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Day I | Day III

AGENDA: DAY II
Tuesday, May 12, 2015


MORNING PLENARY SESSION
8:00 am

Welcome and Introduction to Day II: Morning Plenary Session and Keynote Address: The Confluence of Public and Private Exchanges/Marketplaces

Jon M. Kingsdale, PhD
Managing Director, Wakely Consulting Group; Visiting Lecturer on Health Care Policy, Department Health Care Policy, Harvard Medical School; Former Executive Director, Commonwealth Health Insurance Connector Authority, Boston, MA (Co-chair)

    Speaker Bio

    Jon Kingsdale, Ph.D., is an executive, policymaker, strategist and speaker with extensive experience in health care financing, provider reimbursement, insurance product development and marketing, public affairs and general management. He has worked in health insurance, government, consulting, academia and journalism.

    Dr. Kingsdale is Managing Director and co-founder of the Boston office of Wakely Consulting Group. Prior to his current position, Jon was the founding Executive Director of the Commonwealth Health Insurance Connector Authority, an independent authority established in 2006 under Massachusetts' landmark health reform legislation. The Massachusetts experience was fundamental to national reform and the model for insurance reform and exchanges under the federal Patient Protection and Affordable Care Act of 2010.

    As a senior executive at the Tufts Health Plans for twenty years, Jon was responsible for strategic planning, product development, public affairs and government relations.
PUBLIC EXCHANGES/MARKETPLACES
8:30 am

Roundtable on the Federally Facilitated Exchange/Marketplace and How it can Support States

Susannah Buckley-Green
Director, US Healthcare Practice, Burson-Marsteller, Chicago, IL

    Speaker Bio

    Susannah Buckley-Green is Director on the US Healthcare practice for Burson-Marsteller and represents the New Mexico Health Insurance Exchange providing strategy, media relations, social media, enrollment assistance, training, public affairs and governance support.

    Burson also represents Your Health Idaho, Idaho's Exchange and has worked on Idaho's branding, marketing, media relations, policy, operations, training and governance efforts.

    Before Burson, Susannah most recently worked for the Blue Cross and Blue Shield Association (BCBSA) in Washington, D.C. Her work for The Blues' specifically focused on communicating policy changes and recommendations for the implementation of the ACA in Washington and supporting the message of the importance of local, state-based insurance regulation.
Kevin J. Counihan
Director and Marketplace Chief Executive Officer, Center for Consumer and Information and Insurance Oversight, Centers for Medicare and Medicaid Services; Former Chief Executive Officer, Connecticut, Health Insurance Exchange; Former President, Choice Administrators Exchange Solutions, Hartford, CT

    Speaker Bio

    Kevin Counihan joined the Department after most recently serving as the CEO of AccessCT, the state of Connecticut's health insurance exchange. As the AccessCT CEO, Kevin led the successful implementation of the state's marketplace where enrollment exceeded expectations. Additionally, he was the Director of Marketing for the Massachusetts Connector during Massachusetts' implementation of their health reform initiative.

    In his role as Marketplace CEO, Kevin is responsible and accountable for leading the federal Marketplace, managing relationships with state marketplaces, and running the Center for Consumer Information and Insurance Oversight (CCIIO), which regulates health insurance at the federal level. Kevin has over 25 years of experience in the commercial health insurance industry. He is an experienced senior executive with more than three decades of success in business, marketing, operations, product development and strategic planning for health care organizations.
Gary Cohen, Esq.
Principal, Gary M Cohen Consulting; Former Director, Center for Consumer Information and Insurance Oversight, US Department of Health and Human Services; Former General Counsel, Covered California, San Francisco, CA

    Speaker Bio

    I have had 30 years of legal, business and regulatory experience, including positions at the highest levels of state and federal government. In this time of unprecedented change, opportunity and risk, my combination of background and expertise make me uniquely qualified to help clients in the healthcare and insurance industries successfully navigate the policy, regulatory and operational challenges they face.

    As Director of the Center for Consumer Information and Insurance Oversight at HHS, I worked with senior Obama Administration officials, state insurance regulators, health plans and other stakeholder groups to put into place the market-wide reforms required by the ACA, and to stand up the federal and state Marketplaces.

    As General Counsel to the California Health Benefit Exchange (CoveredCA) and to the California Department of Insurance, I was chief legal advisor on a broad range of legal, policy and regulatory matters. I dealt with two major health plan mergers, reform of the standard disability policy language permitted in the state, and settlement of bid-rigging allegations against major insurance brokers, among other issues.

