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Understanding the 2023 Health Insurer Rate Approvals

  • 29 Sep 2022
  • 12:00 PM - 1:00 PM
  • Virtual Via Zoom

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This program has been rescheduled - New Date is 9/29/22

Understanding the 2023 Health Insurer Rate Approvals 

PROGRAM DESCRIPTION: 

Join us virtually on Zoom to hear from Patrick Tigue on the updated Health Insurer Rate Approvals:

  • Final OHIC release on 2023 rates
  • Hospital Transparency requirements
  • Review of Transparency in Coverage rules as impacting RI health insurers and plan sponsors
SCHEDULE:
  • 12:00 - 1:00 PM EST

Location: Virtual Via Zoom

PRESENTERS:

Patrick M. Tigue,
Health Insurance Commissioner, State of RI

Commissioner Patrick M. Tigue is an accomplished executive with experience leading and managing critical efforts to achieve strategic health policy goals on a statewide scale. He is a results-oriented, decisive leader with proven success in the government arena and payer arena across the commercial health insurance market and the Medicaid market. Commissioner Tigue has a track record of expanding access to care, driving value in the health care system through delivery system reform and payment reform, and overseeing budgets and initiatives to achieve financial goals. Prior to his appointment, he served as a principal at Health Management Associates where he provided executive advisory services to public and private sector clients related to publicly funded health care.

Previously, Commissioner Tigue served as assistant secretary for health and Medicaid director at the State of Rhode Island Executive Office of Health and Human Services where he led the Medicaid Program, serving approximately 300,000 residents and managing a $2.5 billion annual budget. He successfully managed the program within budget constraints while maintaining eligibility and benefits including expanding access to life-saving hepatitis C treatment. Commissioner Tigue also negotiated an extension of the Rhode Island Comprehensive Demonstration 1115 waiver with the Centers for Medicare and Medicaid Services to preserve critical federal flexibility and funding including support for the state’s Medicaid accountable care organization program. During his tenure, he served as east regional representative for the board of directors of the National Association of Medicaid Directors.

Earlier in his career, Commissioner Tigue served as director of commercial products and a product manager at Neighborhood Health Plan of Rhode Island where he oversaw commercial product line product design, rate development, federal and state regulatory compliance, and operational coordination with profit and loss responsibility. He also served as a principal policy associate at the State of Rhode Island Office of the Health Insurance Commissioner where he enhanced the efficiency of the Rhode Island health care system by managing the implementation, monitoring, evaluation, and revision of the office’s Affordability Standards for commercial health insurers—which require insurers to take actions to address the underlying drivers of rising health care costs to produce more affordable health insurance premiums. 

Commissioner Tigue earned his master’s degree in public policy from Brown University. He holds a bachelor’s degree in English from the College of the Holy Cross. 

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