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


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


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


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?


Reengineer Pharmacy Benefit Manager (PBM) Contracts to Control Prices: What Employers Should Know About Group Purchasing Contracts

Group purchasing PBM contracts are a popular strategy for small- and mid-sized employers, promising to leverage combined scale for better terms and pricing. In this session:

  • Learn how employers can (and should) challenge the promised savings from a group purchasing contract
  • Understand PBMs' underwriting process
  • Discuss the role of consulting firms that also resell group purchasing contracts
  • Review case studies from small, mid-sized, and large employers across individual and group purchasing contracts


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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