    I have also served as General Counsel of the California Public Utilities Commission, where I led the legal strategy in response to the state's energy crisis of 2001-02. I was Chief Counsel at Fireman's Fund Insurance Company and a partner at the law firms of Sonnenschein Nath Rosenthal (now Dentons LLP) and Keker & Van Nest, where I represented clients in complex commercial litigation and white collar criminal defense.
Joel Ario, M.Div., JD
Managing Director, Manatt Health Solutions; Former Director, Office of Health Insurance Exchanges, US Department of Health & Human Services; Former Pennsylvania Insurance Commissioner; Former Executive Director, Oregon State Public Interest Research Group, Washington, DC (Moderator)

    Speaker Bio

    Mr. Ario is a managing director of Manatt Health Solutions. He has 30 years of experience helping to shape and implement public policy, including nearly two decades devoted to leading health reform efforts at the state and federal government levels. He provides strategic consulting and policy analysis to assist state governments, health plans and foundations in understanding and navigating healthcare reform, with a particular emphasis on how public Marketplaces and private exchanges will reshape the healthcare landscape. Mr. Ario previously served as the first Director of the HHS Office of Health Insurance Exchanges (2010-2011). Prior to his federal service, Mr. Ario was the Pennsylvania Insurance Commissioner (2007-2010), Oregon Insurance Commissioner (2000-2007), and served on the Executive Committee of the National Association of Insurance Commissioners (NAIC) for a decade. He received his J.D. from Harvard Law School, M. Div. from Harvard Divinity School, and a B.A. from Saint Olaf College.
SHARED PUBLIC/PRIVATE EXCHANGE TECHNOLOGY ISSUES
9:30 am

Exchange/Marketplace Technology Issues and Innovations

Maydad Cohen
Senior Vice President and General Manager, hCentive, Inc.; Former Special Assistant to the Governor, Commonwealth of Massachusetts, Reston, VA

    Speaker Bio

    Maydad is responsible for government solutions at hCentive, including business development, implementation and delivery to state and federal governments. Prior to hCentive, Maydad was the Special Assistant to the Governor for Project Delivery in the Commonwealth of Massachusetts. He led the implementation team that successfully delivered an integrated eligibility system in time for a successful Open Enrollment. Maydad has held a number of positions in the Massachusetts state government, including Deputy Chief of Staff for Policy and Cabinet Affairs for the Governor and the Chief of Staff to the Secretary of Labor and Workforce Development. Prior to Massachusetts, Maydad was a labor and employment attorney in the private practice. He graduated from American University's Washington College of Law.
Don Garlitz
Leader, Exchange Solutions, bswift; Former Vice President and Partner, FirstWest Benefit Solutions, Salt Lake City, UT

    Speaker Bio

    Don brings important strategic leadership to bswift's Exchange Solutions division. Don leads carrier product procurement for bswift's Springboard Marketplace and contributes to the development of consumer-facing technology, including bswift's proprietary Ask Emma decision support tool. Prior to joining bswift, Don co-authored the white paper used by Utah's legislative leadership as an outline for the creation of the Utah Health Exchange's multi-carrier, employee-choice small business exchange, which was established prior to passage of the Affordable Care Act. He received a formal commendation from Utah Governor Gary Herbert for outstanding work as a health reform consultant to the Governor's Office of Economic Development.
Kevin P. Kelly
Principal and Leader, Public Sector Practice, Deloitte Consulting LLP, Portland, OR

    Speaker Bio

    Kevin is a principal & leader of the Public Sector practice of Deloitte with over 25 years of experience in helping public sector and health insurance clients to define and ultimately achieve their organizational visions through IT solutions & enablement, program modernization, and enterprise risk assessment. Kevin's team has developed the most comprehensive Health Insurance solution offering, and has worked with multiple states helping them confirm their understanding of PPACA to develop an implementation roadmap. Kevin has full depth of knowledge around the business, information, and technical architecture standards and guidance for Exchange services. Kevin brings multiple years of experience helping Health Plans define and implement membership, benefit, and billing solutions that drive their core business and help many HHS clients with case-based solutions. He has experience in managing systems integration and implementing both configurable packages and custom solutions for commercial health plans and state government; including case management and public and private health insurance organizations. Kevin has extensive management, design and implementation experience with large-scale systems projects, developing a strong sense of team and executing change, both across and within organizations.

    Kevin led "kynect", Kentucky's Health Insurance Exchange (HIX) system since inception - one of the few successful states to go live at the end of 2013. Kevin currently leads the HIX practice of Deloitte with active roles in the states of Maryland, Oregon, Nevada & Minnesota.
Chini Krishnan, MS
Chief Executive Officer and Co-founder, GetInsured; Former Chairman and Chief Technology Officer, Valicert Inc., Joliet, IL

    Speaker Bio

    Chini Krishnan is Founder and CEO of GetInsured, the leading provider of online technology for the millions of consumers, businesses and state governments who need easy access to affordable health insurance. GetInsured is venture-backed by Bessemer Venture Partners, Trinity Ventures, Partech International and River Street Management.

