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Healthcare Simplified: Clarity | Transparency | Solutions

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30: Overcoming Compliance Challenges with the FLSA w/ Sandy Krauer

The Fair Labor Standards Act (FLSA) covers minimum wage standards that are so complicated, you need a flowchart to track them. This is one of the things I learned from my recent podcast with Sandy Krauer, director of HR services with Total Focus HR Solutions. Some things to remember: There is a federal minimum hourly wage -- $7.25/hour was established in 2009 and hasn't changed since thenEach state can set its own minimum hourly rate -- it can be higher or the sameCounties can establish...


29: An HR Pro Explains the Family Medical Leave Act w/ Sandy Krauer

The Family Medical Leave Act works for everybody. It also confuses a lot of people. The FMLA protects employees who are dealing with crisis situations in their immediate family from losing their jobs. And it protects employers from having to give PTO to everyone who darkens their door. The standards are strict, the rules complex, and keeping everyone in compliance is the job of HR experts like Sandy Krauer. If you have questions about your rights and responsibilities, either as an...


28: Why Transforming Healthcare Starts With Educating Your Employees w/ Doug Aldeen

Americans pay the highest health care costs in the world and it only continues to increase, year after year. Our guest today is Douglas Aldeen, a healthcare attorney who’s been practicing for more than 20 years. In a survey done by Policygenius, only 4% of Americans could correctly define the four healthcare terms that explain how much you personally pay for services and drugs on your insurance plan. And when a majority of employers rely on “industry experts” to help them make decisions...


27: How Telemedicine is Redefining the Management of Chronic Diseases w/ Suzanne Shugg

Now more than ever, Americans are dealing with a variety of chronic diseases which are requiring an unprecedented level of healthcare. In this episode, I sit down with Suzanne Shugg, CEO and Co-founder of Teleplus Healthcare to discuss how her team is changing the way that providers and their teams manage chronic diseases.


26: 3 Simple Ways To Improve Your Leadership Abilities w/ Siona Henderson

Leadership is often lacking today in the business world because leaders are using outdated processes. They rely on old-school methods of leadership that haven’t kept up with the evolution of society. But truly transformational leaders have high emotional intelligence. They help coach their teams. They understand that leadership is a skill that you can develop, and they take intentional steps to improve their skills! As a executive and life coach, Siona Henderson has worked at both small...


25: How To De-Stigmatize Mental Health w/ Matt Marek

There is still a stigma surrounding mental health. Americans are quick to dismiss and slow to empathize with those who have mental health struggles. But the reality is that many more of us will deal with a similar struggle at some point in our life than we realize. Matt Marek is the CEO of Good Neighbor Community Services. Matt has spent his career erasing this stereotype and getting people the help they need. From in-home care to corporate environments, Matt’s company helps those who need...


24: Disrupting the Healthcare Supply Chain w/ Gary Becker

Are healthcare costs stealing the American dream? According to today’s interview with ScriptSourcing CEO Gary Becker, they are. Though historically benefits have provided employers a means of attracting and retaining employees, now healthcare costs alone are second only in expense to payroll. And costs continue to rise. The onset of industries like Medical Tourism and growing disruption by companies like ScriptSourcing, are not only helping employers mitigate their expenses relative to...


23: How Employers Can Encourage Whole Patient Care w/ Paige Cooke

Employers want the workforce to be as healthy as possible—but health doesn’t always seem like something the American healthcare system is set up to provide. We recently interviewed Paige Cooke, Assistant Director of Customer Engagement at NCQA (National Committee for Quality Assurance) in Washington D.C., about healthcare delivery and finance—and how employers can navigate this intricate system. Everyone is using a different definition of quality, and nobody is communicating about how to...


22: Stakeholder Insights Into Healthcare’s Evolution and Future w/ Rick Gonzalez

We know more now than we ever have about what makes us healthy. Why then do healthcare costs continue to rise? Today we interview Rick Gonzalez from CommuniCare about the evolution of healthcare and the obstacles and solutions facing stakeholders. When it comes to our health, Rick knows that prevention and engagement are two of the most effective means to driving down costs and keeping patients well. The challenge is ensuring that prevention and engagement are aligned with what we know...


21: Understanding Healthcare Payment Methodology w/ Peter Gallitano

How does healthcare payment methodology work in light of the four stakeholders of healthcare finance? How can self-funded employers make the art and science of medicine valuable for themselves and their employees? We recently interviewed Peter Gallitano, a healthcare executive with an academic background in pre-med and finance and professional experience in the clinical, financial, operative, and tactical components of medical providers. With regard to gaining value in healthcare, Peter...


