Andy NearyI help insurance professionals turn brand awareness into business growth.

SOTSQ Episode 4 - Building Your Health Plan Backwards

28 Jun 2018 · 1 min

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1:00

Andy Neary (SOTSQ Episode 4) critiques the conventional employer approach to selecting health plans—choosing an insurer, vetting provider networks, then selecting plans—arguing this workflow produces inflated charges, unnecessary procedures, and ineffective treatments. He recommends "building the health plan backwards": start with employee needs and how they interact with the healthcare system, implement strategies to enable access to high-quality, low-cost care, then select providers who allow payment-for-outcomes. The video closes with a teaser for a deeper follow-up.

Chapters

Are you fed up with seeing the same health plans from the same insurance companies every year from your broker? Well, listen up, this video is for you. Because today we're going to dive into building the health plan the right way. But first we got to understand why the current model doesn't work. You see, today you're picking an insurance company, then you're vetting the network of doctors and hospitals to make sure all of your employees are covered. And then you're picking the health plans that you're going to give your employees. But the problem here, folks, is what's spitting out on top of your workforce is over inflated charges, unnecessary procedures and ineffective treatment plans. And you're paying your broker a lot of money for activity. Here's the fix. Let's just build the health plan backwards. You see, when you focus on the employees and how they're interacting with the healthcare system and you implement the right strategies and solutions that allow them to access high quality care at a low cost and then you find the right provider that's going to let you do that. Now you'll be paying for outcomes. Alright, Next week we're going to dive even deeper into how you can build the health plan the right way. Have a great day and we'll chat soon.