Agenda
10:00 am – 5:00 pm
Registration and Information Desk Open
11:00 am – 12:30 pm
General Session
-
11:00 am – 11:30 am,
Opening Session
-
Learn more about Liza Assatourians, JD
Liza Assatourians, JD,Vice President, Federal Programs
, AHIP -
Learn more about Laurie Bodenheimer
Laurie Bodenheimer,Associate Director, Healthcare and Insurance (HI),
, U.S. Office of Personnel Management -
Learn more about Robert Shriver
Robert Shriver,Deputy Director
, U.S. Office of Personnel Management
-
Learn more about Liza Assatourians, JD
-
11:30 am – 12:00 pm,
Keynote Session
-
Learn more about Admiral Rachel L. Levine, MD
Admiral Rachel L. Levine, MD,Assistant Secretary for Health
, Department of Health and Human Services
-
Learn more about Admiral Rachel L. Levine, MD
-
12:00 pm – 12:30 pm,
Call Letter Overview
,This session will review the annual Federal Employees Health Benefits (FEHB) Program Call Letter.
-
Learn more about Laurie Bodenheimer
Laurie Bodenheimer,Associate Director, Healthcare and Insurance (HI),
, U.S. Office of Personnel Management
-
Learn more about Laurie Bodenheimer
12:30 pm – 1:15 pm
Break
1:15 pm – 2:15 pm
General Session
-
1:15 pm – 1:45 pm,
Fertility Benefits: An Employer Experience
,This session will focus on an employer’s experience implementing fertility benefits. Speakers will discuss an employer’s research on their employee population, and the implementation and administration of the benefit.
-
Learn more about Jim Dupree, MD, MPH
Jim Dupree, MD, MPH,Associate Professor of Urology and the Ambulatory Care Clinical Chief for Urology
, University of Michigan -
Learn more about Karen Harville, RN, BSN, MPA
Karen Harville, RN, BSN, MPA,Manager, Medical Benefits
, University of Michigan -
Learn more about Rachel Royster, JD
Rachel Royster, JD,Supervisory Analyst, Healthcare and Insurance (HI)
, U.S. Office of Personnel Management
-
Learn more about Jim Dupree, MD, MPH
-
1:45 pm – 2:15 pm,
Health Equity and Pharmacist Provider Billing
,States are increasingly recognizing the ability of pharmacists to improve access to services like point-of-care testing, access to needed medications such as pre-and post-exposure prophylaxis for HIV and hormonal contraceptives, management of complex medication regimens, and smoking cessation services. In rural and underserved communities, pharmacists may be the only accessible healthcare provider. This session highlights the importance of reimbursing for pharmacist services and how FEHB Carriers reimburse for pharmacist services in accordance with state law.
-
Learn more about E. Michael Murphy, PharmD, MBA
E. Michael Murphy, PharmD, MBA,Advisor, State Government Affairs
, American Pharmacists Association -
Learn more about Dele Solaru, PharmD, MBA
Dele Solaru, PharmD, MBA,Chief Pharmacy Officer Healthcare and Insurance (HI)
, U.S. Office of Personnel Management -
Learn more about Nickolas Taylor
Nickolas Taylor,Pharmacy Intern, Healthcare and Insurance (HI)
, U.S. Office of Personnel Management
-
Learn more about E. Michael Murphy, PharmD, MBA
2:15 pm – 2:30 pm
Break
2:30 pm – 5:00 pm
General Session
-
2:30 pm – 3:00 pm,
Social Determinants of Health
,Social Determinants of Health (where we work, live and play) are believed to affect a large share of our overall health. This session will seek to explore those issues, as well as how plans are positively addressing these issues to improve the health of their members.
-
Learn more about Jennifer S. Lee, MD
Jennifer S. Lee, MD,Agency Director
, Virginia Department of Medical Assistance Services -
Learn more about Padma Babubhai Shah, MS, JD, MPH
Padma Babubhai Shah, MS, JD, MPH,Senior Policy Analyst, Healthcare and Insurance
, U.S. Office of Personnel Management -
Learn more about Jaffer Traish
Jaffer Traish,COO
, FindHelp.org -
Learn more about Capt. David Wong, MD
Capt. David Wong, MD,Chief Medical Officer, IHEC Co-Chair
, U.S. Department of Health and Human Services
-
Learn more about Jennifer S. Lee, MD
-
3:00 pm – 3:45 pm,
Empowering Consumers Through Fast Healthcare Interoperability Resources (FHIR)
,CMS is planning to issue a federal regulation requiring insurance carriers to utilize Fast Healthcare Interoperability Resources (FHIR) to fulfill prior authorization. This regulation would apply to commercial insurers. Speakers in this session will discuss the respective activities being undertaken to implement this regulation. This is an example of how FHIR is revolutionizing functions across the healthcare industry and is expected to be a major improvement in the patient/customer experience.
