This document provides information about a healthcare insurance forum taking place from January 26-29, 2014 in Dubai, UAE. The forum will focus on "The Customer Experience" and will consist of keynote speeches, panel discussions, and workshops on topics related to improving relationships between insurance providers and customers/corporates, containing healthcare costs, addressing population health, and opportunities in the regional healthcare insurance market. Expert speakers will discuss strategies and best practices from around the world. Attendees can register before December 29, 2013 to save $1,190 on registration fees.
1. REGISTER BEFORE
29 DECEMBER 2013 AND SAVE US$1,190
#HealthcareInsuranceME
26-29 January 2014 • Dusit Thani Hotel, Dubai, UAE
The Customer Experience
FORUM HIGHLIGHTS
-
Gain a 360 degree perspective: Payer - Provider
- Buyer - Corporates
-
Relate Insurance payouts to wellness and
population health
EXPERT SPEAKER FACULTY
-
Assess a future revenue stream – Medical
Tourism
David T Youssef
CEO
Now Health
UAE
Dr Cother Hajat
Adjunct Professor
UAE University
UAE
Dr Sven Rohte
Chief Commercial Officer
DAMAN
UAE
Feryal Kazim MD
External Insurance
Consultant
UAE
Gerhard Becker
Former Managing Director
University Hospital
Dusseldorf
Germany
Husam Majali MD
Market Access Lead – Private
Insurance and Pricing
Merck
UAE
Husein Reka
Manager Health Insurance,
Supreme Council of Health
Qatar
Imane Alaoui
Benefits Manager, Middle
East, Schlumberger
UAE
Karen Carbone MD MBA
Group COO Medical
Operations
SEHA
UAE
- Identify the niche differentiator for profitability in
a competitive market
-
Align cost containment to a progressive
business agenda
-
Optimise performance via data utilisation in
RCM
-
Implement a fraud control process within
payouts
See inside for more…
WHAT’S NEW
FOR THIS YEAR?
� The corporate perspective
� Improving provider relationships
� Addressing population health and wellness
� MENA compatibility within policies
� Niche opportunities in a competitive market
� Accelerate ROI via cost containment
Linda van Dijk
Director Medical Strategy &
Development department
DAMAN
UAE
Paul Vincke
Managing Director, European
Healthcare Fraud and
Corruption Network EHFCN,
Belgium
� Workshops
• Ghazal Siddiqi, Head of Provider Management, Supreme Council of Health, Qatar
• Disease Management
• Mary Shuab, Former Director Revenue Cycle Management, HAAD, UAE
• Medical Tourism - Centers of Healthcare Excellence
• Rasha Moukayed, Manager - Life & Medical, Guardian Insurance Brokers, UAE
• Coding
• Renée-Marie Stephano, JD, President, Medical Tourism Association, Chief Editor,
Medical Tourism Magazine, USA
• Healthcare Fraud Typology
• Sarry Al Buraik, Advisor to CEO, King Fahad Medical City, KSA
and many more…
Platinum Sponsor
www.iirme.com/healthcareinsurance
Organised By
2. Dear Insurance Executive,
WELCOME TO THE HEALTHCARE INSURANCE FORUM!
Insurance privatisation is a new landscape for regional
providers. It has extended a horizon of opportunities.
Primarily, Insurance revolved around three models;
integrating with the government, market led dictated by
competition and a brown field transition from the ground
up.
IIR Middle East’s Healthcare Insurance Forum is an 8
year success story; a platform for interactive debate to
identify opportunities this industry could benefit from.
These discussions often lead to policy and framework
implementation. Best practices are then shared across the
region.
To raise the benchmark this year, research has helped guide
us in engaging Healthcare’s most important stakeholder –
it’s customer! We have therefore chosen – The Customer
Experience – as the theme for the 9th Healthcare Insurance
Forum, which will be held 26 – 29 January 2014 at the Dusit
Thani Hotel, Dubai.
Led by a pre and post Forum workshop the two day
conference will focus on:
•
ROI enhancing Cost Containment
•
Improving Provider Relations
•
Understating The Buyer’s Perspective
By addressing wellness this Forum aims to nurture a society
which prides it’s health and revisit the core foundations
Insurance was introduced for – Creating a Healthier
population!
