Medical Excess Claims Conference

Our 30th Medical Excess Claims Conference is now in the books and we had record breaking attendance with over 100 attendees representing nearly 60 different MGUs, Carriers and Reinsurers.  The conference featured seven sessions discussing stop loss and managed care claim topics, as well as cost containment and PBM discussions.  We concluded the conference with a 3-hour Roundtable event in which attendee-submitted industry questions were presented in a PowerPoint with a lively group discussions and sharing of information on each.  We sincerely enjoyed presenting this conference to our colleagues in the industry and are already planning next year’s event!

Northshore International has provided a forum for medical excess claims 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.

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Prior Conference Agendas:

2019 Medical Excess Conference

Speaker

Session Topic

Robert Ziomek
Axia Strategies, Inc.
Containing Catastrophic Care Costs: The Need for Effective Collaboration & Coordination Between Stop Loss Carriers and TPAs
Heath Potter
Scott Ray, J.D.
6 Degrees Health, Inc.
The Unbundling of Cost Containment, Specialty Contracting & RBP
Steven Murphy
Northshore International Insurance Services, Inc.
Case Studies in Specific Excess Claims
Lea Zurek
Northshore International Insurance Services, Inc.

Ken Poublon
Ironshore, A Division of Liberty Mutual
Close Encounters of the Third-Party Kind: Tracking down eligibility doesn’t have to be a strange experience!
Tammy Burns
Northshore International Insurance Services, Inc.
The Role and Responsibility of CMS in Managed Care Reinsurance
Susan Arsenault
Northshore International Insurance Services, Inc.

Suzi Johnson
HIIG Accident & Health
Some Like it Hot…but Not if you are an MGU/Carrier: Gold Standard Claim Administrative Practices to Keep from Getting Burned!
Pat Campola
Windsor Strategy Partners
Helping Employers Navigate the Self-Insurance Maze
LeAnn Boyd
Southern Scripts, LLC
Pulling Back the Curtain on PBMs
Steve Murphy
Susan Arsenault
Northshore International Insurance Services, Inc.
Round Table Discussion

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