-
Learn more about Michele Johnson
Michele Johnson,Senior Program Analyst, Healthcare and Insurance (HI)
, U.S. Office of Personnel Management -
Learn more about Alexandra Mugge, MPH
Alexandra Mugge, MPH,Chief Health Informatics Officer, and Director of the Health Informatics and Interoperability Group (HIIG)
, Centers for Medicare & Medicaid Services (CMS) -
Learn more about Elisabeth Myers, MBA
Elisabeth Myers, MBA,Deputy Director, Office of Policy, Office of the National Coordinator for Health IT (ONC)
, U.S. Department of Health and Human Services (HHS)
-
Learn more about Michele Johnson
-
3:45 pm – 4:30 pm,
Leveraging Data as a Strategic Asset: Updates on HI Data Efforts
-
Learn more about Elena Dubas
Elena Dubas,Program Manager, Healthcare and Insurance (HI)
, U.S. Office of Personnel Management -
Learn more about Andrew Sudimack
Andrew Sudimack,Economist, Healthcare and Insurance (HI)
, U.S. Office of Personnel Management
-
Learn more about Elena Dubas
-
4:30 pm – 5:00 pm,
Conversation on Operational Initiatives
-
Learn more about Janet Miller
Janet Miller,Program Specialist, Healthcare and Insurance (HI)
, U.S. Office of Personnel Management -
Learn more about Jeffrey Moser
Jeffrey Moser,Program Specialist, Healthcare and Insurance (HI)
, U.S. Office of Personnel Management -
Learn more about June Phillips
June Phillips,Program Specialist, Healthcare and Insurance (HI)
, U.S. Office of Personnel Management
-
Learn more about Janet Miller
10:00 am – 5:00 pm
Registration and Information Desk Open
11:00 am – 12:30 pm
General Session
-
11:00 am – 11:45 am,
Plan Performance Assessment
,The Plan Performance Assessment team will provide data highlights from the 2022 Scoring Cycle, as well as other insights over the seven years of results. In addition, updates on future directions being explored for Plan Performance Assessment will be shared.
-
Learn more about Edward M. DeHarde, MS
Edward M. DeHarde, MS,Deputy Associate Director, Healthcare and Insurance (HI)
, U.S. Office of Personnel Management -
Learn more about Carla Fletcher
Carla Fletcher,Program Analyst, Healthcare and Insurance (HI)
, U.S. Office of Personnel Management -
Learn more about Joseph Kahn
Joseph Kahn,Program Manager, Healthcare and Insurance (HI)
, U.S. Office of Personnel Management
-
Learn more about Edward M. DeHarde, MS
-
11:45 am – 12:30 pm,
Pharmacy Benefit Manager (PBM) Oversight
,Pharmaceuticals account for approximately 30% of the FEHB premium. This session will feature an industry leader in PBM oversight and benefit optimization and discuss the critical role of the Carrier in overseeing the PBM function. Speakers in this session will discuss how the implementation of near real-time pharmacy claim reviews with an FEHB Carrier has improved financial performance, strengthened vendor partnerships, and brought transparency to the pharmacy benefit.
-
Learn more about Jarrod Grossman, PharmD
Jarrod Grossman, PharmD,Vice President, Pharmacy and Analytics
, HealthPlan Data Solutions, Inc. -
Learn more about Janice Rhee, PharmD, MBA,
Janice Rhee, PharmD, MBA,,Data Analyst, Healthcare and Insurance (HI)
, U.S. Office of Personnel Management -
Learn more about Dele Solaru, PharmD, MBA
Dele Solaru, PharmD, MBA,Chief Pharmacy Officer Healthcare and Insurance (HI)
, U.S. Office of Personnel Management -
Learn more about Nick Trego, PharmD
Nick Trego, PharmD,Vice President, Account Management
, HealthPlan Data Solutions, Inc.
