Podcasts about insurance thought leadership

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Best podcasts about insurance thought leadership

Latest podcast episodes about insurance thought leadership

Relentless Health Value
AEE17: Employers and Reference-Based Pricing—David Contorno's Latest Thinking

Relentless Health Value

Play Episode Listen Later Oct 5, 2021 9:20


Reference-based pricing, the way that most employee benefit consultants use the term anyway, refers to a methodology used by employers to pay providers for services. Usually we're talking within a fee-for-service (FFS) environment here. The way it typically works ... there are different flavors, but how it typically works is this: Reference-based pricing (RBP) means that an employer starts with some reference-based price. Many times, it's the Medicare rate. Medicare will pay X dollars for something. The employer—and when I say employer, I mean the vendor/company the employer is using to run this whole thing mainly—but the employer will decide that they're willing to pay some percent over the Medicare rate to providers who render that service to the employee. Maybe it's 10% over the Medicare rate or 20% to 50% as David Contorno talks about in this healthcare podcast. One of the biggest pushbacks against RBP schemes has been that it results in balance bills for employees, meaning that an employee goes to the hospital, the employer decides to pay some RBP amount for that service to the hospital, but the hospital hasn't necessarily agreed to accept that amount. There's no contract in place. So, the hospital decides to bill whatever their chargemaster rate is—which, as we all know, is redonkulous—and the employee gets a giant out-of-network balance bill. For the most part, this doesn't have to happen if you do it right; and David Contorno discusses all of this and more on this An Expert Explains. You can learn more at epoweredbenefits.com. You can also connect with David on LinkedIn.   David Contorno is founder of E Powered Benefits. As a native of New York, David began his career in the insurance industry at the age of 14 and has since become a leading expert in the realm of employee benefits over the last 22 years. David was Benefits Selling magazine's 2015 Broker of the Year, and in March 2016, Forbes deemed him “one of America's most innovative benefits leaders.” More recently, he received the 2017 Leadership Award at ASCEND, the annual conference of The Association for Insurance Leadership, which recognizes those whose leadership in support of improving the value and performance of employee benefits has significantly advanced the industry. David is a member of the board of directors for both the Charlotte Association of Health Underwriters and HealthReach Community Clinic. He served on the NC Insurance Commissioners Life and Health Agent Advisory Committee, as well as participated in the Technical Advisory Group that helped with the market reforms required under the Affordable Care Act in North Carolina. He is a longtime member of the Lake Norman and South Iredell Chambers of Commerce as well as the National, North Carolina, New York, and Long Island Associations of Health Underwriters. David contributes to numerous publications, including Forbes, Benefits Selling magazine, Business Leader magazine, and Insurance Thought Leadership. David is committed to giving back to his community and actively participates in the membership drive for the United Way, assisting the local chapter of Habitat for Humanity, and supporting The Dove House Child Advocacy Center. When he is not working, he enjoys boating and traveling. 01:37 What does good reference-based pricing look like? 01:57 What is the pricing methodology that 97% of healthcare is using? 04:25 How has E Powered Benefits minimized the noise around reference-based pricing? 04:55 “You're getting what we view as balance bills all the time.” 06:47 “What very few people really recognize is that hospitals have multiple revenue streams.” 07:36 “Which is the highest price? The answer is, commercial.” You can learn more at epoweredbenefits.com. You can also connect with David on LinkedIn.   @dcontorno discusses #employers and #referencebasedpricing on our #healthcarepodcast. #healthcare #podcast What does good reference-based pricing look like? @dcontorno discusses #employers and #referencebasedpricing on our #healthcarepodcast. #healthcare #podcast What is the pricing methodology that 97% of healthcare is using? @dcontorno discusses #employers and #referencebasedpricing on our #healthcarepodcast. #healthcare #podcast How has E Powered Benefits minimized the noise around reference-based pricing? @dcontorno discusses #employers and #referencebasedpricing on our #healthcarepodcast. #healthcare #podcast “You're getting what we view as balance bills all the time.” @dcontorno discusses #employers and #referencebasedpricing on our #healthcarepodcast. #healthcare #podcast “What very few people really recognize is that hospitals have multiple revenue streams.” @dcontorno discusses #employers and #referencebasedpricing on our #healthcarepodcast. #healthcare #podcast “Which is the highest price? The answer is, commercial.” @dcontorno discusses #employers and #referencebasedpricing on our #healthcarepodcast. #healthcare #podcast Recent past interviews: Click a guest's name for their latest RHV episode! David Contorno (EP339), Nikki King, Olivia Webb, Brandon Weber, Stacey Richter (INBW30), Brian Klepper (AEE16), Brian Klepper (EP335), Sunita Desai, Care Plans vs Real World (EP333), Dr Tony DiGioia, Al Lewis, John Marchica, Joe Connolly, Marshall Allen, Andrew Eye, Naomi Fried, Dr Rishi Wadhera, Dr Mai Pham, Nicole Bradberry and Kelly Conroy, Lee Lewis, Dr Arshad Rahim, Dr Monica Lypson, Dr Rich Klasco, Dr David Carmouche (AEE15), Christian Milaster, Dr Grace Terrell, Troy Larsgard, Josh LaRosa  

