The document presents a solution called BENEFIX that aims to address rising employee healthcare costs and lack of access to benefits for small businesses. BENEFIX proposes forming a captive insurance company to provide health insurance without traditional insurers' fees. It would offer lower premiums, access to additional benefits, and data-driven cost reductions. The captive would be supplemented by GAP+ coverage requiring wellness program participation to cover deductibles with no employee premiums. BENEFIX argues this model can save small businesses 18-30% on healthcare costs while expanding benefits.
The document discusses solutions from Act Now Strategies LLC to address rising employee benefit costs for small businesses. It proposes a model called BENEFIX which establishes a captive insurance company to provide health insurance at a lower cost than commercial insurers. BENEFIX would offer a base health plan along with supplemental "GAP+" coverage for deductibles and coinsurance. Over three years of claims data collection, businesses could potentially transition to direct provider contracting and further reduce costs by 30-40% compared to traditional insurance. Additional services like financial resources, HR support, and voluntary benefits are also discussed.
This document provides a summary of strategies for making health care more affordable for small businesses. It recaps health care reform changes through 2013 and changes coming in 2014 and beyond, including the individual and employer mandates. It then discusses the top 5 health care concerns for small businesses besides the Affordable Care Act, including rising costs. The document outlines strategies that work, including savvy plan design like partial self-funding, HRAs, and HDHP/HSAs. It also discusses wellness strategies that work through properly designed incentives and year-round communication. Finally, it discusses the importance of creating consumerism and proactive multi-year planning to control health care costs.
This document provides a summary of Warba Insurance Company (WIC), a Kuwait-based insurance provider. Some key points:
- WIC was incorporated in 1976 and is the fastest growing general insurer in Kuwait, listed on the Kuwait Stock Exchange since 1983.
- The document outlines WIC's vision, mission, financial performance, business developments, and international affiliates/associates that extend its healthcare network globally.
- WIC has a joint venture with Apollo Hospitals Group called WAPMED, which is the first licensed third-party administrator in Kuwait and offers healthcare administration services across a network of over 6000 providers in 33+ countries.
VistaNational Insurance Group provides a comprehensive benefits resource library covering many topics. The library includes sections on health care reform, plan design, compliance, human resources, workplace wellness, benefit communication, and retirement communication. Sample titles and descriptions are provided for numerous newsletters, articles, presentations, notices, and other educational materials on each topic to help users stay informed and make informed decisions about benefits. The resource library aims to help organizations and employees stay up-to-date on benefits trends and remain compliant with changing regulations.
How to Manage a healthy healthcare business designed for Chief Executives and Operating Officers of Healthcare Organizations like Hospitals, HMOs , Diagnostics
When we're sick, we want a person by our bed, not a robot. That's why, by 2030, 100% of healthcare will be in the home, but there is a lot of work yet to be done. The first step, consolidating a fragmented Home Healthcare sector - and that's where we come in.
The document discusses solutions from Act Now Strategies LLC to address rising employee benefit costs for small businesses. It proposes a model called BENEFIX which establishes a captive insurance company to provide health insurance at a lower cost than commercial insurers. BENEFIX would offer a base health plan along with supplemental "GAP+" coverage for deductibles and coinsurance. Over three years of claims data collection, businesses could potentially transition to direct provider contracting and further reduce costs by 30-40% compared to traditional insurance. Additional services like financial resources, HR support, and voluntary benefits are also discussed.
This document provides a summary of strategies for making health care more affordable for small businesses. It recaps health care reform changes through 2013 and changes coming in 2014 and beyond, including the individual and employer mandates. It then discusses the top 5 health care concerns for small businesses besides the Affordable Care Act, including rising costs. The document outlines strategies that work, including savvy plan design like partial self-funding, HRAs, and HDHP/HSAs. It also discusses wellness strategies that work through properly designed incentives and year-round communication. Finally, it discusses the importance of creating consumerism and proactive multi-year planning to control health care costs.
This document provides a summary of Warba Insurance Company (WIC), a Kuwait-based insurance provider. Some key points:
- WIC was incorporated in 1976 and is the fastest growing general insurer in Kuwait, listed on the Kuwait Stock Exchange since 1983.
- The document outlines WIC's vision, mission, financial performance, business developments, and international affiliates/associates that extend its healthcare network globally.
- WIC has a joint venture with Apollo Hospitals Group called WAPMED, which is the first licensed third-party administrator in Kuwait and offers healthcare administration services across a network of over 6000 providers in 33+ countries.
VistaNational Insurance Group provides a comprehensive benefits resource library covering many topics. The library includes sections on health care reform, plan design, compliance, human resources, workplace wellness, benefit communication, and retirement communication. Sample titles and descriptions are provided for numerous newsletters, articles, presentations, notices, and other educational materials on each topic to help users stay informed and make informed decisions about benefits. The resource library aims to help organizations and employees stay up-to-date on benefits trends and remain compliant with changing regulations.
How to Manage a healthy healthcare business designed for Chief Executives and Operating Officers of Healthcare Organizations like Hospitals, HMOs , Diagnostics
When we're sick, we want a person by our bed, not a robot. That's why, by 2030, 100% of healthcare will be in the home, but there is a lot of work yet to be done. The first step, consolidating a fragmented Home Healthcare sector - and that's where we come in.
ABA provides customized benefits solutions and administration services to companies to help them reduce costs and streamline HR functions. By partnering with ABA, clients can outsource benefits management to focus on their core business while ABA handles tasks like building benefits packages, monitoring legislation, and addressing employee issues. ABA representatives meet with clients regularly and provide an employee call center and online portal for assistance. For self-funded clients, ABA has consolidated plans, increased discounts and savings, and implemented wellness programs. For fully-insured clients, ABA has negotiated substantial savings on renewals without changing benefits. ABA delivers cost savings and service solutions for both self-funded and fully-insured clients.
