By Collective Health
5
1010 ratings
The podcast currently has 19 episodes available.
This episode features an interview with Michael Menerey, Senior Vice President of Alliant Insurance Services. He currently oversees and manages the Los Angeles employee benefits team and is focused on new business development and recruiting and developing talented team members. Michael has been with Alliant for over 20 years in various roles such as Vice President and Benefits Consultant. In 2021, he was named by Risk & Insurance Magazine as a 2021 Power Broker® Award Recipient for Employee Benefits.
In this episode, Sasha sits down with Michael to discuss the broken aspects of the traditional healthcare system, the lack of price transparency and quality metrics in healthcare services, and the necessity of tailored communication strategies for different workforce demographics.
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“When you're fully insured, there's just not a lot of levers that can be pulled from a cost containment standpoint. Once you move into that self-funded world, there is just a whole universe of different levers and tools at your disposal that can not only control cost, but can also improve the quality of care for employees and improve the member experience, relative to what it is in a traditional insurance model or even the traditional healthcare system.” – Michael Menerey
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Episode Timestamps:
*(01:19): Michael’s career journey
*(02:54): Why healthcare is broken
*(11:49): The benefits of self-funded health plans
*(20:18): Three point solutions that every employer should consider
*(24:36): How workforce demographics impact benefit plans and communications
*(35:23): Michael’s advice for how to manage your day
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Links:
Connect with Michael on LinkedIn
Connect with Sasha on LinkedIn
Learn more about Collective Health
This episode features an interview with Brian Olsen, Partner of Employee Benefits at Sterling Seacrest Pritchard. Brian is an experienced Client Advisor specializing in creative employee benefits strategies to mitigate risks of health plans for companies ranging from 50 to 5,000 employees. His expertise resides in data management solutions and analysis, pharmacy cost containment, and complex contract negotiations.
In this episode, Sasha and Brian discuss the intricacies of working in the TPA space, the importance of clinical data in managing healthcare costs, and how to advise clients on network selection, PBMs, and stop-loss insurance strategies.
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“The TPA is the quarterback for a client's self-funded plan. Pulling together all the different players: the PBM, the stop-loss, the broker, the client. Making sure everybody is working as one to execute the plan for the self-funded health benefits. The biggest benefit is a client's flexibility as they're coming to design that game plan. What kind of network do we want to use? How do we want to pay certain types of claims?” – Brian Olsen
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Episode Timestamps:
*(01:40): Brian’s career journey
*(05:49): Understanding the TPA model
*(12:42): Pharmacy benefit management insights
*(18:02): Non-ERISA business and transition challenges
*(26:27): Importance of clinical data insights
*(30:07): Brian’s advice for those new to the industry
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Links:
Connect with Brian on LinkedIn
Email Brian
Connect with Sasha on LinkedIn
Learn more about Collective Health
This episode features an interview with Kristen Jordan, Benefits and Wellness Manager at Chime. She is responsible for the development, implementation, and maintenance of various programs that enhance employee well-being and satisfaction. Kristen has a proven track record for designing and managing benefit plans, wellness initiatives, and vendor relationships that align with the company's vision and values.
In this episode, Sasha sits down with Kristen to discuss the importance of benefits education, customized wellness programs, and the impact of a leave of absence management tool.
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“When we think about wellness programs, you really do have to tailor them to your specific company. You can't just put a one-size-fits-all program in there because you may not see the results or the engagement that you're looking for when it comes to implementing a wellness program.” – Kristen Jordan
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Episode Timestamps:
*(01:21): Kristen’s career journey
*(04:29): Wellness and benefits at Chime
*(14:16): How Chime supports employees
*(18:21): How Chime builds each year’s benefits plan
*(24:09): Ensuring a great member experience
*(33:00): Kristen’s advice for those new to the industry
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Links:
Connect with Kristen on LinkedIn
Learn more about Chime
Connect with Sasha on LinkedIn
Learn more about Collective Health
This episode features an interview with Doug Ramsthel and Jaclyn Rielly of Burnham Benefits. Doug serves as the Executive Vice President and Partner of Employee Benefits, and Jaclyn is the Vice President of the Irvine Office.
In this episode, Sasha, Doug, and Jaclyn discuss how the shift in pharmacy is affecting employers and members, the rising trend of GLP-1s, and why covering gene therapy drugs is important.
