Explanation of Benefits-logo

Explanation of Benefits

Health & Wellness Podcasts

Explanation of Benefits is designed to shed light on topics of interest to everyone from employers and HR leaders to benefits advisors, brokers, and everyday folks who want to become better-educated consumers of care. EOB is hosted by Dr. Jay Moore and JR Clark, who together have decades of experience in healthcare and insurance. This dynamic duo excels at sharing their wealth of knowledge in a fun and easy-to-digest manner. To learn more, visit us at https://www.paytient.com/.

Explanation of Benefits is designed to shed light on topics of interest to everyone from employers and HR leaders to benefits advisors, brokers, and everyday folks who want to become better-educated consumers of care. EOB is hosted by Dr. Jay Moore and JR Clark, who together have decades of experience in healthcare and insurance. This dynamic duo excels at sharing their wealth of knowledge in a fun and easy-to-digest manner. To learn more, visit us at https://www.paytient.com/.

Location:

United States

Description:

Explanation of Benefits is designed to shed light on topics of interest to everyone from employers and HR leaders to benefits advisors, brokers, and everyday folks who want to become better-educated consumers of care. EOB is hosted by Dr. Jay Moore and JR Clark, who together have decades of experience in healthcare and insurance. This dynamic duo excels at sharing their wealth of knowledge in a fun and easy-to-digest manner. To learn more, visit us at https://www.paytient.com/.

Twitter:

@paytientapp

Language:

English


Episodes

The Ins and Outs of Contracting Methodologies

7/13/2022
We're celebrating 10 episodes today! To mark this momentous occasion, Dr. Jay and J.R. do a deep dive into the various contracting methodologies that insurance companies use when talking to hospitals. They start with fee-for-service models, which pay a set amount of money to providers for a given service. They also explain bundled payments, which see providers take a single payment for a collection of related services. And finally, they look at capitation — weighing all healthcare costs...

Duration:00:27:03

Smoked Brisket With a Side of Innovative Benefits (w/ Josh Butler of Butler Benefits & Consulting)

6/29/2022
We're thrilled to welcome Josh Butler, president of Butler Benefits & Consulting, to the podcast to chat about everything from entrepreneurship and the changing nature of employee benefits to Texas barbecue. Josh is fresh from his recognition as the 2022 BenefitsPRO Broker of the Year, and he discusses that honor as well as some of the innovative strategies his firm delivers to clients. If you'd like to connect with Josh and learn more about his approach to benefits, you can get details at...

Duration:00:32:56

Dad Jokes Meet Insurance Networks

6/15/2022
It's nearly Father's Day, and dad jokes are in the air! After making each other groan with some punny quips, Dr. Jay and J.R. delve into perhaps one of the most important functions an insurance company serves: creating a network of providers. This episode touches on everything from why providers are willing to participate in networks to what is actually outlined in the contracts between the payors and providers. They also cover what happens when patients seek care outside of those networks....

Duration:00:24:12

Talking TPAs and SHRM22 (w/ Scott Brewster of 90 Degree Benefits)

6/1/2022
Dr. Jay and J.R. welcome a special guest to the podcast today: Scott Brewster, the executive vice president of sales and marketing at 90 Degree Benefits. Scott discusses life as a third-party administrator, including how the role has evolved over the years. Scott also looks ahead to the Society for Human Resource Management's annual conference, which is slated for June 12-15, 2022, in New Orleans, Louisiana. Additional details on SHRM's conference and expo are available at...

Duration:00:40:16

Startup Life and the Future of Benefits (w/ Darius Chehrzad from Paytient)

5/18/2022
This week, Dr. Jay and J.R. welcome yet another guest to Explanation of Benefits. And they didn't have to look far to find him! Darius Chehrzad is Paytient's chief commercial officer and oversees the company's go-to-market strategy as well as business development and partnerships. A native of Canada, Darius is fluent in four languages and holds an MBA from the Tuck School of Business at Dartmouth College. Prior to joining Paytient, Darius was an associate partner in McKinsey & Company’s New...

Duration:00:29:05

A Holistic View of Employee Benefits (w/ Chris Labrecque from Insurance Office of America)

5/4/2022
We're trying something different for our fifth episode of Explanation of Benefits. Today, Jay and JR welcome their first guest! Chris Labrecque, president of Insurance Office of America's Employee Benefits Group, joins the podcast today to talk about the unique approach his consulting house takes in providing employee benefits and insurance information to employers all over the country. Chris embraces a truly holistic view of employee benefits, working to improve employee health and...

Duration:00:27:51

How Do Insurance Companies Segment Their Business?

4/20/2022
In our fourth episode, JR and Jay talk about the ways that insurance companies segment their business. After breaking down the differences between government and commercial business for insurance providers, they spend some time in the commercial space discussing how insurance companies split things up and generally look at the world. Are you not sure about the difference between Medicare and Medicaid? Curious about what insurance companies do with all of the premiums they collect? Just want...

Duration:00:25:26

The Benefits Buffet

4/6/2022
In our third episode, Dr. Jay and JR talk food. Well, sort of. They discuss insurance using some brilliant food analogies. Enjoy a piping hot bowl of acronym soup while learning about PPOs, EPOs, HDHPs, and more. Then, take a stroll through the benefits buffet to get a better idea of how these various approaches to insurance impact the benefits members receive. Bon appétit! *** Questions? Comments? Feedback? Email us at podcast@paytient.com! For additional information on high-deductible...

Duration:00:24:25

Going Back to School for Health Insurance 101

3/23/2022
In our second episode, Dr. Jay and JR take a deeper dive into the health insurance world. After discussing health insurance as a concept — looking at what a health insurance company actually does and does not do — they explore the basics of how a health plan is put together and created. Finally, they cover what those benefits look like in the real world for members of a given insurance plan. *** Questions? Comments? Feedback? Email us at podcast@paytient.com! Interested in learning more?...

Duration:00:41:58

A Brief History of Health Insurance

3/9/2022
Welcome to Explanation of Benefits! In our inaugural episode, Dr. Jay and JR explore the history of health insurance. Listen along as we journey from the inception of accident insurance in the 1800s all the way through to the Affordable Care Act becoming law in 2010. *** Questions? Comments? Feedback? Email us at podcast@paytient.com! Interested in learning more? Subscribe to the Paytient newsletter for a steady stream of high-quality content. For more information on Paytient, head to...

Duration:00:34:45