Healthcare ClubInsurance Lunch & Learn

Sponsored by

September 21st, 2015

Agenda

Industry Overview

Employment Opportunities

Internship Sharing

Agenda

Industry Overview

Employment Opportunities

Internship Sharing

Major Healthcare Industry Sectors

Pharma

Med Device

Consumer

PayerProvider

Consulting

IT

Major Healthcare Industry Sectors

Pharma

Med Device

Consumer

PayerProvider

Consulting

IT

Major Healthcare Industry Sectors

Pharma

Med Device

Consumer

PayerProvider

Consulting

IT

Payer from the consumer perspective

Go into doctor’s

office

Receive treatment

Doctors office

submits a claim

Insurer processes, pays share

You’re billed rest: deductible

or co-insurance

Payer from the provider perspective

Provider administrator thinks about…

• What network you are on• Fee schedule (how much you get paid)• Claims adjustment (think audits)

Payer from the pharma/med device perspective

Pharma/med device companies think about…

• Formulary – list of drugs you can take covered by the payer

• Reimbursement negotiations• 3rd parties, such as Express Scripts

Overall, payers…

• Determine coverage• Negotiate reimbursements• Manage health of members• Manage risk (actuaries)

Keep people healthy and make a profit

Important topics and trends

• Consolidation on payer side and provider side

• Payment changes to outcome-based, capitation

• Offering health solutions/wellness programs

• Marketing directly to consumers

• Who bears the risk – is it payer, provider, or consumer?

Agenda

Industry Overview

Employment Opportunities

Internship Sharing

Agenda

Industry Overview

Employment Opportunities

Internship Sharing

There are on and off-campus opportunities

Company

On or off-campus?

On On On On

Off, but participate in

healthcare club events, post

opening in CMC Connect

Function Areas

FinanceHR

MarketingStrategy

Finance*may add healthcare

development program

Other companies that will likely post openings in CMC Connect:

Agenda

Industry Overview

Employment Opportunities

Internship Sharing

Agenda

Industry Overview

Employment Opportunities

Internship Sharing

Insurance Internship Panel

Andrew BromleyMichael Binns Jake Petralia

Project(s) Company Culture Takeaways

Thomas DeSena

Miguel Garcia-OchoaJohn EalyMatt Blum Colin Sloniker

Next Steps

Resources – Newsletters/Websites

FierceHealth Payer http://www.fiercehealthpayer.com/

Morning Consult http://themorningconsult.com/category/2-health/

Fierce Healthcare http://www.fiercehealthcare.com/

Hospital Impact http://www.hospitalimpact.org/

Fierce Practice Management http://www.fiercepracticemanagement.com/and Website

Learning & Development CalendarDate Time Topic Presenter Room

8/25 4pm to 5:30pm Pharma & Med Device 2nd Years 2600

9/5 12:30pm to 1:50pm International Student Recruiting

2nd Years 2050

9/9 3:30pm to 4:50pm Pharma Industry GlaxoSmithKline 2600

9/14 12:30pm to 1:50pm Consumer Healthcare 2nd Years 2600

9/21 12:30pm to 1:50pm Insurance Industry, sponsored by Humana

2nd Years 2600

10/26 12:30pm to 1:50pm Provider 2nd Years 2575

10/30 Noon to 1:30pm HC Consulting Panel Kurt Salmon, Triangle Insights Group

2600

11/9 12:30pm to 1:50pm Payer & Provider BCBSNC & UNC Physicians

2650

11/16 12:30pm to 1:50pm Healthcare Consulting 2nd Years 2650

11/30 12:30pm to 1:50pm Healthcare IT Keona Health 2650

12/7 12:30pm to 1:50pm Interview Insights 2nd Years 2650

White rows = L&LsLight blue = HDP *Food will always be provided at L&Ls

2015 Humana Case Competition

• September 11-23: Registration open• September 24: Case sent out• September 27: Presentation deadline

https://www.surveymonkey.com/r/H9S3373

Emory Global Health Case Competition

• April 8-9, 2016 in Atlanta, GA• First-place prize: $6,000 (2nd, 3rd, 4th-place teams will also

receive cash prizes)• Teams of 5 students; must represent at least 3 schools (e.g.

MD student, MPH student, MBA student, etc.)

• Application period opens October 5, 2015• If team is selected to participate, $600 application fee• 2015 topic: Groups were asked to develop recommendations

that would address many issues that may contribute to Honduras' crime rate

J&J Marketing Case Competition

• October 8 – Registration deadline• October 16 – Receive case• October 23 – Internal round• October 30 – Welcome reception• October 31 – External round• Teams of 4 or 5 (First year students only)• Contact Morgan Lovit for more information• Register: http://bit.do/mktcasecomp

Next Steps

Sign-up for career treks

• Info session is tomorrow, 9/22, 3:30-4:30pm in McColl 2500

Participate in case comps

• Humana• Emory• J&J

Attend next 2 sessions

• 10/26 L&L – providers L&L

• 10/30 HDP – healthcare consulting

This slide deck will be posted on the coursepack