This webinar focused on what the new healthcare law, the Affordable Care Act, means for small businesses and practices like yours. It focused on both federal and state provisions to help local small business owners understand how the law will affect them.
American CareSource Holdings provides an investor presentation outlining its business as an owner and operator of urgent care medical centers. It plans an aggressive growth strategy through 2021 of opening new centers and acquiring existing urgent care businesses. This is expected to increase its number of centers from 25 currently to over 80 centers by 2018. The company sees opportunity in the large and fragmented $12 billion urgent care industry in the US. It believes its model of convenient, affordable medical care can gain market share and be profitably consolidated through its expansion plans.
American CareSource Holdings is an owner and operator of urgent care medical centers pursuing an aggressive growth strategy through de novo clinic development and acquisitions. The company aims to have 51 centers by the end of 2017 and 81 centers by 2018. It focuses on operating conveniently located, affordable urgent care clinics in the Southeast U.S. that offer walk-in medical care without appointments. The company sees opportunities to consolidate a fragmented urgent care industry and achieve economies of scale. Its growth strategy relies on developing new clinics, acquiring competitors, and increasing revenue per existing clinic.
This document summarizes the key points from Shaun Gath's presentation at the 12th Annual Health Insurance Summit on current regulatory issues in the private health insurance industry in Australia. The presentation covered: membership growth in private hospital and general treatment insurance; the financial position of the industry; proposed updates to capital adequacy and solvency standards; and an overview of the Private Health Insurance Administration Council's work reviewing competition in the industry.
PYA Considers the “Taxing” Developments Facing Healthcare OrganizationsPYA, P.C.
The recent American Health Lawyers Association’s 2013 Tax Issues for Healthcare Organizations conference offered valuable information related to healthcare industry reform and resulting tax implications and compliance.
PYA Senior Manager Susan Clark presented “Strategies for More Tax-Effective Physician Practice Acquisition Transactions.” The discussion included:
Transaction options
Key issues with buyers and sellers
Personal vs. enterprise goodwill considerations
Corporate practice of medicine doctrine
Allocations
The document discusses various types of paid time-off and flexible work arrangement benefits that companies provide to employees. It covers 14 common types of paid time-off practices like holidays, vacation time, sick leave, personal leave, and family leave. The document also discusses laws governing these benefits, such as the Family and Medical Leave Act, and how companies structure policies around vacation time, sick leave, and integrated paid time-off banks. Finally, it discusses flexible work arrangements including flextime, compressed workweeks, and telecommuting.
What decisions should you make for your business related to ObamaCare and HealthCare Reform?
The Roadmap & Decision Tree (pages 9 & 10) help to simplify and help you zero in on what you need to do.
If you have 49 or fewer employees...
If you have 50 or more employees...
This will help make your path clear.
This document discusses employee benefits programs that companies offer to promote employee well-being. It begins by defining accommodation and enhancement benefits, which aim to promote mental/physical wellness, family assistance, education, and daily living support. Companies offer these benefits because costs of absenteeism are higher than providing benefits. The document then examines employee assistance programs and wellness programs in more detail, covering topics like employee assistance program services and delivery options, wellness program examples, and the benefits of wellness programs for employers.
The document discusses key provisions and considerations regarding the implementation of the Affordable Care Act (ACA) in Kansas. It summarizes that under the ACA, uninsured Kansans will be able to purchase insurance on an online health insurance marketplace beginning in 2014. It also discusses decisions facing Kansas, such as whether to expand Medicaid eligibility and operate its own state-based marketplace. The document outlines requirements for qualified health plans to be offered on the marketplace and provisions regarding navigators who will assist consumers.
Innovative Financing Mechanisms and Effective Management of Risk for Partners...CORE Group
The document summarizes the Utkrisht Development Impact Bond in India, which aims to improve quality of care in private maternity facilities. It discusses how impact bonds can mobilize private capital for development by lowering investment risk. The Utkrisht bond provides funds for accrediting 360-440 private facilities over 3 years. Facilities receive quality improvement support and investors are repaid based on the number of facilities accredited. Early lessons show facilities are motivated to improve if it grows their business and they receive support meeting standards. The bond also provides a framework for continuously improving the project and managing risks between partners.
Recent Affordable Care Act (ACA) changes and impactsSrini Attili
Perspectives on recent Affordable Care Act (ACA) changes and impacts on industry - http://insights-on-business.com/healthcare/recent-affordable-care-act-aca-changes-and-impacts/
Key Growth Sectors in the Health Care Services M&A MarketRobert James Cimasi
The document discusses a webcast on key growth sectors in the health care M&A market. It provides an agenda that will discuss trends in hospital, physician groups, managed care, and financing. It then introduces several speakers who will provide perspectives on health care services M&A trends.
- Therapix Biosciences is a clinical-stage pharmaceutical company focusing on proprietary synthetic cannabinoid technologies for central nervous system indications.
- They are developing novel sublingual and nasal formulations of FDA-approved synthetic THC (dronabinol) for indications like Tourette Syndrome and Mild Cognitive Impairment.
- For Tourette Syndrome, they are combining THC with PEA in a proprietary combination therapy called THX-TS01 that has begun Phase II clinical trials based on a 505(b)(2) regulatory pathway.
- For Mild Cognitive Impairment, they are developing an "Ultra-Low Dose THC" therapy called THX-ULD
Hosted by the United States Department of Health and Human Services and Small Business Majority. This webinar focused on what the new healthcare law, the Affordable Care Act, means for Kentucky small businesses. It focused on both federal and state provisions to help local small business owners understand how the law will affect them.
Alterity provides portfolio-level employee benefits management services to private equity firms to optimize benefits costs and improve employee productivity. They serve as a single point of contact for benefit plans across a portfolio. Alterity offers access to a procurement consortium combining purchasing power across portfolios for health and other benefits. They also offer cost and trend reduction programs to reduce future benefits costs and deliver sustainable savings. Alterity has over a decade of experience in benefits and private equity, tailoring solutions to each client's unique needs.
