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Taking Action on Ascend
- 1. Taking Action onASCEND
- 2. #1 #2 Manage benefit costs Helpemployees make more informed decisions when using their benefits
- 3. The PPO Networks The Pharmacy BenefitsManagers (PBM) Traditional BrokersThe Carriers 4 Barriers to Cost Control
- 4. The Great Divide |Insurance Broker StrategicAdvisor on Purchasing Healthcare |
- 5. Strategic Advisors ProgramStack Transparent Medical Markets Independent Active TPA Transparent + Fiduciary Pharmacy Benefit Manager Value Based Primary Care + Routine Care (not fee for service) High Performance Plan Design, Docs, & Risk Management Stop-Loss & Contract Management Review Stop-Loss Marketing
- 6. The self-funding ecosystemallows advisors the option to use best in class partners to control claims spend leading to long-term control Health Plan The Unbundled Program Design
- 7. Packaging all the vendorsand providers into a single contract Marketing stop-loss and comparing contracting Communicating unbundled programs to your clients Quoting and comparing services This takes more time….
- 8. Way more timewhich you don’t have….. Client benefit & HR guidance4Demands to stay current on legislation, new trends & products 3 Firm leadership responsibilitiesBenefit administration & HRIS expertise 5 Day-to-day service & issue escalations Prospecting new business & marketing Professional development & networking 8Recruiting new talent7
- 9. Tech-Innovation is howyou do it
- 10. 0hrs 9hrs 18hrs27hrs 36hrs 45hrs TraditionalAllayThe Time It Takes: Traditionally vs. Allay 85% Time Savings Vendor Research RFP Creation Contract Language Review and Negotiation Carrier Back & Forth PHQs (if needed) Contract and Proposal Analysis Client Proposals Implementation
- 11. The Operating System Packagingselected vendors into one tailored program Comparing & quoting all TPAs, PBMs & cost containment vendors Vetting vendor options Marketing stop loss and comparing contract terms Client presentations and implementation support Dedicated strategic guidance and recommendations Allay
- 19.
- 20. Thank You Jake Smith- allay.io jake@allay.io
Editor's Notes
- #2 KB - Wonder if you can add a slide with Warren Buffet’s face & quote about american healthcare being the tapeworm of the american economy.
- #5 Shift in Industry creating a bifurcation of brokers stuck in the old transactional model vs. those who are acting as strategic healthcare advisors.
- #7 maybe add full stack platform vs operating system
- #9 — tell the B to B to B story B to B to B what is needed to sell to B, what we are figuring out to sell to the second B discuss how much each firm is worth
- #21 KB - Wonder if you can add a slide with Warren Buffet’s face & quote about american healthcare being the tapeworm of the american economy.