Impact Healthcare Podcast

Lester J. Morales
  • 5,0 (20)
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Impact Healthcare Podcast

Health benefits, one of the top 3 organizational expenses, become increasingly more costly each year with no end in sight. Health insurance disruptor Lester J. Morales interviews cutting-edge industry leaders implementing innovative strategies to lower healthcare costs by more than 20% while improving care quality for employees and their families. Need to see it to believe it? Subscribe to Impact Healthcare now!

  1. -1 J

    Transforming Healthcare Through HR: Culture-Driven Benefits, Self-Funding & Employee Impact with Sepa Sete

    What if your healthcare benefits did more than check a box—what if they changed lives? In this episode of the Impact Healthcare Podcast, host Lester Morales is joined by Sepa Sete, VP of People + Learning at Mocean, for a candid and practical conversation about how HR can take the lead in creating people-first organizations through intentional benefit design. Sepa shares the journey that led Mocean to move from a traditional fully-insured model to a self-funded healthcare plan that not only reduced costs but dramatically improved the employee experience. She breaks down how her team: Mapped the entire employee lifecycle to align every stage with meaningful support Reimagined healthcare benefits to match their company culture and evolving talent needs Added family planning coverage after losing key candidates due to outdated benefits Introduced virtual healthcare with Galileo to improve access and reduce unnecessary costs Expanded paid parental leave and began building support for employees caring for aging parents Used listening and data to guide strategy and improve employee satisfaction This episode includes powerful real-life stories, including how one benefit decision helped a couple become parents, and how a personalized approach to healthcare made all the difference for a team member battling cancer. If you're an HR professional, benefits advisor, or business leader looking to: Improve talent retention and recruitment Offer better healthcare without raising costs Create alignment between company culture and benefits Explore whether self-funding is right for your organization This conversation will challenge the status quo and offer a roadmap to meaningful change. Listen now and subscribe to the Impact Healthcare Podcast for more stories and strategies from leaders redefining the future of employee benefits.

    40 min

  2. 2 AVR.

    Real-Life Insights from the Front Lines of Healthcare Innovation

    Description: In this solo episode, Lester Morales shares his recent travel experiences, uncovering powerful insights from various healthcare markets across the United States. From groundbreaking direct-to-employer strategies in Southern California to employer-driven captive insurance solutions in Napa Valley, and proactive healthcare coalitions in North Carolina, Lester reveals how forward-thinking employers and advisors are reshaping the healthcare landscape. Discover the immense benefits of direct contracting, innovative captive structures, and collaborative approaches to healthcare management. Lester challenges employers and advisors alike to adopt new strategies, prioritize patient care, and reimagine compensation models based on true value delivered. Top 5 Key Moments: 02:35 - Transformative Direct-to-Employer Strategies 10:50 - How Hospitals and Employers Can Both Win 16:20 - The Power of Captive Insurance Programs 21:45 - Employers’ Hunger for Healthcare Innovation 27:50 - A Challenge for Advisors to Create True Value Listen in to learn actionable strategies and foster meaningful healthcare innovation in your community. Subscribe to the Impact Healthcare Podcast for groundbreaking insights into the future of employer-sponsored healthcare. #HealthcareInnovation #DirectContracting #CaptiveInsurance #HealthcareStrategy #EmployerHealthcare #AdvisorInsights #LesterMorales

    24 min

  3. 19 MARS

    Is Reference-Based Pricing (RBP) Really That Controversial?

    Reference-Based Pricing (RBP) often gets a bad rap, but is it really the healthcare villain many believe it to be? In this Impact Healthcare Podcast recap episode, host Lester Morales dives into the reality of RBP, debunking common myths and clarifying misconceptions about this innovative healthcare pricing strategy.Discover how reference-based pricing, when implemented effectively, can benefit employers, employees, and even healthcare providers. Lester shares insights and real-world stories, illustrating why understanding this approach is crucial for employers looking to lower healthcare costs responsibly.📌 Key Takeaways:How RBP differs fundamentally from traditional PPO programs.Why traditional healthcare pricing methods may incentivize higher costs.The surprising parallels between RBP and existing healthcare payment models.Real-life examples of successful implementations of reference-based pricing.If you're an employer, healthcare professional, or simply someone interested in learning effective ways to reduce healthcare costs, this episode provides essential insights.👉 Subscribe to the Impact Healthcare Podcast for more powerful insights and actionable tips to revolutionize your healthcare strategies.#ReferenceBasedPricing #HealthcareCosts #ImpactHealthcarePodcast #CostManagement #EmployeeBenefits #RBPEducation #HealthcareInnovation #LesterMoralesHere are the 5 most important timestamps from your episode:1:18 - The Problem with How RBP is Currently Viewed2:42 - Why Insurance Companies May Not Want Lower Costs5:06 - How Reference-Based Pricing Works6:40 - Debunking Myths about RBP & Hospital Acceptance9:15 - The Importance of Claims Auditing

