NEW – AHP, Catholic Business Owners Healthcare Relief

Catholic Business Owners

The NEW AHP regulations created to fit President Trump’s Executive Order make it possible to create a Catholic Buying Trust. This provides owners a way to control what they pay for in healthcare.

This is the biggest news in benefits since ERISA. Small business owners can keep their firmly held beliefs (respect for all Human life), follow their conscience, offer the Dignity of the Human Person in their Healthcare plan, and own the ability to choose how to lower cost. Perfect! Continue reading “NEW – AHP, Catholic Business Owners Healthcare Relief”

What are ACA changes going to mean?

 Answer: More changes for businesses; it makes the case for a PEO.

ACA image
ACA image

Everyday I’m asked what’s going to happen with Obamacare/ACA now that Mr. Trump has been elected.

After reviewing in detail some of the proposals, like the American Enterprise Institute (AEI) aei-improving-health-and-health-care-online-2015 , a D.C. think tank, I’d have to say more changes are coming to healthcare. It’s hard to imagine more change than ACA but change is imminent. I shudder to think we could have more change in healthcare, we’ve had so much change since Obamcare/ACA was enacted in 2010. But the fact is, even to undo it, more regulations are needed to undo it. Continue reading “What are ACA changes going to mean?”

Looking for other visionaries, leaders, partners, investors

Moving away from systems of record to systems of Engagement

Watch for less than 2 minutes. I’ve marked it to start at about the 30 second mark, if you watch 2:00 minutes mark you’ll capture what I’ve quoted below.

Geoffrey Moore, author of Crossing the Chasm, writes and talks in an understandable way. He is clear about the challenges facing institutions and legacy systems. Slow to happen for a reason, says Mr. Moore:

“unfortunately, it’s not happening nearly as fast as anyone wants because there’s a lot of complications with bringing consumer technologies into the enterprise…”

“… it’s not as actionable yet as we want it to be, we’re so good at doing the system of record actions because we’ve been doing them for decades. This is newer, there’s legal issues such as privacy issues, there’s lots of technical issues as well and so I think people feel a little bit like, my God, there’s such a big hill to climb, where do we start…”

Automation of the Decoder is next for this reason:

I see the automation looking like what Mr Moore calls, “moment of engagement.”

“moments of engagement, which are the critical strategic moments where your strategy wins or loses, and see if you can’t get the technology involved there because that would really change the performance of your company.”

Today insurance and in particular healthcare processes are rooted in “systems of record.” These are legacy systems and processes still require a fax machine to communicate. It’s human intervention in many places. There is a lot of work to do and it won’t be easy but the rewards will be significant. This video clip underlines the fact that moving out of systems of record and into systems of engagement will be hard work and difficult because of the complexities.

I’m hopeful that others who want to enter this space can find their way, marrying underwriting, technical, compliance and operational histories with the latest technology are whats needed.

All insurance is not Created Equal.

A Health Policy Buyers Dilemma

If you’ve had an insurance policy, and we all do, you may not have ever had a claim. The serious claim that is often large, like ten’s of thousands of dollars large is something many people never experience. This causes a purchase dilemma for most people. They must choose a policy without knowing if, at claim time, it will pay as hoped. They may not be entirely sure what to expect even after the sale. It’s popular for a buyer to accept a recommendation from a sales agent because they have to trust that person to match their needs.

Question One

Here’s the rub, many agents are wonderful, terrific people who want to take good care of their customer. There are some, as in any industry, who are going to recommend what’s in their best interest over their clients interest. Unfortunately, it isn’t quite so black and white. In our work with clients and the Decoder we frequently find opportunities for customers and make adjustments to the original recommendations. We’re making a living on finding these opportunities. We can’t say exactly why it is this way but it’s clear there are always opportunities to do better. In case you’re curious, these adjustments along the way pay for the Decoder within a month or two for most groups.

Question Two

There is a second question to be asked. If you’re not worried about your agent’s recommendations and are confident in them, the question is determining their level of confidence in understanding where the opportunities exist for your business. Healthcare is changing daily, we call it “shifting sands,” the speed of change literally keeps me up at night and this is what we do.

