Podcasts about healthcare benefits

California is quietly bringing back asset limits for Medi-Cal long-term care coverage in 2026, and current recipients could be in for a devastating surprise. Here's what's happening: California eliminated asset limits for elderly and disabled Medi-Cal recipients in 2024, but those limits are returning in 2026. If you currently receive long-term care Medi-Cal benefits, when you submit your annual eligibility report next year, you could lose your coverage if your assets exceed the new limits.    In this critical episode, estate planning attorney Kirsten Howe explains the $130,000 asset limit returning for single individuals, why 2025 is your last opportunity to transfer assets without penalties, and the difference between regular Medi-Cal and long-term care Medi-Cal coverage. She also covers exactly which assets will count against you, which are exempt, and essential planning strategies to protect your benefits before the deadline.     Time-stamped Show Notes: 0:00 Introduction 0:02 Federal vs. state changes: distinguishing between well-publicized federal Medicaid cuts and California's hidden asset limit reversal 1:56 MAGI Medi-Cal breakdown - how Obamacare's expanded coverage works for healthy, low-income individuals 2:17 The crucial distinction: long-term care Medi-Cal covers far more than basic health insurance, serving elderly and disabled populations 3:16 Planning becomes essential again - why future Medi-Cal eligibility will require strategic asset management 3:35 Listen in as Kirsten explains more about exempt assets that may include a house, car, prepaid funeral, burial plot, small life insurance, and retirement accounts 4:27 Currently, 2025 offers no asset limits, exempt status for all assets, and penalty-free transfers 4:55 Next, Kirsten talks about the annual report trap that could devastate current recipients in 2026 5:36 Qualified yesterday, disqualified tomorrow: how current beneficiaries risk losing coverage despite meeting past requirements

Welcome to Omni Talk's Retail Daily Minute, sponsored by Mirakl. In today's Retail Daily Minute:Amazon's same-day delivery expansion is capturing high-margin pantry items and essentials from traditional grocers, with 30% growth in same/next-day U.S. deliveries and promising early results from fresh grocery pilots.Starbucks implements across-the-board 2% salary raises while enforcing new four-day office requirements and relocating support leaders to Seattle or Toronto as part of CEO Brian Niccol's turnaround strategy.Hy-Vee partners with Oscar Health to launch concierge healthcare benefits in Des Moines, offering unlimited primary care and specialty services while creating grocery shopping rewards in the retailer's expanding health and wellness ecosystem.The Retail Daily Minute has been rocketing up the Feedspot charts, so stay informed with Omni Talk's Retail Daily Minute, your source for the latest and most important retail insights. Be careful out there!

Matt Temple and Doug Simms, executives at Sonus Benefits, join The Manufacturing Employer to discuss how manufacturers can make healthcare plans a competitive advantage. They explore strategies and creative solutions to rising pharmacy costs—all aimed at improving culture, retention and employee well-being.

In this episode of the Shift AI Podcast, Boaz Ashkenazy sits down with Rohan D'Souza, co-founder of Avante, who is tackling one of America's most complex challenges: the $1.7 trillion employer-sponsored healthcare system. With his unique background as a former competitive swimmer from India and extensive experience in healthcare technology, Rohan brings a fresh perspective to an industry plagued by opacity and inefficiency.Rohan shares how Avante is leveraging AI to democratize healthcare information, making complex insurance plans understandable for employees while helping employers control costs that are rising 8-14% annually. From his early days working with electronic medical records during the 2008 financial crisis to building a nine-person team that supports hundreds of conversations with AI-powered solutions, Rohan illustrates how productivity and creativity converge in the future of work. This conversation offers valuable insights for anyone interested in healthcare innovation, AI implementation in regulated industries, and the entrepreneurial journey of building solutions for massive, entrenched systems.Chapters: [01:57] From India to America - The Swimming Journey[03:57] Early Career in Healthcare Technology During the Financial Crisis[05:14] Introducing Avante - The $1.7 Trillion Opportunity[09:10] The Employee Experience Problem[14:05] AI Agents and Personalized Healthcare Recommendations[18:25] Privacy Challenges in Healthcare AI[23:35] Building the Founders Club and Early Customers[28:07] The Future of Work - Productivity and CreativityConnect with Rohan D'SouzaLinkedIn: https://www.linkedin.com/in/rohanpdsouza/Website: https://avante.ai/ Connect with Boaz AshkenazyLinkedIn: https://www.linkedin.com/in/boazashkenazy X:https://x.com/boazashkenazyEmail: shift@augmentedailabs.comThe Shift AI Podcast is syndicated by GeekWire, and we are grateful to have the show sponsored by Augmented AI Labs.  Our theme music was created by Dave Angel  Follow, Listen, and SubscribeSpotify | Apple Podcast | Youtube

In episode 198, Coffey talks with Kelly Baringer about 2025 trends in employee health benefits and strategies for reducing healthcare costs. They discuss value-based care and directed networks that steer patients to providers with better outcomes; consumer-driven healthcare plans with transparent pricing and no balance billing; the rising costs of pharmacy benefits and hidden broker compensation; and fiduciary responsibilities of HR professionals when managing employee healthcare plans. Good Morning, HR is brought to you by Imperative—Bulletproof Background Checks. For more information about our commitment to quality and excellent customer service, visit us at https://imperativeinfo.com.  If you are an HRCI or SHRM-certified professional, this episode of Good Morning, HR has been pre-approved for half a recertification credit. To obtain the recertification information for this episode, visit https://goodmorninghr.com.  About our Guest: Kelley Barringer is a Vice President of Employee Benefits Consulting, with the Employee Benefits team located in Dallas, Texas. She serves as a senior client executive, client advocate, and key liaison with our clients' executive teams, human resources, benefits, finance, and operations contacts. She provides oversight of the USI service team including overseeing the day-to-day needs of clients and is responsible for conducting periodic dialogue with key client contacts to assume overall satisfaction with the USI team. She joined USI in 2022 and has been in the insurance industry since 2015.  Prior to USI, Kelley worked at Ardent Solutions/Alera Group for 6.5 years in employee benefits. Before that, she worked in technology sales and services at Canon USA. Kelley spent time in the medical device industry working with physical therapists and in operating rooms with implants.  She has her B.S. in Exercise Science from (UTA) The University of Texas at Arlington and achieved her M.B.A. through (SMU) Southern Methodist University's executive program. She was a Specialist in the US Army Reserve's 441st Ambulance Unit, deployed to Camp Buehring, Kuwait as a medic.    Kelley is involved in her local SHRM chapter, DallasHR, as a board member, and is a Tri-chair for the Richardson Chamber of Commerce's Women in Leadership Committee. She and her oldest daughter are involved with their local National Charity League chapter. She also sits on the City of Richardson's Tax Increment Financing (TIF) Board.  Kelley was raised in Garland, TX and resides in Richardson, TX.  She and her husband have three school-aged children. Kelley Barringer can be reached athttps://www.usi.com/https://www.linkedin.com/in/kelleybarringer/  About Mike Coffey: Mike Coffey is an entrepreneur, licensed private investigator, business strategist, HR consultant, and registered yoga teacher.In 1999, he founded Imperative, a background investigations and due diligence firm helping risk-averse clients make well-informed decisions about the people they involve in their business.Imperative delivers in-depth employment background investigations, know-your-customer and anti-money laundering compliance, and due diligence investigations to more than 300 risk-averse corporate clients across the US, and, through its PFC Caregiver & Household Screening brand, many more private estates, family offices, and personal service agencies.Imperative has been named a Best Places to Work, the Texas Association of Business' small business of the year, and is accredited by the Professional Background Screening Association. Mike shares his insight from 25+ years of HR-entrepreneurship on the Good Morning, HR podcast, where each week he talks to business leaders about bringing people together to create value for customers, shareholders, and community.Mike has been recognized as an Entrepreneur of Excellence by FW, Inc. and has twice been recognized as the North Texas HR Professional of the Year. Mike serves as a board member of a number of organizations, including the Texas State Council, where he serves Texas' 31 SHRM chapters as State Director-Elect; Workforce Solutions for Tarrant County; the Texas Association of Business; and the Fort Worth Chamber of Commerce, where he is chair of the Talent Committee.Mike is a certified Senior Professional in Human Resources (SPHR) through the HR Certification Institute and a SHRM Senior Certified Professional (SHRM-SCP). He is also a Yoga Alliance registered yoga teacher (RYT-200) and teaches multiple times each week.Mike and his very patient wife of 28 years are empty nesters in Fort Worth.  Learning Objectives: 1.       Investigate value-based care options like UHC's app-based plans that use provider ratings and incentivized co-pays to guide employees toward higher quality care while reducing costs.2.       Identify and understand broker compensation structures within your healthcare plans to fulfill fiduciary responsibilities and ensure transparency in benefit costs.3.       Evaluate personal and company liability protection needs regarding employee benefits decisions, including whether HR professionals need to be covered under errors and omissions policies.

