Return to search

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 talkingCommercial 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.
Registration
ALLIANCE MEMBER
Fee End Date Description Amount
4/22/2025 Exclusive to Alliance Partner or Shareholder organizations MEMBER PASS
ALLIANCE GUEST
Fee End Date Description Amount
4/22/2025 Only for invited guests of the Alliance GUEST PASS
PLATINUM SPONSOR
Fee End Date Description Amount
4/22/2025 Exclusively for Platinum sponsors PLATINUM PASS
SPONSOR
Fee End Date Description Amount
4/22/2025 *Registration code required SPONSOR PASS
SPEAKER
Fee End Date Description Amount
4/22/2025 Confirmed faculty members FACULTY PASS
Plan Your Trip
Alliance Learning Lab

Location

The Learning Lab @ Health Plan Alliance Headquarters

290 E. John Carpenter Freeway
Building 1, 4th Floor
Irving, TX


 

Hotels nearby 

Omni Las Colinas
221 E Las Colinas Blvd
Irving, TX 75039
972.556.0800

Hotel Indigo Irving-Las Colinas
455 E John W Carpenter Frwy
Irving, TX  75062
214.643.6791

Marriott Dallas Las Colinas
223 W Las Colinas Blvd
Irving, TX 75039
972.831.0000

The Westin Irving Convention Center at Las Colinas
400 West Las Colinas Blvd
Irving, TX 75039
972.505.2900

The Ritz-Carlton Dallas, Las Colinas
4150 North MacArthur Blvd
Irving, TX 75038
972.717.2499

  

For more recommendations, email us.


 

Las Colinas: The Ultimate Entertainment District

Explore the charm of Las Colinas, a visionary 12,000-acre master-planned urban hub and entertainment district that seamlessly combines picturesque residential areas, soaring towers, and top-notch dining and entertainment options. Boasting 56 small lakes, including the 87-acre Lake Carolyn, jogging trails, parks, museums, colleges, and cultural institutions, Las Colinas is a city within a city. In your free time you could catch a concert at Toyota Music Factory, watch a movie at Alamo Drafthouse Cinema, throw axes at Stumpy's Hatchet House and visit some of Irving's best restaurants and entertainment spaces along both downtown Las Colinas and Water Street. 

Las Colinas, just a short drive from downtown Dallas and Fort Worth, is easily accessible via the DART Orange Line, connecting the area to major points throughout the region.

Learn more

 


 

Ground transportation

Taxi from the Dallas/Ft Worth International airport (DFW) and Love Field airport (DAL) is approximately $25 one-way.  UberX is $17-20. 

 



Local weather

 
Sponsors

Thank you to our event sponsors


Silver


Bronze


Sponsor

Agenda
04/22/2025 6:00 PM - 8:00 PM
Dinner


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?

  • Speaker(s):
    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?
  • How are markets responding to various network designs?

  • Speaker(s):
    Open Networks



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 Leaders:
    Libby Hart, VP of Carrier Relationships
    Remodel Health

    Robin Paoli, Executive Director
    The HRA Council



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
  • How is demand for self-funded products playing out and how is the market shifting?
  • How do plans support the journey from fully-insured to self-funded, particularly among small employers?
  • How do plans design level-funded and other products of interest to this market?


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



Documents
2/11/2025

Reimagining US employer health benefits with innovative plan designs
McKinsey & Company examines how employers can reduce healthcare costs and improve employee satisfaction. They propose three key strategies: dynamic benefit designs, network-based approaches like reference-based pricing, and risk pooling through captives. These innovations can cut costs by 10-30% while enhancing member engagement and by 2030, millions of commercial members may switch to innovative plans, creating significant opportunities for employers and health plans.

Attendees

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

  • Jason Alford
  • ALLIANCE MEMBER
  • Vice President, Sales & Business Development at Health First Health Plans
  • Brian Brown
  • ALLIANCE MEMBER
  • Vice President Sales and Marketing at Presbyterian Health Plan
  • Valeria Fraire
  • ALLIANCE MEMBER
  • Manager— Business Development at Alliant Health Plans
  • Katherine Gilbreath
  • ALLIANCE MEMBER
  • Pharmacy Benefits Services Specialist at CHRISTUS Health Plan
  • Ron Hirasaki
  • ALLIANCE MEMBER
  • VP Product Management & Marketing Sales at CHRISTUS Health Plan
  • Donna Huey-Arroyo
  • ALLIANCE MEMBER
  • Account Services Director at Western Health Advantage
  • Chris Kerr
  • ALLIANCE MEMBER
  • Director of Underwriting at Alliant Health Plans
  • Howard Ledford
  • ALLIANCE MEMBER
  • Sales Executive at Alliant Health Plans
  • Michele Lehuta
  • ALLIANCE MEMBER
  • Government Programs Director at Western Health Advantage
  • Kevin Lewis
  • ALLIANCE MEMBER
  • Chief Executive Officer at Community Health Options
  • Jessica Montoya
  • ALLIANCE MEMBER
  • Director of Sales Operations and IFP Programs at Presbyterian Health Plan
  • James Moses
  • ALLIANCE MEMBER
  • Sales Manager at Denver Health Medical Plan
  • Dana Sebestyen
  • ALLIANCE MEMBER
  • Director of Sales Operations at Prominence Health Plan
  • Keri Bloomer
  • ALLIANCE STAFF
  • Director of Operations at Health Plan Alliance
  • David Kinsey
  • SPONSOR
  • VP, Partnerships and Sales at PayMedix
  • Wesley Sanders
  • SPONSOR
  • Founder and Principal Consultant at Evensun Health Inc.
Speakers