CCA HEALTH REFORM MEETING · 2016 CCA Health Reform Meeting – Page 2 ... Is ACO-Led Payment Reform Working? Credits: CPD 1.00 Accountable Care Organizations (ACOs), led by providers,

CCA HEALTH REFORM MEETING

PRELIMINARY PROGRAMCCACTUARIES.ORG/GO/HEALTHMEETING

April 13–14, 2016Marriott Wardman Park Hotel, Washington, DC

Consulting ActuariesConference of

2016 CCA Health Reform Meeting – Page 2

The CCA Health Reform Meeting provides health actuaries and other healthcare professionals the chance hear the latest developments on the Affordable Care Act, and the opportunity to discuss with peers what’s happening on the home front of healthcare reform. The meeting features a variety of sessions on healthcare reform issues, providing relevant education for healthcare providers, carriers and employers.

TABLE OF CONTENTS

Agenda ........................................................................... 3

Meeting and Hotel Registration ................................... 4

Meeting Policies ............................................................. 5

Program Schedule .......................................................... 6

CCA Board of Directors .................................................. 8

Health Reform Meeting Program Committee .............. 8

Registration form ........................................................... 9

The Health Reform Meeting is GreenIn an effort to minimize our environmental impact, the CCA Health Reform Meeting does not provide paper copies of session handouts.

Attendees need to access electronic versions of meeting materials immediately prior to the meeting and during the meeting through either the meeting app or the CCA website. Registered attendees will receive specific instructions in advance of the meeting on how to access these materials.

If you require paper copies of handouts, you need to print your materials prior to your arrival at the Health Reform Meeting. Printers are available in the Marriott business office for charge to the individual.



AGENDAWednesday April 13, 2016

SESSION TIME

The Current and Future Health Reform Landscape 1:00 – 1:50 PM

Size Still Matters: Challenges Ahead for Small, Medium & Large Employers

2:00 – 2:50 PM

Break 2:50 – 3:30 PM

Perspectives on Rate Filings and Review 3:30 – 4:20 PM

Is ACO-Led Payment Reform Working? 4:30 – 5:20 PM

Networking Reception 5:30 – 6:30 PM

SESSION TIME

Is It Working? A “Presidential” Debate on the ACA’s Impact on IHI’s Triple Aim

8:00 – 8:50 AM

Excise Tax 9:00 – 9:50 AM

3Rs: Risks and Rewards 10:00 – 10:50 AM

Healthcare Cost Trends 11:00 AM – 11:50 AM

Closing Statements 11:50 PM – Noon

Thursday April 14, 2016


MEETING AND HOTEL REGISTRATIONRegistration InformationRegister Online Now at www.ccactuaries.org/go/healthmeeting

CCA MEMBER RATE NONMEMBER RATE

Registration Received on or Before 2/28/2016

$650 $850

Registration Received on or Before 3/31/2016

$750 $950

Registration Received After 3/31/2016

$900 $1,100

Space is limited and available on a first come, first-served basis.

Registrations are only processed when accompanied by full payment.

Cancellation PolicyAll cancellations must be in writing (e-mail: [email protected]). Cancellations received on or before 2/28/2016 are refunded full fee less 25% administration fee. Cancellations received after 2/28/2016 are refunded full fee less 50% administration fee. No refunds 15 business days before the meeting.

Hotel InformationFriday, March 18, 2016 is the cutoff date for making hotel reservations in the Conference of Consulting Actuaries Meeting room block. Reservations are accepted at the Marriott Wardman Park Hotel by telephone at 877-212-5752. Be sure to identify yourself as a participant in the Conference of Consulting Actuaries Meeting to receive the meeting group rate at Marriott. The following hotel rates apply: $299 (single/double).

You may also book your room online at: http://www.ccactuaries.org/go/ccahotel


MEETING POLICIESNotice on CPD CreditsAttendees of the CCA Health Reform Meeting have the opportunity to earn up to 8 of the 30 required credits toward the 2016 continuing education requirement as we believe all sessions are applicable for credit under the Qualification Standards.

Meeting Cancellation PolicyIn the event the CCA Health Reform Meeting is canceled due to unforeseen circumstances beyond the control of its sponsors (i.e. fire, strikes, terrorist attacks, acts of God, etc.), all refunds exclude charges for prepaid fixed expenses.

OvercrowdingThe CCA reserves the right to close registration in advance of the meeting to prevent overcrowding of the meeting space reserved for this event.

