Private Exchanges - Healthcare Benefits
We are a global market research firm and are seeking experts who can assist us in answering certain questions regarding private exchanges providing healthcare benefits to corporate in the north america.
1. Factors which help decide when to use a particular type of private exchange - carriers/ insurer or technology based providers or benefits consultants
2. Pros: benefits of using private exchange – avenues for cost savings, efficiency improvement etc. Through private exchanges and how?
3. Cons: challenges/ risks involves in using private exchanges
4. Adoption levels of corporates
a. What type of companies typically go for a private exchange?
B. What is the % adoption in a company with (i) fewer than 50 employees, (ii) between 50 to 1000 employees, (iii) more than 1000 employees
c. Names of large corporates moving towards private exchanges
5. Case studies of how companies reduced costs through private exchanges
6. Pricing structure
a. How are benefits plans priced?
B. What % fees or mark ups do private exchanges get?
C. Total cost of ownership - break up, while engaging with a private exchange
7. Engagement models
a. What are the various engagement models which are typically used while engaging with a private exchange?
B. What are the limitations/caps in place while engaging with a private exchange?
We are looking for a phone or email consultation for a time period of 1 hour to discuss all points mentioned above. Kindly drop in a note with your relevant experience in private exchanges/healthcare benefits segment, if you are interested to proceed.
thomas+29 Other Responses
my mom has recently been diagnosed with lung cancer. She has medicare/hip vip coverage. Medicare has somehow outsourced the bureacracy to an organization called healthcare partners. Working with them is proving laborious and scary. We havent even gotten to the point where the cancer is staged and they are practicially obstinant.
I would like to know if i can get my mother's coverage changed to a better version of medicare w a supplemental program that cares if the patient lives or dies.
My mom is a retired nurse. She deserves better.
I need someone who can explain how medicare/medicare works and what are the best choices of supplemental programs for a 73 year old nys resident.+5 Other Responses
Medicare Advantage Plans
Looking to start a medicare advantage plan/ part d.
We would like to speak to consultants who are knowledgable in this area, someone who has processed such plans in the past and well aware with the compliance requirements.+8 Other Responses
Health Plan Reimbursement
We are interested in connecting with individuals who are familiar with:
health plan reimbursements
value based care
we need to speak to individuals at:
healthcare providers (stand-alone hospital, healthcare system, idn, physician practice group, etc.)
providers of health plan
the ideal experts will have the following titles:
chief medical officer
chief medical information officer
chief information officer
other c-level (e.G., ceo, coo, cfo, etc.)
president or general manager
ideal experts will need to be either decision makers or influencers for 1 of the following functions:
a. Supporting or developing our value-based reimbursement capabilities
b. Selecting new systems, technology, or third party solutions to improve the quality of patient care
c. Selecting new systems, technology, or third party solutions to improve the ability to manage reimbursement-related risks
d. Selecting new systems, technology, or third party solutions to improve the cost-efficiency of operations
e. Selecting new systems, technology, or third party solutions to improve overall competitiveness in a value-based reimbursement environment
they must be working in the following departments/functional areas:
finance or accounting
patient care or care coordination
payment, reimbursement, or value-based reimbursement
healthcare analytics or predictive modeling
strategy+28 Other Responses