Anne Pacernick

AI is changing the game for agents. What does this mean for carriers? Health insurance agents are rapidly moving from manual processes to embracing technology that helps automate and standardize data. They are leveraging AI to complete routine tasks and provide data-driven insights that can drive business. As they continue to adopt technologies, the best agents will want to work with carriers and agencies that are supporting their efforts for greater data transparency and automation. Read more about how AI has become a game changer for agents - and what this means for carriers. https://lnkd.in/enXwfnsR #AI #InsuranceDistribution #embracingAI #policymatching #leadmatching #customerretention

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Capture more net revenue by reducing uncompensated care and bad debts with 20/20 Revenue Maximization Partners' secure post-discharge insurance discovery program. Learn More at https://loom.ly/NK6gDUw #2020RMP #PostDischarge

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Looking to attract top talent? These are the benefits employees want most from employers. Explore how Delta Dental of Illinois can provide your employees with the best benefits.

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🚀 Health insurance agents, are you ready to revolutionize your sales process this #AEP and #OEP? Watch this quick video to see how Quotit simplifies quoting for under 65, Medicare and supplemental health insurance—all in one place! 🔥 Don't miss out on the game-changing tools your peers are using. #HealthInsurance #SalesBoost #Quotit

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Medicare Advantage plans are facing significant changes, with market exits planned for 2025 and preparations for open enrollment underway. Despite these challenges, some insurers are continuing to grow, while others, like Humana, are reducing their presence. Beneficiaries are becoming more informed and demanding more from their plans, pushing insurers to navigate regulatory changes and heightened expectations. The coming year presents both challenges and opportunities for Medicare Advantage providers to innovate and better serve their members. Read more: https://lnkd.in/ggFWyw3S #WeeklyUpdatesWithHRC #HealthReconConnect #IndustryNews #Healthcare

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🔍 They Only Cover What They Have To! The ACA mandates marketplace health plans offer 10 essential benefits, but "covered" often means you'll still face out-of-pocket costs. Why? These carriers are not barred from requiring copays, deductible, and coinsurance for the services they *have* to cover and while they often brag about "out of pocket maximums" - those only apply to covered services!  Here’s what ACA plans are required to cover: 1️⃣ Outpatient Care: Doctor visits & outpatient services BUT often come with a 20-40% copay and many specialized therapies may not be covered. 2️⃣ Emergency Services: ER visits BUT many plans impose a $100-$500 copay & visiting an out-of-network hospital may still result in a surprise bill. 3️⃣ Hospitalization: Surgeries, overnight stays, & other in-patient services BUT you'll likely face deductibles & coinsurance + newer treatments may be denied as "not medically necessary." 4️⃣ Maternity & Newborn Care: Prenatal, childbirth, postnatal, and newborn care are covered BUT specific tests or specialists may require additional payments. 5️⃣ Mental Health Services: Counseling, therapy, and treatment for addiction BUT many other counseling & therapy services are not. 6️⃣ Prescription Drugs: A variety of medications BUT specific drugs may vary & newer or specialty drugs often come with higher costs. 7️⃣ Rehab & Devices: Therapy & devices BUT visit limits & partial coverage for devices may leave gaps. 8️⃣ Lab Services: Basic tests BUT specialized tests might need prior approval or extra costs. 9️⃣ Preventive Care: Basic check-ups, vaccines & screenings BUT more comprehensive preventive treatments may not be. 🔟 Pediatric Services: Kids' dental and vision care BUT adults need separate coverage for these. ❌ Since the ACA was enacted, the main insurers have made over $1 Trillion! ❌ Always ask your agent what your policy *specifically* covers in these 10 categories, so that you are not surprised! ✅ The Revolt Healthcare Alliance offers UNLIMITED virtual care, transparent pricing, at-cost prescriptions, and an ENHANCED Indemnity plan - we focus on the patient!  🔗 Link in bio #healthcare #savemoney #RevoltHealthcare #devolutionhealthcare #parallelhealthcareeconomy

