Strategic Market Insight opportunities are available on Monday, Tuesday, and Wednesday.
Please fill out our online Sponsorship Inquiry Form and a representive will contact you.

Monday, April 29, 2019 • 10:45 - 11:30 am

Identify, Manage, and Improve the Health of Rising-Risk Employees

More than 1 in 3 American adults is prediabetic, and 90% don't know it. In other words, nearly one-third of your employees are unknowingly on the path to developing diabetes, a chronic condition that costs $327 billion a year. In this session, learn how savvy employers are using analytic insights to:

  • Identify rising-risk employees who are prediabetic
  • Personalize the engagement of prediabetic employees in their health
  • Improve health outcomes and costs

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Shattering the Member Engagement Myth

Health plans have invested millions in pursuit of forging a productive member relationship - to generate both greater satisfaction and cost management. But in practice, health plans' member engagement strategies are oriented around what plans want from members - not what members want from plans. As a result, plans often fail to deliver on core member service priorities: easily getting care that is provider-directed, affordable, and convenient. Absent plan support, new players are filling these needs-and changing member service expectations. This presentation discusses:

  • The effectiveness of health plan engagement efforts
  • How service failures have opened the door to new market entrants and reshaped member expectations
  • Practical examples of how leading health plans are equipping providers to help steer members, improving the timing of communications to members, and preventing predictable navigation hot spots

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Stakeholder Perspectives: A Proven Application that Individualizes Health Education Communications and Improves Health Outcomes

  • Understand what to expect from a waiver based on Washington state's extensive experience reforming and improving its long-term care system
  • Examine a data-driven, highly individualized health education communications
  • View a unique, post-relational decisioning engine that matches patient needs to health education topics that help people manage disease and avoid injury
    • Learn best practices in designing individualized communications that change behavior
  • Discuss the value of implementing a unified communications system that improves efficiency while reducing redundant communications
  • Hear results based on phone surveys, member testimonials, and data analytics

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From Me to We: A Population-Level Prevention Approach to Youth Behavioral Health

Prescription drug abuse and mental health are two topics that are frequently stigmatized and often viewed as individual issues. This perception can lead young people to feel isolated as they navigate the social pressures and challenges related to them. In this session, we explore how employer, health system, and health plan executives should look at:

  • The intersectionality of personal and social well-being
  • The leadership role in impacting prescription drug safety and mental wellness issues
  • How population-level prevention can impact some of the seemingly intractable issues facing young people today

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Living the Future of Virtual Care and AI: Happier, Healthier Employees 2.0

Leading health systems and employers have been investing in virtual care for years, but adoption rates for these early telemedicine technologies are still below 1% in the United States. Single point solutions do not provide the insights nor experience to compel a change in consumer behavior. But a recent study shows holistic virtual care, powered by true AI, holds the promise of improving quality and access of care, while containing rising health care costs. This presentation discusses:

  • A Fortune 500 company study of personalized, end-to-end virtual care which has become a roadmap to drive industry-leading employee engagement and satisfaction.
  • How AI-powered health technology enhances the experience and outcomes for patients, payors and providers.
  • The current state of AI in virtual care and breakthroughs happening in real time.

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Tuesday, April 30, 2019 • 10:30 - 11:15 am

Survive the New World Order: Trends, Challenges, and Unmet Needs of Payer, Providers, and Employers

The transformation of health care continues, creating opportunities and challenges for payers, providers, and employers. Market forces are provoking them to develop new strategic initiatives and to reprioritize existing ones. PNC Healthcare conducted a comprehensive, three-part strategic research project to examine how changes in health care today impact key stakeholders. Phases 1 and 2 examined what payers and providers are doing to survive the new world order. In Phase 3, the research examined trends, challenges, and unmet needs of U.S. employers related to health care. The session synthesizes qualitative and quantitative findings, and gives insight into how organizations are adapting to meet these challenges and harness new opportunities.

  • How are payers and providers reimagining themselves for the future?
  • What are the greatest health care challenges for employers?
  • What are employers doing to combat rising costs and cope with ACA uncertainty?
  • How do they view their commitment to offering health benefits to employees?

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Reengineer the Pharmacy Benefit Supply Chain: Cost-Effective Employer Strategies to Optimize Contracts and Carve-Out Services

Pharmacy benefits are delivered through a complex supply chain designed to provide little transparency to employers and employees - the ultimate payers of health care. In this session:

  • Leverage opportunities across pharmacy benefit solution providers to make strategic decisions that lower costs
    • Discuss common carve-outs that maximize savings
  • Understand how increased control leads to greater cost transparency and improved fiduciary compliance for plan sponsors
  • Review case studies from small, mid-sized, and large employers

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Develop the Next Leader: Unique Higher Education for the Health Care Workforce

Hear from leading universities about graduate programs and educational opportunities poised to advance value-based care.

  • Explore a one-year, on-line program, where graduate students work with industry CEOs and thought leaders to create and implement health benefit plans that improve health care and significantly lower health care costs

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Applying AI to Create Value for Patients, Providers, and Physicians

Hospitals and health systems face an unprecedented opportunity to create exponential value using proven AI technologies. Learn how leaders embraced this challenge and co-innovated new applications to apply AI to care delivery. In a real-world interview, attendees will learn how to:

  • Apply AI to unstructured health care data and leverage data as a strategic asset
  • Embed AI in the care management workflow to augment clinicians and caregivers
  • Achieve validated results across the Triple Aim, demonstrating AI with a real ROI
  • Rapidly partner with AI leaders to apply the models and operational learnings from other health systems to deliver impactful results with proven analytics

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Wednesday, May 1 • 10:10 - 10:55 am

Cut Costs and Improve Satisfaction: Post-Acute Care Coordination for Medicare Advantage (MA) Members

Member engagement and satisfaction are critical to a successful MA plan. This session explores challenges plans face across the post-acute care spectrum and how to mitigate them, particularly through better collaboration with providers. Discover how to engage patients and their caregivers to increase the chance of safe discharge and reduce the chance of readmissions.

  • Utilize data-driven insights to direct the patient to the best facility for their care and condition
  • Create actionable steps to identify high-performing networks to align providers and health plans across the state
    • Analyze severity-adjusted quality and efficiency metrics
  • Improve patient engagement for your health plan
  • Understand how to reduce patient fragmentation between post-acute care providers while simultaneously engaging patients and their caregivers

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Outlook on Reference-Based Pricing (RBP) as a Cost-Saving Strategy for Employers and Brokers

  • Gain insight on RBP and its benefits
    • Assess impact on health care spend and out-of-pocket expenses
  • Learn about best practices to implement and administer RBP
    • Tailor RBP programs to meet your organization�s needs
    • Educate employees and facilitate buy-in
  • Interact and discuss:
    • Next steps to implement a RBP model
    • Strategies to overcome challenges

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Addressing the Mental Health Crisis in Corporate America

  • Assess the impact of the mental health crisis on companies
    • Discuss statistics around productivity and health care costs
  • Understand the prevalence of mental health conditions within employed populations
  • Learn how to leverage technology to assess brain capacities, identify risk of mental conditions and train for mental fitness
    • Customize programs based on individual needs
    • Engage employees: Set self-improvement goals and frequently monitor performance
    • Improve productivity, address presenteeism, and lower health care costs

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