Posts in Category: Prior Presentations

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This room contains pieces drawn from my experiences at Health Decisions. It offers practical advice for anyone involved in managing group health plan expenses.
From the present, this room contains articles and reports by others that I wanted to share. Reasons for sharing will vary, so expect a potpourri.
This room provides reference points and norms I have observed or documented that can be used by persons trying to get their bearings in the often confusing world of group health.
This room contains my views on the future of the US health care system. My intent is not to convince anyone, but to broaden the discussion beyond the political debate that passes for health reform in America.
This room contains recordings and trasncripts of conversations I've had with interesting people I have had the privilege of meeting. Some are friends, some professional acquantances; all have interesting perspectives worth sharing.
From the past, this room contains some of the talks and articles I have done that I thought were worth sharing.

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The Claims You Should be Auditing, But Aren't (Webinar) 

Thursday, July 25, 2013 9:30:00 PM Categories: Prior Presentations
For many self-funded plans, prescription claim costs approach or exceed medical claim costs. A modern claim audit needs to include a review of prescription claims. In this webinar, Health Decisions was pleased to present Don Champoux, Senior VP... read more
 
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Obamacare Compliance: How it Helps Self-funded Plans (Webinar) 

Thursday, June 27, 2013 10:24:00 AM Categories: Prior Presentations
Here’s the “dirty little secret” about the new “pay-or-play” requirements: Most plans will pass easily and few plans will have any problems with penalties. Here’s the less obvious part of compliance: The steps called for by the new... read more
 
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Employer Mandate Calculations Explained (Webinar) 

Thursday, June 13, 2013 9:30:00 PM Categories: Prior Presentations
This is the second in our three-part webinar series on health reform support around the employer mandate regulations. This webinar focuses on the four levels of calculations associated with Pay-or-Play decisions every plan must make. How to count ... read more
 
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Pay or Play: A Bigger Challenge for TPAs than for Plans (Webinar) 

Thursday, May 30, 2013 4:41:00 PM Categories: Prior Presentations
This is the first in our three-part webinar series on health reform support around the employer mandate regulations. This webinar explores how new regulations completely change the way health plans handle cost sharing. No plan currently meets the ... read more
 
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The Most Overlooked Part of Health Reform: Enrollee Communications 

Thursday, April 25, 2013 9:30:00 PM Categories: Prior Presentations
Keeping up with the deluge of health reform regulations and requirements makes it easy to overlook a fundamental fact: Health reform directly impacts your plan enrollees, and how they react directly impacts your plan. Do you know what your... read more
 
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Why Cost Sharing is Not Working 

Thursday, March 28, 2013 4:06:00 PM Categories: Prior Presentations

Many companies with self-funded insurance plans hope to save money through cost-sharing. This webinar explains that these companies may not actually cut costs--and why this happens.

 

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The Loss of Fiduciary Control: How National Health Insurers are Reshaping Self-Funding 

Thursday, February 28, 2013 8:30:00 PM Categories: Prior Presentations
National insurers, while late entrants to self-funding, have dramatically altered the self-funded market. Each of the national insurers has very similar administrative policies. These policies make good business sense for the insurers. But... read more
 
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Top 10 Do’s and Don’ts of Data Warehousing 

Tuesday, January 29, 2013 8:30:00 PM Categories: Prior Presentations
Claims and enrollment data are a self-funded plan’s most important (and often most overlooked) asset. Do you know where your plan’s 2012 data are? They are warehoused somewhere. Whoever controls that warehouse controls your plan. In this... read more
 
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Union Trusts: Health Reform's Most Overlooked Winner?  

Tuesday, December 18, 2012 8:30:00 PM Categories: Prior Presentations
Every major reform has winners and losers. Obamacare is no exception. With all the talk about state health exchanges, new fees, and pay-or-play, the opportunity for union trusts to be big winners can be easily overlooked. This webinar presents... read more
 
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Year End Renewal: The Best Opportunity for Greater Control and Savings 

Tuesday, November 27, 2012 10:37:00 AM Categories: Prior Presentations
Plan year-end is the time when self-funded employers, trustees and fiduciaries can exert the most control and get the changes they want. All too often, however, this opportunity is missed entirely, ignored, or used by plan administrators to limit ... read more
 
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