Voices of Self Funding

Join us as we sit down with Paul Ashley, CEBS, a Vice President and Consultant at NFP. Paul has 22 years of experience managing health plans for upper- to middle-market employers. During the podcast, we talked about the various ways that organizations can improve transparency and reduce their pharmacy costs, as well as examining the latest trends in PBM contracting.

This episode was sponsored by Valenz Health. For more information on PBM contracting or other topics related to the self-funding industry, please visit HCAA.org. 

Join us as we welcome Oliver Ayres, President Key Family, Key Benefit Administrators, to discuss the Direct-to-Employer (DTE) approach to improve health care cost containment. Oliver simplifies the complexities of DTE, empowering both employers and employees to navigate the health care benefits maze more effectively. In this episode, Oliver breaks down the intricacies of DTE and shares how it can both cut costs and boost access for self-funded employers and their teams. He will also share real-world examples of how it outperforms the Reference-Based Pricing model for employers and employees. Finally, he'll share valuable advice for brokers, employers, and TPAs considering DTE adoption.

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

In this episode, Ramesh continued his discussion with Fred Goldstein, co-founder and lead host of PopHealth Week, a weekly radio show that engages thought leaders, disruptive companies, and health systems in the field of Population Health Management. This is the second of a two-part podcast that was recorded in front of a live audience at HCAA's Executive Forum and examined GLP-1, weight loss, gene therapies, reinsurance, and outcomes based contracts. The discussion also focused on population health and the use of data, access to primary care, maternity and musculoskeletal care, and more.

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

In today's episode, Ramesh interviews Fred Goldstein, co-founder and lead host of PopHealth Week, a weekly radio show that engages thought leaders, disruptive companies, and health systems in the field of Population Health Management. This is the first of a two-part podcast that was recorded in front of a live audience at HCAA's Executive Forum and examined GLP-1, weight loss, gene therapies, reinsurance, and outcomes based contracts. The discussion also focused on population health and the use of data, access to primary care, maternity and musculoskeletal care, and more.

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

On this episode of Voices of Self Funding, Ramesh hosted Michael Schroeder, the legal luminary-turned-maverick CEO of Roundstone. A lawyer by training, Mike has been on the frontlines, advocating for captives and unveiling the nuances within this captivating world of captives.

Ramesh sat down with Mike to gain an understanding of the current state of the captive market, the market’s path to maturity, the components of a captive, and how to evaluate the different types. We also gained a sneak peek into some of the challenges on the horizon for captives within the realm of self-insurance.

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

In our latest episode, we're thrilled to host Dr. Jerry Beinhauer, a clinician turned innovator and the brains behind Apaly Health. Join us as we unravel the mysteries of Direct Primary Care (DPC) arrangements including how to improve access, mitigate employee population risks, uncover the metrics that matter, and slash costs for ER and specialist visits.

This episode was sponsored by Valenz Health. For more information on Direct Primary Care or other topics related to the self-funding industry, please visit HCAA.org. 

Prepare yourself for a transformative exploration as we delve into the critical realm of Musculoskeletal (MSK) programs. In this eye-opening discussion, long-time orthopedic surgeon, Dr. Steven Schutzer examines the exorbitant costs associated with unnecessary surgeries and how self-funded employers could scale models to tackle the MSK issue head on. We talked about how Virtual Diagnosis could be the game-changer we've been waiting for, and how advanced data analytics platforms are helping to identify members for targeted interventions. Tune in now to hear about the intricacies of MSK programs and learn strategies to improve your benefits program.

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

Employers want a new solution every quarter and expect the TPA to integrate, share data, enroll and support the member. This makes it difficult to not only evaluate the impact of point solutions, but also to access data across solutions and drive substantial value. How should you address this? And how should you approach the explosion of point solutions?

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

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. 

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.