    Previously Chini founded Valicert, a leader in public-key infrastructure validation, which went public in 2000. He also worked for Enterprise Integration Technologies, where he was involved in releasing the world's first secure web browser.

    Chini holds an M.S. and B.S. in Computer Science from Duke University and the Indian Institute of Technology respectively.
Philip Poley, MA
Managing Director, Accenture; Former Chief Operating Officer, Medicaid, Commonwealth of Massachusetts, Charlotte, NC

    Speaker Bio

    A previous boss described me as a change agent--a great compliment and an apt description. Regardless of the setting, I develop a vision for an improved future state and drive relentlessly forward. In so doing, I balance collaboration and attention to process with leadership, determination and a focus on facts and data. I constantly seek opportunities to leverage existing resources and create advantages and synergies with internal colleagues and external forces. I've applied these approaches in a variety of sectors--government, technology, consulting, health care, publishing--and have acquired valuable subject matter expertise in each setting. I continue to seek new opportunities to challenge myself while adding value to my employer.

    Specialties: Understanding the essence of a business problem/objective and using technology effectively to deliver results; Identifying and activating the levers of health care transformation; Strategic planning; Operations management and re-design; Contract negotiation; Vendor management; Communications and media relations; Policy formulation and implementation.
Daniel J. Schuyler
Director, Leavitt Partners; Former Director of Technology, Utah Health Insurance Exchange; Former Manager, Utah Department of Environmental Quality, National Environmental Information Exchange Network, Salt Lake City, UT (Moderator)

    Speaker Bio

    Dan Schuyler is the Senior Director of Exchange Technology at Leavitt Partners where he helps guide the firm's health insurance exchange practice. He brings to the firm applied experience in the development and implementation of health insurance exchanges.

    Prior to his work with Leavitt Partners, Mr. Schuyler was the Director of Technology for the Utah Health Insurance Exchange where he was responsible for defining the technical goals and business processes associated with the exchange. Utah's exchange was only the second of its kind in the United States when created in 2009. The exchange allows residents and business owners to shop, compare, and buy health insurance plans online.
10:30 am Break
11:00 am

Debating the Proposition that States Should Outsource Operating Their Public Marketplaces

Patrick Kelly
Executive Director, Idaho Health Insurance Exchange, Boise, ID

    Speaker Bio

    Patrick Kelly joined the Exchange as Director of Finance is Patrick Kelly, a Boise native and local small business founder. Patrick has more than twenty years of diverse financial experience covering a wide range of industries including telecommunications, manufacturing and business consulting. Pat is responsible for oversight, strategic direction and day-to-day implementation of the financial operation of the Exchange.
Peter V. Lee, JD
Executive Director, California Health Benefit Exchange; Former Director of Delivery System Reform, Office of Health Reform, The White House; Former Chief Executive Officer, Pacific Business Group on Health, San Francisco, CA

    Speaker Bio

    Peter Lee is the Executive Director of Covered California. Peter reports directly to the Covered California Board and serves at its pleasure. Most recently, Peter served in the Obama Administration, helping establish the new Center for Medicaid and Medical Innovation. He has served as the Director of Delivery System Reform at the federal Health and Human Services' Office of Health Reform. Peter lead the Pacific Business Group on Health (PBGH), first as CEO and then as the Executive Director of National Health Policy. Prior to PBGH, Peter was the Executive Director of the Center for Health Care Rights, a consumer advocacy organization based in Los Angeles.
Carolyn A. Quattrocki, JD
Executive Director, Maryland Health Benefit Exchange; Former Executive Director, Maryland Governor's Office of Health Care Reform, Annapolis, MD

    Speaker Bio

    Carolyn Quattrocki is the Executive Director for the Maryland Health Benefit Exchange. Prior to her appointment, she served as Executive Director of the Governor's Office of Health Care Reform and Deputy Legislative Officer and health policy advisor in the Governor's Legislative Office, with primary responsibility for health care, insurance, and labor issues. Ms. Quattrocki also worked as a Special Assistant to Maryland Attorney General J. Joseph Curran, Jr., was a litigation associate at the law firm of Arnold & Porter in Washington, D.C., and a law clerk for the Honorable Frank A. Kaufman, Chief Judge of the United States District Court for the District of Maryland. Ms. Quattrocki has a law degree from Yale University and a B.A. from Northwestern University.
Jon M. Kingsdale, PhD
Managing Director, Wakely Consulting Group; Visiting Lecturer on Health Care Policy, Department Health Care Policy, Harvard Medical School; Former Executive Director, Commonwealth Health Insurance Connector Authority, Boston, MA (Moderator)

    Speaker Bio

    Jon Kingsdale, Ph.D., is an executive, policymaker, strategist and speaker with extensive experience in health care financing, provider reimbursement, insurance product development and marketing, public affairs and general management. He has worked in health insurance, government, consulting, academia and journalism.