AI in Public Health & Medicine For more information checkout: (1) Turing, A. M. (1950). Computing Machinery and Intelligence. Mind, 59(236), 433–460. DOI (2) Wiener, N. (1948). Cybernetics: Or Control and Communication in the Animal and the Machine. MIT Press. (3) McCarthy, J., Minsky, M. L., Rochester, N., & Shannon, C. E. (1955). A Proposal for the Dartmouth Summer Research Project on Artificial Intelligence. (4) Newell, A., & Simon, H. A. (1956). The Logic Theory Machine—A Complex Information Processing System. IRE Transactions on Information Theory, 2(3), 61–79. DOI (5) Weizenbaum, J. (1966). ELIZA—A Computer Program for the Study of Natural Language Communication Between Man and Machine. Communications of the ACM, 9(1), 36–45. DOI (6) Crevier, D. (1993). AI: The Tumultuous History of the Search for Artificial Intelligence. Basic Books. (7) Feigenbaum, E. A., & McCorduck, P. (1983). The Fifth Generation: Artificial Intelligence and Japan's Computer Challenge to the World. Addison-Wesley. (8) Campbell, M., Hoane, A. J., & Hsu, F. H. (2002). Deep Blue. Artificial Intelligence, 134(1–2), 57–83. DOI (9) Silver, D., et al. (2016). Mastering the game of Go with deep neural networks and tree search. Nature, 529(7587), 484–489. DOI (10) Brown, T., et al. (2020). Language Models are Few-Shot Learners. Advances in Neural Information Processing Systems. (11) Ramesh, A., et al. (2021). Zero-Shot Text-to-Image Generation. OpenAI. (12) Binns, R. (2018). Fairness in Machine Learning: Lessons from Political Philosophy. Proceedings of the 2020 Conference on Fairness, Accountability, and Transparency. DOI (13) Statista Research Department. (2023). Daily Per Capita Data Interactions Worldwide. (14) "AI in Health Care: Applications, Benefits, and Examples" Authors: Coursera Team Published: October 2024 (15) "AI in Healthcare: Benefits and Examples" Authors: Cleveland Clinic Health Essentials Published: September 2024 (16) "AI in Healthcare: The Future of Patient Care and Health Management" Authors: Mayo Clinic Press Published: March 2024 (17) "10 Top Artificial Intelligence (AI) Applications in Healthcare" Authors: VentureBeat Staff Published: August 2022 (18) "10 Real-World Examples of AI in Healthcare" Authors: Philips News Center Published: November 2022 (19) "AI in Healthcare: Uses, Examples & Benefits" Authors: Built In Staff Published: November 2024 (20) "Artificial Intelligence in Health Care: Benefits and Challenges of Machine Learning in Drug Development" Authors: U.S. Government Accountability Office Published: December 2020 (21) "Integrated Multimodal Artificial Intelligence Framework for Healthcare Applications" Authors: Luis R. Soenksen, Yu Ma, Cynthia Zeng, Leonard D. J. Boussioux, Kimberly Villalobos Carballo, Liangyuan Na, Holly M. Wiberg, Michael L. Li, Ignacio Fuentes, Dimitris Bertsimas Published: February 2022 (22) "Remote Patient Monitoring Using Artificial Intelligence: Current State, Applications, and Challenges" Authors: Thanveer Shaik, Xiaohui Tao, Niall Higgins, Lin Li, Raj Gururajan, Xujuan Zhou, U. Rajendra Acharya Published: January 2023 (23) Artificial Intelligence in Medicine and Healthcare: A Review and Classification of Current and Near-Future Applications and Their Ethical and Social Impact" Authors: Emilio Gómez-González, Emilia Gómez, Javier Márquez-Rivas, Manuel Guerrero-Claro, Isabel Fernández-Lizaranzu, María Isabel Relimpio-López, Manuel E. Dorado, María José Mayorga-Buiza, Guillermo Izquierdo-Ayuso, Luis Capitán-Morales Published: January 2020 (24) Parums DV. Editorial: Infectious Disease Surveillance Using Artificial Intelligence (AI) and its Role in Epidemic and Pandemic Preparedness. Med Sci Monit. 2023;29:e941209. Published 2023 Jun 1. doi:10.12659/MSM.941209 (25) Chen, S., Yu, J., Chamouni, S. et al. Integrating machine learning and artificial intelligence in life-course epidemiology: pathways to innovative public health solutions. BMC Med 22, 354 (2024). (26) Abdulkareem M, Petersen SE. The Promise of AI in Detection, Diagnosis, and Epidemiology for Combating COVID-19: Beyond the Hype. Front Artif Intell. 2021;4:652669. Published 2021 May 14. doi:10.3389/frai.2021.652669 (27) Hamilton AJ, Strauss AT, Martinez DA, et al. Machine learning and artificial intelligence: applications in healthcare epidemiology. Antimicrob Steward Healthc Epidemiol. 2021;1(1):e28. Published 2021 Oct 7. doi:10.1017/ash.2021.192

As the year comes to an end, it is important to make sure to take advantage of all your health benefits have to offer. Knowing how to optimize your healthcare coverage is a very important piece of better health and overall well-being. FOX's Tonya J. Powers speaks with Dr. Marc Siegel, Fox News Senior Medical Analyst and Internist at NYU Langone Medical Center, who shares his thoughts and advice on maximizing your health benefits before the year ends. Click Here To Follow 'The FOX News Rundown: Evening Edition' Learn more about your ad choices. Visit megaphone.fm/adchoices

As the year comes to an end, it is important to make sure to take advantage of all your health benefits have to offer. Knowing how to optimize your healthcare coverage is a very important piece of better health and overall well-being. FOX's Tonya J. Powers speaks with Dr. Marc Siegel, Fox News Senior Medical Analyst and Internist at NYU Langone Medical Center, who shares his thoughts and advice on maximizing your health benefits before the year ends. Click Here To Follow 'The FOX News Rundown: Evening Edition' Learn more about your ad choices. Visit megaphone.fm/adchoices

As the year comes to an end, it is important to make sure to take advantage of all your health benefits have to offer. Knowing how to optimize your healthcare coverage is a very important piece of better health and overall well-being. FOX's Tonya J. Powers speaks with Dr. Marc Siegel, Fox News Senior Medical Analyst and Internist at NYU Langone Medical Center, who shares his thoughts and advice on maximizing your health benefits before the year ends. Click Here To Follow 'The FOX News Rundown: Evening Edition' Learn more about your ad choices. Visit podcastchoices.com/adchoices

Explore proven strategies to navigate the complex $600B employer healthcare market. Learn how to overcome challenges like vendor saturation, low engagement rates, and shifting employer preferences to accelerate revenue growth and build lasting partnerships with Fortune 1000 companies.Develop a targeted GTM strategy tailored to the unique needs of self-insured employersCraft compelling value propositions that differentiate your solution in a crowded marketLeverage community-based approaches to boost engagement and retentionBuild strategic partnerships to expand your reach and credibility in the employer spaceLindsey Kratzer, Founder, Spark Health AdvisorsMegan Antonelli, Chief Executive Officer, HealthIMPACT Live 

