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

How can plan participants use transparency tools to stay in network, but still find less expensive, higher quality care? Bill Hennessey is CEO at Pratter, Inc. and says the data proves – without argument – that providing transparency tools that are easy to use will help employers and their employees bust through the price/quality walls.

What You’ll Learn From this Episode:

  • What are the real components of a hospital charge?
  • Why there is such unreal variation in pricing.
  • Health care vs. Health Insurance.
  • Why we have a broken, rigged system.
  • What laws have to change.

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

Mark Blum has taken a very different path to get to the healthcare universe – starting as a labor organizer and negotiator who quickly found healthcare to be the most frequent stumbling stone in negotiations. The determination to find a way to resolve that issue has brought him to some interesting destinations and some surprising conclusions along the way. He is Executive Director of America’s Agenda, a non-profit healthcare delivery innovation center, and also serves as President of SolidaritUS Health.

What You’ll Learn From this Episode:

  • How his beginnings in labor influenced the questions and answers he found going forward.
  • What worked in Maine and in Vermont, and how that informs newer challenges.
  • What happened when the ACA meteor landed on healthcare.
  • What are “labor-owned” plans and what impact could they have?
  • How he created an eBay type environment for one state to solicit bids for pharmacy plans and what that saved.

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

Jessica Waltman is principal at Forward Health Consulting and one of the most in-demand healthcare political and regulatory analysts in the country. She is also a ShiftShapers regular contributor. As we approach the mid-term elections, you may not be hearing much healthcare discussion on the legislative front, but the regulatory environment has been chock full of initiatives, advices and changes.

Jessica joins us to sort it all out and to let us know what we should expect in the coming months.

What You’ll Learn From this Episode:

  • New CMS Guidance on Medicare Advantage Plans.
  • Short-term and AHP rules.
  • What’s happening in Idaho and Iowa and what does it mean for the nation?
  • Will Congress do anything before the end of the year?
  • Should advisors “shelter in place” until next year?

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