Marpai is an AI tech company revolutionizing the self-funded health plan
market representing over $1 trillion in health claims, $20 billion in
administrative fees, and 95 million Americans. Just as Netflix, Amazon,
Uber, and Tesla use artificial intelligence to transform and lead industry
sectors, Marpai (pronounced Mar-pay) is using deep learning, the most
advanced artificial intelligence, to transform health plan administration
for companies who self-fund their health plans. As a next-generation
TPA (Third Party Administrator) using SMART technology (deeplearning powered), Marpai’s mission is to save lives, improve lives, and
radically reduce the costs of healthcare for employers and plan
members.
1) Catasys is a healthcare company that uses AI and telehealth to engage with members who avoid care through their OnTrak program, driving lasting behavior change and lowering costs.
2) Their proprietary PRE platform uses machine learning to identify high-cost members with behavioral health conditions and comorbidities who are not seeking treatment.
3) Catasys sees significant growth opportunities in expanding their OnTrak program to more health plans and states based on their track record of 54% savings per member and nearly 5:1 ROI for health plans.
The document presents a solution called BENEFIX to address rising employee benefit costs for small businesses. BENEFIX proposes forming a captive insurance company to provide health insurance through level-funded plans and supplemental coverage like GAP+. This would save businesses 18-30% over traditional insurance while providing access to larger benefit packages. Additional services include financial management resources, HR support, and transitioning to self-funded direct contracting models with further savings after aggregating health data.
HR Webinar: The Affordable Care Act Turns 10 Years Old: Where to From Here?Ascentis
Happy Birthday, ACA! Ten years ago, on March 23, 2010, the ACA was signed into law. Adding an unprecedented level of consumer protections and minimum quality standards to the health insurance Americans use, the law was and remains controversial to this day. In fact, the rate of uninsured nonelderly Americans dropped from a high of 17.8% in 2010, to 10.0% in 2016. The cancelation of the individual mandate, among other factors, has started to reverse that trend, with increases in the uninsured rates in 2017 and 2018. As the ACA celebrates its tenth birthday, it has something else to celebrate: its highest approval rate since public opinion polls began tracking it: 55% favorable opinion vs. just 37% unfavorable opinion.
As an HR professional, always busy with a hundred other people priorities at your company, it is hard to keep up with the ever-changing laws in the health insurance industry, and specifically, the ACA. With the law predicted to head to the Supreme Court soon for the third review of its fundamental constitutionality, receiving real-time updates becomes even more important. See what has changed in the ACA, looking at where it started to where it is now in this webinar!
The Affordable Care Act: What Independent Consultants Need to KnowMBO Partners
This webinar presentation by Gene Zaino and Dave Putt of Independent Worker Experts discusses the Affordable Care Act and its implications for independent consultants. It outlines the goals of the ACA, coverage options for independents including public exchanges and employer-sponsored plans, potential tax impacts, and MBO Partners' approach to providing healthcare coverage and additional benefits for their associates. Predictions are made about the future direction of the private insurance market and exchanges.
This webinar presentation by Gene Zaino and Dave Putt of Independent Worker Experts discusses the Affordable Care Act and its implications for independent consultants. It outlines the goals of the ACA, coverage options for independents including public exchanges and employer-sponsored plans, potential tax impacts, and MBO Partners' approach to providing healthcare coverage and additional benefits for their associates. Predictions are made about the future direction of the private insurance market and exchanges.
ABA provides customized benefits solutions and administration services to companies to help them reduce costs and streamline HR functions. By partnering with ABA, clients can outsource benefits management to focus on their core business while ABA handles tasks like building benefits packages, monitoring legislation, and addressing employee issues. ABA representatives meet with clients regularly and provide an employee call center and online portal for assistance. For self-funded clients, ABA has consolidated plans, increased discounts and savings, and implemented wellness programs. For fully-insured clients, ABA has negotiated substantial savings on renewals without changing benefits. ABA delivers cost savings and service solutions for both self-funded and fully-insured clients.
This webinar focused on what the new healthcare law, the Affordable Care Act, means for small businesses and practices like yours. It focused on both federal and state provisions to help local small business owners understand how the law will affect them.
American CareSource Holdings provides an investor presentation outlining its business as an owner and operator of urgent care medical centers. It plans an aggressive growth strategy through 2021 of opening new centers and acquiring existing urgent care businesses. This is expected to increase its number of centers from 25 currently to over 80 centers by 2018. The company sees opportunity in the large and fragmented $12 billion urgent care industry in the US. It believes its model of convenient, affordable medical care can gain market share and be profitably consolidated through its expansion plans.
American CareSource Holdings is an owner and operator of urgent care medical centers pursuing an aggressive growth strategy through de novo clinic development and acquisitions. The company aims to have 51 centers by the end of 2017 and 81 centers by 2018. It focuses on operating conveniently located, affordable urgent care clinics in the Southeast U.S. that offer walk-in medical care without appointments. The company sees opportunities to consolidate a fragmented urgent care industry and achieve economies of scale. Its growth strategy relies on developing new clinics, acquiring competitors, and increasing revenue per existing clinic.
This document summarizes the key points from Shaun Gath's presentation at the 12th Annual Health Insurance Summit on current regulatory issues in the private health insurance industry in Australia. The presentation covered: membership growth in private hospital and general treatment insurance; the financial position of the industry; proposed updates to capital adequacy and solvency standards; and an overview of the Private Health Insurance Administration Council's work reviewing competition in the industry.
PYA Considers the “Taxing” Developments Facing Healthcare OrganizationsPYA, P.C.
The recent American Health Lawyers Association’s 2013 Tax Issues for Healthcare Organizations conference offered valuable information related to healthcare industry reform and resulting tax implications and compliance.
