Connect with leaders from coast-to-coast who are working to make health care better, equitable, and affordable for all Americans. Attendance is limited to AHIP health insurance provider members, AHIP retained counsels, and state trade association executives. You’ll engage in-depth, real-time conversations with state lawmakers, health insurance provider executives, and health care influencers on the topics that matter most for your state and the communities you serve.

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The organizations that pay for care and those that provide it are all looking to move beyond transactional relationships. Finding common priorities is part of successful collaboration. Provider collaboration is already happening behind the scenes on prior authorizations and new models of care. But there’s an immense untapped opportunity to take it further to positively impact member experiences and support health plan growth. At the core of the member experience is the ability to find the right care, at the right time. It takes health insurance providers and care providers working together to create accurate and meaningful experiences that help consumers navigate. Payer-provider collaboration is critical to improving health outcomes, cost of care, and the overall patient experience. New legislation is arming members with access to information on cost, which means they have more tools at their disposal to be proactive in selecting care. This has also created an opportunity for health insurance providers to ensure that doing so is a good experience. We’ve brought together two care providers to help share their perspectives on collaboration, the importance (and burden) of accurate data in directories, and how it all works together to deliver a better member experience.

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Obstacles remain that can limit a health insurance provider’s ability to run an accurate, effective, risk score accuracy program. Evolving risk adjustment models and regulations have made it even more important for health plans to resolve challenges like lack of transparency into member data and risk scores, inefficient and disjointed processes, inadequate expertise, or program customization capabilities:

• Lack of transparency into risk scores
• Inefficient and disjointed processes
• Missing risk score goals/forecast

In this webinar, industry experts will discuss best practices for managing health plan risk adjustment processes amid the Centers for Medicare & Medicaid Services (CMS) RADV Final Rule and 2024 Final Call Letter for Medicare Advantage plans. Attendees will learn how converging health plan quality, risk, and other healthcare programs can ensure greater data accuracy, drive major improvements in efficiency, and support better member satisfaction and experience.

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Too often, the process to receive approval for Social Security Disability Income (SSDI) benefits can be complicated and cumbersome. With the right approach, health insurance providers can achieve the twin goals of minimizing the cost burden of disabled members and increasing member satisfaction. To help potential members navigate the process, payers need to employ experienced disability advocates who help patients identify and enroll in financial safety net programs. This educational webinar from Cognizant will dive into the factors needed on the route to enrollment. Presenters will explain the five-step process patients must complete to enroll to receive SSDI benefits, plus define in detail how an algorithm-driven outreach model can be used to educate, empower and assist eligible members.

Attendees Will Learn About

• The concise five-step process patients must complete to enroll to receive SSDI benefits
• Details on the Social Security Administration's definition of disability
• How to ensure a win-win outcome for payers and members by utilizing an algorithm-driven outreach model to educate, empower, and assist eligible members

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Health insurance providers are in the midst of a generational identity shift—moving away from their traditional role as “risk aggregators” and pursuing diversification of their service offerings and revenue streams. These strategic moves will reinvent the way they are perceived by their members, their purchasers, and their competitors. But these strategic moves are also increasingly imperative for survival: In a world of shrinking margins, new and more powerful competitors, and increased expectations from consumers, health insurance providers are increasingly motivated to become health solutions companies that embody and own more parts of the care experience. Join us as we explore the trends in diversification and vertical integration driving the development of health solutions companies with more detailed advice on how health insurance providers can think about diversification at scale and best bets for organizations of all sizes. We will explore the feasibility and goals of different avenues of diversification while envisioning what the health plan landscape may look like in the next 5-10 years.

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Join us for the 2023 Innovation Summit to learn about local innovations in healthcare, employee benefits, and insurance. Join us for the 2023 Innovation Summit, where we will hear insights and strategies happening locally for lowering costs and improving employee health outcomes. We will also share resources available to employers.

Presentations include:

• Hearing from a local employer who has implemented the Health Rosetta framework in their benefit design.
• Learning about the Kansas Health Sciences Center, the new medical school in Wichita, and what their plans are for the community.
• Learning about innovative employer offerings from local insurance carriers.
• Hearing updates in the world of child psychiatry.
• Learning about a new, statewide integrated pharmacy network and pharmacy benefit option available to employers.

Read on eventbrite.com

Many health systems in Africa are generally characterized by high burden of out-of-pocket payment by patients at the point of care and increased exposure of clients to catastrophic health payments. However, there are recent moves by many African countries to improve their health financing systems and institute health insurance in a bid to ensure universal health coverage. The webinar will focus on sharing experiences of implementing health insurance in the contexts of African countries. As such, the main learning objectives of the webinar are to share best practices from countries, which are at different stages of implementing health insurance and identify mitigating strategies for the challenges that may be faced in the process of implementing health insurance. Daniel Erku will moderate the webinar and share his comparative assessment of HTA and health insurance from the Australian and Ethiopian context and what Africa countries can learn. Eskinder Eshetu Ali will present on the status of health insurance implementation in Ethiopia. He will be sharing success stories of a community-based health insurance (CBHI) system roll out for individuals and families in the rural agricultural and the urban informal sectors in Ethiopia. He will also discuss the challenges of rolling out social health insurance (SHI) for workers in the formal sector of the Country. Tienie Stander will present on the history and current system of health insurance in South Africa. His presentation will point out what the rest of the continent can learn from the health financing system in South Africa and what countries could do differently based on the challenges of the system. Peter Agyei-Baffour will share the experiences from a relatively new nationwide health insurance system in Ghana and will outline the lessons learnt in the implementation process and what other African countries can learn from this experience.