As an integral stakeholder in the Healthcare Insurance
landscape, we look forward to your participation in
pioneering this trend.
Kind regards,
Sally Corander
Divisional Manager
EXPERT SPEAKER FACULTY
CONFERENCE CHAIR:
KEYNOTES:
Dr Finn Goldner, Director, True Codes Consultancy, Germany
Dr Cother Hajat, Adjunct Professor, UAE University, UAE
WORKSHOP LEADERS:
Dr Mansoor Anwer, Director, Occupational and Medical
Health, du, UAE
Paul Vincke, Managing Director, European Healthcare Fraud
and Corruption Network EHFCN, Belgium
Dr Saif Al Jaibeji, Vice President, Aetna, UAE
Renée-Marie Stephano, JD, President, Medical Tourism
Association, Chief Editor, Medical Tourism Magazine, USA
Imane Alaoui, Benefits Manager, Middle East, Schlumberger,
UAE
MODERATORS:
Paul Vincke, Managing Director, European Healthcare Fraud
and Corruption Network EHFCN, Belgium
Dr Cother Hajat, Adjunct Professor, UAE University, UAE
Dr Sven Rohte, Chief Commercial Officer, DAMAN, UAE
Dr Saif Al Jaibeji, Vice President, Aetna, UAE
Renée-Marie Stephano, JD, President, Medical Tourism
Association, Chief Editor, Medical Tourism Magazine, USA
Husam Majali MD, Market Access Lead – Private Insurance
and Pricing, Merck, UAE
Sarry Al Buraik, Advisor to CEO, King Fahad Medical City,
KSA
Dr Finn Goldner, Director, True Codes Consultancy, Germany
Networking Activities
More networking than ever before to ensure better interaction and shared learning
One on One
Meet and interact with
Visionary Payors over
a live discussion. Tweet
your questions live to
#Healthcareinsurance as
you hear them speak.
Stakeholder Facetime
Enjoy face time with
internationally ranked
Provider and Payor
CEOs over an informal
connection.
360 Degree Panel
Discussions
Join in the debate with:
Payors/Providers/Regulators/
Corporates
Speaker Hosted Lunch
Meet each speaker in
person. Have your questions
answered and share insights
over a hearty meal.
T: +971 4 335 2437 | F: +971 4 335 2438 | E: register@iirme.com | W: www.iirme.com/healthcareinsurance
3. CONFERENCE DAY ONE
Opening
Keynote
Opportunities
Keynote
9.15 Corporate Customers: What do they really want out of
health insurance?
The insurance industry seeks better health and ease of
access to healthcare. Corporates are integral stakeholders
within the insurance landscape. Their role in changing
life style patterns of their employees will be shared in this
presentation.
Dr Sven Rohte, Chief Commercial Officer, DAMAN, UAE
Keynote
9.30 Opportunities for Insurers in the wider MENA region
Privatisation brings with it new opportunities. Understanding
them will extend growth to generate economies of scale.
Dr Saif Al Jaibeji, Vice President, Aetna, UAE
Keynote
9.45 The growing integration of medical tourism and health
insurance policies in the GCC and Middle East
The opportunity to establish ‘Centres of Excellence’ is ripe
in the region. How can stakeholders align their business
agenda to attain these goals?
Renée-Marie Stephano, JD, President, Medical Tourism
Association, Chief Editor, Medical Tourism Magazine, USA
Regional Perspective
10.00 The new mandatory health insurance scheme in Qatar:
Lessons learnt
Recent healthcare development in Qatar has witnessed a
new spectrum for the insurance industry. What lessons can
regional payors take away from this experience?
Husein Reka, Manager, Health Insurance, Supreme Council
of Health, Qatar
10.15 Recent Developments and Opportunities for Private Insurers
in the Saudi Market
The integral role of a private insurance landscape always
compliments neighbouring markets. This session identifies
synergy between regional insurers within the GCC.
Ingo Pischetsrieder, COO, Saudi Enaya, KSA
10.30 Providing a Federal Perspective for the UAE
Compatibility within a nation is instrumental to a unified
payment platform. How can regulators lead in extending
insurers uniformity?