Photography and Videography PolicyRegistration for, attendance at, or participation in the meeting, and any ancillary CCA-sponsored meetings/seminars constitutes an agreement by the registrant/attendee or participant to permit the CCA to use and distribute (both now and in the future) the registrant’s, attendee’s or participant’s image in photographs, electronic productions, or other electronic marketing by the sponsor(s).

No Session RecordingNo sessions are recorded. As a condition of your attendance at the meeting, you agree not to audio or video record any portion of the educational sessions held at the meeting. Any violation of this condition may result in your ejection from the meeting without a refund of your registration fee. In addition, you agree that the CCA shall be entitled to any costs incurred as a result of any violation of this provision, including payment of CCA’s attorneys’ fees. Violators may be prohibited from attending future meetings/events.

Antitrust PolicyProfessional societies are subject to federal and state antitrust laws, and must constantly monitor their activities to ensure continued compliance with all antitrust regulations. This policy is published to: (1) inform the participants of the CCA Health Reform Meeting of the purpose of antitrust laws; (2) provide guidance to compliance at all meetings sponsored by the CCA; and (3) emphasize the intent of the CCA, through the Board of Directors, to adhere to the law.

The Purpose of Antitrust LawsThe antitrust laws prohibit any concerted activity or combination of competitors from interfering with free competition. In other words, the primary thrust of the law is to control private economic power by protecting competition. Persons and organizations are prohibited from engaging in any action which unreasonably restrains commerce or trade (i.e., competition). Per se violations (practices presumed to be inherently wrong regardless of the motivating factors) include: agreements to fix or stabilize prices, to divide markets, to allocate production, or to impose boycotts. In essence, any concerted action that significantly diminishes rivalry among competing firms.


PROGRAM SCHEDULE

Wednesday, April 13

1:00 – 1:50 PM (SeSSion #1)The Current and Future Health Reform LandscapeCredits: CPD 1.00Presidential elections are less than seven months away. What is the landscape of health reform given the potential changes in political winds over the coming months? We will explore this question in a panel interview of two prominent health economists who have provided policy advice to past Democrat and Republican presidential candidates.

Speakers:

1. Dale Yamamoto – Red Quill Consulting

2. Stephen Parente – University of Minnesota

3. Jonathan Gruber – Massachusetts Institute of Technology

2:00 – 2:50 PM (SeSSion #2)Size Still Matters: Challenges Ahead for Small, Medium & Large EmployersCredits: CPD 1.00Does size matter? If you are referring to mandates, penalties, tax credits, metal levels, marketplaces, and Minimum Essential Coverage, the answer is yes.

During this session, attendees learn which portions of the Affordable Care Act (ACA) impact which size employers and how employers of different sizes are reacting to these regulations in terms of how, why, where, when, and if they purchase healthcare coverage.

Speakers:

1. Karen A. Shelton – UnitedHealth Group

2. Katie Mahoney – U.S. Chamber of Commerce

3. Kathryn Wilber – American Benefits Council

2:50 – 3:30 PMBreak

3:30 – 4:20 PM (SeSSion #3)Perspectives on Rate Filings and ReviewCredits: CPD 1.00The presenters focus on the practical aspects of the rate filing and review process. Topics include actuarial assumptions, the Uniform Rate Review Template (URRT) and Actuarial Memorandum, and how they fit into the rate filing and review process for 2017 filings. Speakers include a representative from CMS CCIIO for the Federal perspective, a state regulator who reviews rate filings, and a consultant who prepares and submits rate filings. The speakers provide their perspectives on the challenges they see with the process and tools, and what common issues or errors they see in reviewing or submitting rate filings.

Speakers:

1. Geoffrey C. Sandler – Aetna

2. David Shea – Virginia Bureau of Insurance

3. Karen Bender – Snowway Actuarial and Healthcare Consulting

4. Representative – Consumer Information and Insurance Oversight

4:30 – 5:20 PM (SeSSion #4)Is ACO-Led Payment Reform Working?Credits: CPD 1.00Accountable Care Organizations (ACOs), led by providers, were supposed to be a new approach to realize value based on better cost effective outcomes. Some ACOs were going to put the primary care physician in charge while others seem to focus on the specialist as the key driver of value. Our panel discusses their experiences with ACOs and current trends.

Speakers:

1. Gregory Pence – LeanAnalytics.com, LLC

5:30 – 6:30 PMNetworking Reception


Thursday, April 14

8:00 – 8:50 AM (SeSSion #5)Is It Working? A “Presidential” Debate on the ACA’s Impact on IHI’s Triple AimCredits: CPD 1.00How does the ACA measure up against the Institute for Health Improvement’s Triple Aim of Reducing per capita cost, improving the patient experience, and improving population health?