Relentless Health Value
EP339: Helping Employers Navigate the Perilous Medical-Industrial Complex, With David Contorno

Relentless Health Value

Play Episode Listen Later Sep 30, 2021 30:46


Let's just start here: As a general construct, insurance carriers have every incentive for health insurance premiums to go up every year. If you're an employer, that is a material fact. Is it counterintuitive? Maybe. Except if you're an employer and your premiums are going up year after year, it begs the question why, every single year, the already-extravagant amount you pay continues to go up way more than the inflation rate. You'd think that if your broker and your plan administrator were so great at their fiduciary responsibility over your self-insured plan that this wouldn't be happening. Oh right, whosever PPO network you're using, they don't have any fiduciary responsibility over your self-insured plan. You do, all you CFOs and CEOs and benefit professionals out there. Wait, I misspoke. Plan administrators do have fiduciary responsibility—to their shareholders. The CEO of CVS/Aetna made $36 million in 2019. He's clearly very good at that job. The rest of them are, too. I'm not singling anyone out here. And also, this podcast is not investment advice. In short, as previously stated, most major insurance carriers and the brokers they pay commissions to have every incentive for your premiums to go up every single year. That's where we're at, folks. It's an open secret, yet so many are just getting so wildly taken advantage of by carriers and brokers whom they have really put their trust in. If you work for a self-insured employer, tell your CFO/CEO to listen to this show. Or if you are a CEO/CFO or a benefits professional in charge of healthcare benefits, welcome. I hope this information is helpful. My guest in this healthcare podcast, David Contorno, has been in the benefits industry longer than he hasn't been in the benefits industry. I think he started working in a benefits brokerage when he was 17 or something. Currently, he's the founder of E Powered Benefits. In this episode, we talk about the keys for self-insured employers that lead to better health for their employees at something like 20% or more lower costs. Here's some of the imperatives for employers that David digs into in this episode: Advanced primary care—really valuing primary care providers who do not work for hospital systems and, therefore, are not subjected to the ball and chain of perverse incentives that David talks about at some length. Getting cost and quality data so you can make prospective choices and not get hit in the back of the head with an after-the-fact “gotcha” in the form of an overpriced bill that you are now obligated to pay. Let me bring up all the articles lately in the New York Times and elsewhere … people paying hundreds of thousands of dollars for something that should cost a fraction of that. Most of them have “good” insurance (keep that in mind) from their employer. Also keep in mind that most of these stories that hit the news are the ones where some poor employee got stuck with a bill—not the metric ton of other examples where the self-insured employer was on the hook. If you're an employer, you can get ahead of these “gotcha” moments. It's textbook risk mitigation if nothing else. Create benefit designs to help employees find and incent them to use the highest-quality providers charging a fair price. Listen to EP334 with Sunita Desai for more on the topic of incenting consumerism. Know how your broker gets paid. If someone is paying your broker a commission and it isn't you, then your broker makes more money when your premiums and rates go up. They are a sales rep getting paid to make someone else money off of you. Get a handle on your pharmacy spend. David gets into some nuances here which are super interesting. You can learn more at epoweredbenefits.com. You can also connect with David on LinkedIn.   David Contorno is founder of E Powered Benefits. As a native of New York, David began his career in the insurance industry at the age of 14 and has since become a leading expert in the realm of employee benefits over the last 22 years. David was Benefits Selling magazine's 2015 Broker of the Year, and in March 2016, Forbes deemed him “one of America's most innovative benefits leaders.” More recently, he received the 2017 Leadership Award at ASCEND, the annual conference of The Association for Insurance Leadership, which recognizes those whose leadership in support of improving the value and performance of employee benefits has significantly advanced the industry. David is a member of the board of directors for both the Charlotte Association of Health Underwriters and HealthReach Community Clinic. He served on the NC Insurance Commissioners Life and Health Agent Advisory Committee, as well as participated in the Technical Advisory Group that helped with the market reforms required under the Affordable Care Act in North Carolina. He is a longtime member of the Lake Norman and South Iredell Chambers of Commerce as well as the National, North Carolina, New York, and Long Island Associations of Health Underwriters. David contributes to numerous publications, including Forbes, Benefits Selling magazine, Business Leader magazine, and Insurance Thought Leadership. David is committed to giving back to his community and actively participates in the membership drive for the United Way, assisting the local chapter of Habitat for Humanity, and supporting The Dove House Child Advocacy Center. When he is not working, he enjoys boating and traveling. 04:20 How do you ensure better care for patients? 