NGHCPUS5 SIR

Page 1

Next Generation Healthcare Payers US www.ngpayerssummitus.com

2nd – 4th June 2014 Barton Creek Resort & Spa, Austin, Texas


WELCOME!

At GDS International, we take huge pride in delivering the best value possible to our clients onsite ...Introducing the Summit Intelligence Report (SIR)

The SIR is a comprehensive overview of delegate profiles and key spending indicators. Each delegate provided us with their personal and company biographies along with answers to our questionnaire requesting key statistical analyses of their budgets, budget allocation strategies, and areas of technology priorities. The purpose of this report is to provide you with a useful resource when preparing for the Summit and all the information needed to make the best meeting selections. Please do not hesitate to contact our team if you have any queries. We look forward to seeing you at the summit and to working with you on many more in the future.

The Healthcare Payers Team at GDS International


TABLE OF CONTENTS SECTION 1 INTRODUCTION -

HOW OUR SUMMITS WORK

-

WHY ARE WE INDUSTRY LEADERS?

-

QUALITY CONTROL

SECTION 2 SUMMIT INTELLIGENCE SUMMARY -

STATISTICAL ANALYSIS OF QUESTIONNAIRES

-

STRATEGY BREAKDOWN BY INVESTMENT AREA

SECTION 3 DELEGATE INTELLIGENCE REPORT -

CONFIRMED DELEGATES

-

COMPANY PROFILES

-

EXECUTIVE PROFILES

-

INVESTMENT QUESTIONNAIRES


HOW OUR SUMMITS WORK GDS summits are designed to provide a number of different networking channels to execute and promote business. Each summit takes place over a 3 day period and includes a combination of one-to-one prescheduled meetings, focused interactive workshops as well as constant networking opportunities. Senior decision makers will engage in business meetings with solution providers who are specific to their business challenges and areas of future investment. The delegation is comprised of the most important and well respected, senior executives, in the industry, and the 40-minute meeting format is designed to surpass the traditional exchange of business cards and allow executives to have a good discussion on a personal level.

Key benefits:         

Industry leading decision makers, and your potential customers, under one roof at one time Be part of the discussions that shape the industry’s future Have a platform to announce new developments to the people who matter Network and develop contacts that will strengthen your business Position your company as a genuine market leader Maximize your spend by targeting your needs and solutions to relevant decision makers Educate your potential customers of the key benefits of your value proposition and raise your profile in the industry Increase your exposure to your target audience Win new business through the networking and one to one meetings

WHY ARE WE INDUSTRY LEADERS? FACE-TO-FACE MEETINGS Our Summits offer meetings on a pre-arranged, face-to-face, basis. According to a recent Forbes study, 92% of CEOs believe face-to-face meetings are the best way to win new business. The Forbes survey revealed:    

87% of company managers surveyed preferred face-to-face meetings 92% think such an approach saves them time and 88% say it saves money 85% believe such an approach creates a more solid and stronger relationship 75% believe such an approach creates better social interaction


C – LEVEL DELEGATES GDS events provide the highest level of delegates in the industry, senior executives from Fortune 200 companies who are responsible for budgets running into billions. Our summits offer unprecedented access to these individuals through the one-to-one meetings.

TARGETED CONTENT We work closely with the leading analyst companies on a global basis to deliver the best content and analysis at our events. All our workshops and panel discussions are targeted around pressing developments and need areas within the industry ensuring our events are at the cutting edge and helping to drive industry forward. Bringing the industries key leaders together allows a unique opportunity to identify key challenges and work together over the 3 days to understand the solutions that will enable them to improve their business.

“I found the last few days very valuable from many perspectives. The level of delegates has been fantastic – I can't ask for anything more. The great part has been doing lots of one-to-one meetings with the people we need to connect to in our customer base: the one-to-one meetings and the level of networking easily surpass any other event.” Simon Barnier – CA Technologies

“It is one of the best formats that we are working with right now. We have sponsored two GDS summits and are looking forward to our third. The team have looked after us well and introduced us to customers we would not have otherwise met.” Andrew Wilson – Accenture

“This is clearly the best format on the market and the most cost effective way to do business development for us at Symantec. The meetings with delegates, their level, the business topics, the workshops and the networking – all make it a multifaceted event from which we got enormous value!” Arnaud Taddei – Symantec


QUALITY CONTROL At GDS International, our aim is to provide you with the optimum value for the two and a half days you’ll be joining us at the summit.

How we can guarantee this is simple: We ensure the best possible quality in delegate attendees. Just as it is important for you as a solution provider to meet with high level, budget holding, decision makers, it is important for us to provide our delegates with the targeted solution providers who can best meet their needs, thus justifying their time out of the office. Our delegation targets are determined through highly focused planning: 

Market research in partnership with global analyst firms to identify industry trends, challenges, and forecasted budget spending patterns

Review of topics and ideal delegates with our Summit Advisory Board, consisting of Global Industry Thought leaders and end users

Creation of a targeted program agenda to attract the relevant delegates

Formulation of a specific Delegate Target Report, which identifies the parameters in which we would define an ideal delegation, broken down by region, company size, budget size, and key focus areas.

Analysis of each delegate who confirms attendance with assigned points value based around correlation with delegate targets


SUMMIT INTELLIGENCE SUMMARY


STATISTICAL ANALYSIS OF SUMMIT DELEGATE QUESTIONNAIRES 2014 BUDGET BREAKDOWN 14 12 10 8

Number of Delegates

6 4 2 0 Less than 25 25-50 Million Million

50-150 Million

150-300 Million

More than 300 Million

Other

Budget Size (in USD)

BUDGET BREAKDOWN BY ALLOCATION STRATEGY

Mandated investments to meet regulatory/legal requirements

21% 28%

Investments to maintain/run existing systems and processes

Investments to support business innovation

18%

32%

Investments to support business growth


INVESTMENT 2014: BUSINESS STRATEGY SERVICES / TECHNOLOGY CURRENTLY SOUGHT – LESS THAN 12 MONTHS 50 45 40 35

Number of Delegates 30 25 20 15 10 5 0

Investment Priorities 0-12 months


INVESTMENT 2014: BUSINESS STRATEGY SERVICES / TECHNOLOGY CURRENTLY SOUGHT – BEYOND 12 MONTHS 50 45 40 35

Number of 30 Delegates 25 20 15 10 5 0

Investment Priorities 0-12 months


DELEGATE INTELLIGENCE REPORTS


CONFIRMED DELEGATE LIST Below you will find the list of confirmed executives that you will be meeting at the event. Utilizing this list and the information in the following pages will enable the business meetings you choose at the event to be best tailored around the service requirements of our delegation.

Company

Attendee Name

Job Title

AccessHealthCT Advantage Health Aetna Amerigroup Amerigroup AmeriHealth Caritas AmeriHealth District of Columbia BCBS Alabama BCBS Massachusetts Foundation BCBS Massachusetts BCBS Michigan BCBS Michigan BCBS Texas Blue Shield of California Blue Shield of California Blue Shield of California Cambia Health Solutions CareMore Health Plan CareSource Celticare Health Plan of Massachusetts Centene Corporation Centene Corporation CHRISTUS Health Community Health Alliance Delaware Health Information Network Denver Health

Jim Wadleigh Linda York Elizabeth Curran Frank Santoro James Voiland Joe Miller Mark Fracasso Joe Dunsmore Audrey Shelto Steven Fox Janet Jennings Dennis Winkler Robert Morrow Angela McArthur Stefano Resta Devon Valencia Mark Wyman Balu Gadhe Pamela Tropiano Robert LoNigro Jason Grynbaum Jason McBride Humberto Guerra-Garcia Elizabeth Cato Mark Jacobs David Brody

CIO Senior Director Medical Affairs Head, National Network Strategy AVP Health Plan Operations COO Director CMO VP Application Development President VP Network Management and Communications Director Director - Technical Program Management & ICD-10 Sr. Medical Director/ CMO Houston Director, IT Channel Portfolio Delivery IT Portfolio Leader, HCQA VP IT Solution Delivery VP Technology Chief of Clinical Services SVP Health Services CMO Health Plan CFO / VP Finance COO of Superior Health Plan CMO, Health Plans and Population Health Management CMO CIO Medical Director


Elderplan Evergreen Health Co-Op Fallon Community Health Plan Fallon Community Health Plan FamilyCare Health Plans Gateway Health Geisinger Health Plan Health Alliance Medical Plans Health New England Healthfirst Highmark Humana Johns Hopkins Healthcare MagnaCare Medica Medica Molina Healthcare Priority Health Scott & White Health Plan Scott & White Health Plan SelectHealth State of Colorado Superior Health Plan Touchstone Health HMO United Concordia Companies United Health Group ValueOptions Virginia Premier Health Plan Washington Health Benefit Exchange WellCare Your Health Idaho, Idaho Health Insurance Exchange

Felicia Johnson Chad Bashem Mary Ritter Ann Marie Sciammacco Resa Bradeen Janice Prewitt Jane Foust Napoleon Knight Thomas Ebert Rebecca Schwietz Donald Fischer Todd Prewitt Bob Kritzler Catherine Marino Christine Kriha Michelle Murdock Kevin Park Krischa Winright James Barker Mitchell Brodsky Karl Oldroyd David Luhan Justin Weiss Mitchell Strand Lynne Hamilton Troy Jelinek Christopher Dennis Renee Miskimmin Curt Kwak Chuck Beeman Amy Dowd

VP Product Management VP IT Chief Strategy Officer VP Clinical Operations CMO VP Health Services VP Government Programs Operations Regional Medical Director VP/CMO VP Clinical Performance Management SVP Health Affairs; CMO Medical Director, Corporate Chronic Condition Deputy CMO CMO Director Health Management Senior Director, Clinical Operations VP Quality CIO and VP Information Services VP, Medical Director VP Medicare Programs Director, Application Support and Security Director of IT VP Operations CMO VP Government Business Chief Quality & Relationship Officer, SVP Enterprise Strategy Optum CMO, Commercial Division CMO CIO Sr. Director - IT and Enterprise Data Management Executive Director


PART 1: REGISTRATION PROFILE Access Health CT (also known as the Exchange) was created by the Connecticut Legislature in 2011 and is a quasi-public agency established to satisfy requirements of the federal Affordable Care Act. Its mission is to increase the number of insured residents in Connecticut, promote health, lower costs and eliminate health disparities. Its vision is to provide a simple online shopping and enrollment experience for state residents and small businesses, starting with open enrollment in October 2013. Access Health CT will ensure that participating health plans meet certain standards, and will facilitate competition and choice by rating the quality of each plan. Individuals and families buying coverage through the Exchange may qualify for tax credits on premiums. The Exchange will also coordinate eligibility and enrollment with state Medicaid and Children’s Health Insurance Programs. More information is available at www.AccessHealthCT.com

NAME: Jim Wadleigh EXECUTIVE TITLE: CIO COMPANY NAME: AccessHealthCT

Jim has been serving as the Access Health CT CIO since July of 2012. He provides direction and oversight for information technology that supports AHCT’s mission to increase the number of insured Connecticut residents, improve health care quality, lower costs, and reduce health disparities while providing an exceptional consumer experience. Prior to joining AHCT, Jim worked for CIGNA, a health services organization, where he served most recently as Senior Director of Application Development, Call Center Technologies. His career spans 25 years in information technology across multiple insurance industries including health care, property casualty, life insurance, and annuities. PART 2: BUDGETING AND SPENDING

What is your total budget for 2014? Less than 25 Million 25 - 50 Million X 50 - 150 Million 150 - 300 Million More than 300 Million Other

How is your 2014 budget allocated across these business strategy categories? (as a %) Mandated investments to meet regulatory/legal requirements 25 Investments to maintain/run existing systems and processes 25 Investments to support business innovation 25 Investments to support business growth 25 100%


PART 3: INVESTMENT PRIORITIES Priority within 12 Priority beyond 12 months months (1–High / 5–Low) (1–High / 5–Low) ACOs 3 2 Business Intelligence 3 3 Business Process Outsourcing (BPO) 2 2 Care Management 3 3 Claims Management & Processing Technologies 4 3 Cloud Computing 2 2 Consumerization 2 2 Cost Containment 3 3 Customer Engagement 2 2 Data Management 2 2 Data Storage 3 3 Digital Health 2 2 Electronic Data Interchange (EDI) 2 3 Health & Wellness 3 3 Health Funds 3 3 Health Insurance Benefits 3 3 Health Insurance Exchange (HIX) 1 1 Healthcare Reform 3 3 HIPAA 50-10 4 4 ICD - 10 5 5 IT Services 2 2 Medical Assessment Services 4 4 Member Portals 3 3 mHealth 2 2 Payer / Provider Collaboration 3 3 Payment Integrity 4 4 Payment Reform 4 4 Predictive Analytics 3 3 Social Media 2 2 Clinical Data 3 3 Population Health 3 3 Telehealth 3 3 Customer Communication Management 3 3 Multi-Channel Customer Communications 3 3 Document Output Management 3 3 Enrollment Services 3 3 Which topics would you like to see discussed in a Workshop or Panel Discussion? How do you foresee the industry changing over the next 12 months in light of the recent regulatory and legislative changes to healthcare? With the significant changes taking place around Health Insurance Exchanges, I see a major shift beginning in the form of the Private Sector moving healthcare coverage away from their own HR roles to Public and Private Exchanges. This will allow business to focus on their own strengths while continuing a primary benefit to their employees. How is your 2014 budget allocated across these business strategy categories?


PART 1: REGISTRATION PROFILE ADVANTAGE Health Solutions, Inc.â„ , (ADVANTAGE) is an Indianabased, provider-owned health plan and third party administrator (TPA) offering healthcare benefits and innovative care management and wellness programs to employer groups of all sizes. All products, services and administrative functions are provided and performed right here in Indiana. We truly are your local health plan!

NAME: Linda York EXECUTIVE TITLE: Senior Director Medical Affairs COMPANY NAME: Advantage Health

A recognized case management leader known for developing strategic visions to achieve business goals, Linda York offers a unique blend of executive acumen, crossfunctional team building, and IT solutions implementation at Advantage Health Solutions. As Senior Director of Medical Affairs, Linda has built a responsive Medical Management department that consistently delivers results by aligning technology initiatives with organizational goals, with substantial improvement to service delivery, standardization, and improved health. While serving as Director of Case Management at Westview Osteopathic Hospital, Linda facilitated a reduction in readmissions, significant improvements in denial management, increased recruitment during a period of nursing shortage, developed and implemented the organizations nurse practitioner house call program and was project lead on the implementation of electronic medical records and e-prescribing capabilities for the medical staff. PART 2: BUDGETING AND SPENDING

What is your total budget for 2014? Less than 25 Million 25 - 50 Million 50 - 150 Million 150 - 300 Million X More than 300 Million Other

How is your 2014 budget allocated across these business strategy categories? (as a %) Mandated investments to meet regulatory/legal requirements 0 Investments to maintain/run existing systems and processes 40 Investments to support business innovation 30 Investments to support business growth 30 100%


PART 3: INVESTMENT PRIORITIES How is your 2014 budget allocated across these business Priority within 12 Priority beyond 12 strategy categories? months months ACOs 1 2 Business Intelligence 2 2 Business Process Outsourcing (BPO) 3 3 Care Management 1 1 Claims Management & Processing Technologies 1 2 Cloud Computing 3 3 Consumerization 3 3 Cost Containment 1 1 Customer Engagement 1 1 Data Management 1 2 Data Storage 1 2 Digital Health 3 3 Electronic Data Interchange (EDI) 2 2 Health & Wellness 2 2 Health Funds 3 3 Health Insurance Benefits 2 2 Health Insurance Exchange (HIX) 1 2 Healthcare Reform 2 2 HIPAA 50-10 3 3 ICD - 10 4 4 IT Services 4 4 Medical Assessment Services 3 3 Member Portals 1 2 mHealth 3 3 Payer / Provider Collaboration 1 1 Payment Integrity 3 3 Payment Reform 3 3 Predictive Analytics 1 2 Social Media 3 3 Clinical Data 1 2 Population Health 1 1 Telehealth 1 1 Customer Communication Management 3 3 Multi-Channel Customer Communications 3 3 Document Output Management 3 3 Enrollment Services 3 3 Which topics would you like to see discussed in a Workshop or Panel Discussion? How do you foresee the industry changing over the next 12 months in light of the recent regulatory and legislative changes to healthcare? -


PART 1: REGISTRATION PROFILE Aetna is one of the nation's leading diversified health care benefits companies, serving an estimated 44 million people with information and resources to help them make better informed decisions about their health care. Aetna offers a broad range of traditional, voluntary and consumer-directed health insurance products and related services, including medical, pharmacy, dental, behavioral health, group life and disability plans, and medical management capabilities, Medicaid health care management services, workers' compensation administrative services and health information technology products and services. Aetna's customers include employer groups, individuals, college students, part-time and hourly workers, health plans, health care providers, governmental units, government-sponsored plans, labor groups and expatriates. For more information, see www.aetna.com. NAME: Elizabeth Curran EXECUTIVE TITLE: Head, National Network Strategy COMPANY NAME: Aetna

PART 2: BUDGETING AND SPENDING

What is your total budget for 2014? Less than 25 Million 25 - 50 Million 50 - 150 Million 150 - 300 Million More than 300 Million Other NA

How is your 2014 budget allocated across these business strategy categories? (as a %) Mandated investments to meet regulatory/legal requirements 25 Investments to maintain/run existing systems and processes 25 Investments to support business innovation 25 Investments to support business growth 25 100%


PART 3: INVESTMENT PRIORITIES How is your 2014 budget allocated across these business Priority within 12 Priority beyond 12 strategy categories? months months ACOs 2 2 Business Intelligence 2 2 Business Process Outsourcing (BPO) 4 4 Care Management 2 2 Claims Management & Processing Technologies 3 3 Cloud Computing 3 3 Consumerization 2 2 Cost Containment 1 1 Customer Engagement 2 2 Data Management 1 1 Data Storage 2 2 Digital Health 2 2 Electronic Data Interchange (EDI) 2 2 Health & Wellness 2 2 Health Funds 3 3 Health Insurance Benefits 2 2 Health Insurance Exchange (HIX) 2 2 Healthcare Reform 1 1 HIPAA 50-10 3 3 ICD - 10 2 2 IT Services 4 4 Medical Assessment Services 4 4 Member Portals 3 3 mHealth 3 3 Payer / Provider Collaboration 1 1 Payment Integrity 3 3 Payment Reform 1 1 Predictive Analytics 2 2 Social Media 3 3 Clinical Data 1 1 Population Health 1 1 Telehealth 2 2 Customer Communication Management 3 3 Multi-Channel Customer Communications 3 3 Document Output Management 4 4 Enrollment Services 4 4 Which topics would you like to see discussed in a Workshop or Panel Discussion? N/A How do you foresee the industry changing over the next 12 months in light of the recent regulatory and legislative changes to healthcare? N/A


PART 1: REGISTRATION PROFILE

NAME: Frank Santoro EXECUTIVE TITLE: AVP Health Plan Operations COMPANY NAME: Amerigroup

PART 2: BUDGETING AND SPENDING

What is your total budget for 2014? Less than 25 Million 25 - 50 Million 50 - 150 Million 150 - 300 Million X More than 300 Million Other

How is your 2014 budget allocated across these business strategy categories? (as a %) Mandated investments to meet regulatory/legal requirements 85 Investments to maintain/run existing systems and processes 5 Investments to support business innovation 5 Investments to support business growth 5 100%


PART 3: INVESTMENT PRIORITIES How is your 2014 budget allocated across these business Priority within 12 Priority beyond 12 strategy categories? months months ACOs 4 4 Business Intelligence 3 3 Business Process Outsourcing (BPO) 5 5 Care Management 3 3 Claims Management & Processing Technologies 3 3 Cloud Computing 4 4 Consumerization 3 3 Cost Containment 4 4 Customer Engagement 3 3 Data Management 4 4 Data Storage 4 4 Digital Health 3 3 Electronic Data Interchange (EDI) 4 4 Health & Wellness 3 3 Health Funds 3 3 Health Insurance Benefits 3 3 Health Insurance Exchange (HIX) 4 4 Healthcare Reform 3 3 HIPAA 50-10 4 4 ICD - 10 4 4 IT Services 5 5 Medical Assessment Services 3 3 Member Portals 4 4 mHealth 4 4 Payer / Provider Collaboration 3 3 Payment Integrity 4 4 Payment Reform 3 3 Predictive Analytics 5 5 Social Media 5 5 Clinical Data 5 5 Population Health 3 3 Telehealth 3 3 Customer Communication Management 4 4 Multi-Channel Customer Communications 5 5 Document Output Management 5 5 Enrollment Services 3 3 Which topics would you like to see discussed in a Workshop or Panel Discussion? None How do you foresee the industry changing over the next 12 months in light of the recent regulatory and legislative changes to healthcare? For government programs, dual integrated products will lead the changes in the market.


PART 1: REGISTRATION PROFILE

NAME: James Voiland EXECUTIVE TITLE: COO COMPANY NAME: Amerigroup

Dr. James L. Voiland is the Chief Operations officer for Amerigroup Texas in El Paso. As COO/RVP, he is responsible for all plan operations in Amerigroup’s El Paso and Hudspeth County markets. His leadership positions include President of the El Paso Adult Protective Services - Silver Star Board, President and CEO of Voiland Adult Foster Care Services, and as an Associate Professor at Texas Tech, El Paso, the University of Texas, El Paso and at New Mexico State University, Las Cruces. Dr. Voiland is a certified managed care nurse with the American Board of Managed Care Nursing. He has earned his doctorate degree in Nursing Practice through Texas Tech University Health Sciences Center. He obtained his master’s degree in Business Administration from the University of Phoenix, his master’s degree in Nursing from the University of Texas, El Paso and his bachelor’s degree in Nursing from the University of Michigan, Ann Arbor.