    Dr. Kingsdale is Managing Director and co-founder of the Boston office of Wakely Consulting Group. Prior to his current position, Jon was the founding Executive Director of the Commonwealth Health Insurance Connector Authority, an independent authority established in 2006 under Massachusetts' landmark health reform legislation. The Massachusetts experience was fundamental to national reform and the model for insurance reform and exchanges under the federal Patient Protection and Affordable Care Act of 2010.

    As a senior executive at the Tufts Health Plans for twenty years, Jon was responsible for strategic planning, product development, public affairs and government relations.
12:00 pm Networking Luncheon

AFTERNOON PLENARY SESSION
1:00 pm

Exchange/Marketplace Financial Sustainability

Nicole Comeaux, JD, MPH
Deputy Executive Director, Kentucky Health Benefit Exchange; Former Deputy Director (Acting), State Operations Division, Center for Consumer Information & Insurance Oversight, CMS, Frankfort, KY

    Speaker Bio

    Nicole Comeaux is the Deputy Executive Director of kynect, Kentucky's Health Benefit Exchange. Prior to joining kynect, in 2014, Nicole served as the Acting Deputy Director for the State Operations Group in CMS's Center for Consumer Information and Insurance Oversight (CCIIO). Also at CCIIO, from 2012-2014, she served as a Health Insurance Specialist, managing the federal oversight of the establishment of State-based Health Insurance Marketplaces in California, Kentucky and New Mexico. From 2010-2012, she served as a Health Policy Analyst in the Federal Office of Rural Health Policy within the US DHHS conducting analysis and revision of ACA regulations that impacted HRSA safety net providers and populations. Nicole earned her J.D. with a certificate in Health Law from Saint Louis University School of Law, and her M.P.H. in Health Policy from Saint Louis University School of Public Health. She received her B.A. in Psychology from the University of San Diego.
Patrick Kelly
Executive Director, Idaho Health Insurance Exchange, Boise, ID

    Speaker Bio

    Patrick Kelly joined the Exchange as Director of Finance is Patrick Kelly, a Boise native and local small business founder. Patrick has more than twenty years of diverse financial experience covering a wide range of industries including telecommunications, manufacturing and business consulting. Pat is responsible for oversight, strategic direction and day-to-day implementation of the financial operation of the Exchange.
Mila Kofman, JD
Executive Director, Washington, DC Health Benefit Exchange; Former Maine Superintendent of Insurance, Washington, DC

    Speaker Bio

    Mila Kofman is the Executive Director of the DC Health Benefit Exchange Authority. Appointed to the position by a unanimous vote of the Board of Directors, Kofman is a nationally recognized expert on private health insurance markets and has worked with states and all stakeholders to implement health insurance reforms. Her approach is informed by her hands-on experience as the former Superintendent of Insurance in Maine implementing health insurance reforms, being a former federal regulator working with states to implement HIPAA reforms of the 1990s, studying state-based reform efforts and markets, and working with employer purchasing coalitions seeking to leverage purchasing power for sustainable financing of medical care. Ms. Kofman holds a J.D. from Georgetown University Law Center and a B.A. in Government and Politics from the University of Maryland (summa cum laude).
Anya Rader Wallack, PhD
Executive Director, HealthSource Rhode Island; Former Special Assistant to the Governor for Health Reform, State of Vermont; Former Executive Director, Massachusetts Medicaid Policy Institute, Providence, RI

    Speaker Bio

    Anya Rader Wallack was recently appointed Director of HealthSourceRI by Governor Gina Raimondo. Anya has lived in Rhode Island and run her own health policy consulting firm for the past 15 years. Her consulting focus is state and federal health policy, including Medicaid policy, the effect of national health reform on states and health care payment and delivery system reform. Anya served as Chair of Vermont's Green Mountain Care Board from 2011-2013. The Board oversees cost control and provider payment innovation in Vermont.
Daniel J. Schuyler
Director, Leavitt Partners; Former Director of Technology, Utah Health Insurance Exchange; Former Manager, Utah Department of Environmental Quality, National Environmental Information Exchange Network, Salt Lake City, UT (Moderator)

    Speaker Bio

    Dan Schuyler is the Senior Director of Exchange Technology at Leavitt Partners where he helps guide the firm's health insurance exchange practice. He brings to the firm applied experience in the development and implementation of health insurance exchanges.