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𝗪𝗵𝘆 𝗨𝗻𝗯𝘂𝗻𝗱𝗹𝗲 𝘄𝗶𝘁𝗵 𝗣𝗿𝗲𝗳𝗲𝗿𝗿𝗲𝗱 𝗕𝗲𝗻𝗲𝗳𝗶𝘁 𝗔𝗱𝗺𝗶𝗻𝗶𝘀𝘁𝗿𝗮𝘁𝗼𝗿𝘀 𝗮𝘀 𝗬𝗼𝘂𝗿 𝗧𝗣𝗔? In today’s competitive benefits landscape, unbundling services with a Third Party Administrator like Preferred Benefit Administrators offers clear advantages over traditional bundled models. Unbundling involves separating the various components of your employee benefits plan—such as claims processing, stop-loss insurance, and pharmacy benefits management - and working with specialized providers for each service. Here’s why unbundling might be the right choice for your organization: 𝟭. 𝗚𝗿𝗲𝗮𝘁𝗲𝗿 𝗧𝗿𝗮𝗻𝘀𝗽𝗮𝗿𝗲𝗻𝗰𝘆 Unbundling provides itemized pricing and access to your own claims data. This transparency empowers employers to make informed decisions and identify savings. Direct access to claims information puts you in control, unlike bundled services where data can be less accessible. 𝟮. 𝗘𝗻𝗵𝗮𝗻𝗰𝗲𝗱 𝗙𝗹𝗲𝘅𝗶𝗯𝗶𝗹𝗶𝘁𝘆 𝗮𝗻𝗱 𝗖𝘂𝘀𝘁𝗼𝗺𝗶𝘇𝗮𝘁𝗶𝗼𝗻 Preferred Benefit Administrators allows you to select the best providers for each service, tailoring your benefits package to meet specific needs. This flexibility ensures your benefits plan aligns with your workforce’s requirements. 𝟯. 𝗜𝗺𝗽𝗿𝗼𝘃𝗲𝗱 𝗖𝗼𝗻𝘁𝗿𝗼𝗹 𝗢𝘃𝗲𝗿 𝗣𝗹𝗮𝗻 𝗗𝗲𝘀𝗶𝗴𝗻 Our approach lets you design a benefits plan that fits your company’s culture and goals. Unlike standardized ASO plans, our unbundled services can be customized to boost employee satisfaction and retention. 𝟰. 𝗣𝗼𝘁𝗲𝗻𝘁𝗶𝗮𝗹 𝗳𝗼𝗿 𝗦𝗶𝗴𝗻𝗶𝗳𝗶𝗰𝗮𝗻𝘁 𝗖𝗼𝘀𝘁 𝗦𝗮𝘃𝗶𝗻𝗴𝘀 Unbundling can lead to substantial savings. With Preferred Benefit Administrators, you benefit from competitive rates for administrative fees and stop-loss insurance. Our expertise in claims adjudication and negotiation further reduces costs. As your true partner, we ensure accuracy and work to prevent fraud, waste, and abuse, managing your benefits effectively. This holistic approach maximizes savings. 𝟱. 𝗦𝗲𝗮𝗺𝗹𝗲𝘀𝘀 𝗮𝗻𝗱 𝗖𝗼𝗵𝗲𝘀𝗶𝘃𝗲 𝗣𝗿𝗼𝗰𝗲𝘀𝘀 We manage the unbundling process to ensure it’s smooth and integrated. Working closely with your broker, we ensure that all services are seamlessly coordinated, providing a unified experience for your organization and employees. 𝟲. 𝗣𝗲𝗿𝘀𝗼𝗻𝗮𝗹𝗶𝘇𝗲𝗱 𝗖𝘂𝘀𝘁𝗼𝗺𝗲𝗿 𝗦𝗲𝗿𝘃𝗶𝗰𝗲 Our dedicated support team delivers personalized service, understanding your unique needs and providing responsive assistance. This ensures both you and your employees receive the support necessary for a smooth benefits experience. Unbundling with Preferred Benefit Administrators allows you to create a tailored benefits plan that offers greater transparency, flexibility, and potential savings. With our expert management, we ensure the process is cohesive and valuable to your organization and employees.

