Fly-In: No Surprises Act and Price Transparency - Working Together Workshop

Event Date: 9/13/2022 - 9/14/2022

Event Overview

NSA and Price Transparency—Working Together Workshop

This timely and uniquely-designed workshop provides health plan leaders an opportunity to dig into the No Surprises Act and Price Transparency requirements and uncover what it will take to reach successful levels of compliance. Engage with your peers and hear how other plans are tackling the complex requirements. Plus, you’ll have the opportunity to get your toughest questions answered and take home new ideas for navigating the various facets of the Act and TiC. Hear from health plans and industry experts on innovative approaches, external solutions that enable, and preparing the organization for the long-term. This workshop will cover:

Why? Because they said we had to—Getting to clarity on the regulations, and managing the uncertainty and trepidation
What? The facets all need focus—For NSA: QPA calculations, IDRs and open negotiations, provider directory accuracy, AEOBs, drug price reporting, ID card updates, continuity of care notice; For Price Transparency: MRFs and the price comparison/shopping tool
How? We can’t do it alone— Technology builds, vendors and expertise, and resources to help us get there
What next? Let's not forget the member experience; Dealing with arbitration and the IDR process; Leveraging the technology for better days ahead

Event highlights

Expect a highly interactive day with a solutions focus
Rich with health plan case studies, their approaches and lessons learned
Expertise in the room -- we will be joined by industry leaders who will help you navigate

Who should attend

This meeting is designed for inter-disciplinary teams with responsibilities for:

Compliance management
Provider and network strategy
Information technology and data management
Government programs
Operations management
Member experience

Sponsors

Thank you to our event sponsors

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Sponsors

Thank you to our event sponsors

Platinum

Gold

Silver

Bronze

Sponsor

Sponsors

Thank you to our event sponsors

Platinum

Gold

Silver

Bronze

Sponsor

Agenda

Last updated September 9, 2022
(All details in Central Time Zone)

Download the agenda

AGENDA AT A GLANCE

Tuesday, September 13
6:00 pm	Networking Reception and Dinner at the Keg Steakhouse Followed by the Opening Interactive Session: NSA and the Unintended Consequences
Wednesday, September 14
7:30 am	Breakfast
8:00 am	Welcome and Let’s Get Started
8:30 am	Regulatory Updates: Deciphering the Complexity with “Ask the Expert” Q&A
9:45 am	Break
10:00 am	Workshop Immersion #1: • Price Comparison Tools and Cost Estimation • Machine Readable Files Postings
11:00 am	Health Plan Showcases: How they are approaching the requirements and their pressing questions for the group
12:00 pm	Lunch and Workshop Immersion #2: The IDR Process, Open Negotiations and Arbitration Prescription Drug and Health Care Spending Reporting
1:00 pm	Health Plan Showcases: How they are approaching the requirements and their pressing questions for the group
2:00 pm	Break
2:15 pm	Workshop Immersion #3: AEOBs Provider Directory Accuracy
3:15 pm	Where Do We Go from Here? – Considerations for the Long-Term
4:00 pm	Workshop Adjourns

Tuesday, September 13

5:30 pm

Networking Reception and Dinner, followed by:

Opening Interactive Session: NSA and the Unintended Consequences

Wednesday, September 14

7:30 am

Breakfast

8:00 am

Welcome and Let’s Get Started

Jennifer Bosley

Director, Learning and Collaboration

Health Plan Alliance

Andrew Howard

National Sales Director

First Health Network

8:30 am

Regulatory Updates: Deciphering the Complexity with “Ask the Experts” Q&A

Expect a comprehensive overview of the latest in regulatory updates and important implications for health plans. We will dive in together to understand what the new guidance it is telling us how we can best navigate to meet the requirements. Bring your questions! This is the time to leverage expertise in the room, dig into the details and take back a greater knowledge to share with your team.

Speaker:

Chris Condeluci

Principal

CC Law and Policy

Matthew Albright

Chief Legislative Affairs Officer, Zelis

Christine Clements

Partner

Sheppard Mullin

Phil Kim

Partner

Sheppard Mullin

9:45 am

Break

10:00 am

Workshop Immersion #1:

• Price Comparison Tools and Cost Estimation

• Machine Readable Files Postings

The workshop immersion sessions provide a unique opportunity for in-depth discussion and problem-solving with your peers about the various NSA and price transparency requirements. At the table will be representatives from partnering organizations – those you lean on most for support and sound guidance.

Facilitator:

Norah Brennan

Director, Product Management and Customer Success

Cognizant

Keith LoMurray

VP Platform and Data

HealthSparq

11:00 am

Health Plan Showcases: How they are approaching the requirements and their pressing questions for the group

Hear first-hand how Alliance member health plans are approaching the requirements of NSA and price transparency. Included will be their solution overview, processes for getting in compliance, resource requirements, and timing.

