2020 Symposium

NAIRO 2020 Symposium

Each year, NAIRO and its member companies stage an annual Symposium discussing the latest developments and trends in independent medical review. The Symposium delivers in-depth educational content, along with networking opportunities to meet and exchange ideas with others in the industry.

For 2020, the Symposium moves to the beautiful Kiawah Island Golf Resort on Kiawah Island, South Carolina, April 28th-30th. The theme for the three-day event is “Protecting Review Integrity During Healthcare and Regulatory Evolution,” highlighting changes in healthcare and the regulatory environment and the impact on IROs, Workers’ Compensation Organizations and Health Utilization Management Organizations.

Please stay tuned for updates to the agenda and other important information. If your company or organization is interested in sponsorship and exhibit opportunities, please click the "Sponsor/Exhibitor Info" button below to learn more.

REGISTER
SPONSOR/EXHIBITOR INFO
PROGRAM AGENDA
TRAVEL INFO
ABOUT THE SPEAKERS

 

Program Agenda

Day 1: Tuesday, April 28, 2020
12:00-5:00 pm Registration/Check-In
12:00-5:00 pm NAIRO Board of Directors Meeting – All Members Welcome!
5:30-7:30 pm Welcome Reception
 
Day 2: Wednesday, April 29, 2020
7:00-8:30 am Group Breakfast and Registration/Check-In
8:30-8:45 am Welcome & Opening Remarks: Ed Bolton, NAIRO President
8:45-9:45 am Opening Session: Panel Discussion on Risk Mitigation, Privacy and Security
9:45-10:00 am Networking Coffee Break
10:00-11:30 am Guest Speaker: Donna Merrick, Product Enhancement Principal, URAC
Topic: URAC Updates
11:30-1:00 pm Group Lunch
1:00-2:00 pm Guest Speaker: Mara OsmanSenior Regional Director for State Affairs, America’s Health Insurance Plans (AHIP) 
2:00-2:15 pm Networking Coffee Break
2:15-3:15 pm Guest Speaker: Kelly Kenney, CEO, Physicians Advocacy Institute (PAI)
Topics: Fair Audit Advocacy Efforts, Administrative Burden Associated with Regulations
3:15-4:15 pm Guest Speaker: Moe Auster, Senior Vice-President & Chief Legislative Counsel, Medical Society of the State of New York
Topic: Surprise Billing
6:00 pm - 8:00 pm Group Dinner
 
Day 3: Thursday, April 30, 2020
7:30-8:30 am Group Breakfast
8:30-9:30 am Keynote Address: Dr. Shawn Griffin, President and CEO, URAC
9:30-10:00 am Networking Coffee Break
10:00-11:00 am Guest Speaker: Keith Landry, Partner, Allen & Gooch
Topic: Current State of UM in Louisiana
11:00-11:45 am Guest Speaker: Kelly Shriner, Vice President for Patient Access, Pulmonx
Topic: Medical Devices and FDA Approval
11:45 am - 12:00 pm Closing Remarks

 

Travel Information

Kiawah Island Golf Resort Accommodations

Kiawah Island Golf Resort
One Sanctuary Beach Drive
Kiawah Island, SC 29455
www.kiawahresort.com

Overnight rooms are available to NAIRO Symposium attendees at a discounted rate of $179.00 per night plus tax for a One Bedroom Villa. A resort service fee of 9% per villa per day will apply to all guest rooms utilized. Please note: guests can also book a One Bedroom Ocean View Villa for $299.00, based on availability.

Reservations must be made by phone or fax/email on or before March 28, 2020. Mention you are a NAIRO Symposium attendee for access to the special group rates or reference booking ID number 16740.

Phone Reservations: Call (800) 654-2924 and reference the NAIRO Annual Symposium and/or the group booking number 16740.

Fax or Email Reservations: Complete the Reservations Form and fax to (843) 768-2736 or email to [email protected]

Getting There

The nearest airport is Charleston International Airport (airport code CHS), which is a 30- to 45-minute drive from the island. The airport is serviced by several rental car companies, as well as taxi and ride sharing services.

