Partnering with innovative health benefit advisors and self-funded employers | Delivering DIRECT relationships with high-quality doctors | High-Quality Care, Transparent Prices, Significant Savings
𝗜𝗻𝘀𝗶𝗴𝗵𝘁𝘀 𝗳𝗿𝗼𝗺 𝗘𝗹𝗶𝘇𝗮𝗯𝗲𝘁𝗵 𝗠𝗶𝘁𝗰𝗵𝗲𝗹𝗹, 𝗖𝗘𝗢 𝗮𝘁 𝗣𝘂𝗿𝗰𝗵𝗮𝘀𝗲𝗿 𝗕𝘂𝘀𝗶𝗻𝗲𝘀𝘀 𝗚𝗿𝗼𝘂𝗽 𝗼𝗻 𝗛𝗲𝗮𝗹𝘁𝗵 As the CEO of PBGH, Elizabeth has line of sight on $350 Billion of annual healthcare spending by member employers. She sees what's broken and where the opportunities exist. Elizabeth was recently interviewed on the Relentless Health Value Podcast by the always great Stacey Richter. Full episode is linked. Below are a just a few of the highlights... 𝗢𝗻 𝗗𝗶𝗿𝗲𝗰𝘁 𝗖𝗼𝗻𝘁𝗿𝗮𝗰𝘁𝗶𝗻𝗴... "[Employers] are going to be moving more and more into these direct relationships where they understand exactly what's going on. It's all visible and transparent and they have more control because one of the key changes under the CAA is they are now being held to an expert standard. They can't say, well, my consultant told me to do it or my health plan said it was a good idea. They are being held to an expert standard. They have to take this in house. They have to really dive into what is happening, where the money is going, what are the outcomes that they are getting, and they've got to own it. This is going to be a very different dynamic going forward. They are accountable and that accountability will be passed on to all of their partners." 𝗢𝗻 𝗧𝗿𝗮𝗻𝘀𝗽𝗮𝗿𝗲𝗻𝗰𝘆 𝗮𝗻𝗱 𝗖𝗼𝗻𝗳𝗹𝗶𝗰𝘁𝘀 𝗼𝗳 𝗜𝗻𝘁𝗲𝗿𝗲𝘀𝘁... "Brokers, consultants, health plans, PBMs, now with this newly transparent information, [employers] are realizing [vendors] were not always working on their behalf. They have said, well, my consultant advised this, I really trust them, I like them, I've known them for years. I'm paying them $20 to $30 PMPM so they should be giving me the best ideas and the best deals. And as this starts to come to light, it is really unnerving for the purchasers who thought they were doing the right thing. They trusted people who weren't aligned with their needs. So, we have [employer] members right now saying, I don't know who to get unconflicted, trusted guidance from." 𝗢𝗻 𝗗𝗼𝗰𝘁𝗼𝗿𝘀 𝗜𝗻𝘁𝗲𝗿𝗲𝘀𝘁𝗲𝗱 𝗶𝗻 𝗗𝗶𝗿𝗲𝗰𝘁 𝘁𝗼 𝗘𝗺𝗽𝗹𝗼𝘆𝗲𝗿 𝗥𝗲𝗹𝗮𝘁𝗶𝗼𝗻𝘀𝗵𝗶𝗽𝘀... I can't describe the number of times we are approached by providers who want to work directly with employers. Maybe not all of them, but there are a lot of them out there who are ready for that type of relationship.
EP436: Let’s Talk About TPA and Health Plan Inertia Instead of Jumbo Employer Inertia, With Elizabeth Mitchell | A Scrupulously Fair Assessment of What is Wrong and Right about American Healthcare
relentlesshealthvalue.com
Tim Denman
9mo
Disintermediation is necessary!
It's great to see leaders like her paving the way for positive change in healthcare.
jeff leston
9mo
I spoke with her about this. we agreed you can't outsource oversight.
Co-President, Aventria and QC-Health. Host of Relentless Health Value - award-winning podcast about healthcare value.
9moThanks so much for sharing your highlights Dean Jargo, and calling out these quotes that really emphasize how important the work that you and others are doing to further health, and help communities and their business community flourish when they aren't sagging under the weight of unrelenting and wasteful healthcare spend.