Brian Moody

Director of Health Plan Services

Health New England

Lisa Kuhl

IT and Provider Relations Manager

Medical Associates Health Plans

12:00 pm

Lunch and Workshop Immersion #2:

• The IDR Process, Open Negotiations and Arbitration

• Prescription Drug and Health Care Spending Reporting

Facilitator:

Brian Wroblewski, Executive Vice President - Sales & Marketing, ClearHealth Strategies

1:00 pm

Health Plan Showcases: How They Are Approaching the Requirements and Their Pressing Questions for the group

Stephanie Belue

Director of Quality Assurance & Risk Management

Alliant Health Plans

Allison McLaughlin

Manager Commercial Claims

Indiana University Health Plans

2:00 pm

Break

2:15 pm

Workshop Immersion #3:

• AEOBs

• Provider Directory Accuracy

Facilitator:

Matthew Albright

Chief Legislative Affairs Officer, Zelis

Keith LoMurray

VP, Platform and Data

HealthSparq

3:15 pm

Where Do We Go from Here? – Considerations for the Long-Term

Facilitators:

Nancy Wise

President

Spring Street Exchange

Rick Koven

Koven Consulting and Coaching

4:00 pm

Workshop Adjourns

Plan Your Trip

Health Plan Alliance Headquarters

290 E. John Carpenter Freeway, Bldg 1
Irving, TX 75062

Hotels that offer shuttles to our headquarters
Note: Shuttle service is subject to change, check with the hotel before booking

Omni Mandalay Hotel
221 E Las Colinas Blvd
Irving, TX 75039
972.556.0800
Website

Homewood Suites
4300 Wingren Dr
Irving, TX 75039
972.556.0665
Website

Aloft Las Colinas
122 E John Carpenter Fwy
Irving, TX 75062
972.717.6100
Website

Holiday Inn Express & Suites Irving Convention Center
333 W John Carpenter Fwy
Irving, TX 75039
972.910.0302
Website

Need more recommendations send an email to the Alliance.

Attire

Business casual attire is appropriate for the meeting. Remember that the hotel meeting room temperatures vary, so we recommend that you layer clothing to be comfortable in case the room becomes either hot or cold.

Ground transportation

Taxi from the Dallas/Ft Worth International airport and Love Field airport is approximately $25 one-way. UberX is $17-20. The hotels above provide a shuttle to the Alliance office at 290 E John Carpenter Fwy, Bldg 1, which is where the meeting will be held.

Dallas weather

View the latest weather forecast.

Sponsors

Thank you to our event sponsors

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Gold

Silver

Bronze

Sponsor

Documents

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9/19/2022

Recording: Regulatory Updates
CC Law and Policy and Spring Street Exchange present a comprehensive overview of the latest in regulatory updates and important implications for health plans. This was shared at the Fly-in NSA Workshop in Dallas, TX.

9/19/2022

Recording: Workshop Immersion #1
Cognizant and HealthSparq share their solutions related to price comparison tools, cost estimation, and machine readable files postings. This was shared at the NSA Workshop Fly-In in Dallas, TX.

9/19/2022

Recording: Health Plan Showcases: How they are approaching the requirements and their pressing questions for the group
Health New England and Medical Associates Health Plan present the impacts of health. This was shared at the No Surprises Workshop Fly-In in Dallas, TX.

9/19/2022

Recording: Workshop Immersion #2
ClearHealth Strategies holds a workshop around No Surprises Act IDR early learnings. This was shared at the NSA Workshop Fly-In in Dallas, Texas.

9/19/2022

Recording: Health Plan Showcases: How they are approaching the requirements and their pressing questions for the group Part 2
IU Heath Plan and Alliant Health Plan present the impacts of health. This was shared at the No Surprises Workshop Fly-In in Dallas, TX.

9/19/2022

Recording: Workshop Immersion #3
Zelis and HealthSparq lead a discussion about the various NSA and price transparency requirements. This was shared at the NSA Workshop Fly-In in Dallas, TX.

9/19/2022

Recording: Where Do We Go from Here? - Considerations for the Long-Term
Spring Street Exchange leads a discussion about the considerations for the long-term. This was shared at the NSA Workshop Fly-In in Dallas, TX.

9/19/2022

Presentation: Health Plan Showcases: How they are approaching the requirements and their pressing questions for the group Part 2
IU Health Plans presents the impacts of health. This was shared at the No Surprises Workshop Fly-In in Dallas, TX.

9/14/2022

Presentation: No Surprises Case Study
Lisa Kuhl of Medical Associates Health Plans shares how her plan is approaching the requirements of NSA and price transparency. Shared at the NSA Workshop Fly-In in Dallas, TX.

9/14/2022

Presentation: Regulatory Updates
CC Law and Policy and Spring Street Exchange present a comprehensive overview of the latest in regulatory updates and important implications for health plans. This was shared at the Fly-in NSA Workshop in Dallas, TX.

Page 1 of 2

Next | Last