PART 2: BUDGETING AND SPENDING

What is your total budget for 2014? Less than 25 Million 25 - 50 Million 50 - 150 Million X 150 - 300 Million More than 300 Million Other

How is your 2014 budget allocated across these business strategy categories? (as a %) Mandated investments to meet regulatory/legal requirements 88 Investments to maintain/run existing systems and processes 6 Investments to support business innovation 2 Investments to support business growth 4 100%


PART 3: INVESTMENT PRIORITIES How is your 2014 budget allocated across these business Priority within 12 Priority beyond 12 strategy categories? months months ACOs 3 3 Business Intelligence 3 3 Business Process Outsourcing (BPO) 3 3 Care Management 3 3 Claims Management & Processing Technologies 4 4 Cloud Computing 4 4 Consumerization 3 3 Cost Containment 2 2 Customer Engagement 3 3 Data Management 3 3 Data Storage 5 5 Digital Health 3 3 Electronic Data Interchange (EDI) 3 3 Health & Wellness 3 3 Health Funds 4 4 Health Insurance Benefits 3 3 Health Insurance Exchange (HIX) 3 2 Healthcare Reform 3 3 HIPAA 50-10 4 4 ICD - 10 4 4 IT Services 3 3 Medical Assessment Services 3 3 Member Portals 3 3 mHealth 4 4 Payer / Provider Collaboration 2 2 Payment Integrity 4 4 Payment Reform 3 3 Predictive Analytics 3 3 Social Media 4 4 Clinical Data 3 3 Population Health 3 3 Telehealth 3 3 Customer Communication Management 3 3 Multi-Channel Customer Communications 3 3 Document Output Management 4 4 Enrollment Services 3 3 Which topics would you like to see discussed in a Workshop or Panel Discussion? ACA, dual demonstration, prior authorization practices, medical call centers, renal care cost containment strategies, Quality Improvement programs aimed at HEDIS measures, pay for quality programs, member retainment, growth strategies, WFA prevention How do you foresee the industry changing over the next 12 months in light of the recent regulatory and legislative changes to healthcare? Greater government regulation, coordination of care, quality drivers, less premium revenue, tighter budget operational requirements.


PART 1: REGISTRATION PROFILE AmeriHealth Caritas has 30 years’ experience working with states to develop health care solutions tailored to the special needs of at-risk populations. As one of the largest Medicaid managed care organizations in the United State it touches the lives of nearly five million people through a philosophy of care that is comprehensive, compassionate, and outcomes driven. AmeriHealth Caritas provides responsible managed care solutions for underserved populations. These include Medicaid, Medicare, and CHIP—plus pharmacy benefits management, behavioral health, and administrative services. Working together with states, health plans, and advocates, Amerihealth Caritas works to save lives and reduce costs.

NAME: Joe Miller EXECUTIVE TITLE: Director COMPANY NAME: AmeriHealth Caritas

Joe Miller has over 20 years experience in healthcare IT working in the provider, payer and government sectors. He is currently Director of Strategy and Innovation for AmeriHealth Caritas where he develops innovative solutions for the delivery of administrative and clinical information sharing for health plans addressing the needs of the underserved. He has worked at the local and national levels on a wide range of industry topics including, health information exchange, 5010/ICD-10, and care collaboration. He a founder of HealthShare Exchange, the HIE covering the greater Philadelphia healthcare market. He is past chair of the HIMSS Financial Systems Committee, Co-Coordinator of the HIMSS/WEDI ICD10 Pilot Test Program and author of the book Implementing the Electronic Health Record (HIMSS) and numerous other publications. PART 2: BUDGETING AND SPENDING

What is your total budget for 2014? Less than 25 Million 25 - 50 Million X 50 - 150 Million 150 - 300 Million More than 300 Million Other

How is your 2014 budget allocated across these business strategy categories? (as a %) Mandated investments to meet regulatory/legal requirements 60 Investments to maintain/run existing systems and processes 10 Investments to support business innovation 10 Investments to support business growth 20 100%


PART 3: INVESTMENT PRIORITIES How is your 2014 budget allocated across these business Priority within 12 Priority beyond 12 strategy categories? months months ACOs 2 2 Business Intelligence 1 1 Business Process Outsourcing (BPO) 3 3 Care Management 2 2 Claims Management & Processing Technologies 1 2 Cloud Computing 3 3 Consumerization 1 1 Cost Containment 3 3 Customer Engagement 2 2 Data Management 3 3 Data Storage 5 5 Digital Health 1 1 Electronic Data Interchange (EDI) 2 2 Health & Wellness 2 2 Health Funds 5 5 Health Insurance Benefits 5 5 Health Insurance Exchange (HIX) 1 1 Healthcare Reform 3 3 HIPAA 50-10 3 3 ICD - 10 2 2 IT Services 4 4 Medical Assessment Services 4 4 Member Portals 2 2 mHealth 2 2 Payer / Provider Collaboration 1 1 Payment Integrity 4 4 Payment Reform 2 2 Predictive Analytics 3 3 Social Media 3 3 Clinical Data 1 1 Population Health Telehealth Customer Communication Management Multi-Channel Customer Communications Document Output Management Enrollment Services Which topics would you like to see discussed in a Workshop or Panel Discussion? HIE, eMember Engagement How do you foresee the industry changing over the next 12 months in light of the recent regulatory and legislative changes to healthcare? -


PART 1: REGISTRATION PROFILE At AmeriHealth District of Columbia (DC), we are committed to providing our members with access to quality health care and outstanding Member Services. We help our members get care, stay well and build healthy communities. We have a special concern for those who are underserved and underprivileged. We have a 30-year history of serving Medicaid communities and utilize our long standing community ties to deliver the best in Medicaid managed care for the District of Columbia. We are the largest Medicaid Managed Care Organization (MCO) in DC with more than 100,000 members and a part of the AmeriHealth Caritas family of companies, a national leader in managed care. We help people: Get Care Stay Well Build Healthy Communities NAME: Mark Fracasso EXECUTIVE TITLE: CMO COMPANY NAME: AmeriHealth District of Columbia

Mark R. Fracasso, MD, MBA, FACPE, is the network medical director and chief medical officer of AmeriHealth District of Columbia. Dr. Fracasso is responsible for directing health care quality, chairing the Quality Assurance Process Improvement and Credentialing committees, as well as pharmacy and therapeutic decisions. Dr. Fracasso was awarded the 2011 Distinguished Caregiver Award in recognition of his “outstanding commitment and dedication to serving and supporting the underserved residents of the District and ensuring all residents have access to quality health care.� PART 2: BUDGETING AND SPENDING

What is your total budget for 2014? Less than 25 Million 25 - 50 Million 50 - 150 Million 150 - 300 Million More than 300 Million X Other

How is your 2014 budget allocated across these business strategy categories? (as a %) Mandated investments to meet regulatory/legal requirements 30 Investments to maintain/run existing systems and processes 40 Investments to support business innovation 10 Investments to support business growth 20 100%


PART 3: INVESTMENT PRIORITIES How is your 2014 budget allocated across these business Priority within 12 Priority beyond 12 strategy categories? months months ACOs 1 2 Business Intelligence 2 2 Business Process Outsourcing (BPO) 2 2 Care Management 1 1 Claims Management & Processing Technologies 4 4 Cloud Computing 3 3 Consumerization 4 4 Cost Containment 1 1 Customer Engagement 2 2 Data Management 1 1 Data Storage 4 4 Digital Health 3 3 Electronic Data Interchange (EDI) 4 4 Health & Wellness 2 2 Health Funds 4 4 Health Insurance Benefits 4 4 Health Insurance Exchange (HIX) 3 3 Healthcare Reform 3 3 HIPAA 50-10 3 3 ICD - 10 4 4 IT Services 2 2 Medical Assessment Services 2 2 Member Portals 3 3 mHealth 2 2 Payer / Provider Collaboration 1 1 Payment Integrity 2 2 Payment Reform 3 3 Predictive Analytics 1 1 Social Media 3 3 Clinical Data 1 1 Population Health 3 3 Telehealth 3 3 Customer Communication Management 3 3 Multi-Channel Customer Communications 3 3 Document Output Management 3 3 Enrollment Services 4 4 Which topics would you like to see discussed in a Workshop or Panel Discussion? Topics listed earlier cover all my interests How do you foresee the industry changing over the next 12 months in light of the recent regulatory and legislative changes to healthcare? Increased consolidation through M&A Increased partnerships with once prior advisories trends similar to the airline industry


PART 1: REGISTRATION PROFILE Blue Cross and Blue Shield of Alabama has been committed to providing quality, affordable healthcare coverage since 1936. Headquartered in Birmingham, Alabama, Blue Cross offers health, dental and pharmacy benefits to corporations, individuals and the senior market. A leader in providing healthcare benefits in Alabama, Blue Cross and Blue Shield of Alabama has a strong national presence as well, covering over 3 million customers throughout the country. From small business to some of the largest corporations in the nation, Blue Cross is depended on for quality healthcare coverage at the best value. For more information, visit AlabamaBlue.com.

NAME: Joe Dunsmore EXECUTIVE TITLE: VP Application Development COMPANY NAME: BCBS Alabama

Joe Dunsmore is the Vice President of Application Development at Blue Cross and Blue Shield of Alabama. Mr. Dunsmore’s role provides both strategic planning and delivery of technology solutions in support of the company’s goals and objectives. His areas of responsibility include the development and support of all business software applications, defining delivery strategies, ensuring process governance and providing talent management. Mr. Dunsmore brings over 24 years of experience and previously served as Vice President of Enterprise Technology in the healthcare industry. PART 2: BUDGETING AND SPENDING

What is your total budget for 2014? Less than 25 Million 25 - 50 Million 50 - 150 Million 150 - 300 Million More than 300 Million Other X

How is your 2014 budget allocated across these business strategy categories? (as a %) Mandated investments to meet regulatory/legal requirements 10 Investments to maintain/run existing systems and processes 15 Investments to support business innovation 25 Investments to support business growth 50 100%


PART 3: INVESTMENT PRIORITIES How is your 2014 budget allocated across these business Priority within 12 Priority beyond 12 strategy categories? months months ACOs 5 3 Business Intelligence 1 5 Business Process Outsourcing (BPO) 5 5 Care Management 2 5 Claims Management & Processing Technologies 5 5 Cloud Computing 5 3 Consumerization 1 5 Cost Containment 5 5 Customer Engagement 1 5 Data Management 5 5 Data Storage 5 5 Digital Health 5 2 Electronic Data Interchange (EDI) 5 5 Health & Wellness 5 4 Health Funds 5 5 Health Insurance Benefits 5 5 Health Insurance Exchange (HIX) 4 5 Healthcare Reform 5 5 HIPAA 50-10 5 5 ICD - 10 5 5 IT Services 5 5 Medical Assessment Services 5 5 Member Portals 3 5 mHealth 5 5 Payer / Provider Collaboration 1 5 Payment Integrity 4 5 Payment Reform 5 3 Predictive Analytics 5 5 Social Media 5 5 Clinical Data 5 5 Population Health 5 5 Telehealth 2 5 Customer Communication Management 5 2 Multi-Channel Customer Communications 3 5 Document Output Management 5 5 Enrollment Services 5 5 Which topics would you like to see discussed in a Workshop or Panel Discussion? How do you foresee the industry changing over the next 12 months in light of the recent regulatory and legislative changes to healthcare? -


PART 1: REGISTRATION PROFILE

The Blue Cross Blue Shield of Massachusetts Foundation seeks to expand access to health care for low-income and vulnerable residents of Massachusetts.

NAME: Audrey Shelto EXECUTIVE TITLE: President COMPANY NAME: BCBS Massachusetts Foundation

Audrey Shelto is the President of the Blue Cross Blue Shield of Massachusetts Foundation. Prior roles include CEO of Blue Care Partnership, BCBSMA's effort to develop a demonstration program for Medicaid and Medicare beneficiaries and SVP for Health and Wellness where she led the development of a new member-centered model of provider integrated health management designed to improve health care quality and affordability.

PART 2: BUDGETING AND SPENDING

What is your total budget for 2014? Less than 25 Million X 25 - 50 Million 50 - 150 Million 150 - 300 Million More than 300 Million Other

How is your 2014 budget allocated across these business strategy categories? (as a %) Mandated investments to meet regulatory/legal requirements 0 Investments to maintain/run existing systems and processes 40 Investments to support business innovation 60 Investments to support business growth 0 100%


PART 3: INVESTMENT PRIORITIES How is your 2014 budget allocated across these business Priority within 12 Priority beyond 12 strategy categories? months months ACOs 1 1 Business Intelligence 5 5 Business Process Outsourcing (BPO) 5 5 Care Management 3 3 Claims Management & Processing Technologies 5 5 Cloud Computing 5 5 Consumerization 1 1 Cost Containment 1 1 Customer Engagement 1 1 Data Management 4 4 Data Storage 5 5 Digital Health 4 4 Electronic Data Interchange (EDI) 4 4 Health & Wellness 3 3 Health Funds 5 5 Health Insurance Benefits 3 3 Health Insurance Exchange (HIX) 4 4 Healthcare Reform 1 1 HIPAA 50-10 5 5 ICD - 10 5 5 IT Services 4 4 Medical Assessment Services 4 4 Member Portals 4 4 mHealth 4 4 Payer / Provider Collaboration 1 1 Payment Integrity 4 4 Payment Reform 1 1 Predictive Analytics 4 4 Social Media 3 3 Clinical Data 3 3 Population Health Telehealth Customer Communication Management Multi-Channel Customer Communications Document Output Management Enrollment Services Which topics would you like to see discussed in a Workshop or Panel Discussion? How do you foresee the industry changing over the next 12 months in light of the recent regulatory and legislative changes to healthcare? -


PART 1: REGISTRATION PROFILE Our Vision—Making Quality Health Care Affordable Our Promise—To Always Put Our Members First At Blue Cross Blue Shield of Massachusetts, we work hard to make sure that our nearly three million members have access to the high-quality, affordable health care they expect and deserve. For more than 75 years, our company has focused on making our vision a reality for the individuals, families, and businesses we serve. We are a community-focused, tax-paying, not-for-profit health plan headquartered in Boston, that is committed to working with others in a spirit of shared responsibility to make quality health care affordable. Consistent with our corporate promise to always put our members first, we are rated among the nation's best health plans for member satisfaction and quality. NAME: Steven Fox EXECUTIVE TITLE: VP Network Management and Communications COMPANY NAME: BCBS Massachusetts

Steve is the senior leader managing our provider network. He manages strategic relationships with key local and nationally based provider organizations. Other responsibilities include development of all provider based communications, training and educational strategies and development of innovative eHealth solutions for providers. Steve is the Corporate Segment leader for Municipal and Labor lines of business. He is responsible for setting successful multi-year segment strategies and managing financial success of the segment. This market segment includes over 365,000 members and over $300M in revenue. Steve was appointed by Governor Deval Patrick to the Commonwealth’s Health Information Technology (HIT) Council as the insurance industry representative. PART 2: BUDGETING AND SPENDING

What is your total budget for 2014? Less than 25 Million X 25 - 50 Million 50 - 150 Million 150 - 300 Million More than 300 Million Other

How is your 2014 budget allocated across these business strategy categories? (as a %) Mandated investments to meet regulatory/legal requirements 50 Investments to maintain/run existing systems and processes 25 Investments to support business innovation 10 Investments to support business growth 15 100%


PART 3: INVESTMENT PRIORITIES How is your 2014 budget allocated across these business Priority within 12 Priority beyond 12 strategy categories? months months ACOs 1 1 Business Intelligence 3 3 Business Process Outsourcing (BPO) 4 4 Care Management 3 3 Claims Management & Processing Technologies 4 4 Cloud Computing 4 4 Consumerization 3 3 Cost Containment 1 1 Customer Engagement 1 1 Data Management 3 3 Data Storage 5 5 Digital Health 2 2 Electronic Data Interchange (EDI) 4 4 Health & Wellness 2 2 Health Funds 3 3 Health Insurance Benefits 3 3 Health Insurance Exchange (HIX) 4 4 Healthcare Reform 3 3 HIPAA 50-10 5 5 ICD - 10 4 4 IT Services 5 5 Medical Assessment Services 4 4 Member Portals 5 5 mHealth 3 3 Payer / Provider Collaboration 1 1 Payment Integrity 4 4 Payment Reform 2 2 Predictive Analytics 3 3 Social Media 2 2 Clinical Data 3 3 Population Health 3 3 Telehealth 3 3 Customer Communication Management 4 4 Multi-Channel Customer Communications 3 3 Document Output Management 5 5 Enrollment Services 5 5 Which topics would you like to see discussed in a Workshop or Panel Discussion? N/A How do you foresee the industry changing over the next 12 months in light of the recent regulatory and legislative changes to healthcare? Strong focus on cost containment and reduced utilization and cost trends. Continued consolidation in the industry. Focus on vertical and horizontal integration in the industry.


PART 1: REGISTRATION PROFILE Blue Cross Blue Shield of Michigan, a nonprofit organization, provides and administers health benefits to more than 4.4 million members residing in Michigan in addition to members of Michigan-headquartered groups who reside outside the state. Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association.

NAME: Janet Jennings EXECUTIVE TITLE: Director COMPANY NAME: BCBS Michigan

Jan has 20 years' experience in the provider community, developing expertise in infection control epidemiology, quality management and risk management. She has over ten years' experience working for Blue Care Network as the Director of the Medical Informatics Department. Her area supports the analytics and reports for HEDIS速, Medicare Part C and D reporting, STARs improvement, disease management, case management, revenue management opportunities, retiree reinsurance, survey research, quality aStudies and utilization management. PART 2: BUDGETING AND SPENDING

What is your total budget for 2014? Less than 25 Million 25 - 50 Million 50 - 150 Million 150 - 300 Million More than 300 Million X Other

How is your 2014 budget allocated across these business strategy categories? (as a %) Mandated investments to meet regulatory/legal requirements 20 Investments to maintain/run existing systems and processes 25 Investments to support business innovation 33 Investments to support business growth 22 100%


PART 3: INVESTMENT PRIORITIES How is your 2014 budget allocated across these business Priority within 12 Priority beyond 12 strategy categories? months months ACOs 1 1 Business Intelligence 1 1 Business Process Outsourcing (BPO) 1 1 Care Management 1 1 Claims Management & Processing Technologies 4 4 Cloud Computing 2 2 Consumerization 1 1 Cost Containment 1 1 Customer Engagement 1 1 Data Management 1 1 Data Storage 4 4 Digital Health 1 1 Electronic Data Interchange (EDI) 3 3 Health & Wellness 1 1 Health Funds 4 4 Health Insurance Benefits 3 3 Health Insurance Exchange (HIX) 1 3 Healthcare Reform 1 2 HIPAA 50-10 4 4 ICD - 10 3 3 IT Services 4 4 Medical Assessment Services 1 2 Member Portals 1 1 mHealth 1 1 Payer / Provider Collaboration 1 1 Payment Integrity 3 3 Payment Reform 3 3 Predictive Analytics 1 1 Social Media 1 1 Clinical Data 1 1 Population Health Telehealth Customer Communication Management Multi-Channel Customer Communications Document Output Management Enrollment Services Which topics would you like to see discussed in a Workshop or Panel Discussion? Consumerism new health IT solution strategies success and failure (opportunities) case studies How do you foresee the industry changing over the next 12 months in light of the recent regulatory and legislative changes to healthcare? More focus on the individual; use of big data to individualize health care; more mergers; more collaboration needed across competitors


PART 1: REGISTRATION PROFILE Blue Cross Blue Shield of Michigan, a nonprofit organization, provides and administers health benefits to more than 4.4 million members residing in Michigan in addition to members of Michigan-headquartered groups who reside outside the state. Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association.

NAME: Dennis Winkler EXECUTIVE TITLE: Director – Technical Program Management & ICD-10 COMPANY NAME: BCBS Michigan

Since joining the Administrative Services Division of Arthur Andersen & Co. (now Accenture) in 1978, Dennis has spent over 33 years involved in and leading large, complex projects in the banking, regulated utility and most recently, health care services industries. Since joining BCBSM in 1998, he has led several of the government mandated initiatives, including but not limited to initial HIPAA Implementation (4010), Social Security Elimination, National Provider Identifier (NPI) and most recently, the ICD-10 Program.

PART 2: BUDGETING AND SPENDING

What is your total budget for 2014? Less than 25 Million 25 - 50 Million 50 - 150 Million 150 - 300 Million More than 300 Million X Other

How is your 2014 budget allocated across these business strategy categories? (as a %) Mandated investments to meet regulatory/legal requirements 30 Investments to maintain/run existing systems and processes 20 Investments to support business innovation 20 Investments to support business growth 30 100%


PART 3: INVESTMENT PRIORITIES How is your 2014 budget allocated across these business Priority within 12 Priority beyond 12 strategy categories? months months ACOs 3 3 Business Intelligence 3 2 Business Process Outsourcing (BPO) 3 2 Care Management 3 3 Claims Management & Processing Technologies 4 4 Cloud Computing 4 4 Consumerization 3 3 Cost Containment 4 4 Customer Engagement 3 2 Data Management 3 3 Data Storage 4 4 Digital Health 3 3 Electronic Data Interchange (EDI) 3 3 Health & Wellness 3 3 Health Funds 3 3 Health Insurance Benefits 3 3 Health Insurance Exchange (HIX) 3 3 Healthcare Reform 2 3 HIPAA 50-10 5 5 ICD - 10 2 2 IT Services 3 3 Medical Assessment Services 3 3 Member Portals 3 2 mHealth 3 3 Payer / Provider Collaboration 2 2 Payment Integrity 3 3 Payment Reform 2 2 Predictive Analytics 2 2 Social Media 3 3 Clinical Data 3 2 Population Health Telehealth Customer Communication Management Multi-Channel Customer Communications Document Output Management Enrollment Services Which topics would you like to see discussed in a Workshop or Panel Discussion? Achieving a new normal for operations in a post ICD-10 world How do you foresee the industry changing over the next 12 months in light of the recent regulatory and legislative changes to healthcare? Payment disruptions as the impact of low productivity in generating or invalid/incomplete ICD-10 based transactions materialize in the industry. Entry of new alternative care startup companies and workers that address the environmental factors of health vis-a-vis defined chronic illnesses


PART 1: REGISTRATION PROFILE Blue Cross and Blue Shield of Texas – the only statewide, customerowned health insurer in Texas – is the largest provider of health benefits in the state, working with nearly 80,000 physicians and 500 hospitals to serve 4.8 million members in all 254 counties. Blue Cross and Blue Shield of Texas is a Division of Health Care Service Corporation, the country’s largest customer-owned health insurer and fourth largest health insurer overall. Health Care Service Corporation is a Mutual Legal Reserve Company and an Independent Licensee of the Blue Cross and Blue Shield Association.

