7:00 am

Continental Breakfast and Conference Registration

8:15 am

Conference Welcome

• Jim Moynihan, Conference Chair,
• Peter Hugenroth, Conference Chair,

8:30 am

Beyond Health Insurance Reform - What Comes Next?

• J. Mario Molina, President & CEO, Molina Healthcare

National Health Insurance Reform has been passed and is ramping up. What effects can we expect for California health plans, hospitals and medical groups? And while membership increases, can costs be controlled while quality is maintained? One of the country's leading Health Plan CEOs will look into the crystal ball and tell us what he sees.

10:00 am

Break

10:30 am

Department of Managed Health Care Update

• Cindy Ehnes, Director, California Department of Managed Health Care

The Department of Managed Health Care (DMHC) will be challenged as never before with expanded provider networks, new licentiates, solvency requirements, and financial disputes between plans and delegated medical groups. Director Ehnes will provide remarks and walk attendees through these issues.

12:00 Noon

Lunch

1:30 pm

(M3) - Breakout: PFS Track: Are You Prepared for MAC, RAC, MUC and ZPIC Audits?

• Ron Nicholson, President, The Toiyabe Group

1:30 pm

(M4) - Breakout: Finance Track: CFO Track

• Kathleen Cain, Interim CFO, Valley Health System
• Jennifer Mitzner, SVP & CFO, Hoag Memorial Hospital

A panel of hospital CFOs will discuss current challenges and opportunities in light of healthcare reform, economic recovery and the current regulatory environment. The panel will discuss strategies to enhance financial performance and key organizational success metrics.

1:30 pm

(M5) - Breakout: Managed Care Track: Strategies for Handling Difficult Negotiations: Providers and Health Plans

• Brandon Edwards, President & CEO, Revive Public Affairs
• Charles Bacchi, Executive Vice President, California Association of Health Plans

Sometimes health plans and providers seem at opposite ends of the spectrum in their contract approaches and positions. Are there strategies and techniques both sides can use to reach a mutually acceptable resolution of contract issues? Our panel will describe their experiences in promoting and structuring a win-win result for HMOs, hospitals and medical groups.

3:00 pm

Break

3:30 pm

(M6) - Breakout: PFS Track: Provider Case Studies: Denial Tracking Tools

• Susan Labow, Vice President, Receivables Optimization, Inc.
• Lois Maxwell, Director, Revenue Cycle, Enloe Medical Center
• Tanja Twist ,Director, Patient Financial Services, Methodist Hospital of Southern California

Many California providers were in a reactive mode during the RAC Demonstration Project. We need to be proactive in 2010. Learn what your peers are using for tracking tools including the pros and cons of each.

3:30 pm

(M7) - Breakout: Finance Track: Capital Markets Update

• Ellen Riley, Senior Vice President, Kaufman Hall
• Matt Swafford, Executive Director, Morgan Stanley

A panel of financial advisors and investment bankers will discuss issues related to capital formation in the post-economic meltdown environment.

3:30 pm

(M8) - Breakout: Managed Care Track: Health Plan Updates

• Brian Jeffrey, Vice President, UHC
• Ben Katz, Vice President, CIGNA

Healthcare reform, continuing membership attrition, solvency
requirements, all are some of the challenges facing health plans as they cope with the present and plan for the future. Hear senior plan executives discuss their plans to work on these important issues with their medical group and hospital partners.

5:15 pm

Reception