30 years in Insurance, Healthcare Financing, Employee Benefits

30 years in Insurance, Healthcare Financing, Employee Benefits

• 30 years in Insurance, Healthcare Financing, Employee Benefits
• Home office, wholesale, and retail experience
• VP/Marketing & Sales for a national insurance carrier, one of the top 50 in the U.S.
• Led development team which introduced one of the 1st integrated MSA plans in 1996
• Co-founded a third party administrator (TPA) in Omaha
• Specialize in alternate funding arrangements (e.g., partial self funding, HSA, HRA, FSA)
• Successfully transitioned thousands of employers to self funded and consumer directed plans, from fully insured/traditional
• B.S. in Marketing/Economics from SUNY-Oswego + ½ MBA/North Central College; RHU; CDHC
• Vistage CEO Trusted Advisor and Speaker
• Published author and nationally recognized speaker

Attorney

• Attorney

• Accountant

• Banker

• Human Resource Manager

• Government Affairs Expert

• Public Speaker

• Writer

• Digital Media Novice

• Consultant/Advisor

Social Media

• Social Media

• Employee Engagement

• - Open Enrollment sessions
• - Content specific sessions

• Compliance/Regulatory Updates

• Consumer Directed Healthcare (CDH)

• Self Funding

Twitter

• Twitter

• Facebook

• Twitter

• LinkedIn

• Google+

• Website(s)

• Blog

What’s the theory behind “Consumer-Directed" health care, a new trend in health benefits design?

• What’s the theory behind “Consumer-Directed" health care, a new trend in health benefits design?

• Introduces people to the actual cost of medical care
• Encourages shrewder purchases of medical services, diagnostic tests and prescription drugs
• Helps hold down the rising cost of health insurance

Traditional Plan ($1000/$2000)

• Traditional Plan ($1000/$2000)

• Copays:

• Office Visit:$30

• Prescription Drug: $15/$30/$60

• Facility (ER/UC): $250/$50

• Annual Deductible

• Individual: $1,000

• Family: $2,000 (imbedded)

• Coinsurance Out of Pocket

• In/Out Network: 80%/60%

• Individual (PPO): $2,500

• Family(PPO): $5,000

• Total Out of Pocket

• Individual = $3,500 + copays

• Family = $7,000 + copays

HEALTH INSURANCE (Qualified High Deductible Health Plan)

• HEALTH INSURANCE (Qualified High Deductible Health Plan)

Employee Only Coverage

• Employee Only Coverage

Employee + 1/Employee + Family Coverage

• Employee + 1/Employee + Family Coverage

Employee + 1/Employee + Family Coverage

• Employee + 1/Employee + Family Coverage

Allergy symptoms (2+ years of age)

• Allergy symptoms (2+ years of age)

• Body aches

• Cough

• Earache / ear infection

• Flu-like Symptoms

• Itchy eyes

• Mononucleosis (mono)

• Motion sickness prevention

• Nasal congestion

• Pink eye & sties

• Sore throat / strep throat

• Upper respiratory infection

• Urinary tract / bladder infection (females 12 years+)

24/7/365 services by American Well Member access to U.S. board certified, licensed and credentialed physicians for online health care encounters in the comfort of their home or workplace

• 24/7/365 services by American Well Member access to U.S. board certified, licensed and credentialed physicians for online health care encounters in the comfort of their home or workplace

• Computer, tablet or phone access for common conditions

• 99% of on-demand consults are via video conferencing (Web or mobile application)

• Less than three minute average wait time to connect to a physician of choice

• E-prescriptions to the patient’s preferred pharmacy*