PYA Senior Manager Susan Clark presented “Strategies for More Tax-Effective Physician Practice Acquisition Transactions.” The discussion included:
Transaction options
Key issues with buyers and sellers
Personal vs. enterprise goodwill considerations
Corporate practice of medicine doctrine
Allocations
The document discusses various types of paid time-off and flexible work arrangement benefits that companies provide to employees. It covers 14 common types of paid time-off practices like holidays, vacation time, sick leave, personal leave, and family leave. The document also discusses laws governing these benefits, such as the Family and Medical Leave Act, and how companies structure policies around vacation time, sick leave, and integrated paid time-off banks. Finally, it discusses flexible work arrangements including flextime, compressed workweeks, and telecommuting.
What decisions should you make for your business related to ObamaCare and HealthCare Reform?
The Roadmap & Decision Tree (pages 9 & 10) help to simplify and help you zero in on what you need to do.
If you have 49 or fewer employees...
If you have 50 or more employees...
This will help make your path clear.
This document discusses employee benefits programs that companies offer to promote employee well-being. It begins by defining accommodation and enhancement benefits, which aim to promote mental/physical wellness, family assistance, education, and daily living support. Companies offer these benefits because costs of absenteeism are higher than providing benefits. The document then examines employee assistance programs and wellness programs in more detail, covering topics like employee assistance program services and delivery options, wellness program examples, and the benefits of wellness programs for employers.
The document discusses key provisions and considerations regarding the implementation of the Affordable Care Act (ACA) in Kansas. It summarizes that under the ACA, uninsured Kansans will be able to purchase insurance on an online health insurance marketplace beginning in 2014. It also discusses decisions facing Kansas, such as whether to expand Medicaid eligibility and operate its own state-based marketplace. The document outlines requirements for qualified health plans to be offered on the marketplace and provisions regarding navigators who will assist consumers.
Innovative Financing Mechanisms and Effective Management of Risk for Partners...CORE Group
The document summarizes the Utkrisht Development Impact Bond in India, which aims to improve quality of care in private maternity facilities. It discusses how impact bonds can mobilize private capital for development by lowering investment risk. The Utkrisht bond provides funds for accrediting 360-440 private facilities over 3 years. Facilities receive quality improvement support and investors are repaid based on the number of facilities accredited. Early lessons show facilities are motivated to improve if it grows their business and they receive support meeting standards. The bond also provides a framework for continuously improving the project and managing risks between partners.
Recent Affordable Care Act (ACA) changes and impactsSrini Attili
Perspectives on recent Affordable Care Act (ACA) changes and impacts on industry - http://insights-on-business.com/healthcare/recent-affordable-care-act-aca-changes-and-impacts/
Key Growth Sectors in the Health Care Services M&A MarketRobert James Cimasi
The document discusses a webcast on key growth sectors in the health care M&A market. It provides an agenda that will discuss trends in hospital, physician groups, managed care, and financing. It then introduces several speakers who will provide perspectives on health care services M&A trends.
- Therapix Biosciences is a clinical-stage pharmaceutical company focusing on proprietary synthetic cannabinoid technologies for central nervous system indications.
- They are developing novel sublingual and nasal formulations of FDA-approved synthetic THC (dronabinol) for indications like Tourette Syndrome and Mild Cognitive Impairment.
- For Tourette Syndrome, they are combining THC with PEA in a proprietary combination therapy called THX-TS01 that has begun Phase II clinical trials based on a 505(b)(2) regulatory pathway.
- For Mild Cognitive Impairment, they are developing an "Ultra-Low Dose THC" therapy called THX-ULD
Hosted by the United States Department of Health and Human Services and Small Business Majority. This webinar focused on what the new healthcare law, the Affordable Care Act, means for Kentucky small businesses. It focused on both federal and state provisions to help local small business owners understand how the law will affect them.
Alterity provides portfolio-level employee benefits management services to private equity firms to optimize benefits costs and improve employee productivity. They serve as a single point of contact for benefit plans across a portfolio. Alterity offers access to a procurement consortium combining purchasing power across portfolios for health and other benefits. They also offer cost and trend reduction programs to reduce future benefits costs and deliver sustainable savings. Alterity has over a decade of experience in benefits and private equity, tailoring solutions to each client's unique needs.
Marpai is an AI tech company revolutionizing the self-funded health plan
market representing over $1 trillion in health claims, $20 billion in
administrative fees, and 95 million Americans. Just as Netflix, Amazon,
Uber, and Tesla use artificial intelligence to transform and lead industry
sectors, Marpai (pronounced Mar-pay) is using deep learning, the most
advanced artificial intelligence, to transform health plan administration
for companies who self-fund their health plans. As a next-generation
TPA (Third Party Administrator) using SMART technology (deeplearning powered), Marpai’s mission is to save lives, improve lives, and
radically reduce the costs of healthcare for employers and plan
members.
1) Catasys is a healthcare company that uses AI and telehealth to engage with members who avoid care through their OnTrak program, driving lasting behavior change and lowering costs.
2) Their proprietary PRE platform uses machine learning to identify high-cost members with behavioral health conditions and comorbidities who are not seeking treatment.
3) Catasys sees significant growth opportunities in expanding their OnTrak program to more health plans and states based on their track record of 54% savings per member and nearly 5:1 ROI for health plans.
The document presents a solution called BENEFIX to address rising employee benefit costs for small businesses. BENEFIX proposes forming a captive insurance company to provide health insurance through level-funded plans and supplemental coverage like GAP+. This would save businesses 18-30% over traditional insurance while providing access to larger benefit packages. Additional services include financial management resources, HR support, and transitioning to self-funded direct contracting models with further savings after aggregating health data.