Monday, October 21st, 2024Today, Pennsylvania Governor Josh Shapiro says law enforcement should investigate Elon Musk's $1M voter lottery scam; Democrats in Congress are working to prevent another January 6th; questions surround Montana Republican Senate candidate Sheehy's bullet wound story; the Trump ground game in key swing states has been flagged as potentially faked; and a failed mic leaves Trump in awkward silence for over 20 minutes; and Allison delivers your Good News. Guest:Laura PackardProtect Our Care 2024 Bus Tour (protectourcare.org)Twitter: @lpackardFacebook: LauraPackardActivistInstagram: LauraPackardActivistThreads: @laurapackardactivistYouTube: LauraPackardTikTok: @laurapackardactivisthttps://www.laurapackard.comThank you Helix25% off Sitewide + 2 FREE Dream Pillows with any mattress purchase HelixSleep.com/DailyBeansStories:Pennsylvania Gov. Shapiro: Law enforcement should 'take a look at' Elon Musk voter payments (Alexandra Marquez | NBC News)Elon Musk and Marjorie Taylor Greene risk Dominion's wrath with revived conspiracy theories (The Independent)Democrats in Congress seek to prevent another Jan. 6 riot, protect Electoral College certification (Scott MacFarlane | CBS News)Montana ranger questions Senate hopeful Sheehy's bullet wound (Liz Goodwin | Washington Post)Revealed: Trump ground game in key states flagged as potentially fake (Hugo Lowell | The Guardian)Harris Social Media Toolkit Harris Campaign Social Media Toolkit (kamalaharris.com)Give to the Kamala Harris Presidential Campaign Kamala Harris — Donate via ActBlue (MSW Media's Donation Link)See What's On Your Ballot, Check Your Voter Registration, Find Your Polling Place, Discover Upcoming Debates In Your Area, And Much More! Vote411.orgCheck Your Voter Registration!vote.orgCheck out other MSW Media podcastshttps://mswmedia.com/shows/Subscribe for free to MuellerSheWrote on Substackhttps://muellershewrote.substack.comFollow AG and Dana on Social MediaDr. Allison Gill https://muellershewrote.substack.comhttps://twitter.com/MuellerSheWrotehttps://www.threads.net/@muellershewrotehttps://www.tiktok.com/@muellershewrotehttps://instagram.com/muellershewroteDana Goldberghttps://twitter.com/DGComedyhttps://www.instagram.com/dgcomedyhttps://www.facebook.com/dgcomedyhttps://danagoldberg.comCheck out the first 2 episodes of Trump's Project 2025: Up Close and Personal.https://trumpsproject2025pod.com/There is a new “Harris For President” Patreon tier:https://www.patreon.com/muellershewrote/membershipHave some good news; a confession; or a correction to share?Good News & Confessions - The Daily Beanshttps://www.dailybeanspod.com/confessional/From The Good NewsUtah Voter Information (Utah.gov)DR. KRISTIN LYERLY FOR WISCONSIN 8TH CONGRESSIONAL DISTRICT  (kristinforwisconsin.com) Check out other MSW Media podcastshttps://mswmedia.com/shows/Subscribe for free to MuellerSheWrote on Substackhttps://muellershewrote.substack.com Follow AG and Dana on Social MediaDr. Allison Gill https://muellershewrote.substack.comhttps://twitter.com/MuellerSheWrotehttps://www.threads.net/@muellershewrotehttps://www.tiktok.com/@muellershewrotehttps://instagram.com/muellershewroteDana Goldberghttps://twitter.com/DGComedyhttps://www.instagram.com/dgcomedyhttps://www.facebook.com/dgcomedyhttps://danagoldberg.comHave some good news; a confession; or a correction to share?Good News & Confessions - The Daily Beanshttps://www.dailybeanspod.com/confessional/ Listener Survey:http://survey.podtrac.com/start-survey.aspx?pubid=BffJOlI7qQcF&ver=shortFollow the Podcast on Apple:The Daily Beans on Apple PodcastsWant to support the show and get it ad-free and early?Supercasthttps://dailybeans.supercast.com/OrPatreon https://patreon.com/thedailybeansOr subscribe on Apple Podcasts with our affiliate linkThe Daily Beans on Apple Podcasts

Bill Schmaltz of Einstein Consulting Group joins The Manufacturing Employer to share how you can get more value from your healthcare benefits for your employees.

Send us a textUnlock the secrets to revolutionizing your healthcare benefits with insights from Josh Richter, a senior sales executive at Medical Associates, recorded live from the Iowa State Sherm Conference. Discover how HR professionals can transition from cumbersome traditional plans to flexible self-funded and level-funded options. Josh illuminates the rising importance of Individual Coverage Health Reimbursement Arrangements (ICHRAs) and tackles the thorny issue of prescription drug costs. Learn how Pharmacy Benefit Managers (PBMs) are key to cost management and why local providers like MedOne Benefits can be game-changers by passing rebates back to employers.Our conversation doesn't stop there. We dive into the importance of expert advice in health plan management to ensure employees receive top-quality care. With a meticulous quality control process involving NCQA and CMS ratings, customer feedback, and direct reviews, Medical Associates sets high standards. Hear about the critical roles of the quality control manager and customer service director as they stay current with healthcare trends and regulations. Finally, we wrap up our conference experience with heartfelt gratitude to our guests and a reminder to stay engaged with us on social media for more insightful discussions. Tune in for an episode packed with actionable takeaways for navigating the evolving landscape of healthcare benefits.Support the showRebel HR is a podcast for HR professionals and leaders of people who are ready to make some disruption in the world of work. Please connect to continue the conversation! https://twitter.com/rebelhrguyhttps://www.facebook.com/rebelhrpodcasthttp://www.kyleroed.comhttps://www.linkedin.com/in/kyle-roed/

I recently had a very interesting conversation with Brandy Burch, CEO & Founder at Benefitbay, a platform that enables employers to easily model, deploy, and oversee their ICHRA plans, in full compliance with regulation and with full confidence that their employees will have tools and support to select and enroll in the plan that's right for them. In a wide-ranging discussion, Brandy and I talked about: ✅ The challenges of managing employee healthcare benefits. ✅ The advantages of modern, flexible healthcare solutions like ICHRA. ✅ What sets Benefitbay apart, including its ICHRA model, strong customer focus, and broker partnerships. ✅ The vital role brokers play in Benefitbay's success by helping navigate the complexities of healthcare. ✅ Brandy's strategic approach to marketing and growth, offering valuable insights for other leaders. ✅ The importance of customer success and service in maintaining Benefit Bay's competitive edge. ✅ And much more! You can find the podcast discussion on the Get More HR Clients website. You can also find the 'A Better HR Business' podcast on all the main podcast players, including Apple Podcasts and Spotify. For show notes and to see details of our previous guests, check out the podcast page here: www.GetMoreHRClients.com/Podcast HR BUSINESS GROWTH RESOURCES Get the new book - Grow A Successful HR Business Your Way Automated Lead-Generation Machine - On-Demand Masterclass & Workbook HR Business ChatGPT/AI Prompts Pack - ChatGPT Prompts Pack HR Business Planner - On-Demand Masterclass & Workbook How To Make Better Lead Magnets To Attract More Sales Leads - On-Demand Masterclass & Workbook Beat Your HR Business Blocks Course - Online Course Start Your HR Business - Coaching program Grow Your HR Business - Coaching program Consulting Services For HR Software And Consulting Firms: Consulting Services. VISIT GET MORE HR CLIENTS Want more clients for your HR-related consultancy or HR Tech business? Visit the Get More HR Clients website for articles, newsletters, podcasts, videos, resources, and more.  

In this episode of Impact Healthcare, Lester Morales sits down with Hugh O'Toole, CEO of Innovu, to discuss how data analytics and transparency are reshaping the healthcare benefits industry. Together, they dive into practical strategies that can help employers, advisors, and fiduciaries make smarter decisions, reduce costs, and improve healthcare outcomes. Hugh shares his journey into the benefits space, from managing school consortiums to optimizing healthcare costs through data-driven solutions. He explains how transparency and fiduciary responsibility empower businesses to lower healthcare expenses without sacrificing quality. Learn how small changes, like J-code analysis, can save millions and improve the lives of employees and their families. Key Takeaways: The importance of owning and utilizing healthcare data How fiduciary duty can protect employers and improve employee benefits Real-life examples of cost savings in healthcare and pharma Don't miss out on this insightful conversation that provides actionable steps to reduce your healthcare spend by 20% through total transparency. Subscribe to Impact Healthcare on iTunes, Spotify, or your favorite podcast platform.

Congressman Tim Walberg joins Main Street Matters to discuss proposed legislation that would block Joe Biden from rescinding Donald Trump's rule that expanded association healthcare plans. Association healthcare plans allow small businesses to band together and provide their employees with healthcare plans similar to those offered by larger corporations or unions. The Trump era rule was seen as a game changer for small businesses, providing them with greater purchasing power and the ability to offer competitive benefits. Main Street Matters is part of the Salem podcast Network. For more visit JobCreatorsNetwork.comSee omnystudio.com/listener for privacy information.