NAME: Robert Morrow EXECUTIVE TITLE: Sr. Medical Director/CMO Houston COMPANY NAME: BCBS Texas

Dr. Robert Morrow is the Chief Medical Officer of the Houston Region at Blue Cross and Blue Shield of Texas, where he joined as Medical Director in 2013. Prior to this, he served as Director of Medical Quality for the Rural and Community Health Institute of the Texas A&M Health Science Center. He also served as CMO at Memorial Hermann Southwest Hospital in Houston and practiced privately in Family Medicine. Dr. Morrow is a graduate of the Memorial Hermann Southwest Family Practice training program in Houston, the UT Medical School at Houston, Texas A&M University and the University of Tennessee. PART 2: BUDGETING AND SPENDING

What is your total budget for 2014? Less than 25 Million 25 - 50 Million 50 - 150 Million 150 - 300 Million More than 300 Million Other This not in our domain

How is your 2014 budget allocated across these business strategy categories? (as a %) Mandated investments to meet regulatory/legal requirements 25 Investments to maintain/run existing systems and processes 25 Investments to support business innovation 25 Investments to support business growth 25 100%


PART 3: INVESTMENT PRIORITIES How is your 2014 budget allocated across these business Priority within 12 Priority beyond 12 strategy categories? months months ACOs 3 3 Business Intelligence 3 3 Business Process Outsourcing (BPO) 3 3 Care Management 3 3 Claims Management & Processing Technologies 3 3 Cloud Computing 3 3 Consumerization 3 3 Cost Containment 3 3 Customer Engagement 3 3 Data Management 3 3 Data Storage 3 3 Digital Health 3 3 Electronic Data Interchange (EDI) 3 3 Health & Wellness 3 3 Health Funds 3 3 Health Insurance Benefits 3 3 Health Insurance Exchange (HIX) 3 3 Healthcare Reform 3 3 HIPAA 50-10 3 3 ICD - 10 3 3 IT Services 3 3 Medical Assessment Services 3 3 Member Portals 3 3 mHealth 3 3 Payer / Provider Collaboration 3 3 Payment Integrity 3 3 Payment Reform 3 3 Predictive Analytics 3 3 Social Media 3 3 Clinical Data 3 3 Population Health 3 3 Telehealth 3 3 Customer Communication Management 3 3 Multi-Channel Customer Communications 3 3 Document Output Management 3 3 Enrollment Services 3 3 Which topics would you like to see discussed in a Workshop or Panel Discussion? N/A How do you foresee the industry changing over the next 12 months in light of the recent regulatory and legislative changes to healthcare? N/A


PART 1: REGISTRATION PROFILE

NAME: Angela McArthur EXECUTIVE TITLE: Director, IT Channel Portfolio Delivery COMPANY NAME: Blue Shield of California

Angela is responsible to deliver technology solutions in support of Blue Shield’s strategy to make healthcare more accessible & affordable in California. Angela has over 17 years experience driving, planning and delivering large scale enterprise IT solutions in healthcare, financial, and retail industries.

PART 2: BUDGETING AND SPENDING

What is your total budget for 2014? Less than 25 Million 25 - 50 Million 50 - 150 Million 150 - 300 Million More than 300 Million Other X

How is your 2014 budget allocated across these business strategy categories? (as a %) Mandated investments to meet regulatory/legal requirements 30 Investments to maintain/run existing systems and processes 10 Investments to support business innovation 30 Investments to support business growth 30 100%


PART 3: INVESTMENT PRIORITIES How is your 2014 budget allocated across these business Priority within 12 Priority beyond 12 strategy categories? months months ACOs 3 3 Business Intelligence 3 3 Business Process Outsourcing (BPO) 4 3 Care Management 4 4 Claims Management & Processing Technologies 3 3 Cloud Computing 3 3 Consumerization 2 2 Cost Containment 2 2 Customer Engagement 2 2 Data Management 2 2 Data Storage 4 4 Digital Health 2 2 Electronic Data Interchange (EDI) 2 3 Health & Wellness 3 3 Health Funds 4 4 Health Insurance Benefits 4 4 Health Insurance Exchange (HIX) 3 3 Healthcare Reform 3 3 HIPAA 50-10 4 4 ICD - 10 4 4 IT Services 2 2 Medical Assessment Services 4 4 Member Portals 2 2 mHealth 3 3 Payer / Provider Collaboration 3 3 Payment Integrity 4 4 Payment Reform 4 4 Predictive Analytics 3 3 Social Media 2 2 Clinical Data 3 3 Population Health 4 4 Telehealth 3 3 Customer Communication Management 3 3 Multi-Channel Customer Communications 2 2 Document Output Management 4 4 Enrollment Services 2 3 Which topics would you like to see discussed in a Workshop or Panel Discussion? How do you foresee the industry changing over the next 12 months in light of the recent regulatory and legislative changes to healthcare? -


PART 1: REGISTRATION PROFILE

NAME: Stefano Resta EXECUTIVE TITLE: IT Portfolio Leader, HCQA COMPANY NAME: Blue Shield of California

PART 2: BUDGETING AND SPENDING

What is your total budget for 2014? Less than 25 Million 25 - 50 Million 50 - 150 Million 150 - 300 Million X More than 300 Million Other

How is your 2014 budget allocated across these business strategy categories? (as a %) Mandated investments to meet regulatory/legal requirements 20 Investments to maintain/run existing systems and processes 20 Investments to support business innovation 30 Investments to support business growth 30 100%


PART 3: INVESTMENT PRIORITIES How is your 2014 budget allocated across these business Priority within 12 Priority beyond 12 strategy categories? months months ACOs 1 2 Business Intelligence 2 2 Business Process Outsourcing (BPO) 3 3 Care Management 3 3 Claims Management & Processing Technologies 4 4 Cloud Computing 3 3 Consumerization 3 3 Cost Containment 3 3 Customer Engagement 3 3 Data Management 2 2 Data Storage 4 4 Digital Health 3 3 Electronic Data Interchange (EDI) 4 4 Health & Wellness 3 3 Health Funds 3 3 Health Insurance Benefits 4 4 Health Insurance Exchange (HIX) 3 3 Healthcare Reform 3 3 HIPAA 50-10 3 3 ICD - 10 3 3 IT Services 3 3 Medical Assessment Services 3 3 Member Portals 2 3 mHealth 3 3 Payer / Provider Collaboration 3 3 Payment Integrity 4 4 Payment Reform 4 4 Predictive Analytics 3 3 Social Media 4 4 Clinical Data 3 3 Population Health 3 3 Telehealth 3 3 Customer Communication Management 3 3 Multi-Channel Customer Communications 4 4 Document Output Management 4 4 Enrollment Services 4 4 Which topics would you like to see discussed in a Workshop or Panel Discussion? How do you foresee the industry changing over the next 12 months in light of the recent regulatory and legislative changes to healthcare? -


PART 1: REGISTRATION PROFILE

NAME: Devon Valencia EXECUTIVE TITLE: VP IT Solution Delivery COMPANY NAME: Blue Shield of California

At Blue Shield of California, Devon is responsible to deliver technology solutions in support of Blue Shield’s strategy to make healthcare more accessible & affordable in California. Devon is committed to women in leadership and delivering innovative technology to the market to transform the Healthcare industry. Devon has extensive experience delivering large scale enterprise IT solutions in healthcare, retail, manufacturing and telecom industries.

PART 2: BUDGETING AND SPENDING

What is your total budget for 2014? Less than 25 Million 25 - 50 Million 50 - 150 Million 150 - 300 Million More than 300 Million Other X

How is your 2014 budget allocated across these business strategy categories? (as a %) Mandated investments to meet regulatory/legal requirements 20 Investments to maintain/run existing systems and processes 20 Investments to support business innovation 30 Investments to support business growth 30 100%


PART 3: INVESTMENT PRIORITIES How is your 2014 budget allocated across these business Priority within 12 Priority beyond 12 strategy categories? months months ACOs 1 1 Business Intelligence 1 1 Business Process Outsourcing (BPO) 2 2 Care Management 2 2 Claims Management & Processing Technologies 3 3 Cloud Computing 4 4 Consumerization 1 1 Cost Containment 3 3 Customer Engagement 1 1 Data Management 2 2 Data Storage 4 4 Digital Health 3 3 Electronic Data Interchange (EDI) 4 4 Health & Wellness 2 2 Health Funds 2 2 Health Insurance Benefits 4 4 Health Insurance Exchange (HIX) 2 2 Healthcare Reform 3 3 HIPAA 50-10 5 5 ICD - 10 5 5 IT Services 4 4 Medical Assessment Services 3 3 Member Portals 3 3 mHealth 4 4 Payer / Provider Collaboration 1 1 Payment Integrity 2 2 Payment Reform 2 2 Predictive Analytics 2 2 Social Media 3 3 Clinical Data 2 2 Population Health 3 3 Telehealth 3 3 Customer Communication Management 2 2 Multi-Channel Customer Communications 1 1 Document Output Management 4 4 Enrollment Services 3 3 Which topics would you like to see discussed in a Workshop or Panel Discussion? Multichannel customer, payer/provider How do you foresee the industry changing over the next 12 months in light of the recent regulatory and legislative changes to healthcare? Consumerization


PART 1: REGISTRATION PROFILE Cambia Health Solutions is a nonprofit parent and holding company headquartered in Portland, Oregon, that oversees a diverse portfolio of health care businesses and investments dedicated to transforming the way people experience the health care system. Cambia’s suite of companies spans health care information technology and software development; retail health care; health insurance plans that carry the Blue Cross and Blue Shield brands; pharmacy benefit management; life, disability, dental, vision and other lines of protection; alternative solutions to health care access; and freestanding health and wellness solutions.

NAME: Mark Wyman EXECUTIVE TITLE: VP Technology COMPANY NAME: Cambia Health Solutions

Mark’s organization works closely with the business to apply technology to help transform Cambia’s healthcare business. His direct areas of responsibility include helping implement new and innovative utilization and care management programs, web portals, EDI and secure data transfer technologies for provider and partner integration and meeting the state, federal, and BCBSA mandate requirements to support their commercial and government programs. Prior to joining Cambia Health Solutions, Mark was a SVP of Engineering at McAfee (An Intel Company). He has over thirty years of experience in the software industry.

PART 2: BUDGETING AND SPENDING

What is your total budget for 2014? Less than 25 Million 25 - 50 Million 50 - 150 Million X 150 - 300 Million More than 300 Million Other

How is your 2014 budget allocated across these business strategy categories? (as a %) Mandated investments to meet regulatory/legal requirements 15 Investments to maintain/run existing systems and processes 15 Investments to support business innovation 35 Investments to support business growth 35 100%


PART 3: INVESTMENT PRIORITIES How is your 2014 budget allocated across these business Priority within 12 Priority beyond 12 strategy categories? months months ACOs 2 2 Business Intelligence 5 5 Business Process Outsourcing (BPO) 5 5 Care Management 1 1 Claims Management & Processing Technologies 5 5 Cloud Computing 3 3 Consumerization 1 1 Cost Containment 5 5 Customer Engagement 1 1 Data Management 5 5 Data Storage 5 5 Digital Health 2 2 Electronic Data Interchange (EDI) 1 1 Health & Wellness 5 5 Health Funds 5 5 Health Insurance Benefits 5 5 Health Insurance Exchange (HIX) 2 2 Healthcare Reform 5 5 HIPAA 50-10 3 3 ICD - 10 5 5 IT Services 5 5 Medical Assessment Services 5 5 Member Portals 3 3 mHealth 2 2 Payer / Provider Collaboration 2 2 Payment Integrity 3 3 Payment Reform 3 3 Predictive Analytics 3 3 Social Media 5 5 Clinical Data 1 1 Population Health 2 1 Telehealth 3 2 Customer Communication Management 3 3 Multi-Channel Customer Communications 3 3 Document Output Management 5 5 Enrollment Services 5 5 Which topics would you like to see discussed in a Workshop or Panel Discussion? What key technologies will shape the success of health care and payers in 2020? Key technologies to transition to a retail strategy Best in class trends for EDI and data sharing (ETL, web services...) platforms? How do you foresee the industry changing over the next 12 months in light of the recent regulatory and legislative changes to healthcare? Growth of private exchanges Growth of retail strategies for payers Growth of payer/provider ACO and TCC contracts


PART 1: REGISTRATION PROFILE CareMore started over 15 years ago, caring for seniors as a Medical Group. The name embodied the philosophy that inspired a proactive model of care with a caring touch and a focus on wellness. CareMore’s clinical model revolves around identifying and managing the top 20% of frail patients who utilize 80% of resources. With holistic approach of addressing patient’s clinical, social, and psychological conditions, CareMore is able to get superior clinical outcomes.

NAME: Balu Gadhe EXECUTIVE TITLE: Chief of Clinical Services COMPANY NAME: CareMore Health Plan

Dr. Balu Gadhe is the Chief of Clinical Services with CareMore Health Plan. He is a board certified internist, practicing Internal Medicine and Hospital Medicine for last 20 years, in Southern California. Dr. Gadhe has been with CareMore almost his entire career. Dr. Gadhe joined CareMore in 1993 and worked as an Extensivist. He started in administration in 2006 and worked as a Senior Medical Officer. He has helped develop the CareMore Clinical Model of care over the years with his experiences in his practice. He was appointed as the Chief of Clinical Services in March of 2013.

PART 2: BUDGETING AND SPENDING

What is your total budget for 2014? Less than 25 Million X 25 - 50 Million 50 - 150 Million 150 - 300 Million More than 300 Million Other

How is your 2014 budget allocated across these business strategy categories? (as a %) Mandated investments to meet regulatory/legal requirements 20 Investments to maintain/run existing systems and processes 60 Investments to support business innovation 10 Investments to support business growth 10 100%


PART 3: INVESTMENT PRIORITIES How is your 2014 budget allocated across these business Priority within 12 Priority beyond 12 strategy categories? months months ACOs 4 4 Business Intelligence 3 3 Business Process Outsourcing (BPO) 5 5 Care Management 2 2 Claims Management & Processing Technologies 5 5 Cloud Computing 5 5 Consumerization 5 5 Cost Containment 3 3 Customer Engagement 3 3 Data Management 3 3 Data Storage 5 5 Digital Health 3 3 Electronic Data Interchange (EDI) 5 5 Health & Wellness 4 4 Health Funds 5 5 Health Insurance Benefits 5 5 Health Insurance Exchange (HIX) 5 5 Healthcare Reform 3 3 HIPAA 50-10 5 5 ICD - 10 4 4 IT Services 5 5 Medical Assessment Services 4 4 Member Portals 2 2 mHealth 3 3 Payer / Provider Collaboration 5 5 Payment Integrity 5 5 Payment Reform 4 4 Predictive Analytics 2 2 Social Media 5 5 Clinical Data 3 3 Population Health 3 3 Telehealth 3 3 Customer Communication Management 3 3 Multi-Channel Customer Communications 3 3 Document Output Management 5 5 Enrollment Services 5 5 Which topics would you like to see discussed in a Workshop or Panel Discussion? Care Management for Duals Patient engagement ACOs How do you foresee the industry changing over the next 12 months in light of the recent regulatory and legislative changes to healthcare? Will need more patient engagement. More focus on quality of care. Efficiency and effectiveness. Heightened focus on behavioral health care and integration with the mainstream medical care.


PART 1: REGISTRATION PROFILE CareSource is a leading non-profit public sector managed care company based in Dayton, Ohio. CareSource has been meeting the needs of health care consumers for more than 25 years. One of the largest Medicaid managed health care plans in the country, our strength lies in our experience. In 1989, CareSource (then known as Dayton Area Health Plan) pioneered the state's first mandatory Medicaid managed care program in the Dayton area. Our mission is to make a difference in the lives of underserved people by improving their health care. At CareSource, our mission is one we take to heart. In fact, we call our mission our “heartbeat.” It is the essence of our company, and our unwavering dedication to it is a hallmark of our success. Our vision is to be an innovative national leader in the management of quality public sector health care programs.

NAME: Pamela Tropiano EXECUTIVE TITLE: SVP Health Services COMPANY NAME: CareSource

With over 32 years experience in nursing, 20+ in health care administration, Pamela Tropiano has an in-depth understanding of the challenges facing Medicaid and Medicare recipients both from the provider and payer side. Pam is currently Senior Vice President of Health Services at CareSource, a not-for-profit Medicaid/Medicare Managed Care HMO in the State of Ohio. Pam’s responsibilities include executive leadership of the Health Services areas as well as designing innovative programs to help better serve the needs of Medicaid/Medicare members while driving financial efficiency. Pam has extensive experience in palliative care, hospice care, home care, and pain management.

PART 2: BUDGETING AND SPENDING

What is your total budget for 2014? Less than 25 Million 25 - 50 Million 50 - 150 Million 150 - 300 Million More than 300 Million X Other

How is your 2014 budget allocated across these business strategy categories? (as a %) Mandated investments to meet regulatory/legal requirements 20 Investments to maintain/run existing systems and processes 50 Investments to support business innovation 10 Investments to support business growth 20 100%


PART 3: INVESTMENT PRIORITIES How is your 2014 budget allocated across these business Priority within 12 Priority beyond 12 strategy categories? months months ACOs 3 3 Business Intelligence 1 1 Business Process Outsourcing (BPO) 2 2 Care Management 1 1 Claims Management & Processing Technologies 3 3 Cloud Computing 3 3 Consumerization 1 1 Cost Containment 1 1 Customer Engagement 1 2 Data Management 3 3 Data Storage 3 3 Digital Health 2 2 Electronic Data Interchange (EDI) 2 2 Health & Wellness 1 1 Health Funds 3 3 Health Insurance Benefits 1 1 Health Insurance Exchange (HIX) 1 1 Healthcare Reform 1 1 HIPAA 50-10 3 3 ICD - 10 3 3 IT Services 3 3 Medical Assessment Services 2 2 Member Portals 2 2 mHealth 3 3 Payer / Provider Collaboration 1 1 Payment Integrity 3 3 Payment Reform 3 3 Predictive Analytics 2 2 Social Media 2 2 Clinical Data 1 1 Population Health 1 1 Telehealth 3 2 Customer Communication Management 2 2 Multi-Channel Customer Communications 2 2 Document Output Management 2 2 Enrollment Services 3 3 Which topics would you like to see discussed in a Workshop or Panel Discussion? - Innovative Provider/Payer Collaboration Models - Population Health Strategies - Triple AIM - Quality Integration and Improvement - Robust data analytic use to drive health outcomes - Innovative care coordination models - how to effectively reach the masses? We have over one million members to serve what about social determinants? How do you foresee the industry changing over the next 12 months in light of the recent regulatory and legislative changes to healthcare? -


PART 1: REGISTRATION PROFILE

NAME: Robert LoNigro EXECUTIVE TITLE: CMO COMPANY NAME: Celticare Health Plan of Massachusetts

PART 2: BUDGETING AND SPENDING

What is your total budget for 2014? Less than 25 Million 25 - 50 Million X 50 - 150 Million 150 - 300 Million More than 300 Million Other

How is your 2014 budget allocated across these business strategy categories? (as a %) Mandated investments to meet regulatory/legal requirements 25 Investments to maintain/run existing systems and processes 50 Investments to support business innovation 10 Investments to support business growth 15 100%


PART 3: INVESTMENT PRIORITIES How is your 2014 budget allocated across these business Priority within 12 Priority beyond 12 strategy categories? months months ACOs 2 1 Business Intelligence 3 3 Business Process Outsourcing (BPO) 5 4 Care Management 1 1 Claims Management & Processing Technologies 5 5 Cloud Computing 4 4 Consumerization 3 3 Cost Containment 1 1 Customer Engagement 1 1 Data Management 3 3 Data Storage 5 5 Digital Health 3 2 Electronic Data Interchange (EDI) 4 4 Health & Wellness 1 1 Health Funds 5 5 Health Insurance Benefits 2 2 Health Insurance Exchange (HIX) 1 1 Healthcare Reform 1 1 HIPAA 50-10 3 3 ICD - 10 4 4 IT Services 4 4 Medical Assessment Services 2 2 Member Portals 3 3 mHealth 5 5 Payer / Provider Collaboration 1 1 Payment Integrity 4 4 Payment Reform 1 1 Predictive Analytics 2 2 Social Media 3 3 Clinical Data 2 2 Population Health 2 2 Telehealth 3 3 Customer Communication Management 4 4 Multi-Channel Customer Communications 3 3 Document Output Management 4 4 Enrollment Services 4 4 Which topics would you like to see discussed in a Workshop or Panel Discussion? Payer/Provider partnerships; cost containment How do you foresee the industry changing over the next 12 months in light of the recent regulatory and legislative changes to healthcare? While a bit delayed, I do expect employers to begin to move coverage into the exchange marketplace


PART 1: REGISTRATION PROFILE Centene Corporation, a Fortune 500 company, is a leading multi-line healthcare enterprise that provides programs and services to government sponsored healthcare programs, focusing on under-insured and uninsured individuals. Many receive benefits provided under Medicaid, including the State Children's Health Insurance Program (CHIP), as well as Aged, Blind or Disabled (ABD), Foster Care and Long Term Care (LTC), in addition to other state-sponsored/hybrid programs, and Medicare (Special Needs Plans). The Company operates local health plans and offers a range of health insurance solutions. It also contracts with other healthcare and commercial organizations to provide specialty services including behavioral health, care management software, correctional systems healthcare, in-home health services, life and health management, managed vision, pharmacy benefits management, specialty pharmacy and telehealth services.