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“If I can convert somebody from a drug where I'm getting a $382 rebate to a cheaper drug where my net cost is a lot lower, that's a better benefit strategy. The only way to do that, in my opinion, is to take control as an employer. Self-fund and be able to start hitting these control buttons that will customize the plan, so you're focusing on the right things. Whereas the PBMs could be focusing just on their rebates because they're getting a slice of it. That's how they make their money.” – Doug Ramsthel
“Employers are really starting to get creative when it comes to managing their drug spend, and they have to, while focusing on different financial factors, as well as member behavior, when it comes to controlling costs. As plan costs for prescription drugs increase, member costs typically follow suit, whether it be through increases in cost sharing or premium contributions. With over 70% of office visits and hospital visits involving drug therapy, the rising costs of pharmacy are becoming more and more visible at the member level. I think the biggest shift, though, in pharmacy affecting members today really is that of access and affordability.” – Jaclyn Rielly
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Episode Timestamps:
*(01:13): How the shift in pharmacy is affecting employers and members
*(16:18): Doug discusses his book and obesity treatments
*(19:46): Doug dives into GLP-1s
*(33:08): Jaclyn discusses gene therapy drugs
*(45:50): Jaclyn explains the value-based formulary idea
*(49:40): Final thoughts on gene therapy drugs and GLP-1s
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Links:
Connect with Doug on LinkedIn
Connect with Jaclyn on LinkedIn
Connect with Sasha on LinkedIn
Learn more about Collective Health
This episode features an interview with Dr. Smita Das, Vice President of Psychiatry and Complex Care at Lyra Health. Smita is board certified in psychiatry, addiction psychiatry, and addiction medicine and has over 20 years of research experience. Previously, she served as President of an American Psychiatric Association District Branch and chair of the APA's Council on Addiction Psychiatry. Smita is also a clinical associate professor of Psychiatry and Behavioral Sciences at Stanford School of Medicine.
In this episode, Sasha and Smita dive into Lyra Health’s Complex Care Program, how the conversation around sobriety is changing, and how addiction and mental health psychiatry differ and intertwine.
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“There's so many places where somebody can fall through the cracks, for one reason or another. It could be coverage. It could be that they couldn't find a facility or that there were too many options and they had analysis paralysis, or they went to a place that wasn't actually evidence-based or at the bar that we expect at Lyra. Then, they're actually worse off because now maybe they've paid out of pocket tens of thousands of dollars and they didn't actually get better.” – Dr. Smita Das
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Episode Timestamps:
*(01:28): Smita’s career background
*(05:25): Why point solution access is important
*(09:15): Smita explains Lyra Complex Care
*(23:50): How addiction and mental health psychiatry differ and intertwine
*(29:15): Examples of employers who have accessible recovery programs
*(33:12): Smita’s advice for employers looking into complex care
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Links:
Connect with Dr. Das on LinkedIn
Learn more about Lyra Health
Visit Rethinking Drinking
Visit SAMHSA
Visit Atlas
Visit Findhelp
Visit NAMI
Connect with Sasha on LinkedIn
Learn more about Collective Health
This episode features an interview with Dr. Matt Resnick, Chief Medical Officer at Embold Health. He is a member of the founding executive team and led the development of measurement and analytic stacks. Today, he is responsible for growth and all go-to-market functions, leading a team in developing strategy and building products that align with market demands and deliver exceptional value.
In this episode, Sasha sits down with Matt to discuss the importance of quality care measurement, how it can benefit both employees and employers, and how measurement tools change based on patient age.
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“All of us spend countless hours, minutes researching all of the relatively superfluous purchases we make, like on Amazon. Yet, when it comes to finding a doctor, we trust our neighbors. The reality is most of us like our doctors and most of us don't have enough knowledge to know whether what we did was the right or the wrong thing. Even people who have bad outcomes actually like their doctors. The reality is we know if you walk in door A or door B, your likelihood of winding up on an operating table in a year with back pain is tenfold different.” – Matt Resnick
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Episode Timestamps:
*(01:15): Matt’s career background
*(07:18): Why quality care measurement is important
*(19:00): How Embold helps members find quality providers
*(29:49): How quality care measurement helps employers
*(34:04): How measurement tools change based on patient age
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Links:
Connect with Matt on LinkedIn
Learn more about Embold Health
Connect with Sasha on LinkedIn
Learn more about Collective Health
This episode features an interview with Dan Hodges, Senior Vice President of Employee Benefits at Woodruff Sawyer, where he provides strategic consultation and counseling to clients on their employee benefits programs. Dan has over 25 years of experience consulting a large cross section of employers including those in healthcare, not-for-profit, high-tech, service, and hospitality. He is also an expert in self-funding, consumerism, and HSA style plans.
