In this Episode, Craig Clemente, President & COO of Specialty Care Management (SCM), came on the show to discuss the growing problem of Outpatient Dialysis, and how his organization specializes in controlling the cost of this...
Rachel Strauss is Director of Strategic Development at EHIM, "national, privately held, woman-owned (WBENC) Pharmacy Benefit Manager (PBM) and Third-Party Administrator that helps organizations proactively contain rising pres...
In this episode, Seth Denson, Co-Founder and CSO of GDP Advisors joined me on the podcast to help explain Insurance Captives. Seth talks about the right size group, the appropriate risk profile to join a captive, as well as ...
Jonathan Lopez, Ed.D - aka "Dr. J-Lo" joins me on this episode to cover the role of the Third Party Administrator from a different perspective than covered previously. He views the role of the TPA as the "Adjudicator", and e...
Yo, what up gang, Spencer here… Thanks for checking out “Self-Funded with Spencer”, a podcast that seeks to educate around, and advocate for, the self-funded health insurance marketplace. It has been said that the best defens...
Episode 7 of "Self-Funded w/ Spencer" with the hardest working person in employee benefits - Lester J. Morales , Founder and CEO of Next Impact ! Lester is seemingly everywhere these days, both literally and virtually, as one...
We have approached self-funding from many different insurance industry angles so far, but the most crucial vantage point is discussed in this episode with Tommy Fulmer - The EMPLOYER's perspective. Tommy is responsible for ac...
Courtney is a Sales Executive with ZERO, which focuses on reducing claims costs to a self-funded plan by directly contracting with providers and paying for procedures with predetermined, agreed-upon pricing bundles. An added ...
4 episodes in and I finally got to talk some stop loss again! Jeff Petty is the President of PACE Underwriters, a Dallas-based Managing General Underwriter (MGU ) of Stop Loss Insurance. He joined me to discuss what an MGU …
Come for education on the Healthcare Navigation industry, and stay for a discussion on Alpacas! Dr. Eric Bricker is a physician, built a successful healthcare navigation company, and is the founder of AHealthcareZ, which focu...
In this episode we begin to drill down into the self-funded conversation to look at the individual moving parts. Today's component is the Third Party Administrator, also known as a "TPA". Jennifer Morgan of Collective Health ...
This is the inaugural episode of Self-Funded with Spencer, where I am joined by the Practice Leader at Roach Howard Smith Barton (RHSB) Insurance, Dennis Fowler. Dennis helped me define Self-Funded for this and future episode...