-
Learn more about Jarrod Grossman, PharmD
12:30 pm – 1:30 pm
Lunch Break
1:30 pm – 2:30 pm
General Session
-
1:30 pm – 2:00 pm,
Employer Group Waiver Plans (EGWPs)
-
Learn more about Edward M. DeHarde, MS
Edward M. DeHarde, MS,Deputy Associate Director, Healthcare and Insurance (HI)
, U.S. Office of Personnel Management
-
Learn more about Edward M. DeHarde, MS
-
2:00 pm – 2:30 pm,
Postal Service Health Benefits Program
,The Postal Service Reform Act of 2022 directs OPM to create a new Postal Service Health Benefits Program. This session will provide an update on OPM's implementation status.
-
Learn more about Maggie Martel
Maggie Martel,Program Manager, Healthcare and Insurance (HI)
, U.S. Office of Personnel Management -
Learn more about Sylvia Pulley
Sylvia Pulley,Acting Deputy Associate Director, Healthcare and Insurance (HI)
, U.S. Office of Personnel Management
-
Learn more about Maggie Martel
2:30 pm – 2:45 pm
Break
2:45 pm – 3:30 pm
General Session
-
,
Evidence-Based Pain Management and Opioid Prescribing
,The drug overdose epidemic continues to impact thousands of Americans each year. Ensuring clinicians are prepared with evidence-based strategies to treat pain, including the use of prescription opioids, and to provide care for opioid use disorder, if present, is paramount. Speakers in this session will discuss the recently released report on clinical practice guidelines for prescribing opioids for pain.
-
Learn more about Christina A. Mikosz, MD
Christina A. Mikosz, MD,Lead Clinical Practice Team, Health Systems and Research, Branch, Division of Overdose Prevention, National Center for Injury Prevention and Control
, Centers for Disease Control and Prevention -
Learn more about Dele Solaru, PharmD, MBA
Dele Solaru, PharmD, MBA,Chief Pharmacy Officer Healthcare and Insurance (HI)
, U.S. Office of Personnel Management
-
Learn more about Christina A. Mikosz, MD
3:30 pm – 3:45 pm
Conference Wrap-Up/Adjournment
-
,
Conference Wrap-Up/Adjournments
-
Learn more about Edward M. DeHarde, MS
Edward M. DeHarde, MS,Deputy Associate Director, Healthcare and Insurance (HI)
, U.S. Office of Personnel Management
-
Learn more about Edward M. DeHarde, MS
Agenda Filters
Sessions
8:00 am - 9:30 pm Mar 29 • 2023
10:00 am – 5:00 pm
,
Registration and Information Desk Open
11:00 am – 12:30 pm
,
General Session
-
11:00 am – 11:30 am,
Opening Session
-
Liza Assatourians, JD,Vice President, Federal Programs
, AHIP -
Laurie Bodenheimer,Associate Director, Healthcare and Insurance (HI),
, U.S. Office of Personnel Management -
Robert Shriver,Deputy Director
, U.S. Office of Personnel Management
- Share options
- Share on Facebook
- Share on Twitter
- Share on LinkedIn
-
-
11:30 am – 12:00 pm,
Keynote Session
-
Admiral Rachel L. Levine, MD,Assistant Secretary for Health
, Department of Health and Human Services
- Share options
- Share on Facebook
- Share on Twitter
- Share on LinkedIn
-
-
12:00 pm – 12:30 pm,
Call Letter Overview
,This session will review the annual Federal Employees Health Benefits (FEHB) Program Call Letter.
-
Laurie Bodenheimer,Associate Director, Healthcare and Insurance (HI),
, U.S. Office of Personnel Management
- Share options
- Share on Facebook
- Share on Twitter
- Share on LinkedIn
-
12:30 pm – 1:15 pm
,
Break
1:15 pm – 2:15 pm
,
General Session
-
1:15 pm – 1:45 pm,
Fertility Benefits: An Employer Experience
,This session will focus on an employer’s experience implementing fertility benefits. Speakers will discuss an employer’s research on their employee population, and the implementation and administration of the benefit.
