Medical Excess Claims Conference

The countdown is on!  Thank you all for the inquiries about our claims conference – we are thrilled to hear the level of excitement for this conference, and are looking forward to seeing everyone; it’s looking like it is going to be a fantastic turnout.  The conference will be held from May 7th through May 9th at the Sheraton Portsmouth Harborside Hotel in historic Portsmouth, New Hampshire.  The agenda has now been finalized and is jam-packed with industry-focused sessions.

This invitation-only event is open to MGUs, carriers and reinsurers in the excess industries.  Invitations have been mailed.  If you did not receive one and would like to attend, please Click Here.

Northshore International has provided a forum for medical excess claim professionals to meet with their peer and industry experts to discuss current and emerging topics impacting our industry. Northshore International has the distinction of having hosted this conference for 30 years; the longest of its kind in the industry.

Agenda for the 30th Medical Excess Conference

Day/TimeConference Activity
Tuesday, May 7, 2019
10:30Registration Desk Opens
11:30Lunch
Registration Continues
12:30Welcome and Opening Comments
Stephen V. Murphy, Chief Executive Officer
Northshore International Insurance Services, Inc.
12:45Containing Catastrophic Care Costs: The Need for Effective Collaboration & Coordination Between Stop Loss Carriers and TPAs
Program Leader:
  Robert Ziomek
  Axia Strategies, Inc
2:00Refreshment Break
2:15The Unbundling of Cost Containment, Specialty Contracting & RBP
Program Leaders:
  Heath Potter
  Scott Ray, JD
  6 Degrees Health, Inc.
3:15Refreshment Break
3:30Case Studies in Specific Excess Claims
Program Leader:
  Stephen V. Murphy
  Northshore International Insurance Services, Inc.
4:45Day One Sessions Conclude
5:30New England Lobster Bake – Casual Dress
Wednesday, May 8, 2019
8:00Continental Breakfast
9:00Close Encounters of the Third-Party Kind: Tracking down eligibility doesn’t have to be a strange experience!
Program Leaders:
  Lea Zurek
  Northshore International Insurance Services, Inc.
  Ken Poublon
  Ironshore, A Division of Liberty Mutual
Moderated by:
  Susan A. Arsenault
  Northshore International Insurance Services, Inc.
10:15Refreshment Break
10:30Breakout Session 1: The Role and Responsibility of CMS in Managed Care Reinsurance
Program Leader:
  Tammy Burns
  Northshore International Insurance Services, Inc.
    Or
Breakout Session 2: Some Like it Hot…but Not if you are an MGU/Carrier: Gold Standard Claim Administrative Practices to Keep from Getting Burned!
Program Leader:
  Susan A. Arsenault
  Northshore International Insurance Services, Inc.
  Suzi Johnson
  HIIG Accident & Health
12:45Lunch
1:30Helping Employers Navigate the Self-Insurance Maze
Program Leader:
  Pat Campola
  Windsor Strategy Partners
2:45Refreshment Break
3:00Pulling Back the Curtain on PBMs
Program Leader:
  LeAnn Boyd
  Southern Scripts, LLC
4:15Day Two Sessions Conclude
5:30Evening Event – Casual Dress
Thursday, May 9, 2019
7:30FULL BREAKFAST BUFFET
9:00Round Table Discussion
Program Leader: Stephen V. Murphy
10:15Refreshment Break
10:30Round Table Discussion Continues
12:00Lunch and Conference Closing
(Lunch and take-away packaging will be available at 10:45)
 


Prior Conference Agendas:

2018 Medical Excess Conference

Speaker

Session Topic

Horace Garfield
Frederick J. Miller
D.W. Van Dyke & Company, Inc.
What Did We Know and When Did We Know It? And, I’m Not Talking About Washington!
Tammy Burns
Northshore International Insurance Services, Inc.
The Mysteries of the Universe Revealed (as they Pertain to HMO Re and Provider Excess of Loss)
Susan A. Arsenault – Program Moderator
Lea M. Zurek, HIA, MHP – Audit Perspective
Northshore International Insurance Services, Inc.
Michael Reisinger – Carrier Perspective
Companion Life Insurance Company
Karen G. Whitehead – Employer Perspective
Arthur J. Gallagher
Eligibility Issues Facing Our Industry Today: A Panel Perspective
Hy Byrd
Golden Triangle Specialty Network
Specialty Tools for Specialty Pharmacy
Ellen K. Motolo, RN, CCM
Optum
Discussions on a New Revolutionary Therapy, as well as Other High Cost Drug Trends
Susan A. Arsenault
Michael A. Chase
Northshore International Insurance Services, Inc.
Aggregate Claims – Show Me the Money!
Scott E. Williams
Golden Triangle Specialty Network
The Rest of the Story: Dialysis
Steve V. Murphy
Lea M. Zurek, HIA, MHP
Northshore International Insurance Services, Inc.
Case Studies in Specific Excess Claims
David W. Ives, CPCU
Northshore International Insurance Services, Inc.
Round Table Discussion

2017 Medical Excess Conference

Speaker

Session Topic

Katie Lynn
The Jacobson Group
Today’s Talent Puzzle, Engaging the Next Generation
Karen English ACI, AU, ARM, CPCU
Teri Weber ACI
Spring Consulting Group, LLC
The ABC’s of PTO, MFLA & ADA: Continuation of Eligibility and Continuing Health Care Coverage
David W. Ives, CPCU
Northshore International Insurance Services, Inc.
Willem Noorlander, JD
Gierke Frank Noorlander, LLC
The Identification and Handling of Professional Liability Exposure in the Medical Excess Environment
Ryan Work
Self-Insurance Institute of America, Inc.
The Changing Political and Policy Environment
Jeremy Perkinson
National Bill Audit Services, LLC
The Art of Extracting Your Profits from a Provider’s Receivables without Resorting to Violence
Scott E. Williams
Golden Triangle Specialty Network
Building a Better Mousetrap
Steve V. Murphy
Lea M. Zurek, HIA, MHP
Northshore International Insurance Services, Inc.
Case Studies in Specific Excess Claims
David W. Ives, CPCU
Northshore International Insurance Services, Inc.
Round Table Discussion

2016 Medical Excess Conference

Speaker

Session Topic

John LeBlanc
Manatt, Phelps & Phillips, LLP
Rehab Rep-Off: Frauds and Felons
Brian Wroblewski
ClearHealth Strategies, LLC
The Secret Society of Reference-Based Pricing: Are You Ready to Join?
Ginny McHugh
McHugh Consulting Resources, Inc.
Stop Loss Contracts Today - What You Need to Know
David C. Vizzini, MA
Scott Bennett
6 Degrees Health, Inc.
Proper Preparation Promotes Prime Performance: A Pragmatic Counter-Offence to Mitigating High-Dollar Claims and Navigating the Cost Containment Landscape
Steve V. Murphy
Lea M. Zurek, HIA, MHP
Northshore International Insurance Services, Inc.
Case Studies in Specific Excess Claims
David W. Ives, CPCU
Northshore International Insurance Services, Inc.
Round Table Discussion

2015 Medical Excess Conference

Speaker

Session Topic

Mark Hartmann
Ethicare Advisors
Cost Containment from 30,000 feet
Stuart Silfen
D.W. Van Dyke & Co., Inc.
A Look at the Medical Stop Loss Survey
Richard Ives
International Subrogation Management Inc.
Subrogation: The Process...Are You Receiving the Full Amount You Are Entitled To?
K. Suzi Johnson
S.J. Connect
Let’s Talk Operations and I’m Not Talking Surgical Procedures...
Tom Croft
Croft Law, LLC
Less Than a Perfect Union: Plan Document Language, Stop Loss Policy Language and the Consequences of Marital Discord
Steve V. Murphy
Lea M. Zurek, HIA, MHP
Northshore International Insurance Services, Inc.
Case Studies in Specific Excess Claims
David W. Ives, CPCU
Northshore International Insurance Services, Inc.
Round Table Discussion