Self-Funded Insurance Plans: Returning Healthcare Decisions Back to the Employer

July 7, 2014
Hosted by Robert Chamberlain

[Download MP3] [itunes] [Bookmark Episode]

Guest Information


[View Guest Page >]

Episode Description

Owners of small-to-medium sized companies believe the Affordable Care Act ripped how to provide healthcare benefits for their workforce out of their hands. They feel they have two options: endure high-cost premiums for insurance that covers benefits that do not make sense for their workforce or endure penalties and risk an increase in turnover by sending their employees to the health insurance exchange. However, thanks to new offerings from insurance companies, third-party administrators and exemptions to the ACA’s section 9010, proactive employers are partnering with consultants to create healthcare programs designed for their employees. Join Robert and his guest, Bill Beeler from Risk Solutions Captive, as they discuss the financial impact the ACA and its employer mandate has had on businesses. What health insurance options, including self-funded plans, are now available to companies of all sizes? How can companies contain healthcare costs and risks with the help of a captive?

Inside Healthcare: Critical Thinking for Turbulent Times

Inside Healthcare: Critical Thinking for Turbulent Times

Archives Available on VoiceAmerica Business Channel

Inside Healthcare: Critical Thinking for Turbulent Times brings together healthcare and business leaders from our home base of Nashville, Tennessee and throughout the country who are in the trenches, changing the dynamic on how healthcare is delivered in the United States. Our show focuses on those who are breaking down traditional industry barriers to build bridges between organizations and forging the necessary partnerships and infrastructure needed to improve care. Inside Healthcare takes an honest look at today’s health care industry, challenging issues and celebrating solutions in population health management in the commercial market.

  • Snag
  • ecard
  • Bookmark and Share
Robert Chamberlain

Robert Chamberlain

Robert Chamberlain is the founder, chairman and CEO of Applied Health Analytics, LLC. He is a veteran executive and noted entrepreneur with over thirty years of experience. Robert travels across the country talking to health systems, hospitals, TPAs, benefit consultants, health organizations and employers to encourage them to take control in today’s healthcare environment and create a new paradigm that meets not only ACA requirements but delivers revenue or contains costs. Robert is a frequent speaker on entrepreneurialism and successful payer-provider partnerships and has authored numerous articles which have appeared in such publications as The Tennessean, Healthcare Financial Management Magazine, Executive Insight, Medical Practice Insider, Benefits and Compensation Digest, Health Management Technology and Modern Healthcare. He was named a Nashville Business Journal 2014 Healthcare Hero.

  • Snag
  • ecard
  • Bookmark and Share

Episode Directory

October 2014

September 2014

August 2014

Jacob Arthur

Jacob Arthur currently serves as manager of security and risk services for FDH Consulting, LLC. His expertise includes security planning, penetration testing & vulnerability assessments, it audit, PCI, business continuity, project management, systems implementation and network architecture. Jacob received bachelors of science in computer science and accounting and a masters of accountancy from Lipscomb University in 2008, and is a current Ph.D. candidate in information security at Nova Southeastern University. Jacob was the 2011 Nashville Emerging Leader Award winner in Technology and serves as a practitioner faculty member in Lipscomb University’s Masters of Information Security program. View Guest page

Episode Listing:

George Babish

George Babish serves as senior vice president of organizational advancement for The YMCA of Florida’s First Coast in Jacksonville, Florida. Babish is responsible for strategic planning, membership and program growth strategies, leadership development, and healthy living initiatives and partnerships. During the 11 years prior to joining The YMCA of Florida’s First Coast, Babish facilitated strategic plans, led successful CEO searches and helped nurture the Florida Alliance of YMCA’s to create a unified and cause driven group.He was instrumental in reshaping the strategic planning process that the national YMCA organization, YUSA, utilizes with local branches. In addition, Babish helped create the invaluable Real Time Strategic Planning toolkit and has served on numerous YUSA task forces and committees. View Guest page

Episode Listing:

Bill Beeler

Bill Beeler is CEO and founder of Risk Solutions Captive, Inc., a captive insurance company located in Hendersonville, Tenn. that provides innovative solutions for companies with 50 or more employees in the self-funded arena. Bill has more than 39 years of experience serving as an administrator and consultant to employee benefit trust plans. His experience includes serving on the Administrator’s Committee for the International Foundation of Employee Benefit Plans as well as extensive dealings with the Department of Labor and the Internal Revenue Service with regard to 501(c)9 Benefit Trust Plans. Before forming Health Cost Solutions, formerly W.C. Beeler and Company and current RSC partner, Bill was vice president of a nationwide third-party administrative firm. He has served a number of associations and organizations as an expert on employee benefit plans and has conducted a variety of workshops and seminars on employee benefits. View Guest page

