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Health Insurance Summit

The Annual Health Insurance Summit is the most established business gathering dedicated to the PHI industry.

27 – 28 July 2017 | Swissotel, Sydney

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Hospital industry rate available - see pricing below
Book 3 delegates and receive the 4th delegate at no cost

overview

Informa Australia are pleased to announce the 16th Annual Health Insurance Summit which will be held on the 27th & 28th of July 2017 at the Swissotel, Sydney. The event aims to provide a government and policy based discussion on legislative and regulatory changes and issues for reform, and its impact on the Private Health Insurance industry.

The Private Health Insurance (PHI) industry is increasingly under pressure by the Government health reform, with recurrent themes to change the PHI rebate, cut spending and reshape the future role of health insurers. High claims inflation and increasing utilisation costs means that premiums continue to rise and perpetuates the trend for members to downsize their level of cover, all of which adds to the intense competition within the industry.

Health insurers are on the lookout for new business strategies and are turning towards innovative solutions to overcome health inflation and better manage costs. New medical innovation and advances in technology are providing the next step forward to help facilitate business efficiencies in the PHI industry.

The 16th National Health Insurance Summit will bring together senior level representatives to discuss the current challenges the PHI industry is facing, as well as offer new strategies and solutions to appeal to their members.

agenda

9:00 am

OPENING | Opening remarks from the Chair

9:10 am

The Federal Government has made reform of the private health
sector a priority, amid concerns about declining participation. With
affordability of both the premium and out-of-pocket medical costs
key consumer concerns, research continues to show health fund
members value the product for the security and sense of control it
brings. As we move forward with reform of medical device pricing,
this session will focus on the remaining issues which must be
addressed as a priority by government, regulators and health
funds themselves to ensure a modern, sustainable and effective
private health sector as a fundamental component of Australia’s
health system.

9:50 am

  • COAG 2016 Hospital Funding Agreements: Linking funding to quality
  • IHPA 2017-18 funding options to implement Agreements: HAC, adverse events, readmissions – Implications for hospitals, HIFs; Australian Stakeholder engagement – Results; International approaches (a) P4P by HIF (b) CEA in CPGs
  • Australian HIFs and P4P, CPGs and clinical autonomy

10:30 am

Networking and refreshment break

11:00 am

APRA’s review of the existing PHI prudential framework

Peter Kohlhagen, SM Policy Development - Policy Development, Australian Prudential Regulation Authority

11:40 am

The NDIS and its impact on Australia’s current health insurance and healthcare system

Vicki Rundle, Deputy CEO, National Disability Insurance Agency

12:20 pm

Lunch and networking break

1:20 pm

Private patient public hospital service utilisation

James Downie, CEO, Independent Hospital Pricing Authority

2:00 pm

  • The ‘me’ generations – how this affects the purchasing and retention of health insurance
  • The ‘now’ generations – what is acceptable service? How long will they wait?
  • The ‘choice’ generations – How much choice do consumers expect? How much do they feel like they are getting

2:40 pm

Networking and refreshment break

3:10 pm

The language of choice and healthcare is integral to a focus on consumer responsibilities about ensuring their future healthcare needs are met. There is little exploration about what choice might mean within the contemporary healthcare system and how consumers make choices. In this paper, I draw on interviews with healthcare consumers to propose that healthcare choice is not simple or straightforward; and dimensions such as trust and experience, rather than calculated predictions of future health care needs, are important in shaping how people make healthcare choices, particularly with regard to private health insurance.

3:50 pm

Digital and customer experience disruptions

David Koczkar, Group Executive – Chief Customer Officer, Medibank

4:30 pm

CLOSING | Closing remarks from the Chair

4:40 pm

Networking drinks

9:00 am

OPENING | Opening remarks from the Chair

9:10 am

  • Up they go again: Understanding why PHI premiums outstrip
    inflation
  • Implications for the value proposition of PHI: How does it
    compare?
  • Looking forward: Does the Government have the right policy
    mix to boost PHI overage and equitably share the costs of health
    care?

9:50 am

The presentation will provide an overview of challenges in the
Australian health sector. It will examine the regulatory framework,
subsidies, incentives for consumers and providers, and how current
arrangements impact on the private health insurance sector and its
clients. It will explore future opportunities for funds to play a more
strategic role, moving from being intermediaries between providers
and consumers, to strategic agents working with government and
health care providers to improve efficiency within the Australian
context of universal access to health care.