-
Jim Dupree, MD, MPH,Associate Professor of Urology and the Ambulatory Care Clinical Chief for Urology
, University of Michigan -
Karen Harville, RN, BSN, MPA,Manager, Medical Benefits
, University of Michigan -
Rachel Royster, JD,Supervisory Analyst, Healthcare and Insurance (HI)
, U.S. Office of Personnel Management
- Share options
- Share on Facebook
- Share on Twitter
- Share on LinkedIn
-
-
1:45 pm – 2:15 pm,
Health Equity and Pharmacist Provider Billing
,States are increasingly recognizing the ability of pharmacists to improve access to services like point-of-care testing, access to needed medications such as pre-and post-exposure prophylaxis for HIV and hormonal contraceptives, management of complex medication regimens, and smoking cessation services. In rural and underserved communities, pharmacists may be the only accessible healthcare provider. This session highlights the importance of reimbursing for pharmacist services and how FEHB Carriers reimburse for pharmacist services in accordance with state law.
-
E. Michael Murphy, PharmD, MBA,Advisor, State Government Affairs
, American Pharmacists Association -
Dele Solaru, PharmD, MBA,Chief Pharmacy Officer Healthcare and Insurance (HI)
, U.S. Office of Personnel Management -
Nickolas Taylor,Pharmacy Intern, Healthcare and Insurance (HI)
, U.S. Office of Personnel Management
- Share options
- Share on Facebook
- Share on Twitter
- Share on LinkedIn
-
2:15 pm – 2:30 pm
,
Break
2:30 pm – 5:00 pm
,
General Session
-
2:30 pm – 3:00 pm,
Social Determinants of Health
,Social Determinants of Health (where we work, live and play) are believed to affect a large share of our overall health. This session will seek to explore those issues, as well as how plans are positively addressing these issues to improve the health of their members.
-
Learn more about Jennifer S. Lee, MD
Jennifer S. Lee, MD,Agency Director
, Virginia Department of Medical Assistance Services -
Padma Babubhai Shah, MS, JD, MPH,Senior Policy Analyst, Healthcare and Insurance
, U.S. Office of Personnel Management -
Jaffer Traish,COO
, FindHelp.org -
Capt. David Wong, MD,Chief Medical Officer, IHEC Co-Chair
, U.S. Department of Health and Human Services
- Share options
- Share on Facebook
- Share on Twitter
- Share on LinkedIn
-
Learn more about Jennifer S. Lee, MD
-
3:00 pm – 3:45 pm,
Empowering Consumers Through Fast Healthcare Interoperability Resources (FHIR)
,CMS is planning to issue a federal regulation requiring insurance carriers to utilize Fast Healthcare Interoperability Resources (FHIR) to fulfill prior authorization. This regulation would apply to commercial insurers. Speakers in this session will discuss the respective activities being undertaken to implement this regulation. This is an example of how FHIR is revolutionizing functions across the healthcare industry and is expected to be a major improvement in the patient/customer experience.
-
Michele Johnson,Senior Program Analyst, Healthcare and Insurance (HI)
, U.S. Office of Personnel Management -
Alexandra Mugge, MPH,Chief Health Informatics Officer, and Director of the Health Informatics and Interoperability Group (HIIG)
, Centers for Medicare & Medicaid Services (CMS) -
Elisabeth Myers, MBA,Deputy Director, Office of Policy, Office of the National Coordinator for Health IT (ONC)
, U.S. Department of Health and Human Services (HHS)
- Share options
- Share on Facebook
- Share on Twitter
- Share on LinkedIn
-
-
3:45 pm – 4:30 pm,
Leveraging Data as a Strategic Asset: Updates on HI Data Efforts
-
Elena Dubas,Program Manager, Healthcare and Insurance (HI)
, U.S. Office of Personnel Management -
Andrew Sudimack,Economist, Healthcare and Insurance (HI)
, U.S. Office of Personnel Management
- Share options
- Share on Facebook
- Share on Twitter
- Share on LinkedIn
-
-
4:30 pm – 5:00 pm,
Conversation on Operational Initiatives
-
Janet Miller,Program Specialist, Healthcare and Insurance (HI)
, U.S. Office of Personnel Management -
Jeffrey Moser,Program Specialist, Healthcare and Insurance (HI)
, U.S. Office of Personnel Management -
June Phillips,Program Specialist, Healthcare and Insurance (HI)
, U.S. Office of Personnel Management
- Share options
- Share on Facebook
- Share on Twitter
- Share on LinkedIn
-
10:00 am - 5:00 pm Apr 20 • 2023
10:00 am – 5:00 pm
,
Registration and Information Desk Open
11:00 am – 12:30 pm
,
General Session
-
11:00 am – 11:45 am,
Plan Performance Assessment
,The Plan Performance Assessment team will provide data highlights from the 2022 Scoring Cycle, as well as other insights over the seven years of results. In addition, updates on future directions being explored for Plan Performance Assessment will be shared.
