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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

 


 

Thank you to our event sponsors


Gold


Sponsor

 


 

Thank you to our event sponsors


Gold


Sponsor

 



 

Thank you to our event sponsors


Gold


Sponsor

 


Registration
ALLIANCE MEMBER
Fee End Date Description Amount
9/8/2022 Exclusive to Alliance Partner or Shareholder organizations MEMBER PASS
ALLIANCE GUEST
Fee End Date Description Amount
9/8/2022 Only for invited guests of the Alliance GUEST PASS
SPONSOR
Fee End Date Description Amount
9/8/2022 For confirmed event sponsors SPONSOR PASS
SPEAKER
Fee End Date Description Amount
9/8/2022 Confirmed faculty members FACULTY PASS
Agenda

Last updated July 26, 2022
(All details in Central Time Zone)

Download the agenda

 

AGENDA AT A GLANCE


Tuesday, September 13

4:00 pm

 

Badge Pick-Up

 

5:30 pm

Networking Reception and Dinner
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

 

8:15 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


4:00 pm

5:30 pm

Badge Pick-up

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

 

 

8:15 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

 

 

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: TBA

 

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

 

Health Plan TBA

 

 

 

 

12:00 pm

Lunch and Workshop Immersion #2:

• The IDR Process, Open Negotiations and Arbitration

• Prescription Drug and Health Care Spending Reporting


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: TBA

 

1:00 pm

 

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.

 

 

 

Health Plan TBA

 

 

 

 

Health Plan TBA

2:00 pm

Break

 

 

2:15 pm

Workshop Immersion #3:

• AEOBs

• Provider Directory Accuracy


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: TBA

 

 

 

 

 

 

3:15 pm

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

 

Facilitator: TBA

 

 

 

4:00 pm

Workshop Adjourns

 

 

 


Venue

Las Colinas, TX

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.



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Documents
7/26/2022

Agenda: 2022 No Surprises Act 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 will have the opportunity to get your toughest questions answered and take home new ideas for navigating the various facets of the Act and TiC.

Attendees

Below is a list of all delegates registered to date for this event

  • Stephanie Belue
  • ALLIANCE MEMBER
  • Director of Quality Assurance & Risk Management at Alliant Health Plans
  • Netra Desai
  • ALLIANCE MEMBER
  • IT Applications Director at CCHP
  • Toni K
  • ALLIANCE MEMBER
  • Chief Operating Officer at CCHP
  • Lisa Kuhls
  • ALLIANCE MEMBER
  • IT and Provider Relations Manager at Medical Associates Health Plans
  • Michelle Lang
  • ALLIANCE MEMBER
  • Director, Operations Support at CommunityCare
  • Mark Mixer
  • ALLIANCE MEMBER
  • Chief Executive Officer at Alliant Health Plans
  • Brian Moody
  • ALLIANCE MEMBER
  • Director of Health Plan Services at Health New England
  • Amanda Reed
  • ALLIANCE MEMBER
  • Chief Strategy Officer at Alliant Health Plans
  • Rachel Reimann
  • ALLIANCE MEMBER
  • AVP Regulatory Compliance at SelectHealth
  • Nancy Wise
  • SPEAKER
  • President at Spring Street Exchange