10:30 am

Networking and refreshment break

11:00 am

  • The importance of addressing mental health through PHI given that it is one of the fastest costs drivers
  • The benefits of reducing hospitalization for severe anxiety & depression
  • Results from the MindStep program

11:40 am

While financial fraud against the private health insurance sector in
Australia has commonalities to other countries with similar health
systems, in Australia fraud against the industry has garnered unique
characteristics. The presentation will focus on:

  • The strengths of the Australian health insurance system
  • The weaknesses in the private health insurance sector in terms of fraud control
  • Benefits to be gained from the adoption of new technologies

12:20 pm

Lunch and networking break

1:20 pm

New technologies and their impact on the health insurance industry

Ian Burgess, CEO, Medical Technology Association of Australia

2:00 pm

While there are differences between the perspectives of health
insurers and medical researchers, there is also much common
ground. Critically, both want to see the introduction of cost-effective
improvements in healthcare and this requires the rapid translation of
evidence-based findings into clinical practice. Medical researchers
are focused on reducing the time required for effective research
findings to translate through to clinicians and patients. By increasing
the translation speed of cost-effective healthcare, patients benefit;
but so do the payers of that healthcare. Addressing low value
healthcare is another area where medical researchers and health
insurers share a common interest. Low value healthcare has little or
no health benefit and it can sometimes harm patients. Both
researchers and insurers want see low value care identified and
appropriately actioned so that its use is reduced. This presentation
will discuss these and other areas where the interests of medical
research intersect with the health insurance industry.

2:40 pm

Network and refreshment break

3:10 pm

  • Explore how different healthcare stakeholders can use network analytics in healthcare decision making
  • Illustrate a basic understanding of network analytics in the context of healthcare management
  • Apply methods and measures of social network analysis in analysing group efforts of healthcare professionals
  • Discuss how network analytics could lead to improved decision makings

3:50 pm

Fund Rules - compensation recovery provisions and future medical expenses

4:30 pm

CLOSING | Closing remarks from the Chair

4:40 pm

End of Conference

pricing

Packages Price
Package(Two Days) $2395+GSTEarly Bird
Packages Price
Package(Two Days) $3095+GSTEarly Bird

Event pricing

  • Standard registration pricing
    Standard rate: $3,095 + GST
    Hospital rate: $2,395 + GST
  • Book 3 delegates and receive the 4th delegate pass at no cost
    To take advantage of this offer, call us today on 02 9080 4307 or email info@informa.com.au.
    Note: All delegates must be from the same company and register at the same time to qualify.

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speakers

Dr Rachel David

Chief Executive, Private Healthcare Australia

Dr Kathryn Antioch

CEO, Guidelines and Economists Network International (GENI)

Peter Kohlhagen

SM Policy Development - Policy Development, Australian Prudential Regulation Authority

Vicki Rundle

Deputy CEO, National Disability Insurance Agency

James Downie

CEO, Independent Hospital Pricing Authority

Christopher Zinn

CEO, Private Health Insurance Intermediaries Association

Professor Karen Willis

Health Sociologist, Australian Catholic University

David Koczkar

Group Executive – Chief Customer Officer, Medibank

Sarina Lacey

Director of Health Economics & Policy, Centre for International Economics

Professor Elizabeth Savage

Professor Economics Discipline Group, University of Technology Sydney

Amanda Hagan

CEO Healthcare, Australian Unity

Dr Kathryn Flynn

Honorary Fellow, University of Wollongong

Ian Burgess

CEO, Medical Technology Association of Australia

Associate Professor Andrew Searles

Associate Director Health Research Economics, Hunter Medical Research Institute

Dr Shahadat Uddin

Lecturer Complex Systems Research Centre, University of Sydney

when & where

27 - 28 Jul 2017

Swissotel, Sydney
68 Market Street
Sydney, NSW 2000
02 9238 8888
www.swissotel.com/sydney

Book Accommodation with Lido Group
For your convenience Lido Group will manage your accommodation needs. Click here or call 02 8585 0808.

contact

Still have a question?

Tina Karas
Conference Manager
+61 2 9080 4306
tina.karas@informa.com.au

Samantha Lister
Sponsorship & Exhibition Manager
+61 2 9080 4432
samantha.lister@informa.com.au

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