Employers Round Table…

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Presentation transcript:

Employers Round Table… Best practices for best results.

EMPLOYERS ROUND TABLE “WE LIVE IN CHALLENGING TIMES – AND MANAGING A HEALTH PLAN IS NOT AT ALL WHAT IT USED TO BE.”

EMPLOYERS ROUND TABLE “TODAY WE ARE GOING TO FOCUS ON BEST PRACTICES. AT THE END OF THE DAY IT CAN MAKE THE DIFFERENCE BETWEEN THE SURVIVAL OR DEATH OF A HEALTH PLAN”

How do you best evaluate key service providers? EMPLOYERS ROUND TABLE How do you best evaluate key service providers?

EMPLOYERS ROUND TABLE Is there anything that would automatically disqualify anyone from being a key provider for your plan?

EMPLOYERS ROUND TABLE Give us an example of the most important key providers that can make or break a health plan…

EMPLOYERS ROUND TABLE What does Chronic Care Management look like? And does it help the plan’s bottom line?

Can you describe some successes of chronic care management? EMPLOYERS ROUND TABLE Can you describe some successes of chronic care management?

EMPLOYERS ROUND TABLE How about some chronic cases that were not so good.. What did you learn?

What impact will Telemedicine have on health care plans? EMPLOYERS ROUND TABLE What impact will Telemedicine have on health care plans?

How do you increase utilization for Telemedicine and Wellness? EMPLOYERS ROUND TABLE How do you increase utilization for Telemedicine and Wellness?

EMPLOYERS ROUND TABLE How has the increase in pharmaceutical costs affected your health plan?

How can an employer manage the cost of specialty drugs? EMPLOYERS ROUND TABLE How can an employer manage the cost of specialty drugs?

EMPLOYERS ROUND TABLE Please explain reference-based pricing. For out-of-network claims, is it the way to go? Do you have the fortitude to do this?

EMPLOYERS ROUND TABLE What is the most significant thing you have done for the wellbeing of your health plan?

EMPLOYERS ROUND TABLE CONCLUSION… QUESTIONS…