Category: Health Care


Voluntary benefits & captives: A new paradigm of transparency & control

WP_InnovationBlog_2024

Join us on Thursday, March 28 from 1:00 to 1:30 CDT for Employee Benefit News’ Web Seminar “Voluntary benefits & captives: A new paradigm of transparency & control.”

Presenters

  • Steve Cyboran, ASA, MAAA, FCA, CEBS, actuary and strategy consultant
  • Amy Hollis, CEO/Founder at Employees First
  • Erik Sossa
  • Mimi Leonard
  • Allison Itami, Principal at Groom Law Group

Objective

Today, employers face increasing pressure to reduce costs while increasing the value of Total Rewards in an effort to elevate employees’ wellbeing. In this ever-challenging benefits landscape, there is a ground breaking innovation – the pairing of voluntary benefits with captives. This new approach offers exciting solutions, particularly for large-market employers, but first, but it is critical to understand and evaluate the potential opportunities and pitfalls.

Hear from industry leading benefits experts to learn more about…

  • the market forces driving these emerging solutions
  • the foundational basics – why deliver voluntary benefits through a captive?
  • the best practices for evaluating whether these solutions are a “fit” for your organization
  • expectations for the future
  • why you may not have heard about these solutions until now

Watch CEO Present on “Excess Mortality: A Peek Under the Iceberg”

ICSL A Peak Under the Iceberg

Watch a replay of the Insurance Collaboration to Save Lives (ICSL) presentation on “Excess Mortality: A Peek Under the Iceberg” in which our CEO, Steve Cyboran, ASA, MAAA, FCA, CEBS participated. Steve discusses possible causes leading to an increase in mortality and morbidity post COVID-19, how we can use proactive health risk mitigation to respond, and what the returns may look like.

Presenters

  • Steve Cyboran, ASA, MAAA, FCA, CEBS, CEO, Consulting Actuary, Humaculture, Inc.
  • Josh Stirling, Founder of Insurance Collaboration to Save Lives, Insurtech Advisor, Board Director and Former #1 Ranked Insurance Analyst
  • Valerie Chezem, ASA, MAAA, Assistant Actuary, Everence®
  • Mary Pat Campbell, FSA, MAAA, Vice President, Insurance Research, Conning
  • Teresa Winer, FSA, MAAA, Actuary, Office of Insurance and Fire Safety Commissioner, Georgia

Objective

At the ICSL, dozens of industry executives have been developing a plan to help insurers proactively address the tragedy of on-going 20% increased mortality since 2020. Excess mortality and morbidity is a problem for our industry, and society. The ICSL brings together insurers to work together to solve it. Learn more about the impact we can make in the video. Steve Cyboran presents at 27:31.

Key Takeaways

  • Through May of 2023 US mortality continues to be 20% high for ages 15 through 45
  • There are underlying health conditions leading to excess mortality
  • Insurers and employers can have impact that makes financial sense
  • There are innovative ways to improve financial results

Presentation

Watch the presentation:

Available Support

We are available to support you in your strategy, design, compliance, financial, and monitoring needs. Our team includes business and human relations leaders, finance experts, actuaries, clinicians, behavioral health experts, pharmacy experts, and legal resources to guide you through the strategy and compliance process. Please contact us: [email protected].

Insurance Collaboration to Save Lives (ICSL): Upcoming Actuarial Presentations

2023-05-24 Event Image

Watch our CEO, Steve Cyboran, present at the following events.

Description: Excess Mortality – A Peek Under the Iceberg

Everyone is attentively watching the current excess mortality and morbidity crisis unfolding. We think it’s just the tip of the iceberg. Join our cross-industry team as we share a proprietary analysis of U.S. and global public health data digging into the underlying problems. Discover the iceberg of health problems underlying the elevated death and disability we see playing out in the bottom line. Can anything be done to slow this train? Risk mitigation strategies for insurers will be explored, with an invitation for participants to exchange ideas within the group. This will be a combination of presentation, panel, and Q&A discussion with multiple presenters including actuaries and other industry experts.

