In most markets half, or more, of the payer lives are in self-funded plans
This means the “insurance company” is not really providing an Insured Product—they simply administer the plan. The actual payer, at the end of the day, is the employer themselves. All of these employers have a Human Resources Department (or something similar) and they all have a Director. Ask your patients who their Director of HR is, and do your best to meet him/her.
Find out their pain points! Ask them… “How can my practice help you?” If nothing else, you will have a friend on the inside. Maybe you can get more patient volume, set up a clinic, do an in-service…
Stay tuned for more Todd’s Tips!
About R. Todd Welter • MS, CPC
Founder and President of RT Welter & Associates
Mr. Welter has over 25 years of healthcare industry experience assisting physicians and other providers, hospitals and other facilities with the business side of medicine. Through strategic planning and analysis, Mr. Welter’s main focus is to strategically increase revenues and profitability in this radically changing health care environment. Mr. Welter has a Masters Degree in Organizational Leadership from Regis University in Denver where he has had an appointment as affiliate faculty in the School for Professional Studies for over ten years. In addition, Mr. Welter holds a faculty appointment at the University of Denver’s University College. In the Health Care Leadership program he teaches Macro Economics in Health Care and Innovative Strategies and Change in Health Care to graduate students.