    Prior to his work with Leavitt Partners, Mr. Schuyler was the Director of Technology for the Utah Health Insurance Exchange where he was responsible for defining the technical goals and business processes associated with the exchange. Utah's exchange was only the second of its kind in the United States when created in 2009. The exchange allows residents and business owners to shop, compare, and buy health insurance plans online.
PRIVATE EXCHANGES/WEB BROKERS
2:00 pm

Group Market Private Exchanges: Serving Small, Mid-Sized and Large Employers

Alan Cohen, MBA
Chief Strategy Officer and Co-Founder, Liazon Corporation; Former Chief Executive Officer and Co-Founder, Online Benefits, New York, NY

    Speaker Bio

    Alan is Liazon Chief Strategy Officer and Co-Founder. Prior, Alan was CEO and Co-Founder of Online Benefits, a leading benefits management and communication technology firm. He led Online Benefits through its sale to A.D.A.M., and then served as President of A.D.A.M. Beforehand he worked for Prudential, Mass Mutual, CIGNA, and managed an insurance brokerage. Alan is a graduate of Cornell University (BA), Columbia Business School (MBA) and London Business School (MBA), where he won the Award for Academic Excellence.

    Alan is sought out for expert commentary and has appeared in Bloomberg/BusinessWeek, The New York Times, and USA Today, amongst others.
Shan Fowler
Director of Product Management, Marketplaces, Benefitfocus; Former Senior Program Manager, Social Media Strategy & Operations, AOL, Charleston, SC

    Speaker Bio

    Shandon Fowler is the Director of Product Management for Marketplaces at Benefitfocus, a leading provider of cloud-based benefits software solutions, where he formulates, develops and deploys the company's private exchange solutions. Benefitfocus' development and launch of a broad spectrum of private exchange solutions has given Fowler a unique, consumer-driven perspective on the rapidly evolving benefits landscape. Previously, Fowler was a Senior Program Manager for Social Media Strategy at AOL and the Director of Online/Print Media and Publications for the Tribeca Film Festival. He's received recognition from the Webby Awards, eHealthcare Strategy, Communication Arts, The Effie Awards, and the Society of Professional Journalists.
Karen Frost, MBA
Vice President of Health Solutions and Strategies, Aon Hewitt, Chicago, IL

    Speaker Bio

    Karen Frost is the Senior Vice President of Health Strategy and Solutions at Aon Hewitt. In her role, she delivers innovative solutions to employers and employees that improve health, well-being and productivity. Karen is an architect of Aon Hewitt's Active Health Care Exchange and a member of Aon's Senior Leadership Team.

    Karen is based in Lincolnshire, Illinois and has more than 25 years of experience building and innovating health solutions. Karen earned a BA in Business and French from Lake Forest College, an MBA from The University of Chicago Booth School of Business, and is a Certified Employee Benefits Specialist.
Simeon Schindelman
Chief Executive Officer and Chairman, Bloom Health; Former Senior Vice President of Commercial Markets, Medica, Minneapolis, MN

    Speaker Bio

    With 30 years of industry experience, Simeon is an authority on group health insurance for employers of all sizes. During the last fifteen years he has become a recognized expert in sales and distribution, product strategy, and operations. He has used these tools, along with his passion for injecting creativity into the world of insurance, to lead a series of varied health insurance businesses to historical highs in market share, growth, and profitability. Simeon has done this on national, regional, and local scales, and across all sizes and funding arrangements.

    Simeon joined Bloom Heath from Medica Health Plans, where as Senior Vice President of Commercial Markets he launched the insurer's private insurance exchange - My Plan by Medica, powered by Bloom Health -- which soon became the largest carrier-sponsored private exchange in the nation and included the industry's first offering of health systems within a private exchange.
Mark A. Hall, JD
Fred D. & Elizabeth L. Turnage Professor of Law and Public Health, Wake Forest University, Winston Salem, NC (Moderator)

    Speaker Bio

    Mark A. Hall is the Fred and Elizabeth Turnage Professor of Law and Public Health at Wake Forest University, where he has appointments in the Schools of Law, Medicine, and Business. Prof. Hall specializes in health care law and public policy, with a focus on economic, regulatory and organizational issues. He is the lead editor of the original textbook in the field, Health Care Law and Ethics (8th ed., Aspen, 2013) and he has written books on various aspects of health care law and public policy for Oxford University Press, the American Enterprise Institute, and Harper-Collins. Professor Hall is currently studying implementation of health insurance reform; safety net access for the uninsured; and the legal and ethical implications of consumer-driven health care.
3:00 pm Break
3:15 pm

Web Broker Entities and Private Exchanges Serving the Individual Market

John Barkett, MBA
Director of Health Policy Affairs, Towers Watson, San Mateo, CA

    Speaker Bio

    John Barkett is the director of policy affairs for the Exchange Solutions line of business of Towers Watson. He previously worked for Extend Health, the nation's largest private Medicare exchange, before it was acquired by Towers Watson in 2012. John is responsible for strategy development as it pertains to both federal and state health policy, as well as the product development and marketing of Towers Watson's various exchange solutions.

