Heathy Business Matters: Stop Loss - It's Not a Data Problem. It's an Engagement Problem.
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Heathy Business Matters: Stop Loss - It's Not a Data Problem. It's an Engagement Problem.
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ナレーター：
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著者：
Dr. Andrew White talks with Trey Hinson, a 26-year self-funded insurance veteran, about why stop loss carriers and DPCs (direct primary care) keep talking past each other — even though their interests are actually aligned. The takeaway: the disconnect isn't a data problem, it's an engagement problem.
In This Episode
Trey's path from Blue Cross Blue Shield to advising 91 TPAs and 150+ point solutions. Why stop loss carriers ask for detailed data — and why it's about shared risk, not distrust. The two metrics that actually matter to a stop loss carrier: engagement and medical trend. How to approach stop loss the right way, through the broker, TPA, and carrier.
Key Insights
Employers and stop loss carriers are the two parties with real financial risk in a self-funded plan, which is why data-sharing matters so much to carriers. Point solutions need engagement on two fronts: with their own patient population, and with their TPA/stop loss partners. Stop loss carriers care most about engagement rates and multi-year medical trend, not feature lists. TPAs act as the aggregation layer that turns fragmented vendor data into something a stop loss carrier can use.
Who This Episode Is For
DPC providers and point-solution operators, brokers and TPAs, and employers running or considering self-funded health plans.
About Trey Hinson:
Trey Hinson is the founder of Goliath Sales Strategies, LLC, and a 25-year veteran of the health insurance industry. He has built and led revenue teams across fully insured, government program, and self-funded markets, advising payers, TPAs, brokers, and benefits technology vendors. A PAHM-certified executive, Trey speaks candidly about what it takes to grow sales teams CEOs trust, build pipelines that don't lie, and become the name buyers remember in a crowded healthcare benefits market.
Resources & Links
Goliath Sales Strategies: https://www.goliathsalesstrategies.com/
LinkedIn: Connect with Trey Hinson: https://www.linkedin.com/in/treyhinson/
Questions, topic ideas, or guest suggestions? Reach out: hello@alignco.life