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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


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Gold


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Sponsor

 


 

Thank you to our event sponsors


Platinum


Gold


Silver


Bronze


Sponsor

 



 

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


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:

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

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.

 

 

 

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


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:

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

 

 

 


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.



Dallas weather

View the latest weather forecast.
Documents
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.

Attendees

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

  • Stephanie Belue
  • ALLIANCE MEMBER
  • Director of Quality Assurance & Privacy Officer at Alliant Health Plans
  • Toni Bonde
  • ALLIANCE MEMBER
  • Chief Operating Officer at CCHP
  • Kristie Breunig
  • ALLIANCE MEMBER
  • Vice President, General Counsel and Secretary at Quartz Health Solutions
  • Jessica Grenier
  • ALLIANCE MEMBER
  • Director, Claim Operations at Community Health Options
  • Karen Hoffmann
  • ALLIANCE MEMBER
  • Director of Operations at Medical Associates Health Plans
  • Keith Johnson
  • ALLIANCE MEMBER
  • Director, Business Development at Community Health Options
  • Lisa Kuhls
  • ALLIANCE MEMBER
  • IT and Provider Relations Manager at Medical Associates Health Plans
  • Mark Mixer
  • ALLIANCE MEMBER
  • Chief Executive Officer at Alliant Health Plans
  • Billy Pham
  • ALLIANCE MEMBER
  • Operations Manager at Aspire Health Plan
  • Amanda Reed
  • ALLIANCE MEMBER
  • Chief Strategy Officer at Alliant Health Plans
  • Rachel Reimann
  • ALLIANCE MEMBER
  • AVP Regulatory Compliance at SelectHealth
  • Margaret Solma
  • ALLIANCE MEMBER
  • Director of Plan Structure & Integrity at Avera Health Plans
  • Norah Brennan
  • SPEAKER
  • Director, TriZetto Connected Health Solutions at Cognizant
  • Chris Condeluci
  • SPEAKER
  • Principal and Sole Shareholder at CC Law & Policy PLLC
  • Andrew Howard
  • SPEAKER
  • National Sales Director at First Health Network
  • Rick Koven
  • SPEAKER
  • Koven Consulting and Coaching at Health Plan Alliance
  • Nancy Wise
  • SPEAKER
  • President at Spring Street Exchange
  • Matthew Albright
  • SPONSOR
  • Chief Legislative Affairs Officer at Zelis Healthcare, LLC
  • Brian Wroblewski
  • SPONSOR
  • Executive Vice President at ClearHealth Strategies, LLC
  • Andrew Amrhein
  • VIRTUAL ATTENDEE - MEMBER
  • Assistant Legal Counsel at Physicians Health Plan
  • Ann Bain
  • VIRTUAL ATTENDEE - MEMBER
  • Compliance Coordinator & Privacy Officer at Avera Health Plans
  • Heather Beauvais
  • VIRTUAL ATTENDEE - MEMBER
  • Product Director at Neighborhood Health Plan of Rhode Island
  • Chevonna Bechtel
  • VIRTUAL ATTENDEE - MEMBER
  • Manager of Provider Data and Reporting at Providence Health Plan
  • Kiran Biring
  • VIRTUAL ATTENDEE - MEMBER
  • Pharmacy Director at Western Health Advantage
  • Frederick Borchert
  • VIRTUAL ATTENDEE - MEMBER
  • Application Systems Analyst III at Johns Hopkins Health Plans
  • Grace Borell
  • VIRTUAL ATTENDEE - MEMBER
  • Regulatory Coordinator at Paramount Health Care
  • David Broccoli
  • VIRTUAL ATTENDEE - MEMBER
  • Regulatory and Policy Pharmacist at Neighborhood Health Plan of Rhode Island
  • Suzanne Brown
  • VIRTUAL ATTENDEE - MEMBER
  • Director, State Regulatory Coordinator at Baylor Scott & White Health Plan