HR Webinar: The Affordable Care Act Turns 10 Years Old: Where to From Here?Ascentis
Happy Birthday, ACA! Ten years ago, on March 23, 2010, the ACA was signed into law. Adding an unprecedented level of consumer protections and minimum quality standards to the health insurance Americans use, the law was and remains controversial to this day. In fact, the rate of uninsured nonelderly Americans dropped from a high of 17.8% in 2010, to 10.0% in 2016. The cancelation of the individual mandate, among other factors, has started to reverse that trend, with increases in the uninsured rates in 2017 and 2018. As the ACA celebrates its tenth birthday, it has something else to celebrate: its highest approval rate since public opinion polls began tracking it: 55% favorable opinion vs. just 37% unfavorable opinion.
As an HR professional, always busy with a hundred other people priorities at your company, it is hard to keep up with the ever-changing laws in the health insurance industry, and specifically, the ACA. With the law predicted to head to the Supreme Court soon for the third review of its fundamental constitutionality, receiving real-time updates becomes even more important. See what has changed in the ACA, looking at where it started to where it is now in this webinar!
The Affordable Care Act: What Independent Consultants Need to KnowMBO Partners
This webinar presentation by Gene Zaino and Dave Putt of Independent Worker Experts discusses the Affordable Care Act and its implications for independent consultants. It outlines the goals of the ACA, coverage options for independents including public exchanges and employer-sponsored plans, potential tax impacts, and MBO Partners' approach to providing healthcare coverage and additional benefits for their associates. Predictions are made about the future direction of the private insurance market and exchanges.
This webinar presentation by Gene Zaino and Dave Putt of Independent Worker Experts discusses the Affordable Care Act and its implications for independent consultants. It outlines the goals of the ACA, coverage options for independents including public exchanges and employer-sponsored plans, potential tax impacts, and MBO Partners' approach to providing healthcare coverage and additional benefits for their associates. Predictions are made about the future direction of the private insurance market and exchanges.
Significant cost increases. Decreasing benefits. Lack of control. If this is your employee benefits story, then we invite you to consider alternative ways to fund your benefits program.
Captives bring a slew of benefits, including more control, long-term cost savings, and the potential to earn dividends. Most importantly, it puts you in charge of your benefits program's performance.
Shawn Lanter from Berkley Accident and Health digs into what a captive is, why they exist, and how they could work for you.
The document discusses Beneficial Associates, Inc. (BAI), a provider of employee benefit solutions. BAI has over 20 years of experience working with the Virginia Health Care Association to provide innovative solutions to their members. BAI can customize benefit programs, technology, and wellness solutions to help employers attract and retain quality staff while controlling costs. BAI also ensures compliance with regulations and aims to simplify benefit administration through technology and support services.
Wellness 125 The Ulitimate Corporate Wellness ProgramTom Chesser
The Wellness 125 program is a corporate wellness program that offers robust health benefits, gains high (98%) employee participation, and returns a tax savings of about $650 per employee per year. It brings "Super Wellness" to companies both physically and financially. Employees can choose from an extensive menu of supplemental benefits to purchase with their tax savings, all at no net cost to the employee. Employers benefit from tax savings of around $600-750 per employee annually, as well as increased attraction and retention of employees. The program is not tied to the Affordable Care Act so it will continue working effectively even with changes to healthcare laws.
Navigating Health Insurance in the Health Care Reform Era lkennon
A presentation for large employers, small employers and individuals without employer-based insurance. The slides present the current state of health insurance for each group and the impending changes of Health Care Reform and their potential effects.
This document summarizes the business plan and strategy for a proposed new health maintenance organization (HMO) in Nigeria. It recommends acquiring an existing HMO to obtain the required operational license. Key strategies include aggressive marketing, robust provider networks, world-class customer service, and efficient claims processing. Financial projections estimate breaking even within the first year with sales of 400 million Nigerian naira and profit targets growing to 200 million naira by year five. Board members and top management are responsible for driving early sales and profit goals.
Paradigm Health Plans is a self-funded health insurance provider formed in 2007 that has seen strong growth. Their Member Advantage Program aims to reduce out-of-pocket costs for employers and employees. Self-funded plans offer advantages like level funding and keeping surplus claim money. Paradigm provides lifestyle and health management programs to further reduce costs by 6-9% annually. They aim to control costs through negotiated rates and steering members to high quality, low cost providers.
Healthcare SICG is a consulting group that provides self-insured healthcare plans as an alternative to expensive fully insured plans. It partners with stop loss insurers, universities, employers, physicians, pharmacies, and wellness partners. Healthcare SICG's business model focuses on utilizing technology like apps to promote self-management and increasing patient-clinician interaction while offering customized healthcare plans at a lower cost than traditional insurance through services, usage fees, and brokerage fees. The company's competitive advantage comes from its use of technology, value-added services, and patient satisfaction to differentiate itself in the marketplace at a lower cost.
Mosaic Employee Benefits is an insurance brokerage that has served clients since 1986. It offers a wide range of employee benefits such as retirement plans, health insurance, life insurance, and HR services. Mosaic works with many major carriers and provides customized solutions based on each client's unique needs. It also offers services like an online HR portal and wellness programs through ERC Health to improve benefits and reduce costs.
Leveraging Federal Financial Assistance Programs During COVID-19Kareo
Bill Finerfrock, HBMA Director of Government Affairs, will break down the CARES Act and its associated programs to provide you with key takeaways to help ease financial burdens and maintain current staff levels.
In this webinar, Bill will discuss:
-New Paycheck Protection Program
-Other SBA (Small Business Association) programs
-Medicare Advanced Payment Options
-Provider Lost Revenue Program
This document summarizes a presentation given by Cigna on the Affordable Care Act's Cadillac tax. It introduces the speakers and provides an overview of the purpose, mechanics, and impacts of the Cadillac tax. Cigna representatives also discuss strategies employers are using to reduce costs in response to the tax, such as implementing consumer-driven health plans like Cigna's HSA and HRA offerings. The presentation aims to help employers understand and prepare for the Cadillac tax scheduled to take effect in 2018.