By the end of these sessions, attendees will understand:

  • An up-to-date perspective on the current excess mortality and morbidity crisis
  • Insight into the myriad of underlying health conditions
  • Innovative ideas to improve financial results

Country Relevance: Non-Nation Specific

Experience Level: All levels

Presenters

  • Steve Cyboran, ASA, MAAA, FCA, CEBS, CEO, Consulting Actuary, Humaculture, Inc.
  • Josh Stirling, Founder of Insurance Collaboration to Save Lives, Insurtech Advisor, Board Director and Former #1 Ranked Insurance Analyst
  • Valerie Chezem, ASA, MAAA, Assistant Actuary, Everence®
  • Mary Pat Campbell, FSA, MAAA, Vice President, Insurance Research, Conning
  • Teresa Winer, FSA, MAAA, Actuary, Office of Insurance and Fire Safety Commissioner, Georgia

August 23 11-12:15 EDT: SOA Life Meeting

September 11 10:30-11:30 EDT: Society of Insurance Research

September 14 2-3 EDT: SOA Life Meeting Virtual Event

October 25 10-11 AM EDT: 2023 SOA ImpACT Conference

November 7 12:30-1:30 PM EST: 2023 SOA ImpACT Conference Virtual

Available Support

We are available to support you in your strategy, design, compliance, financial, and monitoring needs. Our team includes business and human relations leaders, finance experts, actuaries, clinicians, behavioral health experts, pharmacy experts, and legal resources to guide you through the strategy and compliance process. Please contact us: [email protected].

Houston Business Coalition on Health Conference Presents The Value of Alternative Medical Facility Healthcare

August 2023 HBCH Presentation Image

Join the Houston Business Coalition on Health (HBCH) for its annual meeting where HBCH will be outlining the value of alternative medical facility healthcare. Our CEO, Steve Cyboran, ASA, MAAA, FCA, CEBS will be facilitating a session during the meeting.

Panel topics include:

  • Independent Primary Care Clinics
  • Onsite / Near Site Clinics
  • Retail Clinics
  • Ambulatory Surgical Centers
  • Free Standing Imaging Centers
  • Free Standing Specialty Infusion Centers
  • Community Oncology Clinics
  • Home Health Care
  • Digital / Telemedicine

Event Info

Breakfast and Lunch: Included

Time: August 24, 2023 7:00 AM – 7:00 PM (CDT)

Location: 6500 Main St, Houston, TX, 77030, United States (Rice University – Bioscience Research Collaborative Building)

HBCH Employer Member: $50

Employer Non-Member: $75

HBCH Associate Member: $100

Associate Non-Member: $350

Event Link: https://coalition.houstonbch.org/ap/Events/Register/MrD6wGoP

LinkedIn: https://www.linkedin.com/company/houston-business-coalition-on-health/

Houston Business Coalition on Health Presents Houston Smart Network

2023-05-24 Event Image

Join the Houston Business Coalition on Health for this employer-only event (consultants may come with their client) where HBCH will be outlining the concept, timeline, and benefits for participating in the Houston Smart Network. Our CEO, Steve Cyboran, ASA, MAAA, FCA, CEBS will presenting during the meeting.

Lunch will be served!

HBCH is on the cusp of developing a Houston-based alternative to your regular health plan that provides more for less. HBCH will highlight Smart Network benefits, including better health outcomes, less cost for you and your employees, and an integrated, simple employee experience.

This interactive discussion will include:

  • The urgent need for a Smart Network in Houston
  • Overview of the Smart Network – a different but proven type of benefits option
  • Smart Network Design Elements
  • Actuarial Analysis of the Smart Network
  • Local and National Provider Assessments
  • How to Get Started

Presenters

Objective

Explain the benefits of the Houston Smart Network, understand employer interests, including willingness to support financially, and learn about new Texas legislation that will be gamechanger for employers. Interested employers can contribute to the development of the Houston Smart Network, and each dollar may be matched by two major philanthropic organizations.