Panelists at this session debate the pros and cons from the perspectives of various key constituencies.

Speakers:

1. Mac McCarthy – McCarthy Actuarial Consulting

2. Gregory Pence – LeanAnalytics.com, LLC

3. Karen Bender – Snowway Actuarial & Healthcare Consultants LLC

9:00 – 9:50 AM (SeSSion #6)Excise TaxCredits: CPD 1.00The regulations around the administration of the high cost plan excise tax (i.e., “Cadillac Plan” tax) are being contemplated by the IRS and debated by actuaries and employers across the United States. With less than two years before the tax goes into effect, employers are focusing on its potential effects on plan costs as well as the means to administer the potential regulations. Speakers at this session focus on the guidance provided to date on the administration of the excise tax and the implications for employers including:

• Potential approaches for determining the cost of applicable coverage subject to the tax;

• Aggregation by benefit package and mandatory disaggregation by family tier;

• Calculating costs for FSAs, HSAs, HRAs, on-site medical clinics, EAPs, etc.;

• Timing of the determination of the cost and the availability of data;

• Application of the annual statutory limit to the cost of applicable coverage; and

• Age and gender adjustments to the annual statutory dollar limit.

All of these issues and more are to be discussed by an expected expert panel consisting of healthcare actuaries and

a representative of the Internal Revenue Service.

Speakers:

1. Edward M. Pudlowski – American Fidelity Administrative Services, LLC

2. Joseph Kra – Mercer

3. Representative – Internal Revenue Service

10:00 – 10:50 AM (SeSSion #7)3Rs: Risks and RewardsCredits: CPD 1.00We now have the actual results for the first year of the risk mitigation programs under ACA and are starting to establish estimates for 2015 expected results. We are also entering the final year for the two temporary programs that end after 2016. Speakers at this session cover the historical experience under the programs, future changes and adjustments under consideration from a regulatory perspective, and issues and challenges faced by carriers required to report their results including the impact of the phase-out of the two temporary programs at the end of 2016.

Speakers:

1. Dave Tuomala – Optum

2. Representative – Consumer Information and Insurance Oversight

11:00 AM – 11:50 AM (SeSSion #8)Healthcare Cost TrendsCredits: CPD 1.00We have enjoyed a relatively stable healthcare trend environment in the last few years (averaging 4 percent compared to 15 percent trends a decade earlier). Can this level of relatively low trends sustain itself? What are potential cost drivers that will change the pattern of healthcare cost trends? How will the proliferation of specialty drugs influence future health care costs? The panel addresses these issues as well as others.

Speakers:

1. Dale Yamamoto – Red Quill Consulting

2. Stephen Heffler – CMS Office of the Actuary

11:50 PM – NooN

Closing Statements


HEALTH REFORM MEETING PROGRAM COMMITTEE

This committee plans the program for the Health Reform Meeting, subject to the approval of the Board of Directors, and is responsible to the Board for the design and implementation of such programs.

David M. TuomalaChair

Olga T. Jacobs

Mac McCarthy

Gregory Pence

Edward M. Pudlowski

Adam J. Reese

Geoffrey C. Sandler

Dale H. Yamamoto

John H. LowellVice President – Communities and

Special Interest Groups

Ellen L. KleinstuberVice President – Continuing Education

Robert J. ReiskytlVice President – Member Services

Richard H. Bailey IIISecretary

Edward M. PudlowskiTreasurer

Phillip A. MerdingerImmediate Past President

John J. SchubertPenultimate President

Joan Boughton

Stephen N. Eisenstein

Scott A. Hittner

Justin N. Hornburg

Judith A. Kermans

Kathleen P. Lamb

L.J. (Mac) McCarthy

Alan W. Milligan

Maria M. Sarli

David M. Tuomala

Paul B. Zeisler

Rita K. DeGraafExecutive Director

Donald J. SegalPresident

Donald E. FuerstPresident-elect

CCA BOARD OF DIRECTORS


By registering for a CCA-sponsored event, you acknowledge that you have read and agree to be bound by the applicable cancellation policy.

CCA Health Reform Meeting Registration FormMarriott Wardman Park HotelApril 13–14, 2016

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Registration Received on or Before 3/31/2016 $750 $950

Registration Received After 3/31/2016 $900 $1,100

REGISTRATION FORM

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Documents

CCA HEALTH REFORM MEETING · 2016 CCA Health Reform Meeting – Page 2 ... Is ACO-Led Payment Reform Working? Credits: CPD 1.00 Accountable Care Organizations (ACOs), led by providers,