This episode is brought to you by Anthem Blue Cross Blue Shield's MyHealthBenefitFinder.com What if understanding the full spectrum of your health insurance could change your life? Join us for an eye-opening conversation into the world of health care and insurance with Dr. Darrell Gray II, MD. Dr. Gray shares invaluable insights on the necessity of health literacy, the critical role of primary care providers, and the importance of preventive measures that can potentially save your life. Through personal anecdotes, he illustrates the unpredictable nature of health issues and the importance of being prepared with the right health coverage. Navigating the complex world of healthcare benefits can be daunting, but Dr. Gray breaks it down with practical advice and tools like Anthem's MyHealthBenefitFinder.com. We explore common misconceptions about insurance coverage, and Dr. Gray emphasizes how knowing the specifics of your plan can significantly impact your healthcare experience. From lactation support and low to no-cost medications to transportation assistance, understanding these benefits can lead to better health outcomes. We also discuss the evolving healthcare system's efforts to reduce barriers and stigma, ensuring broader access to necessary care. For those self-employed or in between jobs, this episode offers crucial information on affordable health insurance options and subsidies provided by the Affordable Care Act. Dr. Gray also touches on the mental health impacts of grief, the rising awareness of mental health and substance use disorders post-pandemic, and how insurance can support access to mental health providers and addiction treatment. Tune in to empower yourself and your loved ones with the knowledge to maximize your health benefits and prioritize your well-being. Follow Darrell @dmgraymd  Follow Chase @chase_chewning ----- In this episode we discuss… (01:00) Navigating Healthcare Benefits for Optimal Health (06:27) How to Access Healthcare Benefits (16:28) Exploring Healthcare Benefits to Maximize Personal Use (22:24) Understanding the Importance of Health Insurance for Everyone (36:08) How to Leverage Benefits in Employment (42:06) Preventative Measures and What to Look For in Insurance Options for Wellness (47:02) Improving Access to Make Sure You Get to Keep Using Your Benefits (59:54) Empowering Others and Building Healthy, More Educated Communities ----- Episode resources: Learn more at MyHealthBenefitFinder.com  Watch and subscribe on YouTube

For the average American, a $5,000 out-of-pocket medical expense can be a financial catastrophe, pushing many to forgo necessary healthcare. Patients who face the difficult decision of receiving medical treatment at home instead of in a hospital underscores a grim reality: the high out-of-pocket costs and deductibles causes patients to delay or skip doctor visits due to affordability issues.Listen as Risky Benefits guest Lester Morales, of Next Impact Advisory and Marketing Firm, offers a comprehensive critique of our current healthcare system while also providing a hopeful glimpse into potential reforms. From questioning the systemic design flaws to showcasing successful models like Rosen Health, an initiative that challenges the status quo and aims for a healthcare system that truly serves everyone, Morales shares how the Rosen Health model has saved over half a billion dollars in the past 30 years using an independent TPA and direct contracts with healthcare providers. Rosen Health's innovative approach serves as proof that cost transparency and direct patient care can lead to significant savings, better employee retention, community impact, and educational initiatives.MORE ABOUT OUR GUEST:Lester J. MoralesFounder and Chief Executive OfficerNextImpactllc.comAs a passionate thought leader, keynote speaker and advisor in the human capital and employee benefits space, I'm always looking for game-changing solutions that foster innovation and shatter the status quo. As the title of my company suggests, that search centers around finding the next impactful strategy that will help employer clients burnish their value proposition and grow. In the world of social media, we dub that never-ending journey #whatsnext. Our latest approach involves transparent health benefits, whose comprehensive plan design builds transparency into the cost of healthcare delivery and access.To listen in and subscribe to more episodes, visit our website: fbmc.com/podcast.

Meg is joined by Caitlin Donovan, Global Head of Uber Health, which focuses on delivering a “better patient experience with transportation, same-day prescription, and home delivery for groceries and over-the-counter items, enhancing benefit coordination.”Caitlin explains Uber Health's services: transportation, prescription delivery, and grocery and over-the-counter benefits. Meg and Caitlin dive into the challenges of executing Uber Health's vision, the importance of aligning incentives, and the critical task of understanding the healthcare ecosystem at large. Caitlin shares insights on engaging health plans and providers, as well as the future plans and innovations of Uber Health. Lastly, Caitlin discusses the key factors in successfully bringing new solutions to the healthcare market and leading well-balanced teams.Further Reading: 2020 product update, Uber Technologies reported that Uber Health grew 300% in two years.2021, Uber Health and Surgo Ventures partnered with two federally qualified Washington, D.C. health centers to launch the Rides for Moms program2023: Uber's Revenue Up 29% as U.S. Ride-Hailing Business Improves“How Uber Health Is Addressing The Maternal Health Crisis”Episode Credits: The Game-Changing Women of Healthcare is a production of The Krinsky Company. Hosted by Meg Escobosa. Produced by Meg Escobosa, Calvin Marty, Chelsea Ho, Medina Sabic, Markala Comfort, and Wendy Nielsen.Edited, engineered, and mixed by Calvin Marty. All music composed and performed by Calvin Marty. ©2024 The Krinsky Company

Veterans Affairs has made a major change in the rules for veterans who left military service with other-than honorable discharges. It opens the possibility of healthcare coverage for those who may have been discharged for willful misconduct or even moral turpitude. For detail, Federal Drive Host Tom Temin spoke with Anthony Kuhn, Managing Partner of the law firm Tully Rinckey. Learn more about your ad choices. Visit podcastchoices.com/adchoicesSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Veterans Affairs has made a major change in the rules for veterans who left military service with other-than honorable discharges. It opens the possibility of healthcare coverage for those who may have been discharged for willful misconduct or even moral turpitude. For detail, Federal Drive Host Tom Temin spoke with Anthony Kuhn, Managing Partner of the law firm Tully Rinckey. Learn more about your ad choices. Visit megaphone.fm/adchoices

Welcome to Impact Healthcare, where we lead the charge in the health benefits industry with bold ideas and game-changing strategies! In our latest episode, join Lester J. Morales as he engages in a thought-provoking conversation with Chris Wolpert, CEO of Group Benefit Solutions (GBS) and a finalist for the 2024 Advisor of the Year. Dive into a story-driven conversation that unveils the journeys of two industry disruptors swimming upstream in the complex world of healthcare benefits!  Chris's journey started when he was a financial advisor, and he became even more determined to modernize healthcare after the Affordable Care Act passed in 2010. With GBS, Chris hopes to empower clients, eliminate out-of-pocket expenses, and guide employees to the best care possible. His decision to start from scratch, walking away from a lucrative business, was a bold move — an "all-in" bet on himself and his mission. His goal wasn't just to sell insurance; it was to educate and empower clients, to put them back at the center of the conversation.  Lester and Chris use storytelling techniques to provide insights into the complexities of healthcare benefits and the challenges employers face when navigating the healthcare landscape. They offer a unique perspective on the healthcare benefits sector, highlighting the importance of determination, innovation, and pursuing a better future for all.   We encourage you to share this episode with your colleagues and peers! Together, we can create a community of fighters striving to improve healthcare.   Ready to join the healthcare revolution? Subscribe now to the Impact Healthcare podcast on your favorite platform and be part of the change! 

The use of artificial intelligence (AI) in healthcare has brought numerous benefits, including reduced burnout for doctors and improved efficiency in clinical trials. NVIDIA has been optimizing the healthcare space for 15 years, building domain-specific applications for healthcare. However, medical professionals need to learn how to effectively verbalize their findings in the exam room to fully benefit from AI technology. Challenges still exist, such as the impact on patient treatments and the need for continuing medical education for algorithms. Partnerships between organizations are driving innovation, and regulation of AI in healthcare is an ongoing process. Despite advancements, there is still much to learn about health conditions and the role of the environment. --- Send in a voice message: https://podcasters.spotify.com/pod/show/tonyphoang/message

“I said ‘why did I do this'? Why did I leave my job?” Colleen Kavanagh opens up about ditching corporate to bet on herself! She's a mom to two toddlers and two rescue dogs, an entrepreneur for social good and CEO of digital health benefit company, SoulBeing, a children's book author, and visionary of a world where the best idea + the best execution wins every time. She discusses the challenges of starting her own business, toxic work environments, facing obstacles in corporate America, and she offers advice for entrepreneurs. Colleen emphasizes the importance of overcoming fear when starting something new and highlights the significance of clarity in achieving goals. She reflects on her transition from a corporate career to entrepreneurship after becoming a mother, citing a pivotal moment where she felt underestimated in her previous workplace. Colleen discusses how a toxic workplace led her to prioritize her values and make a change. She shares insights into the struggles and triumphs of building a successful, people-centric company that supports working moms. Plus she shares a humorous parenting moment involving breast milk at work. You will hear about: Handling the defining moment in your career that changes your entire life (4:45) Why it took almost 10 years to escape a toxic work environment (and how to do it much faster) (10:20) Building a corporate culture that is truly people-centric, supports parents, and why it is not only "nice to have" but sustainably profitable to do so (13:35) Advice for starting your own business (21:36) Did you love today's episode? 1. Take a screenshot and share it to your IG stories. Tag me @kimrittberg 2. Leave us a rating and review on Apple Podcasts! LINKS:

CEOs and CFOs … hey, this show is for you. Let's start here: What do all of these numbers have in common: $140,000, $3 million, $35 million, and $3 billion? These are all actual examples of how much employers, unions, and some public entities saved on healthcare benefits for themselves and their employees. The roadmap to saving 25% on pharmacy spend and/or 15% on total cost of care in ways that improve employee health and satisfaction always begins when one thing happens. There's one vital first step. That first step is CEOs and/or CFOs or their equivalents roll up their sleeves and get involved in healthcare benefits. Why can't much happen without you, CEOs and CFOs? Here's the IRL: In 2023, the healthcare industry has been financialized. There is a whole financial layer in between your company and its healthcare benefits. And unless the C-suite is involved here and bringing their financial acumen and organizational willpower to the equation, your company and your employees are currently paying hundreds of thousands, maybe millions, of dollars too much and doing so within a business model that deeply exacerbates inequities. There are people out there who are very strategically taking wild advantage of a situation where CEOs/CFOs fear anything to do with healthcare in the title and don't do their normal level of due diligence. You think it's an accident that this whole space got so “complicated”? HR needs your help. Bottom line, if you are a CEO or CFO and you do not know everything that Mark Cuban and Ferrin Williams talk about on the pod today … wow, are you getting shellacked. Mark Cuban uses a different word. Healthcare benefits are, after all, for most companies the second biggest line-item expense after payroll. But don't despair here, because all of this information is really and truly actionable. Others out there are cutting zeros off of their spend and actually doing it in ways that are a total win for employees as well. My guest today, Mark Cuban, is a CEO, after all; and when he looked into it, it took him T-minus ten minutes to figure out just the order of magnitude that his “trusted” benefits consultants and PBM (pharmacy benefit manager) and ASOs (administrative services only) and others were extracting from his business. He pushed back. So can you. But just another reason to dig into that financial layer wrapping around your employee health benefits right now, you might get sued by your employees. Below is an ad currently being sent around on LinkedIn by class action attorneys recruiting employee plan members to sue their employers for ERISA (Employee Retirement Income Security Act of 1974) violations. It's the same attorneys, by the way, from those 401(k) class action lawsuits. I've talked to a few CEOs and CFOs who are scrambling to get ahead of that. You might want to consider doing so as well. Now, for my HR professional listeners, considering that some of what Mark Cuban says in the pod that follows is indeed a little spicy, let me just recognize that the struggle is real. There are multiple competing priorities out there in the real world, for sure. And bottom line, because of those multiple competing priorities out there in the real world, it's really vital that everybody work together up and down the organization in alignment. Lauren Vela talks a lot about these realities here in episode 406. This is a longer show than normal, but it's also like a show and a half. Mark Cuban talks not only about his work with Mark Cuban Cost Plus Drugs, which is a company that buys drugs direct from manufacturers and sells them for cost plus 15%, a dispensing fee, and shipping. It's kind of crazy how so often that price is cheaper, sometimes considerably cheaper, than the price that plan members would have paid using their insurance—and the price that the plan is currently paying the PBM. Most Relentless Health Value Tribe members (ie, regular listeners of this show) will already know all that, but what is also fascinating that Mark talks about is what he's doing with his own businesses and the Mavericks on other fronts, like dealing with hospital prices. In this show, we also talk the language of indie pharmacies, fee-only benefits consultants, TPAs (third-party administrators), PBMs, and providers doing direct contracting. There are, in fact, entities out there trying to do the right thing; and Mark acknowledges that. Ferrin Williams, PharmD, MBA, who is also my guest today, is chief pharmacy officer at Scripta and an expert in pharmacy benefits. She adds some great points and some context to this conversation. Scripta is partnering with Mark Cuban Cost Plus Drugs. Scripta has a neat Med Mapper tool and also services to help employees find the lowest costs for their prescriptions. If you are a self-insured employer, for sure, check out Scripta. Here are links to other shows that you should listen to now if you are inspired to take action. I would recommend the shows with Paul Holmes (EP397); Dan Mendelson (Encore! EP385); Andreas Mang (upcoming); Rob Andrews (EP415); Cora Opsahl (EP372); Lauren Vela (EP406); Peter Hayes (EP346); Gloria Sachdev, PharmD, and Chris Skisak, PhD (EP390); and Mike Thompson (EP389). Also Mark Cuban mentions in this show the beverage distributor L&F Distributors. Thanks to Ge Bai, Andreas Mang, Lauren Vela, Andrew Gordon, Andrew Williams, Cora Opsahl, Kevin Lyons, Pat Counihan, David Dierk, Connor Dierk, John Herrick, Helen Pfister, Kristin Begley, AJ Loiacono, and Joey Dizenhouse for your help preparing for this interview. For a full transcript of this episode, click here.   You can learn more at Mark Cuban Cost Plus Drug Company and Scripta Insights. You can also connect with Scripta and Ferrin on LinkedIn.     Mark Cuban has been a natural businessman since the age of 12. Selling garbage bags door to door, the seed was planted early on for what would eventually become long-term success. After graduating from Indiana University—where he briefly owned the most popular bar in town—Mark moved to Dallas. After a dispute with an employer who wanted him to clean instead of closing an important sale, Mark created MicroSolutions, a computer consulting service. He went on to later sell MicroSolutions in 1990 to CompuServe. In 1995, Mark and longtime friend Todd Wagner came up with an internet-based solution to not being able to listen to Hoosiers basketball games out in Texas. That solution was Broadcast.com—streaming audio over the internet. In just four short years, Broadcast.com (then Audionet) would be sold to Yahoo! Since his acquisition of the Dallas Mavericks in 2000, Mark has overseen the Mavs competing in the NBA Finals for the first time in franchise history in 2006—and becoming NBA World Champions in 2011. Mark first appeared as a “Shark” on the ABC show Shark Tank in 2011, becoming the first ever to live Tweet a TV show. He has been a star on the hit show ever since and is an investor in an ever-growing portfolio of small businesses. Mark is the best-selling author of How to Win at the Sport of Business. He holds multiple patents, including a virtual reality solution for vestibular-induced dizziness and a method for counting objects on the ground from a drone. He is the executive producer of movies that have been nominated for seven Academy Awards: Good Night and Good Luck and Enron: The Smartest Guys in the Room. Mark established Sharesleuth, a research and investigation Web site to uncover fraud in financial markets, and endowed the Electronic Frontier Foundation's Mark Cuban Chair to Eliminate Stupid Patents, an effort to fight patent trolls. Mark gives back to the communities that promoted his success through the Mark Cuban Foundation. The Foundation's AI Bootcamps Initiative hosts free Introduction to AI Bootcamps for low-income high schoolers, starting in Dallas. Mark also saved and annually funds the Dallas Saint Patrick's Day Parade, the largest parade in Dallas and a city institution. In January 2022, he started Mark Cuban Cost Plus Drug Company as an effort to disrupt the drug industry and to help end ridiculous drug prices because every American should have access to safe, affordable medicines. Ferrin Williams, PharmD, MBA, is chief pharmacy officer of Scripta. With 15+ years' experience in the pharmacy industry, Ferrin brings a unique perspective to Scripta that spans the retail pharmacy, pharmacy benefit manager (PBM), and broker/consulting sectors. Her expertise ranges from pharmacy operations and services to innovative clinical programs, pharmacy audit, alternative payer funding, and specialty drugs. As chief pharmacy officer, Ferrin leads the company's clinical strategies organization responsible for devising innovative cost-containment strategies for prescription drugs, ensuring Scripta clients, members, and their providers are provided with best-in-class clinical insights and tools. Ferrin earned her bachelor's, Doctor of Pharmacy, and MBA degrees from the University of Oklahoma.   05:41 What was Mark Cuban's own journey as a self-insured employer with Cost Plus Drug Company? 06:56 What did Mark find when he decided to go through and look through his company's benefit program? 08:23 “When you think it through, you start to realize that money is being spent primarily by your sickest employees.” —Mark 09:13 How do you get CEOs and CFOs of self-insured employers to realize that their sickest employees are the ones subsidizing their checks? 12:10 What is the role of insurance in healthcare? 13:42 “If you can't convince them, confuse them and hide it.” —Mark 14:35 The reality behind getting a rebate check. 15:32 Why are rebates going away, and why isn't that changing PBM earnings? 18:17 How do you get CEOs and CFOs to dig into their benefits plan? 20:13 Does morally abhorrent move the needle? 20:47 “What we're trying to do is just simplify the [healthcare] industry.” —Mark 23:33 What's been changing in consumer behavior? 24:18 “Transparency is a huge part of building that trust.” —Ferrin 24:33 Why CEOs and CFOs really have the power to change healthcare. 31:42 What are Cost Plus Drugs' plans to expand? 38:36 Where is the future of the prescription drug market going? 41:25 What will happen to the prescription drug market in 10 to 20 years? 47:56 The wake-up call self-insured employers should be acknowledging now. 51:18 Where is the real change in the healthcare industry going to come from?   You can learn more at Mark Cuban Cost Plus Drug Company and Scripta Insights. You can also connect with Scripta and Ferrin on LinkedIn.   @mcuban and Ferrin Williams provide advice for #CEOs and #CFOs of #selfinsuredemployers on our #healthcarepodcast. #healthcare #podcast   Recent past interviews: Click a guest's name for their latest RHV episode! Dan Mendelson (Encore! EP385), Josh Berlin, Dr Adam Brown, Rob Andrews, Justina Lehman, Dr Will Shrank, Dr Carly Eckert (Encore! EP361), Dr Robert Pearl, Larry Bauer (Summer Shorts 8), Secretary Dr David Shulkin and Erin Mistry  