For a list of additional area airports and driving directions, please see kiawahresort.com/about-us/our-location/

 

About the Speakers

Moe Auster, JD

SENIOR VICE-PRESIDENT & CHIEF LEGISLATIVE COUNSEL, THE MEDICAL SOCIETY OF THE STATE OF NEW YORK

Morris (Moe) Auster, JD, is the Senior Vice-President and Chief Legislative Counsel of  the Medical Society of the State of New York (MSSNY). His chief role is to oversee the lobbying operations of MSSNY, including developing and analyzing legislation and regulations that impact upon delivery of care by physicians, particularly third party payment issues, medical liability, Medicaid, scope of practice, disciplinary and pharmaceutical issues. In that capacity, Mr. Auster frequently meets with all members of the State Legislature and their key health care staff, as well as the top health care policy staff of the Governor’s office, the Department of Financial Services, the Department of Health and the Workers Compensation Board.

Mr. Auster is also extensively involved in coordinating the grass roots lobbying efforts of physicians and county medical societies and physicians across New York State on pending state and federal legislative issues. In that capacity, he has written and edited thousands of articles for various weekly and monthly MSSNY publications, as well as county and specialty medical association journals. He also plays a key role in MSSNY’s external communications preparing numerous newspaper op-eds, press releases, and social media messages regarding pending legislative initiatives. He is also a frequent presenter at medical leadership meetings, including those organized by the American Medical Association (AMA) and county medical societies. Prior to joining MSSNY in 1999, Mr. Auster served as Associate Counsel to former New York State Assembly Majority Leader Michael Bragman.

Mr. Auster was admitted to the New York State and Massachusetts Bar in 1996 after graduating in 1995 from Albany Law School, and from the State University of New York at Albany in 1992. He is an appointed member of the Executive Committee of the AMA’s Advocacy Resource Center, which assists state medical societies across the country in in developing and reacting to common legislation impacting physician delivery of care to patients.

He is an appointed member of the Planning Board and Zoning Commission for the Town of Niskayuna, a tenor with the Ne’imah Jewish Community Choir and has performed in several local community theater productions. An avid runner and hiker, he has completed several marathons and climbed many of the Northeast’s highest peaks. He lives in Niskayuna, NY, with his wife, Martha, his two daughters, Abby, 17, and Hailey Clare, 14, and his dog Spencer.


Shawn Griffin, MD

PRESIDENT & CEO, URAC

Dr. Shawn Griffin is the first physician to serve as President/CEO of URAC, the nation’s largest independent healthcare accreditor. He originally trained in rural family medicine and practiced for over a decade in Iowa and Missouri and served on the state Medicaid oversight board. Early in his career, he was the first Chief Medical Information Officer for both Heartland Health and Baylor College of Medicine, implementing both Cerner and Epic systems. In Houston, he spent 8 years developing one of the most successful Clinically Integrated Networks and Accountable Care Organizations in the country at MHMD – the Memorial Hermann Physician Network. This ACO was the most financially successful organization in the Medicare Shared Savings Program with over $90M in shared savings incentives during the first three years of the program. He is nationally recognized as a subject matter expert on population health, quality improvement, Clinical Integration, ACO's, physician leadership and alignment. He has been a featured presenter for the National Quality Forum, HIMSS, the American Medical Group Association, AMDIS, CHIME, and the American Medical Association and continues to serve as faculty for the CMIO Leadership Academy. He was named by KLAS Research as a "population health all-star" and was a key developer of KLAS Population Health Framework for evaluating software and program capabilities and served on the KLAS Advisory Board. He is the father of five boys and lives with his wife, Katherine, in Washington DC.


Kelly Kenney, JD

CHIEF EXECUTIVE OFFICER, PAI AND PRINCIPAL, K2 STRATEGIES LLC

PAI’s Chief Executive Officer, Kelly Kenney, has over twenty years experience representing physician organizations as a health care government affairs attorney and advocacy consultant. Prior to assuming her role with PAI in January of 2015, Kelly represented several clients with a wide variety of interests in the health care sector as Principal of K2 Strategies LLC.

