August 2015

Ep #73: Using Reinsurance for Pharmacy Costs to Mitigate Overall Health Spend – With Crystal Williams

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In the post-ACA environment we have seen intensely increased interest in self insured financing arrangements. Some elements of self-insurance are now making their way out as stand-alone components, and are even being applied to fully-insured plans. Our guest and subject matter expert, Crystal Williams, President of RxReins joins us to discuss reinsuring one of the biggest cost drivers in any plan: pharmacy.

In this episode of The ShiftShapers podcast, Crystal explains the basics of stop loss coverage. We explore strategies and tactics that advisors can use when discussing this cost driver with prospects and clients. Crystal also gives us the carrier’s perspective on this unique strategy as applied to fully-insured plans. This is a novel conversation that will help you to differentiate yourself and deliver value-added intelligence for your clients.

What You’ll Learn From This Episode:

  • The basics of stop loss coverage.
  • Whether it is unusual to apply stop loss to pharma only.
  • How this can work with fully insured plans.
  • The impact of this type of arrangement.
  • What to benefit advisors need to know to discuss this with their prospects and clients.

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www.RxReins.com

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Disrupt of be disrupted

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What do 1995, 2003, 2009 and 2010 all have in common? They were the launch years of industry transformers: Amazon, Skype, Uber and the Patient Protection and Affordable Care Act. Amazon transformed retail, Skype transformed long distance calling, Uber is transforming urban transportation and the ACA is transforming health insurance. Disrupt or be disrupted. Are you disrupting the way you do business, taking a wait-and-see approach, or waiting for someone to disrupt it for you?

I recently attended the National Association of Health Underwriters annual convention in New Orleans with more than 800 other brokers, producers and agents from all across our great country. I talked with many of the attendees about their perspectives on Obamacare and how it has changed their world. Many of them said they were making less money, having less fun and working longer hours. They also expressed frustration with Obamacare’s focus on insurance regulation rather than the real challenge of rising health care costs.

As I listened, one central theme for survival and success emerged for me: Creativity and innovation are the currency of the future, disrupt or be disrupted. It’s a thought process that starts with accepting the reality that our industry will never be the same as it was before 2010 — Obamacare and the advancement of technology are changing our world like never before. Brokers, producers and agents must make the decision to embrace the new normal and evolve their business models or perish.

And yes, it really is that simple. Look no further than Uber for evidence of the “creative destruction” innovation can cause and just ask the taxi cab drivers who invested a million dollars to buy hack medallions that are now worthless how they feel about being transformed.

What can brokers, agents and producers do to disrupt their business and succeed in this new world? It depends on your thinking. How you think matters. Ask yourself this important question, “what is my business philosophy?” The answer usually falls in one of three categories: expense hawk, cautious optimist or innovator. There is no right or wrong answer, just different directions.

Hawks will reduce expenses to maintain the bottom line and “ride it out.” They are reactive in nature. Cautious optimists will make small changes and take a wait-and-see approach. They are reactive and proactive. Innovators create greater value for clients by anticipating their needs and making investments to transform the way you do business with them. They are industry transformers who bring the future back to the present to improve their capabilities and deliver greater value to their clients. I make no judgment either way and simply want to acknowledge that each has a different shelf life.

Positive progress

I suspect many of you are innovators, or at least moving in that direction. Here are five things you can do to help you make positive progress:

  1. Make time to work ON your business rather than in it — and make time to get away
  2. Diversify what you read—think about how those ideas and content can apply to your business
  3. Honestly and objectively think about your business — what works, doesn’t or would change?
  4. Build a culture of innovation and creativity by asking your team for their ideas
  5. Talk to other brokers, agents and producers who are experiencing success and pick their brain

Are you disrupting the way you do business or waiting for someone to disrupt it for you? Disrupt or be disrupted. Your success is only limited by your imagination.

Ep #72: Best Practices and Innovative Agency Techniques – With Emily Bremer

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In today’s environment, the average age of benefit advisors and agency owners is increasing, but there are some younger people coming into the insurance business and they are bringing innovation and new best practices to the table. Emily Bremer, founder at Bremer Conley Insurance Brokers & Consultants is one of those advisors, and she joins us to discuss some of the things her agency is doing.

We discuss some of the issues with the traditional agency systems, as well as compensation compression and what Emily and other new independent benefits advisors are doing to solve those problems. While these newer advisors are “fiercely independent”, you may be surprised at how some of them are joining together to create a cooperative that maximizes resources and eliminates duplication and waste – all of which will increase profitability.

What You’ll Learn From This Episode:

  • Emily’s journey into the insurance business.
  • The problem with traditional agency compensation systems.
  • How and why she is working on forming a cooperative.
  • The new best practices she is developing.

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Ep #71: What You Need to Know About Mergers and Acquisitions – With Brett Rosen

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Merger and acquisition activity has increased dramatically. Fueled in part by new levels of ACA-induced complexity, some benefits advisors are selling their practices and leaving the business. Others are taking a different view and finding opportunities to join forces with other practices to create new practice models that deliver incredible value to their clients.

In this episode of The ShiftShapers podcast, we interview Brett Rosen, Executive Vice President of Mergers & Acquisitions at Digital Benefit Advisors. We begin our wide-ranging interview by exploring the most important things driving the M&A wave. Brett offers his expertise and opinions on the advantages some firms find by becoming a part of a larger organization.

Finally, we touch on the steps that agencies and their owners can take today if they think merging or being acquired might be a future strategy. We also discuss the other side of the equation: what to look for if you want to purchase another entity.

Complexity is going to continue to deepen as our industry undergoes transformative change. Learn how and why this strategy might help you to survive and thrive.

What You’ll Learn From This Episode:

  • The drivers in the recent uptick in M&A activity.
  • How PPACA has impacted the process.
  • The advantages to merging.
  • The steps agencies can take today if they think a merger or acquisition might make sense in the future.
  • What to look for if you want to be the a purchaser.

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Ep #70: Voluntary Benefits, Part 2: The Large Group Market – With Frank Doherty and Brian Jund

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On this second part of our look at the voluntary benefits, we invited Frank Doherty and Brian Jund, Co-founders of National Benefit Partners, to the ShiftShapers podcast to discuss their particular area of specialization – the large group market.

Join us to discover how the large groups have used voluntary benefits in the past and how new benefits are coming to market. We also explore how PPACA has accelerated the interest in voluntary products as a key part of an employer’s overall benefit strategy.

Frank and Brian discuss some of the innovative, non-traditional, solution-based offerings in the VB space that have come to the forefront in the recent years. We also explore the hurdles consultants have to overcome when having effective conversations with clients and prospects and the key role technology plays in the implementation process.

Don’t miss this in-depth look at the similarities as well as the key differences in voluntary benefits offerings, technology and marketing in the large group segment.

What You’ll Learn From This Episode:

  • The large group voluntary benefit offerings of the past.
  • Whether the large employers have been at the forefront of voluntary benefits.
  • How PPACA has impacted the interest in voluntary benefits.
  • Some of the newer, innovative benefits being offered.
  • The role of technology in successful large group voluntary sales and implementations.
  • Whether the large group compensation is structured differently than small group.

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Ep #69: Voluntary Benefits, Part 1: The Small And Mid Market – With Matt Boeshore and Gail Stark

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For many advisors, voluntary benefits have gone from being a specialty area to being an integral part of their everyday businesses. Others are finding VB something they want to become a key part of their business. On this first of our two-part series on voluntary benefits, we invited Matt Boeshore and Gail Stark of eVolve Marketplace to talk about this exciting benefits area, specifically for small to mid-size markets.

Matt and Gail discuss what the voluntary benefits marketplace looked like just a few years ago and how it has evolved in the recent years. We discuss the key role of technology and what benefits advisors need to know to be able to have that VB conversation with employers. We also explore some of the newer, more uncommon benefits being offered and discuss the impact PPACA has had this fast-growing area.

Next week, we will look at the similarities and the key differences in offerings, technology and marketing in the large group segment.

What You’ll Learn From This Episode:

  • How voluntary benefits have changed in recent years.
  • How PPACA has changed advisor’s perspective on voluntary benefits.
  • Some of the newer additions to the voluntary benefits offerings.
  • What advisors need to know to have that first voluntary benefit conversation with a prospect or client.
  • The role of technology plays and whether it is a differentiator or just table stakes.

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