Health Insurance Coverage - Employer And
We are interested to speak with multiple experts who have knowledge in health insurance coverage.
Preferably we would consider 2 perspectives
1. Experts who worked as head of employee benefits division of a mid-sized self-insured employer, a company that pays for health needs of their employees directly, and without a health insurance company.
2. Medical director responsible for utilization management at a medium-sized health insurance company
this would be for a 1-hour paid phone consultation.
To show your relevance in this space, please consider answering the questions below.
1. Briefly, can you share the level or extent of your experience in this space in relation to your previous/current role?
2. Please answer with yes/no or a few brief statements.
2a. Can you share your insights on combatting medical overtreatment, such as unnecessary surgeries, now? What do you like/hate about it?
2b. Do you have an internal estimate of money wasted on medically unnecessary surgeries by the company per year?
2c. Can you speak how “prior authorization process” of expensive medical procedures (e.G. Surgeries) work now? What do you like/hate about it?
2d. Would you be able to disucss any technology-enabled initiatives that you are now taking to make the “pre-authorization process” better and/or combat medical overtreatment if any?
2e. Do you work for a self-insured company?
**please note that we are only interested in your personal point of view and are not seeking confidential information.
***referrals are highly appreciated
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thanks,
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