2012 SUMMER EMPLOYEE BENEFITS SYMPOSIUM



EVENT DESCRIPTION

The Buckner Company is pleased to announce our 2012 Summer Employee Benefits Symposium.  We’ve compiled a group of experts from the insurance industry to provide businesses with the most up-to-date information businesses need to know to properly cover their employees.   


During our Employee Benefits Symposium, guests will have the opportunity to attend three separate breakout session classes.


The course descriptions and presenter bios are listed below. For those attending our symposium, please make choose the three classes you'd like to attend and let us know your selection when you RSVP.


Please RSVP to Randah Urbina by August 3rd at rurbina@buckner.com or 801.937.6517.


 

 

 

CLASS DESCRIPTIONS & PRESENTER BIOS

 


Option 1: Small Group Underwriting Principles

Regence Blue Cross/Blue Shield

Small Group Rating: Tools, Techniques, Practices and Policies in a highly regulated market. Because the cost of employee benefits and insurance represents such a large piece of an employer's bottom line, it is important to understand the different factors that comprise those costs. In this breakout session, you will have the chance to participate in a discussion and demonstration of factors influencing current and future small group rating. While every insurance carrier may slightly vary in underwriting practices, this presentation will educate you regarding fundamental underwriting principles used by all carriers. With this information, you will be better educated to understand how your company's insurance premiums are established.


Presented by Ann Ibrahim
Ann is the Director of Underwriting for Regence BlueCross BlueShield of Utah. Ann joined Regence in October 2006. Her underwriting team is responsible for the operations of large group, small group (2-99 lives), and special accounts underwriting.


Prior to joining Regence, Ann held the Chief Underwriter position for Public Employees Health Plan (PEHP), a nonprofit, self-funded trust managed by the Utah State Retirement Board. PEHP provides benefits for employees of the State of Utah and other public entities and school districts. Ann's previous experience also includes serving as the Underwriting Director for Altius Health Plans. She was responsible for pricing and benefit design and underwriting strategies for large group, small group and individual plans. She was with Altius and the plan's previous owners, PacifiCare and FHP Healthcare, for 20 years.


Ann has a Bachelor of Science degree in Mass Communications from the University of Utah.





Option 2: Utah Health Exchange Update

OCHS

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The Supreme Court's recent decision to uphold the Affordable Care Act altered the landscape of the country's insurance industry and the way Americans will be covered after 2014 and beyond. Regardless of politics, the exchange system of obtaining health care is the future of insurance — and it can be a confusing world to consumers.


Fortunately, the Utah Health Exchange opened for business in 2010 and has guided more than 300 small businesses through the process of offering health care to their employees. The Supreme Court's decision regarding the ACA impacts small businesses in several ways, while its state-based provisions ensure that the Exchange will be there to help guide employers through this new era of insurance.


The Exchange's innovative approach lets employers give a flat dollar amount (a "defined contribution") to their employees who then shop the Exchange for a health care plan that fits their needs. This process gives employers control over costs — which is critical to budgeting in our current economy — and lends a competitive edge in attracting and retaining key talent. Employees gain the freedom to choose a plan that fits their family and budget.


As a division of the Governor's Office of Economic Development, the Utah Health Exchange is a critical component of the state's small business development efforts now and going forward.


Presented by Sue Watson
Sue serves as Project Manager for the Utah Health Exchange, Governor's Office of Economic Development. She is responsible for managing day-to-day operational project deliverables and the coordination of project initiatives with various health partners.


Prior to joining GOED, Sue held positions of increasing responsibility in various health care organizations including Ceridian Corporation, ADP Corporation, and Abbott Laboratories. Her portfolio contains a wide range of expertise in project management, account management, and technology.





 

Option 3: Voluntary Benefits

Allstate

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Our voluntary plans allow you to enhance your benefits portfolio at no additional cost. We offer plans such as Critical Illness, Accident, Short Term Disability, Universal Life, Cancer, Hospital Indemnity, Dental, and Vision insurance that you can choose to make available to your Employees based on need.


Offering these plans could be the right fit for your company if:

  • You are concerned about the rising cost of employee benefits
  • You are concerned about increasing deductibles on health insurance
  • You would like the chance to provide benefits that help you to hire and retain quality employees
  • You would like to be competitive with other companies who provide more than just wages
  • Your employees have been requesting enhanced or port-retirement benefits, like life insurance that goes beyond group term life policies

Allstate Benefits is committed to providing superior products and services using cutting edge technology, exceptional customer service, and passionate claims administration. With over 40,000 groups in force, insuring in excess of 850,000 employees, we deliver the promise of "the good hands" each and every day. We also provide benefits to more Fortune 500 companies than any other provider.