10.45 offee and Networking Break
C
Consensus Panel
11.30 This panel will summarise the Regional Perspective and
reach consensus on a strategy to align moving forward
Dr Sven Rohte, Chief Commercial Officer, DAMAN, UAE
Renée-Marie Stephano, JD, President, Medical Tourism
Association, Chief Editor, Medical Tourism Magazine, USA
Husein Reka, Manager Health Insurance, Supreme Council
of Health, Qatar
Ingo Pischetsrieder, COO, Saudi Enaya, KSA
Led by:
Dr Finn Goldner, Director, True Codes Consultancy,
Germany
Keynote
Strategy
9.00 Benefits of Regional Healthcare Insurance and it’s
Implications on Population Health and Wellness
This presentation will focus on a national implementation
plan with NCD (non-communicable disease) as it’s focus
towards prevention and wellness.
Speaker Faculty Reserved
Cost Containment
12.00 Surviving in a competitive market: What does it take for a
health insurer to be profitable
Competition can create opportunities for growth, otherwise
overlooked in a monopoly. Is innovation the answer?
12.15 Medical Inflation and Cost Control: Regulatory Perspective
and Containment Approach
This session discusses the regulators perspective on
operational efficiency and optimising processes to lower
cost and mitigate risk.
Lina Jichi, Head of Health Financing, Monitoring and
Advisory – Strategy, HAAD, UAE
12.30 Fighting Fraud in Healthcare. Is it really worth the effort?
This presentation focuses on prejudice and argument,
possibly doubting benefits and ROI of counter fraud in
healthcare. International references to successes ánd
difficulties encountered in different healthcare systems from
around the world will underpin these arguments.
Paul Vincke, Managing Director, European Healthcare
Fraud and Corruption Network, EHFCN, Belgium
Keynote
8.50 Welcome and Opening Remarks
Investigating the Latest Updates and Trends in the
Healthcare Insurance Landscape
Dr Finn Goldner, Director, True Codes Consultancy,
Germany
Monday | 27th January 2014
12.45 Lunch and Networking Break
14.00 Innovative partnerships in Improved Drug access with better
cost containment in Private Insurance
The drug cost in insurance claims can be reduced by new
technologies and new agreements to address this major
cost driver in health insurance
Husam Majali MD, Market Access Lead – Private Insurance
and Pricing, Merck, UAE
14.15 Innovative Approaches Using Data and Technology by
Insurers
As the largest insurer what lessons can we learn from their
innovative approach in utilising an innovative approach to
fuel demand yet optimise quality of care at all times to it’s
clients.
Linda van Dijk, Director Medical Strategy and Development
Department, DAMAN, UAE
14.30 Training the Next Generation of Claims Management and
Revenue Cycle Management Staff
• Understanding the process of RCM in relation to your
role
• Improving billing processes
• Mitigating fraud
• Optimising payments
Mary Shuab, Former Director Revenue Cycle Management,
HAAD, UAE
Consensus Panel
15.00 This panel will summarise the Regional Perspective and
reach consensus on a strategy to align moving forward
Lina Jichi, Head of Health Financing, Monitoring and
Advisory – Strategy, HAAD, UAE
Linda van Dijk, Director Medical Strategy & Development
department, DAMAN, UAE
Mary Shuab, Former Director Revenue Cycle Management,
HAAD, UAE
Paul Vincke, Managing Director, European Healthcare
Fraud and Corruption Network EHFCN, Belgium
Led by:
Husam Majali MD, Market Access Lead – Private Insurance
and Pricing, Merck, UAE
15.30 Close of Conference Day 1
Paul Vincke
Managing Director,
European Healthcare Fraud and
Corruption Network EHFCN, Belgium
Over the last decades fraud has been ignored as
a hidden cost in healthcare. Only with the crisis
coming down hard on healthcare budgets, the
tone at the top has changed: healthcare fraud has
become a business cost that should be reduced.
T: +971 4 335 2437 | F: +971 4 335 2438 | E: register@iirme.com | W: www.iirme.com/healthcareinsurance
4. CONFERENCE DAY TWO
PROVIDER RELATIONS
Keynote
9.00 An Institutional Perspective
As an institution and based out of Saudi Arabia does
the landscape change? How does it affect delivery of
healthcare, versus a private or public provider?
