The ShiftShapers Podcast

This week’s episode features a conversation with Robert Pfeiffer, Principal at Disruptive Strategies. Disruption has become inevitable in avoiding increasing annual premiums. From going self-funded to fully utilizing technologies like on-site clinics and telehealth, employers can now confidently choose lower-cost healthcare without any loss in quality. New agile healthcare community facilities als...

This week’s episode features a conversation with Mike Case Haub, CEO at CHC Health. Optimized medication can reveal drug therapy problems that patients were not even aware of, as well as determine if lower-tier medications can work just as well or better than current prescriptions. This translates to cost savings to employees and employers. These conversations also reveal to patients what drugs th...

This week’s episode features a conversation with Doug Geinzer, Founder and President at High Performance Providers. Bundled plans provide cost benefits to providers while also connecting patients to quality healthcare. Direct contracting gives patients lower costs which are transparent upfront and provides options for destination medicine too. For an even more attractive offer, patients also get s...

This week’s episode features a conversation with Matt Scovil, CEO at Medefy. Apps and AI are essential pieces in modern healthcare but having real people communicate with members, using technology to assist, has produced significantly higher engagement. Also, a multi-channel approach that involves the entire household empowers individual members to make much more informed healthcare decisions. Wha...

This week’s episode features a conversation with Dave Romeo, author of "How to Wow! — The Art of Consistently Delivering Legendary Customer Service." Giving customers a user experience they'll remember is not complicated. It does however require a genuine demonstration of your desire to help. Not only does this spark lasting connections, but it also returns your investment several t...

This week’s episode features a conversation with Matt Newman, best-selling author of "Starting at the Finish Line." Cancer is not a solitary disease and Matt shares his family's journey with it and how it eventually afflicted him too. Writing was his catharsis and his ability to strengthen others and teach that their conditions do define them became his inspiration for writing his b...

This week’s episode features a conversation with Sara Hames, Principal at NBS Advisors. Navigating health plans is a complicated process BUT it shouldn't be. By simplifying the available options and providing a phone number to call, members and employers can make the most informed decisions for them. Also, providing a better healthcare experience involves educating advisors on attractive pack...

This week’s episode features a conversation with Dr. Cristin Dickerson, Founding Partner of Green Imaging. There is a stigma that scanners in hospitals are better than freestanding facilities. However, there is no difference in hardware and professional skill in handling these machines. Knowing this can help patients and employers cut their medical spend for these services by two-thirds and enjoy...

This week’s episode features a conversation with Niko Caparisos, Principal at Prosperity Benefits. Employers struggle with controlling costs and balancing innovation with tried and tested tactics. For a more strategic and less fragmented approach, having buy-in from the c-suite is critical. On the employee side, empowering them with information and initiative can make them use the plan with as lit...

This week’s episode features a conversation with Monica Coleman, Chief Energy Officer at Inside Information Coaching and Consulting. Being adaptable means moving forward and embracing the unknown, the realm where every possibility exists. The P.E.A.K. Process (Perform, Evaluate, Adjust, Key In) gives particular emphasis on its Adjust step where Ego can get in the way of reaching your goals. What Y...

This week’s episode features a conversation with Ashok Subramanian, Founder and CEO of Centivo. Plans succeed or fail based on the end-user experience they create. By optimizing the primary care-centered models and offering tailor-fit solutions regardless of the network construction, plans can remove the clunkiness of administrative tasks while ultimately providing the care and satisfaction that u...

This week’s episode features a conversation with Justin Breen, Founder and CEO of BrEpic. The highest level entrepreneurs all have common denominators: they put family first, overcome their greatest obstacles, and adopt a mindset that it's either winning or learning. Failure is not in their vocabulary. When you think about investments and not costs, you eliminate a scarcity mindset and end up...

This week’s episode features a conversation with Kari Niblack, CEO at ACS Benefit Services. TPAs now offer novel and customizable plans while still providing traditional services like manual adjudication and appeals. At the same time, TPAs now assist smaller companies who are on level-funded plans to take the leap into partially-self-funded plans. In 2021 and beyond, data and transparency must be...