Presented by Heather Caffrey
Heather is the Regional Sales Manager for Allstate Benefits in Utah. She has been in the insurance industry for eight years and with Allstate Benefits for the past three. She is passionate about her work at Allstate Benefits and most importantly, taking care of our policyholders.

 

 





Option 4: Self-Funding Principles

United Healthcare/UMR

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Today's customer is looking for creative solutions on managing their healthcare expenses. One model is to change over to a self-funded based health plan. This process gives customers full control of all the risks and rewards or controlling their own pocketbook.


Being self-funded provides an employer with a large amount of plan control and breaks the barriers of being in a fully-insured box. The strategic vision of a self-funded plan can be as simple as using a bigger hammer to creating premiums based off your members height and weight.


Presented by Mark Popovitz
Mark is responsible for the delivery of UMR solutions to large, national customers. He supports presale product customizations and specialty markets such as captive arrangements, tribal groups, accountable care organizations, onsite clinical integrations and value based benefit designs. Mark works closely with UnitedHealthcare® programs and services supporting the UMR product portfolio.


Mark began his career with UMR in 2004 as a project manager in care management where he was responsible for client-facing support of the Cincinnati location. Prior to that, he performed research for the University of Cincinnati Department of Family Medicine, was a program director for Franciscan Health System and vice president of technology for a national retail chain. Mark has extensive experience with provider practice management and electronic medical record implementation.

Mark received his Bachelor of Science degree in sports medicine and public health from the University of Cincinnati. He is working toward completing dual master's degrees in both public health and hospital administration from Benedictine University. He is an active member of the Cincinnati Health Care Collaborative.






Option 5: Self-Funded RX Savings Opportunities

VRx

Most employers feel confident that the price they pay for the goods they buy is well negotiated, but what most pharmacy purchasing teams don't know is the actual cost of the prescriptions they are purchasing is not the same as the amount they are being charged.


Almost all Pharmacy Benefit Managers offer an "ingredient cost" or even just an "amount due" per prescription, without quantifying the revenue they generate on each prescription, especially prescriptions filled at their own pharmacies, including mail order.


In this session, you will learn the difference between acquisition cost and discount price; discuss traditional PBM pricing; and discover the pricing "strategies" of traditional PBMs.


Presented by Douglas S. Burgoyne, PharmD
Dr. Burgoyne is the President and Managing Partner of VRx Pharmacy Services. Dr. Burgoyne has enjoyed his experience in various pharmacy leadership roles. Most recently he served as the Chief Pharmacy Officer for Prodigy Health Group. Prior to his role at IHC, he served as the Director of Clinical Services for another PBM company.


Dr. Burgoyne graduated Summa Cum Laude from Midwestern University – Chicago College of Pharmacy with both Bachelor and Doctor of Pharmacy degrees. He has been a longtime member of several pharmacy associations. He currently serves as President-Elect of the Academy of Managed Care Pharmacy (AMCP), where he has also served on the Board of Directors for the past two years. In addition, Doug is the Chairman of Utah AWARE, a not-for-profit community education campaign that teaches the community about antibiotic resistance and promotes the appropriate use of antibiotics.


 

 

 



Option 6: Wellness

Orriant

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If rising health care costs are a concern for your company, you won't want to miss the chance to hear from Orriant. We are a Salt Lake City-based wellness company doing business in all 50 states. We offer cost-neutral solutions for your company while engaging your team in healthier lifestyles. This unique accountability-based wellness program is achieving participation rates unprecedented in the industry; a rate of 70-90%. As employees voluntarily participate and work one-on-one with their Orriant Health Coach to meet their individual goals, they see meaningful changes and adopt healthy behaviors; productivity increases and premiums are less.


Presented by Judi Harrison
Judi works as the Director of Sales for Orriant. She has over 30 years experience in sales and marketing and has won many awards and honors for her successes. Judi has a license in Health and Life Insurance and understands the crisis in the medical industry. With a degree in Business Management from Brigham Young University, Judi has worked as a Director of Sales, Director of Marketing, District Manager, Regional Manager, and State Manager for various companies. Working in the insurance industry has opened her eyes and given her opportunities to teach corporations about wellness, disease management, and the great benefit these can be not only for the health of their employees, but for the company's finances as well. Reaching out to future clients and developing a program that is architected to their specific needs, Judi progresses Orriant from presentation to implementation with friendliness and efficiency.

