Every year, premiums go up. And most employers feel like there's nothing they can do about it.

There is.

Join us for a 3-hour working session where Maine HR professionals and benefits leaders come together to cut through the noise and walk away with a real action plan. No vendor pitches — just honest, practical insight from people who've been in the trenches.

In one morning, you'll:

• Get a clear picture of where the healthcare market is headed and what it means for your organization

• Understand your funding options — fully-insured, level-funded, captive, self-funded — and which might be right for your size and risk tolerance

• Know what to watch for when evaluating TPAs, PBMs, and point solutions (and the questions most employers forget to ask)

• Learn how to use your own data to set a strategy and measure what's working

• Leave with a list of cost-saving tools and tactics you can act on immediately — for employers of any size

We'll start with a networking breakfast, so you'll also leave with a room full of peers who are wrestling with the same challenges.

Who this is for:

If you're an HR professional or benefits decision-maker at an organization with 50+ employees on your health plan — and you're tired of accepting premium increases as a fact of life — this event was built for you.

Free for HPA members and 3 SHRM PDCs.

Looking for ways to reduce your healthcare costs without increasing employee deductibles, copays, and coinsurance?

Join us on June 3rd to hear from one of the country’s leading benefit strategists about ways employers are reducing their spend while delivering better medical and pharmacy coverage to their employees. Lee Lewis, Chief Strategy Officer and General Manager at the Health Transformation Alliance will share tips on where employers should focus their attention, what strategies generate the biggest impact, and key considerations that employers should be taking into account as they weigh their options.

Lee Lewis has advised healthcare strategy at Fortune 10 employers, insurance companies and administrators, medical associations, and the Departments of Labor and Justic, but he’ll share recommendations that are actionable for employers of all sizes.

About Lee Lewis

Lee Lewis serves as Chief Strategy Officer and General Manager for the Health Transformation Alliance. He leads efforts across over 50 jumbo employers and five million employees to save lives and save billions of dollars through improved health delivery, outcomes and experience.

He hosts the Broken Benefits podcast to interview employer leaders impacting healthcare, and he is a founding, charter member of the Health Rosetta organization, which seeks to open-source employer health benefits strategy for the public good.

Before joining the HTA, Lewis was a consultant at Gallagher, where he founded Gallagher’s innovation lab and national jumbo employer practice. In 2019 he was recognized with the industry’s top honor as the Outstanding National Consultant for Large & Jumbo Employers by the independent Validation Institute. His consulting clients have won a Diamond Innovation Award at the World Healthcare Congress, an Innovation Award from the Texas Business Group on Health, two Top 20 Innovator Awards from Healthcare Revolution Conference, and Financial Innovation and Large Group Management Innovation accolades from the Validation Institute.

Lee is a Rhodes Scholar Nominee and graduated Second in his Class, Magna cum Laude with University Honors from BYU. He also attended the University of Michigan.

DUE TO WEATHER THIS EVENT IS NOW VIRTUAL

We are kicking off our 2026 event series with the highest ranked priority topic in our survey of purchasers: pharmacy spend!

Rx now accounts for roughly 25% of our members’ total healthcare costs, with double digit inflation on spend driven by specialty drugs and GLP-1s. During the presentation, we’ll hear from Dr. Suhas Gondi, Chief Medical Officer and Public Policy Lead at Health Strategy, a premier pharmacy consulting firm serving clients ranging from Fortune 10 companies to small self-insured employers. Dr. Gondi will dive into actionable strategies that employers can adopt to achieve better contracts, value-based formularies, compassionate and effective prior authorization policies, and a host of other areas that can maximize the value of your PBM arrangement. He’ll also provide insight on some key pieces of the Consolidated Appropriations Act of 2026 and the potential it has to bring more transparency and accountability into the PBM industry.

About Dr. Gondi
Suhas Gondi is the Chief Medical Officer and Public Policy Lead at Health Strategy. In his role, he oversees medical and clinical strategy for the company and leads a clinical team of physicians, pharmacists, and data scientists in evidence review, formulary management, and value-based purchasing. He serves as a trusted advisor to employers, health plans, and government agencies on clinical evidence, medication access, and affordability.

He also plays a pivotal role in shaping and communicating Health Strategy’s public policy positions, advocating for policies that expand access to affordable medications, and engaging with industry stakeholders and government entities.

Prior to joining Health Strategy, Suhas completed his residency in internal medicine at Brigham and Women’s Hospital. He holds an MD with Honors from Harvard Medical School and an MBA with Distinction from Harvard Business School, both earned in 2022. Originally from Northern Virginia, Suhas now lives in Boston with his wife and is a practicing physician at Massachusetts General Hospital.

