Voices of Self Funding

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Aug 25, 2025 • 35min

Episode 38 Direct Primary Care: Unlocking Cost Savings and Improving Patient Experience for Self-Funded Plans

In this episode of Voices of Self-Funding, host Ramesh sits down with Jeffrey Bloom, a 25+ year veteran in healthcare and employee benefits, to unpack the power of Direct Primary Care (DPC) for self-funded employers. Jeff brings deep expertise spanning underwriting, care delivery, and affinity markets — and a passion for reshaping member experiences. Together, they explore how DPC: Delivers hard savings: 12–18% reduction in year one healthcare spend (net of fees), plus an additional 8% stop-loss discount by deflecting high-cost claims. Transforms access: Members get appointments in 24–48 hours—far faster than traditional systems. Drives satisfaction & productivity: A scalable, capitated model that eliminates balance billing, improves engagement, and enhances workforce health. This conversation reframes primary care not just as a benefit, but as a strategic cost-containment lever for employers committed to optimizing spend and boosting employee well-being. This episode was sponsored by WLT Software. For more information, visit HCAA.org.
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Jul 18, 2025 • 46min

Episode 37 Culinary Medicine and the Future of Preventive Care

In this episode of Voices of Self Funding, host Ramesh welcomes Dr. Michael Fenster — better known as “Chef Dr. Mike” — interventional cardiologist, classically trained chef, and leading voice in the field of culinary medicine. Chef Dr. Mike will be familiar to many of our listeners as the keynote speaker at HCAA’s 2025 Executive Forum. Together, they dive into what it means to move beyond basic nutrition advice toward a truly holistic food-health experience — where timing, setting, social connection, and emotional well-being are all part of the recipe. They explore how employers can build healthier ecosystems for their workforce, and why investing in food as medicine could offer meaningful returns when it comes to preventing chronic disease. It’s a rich and energizing conversation that rethinks the role of food in well-being, as well as the role self-funded employers can play in making it work. This episode was sponsored by WLT Software. For more information, visit HCAA.org.
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5 snips
May 9, 2025 • 39min

Episode 36 Navigating Mental Health in the Self-Funded Space

In an eye-opening discussion, Marjorie Morrison, a psychotherapist and entrepreneur, delves into the nuances of mental health support for self-funded employers. She debunks the one-size-fits-all myth, emphasizing the need for personalized approaches. Marjorie shares how evidence-based practices are reshaping tech-enabled mental health care. She argues that self-funded employers hold the key to creating flexible mental health structures, framing mental health as a crucial business priority. Tune in for insights that can drive meaningful change in today’s benefit landscape.
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Mar 14, 2025 • 50min

Episode 35 Transformational Leadership in Self-Funding

In this discussion, Kari Niblack, CEO of Boon-Chapman, and Amy Gasbarro, President of ELMCRx Solutions, share their insights on transformational leadership in the self-funded healthcare industry. They delve into aligning vision with execution and the importance of authenticity in leadership. The duo emphasizes the significance of empathy, personal branding, and collaboration for team empowerment. Withover 30 years of experience, Kari highlights how mentorship has shaped her career. Tune in for strategies on innovation and differentiation in a competitive market!
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Dec 10, 2024 • 41min

Episode 34 Innovative Broker Strategies to Manage Risks and Costs

Employers need proven strategies to manage risks and control costs, but with hundreds of point solutions on the market, how do brokers know where to focus? In this episode, a leading benefits consultant shares the innovative solutions they're implementing, why these choices matter, and the pivotal role a trusted TPA plays in this process. Tune in to gain insights that can guide your own risk and cost management decisions. This episode was sponsored by Valenz Health. For more information on managing risks and controlling costs, please visit HCAA.org.
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Oct 4, 2024 • 33min

Episode 33 How to Leverage HCAA's Resources to Help Employers Deliver Affordable Health Plans

Join me for an insightful conversation with Kirti Mutatkar, CEO of UnitedAg and President of HCAA. Discover how Kirti tripled UnitedAg’s business by leveraging the powerful resources of HCAA, and how she's bringing that same energy and passion to benefit other HCAA members. We’ll dive into the value HCAA provides to TPAs, brokers, and employers, and explore how its digital programs and live events have empowered organizations like UnitedAg to grow. Kirti will also share her vision as HCAA President and what members can expect in the next two years. Don't miss this deep dive into how HCAA helps employers offer more affordable healthcare to their employees. This episode was sponsored by Valenz Health. For more information on HCAA, please visit HCAA.org.  
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Sep 4, 2024 • 45min

Episode 32 Investigating PBM Contracting and Ways to Manage Rx Costs

Join us as we sit down with Paul Ashley, CEBS, a Vice President and Consultant at NFP. Paul has 22 years of experience managing health plans for upper- to middle-market employers. During the podcast, we talked about the various ways that organizations can improve transparency and reduce their pharmacy costs, as well as examining the latest trends in PBM contracting. This episode was sponsored by Valenz Health. For more information on PBM contracting or other topics related to the self-funding industry, please visit HCAA.org. 
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Jun 14, 2024 • 33min

Episode 31 DTE, is not just an acronym. Direct-to-Employer using direct contracts works

Join us as we welcome Oliver Ayres, President Key Family, Key Benefit Administrators, to discuss the Direct-to-Employer (DTE) approach to improve health care cost containment. Oliver simplifies the complexities of DTE, empowering both employers and employees to navigate the health care benefits maze more effectively. In this episode, Oliver breaks down the intricacies of DTE and shares how it can both cut costs and boost access for self-funded employers and their teams. He will also share real-world examples of how it outperforms the Reference-Based Pricing model for employers and employees. Finally, he'll share valuable advice for brokers, employers, and TPAs considering DTE adoption. This episode was sponsored by Valenz Health. For more information on DTE or other topics related to the self-funding industry, please visit HCAA.org. 
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May 2, 2024 • 29min

Episode 30 Examining Population Health Management: Part Two

In this episode, Ramesh continued his discussion with Fred Goldstein, co-founder and lead host of PopHealth Week, a weekly radio show that engages thought leaders, disruptive companies, and health systems in the field of Population Health Management. This is the second of a two-part podcast that was recorded in front of a live audience at HCAA's Executive Forum and examined GLP-1, weight loss, gene therapies, reinsurance, and outcomes based contracts. The discussion also focused on population health and the use of data, access to primary care, maternity and musculoskeletal care, and more. This episode was sponsored by Valenz Health. For more information on captives or other topics related to the self-funding industry, please visit HCAA.org. 
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Apr 12, 2024 • 30min

Episode 29 Examining Population Health Management: Part One

In today's episode, Ramesh interviews Fred Goldstein, co-founder and lead host of PopHealth Week, a weekly radio show that engages thought leaders, disruptive companies, and health systems in the field of Population Health Management. This is the first of a two-part podcast that was recorded in front of a live audience at HCAA's Executive Forum and examined GLP-1, weight loss, gene therapies, reinsurance, and outcomes based contracts. The discussion also focused on population health and the use of data, access to primary care, maternity and musculoskeletal care, and more. This episode was sponsored by Valenz Health. For more information on captives or other topics related to the self-funding industry, please visit HCAA.org. 

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