    Before joining Extend Health, John spent two and a half years in Washington, D.C., where he contributed to the writing, passage, and implementation of the Patient Protection and Affordable Care Act. John served on the health subcommittee staff of the Ways and Means Committee in the House of Representatives in 2009 where he drafted and negotiated the final details of legislation aimed at reducing fraud in the Medicare program. After the bill's passage, John joined the staff of the Office of Health Reform in the Department of Health and Human Services, where he helped guide the implementation of those sections of the Affordable Care Act related to delivery system reform.

    Previously, John worked for athenahealth, Inc., a revenue-cycle management and electronic medical record company, and Medica HealthCare Plans, Inc., a Medicare Advantage plan. John earned an MBA in health care management from the Wharton School of the University of Pennsylvania, where he won the Robert D. Eilers Award for health care innovation and service to the community. He graduated cum laude from Harvard College, with a bachelor's degree in economics and a secondary field in health care policy.
Shane Cruz
Chief Technology Officer, GoHealth; President, Association of Web-Based Health Insurance Brokers, Chicago, IL

    Speaker Bio

    Since 2004, Shane Cruz has helped build GoHealth from a startup to the nation's leading private health insurance exchange. As CTO, he is responsible for setting strategic product direction, overseeing software development and operations, and building technology partnerships. Under Cruz's leadership, GoHealth became the first WBE to enroll consumers in subsidized health plans under the Affordable Care Act. Cruz is also a founding member and the president of the Association of Web-based Health Insurance Brokers (AWHIB). Prior to GoHealth, Cruz held technical leadership positions at Convergys and the MIT Media Lab. He holds both a bachelor's and master's degree from the Massachusetts Institute of Technology.
Samuel C. Gibbs III
Executive Director, HealthPocket, Inc.; Former President, eHealth Government Systems, eHealth, Inc., Washington, DC

    Speaker Bio

    Sam Gibbs is Executive Director for HealthPocket, Inc. Previously he spent 15 years at eHealth, Inc. serving as President of Government Systems responsible for new technology solutions for public and private health insurance exchanges. Prior to joining eHealth in 2000, Gibbs was founder and president/CEO of AVCOM Systems, Inc. Under his leadership, AVCOM grew to nationwide enterprise and Internet-systems-integration concern before being acquired by Rand Worldwide. Mr. Gibbs holds a B.S. degree in Aeronautical Technology from Arizona State University is currently a graduate student at the University of North Carolina at Asheville enrolled in the MLAS program with a concentration in public affairs.
    Presentation Material (Acrobat)
Chini Krishnan, MS
Chief Executive Officer and Co-founder, GetInsured; Former Chairman and Chief Technology Officer, Valicert Inc., Joliet, IL

    Speaker Bio

    Chini Krishnan is Founder and CEO of GetInsured, the leading provider of online technology for the millions of consumers, businesses and state governments who need easy access to affordable health insurance. GetInsured is venture-backed by Bessemer Venture Partners, Trinity Ventures, Partech International and River Street Management.

    Previously Chini founded Valicert, a leader in public-key infrastructure validation, which went public in 2000. He also worked for Enterprise Integration Technologies, where he was involved in releasing the world's first secure web browser.

    Chini holds an M.S. and B.S. in Computer Science from Duke University and the Indian Institute of Technology respectively.
Pete Nakahata
Principal and Founder, PTN Consulting Group, LLC; Former Senior Advisor, Exchange Program and Operations Group, Center for Consumer Information and Insurance Oversight, CMS, Huntington Beach, CA

    Speaker Bio

    Peter Nakahata is Principal and Founder of PTN Consulting Group, LLC, a California-based consulting firm which assists for-profit and not-for-profit clients on health insurance exchange and Medicaid managed care related issues. Before returning to consulting, Mr. Nakahata was a Senior Advisor in CMS/CCIIO's Exchange Policy and Operations Group, and played a critical role in the establishment and operation of both Federal and State Marketplaces. He led CCIIO's work on Federal Marketplace enrollment integration with web broker entities and issuers via direct enrollment. He was also responsible for handling a broad range of qualified health plan certification and exchange enrollment issues.
    Presentation Material (Acrobat)
Christopher E. Condeluci, Esq.
Founder and President, CC Law & Policy; Former Tax and Benefits Counsel, Finance Committee, US Senate, Washington, DC (Moderator)

