Healthcare Club Insurance Lunch & Learn Sponsored by September 21 st, 2015

Agenda Industry OverviewEmployment Opportunities Internship Sharing

Agenda Industry OverviewEmployment Opportunities Internship Sharing

Major Healthcare Industry Sectors Pharma Med Device ConsumerPayerProviderConsultingIT

Major Healthcare Industry Sectors Pharma Med Device ConsumerPayerProviderConsultingIT

Major Healthcare Industry Sectors Pharma Med Device ConsumerPayerProviderConsultingIT

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 3 rd 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 OverviewEmployment Opportunities Internship Sharing

Agenda Industry OverviewEmployment Opportunities Internship Sharing

There are on and off-campus opportunities Company On or off- campus? On Off, but participate in healthcare club events, post opening in CMC Connect Function Areas Finance HR Marketing Strategy Finance *may add healthcare development program Other companies that will likely post openings in CMC Connect:

Agenda Industry OverviewEmployment Opportunities Internship Sharing

Agenda Industry OverviewEmployment Opportunities Internship Sharing

Insurance Internship Panel Andrew Bromley Michael Binns Jake Petralia Project(s) Company Culture Takeaways Thomas DeSena Miguel Garcia-Ochoa John Ealy Matt Blum Colin Sloniker

Next Steps

Resources – Newsletters/Websites FierceHealth Payerhttp:// Morning Consulthttp://themorningconsult.com/category/2- health/ Fierce Healthcarehttp:// Hospital Impacthttp:// Fierce Practice Managementhttp:// nd Website

Learning & Development Calendar DateTimeTopicPresenterRoom 8/254pm to 5:30pmPharma & Med Device2 nd Years2600 9/512:30pm to 1:50pmInternational Student Recruiting 2 nd Years2050 9/93:30pm to 4:50pmPharma IndustryGlaxoSmithKline2600 9/1412:30pm to 1:50pmConsumer Healthcare2 nd Years2600 9/2112:30pm to 1:50pmInsurance Industry, sponsored by Humana 2 nd Years /2612:30pm to 1:50pmProvider2 nd Years /30Noon to 1:30pmHC Consulting PanelKurt Salmon, Triangle Insights Group /912:30pm to 1:50pmPayer & ProviderBCBSNC & UNC Physicians /1612:30pm to 1:50pmHealthcare Consulting2 nd Years /3012:30pm to 1:50pmHealthcare ITKeona Health /712:30pm to 1:50pmInterview Insights2 nd Years2650 White rows = L&Ls Light 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

Emory Global Health Case Competition April 8-9, 2016 in Atlanta, GA First-place prize: $6,000 (2 nd, 3 rd, 4 th -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:

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