FLY-IN: Commercial & ACA Products

Event Date: 4/22/2025 - 4/23/2025

Event Overview

4/22/2025 - 4/23/2025
Irving, Texas
Participation is limited to Health Plan Alliance members and invited guests

Three HPA members talking Commercial products (fully funded group, self-funded group, and individual plans) are essential to serving our communities. However, we face challenges: rising premiums are becoming unsustainable for our customers, and our margins are shrinking.

What do the next 3 – 5 years demand? Join your peers to discuss and explore actionable best practice strategies in:

Product innovation (for example, ICHRAs and self-funded)
Pricing
Network
Market segmentation and strategic targeting

Who Should Attend

Product managers, strategists, and operational leaders for Commercial and ACA product lines won't want to miss this workshop.

Why Attend

Speed-to-Solution: Get answers to your pressing operational challenges through rapid-fire roundtables with peers who've tackled similar issues.
Real-World Results: Walk away with proven strategies and templates you can implement the moment you return to your organization.
Power Networking: Connect with the exact health plan leaders who can help solve your challenges in curated, small-group discussions.
Peer-to-Peer Learning: Skip the theory and dive into practical case studies from plans that have successfully navigated your current hurdles.
Immediate Impact: Transform informal hallway conversations and roundtable discussions into actionable solutions for your most urgent needs.
Included with Your Membership: While similar industry events cost thousands, this powerful networking opportunity is included in your membership—giving you unparalleled access to meaningful collaboration with regional, provider-sponsored, and independent health plan leaders.

Registration


ALLIANCE MEMBER
Fee End Date	Description	Amount
4/22/2025	Exclusive to Alliance Partner or Shareholder organizations	MEMBER PASS
ALLIANCE GUEST
Fee End Date	Description	Amount
4/22/2025	Only for invited guests of the Alliance	GUEST PASS
PLATINUM SPONSOR
Fee End Date	Description	Amount
4/22/2025	Exclusively for Platinum sponsors	PLATINUM PASS
SPONSOR
Fee End Date	Description	Amount
4/22/2025	*Registration code required	SPONSOR PASS
SPEAKER
Fee End Date	Description	Amount
4/22/2025	Confirmed faculty members	FACULTY PASS

Plan Your Trip

Location

The Learning Lab @ Health Plan Alliance Headquarters

290 E. John Carpenter Freeway
Building 1, 4th Floor
Irving, TX

Hotels nearby

Omni Las Colinas
221 E Las Colinas Blvd
Irving, TX 75039
972.556.0800

Hotel Indigo Irving-Las Colinas
455 E John W Carpenter Frwy
Irving, TX 75062
214.643.6791

Marriott Dallas Las Colinas
223 W Las Colinas Blvd
Irving, TX 75039
972.831.0000

The Westin Irving Convention Center at Las Colinas
400 West Las Colinas Blvd
Irving, TX 75039
972.505.2900

The Ritz-Carlton Dallas, Las Colinas
4150 North MacArthur Blvd
Irving, TX 75038
972.717.2499

For more recommendations, email us.

Las Colinas: The Ultimate Entertainment District

Explore the charm of Las Colinas, a visionary 12,000-acre master-planned urban hub and entertainment district that seamlessly combines picturesque residential areas, soaring towers, and top-notch dining and entertainment options. Boasting 56 small lakes, including the 87-acre Lake Carolyn, jogging trails, parks, museums, colleges, and cultural institutions, Las Colinas is a city within a city. In your free time you could catch a concert at Toyota Music Factory, watch a movie at Alamo Drafthouse Cinema, throw axes at Stumpy's Hatchet House and visit some of Irving's best restaurants and entertainment spaces along both downtown Las Colinas and Water Street.

Las Colinas, just a short drive from downtown Dallas and Fort Worth, is easily accessible via the DART Orange Line, connecting the area to major points throughout the region.

