The Business of Benefits Podcast Podcast Por Hi Hello Labs Network arte de portada

The Business of Benefits Podcast

The Business of Benefits Podcast

De: Hi Hello Labs Network
Escúchala gratis

Acerca de esta escucha

 For decades, employers have been fed a lie: “There’s nothing you can do to control healthcare costs.” This couldn’t be further from the truth. The system is doing exactly what it was designed to do—profit off of HR, CFOs, and CEOs who believe that lie year after year.With 180 million Americans relying on employer-sponsored healthcare, it’s time to challenge the status quo. The Business of Benefits is your No BS, No Sales guide to the real solutions. No gimmicks—just the truth about how to take control, transform your benefits, and care for your most valuable asset: your people.Each episode dives deep into the data, exposing industry misalignments and inefficiencies that inflate costs while offering actionable strategies for designing financially sustainable, high-value benefits.Through eye-opening interviews with industry insiders, expert analysis, and real-world success stories, hosts Donovan and Chelsea pull back the curtain on the hidden flaws in the healthcare system. The result? An empowering roadmap for employers ready to break free from outdated models and unlock smarter, more sustainable benefits.If you’re tired of the same old sales pitch and ready to rethink benefits, reduce costs, and improve care—this podcast is for you. The truth is out there—are you ready to hear it?Copyright Hi Hello Labs Network Desarrollo Personal Economía Gestión y Liderazgo Liderazgo Éxito Personal
Episodios
  • 53. Is Your TPA Costing You More Than You Think?

    53. Is Your TPA Costing You More Than You Think?
    Jun 12 2025
    In this no-nonsense episode of The Business of Benefits, host Chelsea Ryckis dives into the critical but often misunderstood world of Third Party Administrators (TPAs) with industry veteran Eugene Starks. This episode offers employers and consultants a candid breakdown of why the TPA is arguably the most important player in a health plan—acting as the “quarterback” responsible for claims processing, eligibility management, vendor coordination, and plan integrity.

    Eugene brings over two decades of insider expertise to the table, explaining:
    • The core functions of a TPA—including paying claims, managing eligibility, and building plan logic
    • What questions employers should ask when selecting a TPA (e.g., claim turnaround time, fee transparency, ownership structure, and scalability)
    • Red flags to look for in TPA contracts—like hidden fees, clawback charges, or outsourced claim processing
    • How TPAs interact with other key components like PBMs, stop-loss providers, and networks
    • The importance of employee communication and education in plan success, especially when using point solutions or reference-based pricing
    They also tackle a hot debate: should the consultant or the TPA be the “true quarterback”? The takeaway—collaboration is key. Success lies in choosing the right consultant who partners effectively with the right TPA, ensuring strategic alignment, smart cost-containment, and a great member experience.

    Don’t be distracted by lower admin fees—value, transparency, and execution matter more. If you're ready to rethink how benefits should actually work, this episode is your playbook.

    Connect with Chelsea and Donovan:
    Website: www.ethoseffectpodcast.com
    Instagram: https://www.instagram.com/ethoseffectpodcast/
    Chelsea: https://www.linkedin.com/in/chelsea-ryckis
    Donovan: https://www.linkedin.com/in/donovanryckis/
    Más Menos
    46 m
  • 52. Why Bryan Orr Said Goodbye to Traditional Health Insurance—and Won

    52. Why Bryan Orr Said Goodbye to Traditional Health Insurance—and Won
    May 29 2025
    This week's episode dives deep into real-world strategies for transforming health plans—rooted in fiduciary responsibility, transparency, and measurable outcomes.

    In this powerful episode, the team sits down with Bryan Orr, CEO of Kalos Services, live from the 2025 Florida Health Care Alliance conference. Bryan shares how he radically redesigned his company’s health plan—cutting costs by 42% below national benchmarks while slashing employee cost share by more than half.

    With 10 kids and a 400-person team, Bryan had every reason to care deeply about healthcare outcomes. His story is a masterclass in bold leadership, data-driven decisions, and building trust from the top down. Listeners will hear how Kalos implemented direct primary care, reference-based pricing, pharmacy cost control, and transparent network replacements—all while maintaining employee satisfaction and dramatically improving access to care.

    From free baby deliveries to $80,000 skin grafts reduced to $2,000, this episode proves what’s possible when employers stop playing defense and start demanding better.

    If you're an employer, HR leader, or benefit advisor tired of double-digit premium increases and vague justifications, this episode is your wake-up call—and a roadmap for action.

    Key Topics:
    • Fiduciary-driven health plan design
    • Transparent pricing and plan accountability
    • Direct primary care and local care access
    • Employee communication and leadership trust
    • Real-world savings and improved outcomes

    Connect with Chelsea and Donovan:
    Website: www.ethoseffectpodcast.com
    Instagram: https://www.instagram.com/ethoseffectpodcast/
    Chelsea: https://www.linkedin.com/in/chelsea-ryckis
    Donovan: https://www.linkedin.com/in/donovanryckis/
    Más Menos
    30 m
  • 51. Your Benefits, Your Risk: Why Fiduciary Duty Can’t Be Ignored

    51. Your Benefits, Your Risk: Why Fiduciary Duty Can’t Be Ignored
    May 16 2025
    In this high-impact episode of The Business of Benefits Podcast, we're cutting through the legal jargon and post-lunch drowsiness to bring you the most engaging conversation you’ll ever hear on fiduciary compliance. Hosts Chelsea and Donovan Ryckis pull back the curtain on what it really means to be a fiduciary under ERISA, especially in today’s healthcare landscape, where misaligned incentives are costing employers and employees big.

    Chelsea shares her personal journey from NCAA athlete to healthcare advocate after a traumatic brain injury exposed the broken realities of the American health system. Donovan breaks down the parallels between fiduciary standards in financial services and the gaping lack of those same protections in health benefits—until now.

    From health plan lawsuits and PBM fraud to RxDC reporting and compensation disclosure, this episode arms employers with the truth, the data, and the questions you must start asking.

    You’ll learn:
    • What fiduciary duty actually looks like in practice (and in court)
    • Why the Consolidated Appropriations Act of 2021 is a game-changer for employer-sponsored plans
    • How to identify and eliminate conflicts of interest across your benefit ecosystem
    • What brokers aren’t telling you—and why that matters
    • Practical steps you can take today to realign incentives and protect your people

    Stick around for the debut of special guest Bryan Orr, whose real-world results show what’s possible when employers take back control.

    If you’re ready to rethink your role, reclaim your data, and radically improve your health plan decisions, this one’s for you.

    Connect with Chelsea and Donovan:
    Website: www.ethoseffectpodcast.com
    Instagram: https://www.instagram.com/ethoseffectpodcast/
    Chelsea: https://www.linkedin.com/in/chelsea-ryckis
    Donovan: https://www.linkedin.com/in/donovanryckis/
    Más Menos
    39 m
adbl_web_global_use_to_activate_webcro805_stickypopup
Todavía no hay opiniones