Education Module: Next-Gen Plan Design

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Education Module: Next-Gen Plan Design

Speaker: Ron Peck, Executive Vice President and General Counsel at The Phia Group

The dirty secret of health plans is that higher care costs have, counterintuitively, led to greater profits for the plans. This is changing. Winning health plans will capitalize on the opportunity to fundamentally rethink plan design to be optimized for the fee-for-value era. What takes an average plan to a next-gen plan is the ability to understand and customize to the employer and plan members needs, integrate the right vendors, utilize data, implement cost containment strategies, stop-loss, RBP, and uphold fiduciary duties. Ron takes us through these foundational elements to develop a next-gen plan.