-
Edward M. DeHarde, MS,Deputy Associate Director, Healthcare and Insurance (HI)
, U.S. Office of Personnel Management -
Carla Fletcher,Program Analyst, Healthcare and Insurance (HI)
, U.S. Office of Personnel Management -
Joseph Kahn,Program Manager, Healthcare and Insurance (HI)
, U.S. Office of Personnel Management
- Share options
- Share on Facebook
- Share on Twitter
- Share on LinkedIn
-
-
11:45 am – 12:30 pm,
Pharmacy Benefit Manager (PBM) Oversight
,Pharmaceuticals account for approximately 30% of the FEHB premium. This session will feature an industry leader in PBM oversight and benefit optimization and discuss the critical role of the Carrier in overseeing the PBM function. Speakers in this session will discuss how the implementation of near real-time pharmacy claim reviews with an FEHB Carrier has improved financial performance, strengthened vendor partnerships, and brought transparency to the pharmacy benefit.
-
Jarrod Grossman, PharmD,Vice President, Pharmacy and Analytics
, HealthPlan Data Solutions, Inc. -
Janice Rhee, PharmD, MBA,,Data Analyst, Healthcare and Insurance (HI)
, U.S. Office of Personnel Management -
Dele Solaru, PharmD, MBA,Chief Pharmacy Officer Healthcare and Insurance (HI)
, U.S. Office of Personnel Management -
Nick Trego, PharmD,Vice President, Account Management
, HealthPlan Data Solutions, Inc.
- Share options
- Share on Facebook
- Share on Twitter
- Share on LinkedIn
-
12:30 pm – 1:30 pm
,
Lunch Break
1:30 pm – 2:30 pm
,
General Session
-
1:30 pm – 2:00 pm,
Employer Group Waiver Plans (EGWPs)
-
Edward M. DeHarde, MS,Deputy Associate Director, Healthcare and Insurance (HI)
, U.S. Office of Personnel Management
- Share options
- Share on Facebook
- Share on Twitter
- Share on LinkedIn
-
-
2:00 pm – 2:30 pm,
Postal Service Health Benefits Program
,The Postal Service Reform Act of 2022 directs OPM to create a new Postal Service Health Benefits Program. This session will provide an update on OPM's implementation status.
-
Maggie Martel,Program Manager, Healthcare and Insurance (HI)
, U.S. Office of Personnel Management -
Sylvia Pulley,Acting Deputy Associate Director, Healthcare and Insurance (HI)
, U.S. Office of Personnel Management
- Share options
- Share on Facebook
- Share on Twitter
- Share on LinkedIn
-
2:30 pm – 2:45 pm
,
Break
2:45 pm – 3:30 pm
,
General Session
-
,
Evidence-Based Pain Management and Opioid Prescribing
,The drug overdose epidemic continues to impact thousands of Americans each year. Ensuring clinicians are prepared with evidence-based strategies to treat pain, including the use of prescription opioids, and to provide care for opioid use disorder, if present, is paramount. Speakers in this session will discuss the recently released report on clinical practice guidelines for prescribing opioids for pain.
-
Christina A. Mikosz, MD,Lead Clinical Practice Team, Health Systems and Research, Branch, Division of Overdose Prevention, National Center for Injury Prevention and Control
, Centers for Disease Control and Prevention -
Dele Solaru, PharmD, MBA,Chief Pharmacy Officer Healthcare and Insurance (HI)
, U.S. Office of Personnel Management
- Share options
- Share on Facebook
- Share on Twitter
- Share on LinkedIn
-
3:30 pm – 3:45 pm
,
Conference Wrap-Up/Adjournment
-
,
Conference Wrap-Up/Adjournments
-
Edward M. DeHarde, MS,Deputy Associate Director, Healthcare and Insurance (HI)
, U.S. Office of Personnel Management
- Share options
- Share on Facebook
- Share on Twitter
- Share on LinkedIn
-