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How does your practice handle insurance billing? Tune in to episode 49 of Eye Own a Business as Dr. Vargo discusses the evolving role of technology in billing with Christine Schneider and Melissa Jacobson from OneSpot. Listen to the full episode here: https://bit.ly/4daQHag

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I see you wanting faster sales cycles over there Is your enablement focused in the wrong place? Let me know if this sounds familiar You've got a killer healthcare SaaS solution. Your revenue team is pumped. You're waiting on "updates" You have ton's of 1 pagers But deals are dragging Buyer is ignoring you. NEWS FLASH You're enabling the seller, not the buyer. Here's the fix: Step 1: Map your buyer's journey – Identify the whole buying committee. – Know their org inside and out. – Outline their decision-making process (I bet it is not the same as your sales process...) This isn't guesswork. Talk to your customers. Step 2: Create buyer empathy maps – Address specific needs and wants, by human – Really illuminate your understanding, by human – Provide clear path to impact, by human. Remember: One size fits none. Step 3: Implement guided buying – Equip buyers with the right content at the right time – Use AI to stay on top of things (I do) – Track content effectiveness in real-time No more fumbling for another 1 pager. Create a brief for each person in the deal. Step 4: Leverage results – Develop detailed customer success stories – Create buyer-specific ROI models – Facilitate peer-to-peer connections Nothing sells like results. Step 5: Offer interactive demos – Customize demos to each buyer – Provide self-service options – Give levers to pull for solving problems. Show, don't tell. Step 6: Continuous enablement – Regular training on industry trends – Role-playing difficult objections – Sharing best practices across teams Your buyers are your frontline. You (and your) reps are support. Step 7: Analyze and optimize – Track deal velocity metrics – Identify bottlenecks in the sales process – Continuously refine your enablement strategy What gets measured, gets improved. Why this works: – Aligns marketing and sales efforts – Addresses buyer concerns proactively – Builds trust through education and transparency The result? Faster sales cycles. Higher win rates. Happier customers. More revenue. It's not magic. It's strategic enablement. Got a frozen pipeline. Let's talk. I've helped countless companies implement these strategies with 7-figure outcomes. PS: What's your biggest challenge in healthcare SaaS sales? Drop it in the comments. Let's solve it together.

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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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With virtual primary care, health plans in the Health Insurance Marketplace can give members what they want—quality care that’s easily accessible and consistent, and never rushed. Just as effective as in-person care, our Primary360 solution is the affordable primary care option you’ve been looking for. https://lnkd.in/eACNGNPn

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Partnering with Fetch Pet Insurance allows us to provide comprehensive pet coverage options to customers, paired with expert advice from the VIU by HUB Advisory Team. Check out our new blog on what it takes to be a new "pawrent". https://ow.ly/AH0q50SaFap #strategicpartnership #petinsurance

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When used effectively, your claims management technology can decrease rejections and denials, increase staff efficiency, maximize the value of the patient accounting system and provide greater visibility into your revenue cycle. Join us for an insightful webinar as we evaluate FinThrive’s Claims Manager and discuss how claims management technology is the revenue cycle’s Swiss army knife.: https://hubs.li/Q02KNsc_0

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As health care costs continue to rise, many employers are turning to virtual and hybrid care options to enhance employee benefits while managing expenses. Our CEO Frank McGillin spoke with Crain's Cleveland Business about how virtual second opinions are helping patients receive accurate diagnoses and timely treatments, which can reduce long-term costs and improve outcomes. Read the article (subscription required): https://lnkd.in/eUH__XgP #digitalhealth #healthcarecosts #employers #virtualcare 

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As the leader of 5,000-person global technology organization, Liberty Mutual Insurance’s Monica Caldas has established herself as one of the top digital executives in the industry. She is one of those rare leaders who has figured out the secret formula for mixing boldness, courage, empathy, and kindness, creating a culture that people want to contribute their best to and inspiring her teams to achieve big things. In this episode, Dan Roberts sits down with Monica for a wide-ranging conversation about what it takes to be a truly innovative, tech-forward company, one that leverages technology to gain first-mover advantage and “put points on the board.” Tune in to learn: * How a strong CEO/CIO partnership creates new opportunities and enables fast transformation * How Monica develops future-ready cultures and teams * How to effectively lead with thousands of team members under your authority * How to properly apply adaptability in your leadership * How to embrace and learn from mistakes #techwhisperers #techleadership #digitaltransformation #leadershippodcast

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