05:10 “What's required to correct those things is not really a massive degree of intellect or even innovation.” 05:38 What's the road map for self-insured employers who want to take control of their healthcare costs? 10:06 “Higher costs equal more profit and more revenue.” 14:03 “The problem with devalued primary care is … that most people pass over the primary care provider and go right to the specialist.” 19:41 “Every employer should have every broker sign a compensation disclosure form.” 20:06 “If you think there's perverse incentives on the medical side … it gets even worse on the pharmacy side.” 21:01 What changes do employers find when they follow the road map to taking control of their healthcare costs? 21:44 “It's not uncommon for us to reduce total healthcare spend for an employer by between 20% and 40% at the end of the first year.” 22:09 “I can't change [the] outcome without changing the path you walked to get there.” 22:41 “Going self-funded is where the journey starts, not where it ends.” 24:47 “If most employers truly understood how badly these carriers and health systems are taking advantage of them … [it's almost like] Stockholm syndrome.” 27:09 “The only legitimate fear that employers should have is, How do they message these changes … to the employees?” 29:21 “This has to happen, and if it doesn't happen, the system's going to break and … be picked up by entities that are, I think, only going to make the situation worse.” You can learn more at epoweredbenefits.com. You can also connect with David on LinkedIn.   @dcontorno discusses #employers and the #medicalindustrialcomplex on our #healthcarepodcast. #healthcare #podcast #digitalhealth #healthbenefits How do you ensure better care for patients? @dcontorno discusses #employers and the #medicalindustrialcomplex on our #healthcarepodcast. #healthcare #podcast #digitalhealth #healthbenefits “What's required to correct those things is not really a massive degree of intellect or even innovation.” @dcontorno discusses #employers and the #medicalindustrialcomplex on our #healthcarepodcast. #healthcare #podcast #digitalhealth #healthbenefits What's the road map for self-insured employers who want to take control of their healthcare costs? @dcontorno discusses #employers and the #medicalindustrialcomplex on our #healthcarepodcast. #healthcare #podcast #digitalhealth #healthbenefits “Higher costs equal more profit and more revenue.” @dcontorno discusses #employers and the #medicalindustrialcomplex on our #healthcarepodcast. #healthcare #podcast #digitalhealth #healthbenefits “The problem with devalued primary care is … that most people pass over the primary care provider and go right to the specialist.” @dcontorno discusses #employers and the #medicalindustrialcomplex on our #healthcarepodcast. #healthcare #podcast #digitalhealth #healthbenefits “Every employer should have every broker sign a compensation disclosure form.” @dcontorno discusses #employers and the #medicalindustrialcomplex on our #healthcarepodcast. #healthcare #podcast #digitalhealth #healthbenefits “If you think there's perverse incentives on the medical side … it gets even worse on the pharmacy side.” @dcontorno discusses #employers and the #medicalindustrialcomplex on our #healthcarepodcast. #healthcare #podcast #digitalhealth #healthbenefits What changes do employers find when they follow the road map to taking control of their healthcare costs? @dcontorno discusses #employers and the #medicalindustrialcomplex on our #healthcarepodcast. #healthcare #podcast #digitalhealth #healthbenefits “It's not uncommon for us to reduce total healthcare spend for an employer by between 20% and 40% at the end of the first year.” @dcontorno discusses #employers and the #medicalindustrialcomplex on our #healthcarepodcast. #healthcare #podcast #digitalhealth #healthbenefits “I can't change [the] outcome without changing the path you walked to get there.” @dcontorno discusses #employers and the #medicalindustrialcomplex on our #healthcarepodcast. #healthcare #podcast #digitalhealth #healthbenefits “Going self-funded is where the journey starts, not where it ends.” @dcontorno discusses #employers and the #medicalindustrialcomplex on our #healthcarepodcast. #healthcare #podcast #digitalhealth #healthbenefits “If most employers truly understood how badly these carriers and health systems are taking advantage of them … [it's almost like] Stockholm syndrome.” @dcontorno discusses #employers and the #medicalindustrialcomplex on our #healthcarepodcast. #healthcare #podcast #digitalhealth #healthbenefits “The only legitimate fear that employers should have is, How do they message these changes … to the employees?” @dcontorno discusses #employers and the #medicalindustrialcomplex on our #healthcarepodcast. #healthcare #podcast #digitalhealth #healthbenefits “This has to happen, and if it doesn't happen, the system's going to break and … be picked up by entities that are, I think, only going to make the situation worse.” @dcontorno discusses #employers and the #medicalindustrialcomplex on our #healthcarepodcast. #healthcare #podcast #digitalhealth #healthbenefits Recent past interviews: Click a guest's name for their latest RHV episode! Nikki King, Olivia Webb, Brandon Weber, Stacey Richter (INBW30), Brian Klepper (AEE16), Brian Klepper (EP335), Sunita Desai, Care Plans vs Real World (EP333), Dr Tony DiGioia, Al Lewis, John Marchica, Joe Connolly, Marshall Allen, Andrew Eye, Naomi Fried, Dr Rishi Wadhera, Dr Mai Pham, Nicole Bradberry and Kelly Conroy, Lee Lewis, Dr Arshad Rahim, Dr Monica Lypson, Dr Rich Klasco, Dr David Carmouche (AEE15), Christian Milaster, Dr Grace Terrell, Troy Larsgard, Josh LaRosa, Dr David Carmouche (EP316)

