The Benefits Playbook is a podcast covering all things employee healthcare, sponsored by Collective Health. Each episode features an in-depth conversation between Sasha Yamaguchi, Commercial Leader at Collective Health, and an expert in the health benefits industry. Find a full list of episodes here.
This episode of The Benefits Playbook features an interview with Lee Lewis, Chief Strategy Officer and General Manager of Medical Solutions for Health Transformation Alliance (HTA). At HTA, Lee spearheads efforts across 50 large employers and six million employees to transform healthcare, save lives, and save millions of dollars. Lee has spent his career advising Fortune 10 employers, insurance companies, medical associations, and the Departments of Justice and Labor.
In this episode, host Sasha Yamaguchi and Lee sit down to chat about everything from virtual primary care to how to put trust back into healthcare. They also dive into the topic of self-funded benefits for small employers and how these groups can approach the decision between TPAs and ASOs.
“If you’re a small employer, you don’t have the buying power with any carrier anywhere. You’re a rounding error to them. You’re not going to get any type of flexibility or creativity supported,” says Lee. “Whereas, if you work with an independent TPA, you can still access a lot of those things that might otherwise only be accessible for a huge employer.”
Here are some more key insights from their conversation:
- The difference between an independent TPA vs. major carriers’ options
- Busting the myth that a TPA is more complicated than an ASO
- The top three components of a best-in-class healthcare benefits program