presenting the 18th annual health insurance summit · 2019. 4. 5. · cindy shay, director health...

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KEYNOTE ADDRESSES FROM: ALSO FEATURING: Health Insurance Summit PRESENTING THE 18TH ANNUAL REGISTER NOW www.informa.com.au/hisummit2019 5 – 6 June 2019 | Rydges World Square, Sydney Repeating the successful collaborative effort delivered by the 2018 PHI reforms Dr Rachel David, CEO, Private Healthcare Australia What now? PHI directions and challenges after the Federal Election Shaun Gath, Principal, Narrabundah Partners Fighting for relevance - The Southern Cross story Nick Astwick, CEO, Southern Cross Health Society, New Zealand Out-of-pocket medical costs Professor Brendan Murphy, Chief Medical Officer, Department of Health Chris Zinn, CEO, PHIIA Kate Munnings, Chief Operating Officer, Ramsay Health Care Justin James, Director, Customer Growth, Bupa, Australia & NZ Cindy Shay, Director Health Partnerships and Innovation, Bupa, Australia & NZ Rhod McKensey, Group Executive, Australian Residents Health Insurance, nib Group James Downie, CEO, Independent Hospital Pricing Authority Matthew Koce, CEO, Members Health Fund Alliance Professor Adam Elshaug, HCF Research Foundation Professorial Fellow; Professor of Health Policy and Co-Director, Menzies Centre for Health Policy, The University of Sydney Jacqueline Ball, Executive Director of Government Relations, NSW Health Brendan Mills, Chief Information Officer , nib Group PRE-CONFERENCE WORKSHOP 4 JUNE 2019 | 1:30PM – 4:30PM Keeping regulators satisfied & customers happy! Paris Petranis, Partner, K&L Gates Vanessa Baic, Special Counsel, K&L Gates DAY ONE LUNCH SPONSOR: GOLD SPONSOR: DAY TWO LUNCH SPONSOR: PANEL SPONSOR: SUPPORTED BY: NETWORKING FUNCTION SPONSOR: SUPPORTING SPONSOR:

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  • KEYNOTE ADDRESSES FROM:

    ALSO FEATURING:

    Health Insurance Summit

    PRESENTING THE 18TH ANNUAL

    REGISTER NOW www.informa.com.au/hisummit2019

    5 – 6 June 2019 | Rydges World Square, Sydney

    Repeating the successful collaborative effort delivered by

    the 2018 PHI reforms

    Dr Rachel David, CEO, Private Healthcare Australia

    What now? PHI directions and challenges after the Federal

    Election Shaun Gath, Principal,

    Narrabundah Partners

    Fighting for relevance - The Southern Cross story

    Nick Astwick, CEO, Southern Cross Health Society, New Zealand

    Out-of-pocket medical costsProfessor Brendan Murphy, Chief

    Medical Officer, Department of Health

    Chris Zinn, CEO, PHIIA

    Kate Munnings, Chief Operating Officer, Ramsay Health Care

    Justin James, Director, Customer Growth, Bupa, Australia & NZ

    Cindy Shay, Director Health Partnerships and Innovation, Bupa, Australia & NZ

    Rhod McKensey, Group Executive, Australian Residents Health Insurance, nib Group

    James Downie, CEO, Independent Hospital Pricing Authority

    Matthew Koce, CEO, Members Health Fund Alliance

    Professor Adam Elshaug, HCF Research Foundation Professorial Fellow; Professor of Health Policy and Co-Director, Menzies Centre for Health Policy, The University of Sydney

    Jacqueline Ball, Executive Director of Government Relations, NSW Health

    Brendan Mills, Chief Information Officer, nib Group

    PRE-CONFERENCE WORKSHOP 4 JUNE 2019 | 1:30PM – 4:30PMKeeping regulators satisfied & customers happy!

