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Wednesday, March 30, 2016
RFP ToolKit - Submit Your RFP
Thursday, March 24, 2016
Free Guide for Writing an RFP
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Thursday, March 17, 2016
eBook: The Top 7 Ill-Advised RFP Questions
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Thursday, March 10, 2016
The Art of Conducting an RFP
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Monday, July 9, 2012
Are YOU the most targeted person in America?
Are YOU the most targeted person in America?
Now that the Supreme Court has ruled that PPACA is constitutional, YOU have become the most targeted person in the USA. Why?
As a result of the ruling, healthcare reform is now moving ahead rapidly. Employers will need to make some change to their employee benefit offering in order to be compliant and competitive.
In the eyes of insurance carriers, wellness vendors, technology platform providers, benefit outsourcing companies and anyone selling to HR, you are the gatekeeper to the goldmines.
They know how much your clients depend on your insight, wisdom and guidance when making a decision on employee benefits. As a result, they know that getting you on their team is their highest priority.
Businessolver understands that you are overwhelmed with updates, opinions and pitches of how your life is changing as a result of the PPACA. Instead of adding to the noise and confusion, we thought it would be better to provide tools to better evaluate the different and often conflicting messages.
Increased Focus
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| The market is quickly becoming crowded with vendors of all sizes. |
Result
This creates overlapping platforms, messages and increased pressure on you to determine the best fit for your clients.
The chart to the right provides just a small representation of the numerous vendors trying to secure your clients' business.
The New Adviser Model
Clients are turning to their trusted advisers for guidance and direction. The implications for a poor performing partner to you and your client are enormous. In today's overly competitive environment, you can't afford to make a bad decision.
Vendor Selection Criteria
How can you tell the quality partners from the second-rate providers amidst the noise, industry jargon and messages?
To better understand which providers stand out in the market, Businessolver created a one-page filtering tool (left). This simple checklist will help you determine quickly whether the vendor is qualified to speak with you. If they can't meet all of the listed criteria, you are probably wasting your time speaking with them.
Your Thoughts
What do you think? Do you see the next couple years as the great opportunity or a more of a challenge to survive? Are you able to cut through the confusion and the noise or is it hard to determine the services and fit for different vendors?
News: businessolver.com/buzz
Twitter: twitter.com/jgallic
LinkedIN: linkedin.com/jgallic
Thursday, June 7, 2012
Health Care Reform Bulletin #14
Sent: Thursday, April 19, 2012 5:44 PM
Subject: Health Care Reform Bulletin #14
Here is one person's contribution comes from Wikipedia
"The term adverse selection was originally used in insurance. It describes a situation where an individual's demand for insurance (either the propensity to buy insurance, or the quantity purchased, or both) is positively correlated with the individual's risk of loss (e.g. higher risks buy more insurance), and the insurer is unable to allow for this correlation in the price of insurance.[1] This may be because of private information known only to the individual (information asymmetry), or because of regulations or social norms which prevent the insurer from using certain categories of known information to set prices (e.g. the insurer may be prohibited from using information such as gender, ethnic origin, genetic test results, or preexisting medical conditions, the last of which amount to a 100% risk of the losses associated with the treatment of that condition). The latter scenario is sometimes referred to as 'regulatory adverse selection'.[2]
The potentially 'adverse' nature of this phenomenon can be illustrated by the link between smoking status and mortality. Non-smokers, on average, are more likely to live longer, while smokers, on average, are more likely to die younger. If insurers do not vary prices for life insurance according to smoking status, life insurance will be a better buy for smokers than for non-smokers. So smokers may be more likely to buy insurance, or may tend to buy larger amounts, than non-smokers. The average mortality of the combined policyholder group will be higher than the average mortality of the general population. From the insurer's viewpoint, the higher mortality of the group which 'selects' to buy insurance is 'adverse'. The insurer raises the price of insurance accordingly. As a consequence, non-smokers may be less likely to buy insurance (or may buy smaller amounts) than if they could buy at a lower price to reflect their lower risk. The reduction in insurance purchase by non-smokers is also 'adverse' from the insurer's viewpoint, and perhaps also from a public policy viewpoint.[3]
Furthermore, if there is a range of increasing risk categories in the population, the increase in the insurance price due to adverse selection may lead the lowest remaining risks to cancel or not renew their insurance. This leads to a further increase in price, and hence the lowest remaining risks cancel their insurance, leading to a further increase in price, and so on. Eventually this 'adverse selection spiral' might in theory lead to the collapse of the insurance market."
