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Agenda

(current as of 5/15/2010)

Wednesday, June 09, 2010

Thursday, June 10, 2010

(Click on session titles for detailed session descriptions.)

Friday, June 11, 2010

Forum Session Descriptions:

(current as of 5/15/2010)

THURSDAY, JUNE 10

1:15 - 2:00 pm

Provider Bills: The High Cost of Getting Healthy
This presentation is designed to give an overview of what to look for internally as potential problems in assessing a provider bill and offer strategies for handling billing concerns. Detailed examples and true billing scenarios will be given.

Stacy Borans, MD
Chief Medical Officer and Founder
Advanced Medical Strategies (AMS)

2:00 - 3:00 pm

Under the Microscope. . . Effectively Managing Catastrophic Claims
This session will provide best practices from TPAs that have reduced the number of high dollar claims in their covered population through care management outreach, access to specialized provider contracts, direct negotiation, focused case management and comprehensive claims review.

Glenn S. McLellan
President
McLellan Consulting Services

3:30 - 4:15 pm

Health Care Reform Update
This session will provide an “insider’s” perspective on how the health care reform legislative process has continued to evolve in Washington, DC and future prospects for legislative action that could affect self-insured group health plans.

Michael Ferguson
Chief Operating Officer
Self-Insurance Institute of America, Inc. (SIIA)

4:15 - 5:00 pm

Exploring The Phia Group Mission
Reducing the cost of health plans through innovative technologies, legal expertise, and focused, flexible customer service is The Phia Group’s mission. We will explore what the industry can do to slow the rising costs and other nagging issues, allowing our industry to expand and thrive. Working together, we can exercise negotiation power, create immediate benefits, and demand change for our clients and plan members.

Adam V. Russo, Esq.
Chief Executive Officer
The Phia Group, LLC

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FRIDAY, JUNE 11

9:30 - 10:15 am

Evidence-Based Treatment: Reducing Costs and Improving Employee Health
Ten to twenty percent of plan members have filled a prescription for an antidepressant or other psychotropic drug in the last 12-months. General medical doctors provide suboptimum care, and resistance to treatment is increasing. Rising healthcare costs and a decrease in productivity are the results of improper treatment. We will discuss the solution, as well as the patent pending Pharmacy Intervention Protocol (PIP).

Fred Newman
Chief Executive Officer and Founder
Interface EAP, Inc.

10:15 - 11:00 am

The Good, The Bad, and The Ugly: Today’s Transplant Network Marketplace
This session is intended to provide the attendee with a strong working knowledge of transplant network product design with a primary focus on the clinical, financial and operational elements of a well-designed transplant network.

Robert P. Ziomek, Jr.
Principal
Axia Strategies, Inc.

11:15 am - 12:00 pm

Leveraging Data to Deliver Optimized Cost Management
No matter your view of today's healthcare issues, there is one thing we can all agree on: There are tremendous savings opportunities available that are not capitalized, based today's fragmented approach to cost containment. In this interactive session you will see examples of how to analyze your own data, comparing it to current trends to create a road map for cost management that maximizes savings by enhancing today's methodologies and integrating them with the technology of tomorrow.

John Powers
Executive Vice President and CMO
Premier Healthcare Exchange, Inc. (PHX)

12:00 - 1:00 pm

Innovative Solutions Through Plan Language
We will analyze many of the controversies presently faced by benefit plans, and discuss how to emerge victorious from these battles by not only drafting plan language which will provide the upper hand, but will allow us to avoid these conflicts in the first place.

Ron E. Peck, Esq.
General Counsel
The Phia Group, LLC

2:00 - 2:45 pm

The Future for TPAs and The Small Payer Industry
As Washington tinkers with healthcare care financing and delivery there are a variety of ways the industry could move that will dramatically affect regional payers. From changes that could dramatically increase the viability of the non-BUCA payers to those that will cast a spotlight on the industry’s warts the ability to be nimble and pursue positive service delivery changes have never been at more of a premium. This session will focus on our industry’s fatal flaws and the changes that could open new doors to growth and prosperity.

Mike Dendy, MBA / MHA
Chief Executive Officer and President
Advanced Medical Pricing Solutions (AMPS)

2:45 - 3:30 pm

On-Site Medical Clinics
Companies and municipalities are considering on-site medical clinics. What are the driving goals, values and deliverables, and what are the minimum thresholds for success? What are “Patient-Center Medical Homes”? What applications can impact self-funded health plans, and how do we benefit from them? We will examine what these and other propositions mean, analyzing the variables and impacts.

Ernest A. Clevenger, III
President
CareHere, LLC

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