Healthcare
Employer-Built Healthcare Plans: Controlling Costs and Transforming Care
Companies are designing their own healthcare systems to cut costs and improve employee outcomes faster than traditional insurance models allow
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Key takeaways
Employer-built healthcare models address six key deficiencies in legacy systems, including lack of transparency and conflicts of interest in PPO structures.
Mitigate Partners helped a Florida school district cut healthcare costs by $65 million over five years while improving employee access to care.
Partnering with independent benefits advisors and actively managing healthcare plans are critical steps for employers seeking better outcomes and cost control.
The rising cost of healthcare continues to strain employers and employees alike. With premiums climbing at a rate outpacing inflation, many organizations are burdened with high costs and subpar outcomes. Employer-built healthcare models are emerging as a potential solution, enabling organizations to take control of their healthcare systems. According to the Kaiser Family Foundation, the average family health insurance premium reached $23,968 in 2023, underscoring the pressing need for innovative solutions.
The average family health insurance premium reached $23,968 in 2023, underscoring the pressing need for innovative solutions.
How can employers control costs while ensuring quality care for their workforce?
This episode of I Don't Care delves into this challenge. Host Kevin Stevenson speaks with Carl Schuessler, Managing Principal of Mitigate Partners, about "employer-built healthcare." The discussion explores how organizations can reclaim control over healthcare costs by addressing inefficiencies, eliminating middlemen, and focusing on patient-centric care.
Key Takeaways from the Episode:
- Six Deficiencies in Legacy Healthcare: Schuessler outlines six critical flaws in traditional healthcare systems, including lack of transparency, embedded conflicts of interest, and the traditional PPO discount model.
- Transformative Case Studies: Mitigate Partners has saved organizations millions, including a Florida school district that cut costs by $65 million over five years while improving access to care for employees.
- Practical Tips for Employers: Schuessler emphasizes the importance of partnering with independent benefits advisors and actively managing healthcare plans to achieve better outcomes.
Mitigate Partners has saved organizations millions, including a Florida school district that cut costs by $65 million over five years while improving access to care for employees.
Carl C. Schuessler, Jr., DHP, DIA, GBDS, is a seasoned professional with over 35 years of experience specializing in employer-built health plans that reduce costs and improve employee benefits. As the Managing Principal of Mitigate Partners, he has developed innovative solutions like the FairCo$t Health Plan, helping clients achieve significant savings—up to $8.2 million over eight years—while enhancing benefits and ensuring cost predictability. His expertise extends across risk management, employee benefits, and financial planning, with a focus on creating customized, data-driven strategies that retain top talent and improve organizational cash flow.
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