Fanny Sie, Head of AI and Emerging Technology, External Collaboration, M&A Partnering of Roche Global Informatics, gives insights into going from clinician researcher to business school, cross-company collaboration on data sharing during the pandemic, and using AI data points for better diagnoses. Get full access to NPC Healthbiz Weekly at healthbiz.substack.com/subscribe

THISABLED  --- Send in a voice message: https://podcasters.spotify.com/pod/show/kafiplusstudio/message Support this podcast: https://podcasters.spotify.com/pod/show/kafiplusstudio/support

The U.S. workforce has never been more diverse age-wise. According to the Bureau of Labor Statistics, one in four workers is over the age of 55, compared to just one in seven in 1979. In addition to Baby Boomers, four other generations are part of the workforce — the Silent Generation, Gen X, Millennials, and Gen Z. Organizations that aim to offer tailored benefits must focus on employees' stages of life.Instead of taking a universal, all-purpose approach, stage of life benefits include programs that address the various challenges employees of different generations face. Whether it's supporting maternal health, family planning, eldercare or other stages, personalizing benefits allows employees to tap into a menu of options designed to support their unique needs at a specific moment in time.Join VSP Global Innovation Center Head Ruth Yomtoubian, Kindbody Founding Physician and Chief Innovation Officer Dr. Fahimeh Sasan and VillageMD Chief Human Resources Officer Amy Smith for a discussion on how stages of life are shaping the future of healthcare benefits, moderated by MATTER CEO Steven Collens.For more information, visit matter.health and follow us on social: LinkedIn @MATTERTwitter @MATTERhealthInstagram @matterhealth

Sean takes on the question "should we fear the “Bots” or should we openly embrace them"? You be the judge. What risk(s) do we face during an audit if it's determined the documentation is cloned. What potential med-mal issues could be hiding around the corner?

Are you looking for a game-changer in healthcare and housing support? In this episode, Jacey Cooper – the California State Medicaid Director – talks about the changes being made to Medicaid in California to provide a broader range of services related to housing and accessibility. From providing community supports such as medically supportive housing and home modifications to recuperative care and rental assistance, she explains how these services are designed to help those in need remain safely housed. Hear how the CalAim initiative has successfully changed the trajectory of people's lives and how it can be cost-effective for states to advocate for similar initiatives. Tune in now! Ms. Cooper is responsible for the overall leadership of Benefits, Eligibility, Delivery Systems, Financing, Behavioral Health, Quality, Population Health, and Legislative and Governmental Affairs. As State Medicaid Director, Ms. Cooper represents California's Medicaid program (Medi-Cal) with federal partners at the Centers for Medicare & Medicaid Services. [00:01 - 07:39] Opening Segment • How Medicaid in California is changing regarding services being offered to consumers Housing, medically supportive services, home modifications, and social needs • How to support individuals experiencing homelessness or whose homes are not meeting their needs Recuperative care, short-term post-hospitalization housing, and enhanced care management [07:40 - 14:42] How Enhanced Care Management Can Help Those Experiencing Homelessness • Housing bundle, sustaining services, and recuperative care • The short-term post-hospitalization housing • Programs in the community or home for life skills, budgeting, cooking, cleaning, interpersonal relationships • Coordination across several people is needed for enhanced care coordination [14:43 - 21:56] California's Enhanced Care Coordination Program • Asking managed care plans to pay for something they know little about has been a monumental task • The role of counties, public hospital systems, safety net providers, and community-based organizations • Biggest challenge so far is the admin burden of different authorization forms and processes How is the team recognizing this quickly and working to streamline it? [21:57 - 29:53] Closing Segment • California's CalAim program aims to improve healthcare access and lower costs • The goal is to provide full-blown benefits, not just in lieu of services • Why Medicaid has a role to play in providing non-traditional supports Head to California Health Care Foundation and get the health care you need! Key Quotes: “We want people to be able to live in the community, live in their home, or an assisted living environment that allows them to receive the medical services that they need.” - Jacey Cooper “We're trying to build a true continuum of care and services and supports for someone experiencing homelessness to be able to heal and improve their health outcomes ultimately.” - Jacey Cooper Please check out videos of many of the podcast episodes on my YouTube channel: Accessible Housing Matters, To learn more, share feedback, or share guest ideas, please visit my website, or contact me on Facebook and Twitter. Like what you've heard? Please review us! That helps let other people know about the podcast. Accessible Housing Matters is dedicated to raising awareness about important issues around accessibility and housing and getting conversations going. I'd love to learn more about what's on your mind and get your feedback about the show. Contact me directly at stephen@accessiblehousingmatters.com to share your thoughts or arrange a call.

There are countless ways that Physical Therapy can make an impact in Healthcare and today I got to talk to another leader in the PT world, Rebekah Griffith, who's changing the way people get care by integrating PT in the ED of hospitals.Today we talk about how physical therapy can be a huge opportunity for the healthcare system to not only save costly resources but how patients can actually get much better care by utilizing PT in emergency department situations.Connect with Rebekah Griffith:WebsiteLinkedInEmail: theeddpt@gmail.comYou can also listen to her new podcast, In The ED Now.

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. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen/

The nuts and bolts of the business and the technology that supports it.

Healthcare benefits are an important part of your ability to attract and retain talent which is why it's so important to choose your offerings based on what best fits your employees and your business. On this episode of Paychex THRIVE, a Business Podcast, host Gene Marks is talking with Shane Foss, Founder and CEO of Hooray Health, a platform that provides unique healthcare services for businesses and individuals. Hear what Shane had to say about how businesses can help employees not overpay for healthcare, the importance of offering telehealth services, the increasing costs of healthcare, and more. Topics Include: 00:00 – Welcome, Shane Foss 00:36 – Introduction to Hooray Health 04:26 – How Hooray Health minimizes out of pocket costs 07:10 – Covering basic, urgent health needs 09:47 – Who covers the cost of Hooray Health 10:20 – Helping employees not overpaying for healthcare 12:58 – Hooray Health network 14:19 – The importance of telehealth services 16:56 – Mental health and counseling services 18:03 – Health savings account plans 20:01 – Increasing costs of healthcare 22:24 – Hooray Health as a primary health benefit 28:26 – Wrap up Read about employee benefits trends of 2023 DISCLAIMER: The information presented in this podcast, and that is further provided by the presenter, should not be considered legal or accounting advice, and should not substitute for legal, accounting, or other professional advice in which the facts and circumstances may warrant. We encourage you to consult legal counsel as it pertains to your own unique situation(s) and/or with any specific legal questions you may have.

Depending on your position at your company, having certainty on your healthcare benefits, for the next three or five years, may or may not be important. If this is important to you, listen to the short podcast from John Millen. --- Send in a voice message: https://podcasters.spotify.com/pod/show/benefithackers/message

Knowing Your Health Benefits is Important. The host for this show is Vikram Acharya. The guest is Curtis Yee. Understanding your healthcare benefits and how to obtain maximum value from them is very important. In this episode, we speak to Michael Lum and Curtis Lee, two health insurance brokers from Premier Benefit Consultants. The ThinkTech YouTube Playlist for this show is https://www.youtube.com/playlist?list=PLQpkwcNJny6nEGDDJmPCaqQzxX94yQZvc Please visit our ThinkTech website at https://thinktechhawaii.com and see our Think Tech Advisories at https://thinktechadvisories.blogspot.com.

