2008 Archive: Sessions: Key topics of discussion and action

A.M. General Panel – The Future of Financing in the Health Care System

As they seek value in their purchasing, three major payers are exploring new—and deliberate—directions for the future. Representatives of Medicare, Medicaid, and private health plans will reveal their plans to contain costs, improve quality, and reach the consumers of tomorrow. Our panelists will focus on the strategies that are actually being implemented by payers to address these issues and engage you in the conversation on the new consumer as a market force.

Introduction: Dave Durenberger

Panelists:
Forrest Burke, J.D. – President, Public Sector, Labor and Trust, UnitedHealthcare
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Stuart Guterman, M.A. – Senior Program Director, Fund’s Program on Medicare’s Future, AcademyHealth
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Jeff Schiff, M.D., M.B.A. – Medical Director, Minnesota Health Care Programs
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A.M. Special Issues in Financing – Breakout Sessions

Session 1: The Changing Dynamics of the Health Care Marketplace: Why You Can’t Ignore the Consumer

The health care market has become increasingly consumer-centric with new retail outlets emerging such as Minute Clinic. Consumers are also being asked now to pay a larger portion of their health care costs through higher deductibles and health savings accounts. Explore these trends, their implications for financing, and what your organization can and should be doing to address the changing dynamics of the marketplace.

Speaker:
Nancy Rehkamp – Principal, LarsonAllen
Fritz Wenzel – University of St. Thomas
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Session 2: Capitalizing on Capital: How Dollars Impact Your Strategic Plan

Does your organization need to create capital capacity to fuel strategic initiatives? What are the financial and legal paths needed to raise "affordable capital?” This session will focus on:

  • Developing  board-level understanding of risk and return on investment
  • Building  Alignment and integration of strategic, operational, financial, and facility plans
  • Organization-wide focus on variables affecting financial success and capital access
  • Addressing market changes through an aggressive set of strategic actions
  • Effectively communicating the vision and plan to external capital sources
  • Identifying legal strategies and opportunities to raise capital  efficiently and effectively

Speaker: Dave Schuh – Principal, LarsonAllen
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Session 3: Demystifying the HSA and High Deductible Health Insurance: Where is the Value and What Does the Future Hold?

High deductible health insurance, coupled with tax-advantage Health Savings Accounts (HSAs), has experienced dramatic market adoption in just five years since the passage of HSA-enabling legislation, the Medicare Modernization Act of 2003. Today, nearly one in 10 Minnesotans with private insurance has an HSA compliant plan. While higher deductible plans are now a standard offering for many small and mid-sized employers in our region and larger employers are beginning to jump in, many basic questions remain. Do HSAs discourage sick people from going to the doctor? Why don't health care providers seem to like them? Have HSAs created "consumer" engagement or change behavior? In this session, we will address these and other critical questions as well as understand why the macro outlook points to high deductible plans as a permanent fixture in our national health care financing landscape.

Speaker: David Spalding – Vice President of Medical Banking and Retail Services, Blue Cross Blue Shield
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Special Lunch Session: Current Conditions in the Capital Market for Health Care Borrowers

This special lunch session addresses how today’s credit crisis affects the health care industry. The session, offered from 12:30 to 1:00 p.m. in the Schulze Auditorium, is open to all conference attendees.

Speakers:
Mark Landreville – Piper Jaffray
Steve Proeschel – Piper Jaffray
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P.M. General Panel – The Future of the Delivery System

Continued cost pressures, reduced reimbursement, and transparency for quality are three major trends that will have a huge impact on the delivery system of the future. These issues are compounded by the challenges of an aging workforce, technology innovations, and difficulties in finding access to capital. Meanwhile, communities are expecting more than ever from their health care providers. Three leaders from major health systems will share their strategic plans for the future and discuss how you can respond to these trends within your organization.

Panelists:
Jim Coleman, M.B.A. – Chief Operations Officer, Marshfield Clinic
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Mark Eustis, M.H.A. – President and Chief  Executive Officer, Fairview Health Services
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Michael Rock, M.D. – Chief Medical Officer and Medical Director, Mayo Hospitals, Rochester
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P.M. Special Issues in Delivery – Breakout Sessions

Session 1: How Can Doing the Right Thing Be So Wrong? Reflections on Enticements, Barriers, and Unintended Consequences

As enterprising providers react to compelling market forces and new reform initiatives, they increasingly find themselves on a collision course with the confounding laws that govern virtually every economic relationship in the industry. They also encounter perverse economic incentives, where “more” is often rewarded at the expense of “better.” All commerce, all research, and every health care transaction is affected by the steady stream of regulatory offerings from Congress, CMS, state legislatures, and state regulatory agencies. Not to be outdone, government enforcers, with the enthusiastic assistance of private whistleblowers, engage in ever more creative prosecutions of health care providers. While these laws and regulations are intended to safeguard the industry from waste, fraud, and abuse, they impose substantial barriers to the undertakings that may be necessary to save the industry from further declines in access, quality, efficiency, and consumer confidence. This session will focus on these obstacles and explore ways providers may combine or collaborate in the uncertain terrain of health care’s brave new world.   

Speakers:  
Kit Friedemann – Attorney, Fredrikson & Byron
Greg Hart – Principal, LarsonAllen
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Session 2: What Makes One Health Care Organization More Marketable than Another? How to Demonstrate Value to Gain Competitive Advantage

Organizations that are successful in their markets are ones that define for themselves a clear value proposition which their customers can understand; align their talents, culture, and HR practices with that value proposition; and use strategic processes to gain competitive advantage. Learn how businesses across a number of industries, including health care, accomplish this. Take a closer look at the factors that make health care organizations successful and see how you can use this insight in your organization.

Speaker: Jack Militello, Ph.D. – University of St. Thomas
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Session 3: Future Shock!!! How Baby Boomers Will Change the Face of Long-Term Care

Segments of the marketplace often overlook how long-term care facilities and home health care will fit into the changing health care picture. And yet, senior citizens are expected to soon comprise approximately 20% of the U.S. population (Institute of Medicine of the National Academies, 2008).  This session will address this critical component of the care system through insights and case studies on how the senior living industry is evolving and will examine the issues being faced that will affect all components of health care.

Speaker:  Steve Shields – President and CEO of Manhattan Retirement Foundation, Meadowlark Hills Retirement Community
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