In this episode, Sasha and Dan discuss transitioning to self-funded health plans, choosing a TPA versus an ASO, and the future of employer benefits.
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“You also have a lot more flexibility just on how you design your program. The different pieces that are baked into a fully insured program, how you can break those out, how you can go to specialty markets and get either better service or lower cost for that part of your program. How you can get better programs for your employees to take advantage of within a self-insured program. There's a lot of flexibility that you get, both in terms of service to the employer, service to the employee, and cost savings to the company.” – Dan Hodges
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Episode Timestamps:
*(01:22): Dan’s career background
*(06:33): Dan breaks down transitioning to self-funded health plans
*(23:25): Choosing a TPA versus ASO
*(26:00): Woodruff Sawyer’s unique offering
*(34:32): The future of employer benefits
*(36:52): Dan’s advice for people new to the industry
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Links:
Connect with Dan on LinkedIn
Learn more about Woodruff Sawyer
Connect with Sasha on LinkedIn
Learn more about Collective Health
This episode features an interview with Jessica Lea, founder and CEO of Tria Health. Jessica is passionate about pharmacists providing patient-centered care to improve the health outcomes of patients. She has a Doctor of Pharmacy degree from the University of Missouri-Kansas City, maintains board certification in psychiatric pharmacy, and has an Executive Masters in Business from Rockhurst University. Jessica is a healthcare innovator and has been recognized as one of the PharmaVOICE100.
In this episode, Sasha sits down with Jessica to discuss the revolutionary study of pharmacogenomics, the craze around weight loss drugs, and how Tria Health supports its members.
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“We're starting to get to a place where we have a better understanding of more medications that we know are affected by the way in which your body may metabolize or not metabolize the medicine, as it relates specifically to your DNA. The other thing is that not only have we gained more understanding of more medications, but we've also gotten to a place where it's a little more cost-effective in testing the right people who we believe would benefit from this.” – Jessica Lea
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Episode Timestamps:
*(01:24): Jessica’s career background
*(04:31): How Tria Health supports members
*(14:51): Jessica dives into pharmacogenomics
*(27:50): How pharmacy and medical interact
*(32:07): Jessica’s thoughts on weight loss drugs
*(41:32): Jessica’s advice for those starting their own businesses
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Links:
Learn more about Tria Health
Follow Tria Health on LinkedIn
Connect with Jessica on LinkedIn
Connect with Sasha on LinkedIn
Learn more about Collective Health
This episode features an interview with Michael Caussin, former NFL tight end and New York Times bestselling author. Mike became a licensed health advisor in 2023 and helps individuals and families find the health coverage they need.
In this episode, Sasha and Mike get back to the basics of healthcare. They discuss why healthcare education is so important, how to navigate life events, and what people don’t know about coverage options.
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“I want to be an asset to people in whatever I'm doing in my life. Let me teach everyone that's watching or following the simple basics of your day-to-day coverage. I've gotten much more positive feedback than I ever imagined of people commenting or messaging me on how helpful it's been. Which obviously for anyone, it's validating to get that reassurance that you're actually helping somebody.” – Michael Caussin
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Episode Timestamps:
*(01:15): Mike’s career background
*(07:27): How Mike uses his Instagram to educate people
*(11:45): Mike’s advising process
*(18:49): How Mike helps people navigate life events
*(27:24): How Mike improves member experience
*(32:48): Mike’s advice for those new to the industry
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Links:
Follow Mike on Instagram
Connect with Mike on LinkedIn
Connect with Sasha on LinkedIn
Learn more about Collective Health
Welcome to The Benefits Playbook podcast! We have a really exciting announcement: a new season is on its way!
Last season, we had the privilege of sitting down with some of the best minds in employee healthcare including benefits leaders, brokers, and consultants. They shared expert advice on creating a winning benefits strategy. Everything from how to build an inclusive benefits program, to making the leap to self-funding, to delivering a great member experience. If you haven’t tuned in yet, catch season 1 wherever you listen to podcasts.
Our second season is bringing some new voices into the mix, including Tria Health’s Jessica Lea, NFL player turned Licensed Health Advisor, Mike Caussin, and our very own CEO and Co-founder, Ali Diab. We’ll cover why understanding the basics of health benefits plans is important for members, we’ll dive deep into AI and how it’s influencing our industry, and we’ll explore revolutionary fields of medical and pharmacy study.
Join us for season 2 of The Benefits Playbook, brought to you by Collective Health.
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Links:
Connect with Sasha on LinkedIn
Learn more about Collective Health
The podcast currently has 19 episodes available.
110,367 Listeners