They call this the "Death Spiral" (we have seen this before with early association type plans).
Consumer Directed Health Insurance
Reuters just published an article based on the Towers Watson and National Business Group on Health that highlghts the trend of consumer directed health plans. Regardless of the ruling from the Supreme Court, HDHP and CDHPs are becoming the mainstay of medical plans for employers.
The challenge facing employers is the amount of education and support needed for CDHPs. In the past, employees only needed to know the cost of the plans and the per transaction charges (Co-Pays, Co-Insurance, etc.) CDHPs require a significantly higher level of education before the open enrollment time period, during OE and post enrollment.
Impact
If you clients have not yet implemented a CDHP benefit offering, there is a pretty good chance that they will in the near future. Being involved with the broker/consultant and client early on in the conversation will allow for an education plan and improved communications.
Have a question? Want to learn more about a specific term or commonly used phrase? Send an email or post it on ask.businessolver.com
Health Care Reform Bulletin # 15
Sent: Monday, April 23, 2012 5:08 PM
Subject: Health Care Reform Bulletin # 15
Subject: Health Care Reform Bulletin # 15
Thank you to those who replied to the last bulletin. If you haven't joined in the conversation, please don't wait any longer.
Possible Outcomes for Supreme Court Ruling
There have been a number of requests to better understand the possible outcomes of the Supreme Court ruling this summer. Here is an article from Milliman, an actuarial and health & wellness consultancy that provides enough detail on the different directions that the courts may take when they render a verdict.
Healthcare Costs Climb
Unfortunately, the cost of healthcare continues to climb. The Standard and Poors Healthcare Economic Composite Index reported last week that healthcare costs increased 5.75% over the past 12 months. You can learn more by visiting www.healthcaretownhall.com but it is interesting to note that the demand for better education, improved modeling for employees doing open enrollment and year round education will increase if the rate of the continues to climb every year.
Our clients want to know what we can offer to help them manage this ever growing expense.
More CO-OPS Announced
Seven states have been approved for hundreds of millions of dollars through a loan project designed to help create CO-OPs ( Consumer Operated and Oriented Plans) The list includes:
Have a question, comment or want to learn more about a specific topic or buzzword? Drop me a line by hitting reply and help everyone at Businessolver become better educated and more informed.
Possible Outcomes for Supreme Court Ruling
There have been a number of requests to better understand the possible outcomes of the Supreme Court ruling this summer. Here is an article from Milliman, an actuarial and health & wellness consultancy that provides enough detail on the different directions that the courts may take when they render a verdict.
Healthcare Costs Climb
Unfortunately, the cost of healthcare continues to climb. The Standard and Poors Healthcare Economic Composite Index reported last week that healthcare costs increased 5.75% over the past 12 months. You can learn more by visiting www.healthcaretownhall.com but it is interesting to note that the demand for better education, improved modeling for employees doing open enrollment and year round education will increase if the rate of the continues to climb every year.
Our clients want to know what we can offer to help them manage this ever growing expense.
More CO-OPS Announced
Seven states have been approved for hundreds of millions of dollars through a loan project designed to help create CO-OPs ( Consumer Operated and Oriented Plans) The list includes:
"Freelancers CO-OP of Oregon, New Mexico Health Connections, Montana Health Cooperative, Midwest Members Health, Common Ground Healthcare Cooperative, Freelancers CO-OP of New Jersey, and Freelancers Health Service Corporation. Starting in 2014, these CO-OPs will operate in Oregon, New Mexico, Montana, Iowa, Nebraska, Wisconsin, New Jersey, and New York. " - Source
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