NAME: Jason Grynbaum EXECUTIVE TITLE: Health Plan CFO / VP Finance COMPANY NAME: Centene Corporation

Jason graduated from Tulane University with a B.S.M. in finance in 2000, and he joined The Richline Group, spending three years as an accountant. He completed his M.B.A. at Carnegie Mellon in 2005 and joined Dupont's financial leadership development program as sr. financial analyst for Flouroproducts. He was promoted to global finance manager within Nonwovens. In 2008 he joined Coventry Health Care as sr. finance manager. While at Coventry, Jason was promoted to director of finance for the Individual Commercial Product. Jason joined Centene in 2013 and was named vice president and health plan CFO of Peach State Health Plan.

PART 2: BUDGETING AND SPENDING

What is your total budget for 2014? Less than 25 Million 25 - 50 Million 50 - 150 Million 150 - 300 Million More than 300 Million Other X

How is your 2014 budget allocated across these business strategy categories? (as a %) Mandated investments to meet regulatory/legal requirements 40 Investments to maintain/run existing systems and processes 40 Investments to support business innovation 10 Investments to support business growth 10 100%


PART 3: INVESTMENT PRIORITIES How is your 2014 budget allocated across these business Priority within 12 Priority beyond 12 strategy categories? months months ACOs 3 3 Business Intelligence 3 3 Business Process Outsourcing (BPO) 3 3 Care Management 1 1 Claims Management & Processing Technologies 3 3 Cloud Computing 3 3 Consumerization 3 3 Cost Containment 3 3 Customer Engagement 3 3 Data Management 3 3 Data Storage 4 4 Digital Health 4 4 Electronic Data Interchange (EDI) 3 3 Health & Wellness 4 4 Health Funds 4 4 Health Insurance Benefits 2 2 Health Insurance Exchange (HIX) 3 3 Healthcare Reform 2 2 HIPAA 50-10 4 4 ICD - 10 1 1 IT Services 4 4 Medical Assessment Services 3 3 Member Portals 3 3 mHealth 3 3 Payer / Provider Collaboration 3 3 Payment Integrity 3 3 Payment Reform 3 3 Predictive Analytics 2 2 Social Media 3 3 Clinical Data 2 2 Population Health 3 3 Telehealth 3 3 Customer Communication Management 3 3 Multi-Channel Customer Communications 3 3 Document Output Management 4 4 Enrollment Services 3 3 Which topics would you like to see discussed in a Workshop or Panel Discussion? ICD-10, Patient Centered Medical Homes, Innovative Provider Payments / Reimbursements, Heath Exchanges, HEDIS, predictive modeling How do you foresee the industry changing over the next 12 months in light of the recent regulatory and legislative changes to healthcare? Vertical/horizontal integration, streamlined coordinated care, point of care, nurse practitioners, increased preventative care, patient centered medical homes, coordinated outreach, primary/specialty care case management, Incentive Payment focused, ‌


PART 1: REGISTRATION PROFILE Centene Corporation, a Fortune 500 company, is a leading multi-line healthcare enterprise that provides programs and services to government sponsored healthcare programs, focusing on under-insured and uninsured individuals. Many receive benefits provided under Medicaid, including the State Children's Health Insurance Program (CHIP), as well as Aged, Blind or Disabled (ABD), Foster Care and Long Term Care (LTC), in addition to other state-sponsored/hybrid programs, and Medicare (Special Needs Plans). The Company operates local health plans and offers a range of health insurance solutions. It also contracts with other healthcare and commercial organizations to provide specialty services including behavioral health, care management software, correctional systems healthcare, in-home health services, life and health management, managed vision, pharmacy benefits management, specialty pharmacy and telehealth services.

NAME: Jason McBride EXECUTIVE TITLE: COO of Superior Health Plan COMPANY NAME: Centene Corporation

PART 2: BUDGETING AND SPENDING

What is your total budget for 2014? Less than 25 Million 25 - 50 Million X 50 - 150 Million 150 - 300 Million More than 300 Million Other

How is your 2014 budget allocated across these business strategy categories? (as a %) Mandated investments to meet regulatory/legal requirements 50 Investments to maintain/run existing systems and processes 30 Investments to support business innovation 10 Investments to support business growth 10 100%


PART 3: INVESTMENT PRIORITIES How is your 2014 budget allocated across these business Priority within 12 Priority beyond 12 strategy categories? months months ACOs 2 3 Business Intelligence 1 1 Business Process Outsourcing (BPO) 4 4 Care Management 3 3 Claims Management & Processing Technologies 2 2 Cloud Computing 5 5 Consumerization 3 3 Cost Containment 1 1 Customer Engagement 2 3 Data Management 1 1 Data Storage 4 4 Digital Health 3 3 Electronic Data Interchange (EDI) 3 3 Health & Wellness 2 3 Health Funds 5 5 Health Insurance Benefits 4 4 Health Insurance Exchange (HIX) 2 2 Healthcare Reform 2 2 HIPAA 50-10 5 5 ICD - 10 4 4 IT Services 3 3 Medical Assessment Services 3 3 Member Portals 4 5 mHealth 4 4 Payer / Provider Collaboration 1 1 Payment Integrity 1 1 Payment Reform 1 2 Predictive Analytics 2 2 Social Media 4 4 Clinical Data 4 4 Population Health 3 3 Telehealth 4 4 Customer Communication Management 1 2 Multi-Channel Customer Communications 1 2 Document Output Management 4 4 Enrollment Services 5 5 Which topics would you like to see discussed in a Workshop or Panel Discussion? How do you foresee the industry changing over the next 12 months in light of the recent regulatory and legislative changes to healthcare? -


PART 1: REGISTRATION PROFILE Community Health Alliance is Tennessee’s health insurance CO-OP. As a nonprofit, member-governed health plan, CHA promotes patient-focused and provider-engaged health care coverage. CHA has entered into an agreement with the Centers for Medicare and Medicaid Services (CMS) to provide health insurance coverage through Qualified Health Plans on the Health Insurance Marketplace (healthcare.gov). CHA also offers individual, small and large group health insurance through CHA certified brokers. The National Committee for Quality Assurance (NCQA) has awarded an interim accreditation status to CHA for service and clinical quality that meets the basic requirements of NCQA’s rigorous standards for consumer protection and quality improvement. CHA is an approved carrier, regulated by the Tennessee Department of Commerce and Insurance. For more information, visit www.chatn.org or call 888-415-3332.

NAME: Elizabeth Cato EXECUTIVE TITLE: CMO COMPANY NAME: Community Health Alliance

Community Health Alliance (CHA), Tennessee’s health insurance CO-OP, has recently added Dr. Elizabeth L. Cato as chief medical officer for the health plan. Dr. Cato’s responsibilities include helping to manage medical costs for Community Health Alliance’s health plans, assuring appropriate health care delivery, overseeing accreditation and clinical quality improvement endeavors along with promoting wellness and prevention, education and outreach programs. Elizabeth L. Cato, MD is a board certified internist with experience from both provider and payer perspectives.

PART 2: BUDGETING AND SPENDING

What is your total budget for 2014? Less than 25 Million 25 - 50 Million 50 - 150 Million X 150 - 300 Million More than 300 Million Other

How is your 2014 budget allocated across these business strategy categories? (as a %) Mandated investments to meet regulatory/legal requirements 25 Investments to maintain/run existing systems and processes 25 Investments to support business innovation 25 Investments to support business growth 25 100%


PART 3: INVESTMENT PRIORITIES How is your 2014 budget allocated across these business Priority within 12 Priority beyond 12 strategy categories? months months ACOs 3 2 Business Intelligence 3 2 Business Process Outsourcing (BPO) 3 3 Care Management 2 2 Claims Management & Processing Technologies 3 2 Cloud Computing 4 3 Consumerization 3 2 Cost Containment 3 2 Customer Engagement 3 2 Data Management 3 2 Data Storage 3 2 Digital Health 3 3 Electronic Data Interchange (EDI) 3 3 Health & Wellness 3 2 Health Funds 3 2 Health Insurance Benefits 2 2 Health Insurance Exchange (HIX) 2 3 Healthcare Reform 2 2 HIPAA 50-10 3 2 ICD - 10 3 2 IT Services 4 3 Medical Assessment Services 3 3 Member Portals 3 2 mHealth 3 3 Payer / Provider Collaboration 3 2 Payment Integrity 3 3 Payment Reform 3 3 Predictive Analytics 3 3 Social Media 3 2 Clinical Data 3 3 Population Health 3 2 Telehealth 3 2 Customer Communication Management 3 2 Multi-Channel Customer Communications 3 2 Document Output Management 4 3 Enrollment Services 3 3 Which topics would you like to see discussed in a Workshop or Panel Discussion? How do you foresee the industry changing over the next 12 months in light of the recent regulatory and legislative changes to healthcare? -


PART 1: REGISTRATION PROFILE NAME: Humberto Guerra-Garcia EXECUTIVE TITLE: CMO, Health Plans and Population Health Management COMPANY NAME: CHRISTUS Health

PART 2: BUDGETING AND SPENDING

What is your total budget for 2014? Less than 25 Million X 25 - 50 Million 50 - 150 Million 150 - 300 Million More than 300 Million Other

How is your 2014 budget allocated across these business strategy categories? (as a %) Mandated investments to meet regulatory/legal requirements 10 Investments to maintain/run existing systems and processes 30 Investments to support business innovation 5 Investments to support business growth 55 100%


PART 3: INVESTMENT PRIORITIES Priority within 12 Priority beyond 12 months months (1–High / 5–Low) (1–Highest / 5–Low) ACOs 4 4 Business Intelligence 2 2 Business Process Outsourcing (BPO) 3 3 Care Management 2 2 Claims Management & Processing Technologies 4 4 Cloud Computing 3 3 Consumerization 3 3 Cost Containment 2 2 Customer Engagement 3 3 Data Management 2 2 Data Storage 3 3 Digital Health 3 3 Electronic Data Interchange (EDI) 2 2 Health & Wellness 2 2 Health Funds 4 4 Health Insurance Benefits 3 3 Health Insurance Exchange (HIX) 2 2 Healthcare Reform 3 3 HIPAA 50-10 4 4 ICD - 10 4 4 IT Services 3 3 Medical Assessment Services 3 3 Member Portals 3 3 mHealth 3 3 Payer / Provider Collaboration 2 2 Payment Integrity 3 3 Payment Reform 3 3 Predictive Analytics 2 2 Social Media 3 3 Clinical Data 3 3 Population Health 2 2 Telehealth 3 3 Customer Communication Management 3 3 Multi-Channel Customer Communications 3 3 Document Output Management 4 4 Enrollment Services 4 4 Which topics would you like to see discussed in a Workshop or Panel Discussion? How do you foresee the industry changing over the next 12 months in light of the recent regulatory and legislative changes to healthcare? How is your 2014 budget allocated across these business strategy categories?


PART 1: REGISTRATION PROFILE Serving Delaware since 2007, DHIN is the first and most mature statewide health information exchange in the nation. DHIN provides secure and quick access to patient test results from Delaware hospitals, labs and radiology firms. DHIN allows doctors to receive information securely as soon as it is available and in a standardized format that maximizes reviewing time. In addition to delivering results, transcription summaries and admission/discharge summaries, DHIN provides other valuable tools and resources: EMR Integrations, DHIN DIRECT Messaging, Continuity of Care Documents and Medication History.

NAME: Mark Jacobs EXECUTIVE TITLE: CIO COMPANY NAME: Delaware Health Information Network

Mark J. Jacobs, MHA, is the first Chief Information Officer (CIO) for the Delaware Health Information Network (DHIN). Mark brings considerable healthcare and information technology experience to the statewide Health Information Exchange. Mark has amassed over 30 years of Health Information Technology with several leading health systems. Previous roles include Director of Technology for Wellspan Health System, Director of Technology for Lancaster Health Alliance and Director of Information Technology for Wyoming Valley Health System. Mark holds a Masters Degree in Health Administration from Wilkes University and has attained the status of Certified Professional in Health Information Management Systems (CPHIMS).

PART 2: BUDGETING AND SPENDING

What is your total budget for 2014? Less than 25 Million X 25 - 50 Million 50 - 150 Million 150 - 300 Million More than 300 Million Other

How is your 2014 budget allocated across these business strategy categories? (as a %) Mandated investments to meet regulatory/legal requirements 42 Investments to maintain/run existing systems and processes 26 Investments to support business innovation 17 Investments to support business growth 15 100%


PART 3: INVESTMENT PRIORITIES How is your 2014 budget allocated across these business Priority within 12 Priority beyond 12 strategy categories? months months ACOs 2 2 Business Intelligence 1 1 Business Process Outsourcing (BPO) 4 4 Care Management 3 3 Claims Management & Processing Technologies 1 1 Cloud Computing 2 2 Consumerization 1 1 Cost Containment 2 1 Customer Engagement 1 1 Data Management 3 4 Data Storage 4 4 Digital Health 3 3 Electronic Data Interchange (EDI) 3 3 Health & Wellness 3 3 Health Funds 3 3 Health Insurance Benefits 4 4 Health Insurance Exchange (HIX) 3 2 Healthcare Reform 2 2 HIPAA 50-10 2 2 ICD - 10 4 3 IT Services 3 3 Medical Assessment Services 4 3 Member Portals 2 2 mHealth 2 3 Payer / Provider Collaboration 1 1 Payment Integrity 4 4 Payment Reform 3 3 Predictive Analytics 3 3 Social Media 4 4 Clinical Data 1 1 Population Health 1 1 Telehealth 3 3 Customer Communication Management 2 2 Multi-Channel Customer Communications 4 4 Document Output Management 5 5 Enrollment Services 3 3 Which topics would you like to see discussed in a Workshop or Panel Discussion? I need to think through this. How do you foresee the industry changing over the next 12 months in light of the recent regulatory and legislative changes to healthcare? Health Care will change significantly with Payers and Providers


PART 1: REGISTRATION PROFILE The Denver Health Medical Plan, Inc. (DHMP) was created in 1997 to provide affordable health care coverage for employees of the Denver Health Authority and the Career Service Authority. DHMP is subsidiary of the Denver Health and Hospital Authority (DHHA) and is now responsible for more than 78,000 lives. In addition to Employer Group plans, DHMP also offers two Medicare Advantage plans, a Child Health Plan Plus product, and Elevate, an individual commercial insurance product offered in the Colorado exchange marketplace. DHMP also administers a Medicaid MCO for Denver Health and Hospital Authority.

NAME: David Brody EXECUTIVE TITLE: Medical Director COMPANY NAME: Denver Health

David Brody MD is the Medical Director of Denver Health’s Managed Care Plans and Professor of Medicine at The University of Colorado, School of Medicine. Prior to assuming this position he was the Chief of General Internal Medicine at Drexel University School of Medicine and at Temple University School of Medicine. His research on managing mental health problems in the primary care setting has been funded by the National Institute of Mental Health, the Robert Wood Johnson Foundation, the Henry J. Kaiser Foundation, and the Colorado Health Foundation among others.

What is your total budget for 2014? Less than 25 Million X 25 - 50 Million 50 - 150 Million 150 - 300 Million More than 300 Million Other

How is your 2014 budget allocated across these business strategy categories? (as a %) Mandated investments to meet regulatory/legal requirements 0 Investments to maintain/run existing systems and processes 75 Investments to support business innovation 10 Investments to support business growth 15 100%


PART 3: INVESTMENT PRIORITIES How is your 2014 budget allocated across these business Priority within 12 Priority beyond 12 strategy categories? months months ACOs 4 4 Business Intelligence 4 4 Business Process Outsourcing (BPO) 4 4 Care Management 3 3 Claims Management & Processing Technologies 5 5 Cloud Computing 4 4 Consumerization 4 4 Cost Containment 1 2 Customer Engagement 2 2 Data Management 3 3 Data Storage 5 5 Digital Health 3 3 Electronic Data Interchange (EDI) 4 4 Health & Wellness 3 3 Health Funds 4 4 Health Insurance Benefits 3 3 Health Insurance Exchange (HIX) 3 3 Healthcare Reform 3 3 HIPAA 50-10 4 4 ICD - 10 4 4 IT Services 2 2 Medical Assessment Services 3 3 Member Portals 3 3 mHealth 3 3 Payer / Provider Collaboration 3 3 Payment Integrity 4 4 Payment Reform 3 3 Predictive Analytics 2 2 Social Media 3 3 Clinical Data 3 3 Population Health 2 2 Telehealth 3 3 Customer Communication Management 3 3 Multi-Channel Customer Communications 2 2 Document Output Management 5 5 Enrollment Services 3 3 Which topics would you like to see discussed in a Workshop or Panel Discussion? How do you foresee the industry changing over the next 12 months in light of the recent regulatory and legislative changes to healthcare? -


PART 1: REGISTRATION PROFILE Elderplan is a health plan with Medicare and Medicaid contracts that has served New York Medicare beneficiaries for nearly 30 years. One of four original Social Health Maintenance Organizations (SHMOs) in the country, Elderplan—inclusive of HomeFirst Managed Long Term Care—offers a range of affordable plans tailored to fit the needs of Medicare, Medicaid and Dual-Eligible individuals at every level of health. Elderplan, is an affiliated agency of MJHS, a charitable not-for-profit health system driven by the core values of compassion, dignity and respect. For more information, visit www.elderplan.org.

NAME: Felicia Johnson EXECUTIVE TITLE: VP Product Management COMPANY NAME: Elderplan

As Vice President of Product Management for Elderplan and Executive Director of HomeFirst, Felicia has oversight of seven product lines, enrollment for Medicaid and integrated products, new product implementation, as well as delegated vendor oversight. Felicia joined Elderplan in 2011 as Product Director for Managed Long Term Care and Medicaid Advantage Plus at the advent of mandatory enrollment in New York. Under her leadership and coordination, growth increased significantly. Prior to joining Elderplan, Felicia spent eight years at Visiting Nurse Service (VNS) as an internal consultant performing strategy and process improvement work across the enterprise. She performed a key role on the acquisition team for a Certified Home Health Care Agency. She also served as Director of Operations for VNS’ Long Term Home Health Care Plans and Infusion Programs. Felicia has a B.A. from University of Pennsylvania and M.S. in Health Policy and Administration from Harvard School of Public Health.

PART 2: BUDGETING AND SPENDING

What is your total budget for 2014? Less than 25 Million 25 - 50 Million 50 - 150 Million 150 - 300 Million More than 300 Million X Other

How is your 2014 budget allocated across these business strategy categories? (as a %) Mandated investments to meet regulatory/legal requirements 10 Investments to maintain/run existing systems and processes 50 Investments to support business innovation 10 Investments to support business growth 30 100%


PART 3: INVESTMENT PRIORITIES How is your 2014 budget allocated across these business Priority within 12 Priority beyond 12 strategy categories? months months ACOs 3 3 Business Intelligence 4 4 Business Process Outsourcing (BPO) 3 3 Care Management 3 3 Claims Management & Processing Technologies 4 4 Cloud Computing 4 4 Consumerization 2 2 Cost Containment 2 2 Customer Engagement 2 2 Data Management 4 4 Data Storage 4 4 Digital Health 4 4 Electronic Data Interchange (EDI) 4 4 Health & Wellness 2 2 Health Funds 4 4 Health Insurance Benefits 2 2 Health Insurance Exchange (HIX) 3 3 Healthcare Reform 2 2 HIPAA 50-10 4 4 ICD - 10 3 3 IT Services 4 4 Medical Assessment Services 3 3 Member Portals 2 2 mHealth 3 3 Payer / Provider Collaboration 2 2 Payment Integrity 4 4 Payment Reform 2 2 Predictive Analytics 2 2 Social Media 4 4 Clinical Data 3 3 Population Health 3 3 Telehealth 3 3 Customer Communication Management 2 2 Multi-Channel Customer Communications 3 3 Document Output Management 3 3 Enrollment Services 2 2 Which topics would you like to see discussed in a Workshop or Panel Discussion? N/A How do you foresee the industry changing over the next 12 months in light of the recent regulatory and legislative changes to healthcare? N/A


PART 1: REGISTRATION PROFILE NAME: Chad Bashem EXECUTIVE TITLE: VP IT COMPANY NAME: Evergreen Health Co-Op

PART 2: BUDGETING AND SPENDING

What is your total budget for 2014? Less than 25 Million 25 - 50 Million X 50 - 150 Million 150 - 300 Million More than 300 Million Other

How is your 2014 budget allocated across these business strategy categories? (as a %) Mandated investments to meet regulatory/legal requirements 15 Investments to maintain/run existing systems and processes 25 Investments to support business innovation 10 Investments to support business growth 50 100%


PART 3: INVESTMENT PRIORITIES How is your 2014 budget allocated across these business Priority within 12 Priority beyond 12 strategy categories? months months ACOs 3 3 Business Intelligence 3 3 Business Process Outsourcing (BPO) 2 2 Care Management 3 3 Claims Management & Processing Technologies 2 2 Cloud Computing 3 3 Consumerization 3 3 Cost Containment 3 3 Customer Engagement 2 2 Data Management 3 3 Data Storage 4 4 Digital Health 3 3 Electronic Data Interchange (EDI) 2 2 Health & Wellness 3 3 Health Funds 4 4 Health Insurance Benefits 4 4 Health Insurance Exchange (HIX) 3 3 Healthcare Reform 3 3 HIPAA 50-10 3 3 ICD - 10 4 4 IT Services 3 3 Medical Assessment Services 3 3 Member Portals 3 3 mHealth 3 3 Payer / Provider Collaboration 2 2 Payment Integrity 3 3 Payment Reform 2 2 Predictive Analytics 3 3 Social Media 4 4 Clinical Data 3 3 Population Health 2 2 Telehealth 2 2 Customer Communication Management 3 3 Multi-Channel Customer Communications 3 3 Document Output Management 4 4 Enrollment Services 3 3 Which topics would you like to see discussed in a Workshop or Panel Discussion? Telehealth from a payer perspective Centralized Provider Database Services that could be provided through Health Information Exchanges for Payers. How do you foresee the industry changing over the next 12 months in light of the recent regulatory and legislative changes to healthcare? Operating costs will rise for payers in the short-term. There should be significant investments made towards technologies that help lay the foundation for getting the Healthcare industry up to speed with other industries.