Wing It - A Digital Marketing Podcast
Discussing Insurance Thought Leadership and Content Strategy - Wing It Podcast Episode 63

Wing It - A Digital Marketing Podcast

Play Episode Listen Later Jul 22, 2021 32:37


On this Wing It Podcast, the team tries something a little different as they have a roundtable discussion about the need for more thought leadership in the insurance industry. Watch to learn more about why brokers need to create more trust-building content, choosing your audience carefully, and more.

Insurance Insights
BigTechs and Insurance. What does it mean for the industry? - Part III

Insurance Insights

Play Episode Listen Later May 27, 2021 26:12


In this episode of Insurance Insights, Paul Carrol, Editor-in-Chief of Insurance Thought Leadership and Seth Rachlin, EVP & Global Insurance Industry Leader at Capgemini Financial Services continue their discussion about the entrance of BigTechs into the insurance industry. Today's episode is all about ecosystem collaboration. How can it meet changing customer needs and how will it evolve in the future? Tune in to learn more.

Insurance Insights
Big Techs and Insurance. What does it mean for the industry? - Part II

Insurance Insights

Play Episode Listen Later May 7, 2021 22:42


In this episode of Insurance Insights, we continue the conversation with Paul Carroll, Editor-in-Chief of Insurance Thought Leadership, and Seth Rachlin, EVP & Global Insurance Industry Leader at Capgemini Financial Services. The World InsurTech Report 2020 showed that the lines are being blurred between different players in the insurance industry. What is driving this change, and will policyholders benefit? Tune in to find out.

Insurance Insights
Big Techs and Insurance. What does it mean for the industry? - Part I

Insurance Insights

Play Episode Listen Later Mar 26, 2021 21:02


BigTechs are expanding their presence in the insurance industry. Will customers purchase insurance from them? How will the dynamics between traditional insurers and BigTechs evolve in the future? Paul Carroll, Editor-in-Chief of Insurance Thought Leadership, and Seth Rachlin, EVP & Global Insurance Industry Leader at Capgemini Financial Services, discuss in this episode of Insurance Insights

Insurtech Radio
#045 Paul Carroll, Editor-in-Chief of Insurance Thought Leadership - Billion Dollar Lessons: What we can Learn from Failures of the Past

Insurtech Radio

Play Episode Listen Later Aug 5, 2020 18:36


This week, my guest is Paul Carroll, Editor-in-Chief at Insurance Thought Leadership Paul spent 17 years as a reporter and editor at the Wall Street Journal. He was nominated twice for a Pulitzer Prize and was a finalist in 1996. Now, he is the editor-in-chief at Insurance Thought Leadership, an online publication that champions transformation and change in insurance and risk management. We speak about Paul's book, "Billion-Dollar Lessons: What You Can Learn From the Most Inexcusable Business Failures of the Last 25 Years". We also talk about Amazon, Munich Re and the future of the fax machine... CONNECT WITH PAUL ONLINELinkedInInsurance Thought LeadershipAmazon

AI Wisdom for Insurance
Ep 013 Business Continuity: Riding the Wave of Disruption Featuring Paul Carroll