Sarry Al Buraik, Advisor to CEO, King Fahad Medical City,
KSA
9.15 The Private Hospital Perspective on Working with Insurers
How has the billing landscape changed for private
hospitals? Are approvals affecting delivery and quality of
care?
Jeffery Staples MD, COO, Al Noor Hospital, UAE
9.30 The Public Provider Perspective on Working with Insurers
RCM (revenue cycle management) is a contested process
by providers and payors. Is it creating hurdles for treatment
which was a seamless process in the past?
Wayne Keller, Corporate Director, Revenue Cycle
Management, SEHA, UAE Invited
9.45 A Regulatory Perspective on working with Insurers
How does Qatar see this relationship? Will it step in to
streamline processes?
Ghazal Siddiqi, Head of Provider Management, Supreme
Council of Health, Qatar
10.00 A Positive Role for the TPA
TPAs are a preferred option. Why can they extend options
that payors can’t? What lessons can Insurers learn from
them in complimenting their role towards a patient centric
model of care?
10.15 Lessons from Germany: Best Practice in Working with Health
Insurer
From a historically preferred centre of excellence this
session shares lessons regional insurers could adapt to
regional norms and gain ‘preferred’ status – an opportunity
for regional excellence!
Gerhard Becker, Former Managing Director, University
Hospital Dusseldorf, Germany
10.30 nsurance benefits and the impact on Quality
I
Can choosing the right benefits affect healthcare delivery
process and generate optimum quality of care?
Karen Carbone MD MBA, Group COO Medical Operations,
SEHA, UAE
CONSENSUS PANEL
10.45 This panel will summarise the Regional Perspective and
reach consensus on a strategy to align moving forward
Sarry Al Buraik, Advisor to CEO, King Fahad Medical City,
KSA
William Pan, Director Revenue Management, Al Noor
Hospital, UAE
Wayne Keller, Corporate Director, Revenue Cycle
Management, SEHA, UAE Invited
Ghazal Siddiqi, Head of Provider Management, Supreme
Council of Health, Qatar
Gerhard Becker, Former Managing Director, University
Hospital Dusseldorf, Germany
Karen Carbone MD MBA, Group COO Medical Operations,
SEHA, UAE
Led By:
Dr. Saif Al Jaibeji, Vice President, Aetna, UAE
11.15 Coffee and Networking Break
THE BUYER'S PERSPECTIVE
Keynote
11.45 Disease Management and Behaviour Change:
Opportunities and advantages for payors within:
• Disease management
• Case management
• Monitoring healthy behaviour
• Incentives for behaviour change
• Workplace wellness
Dr Cother Hajat, Adjunct Professor, UAE University, UAE
12.00 If Corporates are customers why can they not gain answers
to:
• How Health Insurer Premium is calculated
• Negotiating the Premium in case of positive
experience
• Implementing a Rebate structure in case of lack of
service
Imane Alaoui, Benefits Manager, Middle East,
Schlumberger, UAE
12.15 What do Corporates Want?
A unique session where representatives from corporates
and insurance providers go head to head to debate some
of the biggest challenges in the sector
• Negotiating an ideal employee insurance plan
• Gaining a provider of choice
• Options within regional and international coverage
• Reducing premiums via tailor-made packages
Safiya Al Matroushi, Director – Human Capital, IMDAAD,
UAE
Imane Alaoui, Benefits Manager, Middle East,
Schlumberger, UAE
Mansoor Anwer MD, Director, Occupational and Medical
Health, du, UAE
Jacclyn Nautiyal, Compensation & Benefits Manager,
Europe, Aggreko, Middle East & Africa
Led by
Dr Cother Hajat, Adjunct Professor, UAE University, UAE
Panel Discussion
8.50 Re-cap of Day 1 and an Overview of the Conference Day 2
Dr Finn Goldner, Director, True Codes Consultancy,
Germany
Tuesday | 28th January 2014
Insurance Providers will join the panel – By invitation only
12.45 A Guiding Role for Brokers?
Brokers are a preferred option. Why can they extend
options that payors can’t? Guardian will share their model
which has placed them as a leading broker in the region
13.00 Lunch and Networking Break
14.00 Preparing for the future now
Trends within this industry change at a rapid pace. This
session will help you understand what is round the corner
and how you could tap into these opportunities.