PART 1: REGISTRATION PROFILE Founded in 1977, Fallon Health is a leading health care services organization that supports the diverse and changing needs of those we serve. In addition to offering innovative health insurance solutions and a variety of Medicaid and Medicare products, we excel in creating unique health care programs and services that provide coordinated, integrated care for seniors and individuals with complex health needs. Fallon has consistently ranked among the nation’s top health plans, and is the only health plan in Massachusetts to have been awarded “Excellent” Accreditation by the National Committee for Quality Assurance for its HMO, Medicare Advantage and Medicaid products. For more information, visit www.fallonhealth.org.

NAME: Mary Ritter EXECUTIVE TITLE: Chief Strategy Officer COMPANY NAME: Fallon Community Health Plan

As Chief Strategy Officer, Mary leads the development and implementation of Fallon’s longterm strategy. Mary played a critical role in developing and launching Fallon Total Care, a wholly owned subsidiary of Fallon Health. Fallon Total Care integrates health care for Massachusetts adults who are eligible for both Medicare and Medicaid. Mary’s responsibilities at Fallon have included leading the organization’s strategic planning process as well as overseeing Corporate Communications and Fallon’s Community Benefits program. Prior to Fallon, Ritter spent 15 years at Hanover Insurance, where she held several leadership roles. Ritter is a graduate of the University of Massachusetts, where she received a Bachelor of Business Administration.

PART 2: BUDGETING AND SPENDING

What is your total budget for 2014? Less than 25 Million X 25 - 50 Million 50 - 150 Million 150 - 300 Million More than 300 Million Other

How is your 2014 budget allocated across these business strategy categories? (as a %) Mandated investments to meet regulatory/legal requirements 25 Investments to maintain/run existing systems and processes 20 Investments to support business innovation 35 Investments to support business growth 20 100%


PART 3: INVESTMENT PRIORITIES How is your 2014 budget allocated across these business Priority within 12 Priority beyond 12 strategy categories? months months ACOs 5 5 Business Intelligence 3 3 Business Process Outsourcing (BPO) 5 5 Care Management 3 3 Claims Management & Processing Technologies 5 5 Cloud Computing 5 5 Consumerization 1 1 Cost Containment 1 1 Customer Engagement 1 1 Data Management 5 5 Data Storage 5 5 Digital Health 3 3 Electronic Data Interchange (EDI) 5 5 Health & Wellness 4 4 Health Funds 5 5 Health Insurance Benefits 2 2 Health Insurance Exchange (HIX) 5 5 Healthcare Reform 2 2 HIPAA 50-10 5 5 ICD - 10 5 5 IT Services 5 5 Medical Assessment Services 3 3 Member Portals 3 3 mHealth 5 5 Payer / Provider Collaboration 1 1 Payment Integrity 5 5 Payment Reform 2 2 Predictive Analytics 3 3 Social Media 2 2 Clinical Data 5 5 Population Health 1 1 Telehealth 1 1 Customer Communication Management 3 3 Multi-Channel Customer Communications 3 3 Document Output Management 5 5 Enrollment Services 5 5 Which topics would you like to see discussed in a Workshop or Panel Discussion? How do you foresee the industry changing over the next 12 months in light of the recent regulatory and legislative changes to healthcare? I anticipate dramatic and accelerated changes to continue, particularly following the midterm elections. At the state and federal levels, focus on reducing costs will continue. At the same time, the level of consumer engagement will increase, resulting in pressure on plans to improve service, simplify engagement/interactions, accelerate technology.


PART 1: REGISTRATION PROFILE Founded in 1977, Fallon Health is a leading health care services organization that supports the diverse and changing needs of those we serve. In addition to offering innovative health insurance solutions and a variety of Medicaid and Medicare products, we excel in creating unique health care programs and services that provide coordinated, integrated care for seniors and individuals with complex health needs. Fallon has consistently ranked among the nation’s top health plans, and is the only health plan in Massachusetts to have been awarded “Excellent” Accreditation by the National Committee for Quality Assurance for its HMO, Medicare Advantage and Medicaid products. For more information, visit www.fallonhealth.org.

NAME: Ann Marie Sciammacco EXECUTIVE TITLE: VP Clinical Operations COMPANY NAME: Fallon Community Health Plan

PART 2: BUDGETING AND SPENDING

What is your total budget for 2014? Less than 25 Million 25 - 50 Million 50 - 150 Million 150 - 300 Million More than 300 Million X Other

How is your 2014 budget allocated across these business strategy categories? (as a %) Mandated investments to meet regulatory/legal requirements 25 Investments to maintain/run existing systems and processes 25 Investments to support business innovation 25 Investments to support business growth 25 100%


PART 3: INVESTMENT PRIORITIES How is your 2014 budget allocated across these business Priority within 12 Priority beyond 12 strategy categories? months months ACOs 2 2 Business Intelligence 4 4 Business Process Outsourcing (BPO) 2 2 Care Management 1 1 Claims Management & Processing Technologies 3 3 Cloud Computing 3 3 Consumerization 1 1 Cost Containment 1 1 Customer Engagement 1 1 Data Management 3 3 Data Storage 3 3 Digital Health 3 3 Electronic Data Interchange (EDI) 3 3 Health & Wellness 1 1 Health Funds 3 3 Health Insurance Benefits 2 2 Health Insurance Exchange (HIX) 2 2 Healthcare Reform 2 2 HIPAA 50-10 3 3 ICD - 10 3 3 IT Services 3 3 Medical Assessment Services 2 2 Member Portals 2 2 mHealth 3 3 Payer / Provider Collaboration 3 3 Payment Integrity 3 3 Payment Reform 3 3 Predictive Analytics 2 2 Social Media 3 3 Clinical Data 2 2 Population Health 1 1 Telehealth 1 1 Customer Communication Management 2 2 Multi-Channel Customer Communications 3 3 Document Output Management 3 3 Enrollment Services 3 3 Which topics would you like to see discussed in a Workshop or Panel Discussion? Accountable Care Associations How do you foresee the industry changing over the next 12 months in light of the recent regulatory and legislative changes to healthcare? Consumer driven - engaging the customer, individuals will have more choices.


PART 1: REGISTRATION PROFILE FamilyCare, Inc. is a Medicare and Medicaid managed care organization providing patient-centered healthcare to Oregonians. We are proud to be the first health plan in Oregon to join mental and physical health coverage into one standard plan. We were also certified as the first CCO in the tricounty area under the Oregon Health Plan. FamilyCare is dedicated to improving the health of people living in the communities we serve by sponsoring community-based organizations that promote wellness and prevention, focus on exercise and reducing childhood obesity, along with promoting culturally competent care. Our mission is to create healthy individuals through innovative systems.

NAME: Resa Bradeen EXECUTIVE TITLE: CMO COMPANY NAME: FamilyCare Health Plans

Dr. Bradeen, CMO at FamilyCare, a board certified pediatrician with twenty years clinical practice and expertise in quality improvement, integrated care models, and healthcare transformation. She leads one of Oregon’s first CCO’s, in developing innovative solutions to achieve triple aim. She formerly served as medical director for Children’s Health Alliance, instrumental in leading practice-based improvement initiatives and medical home transformation activities. She also worked with Center for Medically Fragile Children at Providence Health Systems as medical director to provide strategic direction on quality improvement processes. She graduated from University Of Louisville School Of Medicine, KY, and completed residency at OHSU.

PART 2: BUDGETING AND SPENDING

What is your total budget for 2014? Less than 25 Million 25 - 50 Million 50 - 150 Million 150 - 300 Million X More than 300 Million Other

How is your 2014 budget allocated across these business strategy categories? (as a %) Mandated investments to meet regulatory/legal requirements 8 Investments to maintain/run existing systems and processes 87 Investments to support business innovation 2 Investments to support business growth 3 100%


PART 3: INVESTMENT PRIORITIES How is your 2014 budget allocated across these business Priority within 12 Priority beyond 12 strategy categories? months months ACOs 4 4 Business Intelligence 1 1 Business Process Outsourcing (BPO) 4 4 Care Management 2 2 Claims Management & Processing Technologies 3 3 Cloud Computing 3 3 Consumerization 4 4 Cost Containment 1 1 Customer Engagement 3 3 Data Management 2 2 Data Storage 3 3 Digital Health 3 3 Electronic Data Interchange (EDI) 1 1 Health & Wellness 3 3 Health Funds 4 4 Health Insurance Benefits 4 4 Health Insurance Exchange (HIX) 4 4 Healthcare Reform 2 2 HIPAA 50-10 3 3 ICD - 10 3 3 IT Services 2 2 Medical Assessment Services 3 3 Member Portals 3 3 mHealth 4 4 Payer / Provider Collaboration 2 2 Payment Integrity 3 3 Payment Reform 2 2 Predictive Analytics 3 3 Social Media 3 3 Clinical Data 2 2 Population Health 2 2 Telehealth 4 4 Customer Communication Management 3 3 Multi-Channel Customer Communications 3 3 Document Output Management 3 3 Enrollment Services 4 4 Which topics would you like to see discussed in a Workshop or Panel Discussion? How do you foresee the industry changing over the next 12 months in light of the recent regulatory and legislative changes to healthcare? -


PART 1: REGISTRATION PROFILE NAME: Janice Prewitt EXECUTIVE TITLE: VP Health Services COMPANY NAME: Gateway Health

PART 2: BUDGETING AND SPENDING

What is your total budget for 2014? Less than 25 Million 25 - 50 Million X 50 - 150 Million 150 - 300 Million More than 300 Million Other

How is your 2014 budget allocated across these business strategy categories? (as a %) Mandated investments to meet regulatory/legal requirements 15 Investments to maintain/run existing systems and processes 40 Investments to support business innovation 20 Investments to support business growth 25 100%


PART 3: INVESTMENT PRIORITIES How is your 2014 budget allocated across these business Priority within 12 Priority beyond 12 strategy categories? months months ACOs 2 2 Business Intelligence 2 2 Business Process Outsourcing (BPO) 4 4 Care Management 2 2 Claims Management & Processing Technologies 5 5 Cloud Computing 3 4 Consumerization 4 4 Cost Containment 1 1 Customer Engagement 1 1 Data Management 1 2 Data Storage 4 4 Digital Health 3 3 Electronic Data Interchange (EDI) 2 2 Health & Wellness 1 1 Health Funds 5 5 Health Insurance Benefits 4 4 Health Insurance Exchange (HIX) 4 4 Healthcare Reform 2 2 HIPAA 50-10 2 2 ICD - 10 2 2 IT Services 2 2 Medical Assessment Services 2 2 Member Portals 1 3 mHealth 3 3 Payer / Provider Collaboration 2 2 Payment Integrity 4 3 Payment Reform 3 3 Predictive Analytics 1 1 Social Media 1 2 Clinical Data 1 1 Population Health 1 1 Telehealth 1 2 Customer Communication Management 2 2 Multi-Channel Customer Communications 3 3 Document Output Management 3 3 Enrollment Services 3 3 Which topics would you like to see discussed in a Workshop or Panel Discussion? Health Plan Cost Management, Improving HEDIS and STARS Innovations in Health care How do you foresee the industry changing over the next 12 months in light of the recent regulatory and legislative changes to healthcare? -


PART 1: REGISTRATION PROFILE Geisinger Health Plan, begun in 1985, is headquartered in Danville, Pa. The plan serves more than 450,000 members in Pennsylvania, Delaware, Maine, New Jersey and West Virginia. Geisinger Health Plan provides coverage to businesses of all sizes, individuals and families, and Medicare and Medicaid beneficiaries. As part of Geisinger Health System, GHP has been recognized nationally as a model for health-care reform with documented success in innovative programs such as the patient-centered medical home.

NAME: Jane Foust EXECUTIVE TITLE: VP Government Programs Operations COMPANY NAME: Geisinger Health Plan

Jane Foust is the Vice President, Government Programs Operations for Geisinger Health Plan. She is the Health Plans liaison to federal, state and local regulators and legislators and their staff regarding Health Plan Government Programs. Jane is responsible for the direct supervision of the Government Programs Operations team, Finance/Risk Adjustment Unit and quality performance for all Government Programs. Jane began her career at Geisinger in 1984 and has held various positions in Finance and Operations.

PART 2: BUDGETING AND SPENDING

What is your total budget for 2014? Less than 25 Million 25 - 50 Million 50 - 150 Million 150 - 300 Million More than 300 Million X Other

How is your 2014 budget allocated across these business strategy categories? (as a %) Mandated investments to meet regulatory/legal requirements 30 Investments to maintain/run existing systems and processes 20 Investments to support business innovation 30 Investments to support business growth 20 100%


PART 3: INVESTMENT PRIORITIES How is your 2014 budget allocated across these business Priority within 12 Priority beyond 12 strategy categories? months months ACOs 5 3 Business Intelligence 3 3 Business Process Outsourcing (BPO) 4 4 Care Management 4 4 Claims Management & Processing Technologies 3 3 Cloud Computing 5 5 Consumerization 5 5 Cost Containment 3 3 Customer Engagement 4 4 Data Management 3 3 Data Storage 1 1 Digital Health 3 3 Electronic Data Interchange (EDI) 3 3 Health & Wellness 3 3 Health Funds 5 5 Health Insurance Benefits 3 3 Health Insurance Exchange (HIX) 1 1 Healthcare Reform 4 4 HIPAA 50-10 4 4 ICD - 10 4 3 IT Services 1 1 Medical Assessment Services 3 3 Member Portals 3 3 mHealth 5 5 Payer / Provider Collaboration 3 3 Payment Integrity 3 3 Payment Reform 3 3 Predictive Analytics 3 3 Social Media 4 4 Clinical Data 3 3 Population Health 3 3 Telehealth 3 3 Customer Communication Management 3 3 Multi-Channel Customer Communications 3 3 Document Output Management 3 3 Enrollment Services 3 3 Which topics would you like to see discussed in a Workshop or Panel Discussion? Encounter data management How do you foresee the industry changing over the next 12 months in light of the recent regulatory and legislative changes to healthcare? -


PART 1: REGISTRATION PROFILE NAME: Napoleon Knight EXECUTIVE TITLE: Regional Medical Director COMPANY NAME: Health Alliance Medical Plans

PART 2: BUDGETING AND SPENDING

What is your total budget for 2014? Less than 25 Million 25 - 50 Million 50 - 150 Million 150 - 300 Million More than 300 Million X Other

How is your 2014 budget allocated across these business strategy categories? (as a %) Mandated investments to meet regulatory/legal requirements 30 Investments to maintain/run existing systems and processes 60 Investments to support business innovation 5 Investments to support business growth 5 100%


PART 3: INVESTMENT PRIORITIES How is your 2014 budget allocated across these business Priority within 12 Priority beyond 12 strategy categories? months months ACOs 3 5 Business Intelligence 1 1 Business Process Outsourcing (BPO) 4 4 Care Management 1 1 Claims Management & Processing Technologies 3 3 Cloud Computing 3 3 Consumerization 1 1 Cost Containment 3 3 Customer Engagement 2 2 Data Management 2 2 Data Storage 5 5 Digital Health 1 1 Electronic Data Interchange (EDI) 4 4 Health & Wellness 2 2 Health Funds 4 4 Health Insurance Benefits 1 1 Health Insurance Exchange (HIX) 1 1 Healthcare Reform 2 2 HIPAA 50-10 3 3 ICD - 10 3 3 IT Services 4 4 Medical Assessment Services 4 4 Member Portals 2 2 mHealth 2 2 Payer / Provider Collaboration 1 1 Payment Integrity 3 3 Payment Reform 3 3 Predictive Analytics 1 1 Social Media 3 3 Clinical Data 2 2 Population Health 1 1 Telehealth 4 4 Customer Communication Management 3 3 Multi-Channel Customer Communications 3 3 Document Output Management 4 4 Enrollment Services 4 4 Which topics would you like to see discussed in a Workshop or Panel Discussion? Community based solutions that lead to improved patient care. Examples of cooperation- competing entities that are partnering together to implement effective solutions Effective Physician Engagement strategies How do you foresee the industry changing over the next 12 months in light of the recent regulatory and legislative changes to healthcare? More pressure on the bottom line as we are more responsible for things not in our control More and more consolidation More large center specialization as transparency in outcomes will drive smaller centers to get out of care they perform in small volumes that don't support great outcomes of care More and more advanced practice providers entering the workplace and in some markets competing with physicians More high deductible healthplans leading to pressure on healthcare institutions to be transparent with pricing of care More direct pressure from CVS, Walgreens, and others


PART 1: REGISTRATION PROFILE Health New England 1985: Founded by 3 hospitals and their medical staffs as a forprofit IPA-model HMO 1991: 1st HMO accredited by NCQA/perennial top 15 plan 1997: Baystate Health buys out other hospitals and most provider investors 1998: JV with Harvard Pilgrim Health Care 2000: BH buys out HPHC 2008: HNE offers Medicare Advantage 2009: HNE enters Medicaid 2011-2013: HNE is a 5-Star MA plan (now 4.5) 2013: HNE becomes NFP 501(c)4 2014: HNE enters CT.

NAME: Thomas Ebert EXECUTIVE TITLE: VP/CMO COMPANY NAME: Health New England

Dr. Thomas H. Ebert, Vice President and Chief Medical Officer of Health New England, Baystate Health’s managed care company, oversees all aspects of the organization’s medical issues. He is Health New England’s senior physician and is a member of the Executive Leadership Team. He is involved in all aspects of network development and management, and he has responsibility for utilization and case management, pharmacy services, quality and accreditation, and compliance.

PART 2: BUDGETING AND SPENDING

What is your total budget for 2014? Less than 25 Million 25 - 50 Million X 50 - 150 Million 150 - 300 Million More than 300 Million Other

How is your 2014 budget allocated across these business strategy categories? (as a %) Mandated investments to meet regulatory/legal requirements 50 Investments to maintain/run existing systems and processes 15 Investments to support business innovation 15 Investments to support business growth 20 100%


PART 3: INVESTMENT PRIORITIES How is your 2014 budget allocated across these business Priority within 12 Priority beyond 12 strategy categories? months months ACOs 1 1 Business Intelligence 2 2 Business Process Outsourcing (BPO) 3 3 Care Management 2 2 Claims Management & Processing Technologies 3 3 Cloud Computing 4 4 Consumerization 1 1 Cost Containment 1 1 Customer Engagement 2 2 Data Management 2 2 Data Storage 4 4 Digital Health 3 3 Electronic Data Interchange (EDI) 3 3 Health & Wellness 3 3 Health Funds 4 4 Health Insurance Benefits 3 3 Health Insurance Exchange (HIX) 2 2 Healthcare Reform 1 1 HIPAA 50-10 4 4 ICD - 10 4 3 IT Services 3 3 Medical Assessment Services 3 3 Member Portals 3 3 mHealth 3 3 Payer / Provider Collaboration 2 2 Payment Integrity 3 3 Payment Reform 2 3 Predictive Analytics 2 2 Social Media 3 3 Clinical Data 2 2 Population Health 2 2 Telehealth 4 4 Customer Communication Management 2 2 Multi-Channel Customer Communications 3 3 Document Output Management 4 4 Enrollment Services 3 3 Which topics would you like to see discussed in a Workshop or Panel Discussion? The issue that system investments are usually add-ons not replacements How do you foresee the industry changing over the next 12 months in light of the recent regulatory and legislative changes to healthcare? More individual sales and sales strategies


PART 1: REGISTRATION PROFILE Healthfirst is a not-for-profit managed care organization that has served the diverse communities of downstate New York since 1993. We treat our nearly one million Medicaid, Family Health Plus, Child Health Plus, Medicare Advantage, and Managed Long Term Care members with the same care and attention we would want for our own families. We are also a proud participant of NY State of Health: The Official Health Plan Marketplace.

NAME: Rebecca Schwietz EXECUTIVE TITLE: VP Clinical Performance Management COMPANY NAME: Healthfirst

In her current position, as Vice President of Clinical Performance Management, which includes the Clinical Quality, Documentation and Coding, Credentialing, and Clinical Analysis units, she is responsible for using sophisticated data analysis, reporting and incentives to build mutually beneficial relationships with our providers to improve clinical quality and member satisfaction. Under her guidance, Healthfirst has risen from being rated 16th of 18th plans in terms of New York Medicaid Quality rankings to 1st place among all plans in the state. During her tenure at Healthfirst, she has also held the positions of Vice President of Performance Improvement and Vice President of Financial Analysis. Before joining Healthfirst, Rebecca was a consultant for APM Management Consultants, where she assisted hospitals, nursing homes and physician groups with strategic and operationally-oriented projects.