    Paris Petranis, Partner, K&L Gates Vanessa Baic, Special Counsel, K&L Gates

    DAY ONE LUNCH SPONSOR:

    GOLD SPONSOR: DAY TWO LUNCH SPONSOR:

    PANEL SPONSOR: SUPPORTED BY:NETWORKING FUNCTION SPONSOR:

    SUPPORTING SPONSOR:

  • 8:50 OPENING | Opening remarks from the Chair

    Shaun Gath, Principal, Narrabundah Partners

    9:00 OPENING KEYNOTE ADDRESS

    Repeating the successful collaborative effort delivered by the 2018 PHI reforms

    — Government and stakeholders must address rising healthcare costs or PHI participation could drop to 30% by 2030-2035, increasing pressure on the public sector

    — PHA is calling for the restoration of the PHI rebate to 30% for low and middle-income earners

    — Healthcare affordability, ensuring patients are provided with the “right care”– right patient, right setting, right time

    — A more affordable and accessible dental health system has meant health funds have been able to reduce out-of-pocket costs for consumers

    Dr Rachel David, CEO, Private Healthcare Australia

    9:35 KEYNOTE ADDRESS | What now? PHI directions and challenges after the federal election

    — Working with a regulator wanting to “ratchet up the mongrel” (Byers evidence to FSRC)

    — Bedding down recent regulatory changes...and bracing for more

    Shaun Gath, Principal, Narrabundah Partners

    10:10 INTERNATIONAL ADDRESS | Fighting for relevance – The Southern Cross story

    — Overview of the New Zealand health and private insurance systems

    — Operating in a market with no government incentives

    — The private health proposition

    — The Southern Cross strategy

    Nick Astwick, CEO, Southern Cross Health Society, New Zealand

    10:45 Networking and refreshment break

    11:15 Low-value care measured across 4 PHI funds (and 68% of Australian members)- Fascinating results but where to now?

    — Results presented of low-value care (eg prevalence, costs) for 3 state health departments and 4 PHI funds

    — Discuss how this national safety and quality agenda can be advanced from a policy perspective

    — Can this coordinated effort help drive reforms that allow PHI funds more leverage to reduce low-value care?

    Professor Adam Elshaug, HCF Research Foundation Professorial Fellow; Professor of Health Policy and Co-Director, Menzies Centre for Health Policy, The University of Sydney

    11:55 APRA’s review of the private health insurance capital framework

    Peter Kohlhagen, Senior Manager, Policy Development, Australian Prudential Regulation Authority

    12:30 How technology is bringing the health system to the Doctor

    Rami Weiss, CEO, HealthShare

    12:50 Lunch and networking break

    13:50 Fair customer practices – A Bupa perspective — Customer led culture

    — Motivation and reward

    — Governance and consequence

    Justin James, Director, Customer Growth, Bupa, Australia & NZ

    14:25 Flipping the coin: From low value to high value care — Enabling context, policy and institutions for value and patient-centred care

    — Measuring outcomes and costs

    — Paying for outcomes

    Alison Verhoeven, Chief Executive, Australian Healthcare & Hospitals Association

    15:00 PANEL DISCUSSION | Strategies to minimise premium increases

    — Industry consolidation

    — Regulatory tone

    — Innovation

    — Managing consumer expectations and communications

    Moderated by: Shaun Gath, Principal, Narrabundah Partners

    Justin James, Director, Customer Growth, Bupa, Australia & NZ

    Dr Rachel David, CEO, Private Healthcare Australia

    15:45 Networking and refreshment break

    16:10 The headwinds confronting PHI and opportunities to grow participation

    Matthew Koce, CEO, Members Health Fund Alliance

    16:45 PANEL DISCUSSION | CEO/Senior leader panel

    Moderated by: Shaun Gath, Principal, Narrabundah Partners

    Nick Astwick, CEO, Southern Cross Health Society, New Zealand

    Kate Munnings, Chief Operating Officer, Ramsay Health Care

    Matthew Koce, CEO, Members Health Fund Alliance

    Rhod McKensey, Group Manager, Australian Residents Health Insurance, nib Group

    17:30 Closing remarks from the Chair

    17:35 Networking Function

    Health Insurance Summit Wednesday 5 June 2019 DAY 1

    REGISTER NOW www.informa.com.au/hisummit2019

    VENUE DETAILS

    Rydges World Square, 389 Pitt St, Sydney NSW 2000

    Phone: (02) 8268 1888, www.rydges.com/Sydney/Hotels

  • 8:50 OPENING | Opening remarks from the Chair

    Chris Zinn, CEO, PHIIA

    9:00 Achieving improved transparency in surgery — RACS approach to surgical variation

    — Tackling excessive fees

    — Improving communication

    John Biviano, Deputy CEO, Royal Australasian College of Surgeons

    9:35 Moving towards value – ABF into the future — Update on status of ABF in the public hospital system

    — Introduction of safety and quality into the national pricing model

    — Future directions for hospital funding model development

    James Downie, CEO, Independent Hospital Pricing Authority

    10:10 CASE STUDY | Easing the pinch on health insurance profits- Automating health claims processing

    Processing member health insurance claims can be complex and time consuming. Meanwhile, members expect better experiences. Find out how a health insurer has improved productivity and member experience by automating their claims processing, resulting in improved retention with faster member reimbursements and a reduction in cost to serve and processing errors.

