the post-aca era and preparing for the unknown
TRANSCRIPT
THE POST-ACA ERA
Preparing for the Unknown
Presented by: Eric Helman
GOP: Replace the ACA
2
What will
happen?
When will it
happen?
Who will be
impacted?
Considerations in a
Post-ACA World
Government
Carriers/Vendors
Employers
Employees
Brokers/Consultants
We must reflect on the confluence of how 5 separate constituents
react to the new health insurance landscape.
Highly politicized, little focus
on the employer market
Linkage to tax reform
Largest source of health
insurance for Americans
Repeal, replace, repair
Individual market and Medicaid
Deregulation
ISSUES PRIORITIES
Government
1
2
3
5
Further divisiveness
Impact of the
Replacement Plan
on Government
1
2
3
Satisfying affected
constituents
Regulatory confusion
Consolidation (almost)
Commoditization of
health insurance
Reduction of insured
participants
Individual market
Medicaid and Medicare
Product/Service
Proliferation
ISSUES PRIORITIES
Carriers/Vendors
1
2
3
7
Revenue and profit
squeeze
Impact of the
Replacement Plan
on Carriers/Vendors
1
2
3
New competition
More movement: B2B B2C
Compliance and
demands on staff
Rising costs and
compensation squeeze
Age diversity of
workforce
Cost containment through
programs
Broader view of
benefit program
Employee buy-in vs.
entitlement
ISSUES PRIORITIES
Employers
1
2
3
9
Regulatory relief
Impact of the
Replacement Plan
on Employers
1
2
3
Navigation without channel
markers
Managing employee
perceptions
Benefit illiteracy
Increasing risk exposure
Alternative labor
opportunities
Making better decisions
Taking advantage of all benefits
Financial wellness at lowest
possible cost
ISSUES PRIORITIES
Employees
1
2
3
11
Pain at the water cooler
Impact of the
Replacement Plan
on Employees
1
2
3
Return to job lock
Adjustment to
pre-retirement planning
Industry consolidation
Increasing cost of
providing service
Proliferation of products
and services
Responding to client needs
Simplifying service delivery
Balancing tactics and
strategy
ISSUES PRIORITIES
Brokers /Consultants
1
2
3
13
Further confusion
Impact of the
Replacement Plan
on Brokers/Consultants
1
2
3
Return to creativity
Busy 2017 and 2018
Considerations in a
Post-ACA World
Government
Carriers/Vendors
Employers
Employees
Brokers/Consultants
What are the common themes?
Increased
Complexity
Expanded
ConsumerismRising Costs
Messages and Alerts
Employers can send “event”
related or custom messages to
employee populations
Personalized
Information
Centralized location for
balances and status
updates for current
elections, deductibles, out-
of-pocket maximums, 401K,
PTO and more
App Trends 2016PricewaterhouseCoopers' recent study
showed health care as the top 3 mobile
trends of 2016.
83%Of workforce in the
US now own a smartphone
15
Hodges-Mace Responds!Innovative enhancements that help employees
choose and use their benefits
Enrollment Access
SSO access to Essentials
with new Pathfinder
OnDemand Decision
Support
• Simplified presentation to personalized
information about all benefits
• Quick access to cost saving programs
contributes to higher utilization
• Employer reminders and alerts in the palm
of the hand
16
The Hodges-Mace Response
Reduce Complexity• Immediate access to critical information
• Simplified integration with multiple portals
• Quick access to ID cards
Increase Consumerism• Keeping benefits top of mind
• Integrated access to cost saving programs
• Drives utilization of consumer tools
Reduce Cost• Answers routine questions without HR
• Increases utilization of cost savings programs
• Facilitates vendor changes for favorable rates
