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The Business of Benefits Podcast

The Business of Benefits Podcast

著者： Hi Hello Labs Network
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 For decades, employers have been fed a lie: “There’s nothing you can do to control healthcare costs.” This couldn’t be further from the truth. The system is doing exactly what it was designed to do—profit off of HR, CFOs, and CEOs who believe that lie year after year.With 180 million Americans relying on employer-sponsored healthcare, it’s time to challenge the status quo. The Business of Benefits is your No BS, No Sales guide to the real solutions. No gimmicks—just the truth about how to take control, transform your benefits, and care for your most valuable asset: your people.Each episode dives deep into the data, exposing industry misalignments and inefficiencies that inflate costs while offering actionable strategies for designing financially sustainable, high-value benefits.Through eye-opening interviews with industry insiders, expert analysis, and real-world success stories, hosts Donovan and Chelsea pull back the curtain on the hidden flaws in the healthcare system. The result? An empowering roadmap for employers ready to break free from outdated models and unlock smarter, more sustainable benefits.If you’re tired of the same old sales pitch and ready to rethink benefits, reduce costs, and improve care—this podcast is for you. The truth is out there—are you ready to hear it?Copyright Hi Hello Labs Network マネジメント・リーダーシップ リーダーシップ 個人的成功 経済学 自己啓発
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  • 68. The Great American Healthcare Heist with Guest Chris Deacon

    68. The Great American Healthcare Heist with Guest Chris Deacon
    2025/12/18
    In this episode, Donovan and Chelsea sit down with Chris Deacon, a nationally known healthcare reform advocate, attorney, and former director of the State of New Jersey’s massive public sector health plan. Chris pulls back the curtain on how public and private employers are getting overcharged, how procurement and politics protect the status quo, and why nonprofit hospital systems often behave like for-profit empires. They break down real examples of claims, hospital contracts, and “negotiated” rates that actually drive prices higher, not lower.

    You will hear Chris unpack key themes from her new book The Great American Healthcare Heist: Why We’re Paying More and Getting Less, including nonprofit hospital expansion, fully insured versus self-funded plans, the hidden incentives of carriers and PBMs, compensation conflicts in the broker/consultant world, and why most claim review processes are built to fail employers. They also dig into gag clauses, CAA 2021, weak fiduciary enforcement, and how plan sponsors can start demanding data, transparency, and true accountability from everyone at the table.

    If you are a CFO, HR leader, benefits advisor, or plan sponsor who suspects you are getting crushed by a broken system but are not sure what to do next, this conversation will both infuriate you and give you a playbook to start pushing back.

    Get more on our Guest Chris at:
    Website: versanconsulting.com
    Linkedin: https://www.linkedin.com/in/cdeaconc/

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    Whether you're an HR professional, CFO, CEO, or just tired of rising healthcare costs, this is your call to rethink benefits strategy and finally take control.

    Connect with Chelsea and Donovan:
    Website: www.businessofbenefitspodcast.com
    Instagram: https://www.instagram.com/ethoseffectpodcast/
    Chelsea: https://www.linkedin.com/in/chelsea-ryckis-8508a192/
    Donovan: https://www.linkedin.com/in/donovanryckis/

    Finished with the content? Claim your CE credit here: https://ideas.ethosbenefits.com/continuing-education

    SHRM: Ethos Benefits is recognized by SHRM to offer professional development credits (PDCs) for SHRM-CP® or SHRM-SCP® recertification activities.

    HRCI: Ethos Benefits is approved to offer HRCI® recertification credits for this program. This program has been approved for 0.5 - 1 HR (General) recertification credit(s) toward aPHR®, PHR®, SPHR®, and GPHR® certification.
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    54 分
  • 67. How One Employer Broke The Renewal Cycle: A Case Study

    67. How One Employer Broke The Renewal Cycle: A Case Study
    2025/12/11
    In this episode of The Business of Benefits, Donovan Ryckis guest starred on a Be More Than a Fiduciary Podcast episode with Eric Dyson of 90 North Consulting and Brenda Kruse of Axiom Healthcare Services. Together, they break down how employers can finally escape the renewal treadmill, create a 3–5 year benefits strategy, and apply fiduciary principles to healthcare.


    Brenda shares Axiom’s transformation... from repeated renewal frustration to achieving a 13% premium decrease, lowering deductibles, expanding benefits, and reducing employee out-of-pocket costs by 27–38%. Eric and Donovan dig into why the healthcare system fails employers, how to identify misaligned incentives, and why transparency and governance are the keys to long-term success.


    They also explore PBM dysfunction, compensation conflicts, the four components of a health plan, and why employers must act as true stewards of their healthcare dollars.


