Open to all coalition directors, staff, invited employers only

Hospital costs, among the fastest-growing expenditures in the US economy, have been notoriously opaque and unsustainable with only 34.5% reported to be fully compliant with the federal Price Transparency Rule. While the battle to curb costs has been going on for decades, only recently have employers/purchasers had access to data enabling them to truly understand just how unresponsive hospitals have been. This workshop provides essential information about plan sponsor fiduciary rights and responsibilities; how to determine what a fair price is; and available options to drive fair price practices in specific markets. 

Experts advise that high-cost claims are one of the most significant threats to employer-sponsored healthcare. Although the management of high-costs claims is diverse and complex, successful market solutions do exist. Learn more about these strategic approaches and how to amplify and elevate the employer/purchaser voice through joint action to create momentum as we solve for emerging issues and challenges. 

Medical trend is on the rise putting pressure on employers to find effective ways to manage healthcare costs without compromising employee wellbeing. During this 90-minute workshop, we will demonstrate the importance of employers understanding their health data. We will explore five key areas: Cancer; GLP1s; digestive health; musculoskeletal (MSK) disorders; and maternity, and highlight how the United Healthcare Hub, a curated network of vendors with point solutions, can enhance the benefits ecosystem. 

Rather than improving drug value and creating an efficient marketplace, the PBM industry has fueled flawed practices that harm employers and American workers. This workshop provides a roadmap for navigating the drug purchasing landscape and insight into how market trends, legislation, PBM misalignment, and scientific advancements will shape healthcare strategies of the future. Real-world case studies explore practical solutions to align PBM services with employer needs and improve employee experiences. Experts will also explain how intermediaries are inflating drug costs and blocking value from reaching employers — and what to do about it. 

For business leaders coping with rapidly evolving workplace issues, one concern is universal: The rocketing costs of healthcare and health insurance. Be inspired to influence and engage your organization’s senior leaders in joining forces with radical changemakers who are driving healthy disruption across the entire healthcare system. It will take all of us to bring rationality back to a healthcare system that, to date, has not held room at the table for plan sponsors. 

Dr. Peter Pronovost, a world-renowned patient safety champion, innovator, critical care physician, and prolific researcher is cracking the code on how hospitals and healthcare systems can transform inefficiencies that compromise patient care and drive costs into the stratosphere. The secret to finally fulfilling the promise of delivering exceptional healthcare at an affordable price? Operationalizing love. And he has the data to prove it. Learn how the simple, yet powerful, care model for transformation at University Hospitals – believe, belong, build – leads to remarkable results that lower costs, improve patient experience, and save lives.  

By invitation only

The 340B Drug Pricing Program is crucial for reducing drug costs for underserved populations by allowing certain healthcare providers to purchase drugs at discounted prices. However, many employers and purchasers are unaware of its impact on their healthcare costs. This lack of awareness can lead to misconceptions about the program's scope and benefits, hindering efforts to address the underlying issues related to drug pricing and access. 

Educating employers and purchasers about the 340B program's mechanics and its potential effects on overall healthcare expenses is essential. Greater understanding can foster more informed discussions and strategies to manage drug costs effectively and ensure that all stakeholders are working toward a fairer, more transparent healthcare system. 

As employers engage workers from four distinct generations, the group they have the least experience with is Generation Z — the youngest members of the workforce, born between 1997 and 2012. While ample research exists about how Gen Z views work-related topics like career goals; purpose and fulfillment; and work-life balance, fewer studies have focused on how employers can support this generation’s health and productivity. Through surveys, interviews, and focus groups, Fidelity Health® Thought Leadership research revealed one major reason employers should refashion their health benefits for the next generation: Many Gen Z workers don’t feel “well.” Across all key aspects of wellbeing, Gen Z employees appear to struggle more than employees of other generations, with the most significant gaps in mental health and work life. 

In this session, attendees will learn how to construct a comprehensive toolbox for assessing the value of health technologies, pharmaceutical drugs, and more. By utilizing trusted and unconflicted value assessments, purchasers can make informed decisions that optimize health investments. The session will cover essential tools and strategies to evaluate cost-effectiveness, clinical outcomes, and overall value, empowering purchasers to navigate the complex landscape with confidence. Join us to enhance your decision-making capabilities and ensure your organization’s health investments are both strategic and impactful. 

Major Depressive Disorder (MDD) is a prevalent and debilitating mental health condition that imposes significant costs and burdens on both patients and employers. Patients with inadequately treated MDD experience a diminished quality of life (QOL), leading to reduced workplace productivity and increased expenses for employers. This presentation focuses on these critical areas and opens a dialogue on how employers can effectively contribute to the health and productivity of their workforce. 

Join the Alliance for Women’s Health & Prevention (AWHP) and Diabetes Leadership Council (DLC) for a discussion on the impact of obesity on women and opportunities for employers to holistically support women employees’ health. In this conversation, National Alliance CEO Shawn Gremminger will chat with AWHP CEO Millicent Gorham and DLC CEO George Huntley to explore how employers, women’s health and obesity care advocates can work together to advance comprehensive obesity care coverage and support in the workplace.  

Recent health system innovations provide encouraging evidence that greater coordination of medical and social services can improve health outcomes and reduce costs. Since physical environment and socio-economic factors drive 50% of health, employers must help reduce the impact of these factors to improve workforce health and reduce health benefits costs. Learn how to address social determinants of health by optimizing data, which can lead to at least a 10% reduction in costs from employees who report that all of their social needs have been met. 

Building a comprehensive mental health strategy requires an impact-driven approach that incorporates the insights and support of health plans, vendors, and employers in ways that are accessible and accountable. Investing in employee mental health leads to healthy financial returns and a high-performing workforce. You will come away from this session with recommended practices and practical implementation ideas.  

The Consolidated Appropriations Act of 2021 (CAA) is in full swing and impacting employers. Recent lawsuits and the Department of Labor (DOL) activity are highlighting the importance of understanding your fiduciary duties and responsibilities on your health care plan. Navigating these new regulations and requirements can lead to significant cost savings but, if ignored, can result in substantial liabilities.

The CAA 2021 presents a major compliance challenge, comparable to the Affordable Care Act of 2009. This program provides a comprehensive educational program, with hands-on, peer-to-peer interactive sessions facilitated by subject experts and covers essential aspects of healthcare plan management and fiduciary duties.

Employers are increasingly determined to control rising healthcare costs. This program aims to establish a prudent process for reducing organizational liabilities through effective management and oversight of employer-sponsored healthcare plans.

This event is by invitation only and exclusively open to employers who registered for the pre- and post-conference webinars.

(Please contact Karlene Lucas with questions)

Open to PBM Hub attendees, faculty, and invited guests only