Episode Listing:

Dan Birach

Dan Birach serves as president of the HEALTHWORKS Division at Carolinas HealthCare System. Birach leads strategy for long-term health improvement and population management in the business community at Carolinas HealthCare System (CHS), focusing on innovation, leadership and customers. He has more than 25 years of experience in healthcare management and has held executive positions at Alere, Agfa HealthCare and AT&T prior to joining CHS. Birach earned a master’s degree in business administration with a focus on finance from the University of Dayton and a bachelor’s degree in logistics and materials management from Michigan State University. View Guest page

Episode Listing:

Shealynn Buck, MD

Shealynn Buck, MD serves as the executive director of Employee Health Solutions at DeKalb Medical in Atlanta, where she leads an interdisciplinary team in the development and delivery of population health strategies and programs for DeKalb Medical employees and Atlanta-based employers. After graduating magna cum laude with a Bachelors of Science in Biology from Kennesaw State University, Dr. Buck earned a medical degree from Emory University School of Medicine. She is a board-certified pathologist with a background in community and population, including experience as an Assistant Medical Director at the American Red Cross and Senior Medical Laboratory Director at Quintiles, the world’s largest bio-pharmaceutical services organization. Dr. Buck is certified as a Health and Wellness Coach through the American College of Sports Medicine endorsed Wellcoaches® program. View Guest page

Episode Listing:

Ernie Clevenger

Ernie Clevenger is president of CareHere, LLC, which provides onsite medical, wellness and pharmacy management for employers. CareHere onsite medical, wellness, and pharmacy centers offer appointment scheduler, electronic medical records, and patient lab reporting. The company operates 170 clinics in 23 states. Clevenger co-founded EBM Solutions, which provides evidence-based medical guidelines. He served as a chairman for Self-Insurance Institute of America, Inc. and Workgroup for Electronic Data Interference, named in HIPAA to advise the United States DHHS secretary on selecting electronic healthcare transaction standards. Mr. Clevenger holds a bachelor’s degree in mathematics from David Lipscomb University, a master’s of business administration from Vanderbilt University and a FLMI from the Fellow Life Management Institute. View Guest page

Episode Listing:

Roland Garcia

Roland Garcia serves as senior vice president and chief information officer for Baptist Health, ranked No. 1 in 2013-2014 for the Jacksonville, Florida area by U.S. News & World Report. He is responsible for establishing plans and directions for Baptist Health technology investments. Garcia has more than 34 years of experience in the healthcare information technology field. Garcia spent 15 years in Pensacola, Florida as vice president and chief information officer for Baptist Health Care. Baptist Health Care received numerous awards and recognition for innovation in use of technology including 100 Most Wired, 50 Best Websites across industries, Fortune 100 Best Employers, and the Malcolm Baldrige National Quality Award. He began his healthcare career at The Methodist Health System in Houston, Texas where he was part of the team that began introducing information technologies in the care delivery process of this large health system. View Guest page

Episode Listing:

Russ Guerin

Russ Guerin serves as a healthcare consultant and executive coach for business leaders located throughout the U.S. Prior to his current role, Guerin was the executive vice president for business development and planning at Carolinas HealthCare System (CHS) where he led development and implementation of community relations, marketing, public relations, managed care, strategic planning and business development strategy. He also implemented the system’s and regional employers’ corporate health and wellness programs. Guerin joined CHS in 1987 as vice president, Financial Services and has held multiple positions in the organization. He previously served as a manager at Deloitte & Touche. Guerin holds a bachelor of science in accounting from the University of Illinois and a master of health systems management from Rush University. Guerin is a Fellow in the American College of Healthcare Executives. View Guest page

Episode Listing:

Beth Kustcher

Beth Kutscher is the healthcare finance reporter for Modern Healthcare, and is based in the Nashville bureau. She previously was a content editor and pharmaceutical reporter for the New York-based Mergermarket Group, a news service then owned by the Financial Times. Her work has appeared in media outlets including Crain’s Detroit Business, FT.com, PRWeek, Medical Marketing & Media and the Staten Island Advance. She is a graduate of Cornell University, where she was editor of the Cornell Daily Sun. View Guest page

Episode Listing:

Gene Lane

Gene Lane is vice president of client services and integration for Applied Health Analytics, LLC. Lane helps channel partners grow, streamline and increase the value of its commercial market business. He develops and directs the on-boarding process for new channel partners. Lane previously served as director of corporate health at Floyd Medical Center in Rome, Georgia. Prior to Floyd Medical Center, Lane was the managing director of business development at an Ascension Health subsidiary. A certified athletic trainer, he received a bachelor’s degree from the University of Tennessee, Knoxville. Lane is a member of the National Athletic Trainers Association, the Association of Professional Ball Players of America, the Tennessee Athletic Trainers Society and the Middle Tennessee Society of Human Resources. View Guest page