  • Karen Brunton
  • VIRTUAL ATTENDEE - MEMBER
  • Project Manager at Medical Associates Health Plans
  • Lisa Carlson
  • VIRTUAL ATTENDEE - MEMBER
  • Vice President, Operations at Avera Health Plans
  • YoungSoo Cho
  • VIRTUAL ATTENDEE - MEMBER
  • Marketing Director at CCHP
  • Elizabeth deLacy-Almeida
  • VIRTUAL ATTENDEE - MEMBER
  • Director of Financial Analysis at Neighborhood Health Plan of Rhode Island
  • Mike Dooley
  • VIRTUAL ATTENDEE - MEMBER
  • Director of Provider Contracting & Engagement at Avera Health Plans
  • Ana Eberhard
  • VIRTUAL ATTENDEE - MEMBER
  • Vice President, Member Experience at AvMed
  • Elisabeth Fagan
  • VIRTUAL ATTENDEE - MEMBER
  • Director of Health Plan Operations at Aspire Health Plan
  • Larissa Gill
  • VIRTUAL ATTENDEE - MEMBER
  • Business Solution Analyst at Johns Hopkins Health Plans
  • Neil Heller
  • VIRTUAL ATTENDEE - MEMBER
  • Consultant at Piedmont Community Health Plan
  • Andrew Hill
  • VIRTUAL ATTENDEE - MEMBER
  • Vice President, Chief Compliance & Risk Officer at CommunityCare
  • Michelle Lang
  • VIRTUAL ATTENDEE - MEMBER
  • Vice President, Operations at CommunityCare
  • Kelli LaPrade
  • VIRTUAL ATTENDEE - MEMBER
  • Director of Project Management and Process Improvement at Piedmont Community Health Plan
  • Jad Lipscomb
  • VIRTUAL ATTENDEE - MEMBER
  • Business Analyst Manager at SelectHealth
  • Mark Lorson
  • VIRTUAL ATTENDEE - MEMBER
  • Pharmacist at Neighborhood Health Plan of Rhode Island
  • Cynthia Major
  • VIRTUAL ATTENDEE - MEMBER
  • Director, Claims at Cox HealthPlans
  • Casandra Masters
  • VIRTUAL ATTENDEE - MEMBER
  • Healthcare Data Analyst at Providence Health Plan
  • Garland Morton
  • VIRTUAL ATTENDEE - MEMBER
  • Director of Compliance and Privacy at Piedmont Community Health Plan
  • Jennifer Ramirez
  • VIRTUAL ATTENDEE - MEMBER
  • Program Manager Member Appeals & Grievances at Valley Health Plan
  • Kimberly Reinhart
  • VIRTUAL ATTENDEE - MEMBER
  • Executive Assistant at Samaritan Health Plans
  • Tammy Rice
  • VIRTUAL ATTENDEE - MEMBER
  • VP, Compliance & Chief Audit Executive at AvMed
  • Tim Riley
  • VIRTUAL ATTENDEE - MEMBER
  • Chief Information Officer at Network Health
  • Susan Sanchez
  • VIRTUAL ATTENDEE - MEMBER
  • Chief Information Officer at Cox HealthPlans
  • Michael Stevens
  • VIRTUAL ATTENDEE - MEMBER
  • Government Affairs Coordinator at Health Alliance Medical Plans
  • Jill Stoken
  • VIRTUAL ATTENDEE - MEMBER
  • Contract & Provider Relations Manager at Network Health
  • Katie Studer
  • VIRTUAL ATTENDEE - MEMBER
  • Director, Customer Experience at Avera Health Plans
  • Yuri Sung
  • VIRTUAL ATTENDEE - MEMBER
  • Senior Specialist, Programming at Health Plan Alliance
  • Kassie Thomas
  • VIRTUAL ATTENDEE - MEMBER
  • Compliance at SelectHealth
  • Kameron Wall
  • VIRTUAL ATTENDEE - MEMBER
  • Business Analyst Supervisor at SelectHealth
  • Tia Wurst
  • VIRTUAL ATTENDEE - MEMBER
  • Director, IT Systems at Paramount Health Care
  • Rusty Wyrick
  • VIRTUAL ATTENDEE - MEMBER
  • SVP & Chief Information Officer at CommunityCare
  • Angela Young
  • VIRTUAL ATTENDEE - MEMBER
  • Contract Manager at Alliant Health Plans
  • Timothy Youngblood
  • VIRTUAL ATTENDEE - MEMBER
  • Sr. Benefits & Contract Specialist at AvMed
  • Christopher Zeppieri
  • VIRTUAL ATTENDEE - MEMBER
  • Director, Mandate Implementation and Compliance at Capital District Physicians' Health Plan (CDPHP)
  • Scott Bogosian
  • VIRTUAL ATTENDEE - SPONSOR
  • Vice President, Sales at Zelis Healthcare, LLC
  • Colin Hadican
  • VIRTUAL ATTENDEE - SPONSOR
  • SVP, Business Development Health Plan Market at Zelis Healthcare, LLC
Speakers