20: Getting to Know Medical Captive Underwriters w/ Donald McCully

Is there a way to save money from insurance? Will taking a risk end up saving money in the long run? Today we interview Don McCully from Medical Captive Underwriters, and he has a goal to have captive underwriting be as transparent as possible. When it comes to captive underwriting, Don knows that there are risks that need to be measured out when proposing new plans, and sometimes they are risks that employers don’t want to take. That is, until they realize the potential of what they...


19: How Cross-Cultural Sensitivity Leads to a Better Healthcare Experience w/ Lisa DeRoche

We’re all just asking for a little respect. We all have different backgrounds, cultures, income-levels, and experiences. Our co-workers, bosses, and customers all have different ways of seeing the world than we do. Those differences can divide us and make it harder to work together, or they can be a reminder to treat each other with the same respect we want to receive. That’s why cross-cultural sensitivity in the workplace is and always will be important. In this episode, Lisa DeRoche,...


18: Report Cards for Healthcare w/ Beatriz Coningham

If your healthcare provider got a report card, what would it say? Beatriz Coningham from the National Committee on Quality Assurance has the information at her fingertips, but do the decision makers in your Human Resources department? In this episode we interview Beatriz, who is the NCQA’s Assistant Vice President of Human Resources.


17: Solutions to the Primary Care Problem w/ Stephen Schimpff

Primary care physicians have a time deficit. Rising overhead costs due to the reimbursement system force physicians to take on too many patients. On top of that, unhealthy lifestyles cause massive health concerns that primary care physicians don’t have the time to address. So the problem is pretty obvious, but how do we fix it? How do we give primary care physicians the time required to properly treat patients and positively contribute to a higher quality of life while also mitigating...


16: The Problem with Primary Care w/ Stephen Schimpff

Once upon a time, primary care physicians handled all but the most perplexing specialized cases. Those were the days in which a doctor wasn’t running from room to room for 12-minute (or less) visits. They had the time to actively listen to patient concerns and the familiarity with the patient history to handle the cases without referring to a specialist. It’s hard to find that type of relationship today due to the way that healthcare has changed. The burden of rising overhead costs and...


15: How to Not Lose Employees w/ Todd Tangeman

If you’re an employer struggling with this idea of improving retention and reducing turnover, you're not alone. You need to solve the retention puzzle, ASAP. You need to hear from Todd Tangeman, the Chief Operating Officer and Chief Human Resources Officer for Newton Medical Center. Retention represents a lot of value. “There are costs associated with hiring and training and onboarding folks,” Tangeman said. “There’s a cost when good members leave.”


14: Self-Funded Employers: Quit Losing Money to Hospitals w/ John Glascott

Everybody in the healthcare continuum should care about AMPS. Because reference-based payment is the future, that’s why. Today’s episode of Healthcare Simplified features John Glascott, Chief Revenue Officer of Advanced Medical Pricing Solutions (AMPS), which offers medical bill review. “We have something we call clinical only medical reviews that review overcharges mistakes—what we call fat finger—a charge that was $710 entered as $71,000,” Glascott said. Find a breakdown of this episode...


13: 3 Ways You Can Prevent Hospital Error w/ Leah Binder

Let’s get the bad news over with first. The number of people who die from hospital mistakes could be as high as 400,000 per year. On today’s episode of Healthcare Simplified, Tyler Willse interviews Leah Binder, President and CEO of the Leapfrog Group. She specializes in helping employers use their leverage to get safer and higher quality care for their employees. “When they looked at their own covered lives, they were stunned to realize that they were potentially losing an employee every...


12: The Pros and Cons of Reference-Based Pricing w/ Karl Ahlrichs

Wouldn’t it be great to walk into a doctor’s office and have them tell you exactly how much a procedure is going to cost? Mechanics do it. Contractors do it. Even veterinarians do it. But, for the most part, doctors don’t. Or, it might be more accurate to say, they can’t. Our healthcare system just doesn’t work that way. In this episode, Karl Ahlrichs, with Gregory and Appel Insurance , breaks down what reference-based pricing is, and how it can help limit post-doctor visit sticker...


11: How Much is Your Lifestyle Costing You? w/ Jim Campbell

It shouldn’t surprise anyone that daily decisions and lifestyle choices affect health. The next step, of course, is that these decisions in turn affect healthcare costs. The main issue in combating prevalent problems like obesity and prescription costs has been figuring out how to quantify how an individual’s choices cost. The rise of wearable technology and wellness apps are beginning to solve this problem. In this episode, Jim Campbell, President and CEO of BWell, gives some insight into...