Emerging Trends in Private Health Insurance Exchanges (PHIX) Explored in 2015!
Overview:
Health insurance exchanges are central to the Patient Protection and Affordable Care Act. Some states have established such exchanges. But, increasingly, Private Health Insurance Exchanges (PHIXs) also are being formed. A PHIX provides a competitive, private health insurance marketplace for individuals and employers. A PHIX is a private business operated by brokers, insurers, 'benefit technology companies', and consultants selling health insurance. These range from regional to national private entities.
In a two-hour LIVE Webcast, a notable panel of experts and professionals assembled by The Knowledge Group will provide the audience with an overview of PHIXs, discusses how they differ from the public exchanges or marketplaces, and explain the five primary models emerging nationally. The speakers also will discuss how interested employers are in such exchanges and what services are chosen.
Key topics include:
- Private Health Insurance Exchange (PHIX) - An Overview
- Public vs. Private Exchanges
- Primary PHIX Models
- Cost Reduction or Increase?
- Private Health Insurance Exchange Models
- Regional Business Association Exchanges
- Regional Insurer Exchanges
- National Broker, Employer, and Individual Exchanges
- Regulation and Enforcement
- Trends in 2015 and Beyond
Agenda:
SEGMENT 1:
Samuel C. Gibbs, III, Executive Director
AgileHealthInsurance
- Government Marketplaces and Obamacare
- Rising Costs of Obamacare
- Private Marketplace Alternative
SEGMENT 2:
Adam Beck, Esq., Director, MassMutual Center for Special Needs, Assistant Professor of Health Insurance
The American College
- The impact of private health insurance exchanges on workers’ individual responsibility and choice
- The role of HR and the health broker in private exchange markets
- Do private health exchanges improve quality and lower cost?
- How does the growing strength of private health exchanges impact the future of other employee benefits?
SEGMENT 3:
Kimberly J. Donovan, Partner
Squire Patton Boggs (US) LLP
Narrow network challenges facing private health insurance products available through PHIXs
- The use of narrow networks among private health insurance products
- Do health insurance products offered on PHIXs rely on narrow networks, and how do they compare to the narrow networks found in insurance products offered through the state and federally-facilitated exchanges?
- Non-participating litigation trends among private health insurance products
- Are private health insurance products experiencing an uptick in non-participating litigation due to narrow networks?
- State and federal regulatory response to narrow networks used in private health insurance products
- What are state and federal regulatory authorities doing to address the narrow network issues as applied to private health insurance products?
Who Should Attend:
- Health Care Law Attorneys
- Health Insurance Attorneys
- Health Industry Advisors
- Medical Directors
- Health Insurance Companies
- Health Services Professionals
- Medical Providers
Professor Adam Beck joined The American College in August 2013 and has since been the program champion for the Chartered …
Sam Gibbs is an acknowledged expert on healthcare public policy and the implementation of the Affordable Care Act and is …
Kimberly Donovan is Board Certified in Health Law by the Florida Bar. Kimberly’s extensive knowledge and understanding of complicated healthcare …
Course Level:
Intermediate
Advance Preparation:
Print and review course materials
Method of Presentation:
On-demand Webcast (CLE)
Prerequisite:
NONE
Course Code:
145183
NASBA Field of Study:
Specialized Knowledge and Applications
NY Category of CLE Credit:
Areas of Professional Practice
Total Credits:
2.0 CLE
2.0 CPE (Not eligible for QAS (On-demand) CPE credits)
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SPEAKERS' FIRMS:
The American College
About The American College
Website: https://www.theamericancollege.edu/
About AgileHealthInsurance
AgileHealthInsurance®, is committed to providing consumers with affordable solutions to their health insurance needs. Many consumers are not completely satisfied with the government marketplace plans sold on HealthCare.gov or state exchanges (“Obamacare plans”). We offer less expensive alternatives to Obamacare plans and our plans allow consumers to choose from a broad range of deductibles and out-of-pocket payments, so they can find the health plan that best fits their personal budget. - See more at: About Us - AgileHealthInsurance.com - Your Source for Affordable Short Term and Supplemental Health Insurance
About Squire Patton Boggs (US) LLP
Squire Patton Boggs is a full service global law firm with a keen focus on the healthcare industry. The firm provides insight at the point where law, business and government meet, giving their clients a voice, supporting their ambitions and achieving successful outcomes. Squire Patton Boggs’ multidisciplinary team of more than 1,500 lawyers in 44 offices across 21 countries offers unrivalled access to expertise and invaluable connections on the ground. It’s a seamless service that operates on any scale – locally or globally, encompassing virtually every matter, jurisdiction and market, and placing their clients at the center.
Squire Patton Boggs client base spans every type of business, both private and public, worldwide. They combine sound legal counsel with a deep knowledge of their clients’ businesses to resolve their legal challenges. Whatever is needed, they are able to deliver the cross-practice, cross-border and industry-specific support that clients require for success in today’s competitive markets.
Website: https://www.squirepattonboggs.com/