Benefits Executive Roundtable

Dorothy Cociu interviews Dr. Keith Smith, Owner, Surgery Center of Oklahoma.  Dr. Smith and his partners left the world of corporate profits in the hospital industry and started the Surgery Center of Oklahoma in 1997, and immediately started quoting actual prices over the phone. In 2009, they launched their website that posted all prices online, offering complete transparency in pricing, with drastically lower fees than nearly every other hospital or surgery center in the county!  Although they began their practice marketing to self-funded health plans, they now offer these cost-effective strategies for everyone.  Listen to this

#DorothyCociu #DrKeith Smith, SurgeryCenterofOklahoma #pricetransparency #selffunded #healthplan #costcontainment #FreeMarketMedicalAssociation

Show Notes

https://advancedbenefitconsulting.com/a-true-kind-of-health-plan-cost-containment-and-transparency/

In this episode, Host Dorothy Cociu shares more excerpts from ABC’s January 24th Lunch & Learn program. Dorothy Cociu and Marilyn Monahan of Monahan Law Office discuss benefit programs that attract and retain talent in all job tiers. In today’s market, top talent not only wants, but expects, a robust and innovative employee benefits program that will set one employer apart from the rest. In this episode, we will talk about how you can design a health benefits program tailored to your workforce, including medical plans, dental and other plans, along with voluntary options, and recent changes in the law that allows employers to create an Educational Assistance Program with which employers can help their employees pay off part of their student loan debt or current college and vocational expense each calendar year. Join us for this informative podcast!

Podcast Website

#DorothyCociu #MarilynMonahan #jobtalent #employeebenefits #healthbenefitsprogram #custom #medical #dental #EducationalAssistanceProgram #studentloans #vocational expense

In this episode, Host Dorothy Cociu shares excerpts from ABC’s January 24th Lunch & Learn program. One of the greatest challenges employers have in our post-pandemic world is recruiting talent and keeping them from moving on quickly to other employers. In this episode, Kathy Ruffino of Train Me Today and Marilyn Monahan of Monahan Law Office provide us with helpful information and tools for recruiting and retaining quality employees, by providing them with what they are looking for now and in their future. We cover opportunities for remote work and how to design job descriptions for remote employees at all job tiers, the challenges of hiring a remote or hybrid workforce and how to overcome them, the types of benefits that attract recruits and keep them on the job, and tools to keep employees engaged long-term. Join us for this informative podcast!

Podcast website:

https://advancedbenefitconsulting.com/s4e17-recruiting-talent-challenges-opportunities-post-covid

Host Dorothy Cociu shares excerpts from her Employment & Workplace Laws session from her January 24, 2023 Lunch & Learn this episode. Kathy Ruffino from Train Me Today and Marilyn Monahan from Monahan Law Office discuss the new employment and workplace laws in or going into effect in 2023, including The Fast Act, AB 1041 expansion of current family leave under CFRA, SB 1044 Retaliation and “Emergency Situations,” AB 1601 employment protections for call centers, AB 1949 bereavement law update, SB 523 discrimination of applicants and/or employees based on reproductive health decision making, SB 1162’s Pay Transparency Act, which requires new pay data reporting beginning May 10th, 202, and other California and Federal new and existing laws changes or updates. Join us for this informative podcast!

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In this episode, host Dorothy Cociu interviews Faith Borges, Legislative Advocate, Dawn McFarlane, VP of Legislation and Sue Wakamoto-Lee, President, of the California Agents & Health Insurance Professionals (CAHIP), on the current legislative environment in Sacramento. We examine our state legislature, the November elections and political impact of them, state Leadership, and the main legislative issues related to health insurance and health care in California. Will Single Payer threats be back? Join us for this informative podcast!

