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+ Earlybird updated October 22 

Health Care: Commissioners Leave Toughest Medical Loss Ratio Calls to HHS

• "State insurance commissioners can check a major task off their list after unanimously passing a final model for the new health care law's medical loss ratio," CongressDaily (subscription) reports. "But now the Health and Human Services Department must quickly address thorny tax and implementation questions before it issues a final rule."

Contributor

Biography provided by participant

Scott Serota is President and Chief Executive Officer of the Blue Cross and Blue Shield Association (BCBSA), a national federation of 39 independent, community-based and locally operated Blue Cross and Blue Shield companies. The Blue System is the nation's largest health insurer covering more than 102 million people - one-in-three of all Americans. It is the largest single processor of Medicare claims in the nation, and holds the world's largest privately underwritten health insurance contract - the 4.9-million-member Federal Employee Program (FEP).

Serota was named BCBSA President and CEO in 2000, after serving four years as a senior executive, including two years as Chief Operating Officer. Before becoming COO, he served as Executive Vice President for System Development, responsible for new business, strategy and the Blue Technology Evaluation Center (TEC), the nation's leading source for evaluating the safety and efficacy of emerging medical treatments.

From 1993 to 1996, Serota was President and CEO of Chicago-based Rush Prudential Health Plans, where he led the integration of Rush-Presbyterian-St. Luke's Medical Center Health Plans and The Prudential. He also served as Vice President for Group Operations and Health Care Management with The Prudential Insurance Co., and as Vice President for Health Care Management at PruCare in St. Louis. Before joining The Prudential, he created and led Physicians Preferred Health Inc., a Missouri-based PHO.

Serota was appointed by President George Bush to serve on the Policy Committee of the White House Conference on Aging, a bipartisan leadership group advising the Administration and Congress on policies, programs and services affecting the nation's older citizens. He is chairman of the Subcommittee on Health. He also is a member of the American Health Information Community (AHIC), a federally-chartered commission working with the department of Health and Human Services on advancing health information technology, including electronic health records.

He is a founding member of the National Business Group on Health's Institute on Healthcare Costs and Solutions, and a board member of the Council for Affordable Quality Healthcare and the National Center for Healthcare Leadership. He is also on the board of HRET (Health Research & Educational Trust), Partnership for Prevention, Accrediting Commission on Education for Health Services Administration, BCS Financial Corporation and the Blue Healthcare Bank. He is a member of the American College of Healthcare Executives and the Washington University School of Medicine National Council, and chairs its Alumni Association Health Administration Program.

Serota is a frequent featured speaker at leading business and industry forums, and recently has spoken at the Detroit Economic Club, the Jonathan Club in Los Angeles and the World Healthcare Congress in Washington, D.C.

He earned a bachelor's degree from Purdue University - was named a distinguished alumnus of the College of Science for 2006 - and a master's in Health Administration and Planning from Washington University School of Medicine. He is active in a variety of community activities, ranging from youth sports to the Special Olympics.

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