Self-Funded Plan Administrators provides affordable self-funded health plans for employers that meet ACA requirements at a lower cost than traditional insurance. They offer plans with different coverage levels and maximum out-of-pocket costs. Their services include ACA compliance support, online enrollment, and an HR platform to manage benefits administration. As a third party administrator, they process claims and provide stop-loss insurance to limit employers' risk from large claims.
Health Insurance Innovations Inc, HIIQ Investor Presentation released on March 2019. This Health Insurance Innovations investor relations slideshow covers the following topics:
-HIIQ Solution
-HIIQ Partners
-HIIQ Market Opportunity
-HIIQ New Initiatives
-HIIIQ Community Involvement
-HIIQ Financial Results
-HIIQ Solid Growth Trajectory
and much more.
American International Holdings (AMIH) is an investor, developer and asset manager of diversified, synergistic health and wellness businesses. Today, the AMIH portfolio encompasses telemedicine and other virtual health platforms, affordable subscriber-based primary care and concierge medicine plans, preventative care solutions and wellness related assets such as mental & behavioral health services, as well as its own proprietary life coaching platform. AMIH markets its various services through direct-to-consumer and business-to-business distribution channels. AMIH’s focus is on bringing to market technologies and solutions that advance the quality of life for the global community.
The document discusses supplemental benefits that companies offer executives, including long-term care insurance. It notes that over 75% of Fortune 1000 companies offer supplemental retirement plans, and over 30% offer excess disability or supplemental death benefits. The need for long-term care insurance is increasing as people live longer lives. Many companies expect demand for long-term care programs to rise in order to attract and retain employees and executives.
Minimum Essential Coverage (MEC) plans with limited benefits and healthcare concierge services are described. MEC plans provide the minimum level of health insurance required under the Affordable Care Act to avoid penalties, through benefits like preventive care visits and generic prescriptions. Additional services include telemedicine, medical bill negotiation, and discounts. Employers can offer MEC plans to comply with ACA mandates while controlling costs. The document provides details on specific MEC plan options and support services available.
How to Lower Healthcare Costs in the Face of Healthcare Reform UncertaintyEPAY Systems
Rising healthcare costs have presented challenges for many companies across the U.S., as they struggle to find affordable group health insurance solutions that help them retain critical talent. With healthcare costs likely being the second or third largest corporate expense behind payroll, it’s essential to understand the dynamics of different healthcare plan options, cost drivers and ways to control the increases.
When it comes to group health insurance, there are ways to save money—regardless of how your company’s healthcare plan is currently set up. The method of self-funding with a third party administrator (TPA) is growing in popularity not just among large employers but small businesses, too. This option can help companies mitigate the risk of rising health insurance premiums while continuing to provide employees with health coverage.
View the slides to see tips on how to lower healthcare costs in the face of healthcare reform uncertainty.
MBC Support Group for Black Women – Insights in Genetic Testing.pdfbkling
Christina Spears, breast cancer genetic counselor at the Ohio State University Comprehensive Cancer Center, joined us for the MBC Support Group for Black Women to discuss the importance of genetic testing in communities of color and answer pressing questions.
Can Allopathy and Homeopathy Be Used Together in India.pdfDharma Homoeopathy
This article explores the potential for combining allopathy and homeopathy in India, examining the benefits, challenges, and the emerging field of integrative medicine.
This particular slides consist of- what is hypotension,what are it's causes and it's effect on body, risk factors, symptoms,complications, diagnosis and role of physiotherapy in it.
This slide is very helpful for physiotherapy students and also for other medical and healthcare students.
Here is the summary of hypotension:
Hypotension, or low blood pressure, is when the pressure of blood circulating in the body is lower than normal or expected. It's only a problem if it negatively impacts the body and causes symptoms. Normal blood pressure is usually between 90/60 mmHg and 120/80 mmHg, but pressures below 90/60 are generally considered hypotensive.
Let's Talk About It: Breast Cancer (What is Mindset and Does it Really Matter?)bkling
Your mindset is the way you make sense of the world around you. This lens influences the way you think, the way you feel, and how you might behave in certain situations. Let's talk about mindset myths that can get us into trouble and ways to cultivate a mindset to support your cancer survivorship in authentic ways. Let’s Talk About It!
Can coffee help me lose weight? Yes, 25,422 users in the USA use it for that ...nirahealhty
The South Beach Coffee Java Diet is a variation of the popular South Beach Diet, which was developed by cardiologist Dr. Arthur Agatston. The original South Beach Diet focuses on consuming lean proteins, healthy fats, and low-glycemic index carbohydrates. The South Beach Coffee Java Diet adds the element of coffee, specifically caffeine, to enhance weight loss and improve energy levels.
Dr. David Greene R3 stem cell Breakthroughs: Stem Cell Therapy in CardiologyR3 Stem Cell
Dr. David Greene, founder and CEO of R3 Stem Cell, is at the forefront of groundbreaking research in the field of cardiology, focusing on the transformative potential of stem cell therapy. His latest work emphasizes innovative approaches to treating heart disease, aiming to repair damaged heart tissue and improve heart function through the use of advanced stem cell techniques. This research promises not only to enhance the quality of life for patients with chronic heart conditions but also to pave the way for new, more effective treatments. Dr. Greene's work is notable for its focus on safety, efficacy, and the potential to significantly reduce the need for invasive surgeries and long-term medication, positioning stem cell therapy as a key player in the future of cardiac care.
Empowering ACOs: Leveraging Quality Management Tools for MIPS and BeyondHealth Catalyst
Join us as we delve into the crucial realm of quality reporting for MSSP (Medicare Shared Savings Program) Accountable Care Organizations (ACOs).
In this session, we will explore how a robust quality management solution can empower your organization to meet regulatory requirements and improve processes for MIPS reporting and internal quality programs. Learn how our MeasureAble application enables compliance and fosters continuous improvement.