From 1993-2012, Kelly served in various capacities at the American Medical Association. Her AMA career included several years as Director of the AMA’s State Advocacy Resource Center, where, along with a team of health care attorneys, she developed and implemented numerous state legislative and regulatory campaigns on behalf of the AMA and its component medical associations. Kelly also served as Advocacy Campaign Director for the AMA’s Private Sector Advocacy unit, focusing on administrative simplification, fair contracting and payment and transparency initiatives. Kelly holds a Bachelor of Arts degree from James Madison College at Michigan State University and a Juris Doctorate from the University of Michigan.


Keith J. Landry, JD

PARTNER, ALLEN & GOOCH

Keith J. Landry is a partner in the Lafayette office of Allen & Gooch. His primary areas of practice are insurance defense, insurance coverage, workers’ compensation, auto and subrogation/intervention matters.

Keith has represented major insurance companies, major corporations, restaurant chains and public entities. The contested matters include premises liability, auto accidents, workers’ compensation, offshore and land rig accidents, deleterious food conditions and police misconduct.

Keith is known for his tenacity and creativity in overcoming challenges. His experience lead to the creation and implementation of round robin mediations, bringing together the client, numerous attorneys, plaintiffs and, on occasion, judges to reach settlements within a very short time period. The process has allowed plaintiffs’ counsel and client to meet without interruption and get to the bottom line of the case. The success rate has been as high as 90%, proving to be very cost effective for all parties.

Keith has developed a large caseload with Second Medical Opinions (SMO) and Independent Medical Examinations (IME). He works with vendors and medical providers to thoroughly gather information in order to prosecute the claim, whether with the treating physician, plaintiff’s counsel or Court. Keith also vets medical providers and provides adept knowledge to achieve valuable SMO/IME reports necessary to properly adjust or prosecute the claim.

Keith’s extensive knowledge is shared regularly at speaking engagements for private trainings and continuing education programs, as well as various industry organization and association events.


Donna Merrick, MEd, BSN

PRODUCT ENHANCEMENT PRINCIPAL, URAC

Donna Merrick, MEd, BSN, Product Enhancement Principal, has been with URAC for over 20 years. Donna has been in her current position as product enhancement principal since March 2007. Prior to that she served as an accreditation reviewer at URAC for nearly seven years, and subsequently in the role of director of URAC’s health plan/ health network accreditation review team for over two years. Working with advisory panels of volunteers representing health care stakeholders, Donna facilitates the revision of standards for accreditation and certification programs. She has a Masters in Education from Pepperdine University (CA) and a Bachelor of Science in Nursing from the University of Maryland. Before joining URAC, Donna was a clinical nurse in the U.S. Navy and in civilian healthcare settings. Donna enjoys fresh herbs from her garden and outdoor activities while vacationing in Maine.


Mara Osman, JD

SENIOR REGIONAL DIRECTOR FOR STATE AFFAIRS, AMERICA'S HEALTH INSURANCE PLANS 

Mara Osman is Senior Regional Director for State Affairs at America’s Health Insurance Plans, and has more than twenty-five years of experience working with state and national leaders to educate decision-makers and the public about diverse policy issues. At AHIP, she advances the association’s interests on state legislative and regulatory health care and insurance matters in the southeast region and leads AHIP’s work with the Council of State Governments.

Osman came to AHIP from Milliman Care Guidelines, where she led Government and Quality Agency Relations for the company that produces evidence-based medical guidelines and interactive clinical decision support tools. Prior to MCG, Osman served as the Government Relations Director at the health care accreditor URAC, where she managed company activities involving state and federal government representatives and government programs.

Earlier in her career, Osman managed a public safety project at the National Education Association Health Information Network, designed and launched the Leukemia and Lymphoma Society’s Grassroots Advocacy Program as the Society’s first National Grassroots Manager, and pioneered the State Legislative Field Representative role at the American Psychiatric Association. Osman began her career as a Legislative Fellow in the U.S. Senate, and graduated from Cornell University and Washington University School of Law.