Scott  Gottlieb

Innovation & Access: Healthcare’s New Battleground

We are on the frontline of transformative disruption with pharmaceutical drugs. Advances in science makes it possible to seek CURES for once intractable diseases. The policy developments in Washington have lasting implications on the ability of innovators to develop these opportunities, and for patients to benefit from them. What is the future of medical innovation? How can the healthcare industry successfully navigate the intersection of policy and medical innovation?  More importantly, how does the healthcare sector EVOLVE as the landscape of benefit coverage and medical products change and new challenges emerge for consumers of health care and the employers who are financing the health care investment? Are there sustainable models for covering the cost of new innovations and modernize our payment models to make sure access to the medical care is guaranteed without bankrupting our healthcare system? What are the new models for healthcare delivery that we will need to embrace? Let’s hear from the person closest to this convergence: Former FDA Commissioner, Scott Gottlieb.

Janis Davis-Street

Business Value of Health – Why Leaders Matter

Within the energy industry the costs of ill-health extend beyond traditional health care and productivity measures. Risk prevention programs that target lifestyle factors (sleep, stress, nutrition, physical activity, smoking etc.) can impact safe operations and reduce the incidence of illness, injury and risk of death from non-communicable diseases in employee populations. Utilizing a leader-driven systematic process can aid organizations in establishing priorities and well-executed plans that improve employee health, reduce costs and enhance safety and productivity. Leadership behaviors are often the distinguishing characteristic that differentiates how a culture that values health and wellbeing is implemented across organizations. This presentation highlights the importance of health for safe operations and the role of leaders in advocating for the physical and psychological wellbeing of the workforce.

Chris Dancy

Health and wellness pioneer, healthcare technology leader and entrepreneur, Christopher Dancy is frequently referred to as “the world’s most connected human.” Since the 1990s, when he was responsible for platform and technical development for the internet startup of WebMD, he has helped launch a number of successful startup companies in the technology and healthcare industries while serving in digital product development, senior management and leadership roles.

Al Lewis

Health Care Literacy 

Lunch Session

Chris Crawford

Over the course of his career, Chris has advised some of the world’s leading employers on their employee benefits programs and strategy. As Health Strategy’s Chief Growth Officer, Chris is responsible for expanding the firm’s pharmacy benefit solutions and enabling more employers to access Health Strategy’s expertise in driving down costs in all areas of the pharmacy benefit supply chain.

Shane Wolverton

Quality Performance in Pittsburgh; How does our market stack up?

With the explosion of content being tossed to health care employers, and consumers, it is hard to have a clear conversation about healthcare quality. Can we discern whether Pittsburgh providers are delivering the same, better or worse outcomes compared to other markets or centers of excellence. This presentation will offer a practical overview of quality for Pittsburgh, and surrounding markets, to deepen the conversation around the value delivered locally or regionally.

Peter Hayes

Leveraging Data to Support Corporate Strategies that Steer Employers to High-Value Sites of Care

Over 15 years of health benefits and health policy experience in corporate, consulting and public policy creating arenas. Proven leadership capability and relationship building skills within a corporate environment and external organizations. Co-founder and President of the Maine Health Management Coalition, President of Care Focused Purchasing, Leapfrog Board Member, Executive Advisory Board for Express Scripts, Aetna, Definity Health and JNJ. Secretary of the Center for Health Value Innovation. Demonstrated innovation in developing strategies to improve the quality of care while achieving flat, multiple year medical cost trends. National presence in health care strategy and innovation. Frequent national keynote speaker. Recipient of national awards such as the NBGH Platinum Award for Health Promotion. Specialties: Value Based Health Benefit Design, Medical Tourism, Minimally Invasive Procedures, Health Promotion and Wellness Programs, Incentives, Provider Tiering, Community Health Models, Provider Reimbursement Models, Innovative Strategies

Address purchaser challenges around using data to find gaps in the marketplace and develop transformative strategies

Gain strategies to execute an analytic agenda

Hear a purchasing alliance case study: How an organization with 50+ public and private employer members leverages data analytics to develop and support new corporate strategiesCenters of Excellence with bundled payments

Transparent PBM initiative

Incentives program

Assess the potential impact and results of several innovative programs

Tim Isenhower

Break into the Medical Travel Market: Roadmap to Implementation for Employers

Tim Isenhower, Director of Benefits – has worked with HSM and their self-insured health insurance for the past 25 years. Managing a self-insured health plan through the 90’s to today has provided him the opportunity to think out of the box for reduced healthcare cost programs including direct contracting, on site clinics, chronic disease management, and medical tourism. With IndUShealth, Tim and HSM were pioneers in self-insured companies offering medical tourism, as was presented on ABC News and Nightline.

  • Analyze current medical travel trends and what they mean for your business

Inbound and outbound medical markets and their unique opportunities

  • Why medical travel?

Discuss benefits to employers, providers, TPAs, and brokers

What treatments and procedures should you consider?

Identify potential risks involved: Importance of cost-benefit analysis

Address top misconceptions and barriers to launching a program

  • Steps to Implementation

Determine pricing structure Gain strategies to avoid legal issues such as ERISA

Set standards and expectations for providers and facilitators

Develop parameters to evaluate international facilities

Explore how to engage and educate employees: Address resistance

  • Employer Case Study

Learn how an employer offers care abroad as a benefit for its employees and significantly improves outcomes and cuts costs

Darin Hinderman

Take Control of Your Pharmacy Supply Chain: Cost

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

Learn how Caterpillar Inc. changed the way pharmacy benefits are purchased and delivered to their employees, reducing trend.

Leverage Pharmacy Benefit Manager (PBM) contracts to make strategic decisions that lower costs.

Take control of your pharmacy supply chain: Discuss common carve-out solutions to maximize savings.

Understand how increased control leads to greater cost transparency and improved fiduciary compliance for plan sponsors and create value for employees.

Partner with a trusted advisor that will work toward common goals and objectives to drive lower pharmacy costs.

Jan Klein

Bringing Everyone to the Table to Reduce Costs

ACSHIC, Allegheny County Schools Health Insurance Consortium, was created in the mid-1990s becausethe cost of healthcare to public schools became unaffordable in the Pittsburgh area. Joining togetherlocalschools seemed to be the solution, but it was only the beginning of a journey to ‘provide greathealthcare at a reasonable cost’. The management led consortium discovered that they had to bring all constituents to the table if there was any hope of findinga workable solution. The 24 trustees who arenow equal parts labor and management meet at least twice a month to review data on cost and qualityparameters to reach their goals. Two labor and two management trustees will present the issues that had to be surmounted. This can provide a pathway to other companies interested in having all voicesheard in healthcare decisions.

Jessica Brooks

Jessica Brooks is the Chief Executive Officer and Executive Director of the Pittsburgh Business Group on Health, where she is leading the effort to redefine the discussion around healthcare value, access and quality for nearly two million people impacted by the tidal wave of government, regulatory and private market shifts in the way employers help their employees maintain healthy and productive lives. Jessica was recognized in the 2015 Smart 50 class, presented by Chase, where the top executives of the smartest 50 companies in the region for their ability to effectively build and lead savvy organizations. Jessica is responsible for the vision of the Pittsburgh Business Group on Health, structuring unique partnerships with data analysis organizations, prescription drug services, and price variation specialists to ensure the organization’s 80+ employer-members, as well as providers and health plans, seek continuous improvement in healthcare value and delivery.