Chances are, what your agent knows, comes almost exclusively from insurance carriers and vendors. If you look objectively, you have to say that makes complete sense. After all, selling insurance to business is what they do for their lively hood. You shouldn’t expect something different. Plus, the speed of change makes sorting out all the carrier and vendor and marketplace options really difficult. Is your agent really up on all the options that might fit you, and can they explain those options in a coherent financial manner your CPA would understand?

Assess Two Qualities About Your Agent

I’m probably stating the obvious but it’s important to know where your allegiance lies. In the first case, the agent who you can trust must be screened by you. It’s very likely, you have confidence in your ability to screen out the better agents. You will have confidence then in choosing or keeping your agent.

Let’s assume in the first case that you’ve used a good process to hire an agent. What about the second case, where you are less prepared to assess how up to speed agent is with ACA, reform, plan regulations, policies and myriad of new options? Fact is, it’s highly unlikely that your abilities in this second part are as adequate.

Sales Process Does Not Work in a Buyers Favor

Insurance has the reputation it has because it’s earned it, and because what insurance provides almost seems like selling air. It is complicated and the sales process does not work in a buyers favor. What is common is that most people don’t experience serious claims that test their trust in a policy and agent, and as a result learn too late that they have a problem.

Insurance is complicated and healthcare is among the most complicated. You should almost expect problems if you’re not introducing an outsiders opinion about the decision you’re making for your policy. I’ve built BenStaff to do just that for you. I had to separate myself from the traditions of insurance and stepped out intentionally to offer an alternative. To protect and work with owners to solve the equation for the optimum outcome has been a real struggle and also opportunity. I have no part in traditional insurance and as a result can give you the benefit of insider information without making a living at selling you a product. I work with agents all the time and am happy to work with a customer’s agent. BenStaff does not participate in commissions, fees or overrides or other bonus’ traditionally part of the sales process.

Many businesses feel forced to reduce the decision to who they trust. While this can be good, it exposes your small and large business to the risk that who they choose to trust may not be the right person or not sufficiently knowledgable to tackle the new day.

Gruber Gaff raises healthcare premium

Rationing is being downplayed just as the “Gruber” economics was previously.

Gruber Gaff, his economics doesn’t get to the real economics

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Gruber Gaff Economics

Gruber disguised the true Obamacare objectives and misled the public; at least that’s what I read and hear.

If we keep focused on the Washington yelling match and taking sides the true problem and its’ solutions will continue to be disguised. The “Gruber Gaff” only serves to confuse the many problems in healthcare. No model from Gruber actually gets at the real problems of healthcare economics and that’s why the financial architect of Obamacare was never going to solve “rising Healthcare” prices.

Fighting over right or left politics may make politicians winners but the American public will pay more for their healthcare premium. Gruber is the architect;

“His real contribution, according to most former congressional staffers who actually drafted the legislation, was to provide the economic models to figure out what the impact of different choices would be—like what different levels of subsidies would cost, and especially what would happen to the mix of healthy and sick people if there was no individual mandate.”

Here’s the article; Medical Economist – Will Jonathan Gruber Top…her – POLITICO Magazine copy

Only One Alternative for the Future; “death panels”

“Medicare advisory board that the party has assailed as a death panel.”

The only solution that is possible given the lack of focus by legislators on both sides of the aisle is rationing. It’s a sad day when we consider that rationing healthcare as mentioned in, “The Hill,” article. The democrats have downplayed the death panel discussion since Obamacare’s beginning but the reality that any language is included points to the reality that Gruber, and other architects knew. Healthcare without policy reform had only one option. That was, and is, to limit costs by not allowing some services.

Americans don’t see it coming but it’s clear as a bright full moon, without our politicians joining forces against the forces pushing up healthcare costs, Americans will most certainly have healthcare rationed. American business owners, employees and individuals must begin a conversation that’s all-together different than all of what has gone before. Here’s the Politico article:  BenStaff history: GOP pins hopes of dismantling ObamaCare on the courts _ TheHill