7:00 AM – 6:30 PM
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.
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.
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.
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.
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.
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.
• 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
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