Event Info

Fee: Free!

Lunch: Included

Time: Tuesday, June 6, 2023 12:00 PM – 4:00 PM (CDT)

Location: 50 Waugh Drive, Houston, 77007 (United Way of Greater Houston)

Event Link: https://houstonbch.org/smart-network-overview/

Watch CEO Present on Insurance Collaboration to Save Lives

ICSL Image

Watch a replay of the Insurance Collaboration to Save Lives (ICSL) Executive Briefing, in which our CEO, Steve Cyboran, ASA, MAAA, FCA, CEBS participated. Steve discusses how small investments can yield significant returns. Not only does preventive medical screening in this collaborative need to achieve outcomes, but it also needs to make economic sense. Return on investment can be increased by decreasing screening costs, increasing the effectiveness of screening, and targeting larger policies first.

Presenters

  • Josh Stirling, Founder of Insurance Collaboration to Save Lives, Insurtech Advisor, Board Director and Former #1 Ranked Insurance Analyst
  • Steve Cyboran, ASA, MAAA, FCA, CEBS, CEO, Consulting Actuary, Chief Behavioral Officer, Humaculture, Inc.
  • Sven Lohse, Principal, Research at Canton & Company

Objective

At the ICSL, dozens of industry executives have been developing a plan to help insurers proactively address the tragedy of rising mortality and morbidity. Excess mortality and morbidity is a problem for our industry, and society. The ICSL is bringing together insurers to work together to solve it. Find out the impact we can make from Steve Cyboran in this presentation on slides 33-36 and at 32:46 in the video.

Presentation

You can access the slides below.

Available Support

We are available to support you in your strategy, design, compliance, financial, and monitoring needs. Our team includes business and human relations leaders, finance experts, actuaries, clinicians, behavioral health experts, pharmacy experts, and legal resources to guide you through the strategy and compliance process. Please contact us: [email protected].

Watch CEO’s Presentation on Strategies to Reduce Total Cost of Care

HBCH Presentation

Watch a replay of our CEO, Steve Cyboran, ASA, MAAA, FCA, CEBS, present at the Houston Business Coalition on Health on How to Reduce Total Cost of Care Through Organizational Culture. Joining him as a presenter is Ray Fabius, MD, Co-Founder and President of HealthNEXT.

Available Support

We are available to support you in your strategy, design, compliance, financial, and monitoring needs. Our team includes business and human relations leaders, finance experts, actuaries, clinicians, behavioral health experts, pharmacy experts, and legal resources to guide you through the strategy and compliance process. Please contact us: [email protected].

Strategies to Reduce Total Cost of Care, in Search of the Holy Grail

HBCH 12-8 Conference-Logo-2022

Come see our presentation at the Houston Business Coalition on Health (HBCH) conference on Thursday, December 8 for Strategies to Reduce Total Cost of Care, in Search of the Holy Grail.

See Our CEO Present at HBCH

Presenter: Steve Cyboran, ASA, MAAA, FCA, CEBS, Humaculture, Inc. CEO presents with Ray Fabius, MD, Co-Founder and President of HealthNEXT

Fee: Free for employers not in health services (use link below)

Time: Thu, Dec 8, 2022, 1:00 PM – 1:50 PM CST

Topic: TCoC Reduction Through Organizational Culture

Location: 6100 Main St, 77005 (Rice University Bioscience Research Collaborative)

Event Link: https://coalition.houstonbch.org/events/details/strategies-to-reduce-total-cost-of-care-in-search-of-the-holy-grail-693081

Webinar Replay: Pest Management, Minimizing Plan Losses through Fee Disclosure

Pest Management, Minimizing Plan Losses through Fee Disclosure

Watch a replay of the fifth webinar in Humaculture, Inc.’s Hidden Opportunities, Strategic Compliance Series, which focuses on how to use fee disclosure to leverage behavioral design, seek strategic advisors, and optimize plan efficiency.

