ANI to Highlight State Insurance Marketplace Strategies
Given the uncertainty in how states will implement insurance coverage under the Affordable Care Act, HFMA will be offering special coverage of this issue at the upcoming ANI: The HFMA National Institute, June 16-19 in Orlando.
The structure of state health insurance marketplaces (formerly known as exchanges) is still in flux, despite an October 2013 deadline for open enrollment. Adding to the confusion is the uncertainty in states’ decisions about whether to expand Medicaid coverage, as reported in this issue of hfm. Provider organizations that are unprepared for these changes run a considerable risk, according to Jon Kingsdale, who served as the executive director of the groundbreaking Massachusetts insurance exchange and is a featured speaker at this year’s ANI. “If there is a lot of demand on your state’s exchange, if it affects competition among payers, or if it starts to create new kinds of relationships between health plans and providers, then by not anticipating and responding to these changes, your organization risks being left behind,” Kingsdale said in an interview with HFMA.
HFMA has established a group of ANI sessions that will highlight the direction of reform, strategies and tactics to respond, and solutions to implement. In addition to Kingsdale’s session on Wednesday afternoon, these keynote and featured-speaker sessions will highlight the direction of reform and payment:
- Former CMS Administrator Don Berwick: Transitioning to Value: Barriers, Solutions, and Opportunities
- Deloitte’s Paul Keckley: The Road Ahead: Effects of Healthcare Reform in the Coming Decade
- Blue Cross Blue Shield Association’s Robert J. Kolodgy: Transforming the Payer-Provider Relationship to Improve Value
These breakout sessions will show the specific strategies and tactics to manage the transition:
- Understanding State Health Exchanges to Optimize Managed Care Contracts
- Reimbursement, Payment, and Accounting Strategies in the Changing Healthcare Environment
- The Changing Landscape of Healthcare Reform: Washington Update
- Minding the Gap: Financial Planning to Guide the Volume-to-Value Transition
ANI also features more than 400 exhibitors with solutions from managed care contracting to revenue cycle improvement to business intelligence that aim to improve contracting and payment. The exhibit hall is open for the Sunday opening night reception at 6:00 PM, for lunch on Monday and Tuesday from 11:15 AM – 2:30 PM, and for a reception on Monday at 4:00 PM.