    15 min

  4. 19 MARS

    Why Employers Should Build Direct Relationships with Hospitals

    In this solo episode of the Impact Healthcare Podcast, Lester Morales tackles the critical conversation around the value of directly connecting healthcare providers and employers. Lester highlights why traditional network-based approaches might not be the most effective way to manage healthcare costs, explaining why closer relationships between employers and hospitals could revolutionize how healthcare costs are controlled, benefiting everyone involved. Discover how employers, employees, and healthcare providers can all win through direct contracting, eliminating unnecessary financial burdens and collection risks. Lester breaks down real-world scenarios to showcase the tangible benefits of bringing healthcare closer to home. 📌 Top 5 Key Moments: 02:06 - Who Actually Decides Healthcare Prices? 05:00 - The Hidden Problem with Healthcare Pricing 08:46 - Building Direct Relationships Between Employers and Hospitals 10:09 - Real-world Example: Employer and Hospital Collaboration Benefits 15:40 - Why More Employers Should Consider Direct Contracting Explore the power of collaboration in healthcare and find out how you can foster meaningful change in your community. 👉 Subscribe to the Impact Healthcare Podcast for impactful strategies and valuable insights into innovative healthcare solutions. #HealthcareCosts #DirectContracting #ImpactHealthcarePodcast #EmployeeBenefits #EmployerBenefits #HealthcareInnovation #HealthcareStrategy #LesterMorales

    27 min

  5. 5 MARS

    Unlocking Healthcare Savings with Reference-Based Pricing: Insights from Omar Arif

    In this episode of Impact Healthcare, host Lester Morales dives deep into the world of Reference-Based Pricing (RBP) with Omar Arif, Senior Vice President of Growth at Claim DOC. Together, they explore how RBP is disrupting the health benefits industry by replacing traditional PPO networks with a more transparent, cost-effective approach. Omar shares real-life examples of how organizations can save millions while improving access to care, debunking myths surrounding RBP and addressing common challenges. Whether you’re an employer, benefits consultant, or healthcare professional, this episode provides actionable insights to rethink your healthcare strategy. Key Takeaways:    What is RBP? A simplified breakdown of how RBP determines fair, transparent pricingfor healthcare services.       Overcoming Misconceptions: Tackling fears and addressing the perceived complexity of adopting RBP.         The Role of Advocacy: How proactive communication with providers ensures a seamless transition for employees and minimizes disruptions.       Audit and Fiduciary Responsibility: How Claim DOC’s rigorous auditing process safeguards plan assets andensures fair pricing.       Real-World Success: A case study highlighting a 41.4% reduction in healthcare costs for a 300-employee agricultural company.      Employee-Centric Focus: The importance of lowering employee contributions while improving healthcare access. This episode is a must-listen for anyone seeking innovative solutions to reduce healthcare costs without sacrificing quality. Connect with Claim DOC: Visit claimdoc.com, follow them on LinkedIn, or check out theirpodcast, Claim Talk, available on Spotify and YouTube. Listen now to discover how you can take control of your healthcare costs and create a lasting impact!

    50 min

  6. 19 FÉVR.

    The Power of Direct Primary Care: Redefining Employee Healthcare with Dr. Eric Crall