    Speaker Bio

    Christopher E. Condeluci is principal and sole shareholder of CC Law & Policy PLLC in Washington, DC. Chris's practice focuses on the Patient Protection and Affordable Care Act ("ACA") and its impact on stakeholders ranging from employers and "private" health insurance exchanges to agents/brokers and hospitals/health systems. Prior to forming his own firm, Chris served as Tax and Benefits Counsel to the U.S. Senate Finance Committee. During his time in Congress, Chris participated in the development of portions of the ACA, including the Exchanges, the insurance market reforms, and all of the new taxes enacted under the law. He is one of the few senior Congressional staffers who actively participated in the health reform debate to join the private sector since the ACA's enactment, and based on his experience as an employee benefits attorney, he possesses a unique level of expertise on matters relating to tax law, ERISA, and the ACA.
4:15 pm

Empowering Consumer Decision-Making within the Exchange Context

Katherine Hempstead, PhD
Team Director and Senior Program Officer, Robert Wood Johnson Foundation, Former Director, Center for Health Statistics, New Jersey Department of Health and Senior Services, Princeton, NJ

    Speaker Bio

    Katherine Hempstead, PhD, is a Director at the Robert Wood Johnson Foundation, where she works on health insurance issues. She joined the Foundation in 2011 as a senior program officer in the Research and Evaluation unit. Previously, Hempstead was director of the Center for Health Statistics in the New Jersey Department of Health and Senior Services and worked as an analyst in the Office of the Attorney General, New Jersey Department of Law and Public Safety. She is a visiting faculty member at Rutgers Center for State Health Policy. Hempstead received a PhD in Demography and History from the University of Pennsylvania, where she also earned an MA in Demography and a BA in Economics and History.
Noah Lang
Co-founder and Chief Executive Officer, Stride Health, San Francisco, CA

    Speaker Bio

    Noah Lang is CEO and cofounder of Stride Health, a mobile web-app backed by NEA & Fidelity that delivers intelligent health coverage investments to independent Americans. Companies like Uber, TaskRabbit and Postmates look to Stride Health to power health care and coverage in the freelancer economy.

    Prior to founding Stride Health, Mr. Lang was founding VP of Business Development atReputation.com. He graduated Stanford University as a President's Scholar, with a degree in Product Design.
Peter V. Lee, JD
Executive Director, California Health Benefit Exchange; Former Director of Delivery System Reform Office, of Health Reform, The White House; Former Chief Executive Officer, Pacific Business Group on Health, San Francisco, CA

    Speaker Bio

    Peter Lee is the Executive Director of Covered California. Peter reports directly to the Covered California Board and serves at its pleasure. Most recently, Peter served in the Obama Administration, helping establish the new Center for Medicaid and Medical Innovation. He has served as the Director of Delivery System Reform at the federal Health and Human Services' Office of Health Reform. Peter lead the Pacific Business Group on Health (PBGH), first as CEO and then as the Executive Director of National Health Policy. Prior to PBGH, Peter was the Executive Director of the Center for Health Care Rights, a consumer advocacy organization based in Los Angeles.
Simeon Schindelman
Chief Executive Officer and Chairman, Bloom Health; Former Senior Vice President of Commercial Markets, Medica, Minneapolis, MN

    Speaker Bio

    With 30 years of industry experience, Simeon is an authority on group health insurance for employers of all sizes. During the last fifteen years he has become a recognized expert in sales and distribution, product strategy, and operations. He has used these tools, along with his passion for injecting creativity into the world of insurance, to lead a series of varied health insurance businesses to historical highs in market share, growth, and profitability. Simeon has done this on national, regional, and local scales, and across all sizes and funding arrangements.

    Simeon joined Bloom Heath from Medica Health Plans, where as Senior Vice President of Commercial Markets he launched the insurer's private insurance exchange - My Plan by Medica, powered by Bloom Health -- which soon became the largest carrier-sponsored private exchange in the nation and included the industry's first offering of health systems within a private exchange.
    Presentation Material (Acrobat)
Joel Ario, M.Div., JD
Managing Director, Manatt Health Solutions; Former Director, Office of Health Insurance Exchanges, US Department of Health & Human Services, Former Pennsylvania Insurance Commissioner; Former Executive Director, Oregon State Public Interest Research Group, Washington, DC (Moderator)