This week’s episode features a conversation with Sheri Tetachuck, Senior Vice President of National Sales at Payer Matrix. The costs of specialty drugs increase every year and employers are footing much of the bill. Unfortunately, aggressive lobbying in Congress allows big pharma to dictate arbitrary prices. But even this bleak outlook has a silver lining. There are strategies that employers can e...

This week’s episode features a conversation with Ronny Leber, International Keynote Speaker and Tony Robbins Trainer. Virtual events used to be the medium of last resort but the pandemic provides opportunities that highlight its strengths rather than its weaknesses. From expanding your reach to a vastly wider audience to using video messaging as a means of communication, video puts you right in fr...

This week’s episode features a conversation with Rob Tull, Success Coach at Path2 Coaching. Achieving traditional success is often assumed to produce happiness. However, when emotional needs take a backseat in pursuit of this goal, it produces a toxic environment that can leave you feeling stuck. "Structured stuckness" is designed to leave you feeling this way because of society's a...

This week’s episode features a conversation with Linda Czuper, Children's Life Coach at Adventures in Wisdom. WFH is causing stress and fear in kids. Linda gives tips for parents to be present in their children's lives because the face that parents show kids sets the tone for a good day. Parents can empower their children to create their own stories in today's environment and should...

This week’s episode features a conversation with Bill Stratton, Founder of the Entrepreneurial Leadership Associates, LLC. There are six key components that result in entrepreneurial success: Vision, People, Data, Issues, Process, Traction. Bill also introduces the concept of LMA (Leadership + Management = Accountability) and how this even guides better hiring practices to reach company goals. Wha...

This week’s episode features a conversation with Patrick Schwerdtfeger, Business Futurist, Keynote Speaker, and Author of "Pandemic, Inc.: 8 Trends Driving Business Growth and Success in the New Economy." The key message to business can be summed in the acronym SALVAGED. Smart businesses can keep pace with the rapid changes of today by adapting to these observations and employing systems...

This week’s episode features a conversation with Jordan Hersh, Vice President, Enterprise Solutions at Vālenz. Renegotiating out-of-network claims can provide cost savings to members. On the plans side, Jordan also explains how offering discounts can help ensure timely payments. If insurers communicate the benefits of staying in-network and offering incentives, this can avoid confusion with the EO...

This week’s episode features a conversation with Tom Loarie, CEO at BryoLogyx, Inc. and Host at The Mentors Radio Show. Mentoring benefits people of all backgrounds and professions and Tom shares his process of coaching that lets people flourish into their highest levels. Trust is the basis of a mentoring relationship and Tom always begins by asking what is it that you really want to do? Whose sto...

This week’s episode features a conversation with Deb Rubin, Certified Life and Success Coach at Deb Rubin Coaching. Oftentimes successful people base their success on the standards of others while disregarding their own personal happiness and values. Deb teaches her clients how to recognize their limiting beliefs and introduces S.M.A.R.T. goals which stand for Specific, Measurable, Achievable, Rel...

This week’s episode features a conversation with Craig Clemente, President & Chief Operating Officer at Specialty Care Management. Specialty care is both a claims exposure and a clinical component and Craig details how plans need to focus on both. He also explains the nuances of the plan document language and the need to have member champions to spread awareness. Finally, Craig discusses the s...

This week’s episode features a conversation with Robert LeCureaux, Vice President of Client Development at ScoutRx Pharmacy Benefits Consultants. PBMs have been focused on profitability rather than providing a beneficial service. Though alternative funding options are available, PBMs are less likely to cooperate since there is no financial incentive to do so. Robert's group helps members mini...

This week’s episode features a conversation with Dr. Diane Hamilton, Founder and CEO of Tonerra , and author of "Cracking the Curiosity Code". Curiosity in the workplace enables out of the box thinking and strengthens emotional intelligence through empathy, a key competency to talk to clients on an emotional level. Creating a culture of curiosity starts with the leaders who need to recog...