Learn more

Ground transportation

Taxi from the Dallas/Ft Worth International airport (DFW) and Love Field airport (DAL) is approximately $25 one-way. UberX is $17-20.

Local weather

Thank you to our event sponsors

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Agenda

04/22/2025 6:00 PM - 8:00 PM
Dinner - Hugo's Invitados
04/23/2025 7:30 AM - 8:00 AM
Networking Breakfast Be sure to let us know if you have dietary restrictions.
04/23/2025 8:00 AM - 9:00 AM
Current State of Play What are the results of our 2025 enrollment cycle? What challenges do we face and what general strategies are we pursuing? Discussion Leaders: Dennis Bolin Rick Koven
04/23/2025 9:00 AM - 10:00 AM
2025 and Beyond What market trends will shape the next 5 years? What should plans be monitoring? What does the basic outline of a 3- 5 year commercial product strategy look like? Discussion Leader(s): Aditya Gupta, Expert Consultant Nikhil Mahajan, Associate Partner/Actuarial Expert Priya Patel, Associate Partner Sylvia Wang, Associate Partner McKinsey & Company
04/23/2025 10:00 AM - 10:15 AM
Time to refill your cup and stretch
04/23/2025 10:15 AM - 11:15 AM
Strategy: Networks How are developments such as price transparency, RBP, tiered networks, and options including national carrier network availability (e.g. Cigna) shaping our network strategies? Learn about OpenNetwork’s Blue Card like arrangement, wherein provider-sponsored plans cooperate to offer reciprocity, ensuring that members can access quality care across a broad geographic footprint Discussion Leader: Jay Silverstein, Chief Imagineer OpenNetworks
04/23/2025 11:15 AM - 12:00 PM
Strategy: Market Segmentation and Setting Premiums What are national and local trends in premiums? How do premiums impact risk? What does an overall premium strategy entail and how does it vary by product? Discussion Leaders: Jeremy Kush, Senior Consulting Actuary Matt Mraz, Senior Consulting Actuary Milliman
04/23/2025 12:00 PM - 12:45 PM
Networking Lunch
04/23/2025 12:45 PM - 2:00 PM
Strategy: Defined Contribution Products such as ICHRA How are employers looking at defined contribution products, specifically ICHRA? What capabilities and infrastructure are requirements for success? What are the operational options – TPA, Administrator, or in-house? What should you expect from an administrator partner? How should the product be positioned and sold? Discussion Leader(s): Libby Hart, VP of Carrier Relationships Remodel Health Robin Paoli, Executive Director The HRA Council Jessica Montoya, Director Indvidual Plan Programs and Sales Operations Presbyterian Health Plan
04/23/2025 2:00 PM - 2:15 PM
Time to refill your cup and stretch
04/23/2025 2:15 PM - 3:15 PM
Strategy: Self-Funded Products Explore emerging product designs in ASO, including Oxbridge Health’s Episode Benefit Plans—an innovative approach that blends cost containment with superior member experience and provider alignment. Navigate competition with BUCA innovations, including United’s Surest Plan and Level Funded offerings Discussion Leader: Steve Wiggins, Founder and Chairman Oxbridge Health
04/23/2025 3:15 PM - 4:15 PM
Strategy: ACA and Exchanges What is the outlook for the Exchanges? How does pricing and positioning n the Exchange impact risk? How does market segmentation drive product and benefit design? Discussion Leaders: Joe Caldwell, Principal Wesley Sanders, Principal Evensun Ron Hirasaki, VP Product Management & Marketing Sales CHRISTUS Health Plan

Documents

2/11/2025

Reimagining US employer health benefits with innovative plan designs
McKinsey & Company examines how employers can reduce healthcare costs and improve employee satisfaction. They propose three key strategies: dynamic benefit designs, network-based approaches like reference-based pricing, and risk pooling through captives. These innovations can cut costs by 10-30% while enhancing member engagement and by 2030, millions of commercial members may switch to innovative plans, creating significant opportunities for employers and health plans.