The-Shift-Shapers-Podcast-(Rough-Comp-2)

David Snow is Chairman and CEO of Cedargate Technologies and a self-described “health care junkie” whose career has touched nearly all facets of the health care system. As such, David has a very unique view that informs how he works with and helps companies use data to drive better decision making.

We discuss the notion that data provides multiple levels of analysis, from focusing on the patient through the other elements and constituencies in the system. David explains why there is a steep learning curve, but how we are getting better at understanding and acting on data in a timely manner that affects care and spend.

What You’ll Learn From this Episode:

  • Is data the piece of the puzzle that helps us make sense of the whole picture?
  • What are the opportunities for plan savings?
  • How is data different than analytics – and why do both matter?
  • Where do actuaries and underwriters fit in the future?
  • Why is there often an inverse relationship between cost and quality in healthcare?

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The-Shift-Shapers-Podcast-(Rough-Comp-2)

Michael Walsh, founder and CEO of Cariloop, is an expert on a growing problem that most employers may not even realize they have – and that is taking its toll on their employees’ productivity. According to Michael, there may be more than 25 million workers caring for someone and that has an impact on financial wellness, as well as productivity, absenteeism and presenteeism.

The good news is that as this problem grows, there are employer-based solutions that help both employer and employees and that today’s advisors can incorporate into their benefit planning.

What You’ll Learn From this Episode:

  • What are the problems created by employee caregivers?
  • What is the scope of the problem?
  • How can advisors quantify the problem for prospects and clients?
  • Are telemedicine and the IOT helpful?
  • What is driving the problem?
  • What solutions are coming to market?

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The-Shift-Shapers-Podcast-(Rough-Comp-2)

Brian Klepper, Principal at HC Performance Inc. and Worksite Health Advisors believes that the value being delivered in today’s health care system is a “train wreck” and that many are complicit – and know that they are complicit. He explains why he believes that Fee For Service is the crack cocaine of healthcare. The good news is that Brian sees a new model emerging that focuses on delivering value across the entire health care delivery chain.

What You’ll Learn From this Episode:

  • What the current system looks like and why it’s a problem for all constituencies.
  • How value-based care is defined.
  • What the key metrics are.
  • Whether or not employers are beginning to understand this change.
  • Is there a new, emerging class of high-performance health providers?

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Laura Carabello, Founder and Principal at CPR Strategic Marketing and Communication has spent the last 10 years focusing on domestic and international medical tourism. In this fast-paced episode, we discuss the inroads that both types of medical travel have made, beginning with jumbo employers and working their way to more recent acceptance and adoption by the mid-market.

We also explore some of the pricing mechanisms behind the trend and why these facilities deliver high-quality care, great patient satisfaction, and impressive savings to plans and employers. Laura explains how plans can communicate these benefits and what advisors need to know to connect their employers with appropriate facilities.

What You’ll Learn From this Episode:

  • Why the take-up has seemed slow, despite the savings and quality.
  • Which facilities are in the forefront of delivering these services.
  • That Adoption by business coalitions has been strong.
  • How pharmacy is being brought into the arrangements.
  • How to find “Centers of Excellence” and why they are important.

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The-Shift-Shapers-Podcast-(Rough-Comp-2)

Bret Brummitt, Managing Partner at AG Insurance Agencies and a thought leader in our business, believes that the two greatest things that have happened to our business are “Obamacare and Zenefits.” If that seems counterintuitive, listen in to hear Bret explain how those two things have shaped some of the transformative steps now taking place in the industry.

We explore the role technology is and will play as the future unfolds. But Bret believes that we also need to rethink the offering, the approach, the compensation structures and more.

What You’ll Learn From this Episode:

  • Why products are never as good as the demo and how to work around that.
  • How the entire transaction is being reshaped.
  • The key competencies future agencies will need to exhibit.
  • Whether the KPIs have changed and what really matters.
  • The importance of alternate revenue streams and alternate compensation models.

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Jack Hooper, Founder at Take Command Health, believes that data is the key to helping consumers connect with the plan that is right for them. Employees make plan decisions for a variety of reasons, but often do not find the plan that is right for them and do not understand the long-term impact of selecting the wrong plan.

We discuss why it has been impossible for consumers to shop for healthcare in much the same way they shop for most everything else in their lives and Jack highlights some solutions that are coming to market.

What You’ll Learn From this Episode:

  • What the right decision is and how consumers can find it
  • What pre-group options are and why they matter
  • The big opportunity for benefit advisors
  • How to have the benefits conversation with employers
  • What decision support tools are needed

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The-Shift-Shapers-Podcast-(Rough-Comp-2)

In part 2 of our visit with, Eric Parmenter (National Leader of Value-based Care at Collective Health) we discuss a little-known metric that research proves correlates positively with growth. The Net Promoter Score has been used in other industries for more than 10 years, but despite its simplicity and effectiveness, it has not been widely applied in our industry.

The best part of this predictive metric is that it only requires that you ask one simple question. While the question may be “simple”, the psychology behind it is anything but. Listen and learn more about this powerful index. We also discuss some thoughts from Eric’s book about reducing stress and enhancing joy!

What You’ll Learn From this Episode:

  • What is a Net Promoter Score
  • What is the research behind the Score
  • How clients divide into three significant cohorts
  • Why the Score positively correlates with growth
  • Why a one-question survey beats anything else – if you use the right question
  • Some thoughts on reducing stress and finding joy in your work and personal life

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The-Shift-Shapers-Podcast-(Rough-Comp-2)

In the first of this 2-part episode, Eric Parmenter, National Leader of Value-based Care at Collective Health will explore why a market where buyers and sellers don’t know each other has led to misaligned market incentives. We also discuss a new variation of ACOs, the “E-ACO” that may answer some of the realignment that needs to occur to fix the broken triangle.

What You’ll Learn From this Episode:

  • What the “Broken Triangle” refers to and why it matters.
  • What ACOs were originally intended to be.
  • How the ACO model can be applied in an employer setting.
  • The four ereas of health benefit plans.
  • The role of value-based care.

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Sally-Ann Polson, President of MedWatch, started her career with a focus on “case management and utilization management”. Over the years, that field has evolved and expanded to include a wide variety of disciplines that help members and plans alike. Sally-Ann sorts it all out and discusses her view of what the future looks like.

What You’ll Learn From this Episode:

  • How the “rear view mirror” vantage point is moving toward looking out the windshield.
  • What “population health” is all about and why it matters
  • Why the evolution of this field seems to have taken longer than logic might suggest.
  • What can be done with understanding underlying disease states
  • The role of predictive modeling
  • Why biometrics matter

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The-Shift-Shapers-Podcast-(Rough-Comp-2)

Can any business – ours included – continue without attracting younger practitioners? The good news is that there is a small wave of Generations X, Y and Z taking an interest in the insurance industry. But they are attracted and retained for very different reasons than their parents. Steven Griswold has first-hand knowledge as the head of a multi-generational firm dating back to 1948.

What You’ll Learn From this Episode:

  • The very unusual path Steve’s father took to starting their agency
  • How Steve joined the agency and what he learned from that journey
  • How a crisis helped to reshape the agency
  • What it is that attracts younger advisors – especially Millennials – to our business
  • Why you have to know your mission

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