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

Contributor Jessica Waltman joins us for her quarterly visit to discuss the legislative and regulatory changes going on in Washington. Beyond the jockeying for the 2020 Presidential race, there is a great deal going on that you may not have been able to hear about over that din. Listen in to learn what you should be paying attention to and how it might affect your prospects and clients.

What You’ll Learn From this Episode:

  • The Creates Act.
  • Medicare and Medicaid changes.
  • An update on EMRs (again).
  • A new HIPAA RFI and what it asks.
  • Cost containment issues.

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Dr. Keith Smith believes that healthcare pricing in the United States is “scam” — and he’s working to change that. He is the medical director and managing partner of the Surgery Center of Oklahoma. Keith’s outlook on transparent healthcare pricing is a valuable one, especially since he’s had several years putting it into practice. This is part 2 of our two-part episode series on transparency – find part one here!

Over 7 years working in big hospitals, Keith saw the price of medical care rising while the quality of care suffered. This inspired Keith and his business partner to start a private practice founded on transparency, with prices and outcomes shared with everyone. To remain true to their pricing, Keith and his business partner decided they could not work with government programs. They firmly believe that the only way to move to a truly free market is to be completely transparent with healthcare prices, and to deliver better quality care at a lower cost.

Keith discusses his journey as well as the challenges he and his partner had to overcome along the way. We also explore the disruptive consequences that his transparency is having across the country, leading patients (who bid for their non-emergent surgical care) to Oklahoma.

What You’ll Learn From this Episode:

  • How Keith started his transparent pricing surgery center.
  • The pricing structure Keith and his partner use for their medical services.
  • Why current pricing practices are a scam.
  • Why hospitals should not have non-profit status.
  • The disruptive effect of posting his prices.
  • How the Free Market Medical Association works.

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It is my pleasure to welcome Ben Geyerhahn to the program. Ben is the CEO and founder of Benestream, a company that helps identify employer’s Medicaid-eligible employees and makes it easy for them to enroll in Medicaid. This provides a more appropriate plan design for that population while taking them off their employer’s core plan.

I’ve invited Ben to talk about how Benestream has shaped the shift with their distinctive methodologies and tools. We also cover how brokers can use Medicaid to help their clients save money and comply with PPACA.

What You’ll Learn From This Episode:

  • How Ben’s experience in the public sector helped him to envision the shift and shape it into Benestream.
  • The path the company took to develop its unique methodology and software.
  • How Benestream works with brokers to help them bring the concept to their clients.
  • Why Medicaid-eligible employees have different needs than other employees.
  • Why Ben thinks the number of Medicaid expansion states will continue to increase.

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