Voices of Self Funding

In our latest episode, we're thrilled to host Dr. Jerry Beinhauer, a clinician turned innovator and the brains behind Apaly Health. Join us as we unravel the mysteries of Direct Primary Care (DPC) arrangements including how to improve access, mitigate employee population risks, uncover the metrics that matter, and slash costs for ER and specialist visits. This episode was sponsored by Valenz Health. For more information on Direct Primary Care or other topics related to the self-funding industry, please visit HCAA.org. 

Prepare yourself for a transformative exploration as we delve into the critical realm of Musculoskeletal (MSK) programs. In this eye-opening discussion, long-time orthopedic surgeon, Dr. Steven Schutzer examines the exorbitant costs associated with unnecessary surgeries and how self-funded employers could scale models to tackle the MSK issue head on. We talked about how Virtual Diagnosis could be the game-changer we've been waiting for, and how advanced data analytics platforms are helping to identify members for targeted interventions. Tune in now to hear about the intricacies of MSK programs and learn strategies to improve your benefits program. This episode was sponsored by Ikigai Growth Partners. For more information on MSK programs or other topics related to the self-funding industry, please visit HCAA.org.   

Employers want a new solution every quarter and expect the TPA to integrate, share data, enroll and support the member. This makes it difficult to not only evaluate the impact of point solutions, but also to access data across solutions and drive substantial value. How should you address this? And how should you approach the explosion of point solutions? This episode was sponsored by Ikigai Growth Partners. For more information on point solutions or other topics related to the self-funding industry, please visit HCAA.org. 

In this podcast, we talked with two experienced private equity investors in the self-funded space and learned about their 25-year history. The discussion delves into how each PE firm's investments help to differentiate and grow businesses. We explore failures and changes in the self-insured market, including cost containment, alternative contracting, and member experience. The podcast also covered unlocking value, the impact on existing models, member navigation, price transparency, and incentives. We evaluated trends in the large market that impact the mid-market and where TPAs and solution providers should focus to drive enterprise value. Only ignore this podcast if you don't want to know where the self-funded puck will be in five years time. This episode was sponsored by Ikigai Growth Partners. For more information on growth investors or other topics related to the self-funding industry, please visit HCAA.org. 

Surgeries are hard on everyone involved. Patients, family, providers, and employers as they have to foot the bill. There are many things that go wrong in our fee-for-service healthcare system. Gatorade can help fix this for everyone involved. Yes, listen to how a specialized surgery management program uses Gatorade drink and their secret sauce to make this a great experience for everyone involved and reduce costs. This episode was sponsored by Ikigai Growth Partners. For more information on specialized surgery programs or other topics related to the self-funding industry, please visit HCAA.org.   

With increasing complexity self-insured employers select TPAs or carriers based on a number of criteria. And decide to work with the partner if they deliver value, and can showcase it. How do you deliver and communicate value to self-insured employer? And how can a TPA capture the value? This episode was sponsored by Ikigai Growth Partners. For more information on capturing value or other topics related to the self-funding industry, please visit HCAA.org. 

In this podcast we sit down with Spencer, the host of "Self-funded with Spencer," the other podcaster serving the self-insured employer industry. We both reflect on what we learned from talking to experts in 2022, and what we are seeing in 2023 for RBP, captives, stop loss, care navigation, price transparency, and cost containment. This is a highly impactful podcast that synthesizes the 2021 and gives you a roadmap of what to expect in 2023. This episode was sponsored by Ikigai Growth Partners. For more information on these or other topics related to the self-funding industry, please visit HCAA.org. 

Member engagement is increasingly challenging with the fragmentation of solutions being offered. While more solutions should be an opportunity, Joe Hodges from CareValet goes deeper into the topic of member engagement and healthcare benefits. Join in on the conversation as Ramesh and Joe uncover specific ideas on how to increase engagement, the value of it, and the steps TPAs should take to start this journey. This episode was sponsored by Nokomis. For more information on member engagement or other topics related to the self-funding industry, please visit HCAA.org. 

Nurse navigation and advocacy have become very popular topics, but we don't know what aspects of nurse navigation are key in reducing costs and delivering a good member or patient experience. In many cases, the connection between nurse navigation and reduction in healthcare cost reduction has not been investigated properly. In this episode, Casey and John break down the key steps of nurse navigation, the corresponding discount on stop-loss premiums, and the upcoming challenges in doing this properly for self-insured employers. This episode was sponsored by Nokomis. For more information on clinical management or other topics related to the self-funding industry, please visit HCAA.org. 

In this episode, Ramesh sits down with Rob Gelb from Valenz and Jeff Bak from Imagine360 to discuss the key trends in the cost containment space. Some of the questions that will be answered include; What are the different ways employers can contain costs? What is going to be effective in the post-price transparency future? Where does RBP sit in the spectrum of solutions? This episode was sponsored by MeMD. For more information on cost containment or other topics related to the self-funding industry, please visit HCAA.org.