David T Youssef, CEO, Now Health, UAE
14.15 Cross Product Subsidisation
While criticised commonly is there a real need for it in the
first place? Are there advantages we overlook in the long
term?
14.30 It’s not just about selling policies! 21st Century Patient
Engagement Strategies
• How Engaged are you in Patient Outreach?
• Analytics to deepen your Patient/ population Insight?
• Multi-channel (SMS/ E-mail/ Social media) interactions
with Patients?
• The long term benefits of Patient engagement?
Feryal Kazim MD, External Insurance Consultant, UAE
CONSENSUS PANEL
14.45 This panel will summarise the Regional Perspective and
reach consensus on a strategy to align moving forward
Rasha Moukayed, Manager - Life & Medical, Guardian
Insurance Brokers, UAE
David T Youssef, CEO, Now Health, UAE
Chris Reed, Head of Corporate Solutions, Middle East,
MetLife Alico, UAE
Feryal Kazim MD, External Insurance Consultant, UAE
Led By:
Husam Majali MD, Market Access Lead – Private Insurance
and Pricing, Merck, UAE
15.15 A summary of discussions and strategy for implementation
in the next 6 months
A summary of the day will reach a consensus on how
the regional players identify opportunities and decide to
move forward. A periodical review via feedback will track
progress and initiate regional strategy for 2015.
Dr Finn Goldner, Director, True Codes Consultancy,
Germany
15.30 Closing Remarks and Close of Conference
T: +971 4 335 2437 | F: +971 4 335 2438 | E: register@iirme.com | W: www.iirme.com/healthcareinsurance
5. PARTNER WITH THE HEALTHCARE INSURANCE FORUM
The region’s Healthcare landscape
seeks partnerships!
Partnering with the Healthcare Insurance Forum is an
extremely effective way for you to share your work as an
integral stakeholder within Healthcare’s interoperable and
digitally connected platform.
WHY PARTNER?
The conference provides a unique, high-profile platform
with opportunities to interact with the industry's biggest
players and healthcare systems.
The conference will provide tailored and creative
partnership packages to suit the organisation, and not just
offer an exhibition stand!
WORSKSHOPS
ORGANISATIONS CAN:
� Meet corporate HR Directors from cross industry sectors
� Broker new business partnerships within a region led by
demand
� Showcase innovative cost containment technology
� Position your competition resilient model as futuristic
� Publicise your success via your Healthcare client’s
results
� Build brand recognition and raise your integral payor
profile
Learn more about how you can support the Healthcare
Insurnace Summit by contacting
Renae Ruggieri on
+971 (0)4407 2732 or at sponsorship@iirme.com
See more at: www.iirme.com/healthcareInsurance
Registration for each workshop will begin at 08:30. The workshop will commence
at 9:00 and end at 14:00 with lunch. There will be breaks at appropriate times.
Pre-Forum Workshop A
Post-Forum Workshop B
Sunday, 26 January 2014
Wednesday, 29 January 2014
THE OPPORTUNITY FOR CENTERS OF HEALTHCARE
EXCELLENCE IN THE MIDDLE EAST
HEALTHCARE FRAUD TYPOLOGY
Certified Workshop – This workshop is certified by the Medical Tourism
Association, USA
Many Insurance Companies have expanded their networks due
to rising demand for quality and choice and are allowing their
healthcare customers to travel regional and internationally to centers
of healthcare excellence. This workshop will explain Medical Tourism
(Centers of Excellence) and the growing trend to develop centers of
excellence for fixed “bundled/packaged” pricing, and how it lowers
costs and increases quality and better outcomes. Understand how
to identify centers of excellence, medical procedures that qualify,
and which countries to refer consumers too. Learn the emerging
trend most insurers are using to differentiate themselves and how to
educate and engage your consumers/insured.
Certified Workshop – This workshop is certified by the European
Healthcare Fraud and Corruption Network, Belgium
This workshop will guide delegates on understanding, distinguishing,
defining and identifying anomalies and infringement patterns within:
healthcare provisions, prescriptions and billing. It will dive deeper into
the nature, type and impact in a uniform and standardised format.