Episode Listing:

Dexter Shurney, MD

Dexter Shurney, MD is the chief medical director and executive director for Global Benefits, Health and Wellness for Cummins, Inc. Prior to this position, Shurney was the chief medical director of the Employee Health Plan for Vanderbilt University and Medical Center. During his tenure at Vanderbilt, he held joint faculty appointments as assistant clinical professor, Division of Internal Medicine and Public Health, and adjunct faculty, Owens Graduate School of Management. Tennessee Governor Phil Bredesen appointed Shurney as chair of The Diabetes Prevention and Health Improvement Board in 2007. In addition, Shurney served as senior vice president and chief medical officer for Healthways, health policy strategist in the Division of Global Government Affairs for the biotechnology company Amgen Inc. and chief medical officer and vice president of medical affairs for Blue Cross Blue Shield of Michigan. Shurney is board-certified in general preventative medicine and public health. He co-authored the how-to book for employers, “Integrating Wellness into Your Disease Management Programs.” View Guest page

Episode Listing:

Bryan Sivak

Bryan Sivak joined HHS as chief technology officer in July 2012 where he helps HHS leadership harness the power of data, technology, and innovation to improve the health and welfare of the nation. He previously served as the chief innovation officer to Maryland Governor Martin O’Malley, where he led Maryland’s efforts to embed concepts of innovation into the DNA of state government. Prior to his time with Governor O’Malley, Sivak served as chief technology officer for the District of Columbia, where he created a technology infrastructure that enhanced communication between the District’s residents and their government, and implemented organizational reforms that improved efficiency, program controls, and customer service. He previously worked in the private sector, co-founding InQuira, Inc., a multi-national software company, in 2002, and Electric Knowledge LLC, which provided one of the world's first Natural Language Search engines available on the web in 1998. View Guest page

Episode Listing:

Jeff Trinkwon

Jeff Trinkwon is the first vice president at Alliant Employee Benefits, where he works for local and national employers on all aspects of Employee Benefit Consulting and Risk Mitigation. He has more than 20 years in the insurance industry serving in a variety of roles and responsibilities. Prior to joining Alliant Employee Benefits, he worked at MetLife for 15 years, most recently as a zone director, managing clients with 500 employees to 100,000 employees with ancillary and voluntary employee benefit coverage. Trinkwon serves on the Non-Profit Board for Atlanta Pet Rescue. He holds multiple insurance licenses and was recognized as a Who’s Who in business. Trinkwon participated in the Business Executive Acumen Program at Babson College, Babson Park Massachusetts and achieved a bachelor’s degree in business administration in Risk Management and Insurance from Georgia State University. View Guest page

Episode Listing:

Larry Van Horn, Ph.D.

Larry Van Horn, Ph.D. is the executive director of health affairs and an associate professor of management (economics) at Vanderbilt University Owen Graduate School of Management. Prior to joining Owen Graduate School of Business, Van Horn served as associate professor of economics and management at the William E. Simon Graduate School of Business at the University of Rochester, where he created and served as director of the Institute for Health Care Management. Van Horn is a recipient of the Ruth L. Kirschstein National Research Service Award Fellow, awarded by the U.S. Department of Health and Human Services. He earned a master’s of public health , a master’s in business administration from the University of Rochester and a doctorate from the Wharton School of the University of Pennsylvania. View Guest page

Episode Listing:

David Windley

David Windley serves as the managing director and founding member at Jefferies' Healthcare Equity Research where he covers a broad range of healthcare product and service sectors, including managed care, healthcare information technology and pharmaceutical services. He is a five-time Wall Street Journal Best on the Street honoree and Starmine award recipient. Windley is an alumni board member of the Owen Graduate School of Management, a member of Leadership Healthcare and served as an officer and board member of the CFA Society of Nashville. He achieved a master’s degree of business administration from the Owen Graduate School of Management at Vanderbilt University. View Guest page

Episode Listing:

Damon Work

Damon Work serves as a partner at FDH Consulting where he is responsible for process and information technology consulting, financial audits and technology audits. He has over eighteen years of experience and specializes in consulting services that include risk based, information security and management consulting. Prior to joining FDH Consulting, Work acted as managing consultant for IBM and senior auditor for Arthur Anderson. He earned his bachelors of business administration in accounting from Harding University. View Guest page

Episode Listing: