014: Kara Trott, Founder and CEO of Quantum Health and Walker Bowden, Director of Self-Funded Marketing for Stephens Insurance
Release Date: 05/16/2018
Dr. Joseph Sanford and Dr. Kevin Sexton, Leaders of the Medical Claims Analytics Teams at Stephens Insurance
Stephens
Frank Thomas interviews Dr. Joseph Sanford and Dr. Kevin Sexton on employer wellness programs. They explore the data sets that are available between self-funded and fully-insured plans, the changes in healthcare visits since the start of the pandemic, the kinds of nudges that work to help employees to choose healthy behaviors and participate in wellness visits and screenings.
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Brian Chance, Senior Vice President, Cost Based Efficiency Claims & Risk Manager at Stephens Insurance
Stephens
Frank Thomas interviews Brian Chance on the complexities of the workers' compensation system, a state-regulated system that varies by state. They discuss how employers can obtain and manage state-compliant coverage, whether by buying a policy from an insurance company or third-party administrator, self-insuring, or buying a large deductible and acting as a self-insurer.
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020: David Keisner, Vice President, Associate Pharmacy Benefits Analyst at Stephens Insurance
Stephens
Frank Thomas interviews Dr. David Keisner on the meaning of the recent Supreme Court ruling for PBMs, how increased prescription costs may be passed along to employers and insured patents, how other states may act as a result of this ruling, and the potential ramifications of this ruling on other states’ regulation of healthcare providers, regardless of the federal Employee Retirement Income Security Act (ERISA).
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019: Dr. Geri Bemberg, Vice President & Pharmacy Benefits Analyst at Stephens Insurance
Stephens
Frank Thomas interviews Dr. Geri Bemberg. Geri specializes in prescription drug formulary and pharmacy benefit management solutions. Geri explains what a pharmacy benefit manager does. She covers the types of contracts PBMs make with plans, pharmacy groups and drug makers, and the differences between traditional and pass-through plans. Geri explains the benefits of having Stephens Insurance get involved between the plan and the PBM, and also offer formulary management and pharmacy benefit auditing.
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018: Prentice McIntosh, Vice President of Risk Management at Stephens Insurance — Part 3
Stephens
Frank Thomas interviews Prentice McIntosh, continuing and concluding the conversation on hurricane preparedness in this episode of Stephens Viewpoints. Prentice and Frank discuss steps businesses should take after a hurricane. They focus on getting back to the property and meeting the claims adjuster as quickly as possible, putting in place temporary fixes to mitigate future losses, and revisiting the disaster recovery plan to make sure all aspects of the business are protected.
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017: Prentice McIntosh, Vice President of Risk Management at Stephens Insurance — Part 2
Stephens
Frank Thomas interviews Prentice McIntosh, continuing the conversation on hurricane preparedness, in this episode of Stephens Viewpoints. Prentice and Frank discuss steps businesses may take to cover the business disruptions that come with a hurricane. These can include a storm safety plan, disaster recovery plans, business interruption coverage and contingent business interruption coverage
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016: Hurricane Preparedness — With Prentice McIntosh, Vice President of Risk Management at Stephens Insurance
Stephens
Prentice McIntosh is interviewed by Frank Thomas in this episode of Stephens Viewpoints. Prentice and Frank discuss the steps businesses should take to plan for hurricanes and other disasters, how to recover from disasters, how to drill the disaster plan, and how to obtain appropriate property insurance.
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015: Workplace Health — With Todd Whitthorne, President of ACAP Health Consulting and Tom Kane, Executive Vice President and Director of Life & Health at Stephens Insurance
Stephens
Todd Whitthorne, President of ACAP Health Consulting, and Tom Kane, Executive Vice President and Director of Life & Health for Stephens Insurance, are interviewed by Frank Thomas in this episode of Stephens Viewpoints. Todd, Tom, and
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014: Kara Trott, Founder and CEO of Quantum Health and Walker Bowden, Director of Self-Funded Marketing for Stephens Insurance
Stephens
Kara Trott, Founder and CEO of Quantum Health and Walker Bowden, Director of Self-Funded Marketing for Stephens Insurance, are interviewed by Frank Thomas in this episode of Stephens Viewpoints. Kara, Walker and Frank discuss innovations in engagement that allow members to navigate much better the healthcare maze.
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013: Olin Wage, Senior Vice President and Long-Term Care Advisor for Stephens Insurance
Stephens
Olin Wage, Senior Vice President and Long-Term Care Advisor for Stephens Insurance, is interviewed by Frank Thomas in this episode of Stephens Viewpoints. Frank and Olin discuss why long-term care insurance should be considered as part of a prudent retirement plan, the options available, and options for providing for long-term care needs and expenses.
info_outlineKara Trott, Founder and CEO of Quantum Health and Walker Bowden, Director of Self-Funded Marketing for Stephens Insurance, are interviewed by Frank Thomas in this episode of Stephens Viewpoints. Kara, Walker and Frank discuss innovations in engagement that allow members to navigate much better the healthcare maze.
Key Takeaways:
[:48] Kara’s career before healthcare was working with companies connecting with customers on their journey purchasing consumer goods and services — where people were getting value during the journey.
[1:40] Kara moved into healthcare in an advisory role on managed care strategies. She saw a fundamental problem with the healthcare journey being a bewildering experience for the consumer. She considered ways to shorten the journey and reduce costs.
[3:00] Employers, working with advisors like Stephens, work to get advances in care and treatment to connect effectively with humans. The system, as is, is too complex and benefits are hard to access.
[4:10] Kara wants someone to be primarily responsible for guiding a person requiring healthcare through the journey. She sees companies recognizing that people on a healthcare journey do not act or engage the same as people on a chosen journey.
[4:51] Walker says employers struggle to connect their employees to the services they need when they need them. The Quantum Real-Time Intercept helps to engage employees earlier and catch things when there is time to intervene. Engagement is over 60%. Cost savings come when preventive care is used.
[6:36] Kara sees Quantum Health as an industry disruptor by engaging the member in a customer model rather than a transaction model.
[8:40] Companies are responding to the model. Quantum has grown at 40% a year over the last 10 years. Companies are looking for solutions to get the best from the network.
[10:16] Walker sees that a variety of clients are embracing the Quantum model. Walker explains the Quantum model. It is a one-stop shop for employees.
[12:18] Karen sees advances in technology as positive. But while technology advances, the human experience does not change. The need for healthcare causes agitation. This agitation literally shuts down cognitive functions. There needs to be an expert guide.
[14:17] Walker explains the goals of the Stephens and Quantum Health partnership. They want to educate employers to understand that, from a self-funded viewpoint, there’s a different way to manage risks. Compare your current model to Quantum’s services.
[16:00] Quantum Health calls themselves ‘Healthcare Warriors.’ Members have a better experience and they achieve health savings.
[17:31] Stay tuned for more insights from Stephens Insurance.