Value-Based Care – Benefit Design Strategies for Employers

thINc Talk: Rebranding Quality

Layers of standards and measures, mostly rooted in compliance, have mounted for decades -- all in the name of advancing quality and safety. The result is an overburdened workforce that is tired of checking boxes and jumping through hoops and whose been left to believe that quality ‘didn’t work’ or is a ‘waste of time’. Today’s opportunity is to shift from a compliance mindset to an excellence mindset where our workforce is inspired to do their best work, not just get through the motions. Join NAHQ’s CEO, Stephanie Mercado, as she explores a future led by transformational leadership strategies where we reset the definition of healthcare quality and align teams to achieve healthcare excellence.

Repricing Health Care: Reference-Based Pricing (RBP) & Direct Contracts

Advisers are controlling the cost of healthcare with proven strategies to supplant the misleading and meaningless BUCA network “discounts” – 50% off of…what? – with strategies that reprice the provider’s unreasonable prices. This expert panel will discuss using a cost-plus pricing model with providers or replacing the bad BUCA provider contract with a direct contract between the provider and the employer.

Controlling Healthcare Quality and Cost: Healthcare Supply Chain Management

Managing an employer’s healthcare supply chain – i.e., the employees’ medical and pharmacy purchases – is how advisers can ensure the quality of care and reduce the frequency and severity of claims, which is the only way to reduce the cost of healthcare. These experts will address the opportunities and challenges of managing the healthcare supply chain.

Low Hanging Fruit: Eliminating Pharmacy Waste & Abuse

Addressing the waste and abuse in prescription medications, and especially high-cost maintenance and specialty drugs, provide the highest ROI in terms of reduced spend vs. plan disruption and noise. This expert panel will share effective cost-containment strategies and case studies.

Crawl, Walk, Run, Fly: Meeting the Client Where They Are

Even though most employers are eligible to move to a transparent, value-based NextGen health plan, not all owners and executives are ready to leave the mental comfort of a BUCA provider network or the perceived comfort of a BUCA logo on the insurance card. These experts will share NextGen strategies that bring value to the client while meeting them where they are.

Replacing the BUCA: Building a NextGen Health Plan

Whether it’s a BUCA fully insured plan or a BUCA administrative services only (ASO) arrangement in a self-funded plan, disintermediating (i.e., getting rid of the middleman) the BUCA carrier is necessary to take control of the healthcare spend. Experts will lay out the key considerations and potential landmines when building a NextGen replacement to the BUCA plan.

The Real Work: Effective Language & Messaging to Sell the C-Suite

Success implementing transparent, value-based NextGen healthcare plans requires a financial, strategic conversation with the CEO and/or CFO. These top advisers will reveal how the C-Suite healthcare conversation is evolving, the importance of using C-Suite language with executives, effective messaging that drives change, and the importance of discovering what the CEO & CFO want.

FIRESIDE CHAT: HEALTHCARE TRANSFORMATION TO ADVANCE HEALTH EQUITY

Vekonda Luangaphay
February 23, 2023
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Benefits that Matter Today: Thinking Beyond Traditional Healthcare Programs

Vekonda Luangaphay
February 16, 2023
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Hear perspectives on why employers must modify their approach to benefit program design to meet the needs of today’s workforce and retain talent
Discuss the importance of implementing holistic health and well-being programs to drive healthy behavior change, improve productivity, and reduce healthcare costs
Explore novel models to coordinate care, promote healthy lifestyles, and ensure timely access to resources and support for employees and their families