AI Wisdom for Insurance

Play Episode Listen Later Jun 25, 2020 29:45


Host Ron Glozman speaks with Paul Carroll, Editor-in-Chief, Insurance Thought Leadership, and Partner, Devil’s Advocate Group, They discuss how information technology can drive corporate strategy and how AI and other emerging technologies can influence business continuity and resiliency plans for insurance companies as they evolve to adapt to new challenges like COVID-19. Follow Chisel AI: website: www.chisel.ai LinkedIn: www.linkedin.com/ChiselAI Twitter: twitter.com/chiselai Facebook:www.facebook.com/ChiselAI

Relentless Health Value
EP271: COVID-19—A Surprise Billing Defense Strategy for Patients AND Employers in the Middle of a Pandemic, With Al Lewis, Rachel Miner, David Contorno, and Doug Aldeen

Relentless Health Value

Play Episode Listen Later Apr 23, 2020 41:07


In this health care podcast, I’m talking to Al Lewis from Quizzify. This episode also guest stars Rachel Miner from Thrive Benefits, David Contorno from E Powered Benefits, and Doug Aldeen, a health care attorney in Texas. This episode started out being about surprise billing in the emergency room (ER) and a potential defense strategy that patients and employees can use to protect themselves from egregious billing practices. Surprise bills are when a patient gets “balance billed” for a sum above what their insurance carrier will pay. Usually this transpires when an out-of-network provider somehow or another gets involved in their care. Usually the patient has no idea this happens until after the bill comes—the big bill, in many cases, thus the surprise. But here’s where surprise billing and COVID-19 connect. You might not have thought of this because you might know that patients who present in the ER with COVID-19 and then test positive are protected from surprise bills, for the most part, by the CARES Act. But there’s a couple of wrinkles. What if the patient does not actually have COVID-19? Then whatever treatment they wind up getting in the notoriously expensive ER is business as usual. Here’s another wrinkle: The cost of treatment for COVID-19 is not like it’s capped. So even if an employee doesn’t get a surprise bill, the self-insured employer or health plan might. And the CARES Act explicitly states that the employer or plan is on the hook to pay for it. And one last wrinkle: Dealing with this pandemic among other things leaves about 0.0 chance that the national surprise billing legislation is gonna happen this year. But it’s not like kids have stopped running into the side of the pull-out couch and needing stitches, or drug overdoses or heart attacks have suddenly vanished. There was a news article just the other day about a private equity–run ER in the Midwest continuing to dish out nasty surprise bills to their community of taxpayers at the exact same time that they were lobbying to get a piece of the federal bailout paid by taxpayers. Al Lewis and his team over at Quizzify created this handy wallet card that patients or employees can use when they have the unfortunate experience of going to the ER themselves or with a loved one. It protects them from egregious surprise bills, thus its moniker, the surprise billing defense strategy. But nothing for nothing, this wallet card, this surprise billing defense strategy, also protects employers and health plans from these large bills in the age of COVID-19.  Al Lewis and I start our conversation talking about a New York Times article (also available here for those who don’t subscribe to the New York Times) that came out recently featuring Al as well as myself and chronicles my visit to an emergency room wherein I deployed the surprise billing defense strategy/wallet card.  You can learn more at quizzify.com or connect with Al on LinkedIn. You can also connect with Al on Twitter at @quizzify and @whynobodybeliev.   You can also connect with Rachel and David on LinkedIn and with Doug on Twitter at @AldeenDoug and on LinkedIn.  Al Lewis wears multiple hats, both professionally and also to cover his bald spot. Hat #1: Employee Health Literacy. He is the founder and “quizmeister-in-chief” of Quizzify, whose mission is to help companies teach their employees to utilize health care services appropriately, using a format best described as “Jeopardy meets health benefit education meets Comedy Central.” Quizzify is the only vendor authorized to display the Harvard Medical School “Veritas” shield and has received excellent reviews from users.  Quizzify is best known today for its employee coronaquizzes (now exceeding 100,000 plays!) and its surprise billing “Prevent Consent” solution, which was recently featured in the New York Times. It can be taped to an insurance card, used as a stand-alone card, or downloaded into your Apple Wallet.  His quiz-specific background includes authorship of the best-selling Newsweek Presents the Ultimate Trivia Game, which Games magazine lauded as having the best questions of any trivia game; hosting two quiz shows on Boston network affiliates; and appearing on Jeopardy. Hat #2: Outcomes Measurement. As an author, his critically acclaimed category best-selling book on outcomes measurement, Why Nobody Believes the Numbers, chronicling and exposing the innumeracy of the health management field, was named digital health book of the year in Forbes. Cracking Health Costs, written in conjunction with Walmart alum Tom Emerick, was also a trade best seller. Surviving Workplace Wellness has also received great accolades, and excerpts appeared in Harvard Business Review and elsewhere.  