Association Forum Healthcare Collaborative in Partnership with Society of Actuaries

When:  Oct 16, 2019 from 8:00 AM to 1:00 PM (CT)
 
Title: Provider Risk Sharing and Understanding Value
 
Audience: Healthcare and Financial Association Professionals
CAE Credit Hours: 3.0
Fee: Complimentary
Location: Milliman - 71 S Wacker Dr., Chicago, IL 60606
 
Description: Many of the associations comprising the Healthcare Collaborative come from the provider space, and many of their members may be faced with the challenge of adapting their practices in order to succeed under value-based payment models.  Although the transition to value-based payment is broadly supported, stakeholders are still working out critical details such as how to measure value and how to transfer risk from payers to providers.  Network with other association executives who are working through these changes and learn from a panel of experts who will help you understand the underlying risks and opportunities in this time of transformation.
 
Program:
  • 8:00 - 9:00am - Registration, Breakfast, Networking
  • 9:00 - 9:10am - Opening Remarks - Greg Heidrich, Executive Director, Society of Actuaries
  • 9:10 - 9:40am - Speaker Presentation - Simon Moody, FIA, FSA, MAAA, Principal & Consulting Actuary, Milliman
  • 9:40 - 10:10am - Speaker Presentation - Carol Vargo, Director, Physician Practice Sustainability, The American Medical Association
  • 10:10 - 10:20am - Break
  • 10:20 - 11:15am - Moderated Panel Discussion - Moderator: Greg Heidrich (SOA); Panelists: Simon Moody, FIA, FSA, MAAA, (Milliman), Raheel Sohail, MD, MBA,  (Healthcare Management Consultant, Milliman), Carol Vargo (AMA)
  • 11:15am - 12:00pm - Workshops/Breakout Groups
  • 12:00 - 1:00pm - Networking Lunch

 

Moderator:
 
 
Gregory Heidrich
Executive Director
Society of Actuaries
 
Greg Heidrich has served as Executive Director of the Society of Actuaries (SOA) since 2007. He provides management oversight and direction to the full range of the Society’s activities and for its 140 employees. Before joining the SOA, he served as Senior Vice President, Policy Development and Research, for the Property Casualty Insurers Association of America (PCI). At PCI, he worked with member insurers to develop public policy positions and research on issues facing the U.S. property/casualty insurance industry. He began his career in 1983 with the Alliance of American Insurers, serving as staff economist and director of research before serving in a variety of management roles. From 2011- 2017, Greg served as a member of the Board of Trustees of Portico Benefit Services, a non-profit organization providing employee benefits for employees nationwide of the Evangelical Lutheran Church in America (ELCA). During his term on the Portico Board, he served as Chair of the Investment and Executive Committees and as Board Chair from October 2015 – 2017. Greg currently serves on the Board of Directors of the Association Forum of Chicagoland and is a member of the Key Professional Associations and Key Global Associations Committees of the American Society of Association Executives (ASAE). Greg earned his MA-Economics from the University of Chicago in 1983 and his BA-Economics (Highest Honors) from the University of Oklahoma in 1981.
 
Presenters and Panelists:
 
 
Simon Moody, FIA, FSA, MAAA
Principal & Consulting Actuary 
Milliman
 
Simon is a Principal and Consulting Actuary in the Milwaukee office. He first joined the London health practice of Milliman in June 2009, transferring to Milwaukee in November 2012.  Simon has more than 20 years of experience in the life and health insurance industry with significant experience of international health insurance markets. He has previously worked for the international reinsurer Swiss Re Life & Health and the global employee benefit consultancy Mercer. Immediately prior to joining Milliman, Simon was the Chief Product Actuary for the Worldwide Accident & Health business at ALICO AIG Life. His specific areas of expertise include: Medicare Advantage bid development and certification, feasibility studies, and associated services; Dual eligible demonstration programs; Development and actuarial modeling of payer-provider contract and risk sharing programs; Population and utilization demand modeling for healthcare provider systems; Product development, pricing, reserving and portfolio analysis of accident & health insurance products such as medical insurance, hospital cash and surgical plans, accidental death and disability insurance; International health insurance markets, particularly Europe, the Middle East, and East Africa, and including expatriate insurance.  Simon earned his B.S. (Hons) in Mathematics, Operational Research, Statistics & Economics from the University of Warwick, UK.
  
  
Raheel Sohail, MD, MBA
Healthcare Management Consultant
Milliman 
 
Raheel is a Healthcare Management Consultant with the Chicago office of Milliman. He joined the firm in 2019.  Raheel Sohail is a physician who comes to Milliman with extensive experience in health care administration. He has held many leadership positions over the past and has garnered extensive experience in planning, developing, and executing strategies for ACO and Clinically integrated network. Prior to working for Milliman, he worked for Prospect Medical system, where he was the Executive Director of Next Generation ACO. He oversaw the operations of ACO, care coordination and data analytics. In the past, he also worked at a health care consulting firm, where he provided consultation services to health care organizations for specific areas, including Accountable Care Organization (ACO), value-based care, care coordination, quality and data analytics, physician improvement, marketing, and business improvement.  Raheel earned his MD from Windsor University School of Medicine, St. Kitts & Nevis and his MBA from the University of Massachusetts in Amherst, MA.
 
   
Carol Vargo
Director of Physician Practice Sustainability
American Medical Association
 
Carol Vargo is Director of Physician Practice Sustainability in the AMA Physician Satisfaction and Practice Sustainability Strategic Initiative Group. She directs AMA strategies to support sustainable physician payment and delivery reforms and directs external partnerships with hospitals, health systems, health plans, employers, patients and other key stakeholders to advance implementation and adoption of new value-based models. Carol is a graduate of Miami University in Oxford, Ohio, with a B.A. in Communications, and a recipient of a Masters in Health Sciences in health policy and administration from the Johns Hopkins University Bloomberg School of Public Health.
 
 
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