Donna Gay Ballard

As PPOs in their current form have outlived their usefulness, employers should consider more cost-effective approaches to health plan spending. Reach out if you'd like to dive deeper and learn about other options available!

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HR and benefits professionals are in full swing planning for the 2025 plan year, negotiating final proposals from payers or benefits consultants, considering direct contracts with providers and determining employee plan designs. Employers and advisors recognize how critically important this time of year is and the fiduciary responsibilities C-level executives are tasked with (or task their consulting partners with) in fully evaluating several coverage options.  The Payer MRFs made available via the Transparency in Coverage Rule now make it possible for internal and external employer teams to perform these types of evaluations across a broader range of payers and networks, very quickly and at a fraction of the cost.  Want to see how?  Today's Transparency Tuesday provides a quick overview of how through the use of a small claim file (no PHI needed), Deerhold quickly performs these types of evaluations for our customers. https://lnkd.in/eMdtgUCm If you're going through this evaluation process now and want to ensure you're assessing coverage options fully, contact Pete Titas or Scott MacEwen to provide an overview of our Contract Rate Explorer product and evaluation process. #MRFInsights #PriceTransparency #PayerMRF

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Many employers will be receiving their health plan renewals over the next 90 days. Health care cost negotiations is crucial for managing and potentially reducing the financial burden of healthcare on employers and employees. It involves strategic discussions to ensure that health benefits are provided at the best possible price, impacting overall affordability and access to care. Employers should keep their benefit providers accountable throughout the year—not just at renewal time. Frequently performance guarantees are overlooked or forgotten about after the renewal is finalized. Learn more about health care cost negotiation with Marybeth Gray, Marsh McLennan Agency via #CFO Brew. #HealthCare #EmployeeBenefits #HR #MarshMMA

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Brad Paulis, ASA, MAAA, and Partner at Continuing Care Actuaries will be participating in the LeadingAge / Ziegler CCRC CFO Conference Brad’s session will be on Thursday, April 25 at 11:00 AM CT HCBS Pivot – A Closer Look into Continuing Care at Home This year’s HCBS discussion will pivot to the topic of Continuing Care at Home (CCaH). As organizations look to diversify revenues and service lines, expanding the continuum into people’s homes will take a fresh look in this year’s session. Objectives: 1. Overview of services that are provided for Continuing Care at Home and payor arrangements for CCaH 2. Overview of trends related to this emerging area of care 3. Deep dive into case studies exploring the “Look of CCaH”

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USI will host our highly anticipated webinar, "Neurodiversity in the Workplace". Key focuses include: - Defining, what is Neurodiversity? - How to support Parental Success, Personal Wellbeing & Professional Resilience. - How to help your neurodivergent employees thrive. With businesses seeking effective ways to retain and recruit talent, Neurodiversity plays a crucial role in employees' path to success. Register here: https://lnkd.in/eJgSMFmW. For inquiries or to explore how USI can assist in developing a Neurodiversity strategic plan, feel free to contact me directly. #USI #USIOneAdvantage

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-Cancer is now the leading condition driving health plan costs.  -Only 20% to 30% of the adult population engages with a primary care physician (PCP) annually. What can USI do? 1) Incentivized physician engagement 2) Specialized care 3) Plan design Improved health outcomes and reduced health plan spending begin with increased PCP engagement and optimized disease management programs. Please reach out to me via LinkedIn direct message if you want to discuss or email me at Kelly.Michaels@usi.com to learn more. #usi #usiinsurance #usiemployeebenefits #openenrollment

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To maximize the affordability and value of GLP-1 treatments, employers should consider a variety of approaches https://ow.ly/xMcR30sF3CI #EmployeeBenefits #healthcare #Rx #GLP1 #WTWPerspective

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Who: Ben Krambeck Where: West Des Moines, IA What: A 60 Minutes-style Interview Why: To share the powerful story of ClaimDOC We hope you enjoy this journalistic look at how ClaimDOC came to be. #rbp #referencebased #medicalpricing #medicalbilling #healthinsurance #insurance #claimdoc #selffunded