He was the cofounder of the World Health Care Congress’s Validation Institute.  His expertise in outcomes measurement got him named one of the unsung heroes changing health care forever.  He graduated Phi Beta Kappa with honors from Harvard, where he taught economics as well. He also graduated from Harvard Law School, albeit with no honors that time—other than winning their annual trivia contest, of course. David Contorno is founder of E Powered Benefits. As a native of New York, David began his career in the insurance industry at the age of 14 and has since become a leading expert in the realm of employee benefits over the last 22 years. Most recently, David was Benefits Selling magazine’s 2015 Broker of the Year; and in March 2016, Forbes deemed him “One of America’s Most Innovative Benefits Leaders.” David is a member of the board of directors for both the Charlotte Association of Health Underwriters and HealthReach Community Clinic. He served on the NC Insurance Commissioners Life and Health Agent Advisory Committee, as well as participated in the Technical Advisory Group that helped with the market reforms required under the Affordable Care Act in North Carolina. He is a longtime member of the Lake Norman and South Iredell Chambers of Commerce as well as the National, North Carolina, New York, and Long Island Associations of Health Underwriters. David contributes to numerous publications, including Forbes, Benefits Selling magazine, Business Leader magazine, and Insurance Thought Leadership. David is committed to giving back to his community and actively participates in the membership drive for the United Way, assisting the local chapter of Habitat for Humanity, and supporting The Dove House Child Advocacy Center. When he is not working, he enjoys boating, traveling, and being with his wife, Heather, and their two children, Hannah and Ethan. Rachel Miner became engaged with the health care system seven years ago as her son, Jackson, was consistently ill. Her frustration with the complexity of the health care system and expensive bills made her think about how helpless employees must feel. So, she set out to find a benefits firm that helped employees understand how to be educated consumers of health care year-round—and she didn’t find one. Thus, Thrive Benefits was born. Her mission is twofold: to help employers and employees. Rachel understands that companies need to have good benefits to attract and retain employees and makes it her mission to help employers save money so they can offer good benefits year over year. In addition, she helps employees to navigate the health care system so that they can have the highest quality of care at the lowest possible cost. Rachel says that her true passion is helping people and her purpose is to challenge the mindset of others so that they can overcome adversity, take risks, and achieve their goals. Health care is confusing, but it doesn’t have to be. For organizations to thrive, employees must thrive, too. Doug Aldeen is an Austin, Texas–based health care and Employee Retirement Income Security Act (ERISA) attorney who recently served as ERISA counsel on behalf of the Berkeley Research Group in New York City to the $7.7 billion May 2016 acquisition of Multiplan and its medical bill repricing product Data iSight by the private equity firm Hellman and Friedman. Since 1997, he has represented reference base pricing organizations, a bundled payment software platform, PPO networks, medium to small self-funded plans, third-party administrators, and provider-sponsored health maintenance organizations in various capacities, including Herdrich v. Pegram, which was argued before the US Supreme Court in 2001. Moreover, he serves as a resource to national news organizations regarding issues on health care and as a consultant with the Governmental Relations Committee at the Self-Insurance Institute of America in Washington, DC, and as an adviser to RIP Medical Debt, which has abolished over $1.2 billion in medical debt. Doug received his JD from the University of Illinois. 04:26 What is the likelihood of a surprise bill in the time of coronavirus? 07:41 What the surprise billing wallet card looks like and what it does when you use it.09:55 Rachel Miner’s experience with the Quizzify surprise billing wallet card. 14:42 EP249 with Dale Folwell.15:33 Should employers be advocating for the use of the Quizzify wallet card? 16:22 How an employer should get the wallet card out to their employees. 17:29 David Contorno explains the inspiration behind the Quizzify wallet card. 19:29 “Because of that federal law, you do not need to sign that financial consent.”—David 19:42 “Don’t obligate yourself financially to some unknown amount.”—David 19:56 The legal standard: a battlefield consent. 21:18 Negotiating vs not negotiating. 22:38 Why employers should care about surprise billing. 22:58 Best practices for employers educating employees on why this wallet card is important. 