In this episode, the discussion revolves around the challenges inherent in the American healthcare system, as Butch Zemar critiques its structure and operations. The conversation touches upon various issues, including rising costs, affordability, and fraudulent billing practices, shedding light on the systemic flaws perpetuating these problems. The impact of the Affordable Care Act (ACA) is attributed to increased costs and reduced commissions for health insurance providers due to its implementation. He argues that while consumer demand plays a role, systemic issues such as abuse and neglect within the healthcare system significantly contribute to the unaffordable costs that consumers and providers bear. A key theme throughout the health insurance is the lack of transparency and accountability in healthcare billing practices. Butch discusses how providers often maximize charges, leading to unexpectedly high bills for patients, while also highlighting instances of billing mistakes and hidden fees encountered in personal experiences and interactions with clients. The discussion extends to strategies for small businesses to mitigate healthcare costs and increase revenue. It is important to learn the healthcare process, asking questions, and negotiating with providers to achieve cost savings. This podcast includes actionable advice tailored to businesses of varying sizes, urging employers to evaluate loyalty to insurers and brokers to ensure they are providing leverage to control costs effectively. In essence, the episode serves as a call to action for stakeholders within the healthcare system to prioritize transparency, accountability, and fair practices. By challenging assumptions, advocating for fair fees, and exploring alternative cost-saving strategies, Butch Zemar offers a roadmap for navigating the complex seas of healthcare in America, ultimately aiming to empower employers to take control of their healthcare expenses and improve the financial well-being of their businesses. For more information, please contact us at EliteBenefits.net or call 708-535-3006.
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Managing Healthcare Costs and Benefits for Midsize Companies In this episode, Butch Zemar dives into the pressing challenges faced by midsize companies in managing healthcare costs and benefits. He sheds light on crucial strategies and proactive approaches that can help mitigate these challenges and drive cost-effective solutions. Here are the key takeaways: Introduction: • Exploring the complexities of managing healthcare costs and benefits for midsize companies. • Underscoring the need for proactive measures, technology adoption, and strategic cost control. Insights: • Understanding the provider network and leveraging brokers emerge as essential strategies for cost savings and effective cost management. • Errors in benefits administration are prevalent, emphasizing the necessity for more efficient solutions. CFO's Role: • Butch highlights the critical role of CFOs in analyzing health insurance benefits, often overlooked or delegated without adequate attention. • Proper analysis by CFOs is pivotal for achieving cost savings and generating revenue. Action Items: • Take accountability for controlling healthcare costs. • Embrace technology for streamlined open enrollments. • Conduct thorough cost analyses akin to other major business expenses. • Invest time in understanding healthcare costs and collaborate with appropriate partners. • Seek brokers proficient in optimizing renewals to counteract rising healthcare costs. • Facilitate collaboration between HR and CFO for balanced renewal priorities. • Explore non-traditional options for cost-effective coverage. • Develop long-term strategies for sustained cost control. • Invest in expert teams for significant cost savings. • Evaluate network access alongside premium reduction efforts. • Request detailed financial reporting from insurers for informed decision-making. • Acquire a playbook for effective healthcare cost reduction strategies. Legal Implications: • Employers must comply with the Consolidated Appropriations Act to avoid penalties, emphasizing the importance of legal adherence. Conclusion: • Butch urges businesses to shift their mindset and seek professional assistance to combat rising healthcare costs effectively. • Analyzing financial reports and embracing proactive measures are paramount for achieving sustainable cost control. For more information, please contact us at EliteBenefits.net or call 708-535-3006.
