21 Hats Podcast

Dashboard: This Company Covers All of Its Employees’ Health Care

10 snips
Jan 2, 2026
Join Adam Russo, co-founder and CEO of The Phia Group, as he dives into innovative strategies for reducing healthcare expenses. He reveals how education and transparency can empower employees to make smarter health choices, leading to remarkable savings, including free care after five years. Adam also discusses how small businesses can benefit from self-funding and risk pooling, tailored plan designs, and the need for raw claims data to identify cost-saving opportunities. His insights are revolutionizing employer health plans!
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INSIGHT

Healthcare Lacks Consumer Shopping Dynamics

  • Healthcare lacks consumerism, so people don't shop for providers the way they shop for other goods.
  • That absence of price and quality comparison keeps costs rising despite advances elsewhere.
ADVICE

Consider Self-Funding For Flexibility

  • Consider self-funding if you want control and potential cost savings on employer health plans.
  • Self-funding uses employer funds to pay claims instead of fixed premiums to insurers.
INSIGHT

Self-Funding Depends On Population Risk

  • There is no perfect employer size for self-funding; risk depends on population health and demographics.
  • Pools, captives or stop-loss insurance let even small firms share or limit risk.
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