24:19 “This is not something your employer is doing to you; this is something your employer is doing for you.”—David 24:25 EP186 with David Contorno.27:19 Doug Aldeen on what happens after using the wallet card and then gets the balance bill. 30:47 What happens after you sign the financial contract after editing. 32:01 Asking for the director of revenue cycle management after getting your surprise bill. 36:36 “It’s not as daunting as people think.”—Doug 36:56 “The general rule … is that the more you do in advance, the better.”—Al 37:49 Why 2x Medicare is the sweet spot for reasonable price. 38:38 What employers should be doing right now to distribute these Quizzify wallet cards. You can learn more at quizzify.com or connect with Al on LinkedIn. You can also connect with Al on Twitter at @quizzify and @whynobodybeliev.   You can also connect with Rachel and David on LinkedIn and with Doug on Twitter at @AldeenDoug and on LinkedIn. Check out our #healthcarepodcast with @whynobodybeliev of @quizzify and featuring Rachel Miner of @BenefitsThrive, @dcontorno, and @AldeenDoug. #healthcare #podcast #digitalhealth #covid19 #surprisebilling What is the likelihood of a #surprisebill in the time of #coronavirus? @whynobodybeliev of @quizzify discusses on our #healthcarepodcast featuring Rachel Miner of @BenefitsThrive, @dcontorno, and @AldeenDoug. #healthcare #podcast #digitalhealth #covid19 #surprisebilling What does the #surprisebill #walletcard look like and what does it do? @whynobodybeliev of @quizzify discusses on our #healthcarepodcast featuring Rachel Miner of @BenefitsThrive, @dcontorno, and @AldeenDoug. #healthcare #podcast #digitalhealth #covid19 #surprisebilling Should #employers be advocating for the use of the Quizzify wallet card? @whynobodybeliev of @quizzify discusses on our #healthcarepodcast featuring Rachel Miner of @BenefitsThrive, @dcontorno, and @AldeenDoug. #healthcare #podcast #digitalhealth #covid19 #surprisebilling How should an #employer distribute the wallet card to his/her #employees? @whynobodybeliev of @quizzify discusses on our #healthcarepodcast featuring Rachel Miner of @BenefitsThrive, @dcontorno, and @AldeenDoug. #healthcare #podcast #digitalhealth #covid19 #surprisebilling What was the inspiration behind the Quizzify wallet card? @whynobodybeliev of @quizzify discusses on our #healthcarepodcast featuring Rachel Miner of @BenefitsThrive, @dcontorno, and @AldeenDoug. #healthcare #podcast #digitalhealth #covid19 #surprisebilling “Because of that federal law, you do not need to sign that financial consent.” @whynobodybeliev of @quizzify discusses on our #healthcarepodcast featuring Rachel Miner of @BenefitsThrive, @dcontorno, and @AldeenDoug. #healthcare #podcast #digitalhealth #covid19 #surprisebilling “Don’t obligate yourself financially to some unknown amount.” @whynobodybeliev of @quizzify discusses on our #healthcarepodcast featuring Rachel Miner of @BenefitsThrive, @dcontorno, and @AldeenDoug. #healthcare #podcast #digitalhealth #covid19 #surprisebilling What is battlefield consent? @whynobodybeliev of @quizzify discusses on our #healthcarepodcast featuring Rachel Miner of @BenefitsThrive, @dcontorno, and @AldeenDoug. #healthcare #podcast #digitalhealth #covid19 #surprisebilling Negotiating vs not negotiating surprise bills. @whynobodybeliev of @quizzify discusses on our #healthcarepodcast featuring Rachel Miner of @BenefitsThrive, @dcontorno, and @AldeenDoug. #healthcare #podcast #digitalhealth #covid19 #surprisebilling Why should employers care about surprise bills? @whynobodybeliev of @quizzify discusses on our #healthcarepodcast featuring Rachel Miner of @BenefitsThrive, @dcontorno, and @AldeenDoug. #healthcare #podcast #digitalhealth #covid19 #surprisebilling “This is not something your employer is doing to you; this is something your employer is doing for you.” @whynobodybeliev of @quizzify discusses on our #healthcarepodcast featuring Rachel Miner of @BenefitsThrive, @dcontorno, and @AldeenDoug. #healthcare #podcast #digitalhealth #covid19 #surprisebilling What happens when you use the Quizzify wallet card? @whynobodybeliev of @quizzify discusses on our #healthcarepodcast featuring Rachel Miner of @BenefitsThrive, @dcontorno, and @AldeenDoug. #healthcare #podcast #digitalhealth #covid19 #surprisebilling “It’s not as daunting as people think.” @whynobodybeliev of @quizzify discusses on our #healthcarepodcast featuring Rachel Miner of @BenefitsThrive, @dcontorno, and @AldeenDoug. #healthcare #podcast #digitalhealth #covid19 #surprisebilling “The general rule … is that the more you do in advance, the better.” @whynobodybeliev of @quizzify discusses on our #healthcarepodcast featuring Rachel Miner of @BenefitsThrive, @dcontorno, and @AldeenDoug. #healthcare #podcast #digitalhealth #covid19 #surprisebilling Why is 2x the Medicare rate the sweet spot for reasonable price? @whynobodybeliev of @quizzify discusses on our #healthcarepodcast featuring Rachel Miner of @BenefitsThrive, @dcontorno, and @AldeenDoug. #healthcare #podcast #digitalhealth #covid19 #surprisebilling What employers should be doing right now. @whynobodybeliev of @quizzify discusses on our #healthcarepodcast featuring Rachel Miner of @BenefitsThrive, @dcontorno, and @AldeenDoug. #healthcare #podcast #digitalhealth #covid19 #surprisebilling