PART 2: BUDGETING AND SPENDING

What is your total budget for 2014? Less than 25 Million X 25 - 50 Million 50 - 150 Million 150 - 300 Million More than 300 Million Other

How is your 2014 budget allocated across these business strategy categories? (as a %) Mandated investments to meet regulatory/legal requirements 10 Investments to maintain/run existing systems and processes 10 Investments to support business innovation 30 Investments to support business growth 50 100%


PART 3: INVESTMENT PRIORITIES How is your 2014 budget allocated across these business Priority within 12 Priority beyond 12 strategy categories? months months ACOs 2 2 Business Intelligence 3 3 Business Process Outsourcing (BPO) 4 3 Care Management 3 2 Claims Management & Processing Technologies 5 5 Cloud Computing 4 4 Consumerization 4 4 Cost Containment 3 3 Customer Engagement 2 2 Data Management 5 5 Data Storage 5 5 Digital Health 4 3 Electronic Data Interchange (EDI) 1 1 Health & Wellness 2 2 Health Funds 5 5 Health Insurance Benefits 4 3 Health Insurance Exchange (HIX) 3 3 Healthcare Reform 4 3 HIPAA 50-10 4 4 ICD - 10 4 4 IT Services 2 3 Medical Assessment Services 4 4 Member Portals 4 4 mHealth 4 4 Payer / Provider Collaboration 2 2 Payment Integrity 4 4 Payment Reform 3 3 Predictive Analytics 3 3 Social Media 4 4 Clinical Data 2 2 Population Health 1 1 Telehealth 4 4 Customer Communication Management 3 3 Multi-Channel Customer Communications 3 3 Document Output Management 5 5 Enrollment Services 5 5 Which topics would you like to see discussed in a Workshop or Panel Discussion? How do you foresee the industry changing over the next 12 months in light of the recent regulatory and legislative changes to healthcare? -


PART 1: REGISTRATION PROFILE Highmark Inc. is a national diversified health and wellness company based in Pittsburgh that serves 33.5 million people across the United States through its businesses in health insurance, dental insurance, vision care and information technology. Our company, which has approximately 20,000 employees, is among the largest health insurers in the U.S. and the fourth-largest Blue Cross and Blue Shield-affiliated company. We operate health insurance plans in Pennsylvania, Delaware and West Virginia that serve 5.2 million members. We also offer health and wellness products to clients with employees throughout the country, and we are a recognized leader in reinsurance. In addition, we operate more than 620 optical retail stores (Visionworks) and five U.S.-based eyewear manufacturing facilities. Highmark is an independent licensee of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield companies.

NAME: Donald Fischer EXECUTIVE TITLE: SVP Health Affairs; CMO COMPANY NAME: Highmark

Donald R. Fischer, MD, MBA, is Senior Vice President of Health Affairs and Chief Medical Officer at Highmark Inc. He holds a BS from the University of Notre Dame, an MD from the University of Illinois, and an MBA from the University of Pittsburgh. He completed pediatric residency and pediatric cardiology fellowship at the Children’s Hospital of Pittsburgh, where he stayed on faculty and served as Medical Director for five years. He has served as Chief Medical Officer at Highmark for the last ten years.

PART 2: BUDGETING AND SPENDING

What is your total budget for 2014? Less than 25 Million 25 - 50 Million 50 - 150 Million 150 - 300 Million X More than 300 Million Other

How is your 2014 budget allocated across these business strategy categories? (as a %) Mandated investments to meet regulatory/legal requirements 25 Investments to maintain/run existing systems and processes 50 Investments to support business innovation 15 Investments to support business growth 10 100%


PART 3: INVESTMENT PRIORITIES How is your 2014 budget allocated across these business Priority within 12 Priority beyond 12 strategy categories? months months ACOs 1 1 Business Intelligence 2 2 Business Process Outsourcing (BPO) 2 2 Care Management 1 1 Claims Management & Processing Technologies 4 4 Cloud Computing 3 3 Consumerization 2 2 Cost Containment 1 1 Customer Engagement 2 2 Data Management 3 3 Data Storage 4 4 Digital Health 2 2 Electronic Data Interchange (EDI) 3 3 Health & Wellness 1 1 Health Funds 3 3 Health Insurance Benefits 3 3 Health Insurance Exchange (HIX) 3 3 Healthcare Reform 1 2 HIPAA 50-10 4 4 ICD - 10 3 3 IT Services 3 3 Medical Assessment Services 3 3 Member Portals 2 2 mHealth 4 4 Payer / Provider Collaboration 1 1 Payment Integrity 3 3 Payment Reform 1 1 Predictive Analytics 1 1 Social Media 3 3 Clinical Data 2 2 Population Health 2 2 Telehealth 2 1 Customer Communication Management Multi-Channel Customer Communications 3 3 Document Output Management Enrollment Services Which topics would you like to see discussed in a Workshop or Panel Discussion? New care delivery models integration of health plan clinical functions with work done in PCMH and ACO virtual visits and mobile apps to support remote patient monitoring How do you foresee the industry changing over the next 12 months in light of the recent regulatory and legislative changes to healthcare? Greater integration of provider functions with less disjointed care greater accountability for outcomes, facilitated by more integrated EHR technology transparency of price and quality info to guide consumers toward better choices


PART 1: REGISTRATION PROFILE Humana was founded as a nursing home company in 1961. Then known as Extendicare, the company became the largest nursing home company in the United States. The corporate name was changed to Humana Inc. in 1974. Humana experienced tremendous growth in the years that followed, both organically and through the takeover of American Medicorp. The 1990s marked Humana's transition into a consumer health benefits company. Humana spun off its hospital operations from the health insurance operations in 1993. With over 11.1 million customers in the United States, the company is the largest (by revenues) Fortune 100 company headquartered in the Commonwealth of Kentucky and has a market-cap of over US $13bn, $36.5bn in revenue, and over 40,000 employees worldwide.

NAME: Todd Prewitt EXECUTIVE TITLE: Medical Director, Corporate Chronic Condition COMPANY NAME: Humana

Todd leads a team of clinicians in designing innovative programs and care management solutions to better engage patients, providers and facilities in optimizing the achievement of evidence-based goals for treatment and clinical outcomes in a cost efficient manner. Prior to joining Humana he spent 11 years at Carewise Health leading a division of integrated clinical teams supporting Fortune 500 self-funded clients and engaging patients in better health strategies from wellness and disease management to critical case management solutions.

PART 2: BUDGETING AND SPENDING

What is your total budget for 2014? Less than 25 Million 25 - 50 Million 50 - 150 Million X 150 - 300 Million More than 300 Million Other

How is your 2014 budget allocated across these business strategy categories? (as a %) Mandated investments to meet regulatory/legal requirements 30 Investments to maintain/run existing systems and processes 25 Investments to support business innovation 35 Investments to support business growth 10 100%


PART 3: INVESTMENT PRIORITIES How is your 2014 budget allocated across these business Priority within 12 Priority beyond 12 strategy categories? months months ACOs 3 3 Business Intelligence 4 4 Business Process Outsourcing (BPO) 5 5 Care Management 2 2 Claims Management & Processing Technologies 5 5 Cloud Computing 4 4 Consumerization 2 2 Cost Containment 2 2 Customer Engagement 2 2 Data Management 5 5 Data Storage 5 5 Digital Health 3 3 Electronic Data Interchange (EDI) 5 5 Health & Wellness 2 2 Health Funds 4 4 Health Insurance Benefits 3 3 Health Insurance Exchange (HIX) 2 2 Healthcare Reform 3 3 HIPAA 50-10 4 4 ICD - 10 4 4 IT Services 5 5 Medical Assessment Services 4 4 Member Portals 3 3 mHealth 3 3 Payer / Provider Collaboration 1 1 Payment Integrity 4 4 Payment Reform 2 2 Predictive Analytics 3 3 Social Media 3 3 Clinical Data 3 3 Population Health Telehealth Customer Communication Management Multi-Channel Customer Communications Document Output Management Enrollment Services Which topics would you like to see discussed in a Workshop or Panel Discussion? Reengineering primary care delivery and reimbursement How do you foresee the industry changing over the next 12 months in light of the recent regulatory and legislative changes to healthcare? Delay of implementation of the ACA will likely occur and leave millions of people in limbo as to the status of their personal healthcare coverage options, likely need to extend current private plan options to bridge thru resolution of ACA implementation and exchange plan fixes.


PART 1: REGISTRATION PROFILE Johns Hopkins HealthCare is the population management division of Johns Hopkins Medicine. JHM is comprised of academic and community hospitals in Maryland, DC, and Florida. JHM also includes the school of medicine, one of the world's premier centers of medical education. The international division provides consultation and management for hospitals and other medical enterprises around the globe. JHHC is comprised of three separate managed care organizations as well as a consulting and intellectual property solutions enterprise. JHHC also contains a number of other population centered ventures. JHHC is responsible for managing all risk contracts for the entirety of JHM.

NAME: Bob Kritzler EXECUTIVE TITLE: Deputy CMO COMPANY NAME: Johns Hopkins Healthcare

Bob is a practicing pediatric endocrinologist. At JHHC he, along with the CMO, provides the medical leadership and direction for JHHC. This includes resource management (medical and pharmacy) as well as quality. The MD team at JHHC is engaged in daily operations as well as strategic direction. He provides special focus on of population management IT for both JHHC and for the broader JHM. He serves on a number of senior management groups within JHM with focus on population management, resource management, clinical redesign and IT solutions.

PART 2: BUDGETING AND SPENDING

What is your total budget for 2014? Less than 25 Million 25 - 50 Million X 50 - 150 Million 150 - 300 Million More than 300 Million Other

How is your 2014 budget allocated across these business strategy categories? (as a %) Mandated investments to meet regulatory/legal requirements 10 Investments to maintain/run existing systems and processes 60 Investments to support business innovation 20 Investments to support business growth 10 100%


PART 3: INVESTMENT PRIORITIES How is your 2014 budget allocated across these business Priority within 12 Priority beyond 12 strategy categories? months months ACOs 1 1 Business Intelligence 1 1 Business Process Outsourcing (BPO) 4 4 Care Management 2 2 Claims Management & Processing Technologies 1 1 Cloud Computing 4 3 Consumerization 3 3 Cost Containment 1 1 Customer Engagement 3 3 Data Management 2 1 Data Storage 3 3 Digital Health 4 4 Electronic Data Interchange (EDI) 2 2 Health & Wellness 2 2 Health Funds 4 4 Health Insurance Benefits 2 2 Health Insurance Exchange (HIX) 4 4 Healthcare Reform 2 2 HIPAA 50-10 4 4 ICD - 10 2 1 IT Services 2 2 Medical Assessment Services 4 4 Member Portals 3 3 mHealth 3 2 Payer / Provider Collaboration 1 1 Payment Integrity 3 3 Payment Reform 3 3 Predictive Analytics 1 1 Social Media 3 3 Clinical Data 3 3 Population Health 1 1 Telehealth 3 2 Customer Communication Management 4 4 Multi-Channel Customer Communications 3 3 Document Output Management 3 3 Enrollment Services 3 3 Which topics would you like to see discussed in a Workshop or Panel Discussion? Impact of exchanges on other products impact of high deduc Big data How do you foresee the industry changing over the next 12 months in light of the recent regulatory and legislative changes to healthcare? Depends on what happens with reform. will vary state by state


PART 1: REGISTRATION PROFILE MagnaCare: We love our neighbors. We decided that while other companies scrambled to cover more lives in more states, we’d offer thoughtful health plan solutions and an unmatched provider network to our own neighbors. Our plans cover a wide range of organizations, including the self-insured organizations, Taft Hartley Funds, commercial insurers, Third Party Administrators, worker’s compensation and no fault payors, and municipalities. With services like our Evaluaide™ product and 24/7 online access to healthcare information, we take the confusion out of complicated health situations and provide easier ways to manage your healthcare plan. Help is always just around the corner with MagnaCare Access, our network of over 70,000 industry leading healthcare provider locations in the New York and New Jersey area. We’re an open book. If you’ve got questions, we’ve got answers. 888.799.6465 NAME: Catherine Marino EXECUTIVE TITLE: CMO COMPANY NAME: MagnaCare

Dr. Marino joined MagnaCare in 2002 as the Chief Medical Officer and oversees the network’s medical management, physician performance, medical policies and utilization review. Dr. Marino graduated from SUNY Downstate Medical School and has a Master’s in Health Administration from Hofstra. She is board certified in internal medicine and rheumatology and has served as a Chair of a Department of Medicine, a hospital Senior Vice President for Administration, and as the Chief Medical Officer for two University Hospitals. Dr. Marino was also in clinical practice. Dr. Marino has authored over thirty publications in medical journals in her field of rheumatology.

PART 2: BUDGETING AND SPENDING

What is your total budget for 2014? Less than 25 Million 25 - 50 Million 50 - 150 Million 150 - 300 Million More than 300 Million not sure...we are a TPA and Other don't pay for health care services...we administer them

How is your 2014 budget allocated across these business strategy categories? (as a %) Mandated investments to meet regulatory/legal requirements 15 Investments to maintain/run existing systems and processes 45 Investments to support business innovation 10 Investments to support business growth 30 100%


PART 3: INVESTMENT PRIORITIES How is your 2014 budget allocated across these business Priority within 12 Priority beyond 12 strategy categories? months months ACOs 3 3 Business Intelligence 4 4 Business Process Outsourcing (BPO) 4 4 Care Management 1 1 Claims Management & Processing Technologies 5 5 Cloud Computing 4 4 Consumerization 2 2 Cost Containment 1 1 Customer Engagement 1 1 Data Management 3 3 Data Storage 4 4 Digital Health 3 3 Electronic Data Interchange (EDI) 3 3 Health & Wellness 2 2 Health Funds 3 3 Health Insurance Benefits 3 3 Health Insurance Exchange (HIX) 3 3 Healthcare Reform 2 2 HIPAA 50-10 5 5 ICD - 10 3 3 IT Services 3 3 Medical Assessment Services 3 3 Member Portals 3 3 mHealth 3 3 Payer / Provider Collaboration 3 3 Payment Integrity 3 3 Payment Reform 3 3 Predictive Analytics 2 2 Social Media 4 4 Clinical Data 2 2 Population Health 2 2 Telehealth 3 3 Customer Communication Management 3 3 Multi-Channel Customer Communications 3 3 Document Output Management 3 3 Enrollment Services 4 4 Which topics would you like to see discussed in a Workshop or Panel Discussion? -innovative ideas to save money in health care/ wellness is not going to do that I don't think -are we headed for a single payor system? -has anyone had any really good experience with population management--it has been difficult for us to engage people How do you foresee the industry changing over the next 12 months in light of the recent regulatory and legislative changes to healthcare? -realignment of docs and hospitals--we tried this before and it didn't work---it seems to me it is driving up costs -reliance on data to find a population that can be helped and allocation of health care dollars to that, although no studies to show this has worked -use of more physician extenders -big business will begin to own hospitals again even in states where traditionally hospitals have been not-for-profit -realignment of medicare dollars


PART 1: REGISTRATION PROFILE NAME: Christine Kriha EXECUTIVE TITLE: Director Health Management COMPANY NAME: Medica

PART 2: BUDGETING AND SPENDING

What is your total budget for 2014? Less than 25 Million X 25 - 50 Million 50 - 150 Million 150 - 300 Million More than 300 Million Other

How is your 2014 budget allocated across these business strategy categories? (as a %) Mandated investments to meet regulatory/legal requirements 20 Investments to maintain/run existing systems and processes 30 Investments to support business innovation 25 Investments to support business growth 25 100%


PART 3: INVESTMENT PRIORITIES How is your 2014 budget allocated across these business Priority within 12 Priority beyond 12 strategy categories? months months ACOs 1 1 Business Intelligence 1 1 Business Process Outsourcing (BPO) 4 4 Care Management 1 1 Claims Management & Processing Technologies 4 4 Cloud Computing 3 3 Consumerization 3 3 Cost Containment 1 1 Customer Engagement 1 1 Data Management 3 3 Data Storage 4 4 Digital Health 3 2 Electronic Data Interchange (EDI) 1 1 Health & Wellness 2 2 Health Funds 3 3 Health Insurance Benefits 2 2 Health Insurance Exchange (HIX) 1 1 Healthcare Reform 3 3 HIPAA 50-10 3 3 ICD - 10 3 2 IT Services 3 3 Medical Assessment Services 3 3 Member Portals 3 3 mHealth 3 3 Payer / Provider Collaboration 2 2 Payment Integrity 3 3 Payment Reform 5 3 Predictive Analytics 1 1 Social Media 3 3 Clinical Data 3 3 Population Health 2 2 Telehealth 3 3 Customer Communication Management 3 3 Multi-Channel Customer Communications 2 2 Document Output Management 3 3 Enrollment Services 3 3 Which topics would you like to see discussed in a Workshop or Panel Discussion? No additional topics at this time How do you foresee the industry changing over the next 12 months in light of the recent regulatory and legislative changes to healthcare? I believe there will be a significant increase in individual purchasing compared to group purchasing. We are already seeing employer groups dropping coverage and sending members to the exchange market.


PART 1: REGISTRATION PROFILE NAME: Michelle Murdock EXECUTIVE TITLE: Senior Director, Clinical Operations COMPANY NAME: Medica

PART 2: BUDGETING AND SPENDING

What is your total budget for 2014? Less than 25 Million 25 - 50 Million X 50 - 150 Million 150 - 300 Million More than 300 Million Other

How is your 2014 budget allocated across these business strategy categories? (as a %) Mandated investments to meet regulatory/legal requirements 30 Investments to maintain/run existing systems and processes 40 Investments to support business innovation 10 Investments to support business growth 20 100%


PART 3: INVESTMENT PRIORITIES How is your 2014 budget allocated across these business Priority within 12 Priority beyond 12 strategy categories? months months ACOs 4 3 Business Intelligence 3 3 Business Process Outsourcing (BPO) 3 3 Care Management 2 2 Claims Management & Processing Technologies 4 4 Cloud Computing 3 3 Consumerization 2 2 Cost Containment 2 2 Customer Engagement 2 2 Data Management 4 4 Data Storage 4 4 Digital Health 3 3 Electronic Data Interchange (EDI) 4 4 Health & Wellness 3 3 Health Funds 4 4 Health Insurance Benefits 4 4 Health Insurance Exchange (HIX) 3 3 Healthcare Reform 2 2 HIPAA 50-10 4 4 ICD - 10 5 5 IT Services 4 4 Medical Assessment Services 1 1 Member Portals 3 3 mHealth 4 4 Payer / Provider Collaboration 1 1 Payment Integrity 3 3 Payment Reform 3 3 Predictive Analytics 3 3 Social Media 3 3 Clinical Data 2 2 Population Health 2 2 Telehealth 2 2 Customer Communication Management 3 3 Multi-Channel Customer Communications 3 3 Document Output Management 4 4 Enrollment Services 4 4 Which topics would you like to see discussed in a Workshop or Panel Discussion? Industry challenges and what others are doing to rise to them. How to balance consumer-centric initiatives with more assertive cost management tactics. Incentive strategies for consumer engagement? Living in a risk-adjustment world. Some are well-versed at it and others not so much. How do you foresee the industry changing over the next 12 months in light of the recent regulatory and legislative changes to healthcare? To a more retail-orientation than ever before for Individual and Commercial products; however for government products I think the purse-strings are tightening and the challenges are so very many. Reimbursements will be tighter, managing medical expense will be more critical, doing things cheaper because you still have to do the same amount of work because it's mandated. I think simplicity and transparency will win out. Although consumers are becoming more informed, they will also have less tolerance for our "dinosaur" ways.


PART 1: REGISTRATION PROFILE The Molina Healthcare story is about one man’s belief that when it comes to health care everyone should be treated like family. It was in 1980 when as an emergency room physician, C. David Molina, MD, noticed that lowincome, uninsured or non-English speaking patients were coming to the emergency room in need of general health care services. He opened a clinic in Long Beach, California to provide low-income individuals and families with a place to go to get personalized health care from Molina doctors. Two more clinics opened that same year and today our health plans and clinics serve patients across the country. Molina Healthcare, a FORTUNE 500, multi-state health care organization, arranges for the delivery of health care services and offers health information management solutions to nearly five million individuals and families who receive their care through Medicaid, Medicare and other government-funded programs in fifteen states. NAME: Kevin Park EXECUTIVE TITLE: VP Quality COMPANY NAME: Molina Healthcare

Kevin Park, MD is the vice president of quality at Molina Healthcare, Inc., a FORTUNE 500 company focusing on government sponsored health programs. Dr. Park has over 16 years of experience working with health care organizations with a focus on managed care. He also has experience with provider organizations, hospitals, pharmacy benefit managers and lab vendors. For the past 10 years, Dr. Park has served on the editorial board of the Journal for Healthcare Quality.

