BLOOMBERG BNA WEBINAR EVENT: What to Expect from Exchanges: How One-Stop Shopping Will Shape the Future of Health Care (free webinar)
Thursday, September 19, 2013
1:00 PM - 2:30 PM ET
Please select “Live webinar,” add it to your cart, and then use promo code LGAUSFC3 upon check out to register at no cost.
By creating a marketplace in which consumers have multiple choices among products and web-based tools for comparison shopping, health care exchanges will become the public face of the Affordable Care Act (ACA) when they open for business in 2014. The ultimate vision is to create an Amazon-like experience, leading to a health insurance system that is more transparent, easier to navigate and more responsive to consumers’ needs. On the path to achieving that goal, both public and private exchanges are experimenting with a variety of approaches and models—and all of the healthcare stakeholders, from payers to providers to pharmaceutical companies—are re-thinking how they’ll operate in the changing environment.
The faculty for this program will take an in-depth look at the emerging exchange marketplaces and how they are transforming health insurance and the broader patient care landscape. Attendees will learn about:
- The three government exchange models—state-based, federally facilitated and partnership—as well as which states have chosen which approaches and their differing versions of implementation, spanning the spectrum from single payer to privatization
- The four core functions of exchanges, with a detailed look at eligibility and enrollment, financial management, plan management and consumer assistance
- The options and opportunities in individual and small-group markets, including exploring risk pools, tax credits and the Small Business Health Options Program (SHOP)
- The role exchanges will play in the marketplace, including their function as active purchasers or clearinghouses for all Qualified Health Plans (QHPS), their interactions with state departments of insurance and state Medicaid programs and their competitive position vs. private Exchanges
- The details of premium stability programs, including risk adjustment, reinsurance and risk corridors
- The part agents, brokers, navigators and assistors will take in guiding consumers through the new system
- Certification standards for QHPs
This program provides an opportunity for everyone in the healthcare chain—from payers to providers to drug manufacturers to employers—to better understand the evolving exchange landscape, as well as their options, obligations and opportunities in this new market. Participants will get a close-up look both at the regulatory requirements defining exchanges and how they are playing out in the real world.
- Gain a full understanding of the exchange marketplace, its regulations and requirements—as well as the responsibilities of relevant players.
- Explore the models states are implementing and the range of potential approaches.
- Discover the roles the exchanges will play in the healthcare system across key functions, from providing access to affordability programs to managing funds to monitoring QHP performance to assisting consumers.
- Learn the latest information on certification and enforcement issues.
- Examine how exchanges will interact with other key players, including Medicaid and state insurance departments—as well as how public Exchanges may relate, both competitively and cooperatively, with private Exchanges in the market.
Who would benefit most from attending this program?
The changes in the healthcare environment that reform is driving have broad interest across stakeholders. Counsel/legal departments, regulatory affairs management and executives involved in strategy and planning for health insurance/managed care firms, provider organizations/health systems, life sciences companies and health-focused foundations and associations all will benefit from gaining a deeper understanding of the exchange marketplace and how it will impact the U.S. health system.
Program Level: Intermediate.