Distinction will be made between violations of billing rules and noncompliance to guidelines and evidenced based medicine. Effective
enforcement strategies will also be presented and discussed. A Fraud
Typology Matrix created by EHFCN will be used as an example.
Participants will leave mastering the art of implementing case matrix
aligned to their area of expertise, discipline and function.
Learning Objectives:
Learning Objectives:
• How to develop and select a Global Centers of Excellence
Network
• How to Develop Bundled Pricing for Packaged Medical
Procedures
• The importance of diversifying your network of hospitals
• Case Studies of insurers who are successfully implementing this
model
• Analysis of Potential Cost Savings
• Distinguish and identify anomalies and infringement patterns
in healthcare provisions, prescriptions and billing
• Report in a uniform and standardized way on healthcare
fraud issues
• Set up and implement effective enforcement strategies to
counter healthcare fraud
• Understand the complexity of the nature and origin of
financial losses in healthcare
• Identify conditions for preventing and stopping healthcare
fraud
Led by:
Renée-Marie Stephano, JD, President,
Medical Tourism Association, Chief Editor,
Medical Tourism Magazine, USA
President of the Medical Tourism Association®
Renee-Marie Stephano is the President and Co-Founder of the Medical Tourism
Association and Editor-in-Chief of Medical Tourism Magazine and the Health and
Wellness Destination Guide Series of books. Ms. Stephano has authored several books
from Developing International Patient centers, Best Practices in Facilitation, to Medical
Tourism for Insurers and Employers, and the most recent, Engaging Wellness. Ms.
Stephano is an attorney and specializes in working with governments and hospitals to
develop sustainable medical tourism/international patient programs and strategies. She
has worked with governments and hospitals all over the globe in developing healthcare
clusters, international patient departments on long term international patient strategic
plans. Ms. Stephano serves on the Board of Directors for the International Healthcare
Research Center, a 501c3, nonprofit medical tourism research center, the Corporate
Health & Wellness Association, and two Washington D.C. based lobbying groups
focused on lobbying the U.S. Congress for the benefits of Medicare reimbursement
overseas and the support of U.S. Hospitals in their overseas initiatives.
Led by:
Paul Vincke, Managing Director, European
Healthcare Fraud and Corruption Network
EHFCN, Belgium
Paul Vincke is a Director of Staff at the Service of Medical Evaluation and Control
(SECM) of the National Institute for Health and Disability Insurance (NIHDI) in Belgium and
Managing Director of the European Healthcare Fraud and Corruption Network (EHFCN).
He has obtained a degree in Criminology at the Katholieke Universiteit Leuven, Belgium.
After having spent 14 years as Financial and Personnel Director at the National Pension
fund for Miners, he joined the SECM in 1999 becoming Director of Staff responsible
for general management. As a member of the Strategic Management team he has
been directly involved in the reorganization of the Service since 2002, aiming at the
development of highly efficient systems and tools of screening, prevention, detection
and investigation of alleged improper use of the Federal Healthcare Resources by
healthcare providers and patients. This resulted in active surveillance of good medical
practices and the establishment of appropriate sanctions.
T: +971 4 335 2437 | F: +971 4 335 2438 | E: register@iirme.com | W: www.iirme.com/healthcareinsurance
6. 26-29 January 2014 • Dusit Thani Hotel, Dubai, UAE
Five Easy Ways To Register
+971 4 335 2437
+971 4 335 2438
register@iirme.com
IIR Holdings Ltd.
P.O Box 9428, Dubai, UAE
www.iirme.com/healthcareinsurance
AX1041
Please þ the session/s you wish to attend:
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SAVER!
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28 November 2013
GROUP DISCOUNTS
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EARLY BIRD
Price before
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Standard Price
Price after
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Conference + 2 Workshop Days
US$ 2,495
US$ 2,695
US$ 2,895
Conference + 1 Workshop Day
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US$ 2,395
US$ 2,595
Conference Only
US$ 1,795
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US$ 2,095
Workshop Day only
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CALL: +971 4 335 2483
E-MAIL: a.watts@iirme.com
Conference fees include documentation,
luncheon and refreshments. Delegates
who attend all sessions will receive a
Certificate of Attendance by email.
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JC/SC
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Healthcare Insurance
D
Dusit Thani Hotel, Dubai, UAE
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