Managing Healthcare Costs and Benefits for Midsize Companies | The Zemar Podcast
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Small and mid-sized companies often complicate their health insurance programs, leading to inefficiencies and frustration. Sometimes, companies need to change their approach to achieve their goals. The conversation emphasized the importance of evaluating renewals early, exploring cost-saving opportunities like switching carriers that provide claims data and implementing technology to streamline enrollment processes. Companies were also encouraged to retrain employees to use their health insurance effectively. The discussion stressed that companies can save significant amounts by taking a more proactive approach to managing their benefits. By investing in technology, adopting medical advocacy programs, and exploring innovative strategies like Individual Coverage Health Reimbursement Arrangements (ICHRAs), employers can reduce costs while improving employee satisfaction. Early evaluation and planning for renewals, combined with retraining employees on smart healthcare choices, can result in better outcomes and long-term stability for businesses. For more information on Elite Benefits of America, contact Butch at 708-535-3006 or visit
Cutting Costs with Smarter Healthcare Choices and Technology | The Zemar Podcast
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Our CEO Jordan Taradash sat down with Impact Health Care Podcast host Lester J. Morales to discuss the transformative potential of our healthcare model that puts people before profit to improve care and significantly reduce costs. Here’s what they covered: ✔️The Power of Strong Patient-Provider Relationships ✔️Why The Time is Now to Challenge the Health Insurance Status Quo ✔️Why Comprehensive Healthcare Benefits are Key to Employee Satisfaction & Retention ✔️Real-Life Success Stories of New Care Models ✔️Why Community-based Health Centers Funded by Providers & Shared by Employers Hold the Key to Success For more about how PeopleOne Health is making a real difference in healthcare, one patient at a time, listen to the full episode: https://bit.ly/3WNqgBR #HealthcareTransformation #InnovativeHealthcare #EmployeeSatisfaction #HealthcareBenefits
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Are you up to speed on the lastest proposed #priorauthorization regulations? Our COO Erik Wissig explains how they could impact employers on a recent episode of AM Best's podcast. Tune in below. #ichra #employeehealthcare #employeebenefits https://lnkd.in/eJGPY9Me
AM Best Audio Podcast: Biden Proposal Would Curb Prior Authorization on Apple Podcasts
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I'm thrilled to share that Tradeoffs, one of my favorite podcasts, took an interest in how we approach decision-making about what benefits to include in our health plan at ASHA. In this episode, they explore our collaborative process and how building space for real dialogue helps people engage thoughtfully, consider different perspectives, shift their thinking, and reach consensus. I believe our approach has implications for how people can come together around issues beyond health care. I hope you'll listen in to learn more. https://lnkd.in/gcxZAiEv
How One Company Gamified Health Insurance
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I'm very thankful to have met guys like Chris Hamilton while hosting the #HighwaytoHealth podcast. I learn something new every episode and it feels like I gained a friend. In this episode: ✅ Chris shares how he and Hotchkiss Insurance are improving access to quality healthcare options for employers and employees. ✅ We discuss the financial strain of healthcare costs at the organizational and personal level. ✅ Chris shares where his passion for this industry comes from -- one of the best answers I've heard for this question. Full episode linked in the comments. MarketScale
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Listen as our team discusses the latest trends and topics in the world of employee benefits and compliance. In this episode, we discuss: - PCOR Fee for Medical and Prescription Coverages - Employer Did Not File PCOR - Counting the Owner to Determine COBRA - Health Insurance Cost Study Explained - Reimbursement of an Employee for Individual Coverage - Dental Coverage and the Marketplace - Dependent Under Age 26 and Applying for Health Insurance - Parents or Employer? Listen: https://lnkd.in/ejaynrQC
Podcast: Ask the Expert
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Gravie’s new podcast! Exploring the impact of rising, out-of-pocket costs and ways to help health plan members address this burden!
It's a Gravie Thing: Health Benefits You Can Love
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Great interview with Aaron Snow, currently at the Beeck Center for Social Impact + Innovation, in the Global Government Forum's Government Transformed Podcast. It was especially interest to see his involvement since rapid mobilization after the Healthcare.gov failure. Also, very interesting to hear about the comparisons between the USA and Canadian bureaucracy. https://lnkd.in/e-pxTB3m #GovernmentDigital #Podcast #Goverment #USAGovernment #CanadianGovernment
How the failure of Healthcare.gov kickstarted US government transformation
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John Wallace, PT, MS, FAPTA, Chief Compliance Officer at WebPT, and Rick Gawenda, PT, President and CEO at Gawenda Seminars & Consulting, are back on the latest episode of The Practice Experience Podcast. Listen in as they bust common billing and compliance myths, discuss ethics around payer differentials and treatment, and more: https://webpt.co/3xCU21M #ThePracticeExperiencePodcast #PTBilling #PTCompliance #podcast
Practice Experience Podcast: Strategies for Billing and Compliance Success | WebPT
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