PART 2: BUDGETING AND SPENDING

What is your total budget for 2014? Less than 25 Million X 25 - 50 Million 50 - 150 Million 150 - 300 Million More than 300 Million Other

How is your 2014 budget allocated across these business strategy categories? (as a %) Mandated investments to meet regulatory/legal requirements 30 Investments to maintain/run existing systems and processes 20 Investments to support business innovation 35 Investments to support business growth 15 100%


PART 3: INVESTMENT PRIORITIES How is your 2014 budget allocated across these business Priority within 12 Priority beyond 12 strategy categories? months months ACOs 3 2 Business Intelligence 1 1 Business Process Outsourcing (BPO) 4 4 Care Management 3 3 Claims Management & Processing Technologies 5 5 Cloud Computing 4 4 Consumerization 2 2 Cost Containment 2 2 Customer Engagement 2 2 Data Management 3 3 Data Storage 5 5 Digital Health 4 4 Electronic Data Interchange (EDI) 5 5 Health & Wellness 4 3 Health Funds 5 5 Health Insurance Benefits 5 5 Health Insurance Exchange (HIX) 3 3 Healthcare Reform 3 3 HIPAA 50-10 4 4 ICD - 10 3 3 IT Services 4 4 Medical Assessment Services 4 4 Member Portals 3 3 mHealth 4 4 Payer / Provider Collaboration 1 1 Payment Integrity 4 4 Payment Reform 1 1 Predictive Analytics 2 2 Social Media 3 3 Clinical Data 3 3 Population Health 1 1 Telehealth 3 3 Customer Communication Management 4 4 Multi-Channel Customer Communications 3 3 Document Output Management 4 4 Enrollment Services 4 4 Which topics would you like to see discussed in a Workshop or Panel Discussion? Enablement of community-based care models Quality predictive analytics How do you foresee the industry changing over the next 12 months in light of the recent regulatory and legislative changes to healthcare? Less office-based care and operations, both by providers and payers, and more community-based activities


PART 1: REGISTRATION PROFILE Priority Health is an award-winning, Michigan-based non-profit health plan nationally recognized for improving the health and lives of the people it serves. It continues to lead the industry in engaging members in their health, delivering effective health and disease management programs and working with physicians to improve health care outcomes and performance. Priority Health is one of only 20 health plans nationwide with wellness programs accredited by the National Committee for Quality Assurance, an organization which also rated it among the best health plans in the nation. Priority Health was also named the benchmark plan, by the State of Michigan, for all individual and group plans to model. Priority Health offers a broad portfolio of health benefit options for employer groups and individuals, including Medicare and Medicaid plans. Its network of health care providers features 95 percent of practicing physicians available in Michigan and more than 900,000 nationwide. NAME: Krischa Winright EXECUTIVE TITLE: CIO and VP Information Services COMPANY NAME: Priority Health

Krischa is responsible for the provision of executive leadership to all aspects of the company’s technology efforts, future innovation, and strategic growth. She has over 20 years of technology experience, with more than ten years in the health care industry. She serves on the Michigan Health Information Network (MiHIN) Shared Services board and is also a member of ITEC, the Healthcare Information Management Systems Society (HIMSS) and the Alliance for Health.

PART 2: BUDGETING AND SPENDING

What is your total budget for 2014? Less than 25 Million 25 - 50 Million 50 - 150 Million X 150 - 300 Million X More than 300 Million Other

How is your 2014 budget allocated across these business strategy categories? (as a %) Mandated investments to meet regulatory/legal requirements 25 Investments to maintain/run existing systems and processes 30 Investments to support business innovation 18 Investments to support business growth 27 100%


PART 3: INVESTMENT PRIORITIES How is your 2014 budget allocated across these business Priority within 12 Priority beyond 12 strategy categories? months months ACOs 2 2 Business Intelligence 1 1 Business Process Outsourcing (BPO) 4 4 Care Management 1 1 Claims Management & Processing Technologies 3 3 Cloud Computing 3 3 Consumerization 1 1 Cost Containment 3 3 Customer Engagement 1 1 Data Management 3 3 Data Storage 4 4 Digital Health 1 1 Electronic Data Interchange (EDI) 4 4 Health & Wellness 2 2 Health Funds 3 3 Health Insurance Benefits 2 2 Health Insurance Exchange (HIX) 2 2 Healthcare Reform 3 3 HIPAA 50-10 4 4 ICD - 10 4 4 IT Services 4 4 Medical Assessment Services 4 4 Member Portals 2 2 mHealth 1 1 Payer / Provider Collaboration 1 1 Payment Integrity 4 4 Payment Reform 4 4 Predictive Analytics 2 2 Social Media 3 3 Clinical Data 3 3 Population Health 2 2 Telehealth 1 1 Customer Communication Management 3 3 Multi-Channel Customer Communications 3 3 Document Output Management 3 3 Enrollment Services 4 4 Which topics would you like to see discussed in a Workshop or Panel Discussion? How do you foresee the industry changing over the next 12 months in light of the recent regulatory and legislative changes to healthcare? -


PART 1: REGISTRATION PROFILE Scott & White Health Plan, with over 200,000 members, is integrated with the Scott & White Health hospital network in Central Texas. Recently merged with the Baylor Health System in the DFW area, the combined entity has more than 40 hospitals and 100 clinics. In addition to a large commercial base offering group, individual/family and exchange products, the health plan has 27,000 Medicare and 35,000 Medicaid members.

NAME: James Barker EXECUTIVE TITLE: VP, Medical Director COMPANY NAME: Scott & White Health Plan

Dr. James A. (Jim) Barker is an experienced Physician Executive with a Pulmonary/Critical Care/Sleep clinical background (board certified and licensed in Tx and SC). Jim is VP and Medical Director for Quality Improvement and for Fragile Populations, Scott & White Health Plan (SWHP), Temple, Tx. In addition he still practices part time as Sr. Staff Physician, Pulmonary, Critical Care, and Sleep Disorders, Baylor Scott & White Healthcare. Dr. Barker is also Professor of Medicine, Texas A&M School of Medicine. He has attended numerous IHI programs as well as completing the prestigious Intermountain Health Care Advanced Training Program (ATP) in Quality and Process Improvement as well as Safety in 2011. He directs the Quality Improvement department for SWHP, which is responsible for meeting all NCQA, TDI, HHSC, and CMS quality measures.

PART 2: BUDGETING AND SPENDING

What is your total budget for 2014? Less than 25 Million 25 - 50 Million 50 - 150 Million 150 - 300 Million More than 300 Million X Other

How is your 2014 budget allocated across these business strategy categories? (as a %) Mandated investments to meet regulatory/legal requirements 40 Investments to maintain/run existing systems and processes 20 Investments to support business innovation 20 Investments to support business growth 20 100%


PART 3: INVESTMENT PRIORITIES How is your 2014 budget allocated across these business Priority within 12 Priority beyond 12 strategy categories? months months ACOs 1 1 Business Intelligence 3 3 Business Process Outsourcing (BPO) 4 3 Care Management 1 1 Claims Management & Processing Technologies 4 4 Cloud Computing 4 4 Consumerization 3 3 Cost Containment 1 1 Customer Engagement 1 1 Data Management 4 4 Data Storage 4 4 Digital Health 2 2 Electronic Data Interchange (EDI) 3 3 Health & Wellness 1 1 Health Funds 5 5 Health Insurance Benefits 3 3 Health Insurance Exchange (HIX) 3 3 Healthcare Reform 2 2 HIPAA 50-10 3 3 ICD - 10 3 2 IT Services 4 4 Medical Assessment Services 1 1 Member Portals 2 2 mHealth 3 3 Payer / Provider Collaboration 1 1 Payment Integrity 4 4 Payment Reform 4 4 Predictive Analytics 4 4 Social Media 2 2 Clinical Data 1 1 Population Health 1 1 Telehealth 1 1 Customer Communication Management 3 3 Multi-Channel Customer Communications 3 3 Document Output Management 3 3 Enrollment Services 3 3 Which topics would you like to see discussed in a Workshop or Panel Discussion? Care Management vs Case Management. How do ACOs and managed care work synergistically? What is Medicare going to look like in 5 years? How do you foresee the industry changing over the next 12 months in light of the recent regulatory and legislative changes to healthcare? More programs like Maryland where there are capped budgets.


PART 1: REGISTRATION PROFILE Scott & White Health Plan, with over 200,000 members, is integrated with the Scott & White Health hospital network in Central Texas. Recently merged with the Baylor Health System in the DFW area, the combined entity has more than 40 hospitals and 100 clinics. In addition to a large commercial base offering group, individual/family and exchange products, the health plan has 27,000 Medicare and 35,000 Medicaid members.

NAME: Mitchell Brodsky EXECUTIVE TITLE: VP Medicare Programs COMPANY NAME: Scott & White Health Plan

Mitch has 15 years of Medicare Advantage and Medicaid experience. Prior to joining Scott & White Health Plan as the VP of Medicare Programs, he was the VP/General Manager for Amerigroup/WellPoint's Texas Medicare line of business. He held several executive network management and sales positions at Care1st Health Plan in California and had leadership roles at Blue Cross of California and Arcadian Health Plan/North Carolina. Mitch earned his MBA at Columbia University.

PART 2: BUDGETING AND SPENDING

What is your total budget for 2014? Less than 25 Million 25 - 50 Million 50 - 150 Million X 150 - 300 Million More than 300 Million Other

How is your 2014 budget allocated across these business strategy categories? (as a %) Mandated investments to meet regulatory/legal requirements 15 Investments to maintain/run existing systems and processes 30 Investments to support business innovation 5 Investments to support business growth 50 100%


PART 3: INVESTMENT PRIORITIES How is your 2014 budget allocated across these business Priority within 12 Priority beyond 12 strategy categories? months months ACOs 3 3 Business Intelligence 2 2 Business Process Outsourcing (BPO) 3 3 Care Management 2 2 Claims Management & Processing Technologies 4 4 Cloud Computing 4 4 Consumerization 4 4 Cost Containment 3 3 Customer Engagement 2 2 Data Management 4 4 Data Storage 5 5 Digital Health 5 5 Electronic Data Interchange (EDI) 5 5 Health & Wellness 3 3 Health Funds 5 5 Health Insurance Benefits 3 3 Health Insurance Exchange (HIX) 4 4 Healthcare Reform 3 3 HIPAA 50-10 5 5 ICD - 10 5 5 IT Services 5 5 Medical Assessment Services 3 3 Member Portals 3 3 mHealth 3 3 Payer / Provider Collaboration 2 2 Payment Integrity 4 4 Payment Reform 3 3 Predictive Analytics 3 3 Social Media 3 3 Clinical Data 4 4 Population Health 3 3 Telehealth 4 4 Customer Communication Management 3 3 Multi-Channel Customer Communications 3 3 Document Output Management 5 5 Enrollment Services 3 3 Which topics would you like to see discussed in a Workshop or Panel Discussion? Sales management systems (i.e. CRM) How do you foresee the industry changing over the next 12 months in light of the recent regulatory and legislative changes to healthcare? More value centric


PART 1: REGISTRATION PROFILE Based in Salt Lake City, SelectHealth is a non-profit health insurance company, serving members in Utah and Idaho. SelectHealth is committed to helping members stay healthy, offering superior service, and providing access to the highest quality of care. SelectHealth is recognized as the first commercial health plan in Utah to receive an ‘Excellent’ Accreditation status from the National Committee for Quality Assurance.

NAME: Karl Oldroyd EXECUTIVE TITLE: Director, Applications Support and Security COMPANY NAME: SelectHealth

PART 2: BUDGETING AND SPENDING

What is your total budget for 2014? Less than 25 Million 25 - 50 Million 50 - 150 Million X 150 - 300 Million More than 300 Million Other

How is your 2014 budget allocated across these business strategy categories? (as a %) Mandated investments to meet regulatory/legal requirements 10 Investments to maintain/run existing systems and processes 45 Investments to support business innovation 30 Investments to support business growth 15 100%


PART 3: INVESTMENT PRIORITIES How is your 2014 budget allocated across these business Priority within 12 Priority beyond 12 strategy categories? months months ACOs 1 1 Business Intelligence 2 2 Business Process Outsourcing (BPO) 2 3 Care Management 2 2 Claims Management & Processing Technologies 3 3 Cloud Computing 2 2 Consumerization 2 2 Cost Containment 1 1 Customer Engagement 1 1 Data Management 1 1 Data Storage 2 2 Digital Health 3 3 Electronic Data Interchange (EDI) 2 2 Health & Wellness 2 2 Health Funds 3 3 Health Insurance Benefits 3 3 Health Insurance Exchange (HIX) 3 3 Healthcare Reform 3 3 HIPAA 50-10 3 3 ICD - 10 2 1 IT Services 3 3 Medical Assessment Services 3 3 Member Portals 2 2 mHealth 3 3 Payer / Provider Collaboration 3 3 Payment Integrity 3 3 Payment Reform 3 3 Predictive Analytics 2 2 Social Media 3 3 Clinical Data 3 3 Population Health 3 3 Telehealth 2 2 Customer Communication Management 2 2 Multi-Channel Customer Communications 2 2 Document Output Management 3 3 Enrollment Services 2 2 Which topics would you like to see discussed in a Workshop or Panel Discussion? How do you foresee the industry changing over the next 12 months in light of the recent regulatory and legislative changes to healthcare? -


PART 1: REGISTRATION PROFILE The Governor's Office of Information Technology (OIT) is responsible for the operation and delivery of information and communications technology (ICT) services and innovation across all Executive Branch agencies in the State of Colorado. Our mission is to increase the effectiveness of government through the use of shared information and technology. Our charge is twofold. OIT oversees technology initiatives at the state level, recommending strategies and maximizing efficiencies of service delivery in a cost-effective manner through the application of enterprise technology solutions. Our enterprise approach enables the agile delivery of new applications to state agencies that improve citizen access to government services while increasing accountability and transparency.

NAME: David Luhan EXECUTIVE TITLE: Director of IT COMPANY NAME: State of Colorado

David Luhan is recognized as an innovative leader with a solid track record of pioneering strategic partnerships and leading cross-functional IT teams to accomplish information technology programs across multi-disciplinary business sectors. Mr. Luhan is currently serving as the Director of Information Technology for the Governor’s Office of Information Technology at the State of Colorado. He provides leadership to a diverse workforce within all centers of technology excellence to deliver IT services to the Colorado Department of Labor and Employment. He is a trusted technical advisor and is currently serving on the Governor's Data Advisory Board, advocating best-practices for information management for the State of Colorado.

PART 2: BUDGETING AND SPENDING

What is your total budget for 2014? Less than 25 Million 25 - 50 Million 50 - 150 Million 150 - 300 Million More than 300 Million Other X

How is your 2014 budget allocated across these business strategy categories? (as a %) Mandated investments to meet regulatory/legal requirements 10 Investments to maintain/run existing systems and processes 10 Investments to support business innovation 30 Investments to support business growth 50 100%


PART 3: INVESTMENT PRIORITIES How is your 2014 budget allocated across these business Priority within 12 Priority beyond 12 strategy categories? months months ACOs 4 4 Business Intelligence 3 3 Business Process Outsourcing (BPO) 3 3 Care Management 3 3 Claims Management & Processing Technologies 3 3 Cloud Computing 2 2 Consumerization 3 3 Cost Containment 3 3 Customer Engagement 3 3 Data Management 3 3 Data Storage 2 2 Digital Health 3 3 Electronic Data Interchange (EDI) 3 3 Health & Wellness 3 3 Health Funds 3 3 Health Insurance Benefits 3 3 Health Insurance Exchange (HIX) 3 3 Healthcare Reform 3 3 HIPAA 50-10 3 3 ICD - 10 3 3 IT Services 2 2 Medical Assessment Services 3 3 Member Portals 3 3 mHealth 3 3 Payer / Provider Collaboration 3 3 Payment Integrity 3 3 Payment Reform 3 3 Predictive Analytics 3 3 Social Media 3 3 Clinical Data 3 3 Population Health 3 3 Telehealth 3 3 Customer Communication Management 3 3 Multi-Channel Customer Communications 3 3 Document Output Management 3 3 Enrollment Services 3 3 Which topics would you like to see discussed in a Workshop or Panel Discussion? Innovation, governance and information technology How do you foresee the industry changing over the next 12 months in light of the recent regulatory and legislative changes to healthcare? Data management and security. Application availability, Social media. Claims and Billing


PART 1: REGISTRATION PROFILE Superior HealthPlan (Superior) is a managed health care company that provides health care for many Texans. Superior works with the State of Texas Health and Human Services Commission (HHSC) to bring you STAR (Medicaid), Children’s Health Insurance Program (CHIP), CHIP Perinatal Care, and STAR+PLUS in many cities and counties across Texas. Our sister company, Superior HealthPlan Network, manages the STAR Health program on a statewide basis. Below is information on the programs offered by Superior HealthPlan in partnership with the State of Texas. CHIP Perinatal Care: designed to provide prenatal and delivery services to unborn children of low-income pregnant women who do not qualify for Medicaid. CHIP (including CHIP RSA): health care coverage available to families who earn too much money to qualify for Medicaid, but who can’t afford to buy private insurance. STAR (Medicaid): health care coverage for many low-income families. STAR Health (offered by Superior HealthPlan Network): health care coverage for children/young adults in foster care. If you would like to learn more about the STAR Health program, click here to visit our foster care website. STAR+PLUS (Medicaid): health care coverage for qualified low-income people who are elderly or who have a disability. http://www.superiorhealthplan.com. NAME: Justin Weiss EXECUTIVE TITLE: VP Operations COMPANY NAME: Superior Health Plan

Dr. Justin Weiss, is the Vice President of Pharmacy Operations at Superior HealthPlan, a Centene Company, located in Texas. Dr. Weiss is accountable for development, implementation, and administration of the prescription drug benefit for Superior’s 1 million member health plan with a $1 billion annual drug budget. Superior HealthPlan serves members across the state of Texas Medicaid, Medicare Part D, and Health Insurance Marketplace product. Prior to joining Superior, Dr. Weiss served as Sr. Director of Pharmacy Services for Medica Health Plans, a Minnesota company serving 1.5 million members. Additional past roles include, Director of Pharmacy Services at OptumHealth and Regional Director of Pharmacy Services for Beverly Healthcare. Dr. Weiss is a Certified Geriatric Pharmacist (CGP). Justin received his Doctorate of Pharmacy (Pharm.D) from South Dakota State University and has a Master’s in Business Administration (MBA) from St. Mary’s University of Minnesota. PART 2: BUDGETING AND SPENDING

What is your total budget for 2014? Less than 25 Million 25 - 50 Million 50 - 150 Million 150 - 300 Million More than 300 Million X Other

How is your 2014 budget allocated across these business strategy categories? (as a %) Mandated investments to meet regulatory/legal requirements 10 Investments to maintain/run existing systems and processes 70 Investments to support business innovation 10 Investments to support business growth 10 100%


PART 3: INVESTMENT PRIORITIES How is your 2014 budget allocated across these business Priority within 12 Priority beyond 12 strategy categories? months months ACOs 3 2 Business Intelligence 2 2 Business Process Outsourcing (BPO) 3 3 Care Management 1 1 Claims Management & Processing Technologies 2 2 Cloud Computing 2 2 Consumerization 2 2 Cost Containment 1 1 Customer Engagement 1 1 Data Management 2 2 Data Storage 4 4 Digital Health 3 2 Electronic Data Interchange (EDI) 2 2 Health & Wellness 3 3 Health Funds 3 3 Health Insurance Benefits 1 1 Health Insurance Exchange (HIX) 1 1 Healthcare Reform 2 2 HIPAA 50-10 3 3 ICD - 10 3 3 IT Services 3 3 Medical Assessment Services 2 2 Member Portals 2 2 mHealth 3 3 Payer / Provider Collaboration 2 1 Payment Integrity 2 2 Payment Reform 3 3 Predictive Analytics 1 1 Social Media 3 3 Clinical Data 2 2 Population Health 2 2 Telehealth 2 2 Customer Communication Management 2 2 Multi-Channel Customer Communications 2 2 Document Output Management 3 3 Enrollment Services 4 4 Which topics would you like to see discussed in a Workshop or Panel Discussion? Patient incentive programs to drive behavior change. understanding what it takes to influence patient behavior Medication non-adherence and its cost to the healthcare system Impact of Specialty Pharmaceuticals on practice and payer pharmacy budgets How do you foresee the industry changing over the next 12 months in light of the recent regulatory and legislative changes to healthcare? Cprovider consolidation and mergers between large provider health systems and managed care insurers. This will continue to change the dynamic between payer and providers personalized medicine will continue to evolve with increased biotechnology and drug development specialty pharmaceutical costs are going to overcome an MCO pharmacy budget and bring trememendous risk into the historical actuary models.


PART 1: REGISTRATION PROFILE Touchstone Health is a Medicare Advantage Health Maintenance Organization (HMO) committed to offering comprehensive, affordable, and valuable healthcare to Medicare beneficiaries. In 1998, Touchstone Health was founded by physicians with an innovative mission to enhance the delivery of high quality, cost effective and pro-active healthcare services for those we serve. Touchstone Health transforms the healthcare experience, by orchestrating care between providers, members and families, to one of empowerment – an experience that is compassionate, simple and useful. To this day, Touchstone Health still enforces their mission and values by continuing to serve thousands of Medicare beneficiaries in the NYC service area.

NAME: Mitchell Strand EXECUTIVE TITLE: CMO COMPANY NAME: Touchstone Health HMO

Chief Medical Officer at Touchstone Health HMO (Medicare Advantage plan with members throughout the New York City metropolitan area). My responsibilities include oversight of medical management and medical policies for the Health Plan. Prior to joining Touchstone 7 years ago I enjoyed a 25 year clinical career serving as Chief of Emergency Medicine at Westchester Square Medical Center in the Bronx and as vice-president of MedExcel USA (a multi-practice Emergency Department contract group). As an Assistant Professor of Clinical Medicine at Cornell Medical School I still participate in limited teaching duties and the occasional E.R. shift.

