Voices of Self Funding

Episode #24 Perspectives from growth investors in the self-funded space and their journey of growing companies

In this podcast, we talked with two experienced private equity investors in the self-funded space and learned about their 25-year history. The discussion delves into how each PE firm's investments help to differentiate and grow businesses. We explore failures and changes in the self-insured market, including cost containment, alternative contracting, and member experience. The podcast also covered unlocking value, the impact on existing models, member navigation, price transparency, and incentives. We evaluated trends in the large market that impact the mid-market and where TPAs and solution providers should focus to drive enterprise value. Only ignore this podcast if you don't want to know where the self-funded puck will be in five years time.

This episode was sponsored by Ikigai Growth Partners. For more information on growth investors or other topics related to the self-funding industry, please visit HCAA.org. 

Episode #23 Do specialized surgery programs have an ROI to the employer? Can you get half of the value on your own?

Surgeries are hard on everyone involved. Patients, family, providers, and employers as they have to foot the bill. There are many things that go wrong in our fee-for-service healthcare system. Gatorade can help fix this for everyone involved. Yes, listen to how a specialized surgery management program uses Gatorade drink and their secret sauce to make this a great experience for everyone involved and reduce costs.

This episode was sponsored by Ikigai Growth Partners. For more information on specialized surgery programs or other topics related to the self-funding industry, please visit HCAA.org. 

 

Episode #22 How do you communicate value in healthcare benefits and charge for it?

With increasing complexity self-insured employers select TPAs or carriers based on a number of criteria. And decide to work with the partner if they deliver value, and can showcase it. How do you deliver and communicate value to self-insured employer? And how can a TPA capture the value?

This episode was sponsored by Ikigai Growth Partners. For more information on capturing value or other topics related to the self-funding industry, please visit HCAA.org. 

Episode #21 Highlights from self-funding podcasts with Ramesh Kumar & Spencer Smith. Two hosts of top-rated self-insured employer podcasts

In this podcast we sit down with Spencer, the host of "Self-funded with Spencer," the other podcaster serving the self-insured employer industry. We both reflect on what we learned from talking to experts in 2022, and what we are seeing in 2023 for RBP, captives, stop loss, care navigation, price transparency, and cost containment. This is a highly impactful podcast that synthesizes the 2021 and gives you a roadmap of what to expect in 2023.

This episode was sponsored by Ikigai Growth Partners. For more information on these or other topics related to the self-funding industry, please visit HCAA.org. 

Episode #20 How Do You Drive Member Engagement in an Increasingly Fragmented Healthcare Benefit Space? What is a Good Way to Think About Driving Engagement?

Member engagement is increasingly challenging with the fragmentation of solutions being offered. While more solutions should be an opportunity, Joe Hodges from CareValet goes deeper into the topic of member engagement and healthcare benefits. Join in on the conversation as Ramesh and Joe uncover specific ideas on how to increase engagement, the value of it, and the steps TPAs should take to start this journey.

This episode was sponsored by Nokomis. For more information on member engagement or other topics related to the self-funding industry, please visit HCAA.org. 

Episode #19 Impact of Clinical Management/Nurse Navigation on Patients, Risks, Costs and Stop Loss Premiums

Nurse navigation and advocacy have become very popular topics, but we don't know what aspects of nurse navigation are key in reducing costs and delivering a good member or patient experience. In many cases, the connection between nurse navigation and reduction in healthcare cost reduction has not been investigated properly. In this episode, Casey and John break down the key steps of nurse navigation, the corresponding discount on stop-loss premiums, and the upcoming challenges in doing this properly for self-insured employers.

This episode was sponsored by Nokomis. For more information on clinical management or other topics related to the self-funding industry, please visit HCAA.org. 

Episode #18 Key Trends in Cost Containment Space and How Employers Are Going to Benefit

In this episode, Ramesh sits down with Rob Gelb from Valenz and Jeff Bak from Imagine360 to discuss the key trends in the cost containment space. Some of the questions that will be answered include; What are the different ways employers can contain costs? What is going to be effective in the post-price transparency future? Where does RBP sit in the spectrum of solutions?

This episode was sponsored by MeMD. For more information on cost containment or other topics related to the self-funding industry, please visit HCAA.org. 

Episode #17 Driving Value From DPC, Experiences From the Trenches of a TPA That Has Done it Well

Do you want to know how to drive value from DPC? In this episode, Ramesh sits down with Dr. Jeremy Smith and Katelynn Smith from MyMDConnect, as well as David Jacobson VP of Sales at Entrust to discuss DPC and care navigation. How do you ensure members are using it, and using it appropriately? What has been the ROI of DPC and concierge programs?

For more information on DPC or other topics related to the self-funding industry, please visit HCAA.org. 

Episode #16 Roadmap for Price Transparency and How to Offer it to Employers

Everyone has talked about price transparency, and how much it is going to change. In this episode, Ramesh sits down with the Founder of Launchpad, Mike Orth, to discuss brass tacks and price transparency. What does the plan sponsor need to provide? What are the fines? Why is it difficult? How can you simplify it? What is a three-step approach to delivering value to plan sponsors and capturing value from it?

This episode was sponsored by TALON. For more information on price transparency or other topics related to the self-funding industry, please visit HCAA.org. 

Episode #15 Secrets to Engaging Brokers to Get Your Offering in Front of Self-Insured Employers

Every innovation that aims to improve healthcare costs, access, or outcome for self-insured employers can be pressure tested by the broker community and possibly vetted. Tune into this episode featuring Chris Fisher of BenefitsAlly, about the secrets to engaging brokers with your solution. Chris has done more than 125 messaging videos for different solutions to garner interest from brokers and has spent over 15 years working as a broker, TPA, and vendor selling in the self-insured employer space. 

This episode was sponsored by Magellan Rx. For more information on engaging brokers or other topics related to the self-funding industry, please visit HCAA.org.