Presenters

  • Steve Cyboran, ASA, MAAA, FCA, CEBS, actuary and strategy consultant
  • Wes Rogers, Humaculturist® and strategy consultant
  • Jack Towarnicky, LLM, JD, MBA, CEBS, attorney, strategy and compliance consultant

Objective

Beyond basic compliance, this series addresses how to strategically leverage the No Surprises Act and Transparency in Coverage to create a competitive advantage for both the employer and employees.  This session focuses on how leveraging Fee Disclosure as a means of “Pest Management” to leverage behavioral design to align interests with your advisors to take a strategic approach and identify conflicts of interest and inferior value in services provided.

Fee Disclosure Key Takeaways

During this session, participants will learn that:

  • It seems Congress doesn’t believe group health plan fiduciaries are knowledgeable about fees
  • This may be a first step to shine light on fee reasonableness, conflicts of interest
  • While the plan fiduciary remains responsible, advisors are put on notice to disclose
  • Mere compliance ignores the opportunity to cultivate the organizational soil
  • Leveraging Fee Disclosure as a means of “Pest Management” can:
    • Identify conflicts of interest and inferior value in services provided
    • Avoid advisors who haven’t already fully disclosed their compensation
    • Seek advisors who take a strategic approach, cultivate your organizational soil
    • Employ behavioral design to align interests

Available Support

We are available to support you in your strategy, design, compliance, financial, and monitoring needs. To that end, our team of consultants, including actuaries, clinicians, behavioral health, pharmacy, and legal resources are available to guide you through the strategy and compliance process. Please contact us: [email protected].

Watch

Watch the Hidden Opportunities: Pest Management, Minimizing Plan Losses through Fee Disclosure Webinar Replay below, or via Rumble or YouTube.

Webinar Replay: Surpassing Mere Compliance – Including Reference Based Pricing

Hidden Opportunities, A Strategic Compliance Series: Surpassing Mere Compliance - Including Reference Based Pricing

Watch a replay of the first webinar in Humaculture, Inc.’s Hidden Opportunities, Strategic Compliance Series, which focuses on Surpassing Mere Compliance and includes an example of using Reference Based Pricing.

Presenters

  • Steve Cyboran, ASA, MAAA, FCA, CEBS, actuary and strategy consultant
  • Wes Rogers, Humaculturist® and strategy consultant
  • Jack Towarnicky, LLM, JD, MBA, CEBS, strategy and compliance consultant

Objectives

Beyond basic compliance, this series addresses how to strategically leverage the No Surprises Act to create a competitive financial advantage for both the plan sponsor and plan participants. This session focuses on Surpassing Mere Compliance and includes Reference Based Pricing as an example of a strategic response to avoid compliance with many aspects of the No Surprises Act.

Surpassing Mere Compliance Takeaways

During this session, participants will learn:

  • The No Surprises Act doesn’t eliminate all “surprises”
  • The No Surprises Act is likely to be inflationary
  • Mere compliance won’t reign in costs, will increase administration, and may increase litigation risk
  • Using Reference Based Pricing as one example of strategic actions you can take to:
    • Avoid what can be avoided
    • Use tax preferences to finance what can’t/shouldn’t be avoided
    • Communicate all negatives as the result of compliance
    • Inform/educate consumers (before they become patients)

Available Support

We are available to support you in your strategy, design, compliance, financial, and monitoring needs. To that end, our team of consultants, including actuaries, clinicians, behavioral health, pharmacy, and legal resources are available to guide you through the compliance process. Please Contact us.

Watch

Watch the Hidden Opportunities: Surpassing Mere Compliance – Including Reference Based Pricing Webinar Replay below, or via Rumble or YouTube.

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