PART 2: BUDGETING AND SPENDING

What is your total budget for 2014? Less than 25 Million X 25 - 50 Million 50 - 150 Million 150 - 300 Million More than 300 Million Other

How is your 2014 budget allocated across these business strategy categories? (as a %) Mandated investments to meet regulatory/legal requirements 15 Investments to maintain/run existing systems and processes 65 Investments to support business innovation 10 Investments to support business growth 10 100%


PART 3: INVESTMENT PRIORITIES How is your 2014 budget allocated across these business Priority within 12 Priority beyond 12 strategy categories? months months ACOs 3 3 Business Intelligence 3 3 Business Process Outsourcing (BPO) 3 3 Care Management 2 1 Claims Management & Processing Technologies 4 4 Cloud Computing 3 3 Consumerization 4 4 Cost Containment 2 2 Customer Engagement 2 2 Data Management 3 3 Data Storage 5 5 Digital Health 2 2 Electronic Data Interchange (EDI) 3 3 Health & Wellness 2 2 Health Funds 4 4 Health Insurance Benefits 3 3 Health Insurance Exchange (HIX) 3 3 Healthcare Reform 2 2 HIPAA 50-10 4 4 ICD - 10 3 2 IT Services 4 4 Medical Assessment Services 2 2 Member Portals 3 3 mHealth 3 3 Payer / Provider Collaboration 2 2 Payment Integrity 3 3 Payment Reform 2 2 Predictive Analytics 4 4 Social Media 3 3 Clinical Data 2 2 Population Health Telehealth Customer Communication Management Multi-Channel Customer Communications Document Output Management Enrollment Services Which topics would you like to see discussed in a Workshop or Panel Discussion? Technology solutions for Bundled Payments Tele-medicine solutions for UM as it relates to MLTC How do you foresee the industry changing over the next 12 months in light of the recent regulatory and legislative changes to healthcare? -


PART 1: REGISTRATION PROFILE United Concordia is a leading national dental carrier that delivers highquality, cost-effective dental programs. Headquartered in Harrisburg, Pa., the company has more than six million members, a network of more than 98,700 unique dentists at 237,900 access points nationwide , an AM Best A- (Excellent) rating and is licensed in all 50 states, D.C. and Puerto Rico. United Concordia has a company-wide dedication and commitment to superior customer service, which is evident in the design, implementation, administration and servicing of its dental benefits programs. For more information about United Concordia products, visit www.UnitedConcordia.com.

NAME: Lynne Hamilton EXECUTIVE TITLE: VP Government Business COMPANY NAME: United Concordia Companies

Lynne Hamilton is the Vice-President of Government Business at United Concordia Companies, Inc. (UCCI). United Concordia is a dental subsidiary of Highmark, Inc and is headquartered in Harrisburg, PA. She is responsible for all aspects of program management for all of UCCI’s Government programs, which includes TRICARE, Veterans Affairs, FEDVIP, and Medicare/Medicaid. She has a bachelor’s degree from Millersville University and 33 years of healthcare experience.

PART 2: BUDGETING AND SPENDING

What is your total budget for 2014? Less than 25 Million 25 - 50 Million 50 - 150 Million 150 - 300 Million X More than 300 Million Other

How is your 2014 budget allocated across these business strategy categories? (as a %) Mandated investments to meet regulatory/legal requirements 30 Investments to maintain/run existing systems and processes 20 Investments to support business innovation 10 Investments to support business growth 40 100%


PART 3: INVESTMENT PRIORITIES How is your 2014 budget allocated across these business Priority within 12 Priority beyond 12 strategy categories? months months ACOs 2 1 Business Intelligence 3 3 Business Process Outsourcing (BPO) 3 2 Care Management 2 2 Claims Management & Processing Technologies 4 4 Cloud Computing 4 4 Consumerization 1 1 Cost Containment 3 3 Customer Engagement 1 1 Data Management 3 3 Data Storage 4 4 Digital Health 2 2 Electronic Data Interchange (EDI) 4 4 Health & Wellness 2 2 Health Funds 5 5 Health Insurance Benefits 2 2 Health Insurance Exchange (HIX) 2 2 Healthcare Reform 1 1 HIPAA 50-10 5 5 ICD - 10 5 5 IT Services 3 3 Medical Assessment Services 4 4 Member Portals 2 2 mHealth 3 3 Payer / Provider Collaboration 2 2 Payment Integrity 4 4 Payment Reform 5 5 Predictive Analytics 3 2 Social Media 2 2 Clinical Data 2 2 Population Health Telehealth Customer Communication Management Multi-Channel Customer Communications Document Output Management Enrollment Services Which topics would you like to see discussed in a Workshop or Panel Discussion? How do you foresee the industry changing over the next 12 months in light of the recent regulatory and legislative changes to healthcare? The political arena will dictate how legacy healthcare systems and models need to change. Increasingly more individual and patient focused.


PART 1: REGISTRATION PROFILE NAME: Troy Jelinek EXECUTIVE TITLE:

Chief Quality & Relationship Officer, SVP Enterprise Strategy Optum

COMPANY NAME: United Health Group

PART 2: BUDGETING AND SPENDING

What is your total budget for 2014? Less than 25 Million 25 - 50 Million 50 - 150 Million 150 - 300 Million More than 300 Million X Other

How is your 2014 budget allocated across these business strategy categories? (as a %) Mandated investments to meet regulatory/legal requirements 20 Investments to maintain/run existing systems and processes 40 Investments to support business innovation 20 Investments to support business growth 20 100%


PART 3: INVESTMENT PRIORITIES Priority within 12 Priority beyond 12 months months (1–High / 5–Low) (1–High / 5–Low) ACOs 1 1 Business Intelligence 3 3 Business Process Outsourcing (BPO) 3 3 Care Management 3 3 Claims Management & Processing Technologies 4 4 Cloud Computing 3 3 Consumerization 1 1 Cost Containment 3 3 Customer Engagement 2 2 Data Management 1 1 Data Storage 3 3 Digital Health 1 1 Electronic Data Interchange (EDI) 4 4 Health & Wellness 2 2 Health Funds 3 3 Health Insurance Benefits 4 4 Health Insurance Exchange (HIX) 1 1 Healthcare Reform 2 2 HIPAA 50-10 4 4 ICD - 10 3 3 IT Services 4 4 Medical Assessment Services 3 3 Member Portals 3 3 mHealth 3 3 Payer / Provider Collaboration 1 1 Payment Integrity 2 2 Payment Reform 4 4 Predictive Analytics 2 2 Social Media 1 1 Clinical Data 3 3 Population Health 1 1 Telehealth 3 3 Customer Communication Management 3 3 Multi-Channel Customer Communications 3 3 Document Output Management 4 4 Enrollment Services 4 4 Which topics would you like to see discussed in a Workshop or Panel Discussion? How do you foresee the industry changing over the next 12 months in light of the recent regulatory and legislative changes to healthcare? How is your 2014 budget allocated across these business strategy categories?


PART 1: REGISTRATION PROFILE ValueOptions® is a health improvement company that specializes in mental and emotional wellbeing and recovery. We have 30 years of experience with a singular focus on behavioral health care. Our areas of expertise include: EAP and Work/Life – our EAP provides confidential, professional counseling, education and referrals. We help people cope daily work/life issues using effective tools and resources. Managed Mental Health and Substance Abuse – we provide confidential access to behavioral health care, helping people with challenges such as depression, stress, anxiety disorders, and addiction. Wellness - We identify health issues before they become unmanageable and equip members with tools and information to prevent chronic illness. ValueOptions delivers innovative, flexible solutions that enable people to improve their health and wellness, no matter how complicated their conditions.

NAME: Christopher Dennis EXECUTIVE TITLE: CMO, Commercial Division COMPANY NAME: ValueOptions

Christopher oversees health plans and employers in California, Michigan, New York, North Carolina and Texas. He represents ValueOptions with the Association of Behavioral Health and Wellness, and is a member of ACMHA: The College for Behavioral Health Leadership. He sits on the board of the Long Island Behavioral Health Management corporation, and serves on the the NCQA Standards Committee, chairing its MBHO Advisory Committee. He is currently focused on achieving operational efficiencies, and improving ValueOptions' clinical offerings whilst providing exceptional service to clients and members alike.

PART 2: BUDGETING AND SPENDING

What is your total budget for 2014? Less than 25 Million X 25 - 50 Million 50 - 150 Million 150 - 300 Million More than 300 Million Other

How is your 2014 budget allocated across these business strategy categories? (as a %) Mandated investments to meet regulatory/legal requirements 40 Investments to maintain/run existing systems and processes 30 Investments to support business innovation 10 Investments to support business growth 20 100%


PART 3: INVESTMENT PRIORITIES How is your 2014 budget allocated across these business Priority within 12 Priority beyond 12 strategy categories? months months ACOs 2 2 Business Intelligence 1 5 Business Process Outsourcing (BPO) 3 3 Care Management 1 1 Claims Management & Processing Technologies 3 3 Cloud Computing 3 3 Consumerization 2 2 Cost Containment 2 2 Customer Engagement 1 1 Data Management 3 3 Data Storage 4 4 Digital Health 3 3 Electronic Data Interchange (EDI) 4 4 Health & Wellness 3 3 Health Funds 4 4 Health Insurance Benefits 3 3 Health Insurance Exchange (HIX) 3 3 Healthcare Reform 1 1 HIPAA 50-10 4 4 ICD - 10 3 3 IT Services 3 3 Medical Assessment Services 4 4 Member Portals 3 3 mHealth 4 4 Payer / Provider Collaboration 1 1 Payment Integrity 3 3 Payment Reform 3 3 Predictive Analytics 1 1 Social Media 3 3 Clinical Data 2 2 Population Health Telehealth Customer Communication Management Multi-Channel Customer Communications Document Output Management Enrollment Services Which topics would you like to see discussed in a Workshop or Panel Discussion? EMR interface How do you foresee the industry changing over the next 12 months in light of the recent regulatory and legislative changes to healthcare? ACA and health Exchange issues


PART 1: REGISTRATION PROFILE Virginia Premier Health Plan is a not-for-profit Managed Care Organization owned by the Virginia Commonwealth University Health System. Virginia Premier is contracted with Virginia’s Department of Medical Assistance Services (DMAS) to provide healthcare services to recipients of Family Access to Medical Insurance Security (FAMIS) and Medicaid's Temporary Aid for Needy Families and Aged, Blind, and Disabled residents. The company also contracts with CMS and DMAS to provide services to Virginia residents who are dually eligible for Medicare and Medicaid. Formed in 1995 with the sole purpose of effectively coordinating healthcare for low-income persons, Virginia Premier currently serves about 175,000 members. NAME: Renee Miskimmin EXECUTIVE TITLE: CMO COMPANY NAME: Virginia Premier Health Plan

Renee Miskimmin, MD, MBA is board certified in Family Medicine and joined Virginia Premier Health Plan as Chief Medical Officer in July of 2012. She presently oversees all aspects of medical management, including pharmacy, health services, quality, and credentialing for both Medicaid and Medicare-Medicaid Plan dual eligible members. In addition, the Virginia Premier member only medical home reports to her. Dr Miskimmin has ten years of managed care experience with Medicaid, Medicare and commercial insurance where she has developed and implemented care management and quality improvement programs at the health plan and practicing physician level.

PART 2: BUDGETING AND SPENDING

What is your total budget for 2014? Less than 25 Million 25 - 50 Million 50 - 150 Million 150 - 300 Million More than 300 Million Other I do not have this information

How is your 2014 budget allocated across these business strategy categories? (as a %) Mandated investments to meet regulatory/legal requirements 100 Investments to maintain/run existing systems and processes 0 Investments to support business innovation 0 Investments to support business growth 0 100%


PART 3: INVESTMENT PRIORITIES How is your 2014 budget allocated across these business Priority within 12 Priority beyond 12 strategy categories? months months ACOs 2 2 Business Intelligence 1 1 Business Process Outsourcing (BPO) 4 4 Care Management 1 1 Claims Management & Processing Technologies 3 3 Cloud Computing 3 3 Consumerization 3 3 Cost Containment 2 2 Customer Engagement 2 2 Data Management 1 1 Data Storage 3 3 Digital Health 3 3 Electronic Data Interchange (EDI) 2 2 Health & Wellness 2 2 Health Funds 3 3 Health Insurance Benefits 4 4 Health Insurance Exchange (HIX) 4 4 Healthcare Reform 2 2 HIPAA 50-10 3 3 ICD - 10 4 4 IT Services 3 3 Medical Assessment Services 3 3 Member Portals 2 2 mHealth 3 3 Payer / Provider Collaboration 1 1 Payment Integrity 4 4 Payment Reform 3 3 Predictive Analytics 2 2 Social Media 2 2 Clinical Data 2 2 Population Health 2 2 Telehealth 3 3 Customer Communication Management 3 3 Multi-Channel Customer Communications 2 2 Document Output Management 2 2 Enrollment Services 4 4 Which topics would you like to see discussed in a Workshop or Panel Discussion? Very interested in how to exchange information with providers around population management, sharing care plans, interactive patient and provider portals. How do you foresee the industry changing over the next 12 months in light of the recent regulatory and legislative changes to healthcare? Health plans being held more accountable for outcomes, tightening budgets, more patient directed care, more emphasis on wellness.


PART 1: REGISTRATION PROFILE A Health Benefit Exchange is a key provision of national health reform that creates a new marketplace for each state to offer health benefits to individuals, families and small businesses. Exchanges can be developed and implemented by the state or by the Federal Department of Health and Human Services. Washington State has chosen to implement a state-based exchange model. The Washington Health Benefit Exchange was created in state statute in 2011 (SSB 5445) and was established as a “public-private partnership” separate and distinct from the state. The Exchange is responsible for the creation of Washington Healthplanfinder, an easily accessible, online marketplace for individuals, families and small businesses to compare and enroll in qualified health insurance plans. The Exchange complies with open public meetings and public disclosure guidelines, but is not subject to other laws that govern state agencies. In 2012, legislation was passed (ESSHB 2319) that established market rules, requirements for QHPs, essential health benefits and more. The Exchange initially started in the state’s Health Care Authority (HCA) and has transitioned to an independent organization.

NAME: Curt Kwak EXECUTIVE TITLE: CIO COMPANY NAME: Washington Health Benefit Exchange

As the Chief Information Officer for Washington Health Benefit Exchange, Curt oversees all technology implementation & maintenance necessary to meet the business requirements of the Exchange, as part of the mandate under the Affordable Care Act & other functions determined by the Washington State Legislature. Curt's organization is responsible for all internal IT systems & functions that maintain the Exchange, as well as development of efficient interfaces & partnerships with different state agencies while providing technology leadership to enable WHBE to achieve the goal of serving the needs of the citizens of WA State.

PART 2: BUDGETING AND SPENDING

What is your total budget for 2014? Less than 25 Million 25 - 50 Million 50 - 150 Million X 150 - 300 Million More than 300 Million Other

How is your 2014 budget allocated across these business strategy categories? (as a %) Mandated investments to meet regulatory/legal requirements 75 Investments to maintain/run existing systems and processes 20 Investments to support business innovation 5 Investments to support business growth 0 100%


PART 3: INVESTMENT PRIORITIES How is your 2014 budget allocated across these business Priority within 12 Priority beyond 12 strategy categories? months months ACOs 2 2 Business Intelligence 2 2 Business Process Outsourcing (BPO) 3 3 Care Management 3 3 Claims Management & Processing Technologies 2 2 Cloud Computing 3 3 Consumerization 3 3 Cost Containment 3 3 Customer Engagement 3 3 Data Management 3 3 Data Storage 3 3 Digital Health 3 3 Electronic Data Interchange (EDI) 3 3 Health & Wellness 3 3 Health Funds 3 3 Health Insurance Benefits 3 3 Health Insurance Exchange (HIX) 2 1 Healthcare Reform 3 3 HIPAA 50-10 3 3 ICD - 10 3 3 IT Services 3 3 Medical Assessment Services 3 3 Member Portals 3 3 mHealth 3 3 Payer / Provider Collaboration 3 3 Payment Integrity 3 3 Payment Reform 3 2 Predictive Analytics 2 2 Social Media 2 2 Clinical Data 3 3 Population Health 3 3 Telehealth 3 3 Customer Communication Management 3 3 Multi-Channel Customer Communications 3 3 Document Output Management 3 3 Enrollment Services 3 3 Which topics would you like to see discussed in a Workshop or Panel Discussion? How do you foresee the industry changing over the next 12 months in light of the recent regulatory and legislative changes to healthcare? -


PART 1: REGISTRATION PROFILE WellCare Health Plans, Inc. provides managed care services targeted to government-sponsored health care programs, focusing on Medicaid and Medicare. Headquartered in Tampa, Fla., WellCare offers a variety of health plans for families, children, and the aged, blind, and disabled, as well as prescription drug plans. The company serves approximately 3.3 million members nationwide as of January 2014. For more information about WellCare, please visit the company's website at www.wellcare.com. NAME: Chuck Beeman EXECUTIVE TITLE: Sr. Director - IT and Enterprise Data Management COMPANY NAME: WellCare

Chuck is a seasoned fortune 500 executive with experience in health care, technology and financial industries. His sixteen years of experience encompasses IT governance, new Medicaid business implementation, implementing M&A, application development, operations and software product development. Chuck has successfully transformed the efficiency of a BI and data management organization to by reducing 30% of turnaround time, implemented an Encounters processing system that allowed WellCare to be compliant with state SLAs - an improvement from 60% to 99%, implemented a new KY Medicaid State in an extremely short timeframe that resulted in WellCare serving more than 200K members, created a HIE strategy to help providers have relevant member information at point of care and health plans to improve quality and reduce cost. Additionally, Chuck has supported the expansion team in responding to several Medicaid and Duals RFPs.

PART 2: BUDGETING AND SPENDING

What is your total budget for 2014? Less than 25 Million 25 - 50 Million 50 - 150 Million X 150 - 300 Million More than 300 Million Other

How is your 2014 budget allocated across these business strategy categories? (as a %) Mandated investments to meet regulatory/legal requirements 20 Investments to maintain/run existing systems and processes 40 Investments to support business innovation 20 Investments to support business growth 20 100%


PART 3: INVESTMENT PRIORITIES How is your 2014 budget allocated across these business Priority within 12 Priority beyond 12 strategy categories? months months ACOs 3 3 Business Intelligence 1 1 Business Process Outsourcing (BPO) 4 4 Care Management 2 1 Claims Management & Processing Technologies 3 3 Cloud Computing 3 3 Consumerization 3 3 Cost Containment 3 3 Customer Engagement 5 5 Data Management 1 1 Data Storage 4 4 Digital Health 3 2 Electronic Data Interchange (EDI) 3 3 Health & Wellness 3 3 Health Funds 3 3 Health Insurance Benefits 3 3 Health Insurance Exchange (HIX) 3 3 Healthcare Reform 3 3 HIPAA 50-10 3 3 ICD - 10 2 2 IT Services 3 3 Medical Assessment Services 4 4 Member Portals 3 3 mHealth 3 3 Payer / Provider Collaboration 2 2 Payment Integrity 5 5 Payment Reform 3 3 Predictive Analytics 2 2 Social Media 3 3 Clinical Data 1 1 Population Health Telehealth Customer Communication Management Multi-Channel Customer Communications Document Output Management Enrollment Services Which topics would you like to see discussed in a Workshop or Panel Discussion? How do you foresee the industry changing over the next 12 months in light of the recent regulatory and legislative changes to healthcare? -


PART 1: REGISTRATION PROFILE Your Health Idaho was established by State law in 2013 to provide an online marketplace where Idaho families and small businesses can go to compare and purchase health insurance. Your Health Idaho is governed by an 18-member Board authorized by the Idaho Legislature to set the rules and regulations for implementing a State-based health insurance exchange.

NAME: Amy Dowd EXECUTIVE TITLE: Executive Director COMPANY NAME: Your Health Idaho, Idaho Health Insurance Exchange

Amy Dowd started her career in healthcare working for a regional BlueCross BlueShield health plan in operations where she held leadership positions in membership and billing, enterprise program management office, and vendor relations. She was also a national practice health care consultant at Ernst & Young LLP, advising several of the largest national health insurance carriers on Affordable Care Act strategy, implementation, and compliance. Amy has over 20 years of experience leading large-scale technology and operational improvement projects across the private, public, and non-profit sectors. Amy started working on the Idaho Health Insurance Exchange, now known as Your Health Idaho, in 2010 leading efforts to define options for implementing an exchange in Idaho. Since May of 2013, she has served as Executive Director of Your Health Idaho, which achieved the second highest exchange enrollment per capita in the nation within four months of launch.

PART 2: BUDGETING AND SPENDING

What is your total budget for 2014? Less than 25 Million 25 - 50 Million 50 - 150 Million 150 - 300 Million More than 300 Million Other X

How is your 2014 budget allocated across these business strategy categories? (as a %) Mandated investments to meet regulatory/legal requirements 90 Investments to maintain/run existing systems and processes 5 Investments to support business innovation 0 Investments to support business growth 5 100%


PART 3: INVESTMENT PRIORITIES How is your 2014 budget allocated across these business Priority within 12 Priority beyond 12 strategy categories? months months ACOs 4 4 Business Intelligence 1 1 Business Process Outsourcing (BPO) 2 2 Care Management 4 4 Claims Management & Processing Technologies 4 4 Cloud Computing 3 3 Consumerization 1 1 Cost Containment 2 2 Customer Engagement 1 1 Data Management 1 1 Data Storage 3 3 Digital Health 5 5 Electronic Data Interchange (EDI) 3 3 Health & Wellness 2 2 Health Funds 3 3 Health Insurance Benefits 1 1 Health Insurance Exchange (HIX) 1 1 Healthcare Reform 1 1 HIPAA 50-10 5 5 ICD - 10 5 4 IT Services 1 2 Medical Assessment Services 3 3 Member Portals 1 1 mHealth 5 5 Payer / Provider Collaboration 2 2 Payment Integrity 3 3 Payment Reform 2 2 Predictive Analytics 4 4 Social Media 1 1 Clinical Data 4 4 Population Health 3 3 Telehealth 5 5 Customer Communication Management 1 2 Multi-Channel Customer Communications 2 2 Document Output Management 4 4 Enrollment Services 1 1 Which topics would you like to see discussed in a Workshop or Panel Discussion? How do you foresee the industry changing over the next 12 months in light of the recent regulatory and legislative changes to healthcare? -



Turn static files into dynamic content formats.

Create a flipbook
Issuu converts static files into: digital portfolios, online yearbooks, online catalogs, digital photo albums and more. Sign up and create your flipbook.