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

Forbes Magazine called our guest, David Contorno, “One of America’s most innovative benefits leaders.” So, what’s he up to and what tools, techniques and strategies is he bringing his clients? We discuss why the “old way” just isn’t working and how this leads employers to a dilemma. We also explore whether the advisor community is moving to a completely different delivery model.

David explains why talking to the C-Suite is the way to provide 21st-century advice to clients. We chat about how rationing of care has changed and how it has moved the industry and what questions advisors need to ask their clients. (Spoiler alert: those questions are VERY different than the traditional conversation).

What You’ll Learn From this Episode:

  • Why the old way isn’t working when it comes to the way we deal with benefits
  • The employee benefits see-saw and what that means to their well-being
  • Rationing of care and why it’s a real problem
  • Is CDHP a real thing that makes a real difference
  • The role of real ROI and what questions we need to ask

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

Gene Thompson is both a Project Director and Director of Health City Cayman Islands (HCCI), an amazing facility that is delivering higher quality, lower cost care with greater patient satisfaction scores. Pioneered by Dr. Devi Shetti, a physician and health care visionary based in India, HCCI has become a leading model for medical tourism.

With the increased interest in self funding, the cost and quality curtain is being pulled back. Many U.S. companies are offering huge employee incentives in exchange for the quality and lower cost they provide. Gene offers a fascinating insight into this growing trend.

What You’ll Learn From this Episode:

  • How does the vision of how health care is delivered in the west drive HCCI?
  • Who is Dr. Shetti and why is his model driving change in hospital-based care?
  • What pricing methodologies are at work and what savings are there?
  • How is quality measured in these facilities?
  • What is the experience like for an employee who takes advantage of HCCI opportunities in their plan?

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

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)

David Weingard is an entrepreneur who used his personal experience with diabetes to create Fit4D, a company that helps with both the personal and financial costs of this widespread and growing disease. David believes that even with all of the work that has been done, there is a huge opportunity for improvement.

In the past, addressing this problem has been more art than science. David believes that created a challenge to delivering measurable outcomes – which is precisely the metric plans need. But he is committed to changing that.

What You’ll Learn From this Episode:

  • How large is this population?
  • What are the four biggest diabetes management challenges facing plans?
  • What are some of the new programs, and what differentiates them?
  • What challenges exist for payers to deliver high value, high touch clinical support?
  • Where do we go from here and what does the future look like?

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

Gene Thompson is both a Project Director and Director of Health City Cayman Islands (HCCI), an amazing facility that is delivering higher quality, lower cost care with greater patient satisfaction scores. Pioneered by Dr. Devi Shetti, a physician and health care visionary based in India, HCCI has become a leading model for medical tourism.

With the increased interest in self funding, the cost and quality curtain is being pulled back. Many U.S. companies are offering huge employee incentives in exchange for the quality and lower cost they provide. Gene offers a fascinating insight into this growing trend.

What You’ll Learn From this Episode:

  • How does the vision of how health care is delivered in the west drive HCCI?
  • Who is Dr. Shetti and why is his model driving change in hospital-based care?
  • What pricing methodologies are at work and what savings are there?
  • How is quality measured in these facilities?
  • What is the experience like for an employee who takes advantage of HCCI opportunities in their plan?

Featured on the Show:

Listen to the Full Interview:

This Episode is Sponsored by:

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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)

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)

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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