Read Show Notes on Podcast Website

https://advancedbenefitconsulting.com/s4e15-california-state-legislative-updates

#healthinsurance #healthcare #SinglePayer  #CaliforniaAgentsHealthInsuranceProfessionals #CAHIP #CaliforniaLegislature #elections #FaithBorges #Legislative #DawnMcFarlane #SueWakamotoLee 

In part two of this two-part series, host Dorothy Cociu continues her interview with Marcy Buckner, Senior VP of Government Affairs of NABIP. We discuss the CMS Proposed 2024 Notice of Benefit and Payment Parameters (NBPP), the ACA Employer Reporting Deadline permanent extension, the Transparency in Coverage (TiC) Guidance that clarifies Public Disclosures, and the Good Faith Effort provisions for employer CAA Prescription Drug Reporting, which has been very difficult for employers, TPAs, PBMs and others.  In addition, we discuss the top issues that NABIP has working on in Washington, including preserving the employer tax exclusion and employer reporting under the ACA. We also discuss updates on Single Payer/Medicare for All discussions in Washington and Medicare Updates. Join us for the conclusion of this informative podcast!

Podcast website

In this episode, host Dorothy Cociu interviews Marcy Buckner, Senior VP of Government Affairs of NABIP.  They discuss the current state of affairs in Congress after the November, 2022 elections, the end of the year Omnibus Package, the Inflation Reduction Act, the ACA Family Glitch resolution, Medicare Marketing Final Rule and Proposed Rule, and the proposed Notice of Benefit Payment Parameters.  This is part 1 of a two-part series.  Join us for this informative podcast!

Podcast website

https://advancedbenefitconsulting.com/s4e13-federal-legislative-updates-part1

keywords

Marcy Buckner, Government Affairs, NABIP, Congress, Omnibus Package, Inflation Reduction Act, ACA Family Glitch resolution, Medicare Marketing Final Rule, Proposed Rule, Notice of Benefit Payment Parameters

In this week’s episode, Host Dorothy Cociu interviews Mike Sigal, VP of Sales Development and Omar Arif, Senior VO of Growth from ClaimDOC, a Reference Based Pricing vendor. As we continue to examine cost containment in self-funded health plans, we take a look into ClaimDOC and how they differ from other vendors, the effectiveness of single case agreements, ways to deal with Balance Billing, and how ClaimDOC takes on the role of a Co-Fiduciary in the self-funded health plan. Join us for this informative podcast!

Podcast Website

https://advancedbenefitconsulting.com/s4e12-examining-reference-based-pricing-in-self-funded-plans

#RBP #referencebasedpricing #costcontainment #healthplans #billing #claims

Host Dorothy Cociu discusses with Marilyn Monahan of Monahan Law Office all of the Employer Requirements for the Transparency in Coverage Machine Readable Files Disclosures and CAA Pharmacy Benefits Reporting Requirements for employers and their vendors. Whether you are fully insured or self-funded, there are a myriad of new requirements that have employers, third party administrators, pharmacy benefits managers and others scrambling to understand and implement. What’s required and who needs to perform these tasks, and what are the due dates? Do you have the proper contracts in place? We will dive into the details!

Podcast website

https://advancedbenefitconsulting.com/s4e11-everything-employers-need-to-know-about-federal-tic-and-rx-reporting-2022-2023

#Employer #TransparencyinCoverage #MachineReadable #Pharmacy #Benefits #Reporting

Host Dorothy Cociu interviews Kathy Ruffino, Vice President, Train Me Today, on Human Resources and California Legislative Updates for 2022-2023. We discuss AB 152 (COVID Supplemental Paid Sick Leave), AB 257 (The Fast Act), AB 1041, SB 1044, AB 1601, AB 1751, AB 1949 and more. We also discuss what employers are dealing with post-Dobbs, the Great Resignation current trends, and ways employers can best attract and retain employees. Join us for this informative podcast!

Podcast Home Website:

#California #Legislative #COVIDSupplementalPaidSickLeave #GreatResignation #humanresources #SB1044 #TheFastAct #AB1041 #AB152 #AB1601 #AB1751 #AB1949 #AB257