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The healthcare systems across the world are facing unprecedented pressure. The global pandemic has accelerated the need for rapid change and growth; thus, the industry is emerging from the post-pandemic state into a new era of digital transformation. The interaction and communication with the patient have shifted from physical to mostly digital. The customers needs and expectations of their healthcare providers are changing. To keep pace with these recent requirements, insurers and healthcare providers are compelled to develop new delivery models and accessible, tailor-made products, while managing low costs and maintaining profitability.

Read on uni-global.eu

Health insurance leaders are experiencing new challenges as unprecedented market changes are driving the need to reevaluate how they manage care in home and post-acute settings. From an aging population that is increasing demand, to care provider issues like staffing shortages and consolidation, market forces are changing how health insurance providers manage home-based and post-acute care. The need to improve quality measures like star ratings – even as CMS implements changes to how they will be calculated in 2023 – while controlling cost is vital to providing whole-person, high quality care for each member.

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The 21st Annual Health Insurance Summit will take place as an in-person event on the 28-29th June 2022 at the Swissôtel Sydney. It will also be available virtually. Each year, the summit gathers a diverse mix of C-Suite leaders from across the private health insurance landscape. With a highly topical agenda which features insights and interactive discussion on a range of critical issues, changing priorities, innovative ideas and solutions whilst considering the impact of COVID19 on consumers and the private health industry in Australia.

Read on informa.com.au

Today’s commercial markets are becoming increasingly complex. New regulations, ICRHA’s, and Level Funding all represent significant opportunities, however many health insurance providers struggle to bring these products to market due to the system implications across Sales, Underwriting, Enrollment, Benefit Administration, Billing, Commissions, and others. Compounding this is the fact that many employers and their employees do not understand their options to overcome these challenges. In this presentation, we will highlight specific challenges and real-world solutions to help you exceed customer expectations in a complicated and changing market.

Topics will include:

• How to simplify the entire customer journey to meet broker, employer, and employee needs
• How to speed innovative products to market with solutions that remove legacy system barriers
• How to create operational efficiencies to ensure ROI and improve customer satisfaction levels

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Enrollment issues for health insurance providers can be due to inflexible systems, inaccurate data, and lack of visibility of the member journey. These issues can be solved by using a cloud-based solution, utilizing data interoperability capabilities, and having a “golden record” of the member.

In this webinar, we will discuss frictionless enrollment on the cloud, how it helps health insurance providers and medical care providers, and how it benefits the member. This type of enrollment is an efficient, streamlined process – from quoting to digital ID cards – and reduces time-to-market for new business, new product lines and new groups.

Attendees will Learn About

• How cloud-computing and frictionless enrollment help to accept members from a variety of sources, reduce error rates, and personalize the customer service experience
• The importance of interoperability for a consolidated view of a member's journey across all lines of business
• How to reduce operational costs through high levels of automation across billing and customer service

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Health insurance providers today are feeling overwhelmed and burnt out, and from an organizational level, they're working to strategically identify and adopt virtual solutions that will boost their digital transformation journeys. On top of that, the member experience needs to be kept top of mind to ensure members are satisfied and receiving the best possible care. But how can health insurance providers really know they've found the right virtual solution? And how can they be sure their existing solution is reaching all of their members in the right way to boost engagement and member satisfaction?

This fireside chat will dive into the world of virtual chronic disease prevention and management—how health insurance providers should think about it, what they should look for when seeking an alternative solution and how they can go about finding the right solution for their organization.

Attendees Will Learn About

• The core issues impacting health insurance providers today and how technology can combat those challenges in a cost-effective and scalable way
• The value-add a CRM platform can have on their business goals and digital transformation strategy
• The impact A.I.-based technology can have on supporting member engagement and help them reach mass enrollment

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Burdened with inflexible and costly legacy systems, health insurance providers are struggling to support the transformation efforts that will help them access modern technologies that enable interoperability, improve efficiency and support digital member experiences. To stay competitive, many are now looking to outsource core operational processes to organizations that can provide specialized, expert services while reducing IT expenses and risk.

In this webinar, we will compare the features and benefits of various outsourcing options. We will also provide insights on the business conditions and critical success factors that support process outsourcing, helping insurance providers recognize when the time is right to explore these solutions. Finally, we’ll share some outsourcing success stories, to help plans recognize the benefits available through outsourcing various business processes.

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The LAHP & MAHP Annual Conference is the health insurance industry's networking event of the year, attracting more than 300 attendees representing health plan executives and staff, health care providers, pharmaceutical company representatives, insurance producers, government officials, employers, health care attorneys, government relations professionals and more.

The great festival of startups & insurtechs accelerating innovation in insurance. This opens in a new window. Play Video. Registration includes attendance at the event sessions, coffee break and lunch at the Palacio Euskalduna, and documentation of the event.

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Consumerism is redefining the healthcare ecosystem. It is driving the need for convergence and collaboration between health insurance companies and health systems. With increasing competition and changing consumer expectations, insurers are also facing significant challenges in attracting and retaining members. Creating integrated member experiences, through a deep understanding of member care journeys, will be critical for organizations to enhance their member acquisition and retention rates.

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Get ready for open enrollment this year and join this webinar to preview the survey results before they are released. This webinar will explore the current challenges facing health insurance organizations when it comes to satisfying their members. Our panelists will discuss key findings from the survey, dive into the behaviors and beliefs of health insurance consumers and how they have evolved in recent years, and provide valuable insights into current industry trends and issues, and predictions for the future.

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The Annual Health Insurance Summit is the most established business gathering dedicated to the PHI industry. The summit will continue to feature a balance of perspectives addressing a diverse range of critical issues, changing priorities, innovative ideas and solutions whilst considering the impact of COVID19 on consumers and the private health landscape in Australia.