cost-plus pricing model with providers or replacing the bad BUCA provider contract with a direct contract between the provider and the employer.

• Understand the alignment on drug pricing, the utility of NADAC, and the influences that drive costs of value-driven pharmacy  
• Examine optimal ways to eliminate wasteful spend, curb rising drug costs, and review the data requirements due to CAA accountability, while moving to personalized medicine 
• Consider if Digital Therapeutics (DTx) should be managed by your PBM 

• Develop patient/member trust collect and communicate personal health information and social profiles
• Learn how new payment models drive investments toward strengthening core information infrastructure to better manage patient populations
• Align coding vocabularies used in EHRs to enable seamless interoperability

• Discuss actionable strategies to enhance the health and well-being of healthcare workers
• Implement programs that prioritize self-care and mental health in the workplace
• Address the workforce shortage crisis by efficiently identifying and meeting the needs of healthcare workers and cultivating a culture of well-being
• Utilize user-friendly tools, technology, and processes to reduce burnout among care teams

• Learn about the purpose, components and benefits of the ACAP SDOH Benchmark Assessment
• Understand organizational alignment to develop, implement, and maintain SDOH programs including an overarching SDOH strategy to guide program priorities, business cases, funding and outcomes analyses.
• Discuss screening methods, data collection and analytical tools to assess and measure social risk factors of health plan member populations and non-members
• Identify community- based partners including criteria, financial and non-financial arrangements, referral management workflows, and current challenges
• Share the current state of planning for climate change impacts on health plan members and geographic regions served

Layers of standards and measures, mostly rooted in compliance, have mounted for decades — all in the name of advancing quality and safety. The result is an overburdened workforce that is tired of checking boxes and jumping through hoops and whose been left to believe that quality ‘didn’t work’ or is a ‘waste of time’.

Today’s opportunity is to shift from a compliance mindset to an excellence mindset where our workforce is inspired to do their best work, not just get through the motions. Join NAHQ’s CEO, Stephanie Mercado, as she explores a future led by transformational leadership strategies where we reset the definition of healthcare quality and align teams to achieve healthcare excellence.

Most diversity, equity, and inclusion programs focus on changing behaviors alone. Not only does this address only one part of the problem, but it often makes participants feel called out for poor behavior.

Changing behavior only happens with addressing the mindset that drives those behaviors. This is especially true in the DEI space. That is where Outward Inclusion comes in.

In this 4-hour workshop, attendees will be guided through a process of self-discovery to uncover unconscious bias and become equipped with practical tools to drive equity and inclusion within their team, organization, and community.

This workshop is shaped around authentic stories from around the world that draw people into a bigger story where everyone is included. You’ll be immersed in a first-hand experience where you’ll participate in workshop activities that:

• Invite people to grow instead of being shamed
• Understand how we impact others
• Provide tools to help facilitate difficult conversations
• Learn how to create meaningful change and get real results

Learning Objectives:
1. Create Psychological Safety
Apply practical frameworks to reduce bias, increase belonging, and influence change.
2. Foster Productive Dialogues
Become equipped with tools to foster safe, honest, self-reflective, and productive dialogues.
3. Create an Inclusive Culture
Identify and correct practices and structures that erode equity and inclusion.

Several lawsuits have been filed over the past few months against carriers by parties demanding access to their health plan’s claims data, and on February 23, 2023 the Department of Labor (DOL) issues further guidance on the removal of “gag” clauses, meant to facilitate such access, including where and how to file attestations and instructing plans to report carrier noncompliance to its enforcement division. Navigating your Healthcare Plan under the new requirements and transparency has opened the door for huge cost savings for the plan and the participants but ignored, there are significant liabilities.

The Consolidated Appropriations Act of 2021 (CAA) is the most significant compliance challenge employers have encountered since the 2009 enactment of the Affordable Care Act, aka Obamacare. Yet not many are talking about it. This course offers a comprehensive educational program consisting of a certification program for CEO, CFOs, business owners, benefits specialists or other employer fiduciaries tasked with oversight of the plan. Classroom session is hands-on, peer to peer inter-active and forward thinking, using subject experts to facilitate the discussions. The curriculum is informative and relevant, covering essential areas pertaining to the healthcare plan and the new fiduciary duties and responsibilities plan sponsors now have.

The storm is here, and employers, sick of paying more each year in exchange for less, are determined to get healthcare costs under control. The mission of this half day course is to establish a foundation for a prudent process that will reduce organizations liabilities by engaging in conversation of management and oversight of employer sponsored healthcare plan.

The prudent employers will be at the table and the imprudent are on the menu as litigation and enforcement ramp up.

In this Deep Dive Workshop, you will learn:
1. What employers are required to do under the CAA 2021.
2. How to run a Fiduciary Procurement Process on your healthcare plan
3. How to reduce your liabilities, implement cost containment and enhance benefits on your healthcare plan