1. Understanding Healthcare Basics and Future Trends
Presented By:
Blanca Abbud, MBA
Senior Consultant, TriNet
Welcome and Intro
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2. Blanca Abbud- Bio UT El Paso, BS in Biology and Chemistry, 2006
Born and raised in El Paso Texas
UT El Paso, BS in Biology and Chemistry, 2006
Texas A&M, MBA concentration in Healthcare, 2016
Resident of San Antonio since 2007
TriNet, Senior Risk and Benefits Advisor, 2013
Ranked Top 10 reps in the nation
Associations:
UTEP Alumni Association, Board Member, 2014
San Antonio Manufacturers Association, Committee Member, 2014
Medical Group Management Association, Member 2015
Business Professionals of San Antonio, Board Member, 2017

3. Agenda Vocabulary Terminology Plan Designs Benefit Comparisons
Strategy
Future Trends in Healthcare

4. Vocabulary
Deductible - (in an insurance policy) a specified amount of money that the insured must pay before an insurance company will pay a claim.
Coinsurance - The percentage of costs of a covered health care service you pay (20%, for example) after you've paid your deductible. Let's say your health insurance plan's allowed amount for an office visit is $100 and your coinsurance is 20%.
Copay - A copayment or copay is a fixed amount for a covered service, paid by a patient to the doctors office before patient receives service from physician. In the United States, copayment is a payment defined in an insurance policy and paid by an insured person each time a medical service is accessed.
Premium - The amount you pay for your health insurance every month. In addition to your premium, you usually have to pay other costs for your health care, including a deductible, copayments, and coinsurance.
Plan Design – Also called the Schedule of Benefits, gives a summary and description of all the benefits covered in the plan.
Out of Packet Max (OPP)- An out-of-pocket maximum is the most you'll have to pay during a policy period (usually a year) for health care services. Once you've reached your out-of- pocket maximum, your plan begins to pay 100 percent of the allowed amount for covered services.

5. Terminology Networks Hybrid Networks – POS, HNO, OA, MC, HSA
HMO – Health Maintenance Organization
PPO - Preferred Provider Organization
EPO – Exclusive Provider Organization
ACO – Accountable Care Organization
Hybrid Networks – POS, HNO, OA, MC, HSA
Insurance Providers
Grandfathered vs. Non-Grandfathered
Self insured vs. Fully Insured

6. Health Plan Designs

7. Benefits Comparison

8. Healthcare Strategy Solutions Options Tools Continuing Education
Contribution Classes
Base and Buy Up
Options
Network coverages
Tools
Not going to the ER or Urgent care
Lower utilization
Wellness Programs
Continuing Education
Best Practices

9. Top Healthcare Trends in 2017
Financial Pinch
Technology
Financial Viability
Risk Management
Population Health Management
Improved Outcomes
Increased Collaboration
References:

10. Takeaways Use visuals and stories to covey our message during meetings
How to have PEO high level discussions
What words to stay away from
Understanding that people learn differently and what way to seel to each learning style
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11. Q&A
Contact Information:
5 minutes Everyone can take turns answering questions as they are asked.
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