Profiles in Risk
PiR - E155: The 2019 Insurance Nexus Awards Show Preview

Profiles in Risk

Play Episode Listen Later Apr 26, 2019 34:36


In this special episode of Profiles in Risk, I host a panel of judges for the upcoming Insurance Nexus Awards to be held on September 12, 2019, in Chicago. We discussed:- Why is it important to recognize excellence in our industry?- There are 4 categories with the word "innovation or innovative" in them. What does innovation mean to you? How did you go about thinking and quantifying it for judging purposes?- How much has pure technology played in "innovation"? How much innovation are you seeing that doesn't necessarily require technology?My panel includes:Dawn LeBlanc, Managing Director of Hartford Insurtech Hub: https://www.linkedin.com/in/dawn-leblanc-innov11/Margaret Resce Milkint, Managing Partner at The Jacobson Group: https://www.linkedin.com/in/margaret-resce-milkint-2599311/Nicole Cook, Managing Director of The Global Insurance Accelerator: https://www.linkedin.com/in/nicolejunecook/Paul Carroll, Editor in Chief at Insurance Thought Leadership: https://www.linkedin.com/in/paul-carroll-3a91694/Scott McCormick, President of The Connected Vehicle Trade Association: https://www.linkedin.com/in/scott-mccormick-391b19/You can download you nominations pack, register to attend and learn more about the event here: https://events.insurancenexus.com/awards/?utm_source=INS+Nerds&utm_medium=podcast&utm_campaign=5087SUBSCRIBE AT:Buzzsprout RSS: http://www.buzzsprout.com/87086Google Play: https://goo.gl/WMAvW4iTunes: https://goo.gl/7SqwvP Overcast: https://goo.gl/8b4cbD Spotify: https://goo.gl/niAbGN Stitcher: https://goo.gl/DmE7MiYouTube: https://goo.gl/1Turar

Innovator's Edge Podcast
Future of Risk Conference

Innovator's Edge Podcast

Play Episode Listen Later Mar 1, 2019 33:09


Featured Podcast: Wayne Allen, CEO of Insurance Thought Leadership, talks about the future of risk with Sedgwick CEO Dave North and The Institutes CEO Pete Miller. The proliferation of data sources, along with new tools and technology to analyze and leverage insights from the data, is transforming insurance and risk management. This also is the focus of the April 10-12 Future of Risk Conference in Chicago. events.theinstitutes.org

ceo chicago future risk conference insurance thought leadership
NAMIC Insurance Uncovered
Insurance Uncovered: It's Not Too Late to Innovate

NAMIC Insurance Uncovered

Play Episode Listen Later Nov 27, 2018 25:04


Episode #120: Chuck talks with Insurance Thought Leadership Chief Innovation Officer Guy Fraker about ways for companies to inexpensively start exploring new opportunities to innovate. Plus, the creative way blockchain is being used to make the subrogation process more efficient.

InsurTech Bytes
Insurers are on the road to change - but are they moving fast enough?

InsurTech Bytes

Play Episode Listen Later Jun 4, 2018 32:03


Live from InsurTech Rising US in Boston, our exclusive panel discuss how established insurers are approaching the mammoth task of getting themselves fit for the future, and ready to compete or collaborate with InsurTech start-ups. Is fear the main driver of change, and is the pace fast enough to really transform a business? Featuring, Guy Fraker, Chief Innovation Officer at Insurance Thought Leadership, Zia Zaman, Chief Innovation Officer at Metlife and Dele Oladapo, Chief Enterprise Architect and Technical Innovation Officer at Prudential.