Commercial Health Plan Performance Trends: Deloitte Research

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Commercial Health Plan Performance Trends: Deloitte Research 
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Commercial lines of business, particularly the group segment, used to be growth and profitability engines for many health plans. However, market and policy changes have posed significant challenges. And many health plans have struggled financially, particularly in the rapidly evolving commercial individual market. New Deloitte Center for Health Solutions research explores five key findings from analyses of the financial performance of commercial health plans.

Deloitte's study focuses on the fully insured commercial group and commercial individual books of business of US health plans. The study uses financial data reported by insurers to CMS according to statutory accounting principles.

Some policy changes were not implemented as originally intended, including partial or no stabilizing market mechanisms and regulations, which likely resulted in unintended consequences for health plans. Many of this study's findings can be categorized as pre- and post-2014 results, which reflect the direct and indirect impacts of policy changes and uncertainty on commercial health plans.

Health plans of all sizes should continuously re-evaluate their position and capabilities in a changing market. High market exit rates and member turnover can lead to instability in health plans' risk profiles, making accurate pricing and predictability challenging. Price setting in an unstable market requires sophisticated premium rate-setting capabilities, including predictive data analytics, and increased flexibility to rapidly respond to health care expense increases in specific areas.

Please join us on Thursday September 13, 2018, at 1 PM Eastern as Deloitte's Andreea Balan-Cohen, Ph.D. and Maulesh Shukla present their research findings and perspectives in the commercial health plan group and individual lines arena, in the HealthcareWebSummit event: Commercial Health Plan Performance Trends: Deloitte Research.
Learning Objectives

After attending this webinar, attendees will be able to:

  1. Identify five key findings from new Deloitte analyses of commercial health plan financial performance for group and individual lines of business.
  2. Examine specific group and individual market revenue, enrollment and underwriting performance indicators and market data during 2011 to 2016.
  3. Understand the importance of policy and its appropriate implementation as drivers of health plans’ performance.
  4. Consider the impact of rapid enrollment fluctuation on risk pool stability and adverse selection.
  5. Consider the implications of commercial health plan performance trends going forward, and perspectives on how to improve the risk pool, and evaluate positioning and capabilities in a changing market.
  6. Engage in interactive learning through online question submission, attendee feedback and opportunity for follow up questions, and networking with attendees, faculty and other professionals through dedicated LinkedIn group
Who Should Attend

Interested attendees would include:

  • C-Suite Executives
  • Finance Executives and Staff
  • Actuarial and Underwriting Executives and Staff
  • Analytics Executives and Staff
  • Employer Benefits Executives and Managers
  • Healthcare Innovation, Transformation and Reform Executives
  • Managed Care Executives and Staff
  • Revenue Cycle Executives and Staff
  • Planning and Strategic Executives and Staff
  • Legal, Regulatory and Policy Executives and Staff
  • Business Intelligence Staff
  • Other Interested Parties

Attendees would represent organizations including:

  • Health Plans
  • Benefit Consulting Organizations
  • Employers
  • Provider Networks
  • Hospitals and Health Systems
  • PBMs
  • Government Agencies
  • Life Sciences Organizations
  • Solutions Providers
  • Associations, Institutes and Research Organizations
  • Media
  • Other Interested Organizations
  Individual Registration Fee: $195. Post-event materials, with video of slides synchronized with speaker audio, plus presentation pdf file: $45 for attendees; $260 for non-attendees after the event. Register online or download the event flyer.
Register Now   Click here to register or call 209.577.4888. Corporate Site licensing also available. We look forward to your attendance!
Andreea Balan-Cohen, Ph.D.

Andreea Balan-Cohen, Ph.D., Research Leader
Deloitte Center for Health Solutions

  Andreea Balan-Cohen is the Healthcare Research Leader at Deloitte Center for Health Solutions, where she helps further the development and execution of the Center’s strategic research agenda, which aims to help key healthcare industry stakeholders—including health care organizations and governments –cope with the changing healthcare market and policy landscape.

Andreea is a health economist, with deep experience in health care policy, quantitative analysis, and research. Prior to joining Deloitte, Andreea was a Senior Health Economist with the World Bank and worked in healthcare consulting as well as in academia as a professor at Tufts University.

She serves on several boards, including the Advisory Board for Value and Quality at Academy Health. She holds a Ph.D. in economics from Harvard University.

Maulesh Shukla

Maulesh Shukla
Assistant Manager
Deloitte Center for Health Solutions

Maulesh Shukla is an Assistant Manager at the Deloitte Center for Health Solutions, where he conducts primary and secondary research and analysis on emerging trends, challenges, and opportunities for stakeholders within the health care system.

Covering a wide range of research on health plan, hospital and health system topics the past eight years, his recent research focus is on health plan financial performance, patient experience and customer transformation, health care information technology, innovation, and health care reform.

Maulesh has over ten years of progressive experience in thought leadership and strategic research in health care. Maulesh holds an MBA in Finance from ICFAI Business School in Hyderabad, India, and a Bachelors in Business Administration from MS University, Gujarat, India.

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