The U.S. Senate voted Tuesday night to pass long-sought bipartisan legislation to expand health care benefits for millions of veterans who were exposed to toxic burn pits during their military service.

Yingjia, who serves in the role of Assistant Deputy Director, Health Care Benefits and Eligibility for California's Department of Health Care Services, joins the show to share how the significant eligibility adjustments shown during the pandemic (ie public health emergency) will be unwound and what that means to some of the millions of Californians on Medi-Cal.

This week our hosts, Steve and Katie, spend time speaking with John Letaw. John is a retired Naval officer and founder of world's largest social media group about TRICARE called "TRICARE Around the World," on Facebook. He and his family have been living a nomadic lifestyle around the Pacific for many years, giving them deep insight about using TRICARE wherever they go. Last year, he published his best-selling book, "TRICARE Around the World" and they just released a second edition which has added even more insight and money-saving tips. His book details how to find a doctor in any city or country around the world; the cost & benefits of 12 different TRICARE plans; how to submit claims; and a whole variety of money-saving tips. His book is available on Amazon either in paperback form or as a downloadable ebook.To connect with Steve and Katie:linktr.ee/familysuccessTo connect with John:Sign up for his free newsletter at:www.theTRICAREguy.com.You will get tips & tricks about getting the most from TRICARE as well as special discounts on his book.

First of all, this is a 400-level discussion. If you think you already know all about our dysfunctional healthcare benefits market, then this show is for you. Before we begin, I just want to say something. I'm gonna refer back to David Muhlestein's episode (EP364), where he talks about the first step toward healthcare transformation. It is, let's just say, for incumbent health systems and payers, people who work there, to step back and in the harsh light of day really contemplate their business model—see it clearly. If you're listening to this show, then know that I love you; so this is not a condemnation of you or the great things that you are likely doing in your department. I see you as a changemaker. But contemplating your organization as a whole is like the first step of a 10-step program … to admit what friends and family were saying at the intervention. If you're not yet at the—what's it called?—contemplative stage in your journey toward transformation, you could skip ahead to the 23:00 mark approximately for some advice on what people who work at incumbent payers and/or providers can do right now. My one and only intent here is to see change happen. What I see currently are certainly efforts to improve quality at some level. But those responsible for finance, premiums, and the employer sales team are in a different part of the building. I mean, maybe a first step here is, Can you invite those guys and gals to your meetings? OK … so, there was a paper that came out in JAMA entitled “The Dysfunctional Health Benefits Market and Implications for US Employers and Employees.” It was by David Scheinker, PhD; Arnold Milstein, MD; and Kevin Schulman, MD, who is my guest in this healthcare podcast. David Scheinker, by the way, was on the show earlier (EP363), so certainly go back and listen to that.   This paper (the “Dysfunctional Health Benefits Market” paper) showed that commercial insurance costs have gone up 4x the rate of other benchmark goods or services in price. So, bottom line, “It is assumed that insurers compete intensely to improve the value received by employers and employees by negotiating to keep prices down and advocating for employers and employees.” It turns out, though … not so much with that. My guest in this healthcare podcast, as mentioned, is Kevin Schulman, MD, an author on that paper. And he says this much more eloquently than I will, but the skinny is this: Because insurer profits are capped at 15%, that means that the more healthcare costs go up, the more possible profit in absolute terms that a health insurance carrier can make. After all, 15% of a bigger number is … a bigger number. If you look at how Wall Street responds to these bigger numbers all the way around—higher costs translating to higher profits, that whole thing—you will find that Wall Street likes this profit-generating formula … very much. Share prices go up when that 15% goes up. What does Wall Street like less? It likes less restructuring and pushing providers to deliver better care for less cost and then passing those savings on to employers and employees. Even if you increase quality and decrease costs really well and/or profitably as an insurer, share prices do not rise nearly as much as they rise if you phone it in with the “negotiations” with providers. Nonprofits, by the way, get no pass here either. Some of the most expensive hospitals in the country, which are nonprofit, are doing their thing in areas where nonprofit carriers are the big kahunas. Call it margins. Call it profits. Whatever … same thing. Listen to the show with David Muhlestein, PhD, JD (EP364) from two weeks ago. It's all about the business models. And that business model is revenue maximization. Period. End of the sentence.  So, who loses in this equation? Oh, right … patients. And employers. Read anything by Dave Chase for more on how crushing this loss is that patients and employers suffer: middle-class wage stagnation, bankruptcies, financial toxicity that is actually clinical toxicity, skyrocketing premiums way over the cost of inflation, that healthcare costs borne by employers are a driver for offshoring because they make American labor so expensive. A study the other day said that nonadherence due to a patient's inability to pay for treatment will be a leading cause of death in 2030. That's what this all is adding up to.   Because of business models, insurers have become the piggy banks for health systems, as my guest Dr. Kevin Schulman says. This piggy bank is funded with the pennies, nickels, and dimes from you and me, the insured lives, our employers, and taxpayers. So, unless you're a shareholder in one of these carriers and their vertically integrated PBMs, of course, then, I guess, good for you. Or getting political donations from them might also be a net plus for you personally. Where are the activist investors in all of this? Something that Dr. Schulman said in this episode I had never heard before, and—wow!—it explains so much. It's this whole idea of some, not all, but some health systems clamoring about how they have to charge commercial patients more because they are losing so much on their Medicare patients. They have to cost shift to commercial lives. Here's what Dr. Kevin Schulman said about that in my own words: Cost is a construct. Cost is a dynamic fiction. I mean, say I buy a mansion. I put in a Jacuzzi and a tropical flower bed that needs to be misted with water on the half-hour. Then I tell you that my fixed costs are really high and, therefore, my tuna sandwiches are really expensive. I just made them expensive. I made the decision to increase my costs. The interesting backdrop for that is that in competitive marketplaces, or in Maryland, hospitals do just fine (thank you very much) getting paid Medicare rates. They don't have to price shift. But in markets with no competition, where the hospitals decided to build, baby, build, they created these giant brick-and-mortar money pits that, yeah, cost a boatload. And then they complain that they have to price shift to employers and their own patients to pay for it all. One thing that we don't talk about in this episode are non–fee-based brokers and the role that they play in all of this. One recent lawsuit is a pretty perfect example of what I'm saying here.   You can learn more by visiting Dr. Schulman's profile page and connect with him on LinkedIn. Kevin Schulman, MD, is a professor of medicine for the Clinical Excellence Research Center (CERC) at the Stanford University School of Medicine and, by courtesy, professor of operations, information, and technology at Stanford's Graduate School of Business. He is the faculty director of Stanford's new applied master degree program, the master of science in clinical informatics management program. His research focuses on broad, system challenges in the healthcare market, looking for ways to better understand hidden costs throughout the system. He then works to develop innovative solutions to deliver great care at lower cost. 07:13 Why have commercial insurers become price-takers? 10:04 How does a health plan get bigger profits? 10:40 “At the core at this, Wall Street rewards predictable performance; and the predictable performance … is great if healthcare costs go up.” 11:00 What does it mean to have a “dysfunctional equilibrium” in healthcare? 12:05 What's really changed in healthcare in the last 20 years that's caused this increase in healthcare pricing? 12:47 Commercial price versus Medicare: Do hospitals really need to cost shift? 15:51 How is value-based care really going to work? 17:43 “It's not A or B; it's a dysfunctional market.” 17:57 “Little changes in volume or incentives is not going to change the underlying dynamics.” 24:32 “I think it's an open question whether this model is really serving the American public.” 29:25 “It's a really important time for us to think about, how do we create a different trajectory?” You can learn more by visiting Dr. Schulman's profile page and connect with him on LinkedIn. @kevin_schulman discusses #healthcarebenefits on our #healthcarepodcast. #healthcare #podcast #benefitsmarket Why have commercial insurers become price-takers? @kevin_schulman discusses #healthcarebenefits on our #healthcarepodcast. #healthcare #podcast #benefitsmarket How does a health plan get bigger profits? @kevin_schulman discusses #healthcarebenefits on our #healthcarepodcast. #healthcare #podcast #benefitsmarket “At the core at this, Wall Street rewards predictable performance; and predictable performance … is great if healthcare costs go up.” @kevin_schulman discusses #healthcarebenefits on our #healthcarepodcast. #healthcare #podcast #benefitsmarket What does it mean to have a “dysfunctional equilibrium” in healthcare? @kevin_schulman discusses #healthcarebenefits on our #healthcarepodcast. #healthcare #podcast #benefitsmarket What's really changed in healthcare in the last 20 years that's caused this increase in healthcare pricing? @kevin_schulman discusses #healthcarebenefits on our #healthcarepodcast. #healthcare #podcast #benefitsmarket Commercial price versus Medicare: Do hospitals really need to cost shift? @kevin_schulman discusses #healthcarebenefits on our #healthcarepodcast. #healthcare #podcast #benefitsmarket How is value-based care really going to work? @kevin_schulman discusses #healthcarebenefits on our #healthcarepodcast. #healthcare #podcast #benefitsmarket “It's not A or B; it's a dysfunctional market.” @kevin_schulman discusses #healthcarebenefits on our #healthcarepodcast. #healthcare #podcast #benefitsmarket “Little changes in volume or incentives is not going to change the underlying dynamics.” @kevin_schulman discusses #healthcarebenefits on our #healthcarepodcast. #healthcare #podcast #benefitsmarket “I think it's an open question whether this model is really serving the American public.” @kevin_schulman discusses #healthcarebenefits on our #healthcarepodcast. #healthcare #podcast #benefitsmarket “It's a really important time for us to think about, how do we create a different trajectory?” @kevin_schulman discusses #healthcarebenefits on our #healthcarepodcast. #healthcare #podcast #benefitsmarket   Recent past interviews: Click a guest's name for their latest RHV episode! Scott Haas, David Muhlestein, David Scheinker, Ali Ucar, Dr Carly Eckert, Jeb Dunkelberger (EP360), Dan O'Neill, Dr Wayne Jenkins, Liliana Petrova, Ge Bai, Nikhil Krishnan, Shawn Rhodes, Pramod John (EP353), Pramod John (EP352), Dr Eric Bricker, Katy Talento, Stacey Richter (INBW33), Stacey Richter (INBW32), Dr Steve Schutzer (Encore! EP294), Lisa Trumble, Jeb Dunkelberger, Dr Ian Tong, Mike Schneider, Peter Hayes, Paul Simms, Dr Steven Quimby, Dr David Carmouche (EP343), Christin Deacon    