    On this episode of Impact Healthcare, Lester Morales dives deep into the revolutionary model of Direct Primary Care (DPC) with Dr. Eric Crall, a pioneer in transforming primary care. From the challenges of traditional healthcare to the incredible impact of DPC on employers, employees, and the healthcare system, this episode is packed with actionable insights. Key Takeaways:        What is DPC? A subscription-based healthcare model that eliminates insurance reimbursement and focuses on patient care.      The Employer Advantage: Learn how businesses like car dealerships and restaurants have reduced healthcare costs by up to 25% while improving employee satisfaction.      Why Employees Love It: No more waiting rooms, rushed visits, or financial barriers—DPC provides personalized care with unlimited access to doctors.      Lifestyle Medicine at the Core: Dr. Kroll explains how addressing root causes like stress, sleep, and nutrition prevents chronic diseases and improves overall well-being.    How DPC Scales: Whether your employees are spread across states or constantly on the go, discover how DPC ensures seamless, high-quality care. Real-Life Impact: Dr. Crall shares success stories, including a car dealership that saw substantial cost savings while offering better benefits. Employees gained access to care without out-of-pocket expenses, creating a healthier and more engaged workforce. Who Should Watch? This Episode?      Employers looking to cut healthcare costs and attract/retain top talent. Advisors seeking innovative ways to optimize health plans. Employees curious about how DPC can revolutionize their healthcare experience. What You’ll Learn:       The pitfalls of traditional fee-for-service models.      Why DPC is the future of primary care.         How employers can implement this model to benefit everyone involved. Take Action Now: If you're ready to explore DPC for your organization or want to connect with Dr. Aaron Kroll, visit Subscribe for More: Stay ahead of the curve with the latest strategies to disrupt the health benefits industry. Hit like, share, and subscribe to Impact Healthcare today!

    50 min

  7. 5 FÉVR.

    Tearing & Steering: The Future of Healthcare Cost Management with Josh Butler

    In this episode of Impact Healthcare, host Lester Morales welcomes Josh Butler, President of Butler Benefits and Consulting and High Plains Health Plan, to discuss the game-changing Texas House Bill 711—the "Tier and Steer Bill." This new legislation allows self-funded employers to customize health plans and incentivize employees to choose high-quality, lower-cost providers through financial benefits like $0 deductibles and co-pays. Josh shares how High Plains Health Plan has pioneered this approach, proving that transparent, direct contracting reduces costs while improving care quality. What is HB 711? Texas is leading the way by legally recognizing tiered healthcare models that reward smarter healthcare choices. How "Tier and Steer" Works: Employees pay less (or nothing) when they choose high-quality, cost-effective providers in Tier 1 networks. The Big Insurance Companies’ Role: Why traditional carriers don’t fully adopt these models—premium equals revenue. Direct Contracting Advantage: How negotiating with hospitals directly results in better deals, without hidden network fees. Employer Action Steps: Start with a risk assessment, analyze your claims data, and shift to cost-effective healthcare solutions. Bottom Line: If you’re still managing healthcare benefits the old way, you’re missing out on significant savings and better employee outcomes. Subscribe now for actionable strategies that lower costs and impact healthcare for the better!

    14 min

  8. 22 JANV.

    Captive Insurance Demystified: Control, Ownership, and Real Savings with Phillip Holowka

    In this episode of Impact Healthcare, host Lester Morales sits down with Phillip Holowka, COO of Complete Captive Management Services, to dive deep into the world of captive insurance. Together, they explore how captives empower employers to take control of their healthcare expenses, build equity, and improve employee benefits. Phillip shares his journey from EMS to the insurance industry, offering insights into why captives are a game-changer for businesses of all sizes. Whether you're a seasoned CFO or new to the concept, this episode provides a clear roadmap to understanding captives and their potential for revolutionizing your healthcare strategy. Key Takeaways:       Captive Insurance 101: Understand the difference between group captives, single-parent captives, and traditional insurance models. Control and Ownership: Learn why owning a captive puts you in charge of your healthcare dollars and policy language.        Risk Mitigation: Discover the importance of identifying and addressing high-cost claims to drive long-term savings.         Real-World Examples: Hear how employers, big and small, have leveraged captives to generate underwriting profits and reduce expenses.   Employee Impact: Learn how captives can align incentives, improve transparency, and enhance employee satisfaction. Actionable Insights: Captive insurance is more than a financial strateg it’s a commitment to proactive risk management and long-term savings. Connect with Phillip Holowka: Visit completecaptive.com or connect with him on LinkedIn to explore if a captive is the right solution for your organization. Subscribe now and join the movement to disrupt the health benefits industry with innovative strategies and actionable insights!

    51 min
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À propos

Health benefits, one of the top 3 organizational expenses, become increasingly more costly each year with no end in sight. Health insurance disruptor Lester J. Morales interviews cutting-edge industry leaders implementing innovative strategies to lower healthcare costs by more than 20% while improving care quality for employees and their families. Need to see it to believe it? Subscribe to Impact Healthcare now!

Informations

  • Création
    Lester J. Morales
  • Années d’activité
    2021 - 2025
  • Épisodes
    71
  • Classification
    Tous publics
  • Copyright
    © Lester J. Morales
  • Site web de l’émission
    Impact Healthcare Podcast

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