With increased government oversight on healthcare premium rate increases and negative perceptions in the marketplace for increases, health plans are facing a tough environment to justify rate increases.
Listen to pre-conference comments from John Steele and Steve Young.
During Health Plan Rate Setting: Balancing Premium Increases Against Regulatory Oversight, a 45-minute program on December 8, 2010, now available as a training DVD, via On Demand Web access or as a CD-ROM, John Steele and Steve Young, both managing directors, HealthScape Advisors, shared how health plans can develop a sound policy for premium rate increases that will meet with regulatory approval.
You will learn how to:
- Develop sound justifications for premium rate increases;
- Balance rate increases with new health plan reform requirements;
- Examine your organization's book of business for appropriate premium rate increases;
- Address state-by-state requirements for multi-state plans;
- Use product design and product portfolio in the rate setting process;
- Meet multiple levels of regulatory obligations; and
- Ensure that your organization’s medical loss ratio will not impact your ability to raise rates.
HHS' $250 million award to states to increase their monitoring of health plan rate increases combined with regulatory requirements in the Patient Protection and Affordable Care Act demand that health plans put a strong focus on sound rate setting policies.
Don't miss this opportunity to learn what strategies your organization should be using to prepare for this increased scrutiny.
Have questions on our webinar and/or webinar formats? Visit our webinar FAQ.
You can listen to this program right in your office and enjoy significant savings – no travel time or hassle; no hotel expenses. It’s so convenient! Invite your staff members to gather around a conference table to listen to the CD, DVD or the On Demand version.
WHO WILL BENEFIT FROM THIS CONFERENCE?
CEOs, presidents, CFOs, medical directors, health plan executives, physician executives, actuaries, business development and strategic planning directors.
ABOUT OUR PANELISTS:
John Steele
|  | Experience with public payors is good training for negotiations with commercial plans.
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John Steele, managing director at HealthScape Advisors, L.L.C., has been advising healthcare clients for nearly 15 years on business growth, profitability improvement and risk mitigation assignments.
HealthScape Advisors is comprised of experienced healthcare industry experts. The managing directors and employees assist organizations in both navigating the changing healthcare landscape and transforming their businesses to deliver sustainable market value.
Steele began his consulting career at Arthur Andersen, and went on to become managing director at a publicly traded consulting company until he departed to co-found HealthScape Advisors.
Recently, Steele has been assisting clients with the implications of health reform with a specific emphasis on Medical Loss Ratios. He has published articles in both AHIP Coverage and Modern Healthcare Executive and is a speaker on industry issues.
Steele earned a Master in Business Administration from the University of Chicago with a concentration in Strategic Management and Finance. He also received a Bachelor of Arts in Finance from University of Illinois Champaign-Urbana.
Steve Young, managing director at HealthScape Advisors, L.L.C., has focused his career over the past 20 years
advising clients in various segments within the healthcare industry with particular focus on managed care, pharmaceuticals and
medical devices.
HealthScape Advisors is comprised of experienced healthcare industry experts. The managing directors and employees
assist organizations in both navigating the changing healthcare landscape and transforming their businesses to deliver
sustainable market value.
Young began his career at Arthur Andersen where he became partner in 1995. In 2002, he became a founding managing
director of a large consultancy leading the company's efforts for health plan and pharmaceutical industry segments where he
worked until he departed to co-found HealthScape Advisors.
Young earned his Bachelor of Arts in Accounting from Northern Illinois University and is a licensed Certified Public
Accountant in the state of Illinois.