Under Pressure : Kenneth Kruk's StrategyKenneth Kruk
Kenneth Kruk's story of transforming challenges into opportunities by leading successful medical record transitions and bridging scientific knowledge gaps during COVID-19.
International Cancer Survivors Day is celebrated during June, placing the spotlight not only on cancer survivors, but also their caregivers.
CANSA has compiled a list of tips and guidelines of support:
https://cansa.org.za/who-cares-for-cancer-patients-caregivers/
Rate Controlled Drug Delivery Systems, Activation Modulated Drug Delivery Systems, Mechanically activated, pH activated, Enzyme activated, Osmotic activated Drug Delivery Systems, Feedback regulated Drug Delivery Systems systems are discussed here.
Gemma Wean- Nutritional solution for Artemiasmuskaan0008
GEMMA Wean is a high end larval co-feeding and weaning diet aimed at Artemia optimisation and is fortified with a high level of proteins and phospholipids. GEMMA Wean provides the early weaned juveniles with dedicated fish nutrition and is an ideal follow on from GEMMA Micro or Artemia.
GEMMA Wean has an optimised nutritional balance and physical quality so that it flows more freely and spreads readily on the water surface. The balance of phospholipid classes to- gether with the production technology based on a low temperature extrusion process improve the physical aspect of the pellets while still retaining the high phospholipid content.
GEMMA Wean is available in 0.1mm, 0.2mm and 0.3mm. There is also a 0.5mm micro-pellet, GEMMA Wean Diamond, which covers the early nursery stage from post-weaning to pre-growing.
Michigan HealthTech Market Map 2024. Includes 7 categories: Policy Makers, Academic Innovation Centers, Digital Health Providers, Healthcare Providers, Payers / Insurance, Device Companies, Life Science Companies, Innovation Accelerators. Developed by the Michigan-Israel Business Accelerator
This particular slides consist of- what is Pneumothorax,what are it's causes and it's effect on body, risk factors, symptoms,complications, diagnosis and role of physiotherapy in it.
This slide is very helpful for physiotherapy students and also for other medical and healthcare students.
Here is a summary of Pneumothorax:
Pneumothorax, also known as a collapsed lung, is a condition that occurs when air leaks into the space between the lung and chest wall. This air buildup puts pressure on the lung, preventing it from expanding fully when you breathe. A pneumothorax can cause a complete or partial collapse of the lung.
Bringing AI into a Mid-Sized Company: A structured Approach
Benefix 395 Presentation
1. The contents of this presentation are strictly proprietary and are under the sole ownership of Act Now Strategies LLC. All concepts are trademarked with all rights reserved.
2. The contents of this presentation are strictly proprietary and are under the sole ownership of Act Now Strategies LLC. All concepts are trademarked with all rights reserved.
The Problem
• Out of control employee benefit costs
– 60% Increase in Health Insurance Premiums in last 10 years*
– Deductibles for employee-sponsored health plans have increased by
67% since 2010*
– 63% of Americans don’t have $500 in savings to cover out-of-pocket
medical costs in the event of an injury or sickness**
• Predatory providers in the ancillary benefit space
(e.g., dental and vision)
• Small businesses lack access to benefits available to
large employers
• Dynamic regulatory environment for U.S. businesses
• Challenge recruiting and retaining quality employees
*Kaiser Family Foundation/Health Research & Education Trust 2016 Employer Health Benefits Survey.
** BankRate, 2016.
3. The contents of this presentation are strictly proprietary and are under the sole ownership of Act Now Strategies LLC. All concepts are trademarked with all rights reserved.
The Problem
• Commercial insurance companies
Excessive pricing (18-
30% on average)
Limited access to
specialty care
Subjects participants to
pricing volatility
Hold excessive reserve
and profit margins
4. The contents of this presentation are strictly proprietary and are under the sole ownership of Act Now Strategies LLC. All concepts are trademarked with all rights reserved.
The Problem
5. The contents of this presentation are strictly proprietary and are under the sole ownership of Act Now Strategies LLC. All concepts are trademarked with all rights reserved.
The Solution
BIG BENEFITS
FOR
SMALL EMPLOYERS
6. The contents of this presentation are strictly proprietary and are under the sole ownership of Act Now Strategies LLC. All concepts are trademarked with all rights reserved.
BENEFIX
EASTERN SIERRA
BENEFIT ASSOCIATION
• Direct Contracting to
eliminate middleman
• Aggregate risk
• Access to higher quality
benefits
• Better pricing on ancillary
and supplemental benefits
• Access to HR tools and
financial management
programs
• Transparency + 360° data
drives improved outcomes
7. The contents of this presentation are strictly proprietary and are under the sole ownership of Act Now Strategies LLC. All concepts are trademarked with all rights reserved.
BENEFIX
• Big Benefits for Small Employers
– Health and dental care without the middleman
– Two-tiered health care strategy – Captive + Gap
Coverage – to radically reduce employer cost and
minimize employee out-of-pocket expenses
– Access to big employer benefits, including:
Ancillary and supplemental benefits and pricing
Financial management resources
High-level human resources support
8. The contents of this presentation are strictly proprietary and are under the sole ownership of Act Now Strategies LLC. All concepts are trademarked with all rights reserved.
Captive Case Study
• The UC Regents Captive Insurance Company:
– $1.2 billion in assets
– $980 million annual insurance premiums*
• $25–30 million in savings generated**
*Insures +/- $50 billion of property, five medical centers, 7,000+ physicians, employees,
campuses, sports teams, and 80,000 registered student associations
**Plan year 2017
9. The contents of this presentation are strictly proprietary and are under the sole ownership of Act Now Strategies LLC. All concepts are trademarked with all rights reserved.
BENEFIX
• Captive replaces the commercial insurance
company (e.g., Blue Cross) and provides the
legal entity – a licensed insurance company – to
provide benefits to employees
• The captive provides:
– Actuarial, underwriting, claims
management, stop loss, etc.