Thank you, Cross Insurance, for sponsoring this event!

High-cost claims are on the rise, and with them, plan sponsors are seeing annual stop-loss premium increases in the double digits. For self-funded employers, it may seem like there’s not much that can be done to mitigate these costs, but many purchasers don’t fully understand the many complex factors that go into a stop-loss quote and how to determine the appropriate level of coverage for their organization. Are the specific and aggregate attachment points optimized for the plan? Are there instances where lasers are actually cost effective for a plan? Is additional run-out worth the added cost? Should you be considering additional stop-loss policies for areas like gene and cell therapy?

For this member meeting we’ll be joined by one of the leading stop-loss experts in the country, Jon Camire, Managing Director at Blackstone and Chief Financial and Analytics Officer at Equity Healthcare, to talk about all the nuances and best practices that go into stop loss coverage. Jon will lay out the host of considerations that plan sponsors should be taking into account as they evaluate their coverage options, and he will help equip attendees with the knowledge they need to manage their spend effectively. This presentation will help any employer who is currently self-funding or that thinks they may want to self-fund in the future.

About Jon Camire, FSA, MAAA

As the Managing Director at Blackstone and Chief Financial and Analytics Officer at Equity Healthcare, Jon Camire is responsible for financial evaluation, benchmarking, and modeling of health plan performance optimization for existing and potential Blackstone Equity Healthcare Member Companies, including benefit design alternatives, clinical programming, and innovation partner opportunities.

Prior to joining Blackstone Equity Healthcare, Jon served as Vice President of Financial Modeling with Unum, spearheading the modernization of the actuarial and financial management capabilities across the enterprise.  Prior to Unum, Jon operated his own health actuarial and healthcare reform consulting practice supporting payer, provider, employer, and government clients in navigating the risks and opportunities of rapidly evolving health system dynamics.  Earlier in his career, he held actuarial leadership roles with Blue Cross Blue Shield of Massachusetts, driving employer informatics, Commercial product development, Medicare Advantage and Stop Loss.  Jon holds a B.S. in Mathematics from the University of Massachusetts.  He is a Fellow of the Society of Actuaries and a Member of the American Academy of Actuaries.

SHRM professional development credits available.

Thank you Clark Insurance and Meritain Health for sponsoring this event!

During Maine’s 132nd Legislature Long Session, LD 1906 (An Act to Improve Accountability and Understanding of Data in Insurance Transactions) was enacted, granting healthcare plan sponsors the right to conduct claims audits. Previously, restrictive contract terms made these audits impossible, limiting both their potential cost savings and transparency. Beginning in January 2026, all third-party administrator (TPA) and pharmacy benefit manager (PBM) contracts for Maine based employers must permit claims auditing.

Join us for a webinar that will provide an overview of claims auditing and hear from a vendor for Maine plan sponsors to consider.

Join HPA on September 24th for a conversation with Michael Bailit, President of Bailit Health, on how states are tackling high hospital prices and healthcare cost growth. Drawing on examples from states like Oregon and Rhode Island, Michael will explore the landscape of state legislatures’ affordability efforts, pros and cons of each approach, and what early outcomes they’ve achieved.

Michael brings decades of experience advising government agencies and employer coalitions in over 30 states. Since founding Bailit Health in 1997, he has helped shape payment and delivery system reforms, including ACOs, Medical Homes, and episode-based payment models. His work also focuses on performance measurement, value-based purchasing, and leading collaborative, multi-stakeholder initiatives to improve system accountability and affordability.

This session will offer valuable insights for policymakers, providers, and purchasers focused on making healthcare more affordable and sustainable in Maine.

Thank you Johnson & Johnson for sponsoring this meeting!

Join us for a virtual event where Lisa Nolan, the HPA’s Director of Strategy and Advocacy, will discuss what happened during the Legislature's long session. We will review the outcomes and implications for the healthcare sector and look ahead to what we might see during the short session. Don't miss this opportunity to stay informed and engaged in shaping the future of healthcare policy.

The webinar will include:

• Overview of Key Bills

• Impact on Employers

• Healthcare System Implications

• Interactive Q&A Session

Who Should Attend:

• Employers in Maine seeking to understand legislative impacts on benefits

• Healthcare professionals interested in healthcare system reforms

• Policy analysts and advocates focused on the legislative landscape in Maine

Don’t miss this opportunity to stay informed about the significant legislative outcomes that will impact employee benefits and healthcare in Maine.

Are you a local Maine business? Contact us to get the registration fee waived.

