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.

Thank you to our event sponsors

Silver

Bronze

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