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Did you know that your health is closely tied to the health of your community? At #ElevanceHealth, we partner locally to improve the health of those we serve. Learn more. https://ow.ly/MMxj30sEZEI

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State-mandated retirement plans are becoming increasingly common, and understanding them is crucial for benefits brokers and their small business clients. With new legislation passing across multiple states, compliance requirements can be challenging to navigate. Partnering with a PEO can help clients understand their options, find suitable retirement plans, and alleviate the administrative burdens of compliance. Equip your clients with tailored solutions that safeguard their business while providing competitive employee benefits. #HR #retirement #compliance #smallbusiness #outsourcingservices

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Get insights into the three most prominent health care trends to come in 2024 and beyond in Marsh McLennan Agency's latest blog. #MarketTrends #HealthCare

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Health equity in healthcare is a critical focus area that has seen greater emphasis in recent years. It's exciting to witness examples of programs and advances emerging to achieve the bold goal of health for all. #HealthEquity #Healthcare #HealthForAll

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Thanks Ron for promoting Atidot in this interview. This is a great read about using #AI and #GenAI to improve #LifeInsurance. Sherry, JobsOhio, Insurance Thought Leadership

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Elevate Your Offerings with Aligned Hospital Indemnity Programs! What is an Aligned Hospital Indemnity Program? It's a program that will out more benefits when employees go to hospitals that are in-network, or are a part of the direct contract that you / the employer created. Educate. Incentivize. Save the Employer Money 📈 Here's why this strategy stands out: ✅ Client Differentiation: Set yourself apart by introducing innovative solutions that go beyond traditional benefit packages, showcasing your expertise in maximizing value for your clients. ✅ Enhanced Value Proposition: By integrating hospital indemnity programs with self-funded medical plans, you provide clients with a comprehensive benefits solution that addresses both healthcare needs and financial objectives. ✅ Revenue Opportunities: Expand your revenue streams and deepen client relationships by offering value-added services that drive tangible results and long-term satisfaction. With our tailored approach, you can empower your clients to: 🔹 Optimize Healthcare Spending 🔹 Strengthen Employee Engagement 🔹 Mitigate Financial Risks

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Today, Matt Leitterman had the opportunity to conduct an informational webinar on the basics of Medicare Supplement (Med Supp 101). The content focused on essential topics such as understanding the basics of Original Medicare, exploring supplemental plan options, and optimizing healthcare costs for seniors. This provided insights into helping brokers present the right plan based on client needs and preferences. We also heard directly from some participants that they left with a clearer understanding of Medicare Supplement and the benefits it can provide to their clients. Agent Feedback- "Your webinar was highly valuable and probably one of the better ones I remember Humana and other competitive carriers doing. So, whatever you did to make the webinar fantastic worked today and motivated me to write more business with Humana." If you missed this one - we will be hosting another webinar on June-18 @ 12:00 est. focused on Humana’s Plan choices including a deeper conversation with our Underwriting Team to cover the key benefits of our underwriting philosophy and guidelines, and the importance of knowing your client when choosing Med Supp. Watch for more information on how to sign up. Special thanks to Valentina Cervantes, Melissa Gwennap, and Greg Etchison for monitoring the chat and engaging during the Q&A sessions. #HUMemployee #medicaresupplement #medigap

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The healthcare industry owes a great deal to all of the dedicated medical professionals in the industry. But the same holds true for the Healthcare Risk Managers! These folks commit their time and energy to doing the unseen, and often unpopular, work of trying to keep their organizations, institutions and patients therein safe. HUB International thanks all of these professionals for the professionalism, dedication and tireless efforts. Please join HUB International's Healthcare Specialty Practice in celebrating American Society for Health Care Risk Management (ASHRM)'s Healthcare Risk Managers Week. #healthcare #healthcareriskmanagement #HRMWeek #riskmanagement

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