Access to primary care in Maine is a growing concern, with some patients facing wait times of months—or up to a year—to see a provider. To tackle this challenge, Firefly Health has developed a clinically-integrated health plan that provides employees and their families with dedicated care teams for timely, convenient care within a value-based, affordable health plan.

But can this model work in Maine?

IDEXX has already adopted Firefly Health for its employees and has seen remarkable improvements in access to care, company and employee expenses , as well as preventative care outcomes. Their experience offers a valuable case study in how employers can play a key role in solving healthcare access issues.

Join us on July 24th for a conversation with Firefly Health and IDEXX. You’ll learn how this innovative model works, hear firsthand results from IDEXX’s implementation, and explore whether a clinically-integrated health plan could be the solution for your organization.

This event is approved for 3 SHRM Professional Development Credits. All our events are free to HPA members!

Are you looking for strategies to control costs and better engage employees and dependents? Look no further! The Healthcare Purchaser Alliance of Maine is offering a 3 hour mini-conference where we will share insights into a host of tactics Maine employers are using to deliver higher quality, more affordable healthcare to their employees.

The conference will begin with a networking breakfast, followed by a series of short presentations where we will:

• Explore trends in the healthcare market and examine how they're impacting your employees and business;

• Understand the pros and cons of being fully-insured, level-funding, joining a captive, and self-funding;

• Learn what to watch out for when evaluating TPAs, pharmacy benefit managers (PBMs), and point solutions;

• Better understand how to leverage data to define and track your healthcare strategy;

• Identify a host of cost saving resources and strategies that business of all sizes can employ today!

This event will be a great learning opportunity for any employer who is struggling with high healthcare costs and feels powerless to control year after year of premium increases. We hope you can join us!

Who Should Attend?

The ideal attendee is an HR professional who works for an organization with 50 or more employees on their health plan and wants to be proactive about controlling their organization's healthcare costs.

At our upcoming June 11th event, Thom Walsh, member of Vermont's Green Mountain Care Board (GMCB), will share how his state is leveraging transparency and oversight to address rising healthcare costs. The GMCB is a nonpartisan organization created by the Vermont legislature to provide unbiased information and analysis regarding the performance of Vermont's healthcare system. Its primary responsibilities include offering impartial evaluations of hospitals and insurers and regulating hospital budgets, commercial insurance rates, and statewide reform initiatives. In addition to his role on the GMCB, Thom is an adjunct faculty member at Dartmouth College, where he teaches courses on Health Systems & Policy at the Geisel Medical and Tuck Business schools. He has authored two books and numerous articles on features of U.S. healthcare systems.

Before his appointment to the GMCB, Thom was the co-founder and Chief Strategy Officer of Cardinal Point Health Solutions, a consulting company whose clients included The Joint Commission, Veterans Affairs, Navy Medicine, Boise State University, OneHealth Nebraska, and the University of Tulsa. His background includes direct patient care as a board-certified Physical Therapist specializing in Orthopedics. Throughout his clinical career, he pursued further education, earning a Master of Science in Clinical Evaluative Science and a Doctorate in Health Policy, both from the Dartmouth Institute for Health Policy and Clinical Practice.

In addition to a presentation from Thom, HPA will be presenting the results of our financial analysis of Maine’s top four health systems: MaineHealth, Northern Light, Central Maine Healthcare, and MaineGeneral.

The HPA analytics program leverages claims from nearly 150,000 commercially insured lives in Maine to uncover trends, analyze spend, evaluate vendors, and inform value-based benefit design. Our large employer members receive regular reports and presentations throughout the year, and our data team shares key insights across members through book of business analyses.

After 15 years with Health Data Management Solutions as our data warehousing partner, the HPA is moving to a new, innovative vendor that will allow us to expand and enhance the reporting we provide.

Join us online on May 14th as we discuss these enhancements with Certilytics, a leading healthcare analytics company, and learn about the powerful tools they’re bringing to HPA members. We’ll provide a brief overview of the transition, and then we will turn it over to the Certilytics team to walk through all the exciting new resources that will be available later this year. The session will include a live demo of their dynamic online platform that will power the next chapter of our data program.

This session will focus on the program's impact on employers and working families in Maine. Shawn Gremminger, CEO of the National Alliance of Healthcare Purchaser Coalitions, will offer valuable insights on the current landscape of the 340B program, highlighting the key challenges and potential areas for reform .

What You’ll Learn:

• A comprehensive overview of the 340B program

• Specific insights into 340B’s impact on Maine employers and their workforce

• Guidance on next steps in Maine to navigate and address 340B-related challenges

Want to learn more about 340B before the webinar? Check out this resource page from the National Alliance and recent New York Times article about this program.