Episode Details

We explore how employers can manage healthcare like any other cost by shifting from insurer-built, passive plans to employer-built, actively managed designs. Carl Schuessler, Jr. shares candid tactics on data, precision testing, and honest change management that help advisors become true risk partners.

• defining a health plan mission that aligns to EBITDA and predictability
• focusing on data hot spots such as MSK, imaging, pharmacy, and facilities
• using billing audits and cost containment partners to reduce leakage
• when and how to apply precision tests as costs drop
• overcoming fear of self-funding with worst-case clarity and reserves
• building crawl-walk-run-fly ramps with navigation, pharmacy, and bundles
• unbundling components to align incentives and improve outcomes
• elevating advisors to CFO-level strategic partners

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