    Speaker Bio

    Mr. Ario is a managing director of Manatt Health Solutions. He has 30 years of experience helping to shape and implement public policy, including nearly two decades devoted to leading health reform efforts at the state and federal government levels. He provides strategic consulting and policy analysis to assist state governments, health plans and foundations in understanding and navigating healthcare reform, with a particular emphasis on how public Marketplaces and private exchanges will reshape the healthcare landscape. Mr. Ario previously served as the first Director of the HHS Office of Health Insurance Exchanges (2010-2011). Prior to his federal service, Mr. Ario was the Pennsylvania Insurance Commissioner (2007-2010), Oregon Insurance Commissioner (2000-2007), and served on the Executive Committee of the National Association of Insurance Commissioners (NAIC) for a decade. He received his J.D. from Harvard Law School, M. Div. from Harvard Divinity School, and a B.A. from Saint Olaf College.
SMALL BUSINESS HEALTH OPTIONS PROGRAM (SHOP)
5:15 pm

Small Business Health Options Program (SHOP) Update

Susannah Buckley-Green
Director, US Healthcare Practice, Burson-Marsteller, Chicago, IL

    Speaker Bio

    Susannah Buckley-Green is Director on the US Healthcare practice for Burson-Marsteller and represents the New Mexico Health Insurance Exchange providing strategy, media relations, social media, enrollment assistance, training, public affairs and governance support.

    Burson also represents Your Health Idaho, Idaho's Exchange and has worked on Idaho's branding, marketing, media relations, policy, operations, training and governance efforts.

    Before Burson, Susannah most recently worked for the Blue Cross and Blue Shield Association (BCBSA) in Washington, D.C. Her work for The Blues' specifically focused on communicating policy changes and recommendations for the implementation of the ACA in Washington and supporting the message of the importance of local, state-based insurance regulation.
Mila Kofman, JD
Executive Director, Washington, DC Health Benefit Exchange; Former Maine Superintendent of Insurance, Washington, DC

    Speaker Bio

    Mila Kofman is the Executive Director of the DC Health Benefit Exchange Authority. Appointed to the position by a unanimous vote of the Board of Directors, Kofman is a nationally recognized expert on private health insurance markets and has worked with states and all stakeholders to implement health insurance reforms. Her approach is informed by her hands-on experience as the former Superintendent of Insurance in Maine implementing health insurance reforms, being a former federal regulator working with states to implement HIPAA reforms of the 1990s, studying state-based reform efforts and markets, and working with employer purchasing coalitions seeking to leverage purchasing power for sustainable financing of medical care. Ms. Kofman holds a J.D. from Georgetown University Law Center and a B.A. in Government and Politics from the University of Maryland (summa cum laude).
    Presentation Material (Acrobat)
Anya Rader Wallack, PhD
Executive Director, HealthSource Rhode Island; Former Special Assistant to the Governor for Health Reform, State of Vermont; Former Executive Director, Massachusetts Medicaid Policy Institute, Providence, RI

    Speaker Bio

    Anya Rader Wallack was recently appointed Director of HealthSource RI by Governor Gina Raimondo. Anya has lived in Rhode Island and run her own health policy consulting firm for the past 15 years. Her consulting focus is state and federal health policy, including Medicaid policy, the effect of national health reform on states and health care payment and delivery system reform. Anya served as Chair of Vermont's Green Mountain Care Board from 2011-2013. The Board oversees cost control and provider payment innovation in Vermont.

    For the past 18 months Anya served as Chair of the Vermont State Innovation Model (SIM) governing board. Vermont's SIM project supports development of accountable care organizations, development of a statewide health information exchange infrastructure and alignment of care management strategies across payers and providers.

    Anya served previously as interim President of the Blue Cross Blue Shield of Massachusetts Foundation and Executive Director of the Massachusetts Medicaid Policy Institute.

    Anya served from 1991-1994 as Policy Director and then Deputy Chief of Staff for Vermont Governor Howard Dean, M.D. From 1995-1998 she ran the Vermont Program for Quality in Health Care, a quasi-governmental agency that specializes in quality measurement and improvement at the state level.
    Presentation Material (Acrobat)
Mark A. Hall, JD
Fred D. & Elizabeth L. Turnage Professor of Law and Public Health, Wake Forest University, Winston Salem, NC (Moderator)

    Speaker Bio

    Mark A. Hall is the Fred and Elizabeth Turnage Professor of Law and Public Health at Wake Forest University, where he has appointments in the Schools of Law, Medicine, and Business. Prof. Hall specializes in health care law and public policy, with a focus on economic, regulatory and organizational issues. He is the lead editor of the original textbook in the field, Health Care Law and Ethics (8th ed., Aspen, 2013) and he has written books on various aspects of health care law and public policy for Oxford University Press, the American Enterprise Institute, and Harper-Collins. Professor Hall is currently studying implementation of health insurance reform; safety net access for the uninsured; and the legal and ethical implications of consumer-driven health care.
    Presentation Material (Acrobat)
6:15 pm Adjournment

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