In our knowledge segment, we talk a little bit about a big expense – pharmaceuticals. Many employers don’t know that prescription drugs make up 25-30% of their total healthcare spend. In fact, these numbers are projected to get more dramatic, reaching 50% in the next few years.
Then we talk with Jake Frenz of SmithRx about the ways that we can continue creating value in the pharmaceutical space, his history of serving in the Marines, and a short digression into… classical music? In between Andrew Clayton’s prospects as a classical pianist, ski trips, and some shots taken at golf, we discussed the specific levers that can fix the problems of outsized pharmaceutical prices.
Finally, in the “you know they’re a knucklehead when…” section, we discussed the role of people skills versus strategic vision in relationship-based businesses. It turns out – who knew? – that if you’re giving advice to someone, you need more than a good golf swing and a box of donuts.
Episode 9 | 30:00 MIN
In this episode, we go over the phenomenon of medical inflation and what parts of the COVID-19 pandemic have contributed to rising medical costs – as well as what self-insured employers can do about it. Then we chat with Brian Olsen of Sterling Seacrest Pritchard (SSP) to talk about his deep, committed relationship with self-funding […]
Episode 8 | 06:58 MIN
How is anyone able to buy specialty pharmaceuticals without going broke? What are some of the economic pressures on doctors to prescribe expensive meds? Where is Andrew Clayton hiding, and will he be back next time? Join us with special guest host Ashley Hull and guest Rashaun Reid of ParetoHealth as they team up with […]
Episode 7 | 35:00 MIN
How do you provide first-class healthcare benefits while also containing costs? That’s the main question of this live episode, recorded with Suzanne Lutz, Laura Williams, and Santina Daily, three captive Members from very different industries and backgrounds. What they all have in common is a complete dedication to the well-being of their employees and a […]
Episode 6 | 30:51 MIN
Guest host: Jack Longstreth, SVP, ParetoHealth In our second live episode from our San Diego Members’ Meetings Andrew Clayton and guest host Jack Longstreth chat with two VP’s of Human Resources: Kim Bauer of Altra Federal Credit Union and Lisa Levanger of Wasatch Property Management Inc. This episode delivers great conversation about how a high-quality […]
Episode 5 | 34:11 MIN
Guest host: Jack Longstreth, SVP, ParetoHealth We took the bold step of recording this episode before a “live audience” at our recent Paradigm and StructuRe Members’ Meetings. Andrew Clayton and guest host Jack Longstreth have a lively conversation with two great CFOs: Jill Kindell of Miami Valley Steel and Chris Bissinger of Essential Ingredients. This […]
Episode 4 | 41:07 MIN
Why does stop-loss premium increase at a different rate than medical trend? We broke down why on this episode. It turned out there was some math involved. Hilarity ensued, but we got to the bottom of “leveraged trend” when it was all over. And with only a small number of… all the insurance terms you […]
Episode 3 | 41:07 MIN
We’re talking lasers, but not the “pew-pew” kind. This is our conversation on stop-loss lasers and how they’re calculated. Lasers are among the most pressing concerns for employers, so we break down the details. Then we’re joined by Billy Potter, CEO of Snellings Walters, to talk about his journey into insurance, how business culture eats […]
Episode 2 | 37:43 MIN
How does a stop-loss carrier calculate their rates? Why is it good to be big? Should people be shamed for not being able to do math in their heads? We sit down to talk about these burning questions and much, much more. Helping us get to the heart of it all is Cara Kirsch, Area […]
Episode 1 | 34:54 MIN
We explain why the so-called “fully insured” model is neither full nor insured. We talk with Austin Madison of Hub International about baseball, his crazy high GPA, and how he realized that a self-insured model was better for his clients and his business. Then the gloves come off and we take on the knuckleheads, the […]
Health insurance, dissected.
It’s a take-no-prisoners journey into the heart of health insurance co-hosted by two of its major disrupters. The Andrews (Cavenagh and Clayton of ParetoHealth) give you fresh insights and perspectives. Join them in their conversations with guests who are also transforming an antiquated industry and reshaping the way employers select and implement healthcare benefits.Hosts