– Full transparency
– 360° health care data – far beyond what
traditional health insurance companies are able
to provide
10. The contents of this presentation are strictly proprietary and are under the sole ownership of Act Now Strategies LLC. All concepts are trademarked with all rights reserved.
BENEFIX
• Level Funded Insurance
– Alternative to traditional health
plans offered under the Affordable
Care Act
– Saves small businesses up to
30% while providing basic
coverage for employees
– Includes stop loss protection
against catastrophic or
unpredictable losses
11. The contents of this presentation are strictly proprietary and are under the sole ownership of Act Now Strategies LLC. All concepts are trademarked with all rights reserved.
BENEFIX
• GAP+
– Gap insurance covers deductibles and co-
insurance expenses for employees
– The unique structure of GAP+ provides this
coverage at no cost to employees willing to
engage in monthly wellness programs
(Employees who participate in an HMO or HSA are eligible for HIP+
coverage)
Coverage through
level-funded health
insurance through
captive
GAP+
coverage
12. The contents of this presentation are strictly proprietary and are under the sole ownership of Act Now Strategies LLC. All concepts are trademarked with all rights reserved.
Without
GAP+
With
GAP+
Semi Monthly Pay $1,500 $1,500
GAP+ Premium $0 $239
Payroll Taxes $375 $315
Net Pay $1,125 $946
Eligible Claim Payments $0 $199*
Net Take Home $1,125 $1,145
Paycheck illustration for a 38-Year-Old Employee with an annual salary
of $36,000 GAP+ policy with $4,000 in-patient and $2,000 out-patient
benefit.
*Claim payments require monthly participation in the Health Risk Management Program
GAP
+
BENEFIX
13. The contents of this presentation are strictly proprietary and are under the sole ownership of Act Now Strategies LLC. All concepts are trademarked with all rights reserved.
BENEFIX
• Step 1: Implement level-funded base health
plan with GAP+ through captive
– Timeline: Applications can be taken immediately;
implementation in 60 days
– Estimated savings over existing health plans: 18-
30% ($1,500-3,500/employee/year)
Outcome: 3 year aggregation of live monthly claims
+ health data for all participants
14. The contents of this presentation are strictly proprietary and are under the sole ownership of Act Now Strategies LLC. All concepts are trademarked with all rights reserved.
BENEFIX
• Step 2: With 3 years of 360° data (claims
and health data) to determine best next
step…
– Remain in captive with level funding; or
– Transition to a fully self-funded program
• Direct contracting with providers
• Significant cost savings
– 30-40% savings from traditional health insurance
– Average annual reduction in claims utilization of 10%
• All reduction in claims become income to
participating employers on a pro-rated basis
15. The contents of this presentation are strictly proprietary and are under the sole ownership of Act Now Strategies LLC. All concepts are trademarked with all rights reserved.
BENEFIX
• Supplemental voluntary benefits
– Best-in-class benefits, for example:
• Guaranteed issue life insurance with long term care rider
• Accident indemnity
• Critical Illness indemnity
– Level commission structure = 20-30% lower costs
– Will educate community brokers on available products
16. The contents of this presentation are strictly proprietary and are under the sole ownership of Act Now Strategies LLC. All concepts are trademarked with all rights reserved.
BENEFIX
• Financial management resources
– Concierge support to navigate benefits
EOB disputes
Financial planning for specialty care
– Flexible spending accounts
Health Care
Dependent Care
– Student loan repayment
– Retirement Planning (e.g., 401(k))
17. The contents of this presentation are strictly proprietary and are under the sole ownership of Act Now Strategies LLC. All concepts are trademarked with all rights reserved.
BENEFIX
• Comprehensive HR & Compliance Support
– Access thousands of easily searchable resources in one central
online location
Employee communications
HR forms and employee handbook
Educational articles
– Valuable compliance resources
ACA
FMLA
COBRA
HIPAA
Notices and disclosures
– Receive the latest content, including breaking legislative news
HR Hotline
Legal Resources
18. The contents of this presentation are strictly proprietary and are under the sole ownership of Act Now Strategies LLC. All concepts are trademarked with all rights reserved.
BENEFIX
• Next Steps
– Letter of intent
– Form captive cell, establish networks, and
negotiate pricing
– Gather census and plan data from
businesses
19. The contents of this presentation are strictly proprietary and are under the sole ownership of Act Now Strategies LLC. All concepts are trademarked with all rights reserved.
BENEFIX
Contact Information
ActNow Strategies, LLC
936 S. Olive St., Suite 408
Los Angeles, CA 90015
(213) 387-0780
www.ActNowStrategies.com
Editor's Notes
Dental & Vision
Networks vary greatly in terms of the value delivered to the covered employees and their families
Evaluating the availability of dental and vision providers to create plan options, accessibility, and pricing that work for the local communities
Rick – they are screwing you
Rick
Rick
Rick
Rick
Barry
Transition from a traditional fully insured model the potentially advantageous fully self insured model without the financial risks of the migrating directly to a self funded environment without data
http://www.jpfarley.com/blog/8-reasons-to-consider-level-funded-health-plans/
Barry
NOTES: Our example shows a 38 year old employee with an annual salary of $36,000. The employee is paid twice a month so their semi-monthly pay is $1,500. Without the Triada GAP+ product, they have no premium payment so their payroll taxes are based on their gross pay. Obviously without the product they would not be eligible to receive any claims for their engagement in the Triada Health Risk Management program and their net take home is $. If the elect the Triada GAP+ product, the insurance premium is a pre tax deduction and reduces their payroll taxes from $375 to $315. If the employee is fully engaged in the Triada Health Risk Management program, they are eligible for claim payments of $199 from their policy. This results is a net take home of $1,145. So for essentially no net cost to the employee, we can reduce or even eliminate the employees deductible…as long as they stay engaged in our program.