In this HCI Podcast episode, Dr. Jonathan H. Westover talks with Erik Wallace about navigating the complex employee healthcare benefits landscape, with Erik Wallace. See the video here: https://youtu.be/LoFk6TYU1cA. Erik Wallace (https://www.linkedin.com/in/erik-wallace-84837538/) has spent the past 10+ years developing, implementing and executing commercial strategies with Smith & Nephew operating in the medical device industry. He has held a variety of commercially focused roles, including executive level leadership. Erik has a proven track record of delivering results through incremental top and bottom line growth. He has led large complex global portfolios, developed and executed brand strategies, including multiple marquee product launches. Erik has extensive experience in leading sales teams, built out multiple specialty sales strategies and scaled selling organizations behind them. Throughout his career he has driven change through inspirational leadership and strategic problem solving. Please leave a review wherever you listen to your podcasts! Please consider supporting the HCI Podcast on Patreon. Check out the HCI Academy: Courses, Micro-Credentials, and Certificates to Upskill and Reskill for the Future of Work! Check out the LinkedIn Alchemizing Human Capital Newsletter. Check out Dr. Westover's book, The Future Leader. Check out Dr. Westover's book, 'Bluer than Indigo' Leadership. Check out Dr. Westover's book, The Alchemy of Truly Remarkable Leadership. Check out the latest issue of the Human Capital Leadership magazine. Ranked #5 Workplace Podcast Ranked #6 Performance Management Podcast Ranked #7 HR Podcast Ranked #12 Talent Management Podcast Ranked in the Top 20 Personal Development and Self-Improvement Podcasts  Ranked in the Top 30 Leadership Podcasts Each HCI Podcast episode (Program, ID No. 592296) has been approved for 0.50 HR (General) recertification credit hours toward aPHR™, aPHRi™, PHR®, PHRca®, SPHR®, GPHR®, PHRi™ and SPHRi™ recertification through HR Certification Institute® (HRCI®).

Friends, Our topic this week is employer-based healthcare, which accounts for nearly 50% of all the healthcare spend in the US. We'll kick off the episode dispelling some surprising misconceptions about ...

In this episode, your host Carol Schultz talks with Brandon Weber, Co-founder & CEO of Nava, a benefits brokerage on a mission to disrupt and transform how healthcare is found and purchased by businesses. A great number of Americans receive healthcare insurance through their employers (about 168M people) and Nava is navigating how to bring the benefits that a F500 employer can provide its employees into the SMB market. Though it shouldn't come as a surprise to anyone that our healthcare system is broken, Brandon and his Co-founder, Donald DeSantis, realized the inefficiencies of how this is currently accomplished. There is a lack of transparency for employers putting together benefits plans and a lack of support for employees trying to navigate the system, so Nava is using tech to help employers and employees be smarter shoppers and users of healthcare. Listen as Brandon describes his shift from commercial real estate to healthcare and the mistakes he made hiring employees in his first startup and the lessons he learned and has implemented at Nava. A couple of these lessons learned are the value of outside advisors, the impact of hiring the wrong people, and the impact of hiring the right people and putting them in the wrong place in the organization. He also discusses "chasing shiny objects" and the damage this can do to a startup, a mistake many first-time founders make. You can find them at: https://www.nava.io/ (https://www.nava.io/) You can find more information and all episodes at https://verticalelevation.com/podcast/ (Vertical Elevation) and you can find Carol on Twitter https://twitter.com/CarolBSchultz (@carolbschultz).

Steven Cutbirth sat down with Taylor Rogers, a benefits expert and co-founder of Cairn Advisors, a partnership that guides employers through alternative health and welfare program design. Taylor helps businesses know and understand where their healthcare benefit money is going. From there, he helps them fix it the right way. In the conversation, they discuss what it looks like to design a health plan, what Taylor's time pitching for the SF Giants in pro baseball taught him and how he applies it to help businesses improve their healthcare benefits.

In episode 2, the KIWK team discusses the universal concern of healthcare insurance. The episode discussed critical information every patient should know before making healthcare decisions. Guest speakers, Norma Davis and Stefanie Martinez represent a combined 48 years of experience in insurance management and patient advocacy.  In their individual careers, they have fought to achieve a balance between insurance, employer, and patient interests.In this episode, the group will resume the discussion and provide a brief review of the types of healthcare plans and provide our listeners an insider look at the common mistakes and misconceptions made when navigating the health insurance system. Anyone struggling to understand the healthcare insurance maze should take time to listen to Part II. If you missed Part I, you can watch it here: https://youtu.be/IVzvS7wdPzc

Season 2 continues to explore topics essential to the progress and betterment of communities of color.  In episode 2, the KIWK team discusses the universal concern of healthcare insurance.Guest speakers, Norma Davis and Stefanie Martinez represent a combined 48 years of experience in insurance management and patient advocacy.  In their individual careers, they have fought to achieve a balance between insurance, employer, and patient interests.In this episode guests and panelists discuss critical information that will provide a detailed description of the types of healthcare plans available, help listeners decode insurance symbols and abbreviations, explain the difference between in-network and out of network benefits and give guidance on where to go if there's a dispute over medical charges.Anyone struggling to understand the healthcare insurance maze should take time to listen.

In this episode, host Dr. Bob Kaiser and Lorna Borenstein, CEO/founder of Grokker, discuss how employers can get a return on their investment in healthcare benefits by providing their employees with wellness programs. They also discuss her book, It's Personal: The Business Case for Caring.

In this episode, Dan LaBroad speaks to Nelson Griswold about Healthcare Benefits. Nelson Griswold is the Founder and Chairman of the NextGen Benefits Network. The NextGen Benefits Network is a national alliance of business consultants who work with CEOs and CFOs who want to take control of their health care spending to manage costs, improve the quality of care, and eliminate their employees' out-of-pocket health care costs. https://nextgenbenefits.network This podcast is hosted by Dan LaBroad, CEO of Ovation Health & Life Services. https://ovationlife.com/ Powered by Work Innovators Network https://www.workinnovators.com/ Learn more about your ad choices. Visit megaphone.fm/adchoices

Host Joe Selvaggi and Pioneer Institute's Bill Smith talk with Valerie Sullivan, President and CEO of EtectRX about the health care costs of improperly taking prescriptions and the promise of smart pills to signal and track medicines when ingested.