 

 




Option 7:Three Things You Should Know About CDHs/HSAs

HealthEquity

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Employers are discovering how effective Health Savings Accounts (HSAs) are at making health care more affordable for them and their employees. By combining a HSA-qualified health plan and an HSA, employers are reducing their health care costs by driving consumer-driven health care adoption within their organizations.


Since their inception in 2004, HSAs have grown, and continue to grow rapidly in the marketplace. Employer groups of all sizes are turning to HSAs and other account based plans (HRA, FSA) to help stem the increasing costs of health care and help employees find ways to manage their care and expenses through these tax advantages accounts. Industry data now shows that properly design account based plans can change the health care trend.

Interest in HSAs are accelerating. Enrolled in account-based plans continues to increase.
CDH/HSAS can be PPACA Safe. HSAs can provide safe harbor to groups looking for safety in uncertain market conditions and legislative change.

Technology and Service integration are key to driving adoption in these plans. You need more than just a bank account to find success and support your employees.

Presented by Jared Momberger
Jared currently serves as the Regional Sales Director for the northwest region. He provides guidance and support to our health plan partners, brokers, consultants, and employer groups who need help implementing consumer-driven health (CDH) plans and incentives. Jared has been with HealthEquity since 2006, and has worked in both the sales and operations groups. Jared brings over 10 years of experience in account-based plans including HSAs, HRAs, and FSAs. Prior to joining HealthEquity, he served as a relationship manager for Wells Fargo Health Benefit Services. Jared recently re-located to Portland, Oregon, from Salt Lake City, where he continues to cultivate our partnerships in the northwest.

 

 





Option 8: Considerations in Network Selection

Imagine Health/MountainStar

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In 2006, Imagine Health Inc., focused its efforts on a more innovative network concept for large employer groups called the SmartCare Employer-sponsored Performance Network (SmartCare EPN). Physicians and hospitals are pre-screened for quality health care outcomes and then invited to participate on a highly selective, custom panel to provide care to the local employer's work force and their family members. SmartCare EPN's are in place in multiple states and have been very successful in reducing healthcare costs and improving the quality of care for the employees of their sponsor companies.


Presented by Bonnie Hansen
Bonnie has a 27 year career in managed care. Bonnie joined Imagine Health in 2005, where she had responsibility to contract a statewide PPO of over 5,000 providers. Bonnie was successful in developing the deeply discounted Wise Provider Network in one year. She also managed the development of the initial website and provider directory and the pricing system. Bonnie then had responsibility to grow the Utah membership which started at 30,000 to currently approximately 129,000 members.


and Bart Preston
Bart has been involved with health care for more than 14 years and currently works at MountainStar Healthcare. Bart is involved in working with insurance providers, insurance brokers, and employers. Among his various responsibilities, he focuses on strategies that allow for better health care and insurance options. In addition, he works to develop strategies to provide valuable health and wellness initiatives to employers. Bart covers the Utah, Idaho, and Alaska markets and has an undergraduate degree in Health Promotion and Wellness as well as a Masters in Business Administration.

 

 

 




Option 9: Personalized Primary Care

SelectHealth

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Advanced primary care integrates patients as active participants in their own health and well-being. Patients are cared for by a team of health professionals that coordinates all aspects of preventive, acute, and chronic care.


SelectHealth has collaborated with many Utah clinics to develop advanced primary care programs. These clinics integrate care delivery using the patient, doctors, nurses, office staff, health educators, ancillary providers, pharmacists, and SelectHealth nurse care managers. This approach offers each patient an ongoing, collaborative relationship with a team that improves the delivery of primary care while controlling cost.


Advanced Primary Care boosts health outcomes and patient satisfaction by providing the following:

  • Extended focus on preventive care and disease management
  • Increased patient involvement in healthcare decisions
  • Enhanced care processes through information sharing
  • Improved continuity of care for patient safety, quality, and prevention of unnecessary tests

Presented by Kim Barrus, BS, RN, PMP
Kim began her career at SelectHealth more than 17 years ago and has worked in a variety of capacities in that time. Her most recent role, working with the SelectHealth medical home initiative began in 2009.


Kim is a registered nurse and worked on the transplant and general surgery floor at Intermountain Medical Center. She received her Bachelor of Science in Computer Information Systems from Columbia College of Missouri. She has also completed a Project Management Professional (PMP) certification from the Project Management Institute (PMI).