Topics:

Third Party Administrator (TPA)
Medical Bill Review
Quality and Cost Transparency
Value-Based Reimbursement
Bundled Payments
Misaligned Incentives
Consumer Experience
Healthcare Navigator

 
In this episode, Michael introduces you to Jeff Bernhard, President of Continental Benefits. Join us as we discuss how Continental Benefits is working to disrupt the TPA marketplace with a focus on lowering healthcare costs, improving healthcare outcomes and enhancing the consumer experience for large employers across the country.
Here’s a glance at what we discuss in this episode:

Jeff’s extensive experience working at one of the largest healthcare insurance companies and why he joined Continental Benefits
How misaligned incentives, lack of transparency and the status quo has eroded our healthcare system
The three key areas of focus for Continental Benefits
How Continental Benefits helps employers reduce costs by reviewing all claims over $5,000 for errors which results in 8-10% savings beyond traditional discounts
The reporting system that Continental Benefits uses that provides predictive and actionable data for the Broker/Consultant and Employers
Why quality transparency is just as important as cost transparency and how Continental Benefits seeks to build this into their Top Care Program
How Continental Benefits integrates both employee incentives to guide employees to high-quality care and value-based provider reimbursement into their claims payment process to reduce employer cost
The ability of Continental Benefits’ platform to aggregate and integrate with various point solutions
How Continental Benefits endeavors to create an exceptional customer service experience to all of their stakeholders (providers, employers, members)
Continental Benefits focuses on targeted population health by engaging the patient and their physician between routine doctor visits to ensure the patient stays compliant with their treatment plan
The percentage of savings an employer may realize by partnering with Continental Benefits compared to the traditional ASO/TPA model
Why it is imperative for employers and consultants to look beyond discount savings and to focus on the overall impact to net cost
Obstacles that Continental Benefits has...

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