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https://www.bizjournals.com/dayton/news/2019/07/02/employee-benefits-companies-executives-talk.html

 

A newcomer to this year's list offers a number of new initiatives to best assist clients.

One new service Benefits Analysis Corp. in Troy has implemented is reference-based pricing. The strategy reimburses hospitals based on Medicare reimbursements instead of a traditional PPO. This pricing can save employers up to 50 percent on inpatient hospital claims, totaling to thousands of dollars in direct savings to self-funded companies.

This new service can help meet one of the industry's largest challenges — rising health care costs.

"Healthcare prices are going up faster than any other industry," said Michael Dugan, vice president of sales. "I believe it's the biggest cost crisis in the U.S. and it limits a company's ability to grow."

Dugan noted additional best practices companies can consider: Working with employees that are eligible for other types of insurance coverage such as Medicare; having quarterly employees meet to help explain the benefits of a health savings account; and maximizing pre-tax savings.






Is a High-Deductible Supplement Right for you?

Last week I met with a lady in in Tipp City.  She turns 65 in November and wanted help deciding on a Medicare plan.  She already met with a broker in Dayton but wanted a second opinion and she saw my article in the newspaper. 
The broker in Dayton explained the difference between a Medicare Supplement and Medicare Advantage plan and she liked certain aspects of each.  The Medicare Supplement was more expensive but offered better coverage and she could see any doctor that accepted Original Medicare.  The Medicare Advantage was cheaper but limited her providers and had more out-of-pocket expenses.   She was very healthy and didn’t want to pay $150 for a Supplement but she lived in Florida for 4 months of the year and and the Medicare Advantage plan didn’t work there. 

I ended up signing her for a High-Deductible F plan that was about $50 per month.  The High- Deductible F plan is a Medicare Supplement that has a $2,180 deductible.  After the deductible doctors and hospitals are 100% covered.  It’s technically a Medicare Supplement so it works nation-wide but it’s cheaper than a traditional Supplement.  Also, her financial exposure was $2,180 instead of $5,000 with a Medicare Advantage plan.  It was the perfect compromise!

High-Deductible F Plans are great but they still haven’t caught on. Last year only one percent of the Supplements sold nation-wide were High-Deductible F plans.  I think that number will go up in the next couple years for several reasons.  Your Out-Of-Pocket expenses for Medicare Advantage plans are going up and your choice of providers are going down.  A High-Deductible Supplement could be the perfect compromise for you.  As always, if you have questions or want more information please call my office anytime.

Michael Dugan is a representative of Benefits Analysis Corporation, an independent health insurance agency in Troy Ohio. Michael Dugan is a licensed health insurance broker with an MBA in Health Care Management.  Benefits Analysis Corporation can be reached at 937-335-5751 or This email address is being protected from spambots. You need JavaScript enabled to view it. or visit www.BenefitsAnalysis.com. You can also follow Michael on twitter @HealthcareMikeD.

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