    Matt Parkinson, GM Sales & Solutions, Computershare

    10:35 Networking and refreshment break

    11:05 KEYNOTE ADDRESS | Out-of-pocket medical costs

    Professor Brendan Murphy, Chief Medical Officer, Department of Health

    11:40 PANEL DISCUSSION | The impact and future of private patients in public hospitals

    — Impact of private patients in public hospitals

    — Why private patients use public hospitals? What’s in it for members/Drs/hospitals?

    — Why the increase in recent years and varying levels in States?

    — Solutions-How can/should it be implemented and monitored? Consequences/ramifications

    Moderated by: Joanna Green, Principal, Hive Legal

    Jacqueline Ball, Executive Director of Government Relations, NSW Health

    Professor Brendan Murphy, Chief Medical Officer, Department of Health

    James Downie, CEO, Independent Hospital Pricing Authority

    12:25 Trends in health and care

    Vinay Chand, Managing Director, Health Solutions, Civica

    12:45 Lunch and networking break

    13:45 The consumer comparison and choice — What does comparison deliver?

    — How do they compare?

    — What do they choose?

    Chris Zinn, CEO, PHIIA

    14:20 The next horizon — Creating solutions to non-traditional competitors…and fast

    — Industry pivot-Helping people when they are well

    Cindy Shay, Director Health Partnerships and Innovation, Bupa, Australia & NZ

    14:55 CLOSING DISCUSSION | PHI and data — Opportunities and the value of data (for example, MyHealthRecord, member surveys of providers, out of pocket expenses etc)

    — Restrictions on use of data (various laws that restrict use or impose obligations on management of data)

    — Risks to sensitive data and Prudential Standard CPS 234 Information Security

    — Gaining member trust as custodians of valuable health data

    Ella Cannon, Senior Associate, Hive Legal

    Riaan Rheeder, MD, Sharecare

    Brendan Mills, Chief Information Officer, nib Group

    15:40 Closing remarks from the Chair

    15:45 End of summit

    DAY 2Health Insurance Summit Thursday 6 June 2019

    Keep updated on exclusive speaker interviews and other specialist content pieces at Informa Insights – www.informa.com.au/insights

    SPONSORSHIP AND EXHIBITION OPPORTUNITIES

    Excellent opportunities exist to showcase your organisation.

    For further information, please contact:

    Danielle Newman

    Telephone: +61 (2) 9080 4432

    Email: [email protected]

    PRE-CONFERENCE WORKSHOP | 4 JUNE 20191:30PM – 4:30PM

    Keeping regulators satisfied & customers happy!

    This workshop will identify issues commonly raised by regulators and members from a legal perspective in relation to:

    — Advertising/marketing

    — Notification of product changes (including recent ACCC enforcement action)

    — Clarity of product information

    — Privacy

    — Tips on how to minimise the risk of these issues occurring

    Paris Petranis, Partner, K&L Gates

    Vanessa Baic, Special Counsel, K&L Gates

  • For full terms and conditions, please visit:www.informa.com.au/hisummit2019

    Easy Ways to Register Web www.informa.com.au/hisummit2019

    Telephone +61 (0)2 9080 4307 – Quoting P19A05

    Email [email protected] – Quoting P19A05

    Stay Connected

    hisummit19

    Pricing DetailsRegister Early & Save Early Bird Rate

    Book & pay by 29 March 2019

    Standard RateBook & pay from 30 March 2019

    Two day conference PRICE GST TOTAL SAVE PRICE GST TOTAL

    Hospital Rate $2095 $209.50 $2304.50 $400 $2495 $249.50 $2744.50

    Standard Rate $2895 $289.50 $3184.50 $300 $3195 $319.50 $3514.50

    Hospital Rate – Two Day Conference plus Workshop $2595 $259.50 $2854.50 $400 $2995 $299.50 $3294.50

    Standard Rate – Two Day Conference plus Workshop $3395 $339.50 $3734.50 $300 $3695 $369.50 $4064.50

    Health Insurance Summit5 – 6 June 2019 | Rydges World Square, Sydney

    in

    If undeliverable return to: PO BOX Q1439, SYDNEY NSW 1230

    POSTAGE

    PAID

    AUSTRALIA