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Survive & Thrive In A “Reformed” Market. DAHU Luncheon August 17, 2010 Reid Rasmussen. The Average Agent’s Book: 2011. Free Market Health Insurance. 90 %. 10 %. A Couple Other…. Too Much Input Paralyzes. President Obama Says Supreme Court Will Uphold Healthcare Law - PowerPoint PPT Presentation
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Survive & Thrive In A “Reformed” Market
DAHU LuncheonAugust 17, 2010
Reid Rasmussen
The Average Agent’s Book: 2011
A Couple Other…
90%
10%
Free MarketHealth Insurance
President Obama Says Supreme Court Will Uphold Healthcare Law
Massachusetts Health Insurers Post Strong 2Q Earnings
Insurers Accept "Insufficient" Rate Increases In Effort To Contain Health Costs
Demographic Factors Keep Texas' Uninsured Percentage High
Tele-Health Expected To Benefit Low-Income, Minority Patients
Too Much Input Paralyzes
What will you
CHANGE THIS WEEK
to
SURVIVE & THRIVE
in 2014?
ImplicationsTo Your Business• Subsidies & Exchanges• Modern Benefits• A Strategic Reaction to:
–Decreased Commissions– Increased Workload
57% of Your
ClientsWill Be
Subsidized
Subsidies & Exchanges:
How Much of Your Book Is At Risk?
100% FPL133% FPL
400% FPL
Medicaid
Inco
me
Popu
lati
on
63%
13%19%
Quote & Select CoverageBill & EnrollCheck Subsidy Eligibility
Functions Within An Exchange
IndividualsEmployers
Implications of Exchanges
Quote & Select Coverage
Bill & Enroll
Check Subsidy Eligibility
IndividualsEmployers
Exchange Free Market
Health Insurance
• ½ Small Group Will Be Through Exchange• Less Commissions in Exchange & Out• Decide: Will You Work In the Exchange?
Canada: Evolution of Benefits
Health Coverage
Lab/Imaging
Outpatient RxSingle Room
Ambulance
ChiropracticMental Health
Health CoverageHealth CoverageHealth CoverageHealth CoverageHealth CoverageHealth Coverage
Canada: Evolution of Benefits
Health Coverage
Lab/Imaging
Outpatient Rx Single Room
AmbulanceChiropracticMental Health
America’s Modern Benefits• Ambulatory• Emergency• Hospitalization• Maternity & Newborn• Mental Health / Sub Use• Rx• Rehabilitative• Laboratory• Preventive / Wellness • Pediatrics
Your Strategic Reaction to Reform
Reduced Commissions +Increased Carrier Workload +
Increased Government Workload +The Quote Is A Commodity +Your Advice is Indispensible =
Bill For Services
How Do You Bill For Services?• Articulate Your Differentiators:
1. 2. 3. 4. 5.
1
How Do You Bill For Services?• Learn What You Do:• Track Hours
–By Client• By Employee
–All Year
2 • Quoting• Planning• Meetings• Calls• Allocations
• Overhead• Study Reform
& Industry
How Do You Bill For Services?• Decide What You’ll Charge For
–New Government Reporting –Reform Updates–Total Compensation Statements–Coach For Rolling to Exchange
3
The Average Agent’s Book: 2011
A Couple Other…
Free MarketHealth Insurance
Your Book: 2014 & Beyond
Quote & Select Coverage
Bill & Enroll
Check Subsidy Eligibility
IndividualsEmployers
Modern Benefits
Bill For Services
Exchange Free Market
Health Insurance
A Couple Other…