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Employers are beginning to move the needle on healthcare, and advisors have their ear. There is a lot of debris from old models that needs to be cleared, and on this episode we explore how that is happening and what is coming in its place. New and innovative models of care delivery and payment models are being incorporated into health plans. More importantly, many employers and employees are beginning to realize that they are the ones who are really in charge.

What You’ll Learn From this Episode:

  • Why HDHPs have not delivered as hoped.
  • How misaligned incentives have driven irrational markets.
  • Why the entrenched bureaucracies keep getting more entrenched.
  • ASOs with the BUCAs is not the solution most are looking for.
  • How to serve customers and get EBIDTA.

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

We have been talking about consumers in healthcare since the turn of the century, but real health care consumers – in the true sense of the word – are still apparently hanging out at the unicorn farm somewhere far away. Eric Haberichter, Co-founder at Access Healthnet knows why – and is working hard at creating a consumer environment in health care that approximates our consumer engagements in every other industry.

What You’ll Learn From this Episode:

  • Why we must stop focusing on network discounts.
  • Why is the typical shopping experience still opaque in healthcare?
  • How we create a more normal market.
  • The three immutable characteristics that must be present.
  • How to move beyond surgical and include diagnostic and therapeutic.

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Nine years ago, Mark Gaunya and Jennifer Borislow wrote “Bend The Healthcare Trend” to explore how healthcare consumers could counteract the damaging effect of a system with misaligned incentives, opaque pricing schemes, and unnecessary complexity. They are about to release the 2nd edition of their definitive book and ShiftShapers talks to them about how much has changed; and how little has changed!

The authors believe that what has not changed is that consumerism and transparency are still the answer to an industry that remains unnecessarily confusing, even for many folks within the industry. The average layman stands no chance in a system created by the rule makers, for the rule makers.

Our guests lay out how the government, Big Pharma, hospital systems, and health insurance companies are incentivized to stop price deflation and maintain complexity.

The second edition is peppered with actual examples of how they have used the principles in the book with their clients – and the success those clients have enjoyed in gaining control over their plans while delivering a climate of health and well-being for their employees.

Mark and Jennifer also outline what has changed since the first time they wrote about consumer-driven healthcare in 2009. The lack of transparency in the market is still an issue, but organizations are starting to deliver tools that aid consumers in making choices.

Be sure you tune in for Part 2 next week!

What You’ll Learn From this Episode:

  • What prompted Mark and Jennifer to write the first edition of their book in 2009.
  • What has changed since then and why they’ve felt the need to update amidst our unsettled healthcare environment.
  • Who are rule makers that construct our healthcare system.
  • What it will take to de-isolate consumers from the cost of care.
  • How employers can take advantage of new legislation to provide healthcare to employees.
  • What it will take for more consumers to demand transparency.

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This week on the ShiftShapers podcast, we speak with John Park – Chief Strategy Officer at Alegeus. As the Trump administration transitions to power in Washington, there have already been serious signals in the consumer-directed marketplace. John shares his views of how consumerism in healthcare may change and how that will impact the future of healthcare services.

Incorporating and driving more individual responsibility in health care decision-making is at the heart of the consumerism movement. We explore two elements of modern healthcare consumerism and trends that are changing the marketplace.

We also discuss the existing tools that are changing to help the consumerism evolve. We learn that while tools are an important part of helping to build consumerism confidence, there are some challenges as well. We’ll talk about both areas and look at how current products, services, and software innovations are trying to address the concerns.

What You’ll Learn From this Episode:

  • An explanation of what consumerism in healthcare means.
  • Current trends and predictions regarding the future of HSAs and HRAs.
  • Healthcare tools that consumers are currently requesting.
  • The opportunities for advisors in the HSA environment.
  • Whether employees with high deductible plans forego needed care and the impact of that behavior on future healthcare costs.
  • How plans can incentives consumerism with employees once plan maximums have been exhausted.
  • The importance of data and benchmarking in assessing plan efficacy.

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