Benesan

Hospitals Make 3X What Health Insurers Do. And we all know how beloved health insurers are, right? Many hospital associations are warning of financial distress, even bankruptcy, unless commercial and individual reimbursement rates increase. But let’s be honest—efficient hospitals are thriving under the current system. The real problem? Inefficiency and bloated administration eating away at profitability. Many hospitals are middle-heavy, with tenured senior nurses and physicians moving into management roles—what some call “sweater nurses.” It’s an attractive shift from labor-intensive frontline work to meetings and administration, but it’s costly and inefficient. Here’s the thing: ? Every hospital accepts Medicare. ? Most hospital CFOs admit they can profit on Medicare rates—if they reduce redundancies and inefficiencies. ? Reference-based pricing (RBP) isn’t about underpaying hospitals—it’s about paying 125-175% of Medicare, instead of the bloated 300% PPO rates that drive up costs for businesses and individuals. Hospitals made $125 billion in 2023. Insurers made $25 billion. Does that sound like a funding problem or a management problem? Before raising reimbursement rates (which Americans can’t afford), maybe we should insist on better hospital leadership and leaner operations. ?? This podcast with Stacey Richter and Vivian Ho breaks it down: https://cc-lnk.com/EP466 Would love to hear your thoughts—are hospitals making excuses, or is there another side to this story?

?? Calling All Clinical Leaders: Why Benefits Strategy Matters Physicians and clinical leaders play a crucial role in transforming healthcare—but real change requires understanding the business side of benefits strategy. Join this 2-part discussion with three of the nation’s pioneering healthcare and benefits leaders as they share how clinical leaders are driving change by: ? Shaping health plan design with employers to improve care at the source. ? Eliminating barriers & middlemen to enhance patient access and outcomes. ? Bridging the gap between care & coverage for the right care at the right time. ? Lowering costs without sacrificing quality through direct care models. ? Guiding C-suite teams on strategic benefits design. ? Aligning care delivery with employer financial goals for stronger partnerships. ? Building a sustainable healthcare future with better care at lower costs. ?? Join Part 1 of this crucial conversation next Thursday with Dr. Keith Smith, Dave Chase, and Jay Kempton. ?? Webinar registration link in comments. ?? Then dive deeper at FMMA’s “Direct Care Game Changer” conference on April 10–11. ?? Conference registration link in comments. It’s not the same shark-infested market Keith Smith started in—the water is safe, and NOW is the time to jump in. #GameChangers #DirectCare #FMMA #HealthcareLeadership #BenefitsStrategy

?? ERISA Fiduciary Risk: The Largest Undisclosed Risk in Employee Benefits? Dave Chase has long warned about employers' fiduciary responsibility in healthcare procurement—a risk that’s now at the center of a class-action lawsuit against JP Morgan Chase’s board. With ERISA compliance tightening and lawsuits targeting major corporations over mismanaged health plans, executives and board members could face personal liability for failing to act in employees' best interests. ?? Join us this Friday for a flash webinar with Chris Deacon & Julie Selesnick to break down what’s happening—and what employers need to know. ?? Details to come—like, share, or comment to be notified. #EmployeeBenefits #ERISA #HealthcareCosts #FiduciaryDuty

Did you know? Depression and anxiety alone result in the loss of an estimated 12 billion workdays annually. Let’s talk mental health at work. Preventing risks to mental health at work fosters well-being and can provide a good work environment. However, poor working conditions can harm mental health, reducing job satisfaction and productivity. Risks to mental health at work include: ?? Discrimination ?? Poor working conditions ?? Limited autonomy ?? Insecure or low-paid jobs ?? And more The impact on individuals and workplaces is significant: ?? Worsening mental health ?? Less enjoyment at work ?? Absence from work ?? Increased staff turnover

For employers seeing premium renewal estimates of 12-15%, many of these strategies can be used to lower the healthcare spend and improve access for your workforce.

Michigan needs to turn green even if parts of it are blue :).

Congrats Gloria Sachdev. Transparency will shed light on the waste and profits buried in these contracts.

The Art of the Con Who doesn't love a great 'con' movie? But what if you're being 'conned' in real life? Read the summary below in the context of U.S. healthcare and tell me this isn't what's happening. For extra credit, see if you can correctly identify the roles played by your commission-based insurance broker, your BUCAH ASO, and your insurance carrier. Con Jargon: - Short Con: A quick scam that takes all the money the mark has on them, usually opportunistic and not heavily planned. - Long Con: A more elaborate and premeditated scheme designed to extract more money from the mark over time. - Blowing Off the Mark: The act of quickly ditching the victim once they have been fleeced, ideally before they realize what has happened. Key Participants: - The Mark: The intended victim of the con, who is manipulated into parting with their money. - The Roper: this individual identifies with the mark and gains their trust, often initiating the con. - The Insideman: The key player who directly interacts with the mark once they are brought in by the Roper. - The Manager: This person oversees the entire operation, managing the con artists and often acting as the bookmaker for the group. - Extras: Con artists who play minor roles in the con, helping to create a believable scenario. As a reminder, the victim rarely knows they're the "Mark" until it's too late. Don't be a victim.

Are you as excited as we are for the Rosie Awards at RosettaFest 2024? These prestigious awards honor exceptional health plans recommended by benefits advisors, solution providers, or clinical leaders. Join us to celebrate these champions of healthcare innovation and transparency! Will we see you there? #RosieAwards #RosettaFest2024 #HealthcareInnovation