    What You’ll Learn:
    What’s really behind recurring renewal increases
    How Axiom achieved a 13% premium decrease while improving benefits
    Why data transparency directly drives better outcomes
    Why PBM strategy is the fastest path to meaningful savings
    The four structural pillars of every health plan
    How to build and follow a multi-year health plan strategy
    Fiduciary responsibility explained for employer health plans
    How to identify and correct misaligned broker/consultant incentives
    Practical governance tools: fiduciary committees, 408(b)(2), comp review
    What responsible healthcare stewardship looks like for employers


    Eric Dyson — 90 North Consulting
    LinkedIn: https://www.linkedin.com/in/eric-dyson/
    Website: https://90northconsulting.com/
    Podcast: Be More Than a Fiduciary


    Brenda Kruse — Axiom Healthcare Services
    LinkedIn: https://www.linkedin.com/in/brenda-kruse-2078386/
    Website: https://www.axiomhealthcareservices.org/


    Donovan Ryckis — Ethos Benefits
    LinkedIn: https://www.linkedin.com/in/donovanryckis/
    Website: https://www.ethosbenefits.com/
    Podcast: https://www.youtube.com/@thebusinessofbenefits

    Timestamps:
    00:00 – Preview
    00:38 – Title Intro: The Business of Benefits
    01:00 – Episode Overview: Axiom’s journey & fiduciary crossover
    02:08 – Guest Introductions
    03:53 – Axiom Healthcare Services: Who they are
    04:39 – How Axiom Met Ethos Benefits
    05:10 – Early Challenges & The Broken Renewal Cycle
    05:52 – Ethos’ Approach: Strategy over sidestepping
    06:44 – Building a Multi-Year Plan
    07:16 – The Renewal Turnaround (13% decrease)
    08:26 – Lowering Costs for Employees
    09:19 – Why Data Matters in Healthcare Strategy
    10:50 – Making Data Simple for Decision Makers
    12:27 – Pharmacy Benefits: The 60% Cost Problem
    13:25 – PBM Conflicts & Misaligned Incentives
    15:25 – Fixing PBM First: High-Return, Low-Friction Changes
    16:27 – Member Experience: What Improves
    17:37 – Understanding the Four Parts of a Health Plan
    18:20 – Increasing Competition & Transparency
    19:46 – Compensation Transparency & Fiduciary Responsibility
    20:35 – Forming a Fiduciary Committee
    22:53 – Industry Conflicts & Broker Incentives
    25:07 – 408(b)(2) Disclosures & Reasonable Arrangements
    26:22 – Why Compensation Alignment Matters
    27:15 – Advice to New Advisors & Consultants
    27:50 – Advice to New Benefits Managers
    29:18 – Raising the Standard of Care in Healthcare
    31:11 – Internal Alignment: How Employers Improve Outcomes
    32:27 – A Better Approach: Curiosity Over Judgment
    33:10 – What “Good Healthcare Stewardship” Means
    34:28 – Ethos Healthcare Documentaries
    35:20 – Closing Remarks & Episode Wrap


    --------------------------------


    Finished with the content? Claim your CE credit here: https://ideas.ethosbenefits.com/continuing-education

    SHRM: Ethos Benefits is recognized by SHRM to offer professional development credits (PDCs) for SHRM-CP® or SHRM-SCP® recertification activities.

    HRCI: Ethos Benefits is approved to offer HRCI® recertification credits for this program. This program has been approved for 0.5 - 1 HR (General) recertification credit(s) toward aPHR®, PHR®, SPHR®, and GPHR® certification.
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    36 分
  • 66. Self-Funding Explained in 60 MINUTES with Spencer Smith

    66. Self-Funding Explained in 60 MINUTES with Spencer Smith
    2025/12/04
    In this episode, Donovan Ryckis, CEO of Ethos Benefits, sits down with Spencer Smith (SVP of Sales at Pareto Health and host of Self-Funded with Spencer) to unpack captives, stop-loss, PBMs, and the steps plan sponsors can take to finally regain control of healthcare spend.
    Spencer shares how short, educational content helped bring self-funding concepts downstream, why captives act like “bumpers” against catastrophic renewals, and where employers should start: data access, pharmacy, and a long-term strategy. They cover real-world examples—NICU and oncology claims, lasers, biosimilars, international sourcing—and discuss why employee contributions keep rising when nothing seems to change.

    You’ll walk away with a framework to move from guaranteed cost to variable cost with discipline, reduce claims costs without cutting benefits, and ask your broker the questions that matter.

    What You’ll Learn:
    • Self-funded fundamentals and the role of stop-loss
    • How group captives improve predictability across renewals
    • The first lever to pull: pharmacy strategy and data access
    • Why “reduce claims” means smarter pricing and site-of-care, not less care
    • Three questions every plan sponsor should ask at renewal:
      Why these solutions, specifically?
      How are you paid, where, and how often?
      What’s the long-term strategy beyond this 12-month cycle?
    • POSIWID: the outcomes your system delivers define its true purpose

    Time Stamps:

    00:00 – Welcome & Guest Introduction
    02:10 – Spencer’s Journey into Self-Funding
    06:20 – Breaking Down Stop-Loss & Captives
    10:45 – Fully Insured vs Self-Funded Explained
    15:12 – The 401(k) Analogy for Health Plans
    19:20 – Why Short-Form Education Works in Benefits
    24:05 – Pharmacy Costs & Where to Start Saving
    28:48 – Broker Incentives and Transparency
    34:32 – Data Access, Claims, and Real-World Fixes
    41:20 – POSIWID Framework & Final Takeaways

    Get more on our Guest at:
    Website: https://spencerharlansmith.com/
    YouTube: @SelfFunded

    --------------------------------
    Whether you're an HR professional, CFO, CEO, or just tired of rising healthcare costs, this is your call to rethink benefits strategy and finally take control.

    Connect with Chelsea and Donovan:
    Website: https://businessofbenefitspodcast.com/
    Instagram: https://www.instagram.com/ethoseffectpodcast/
    Chelsea: https://www.linkedin.com/in/chelsea-ryckis-8508a192/
    Donovan: https://www.linkedin.com/in/donovanryckis/

    Finished with the content? Claim your CE credit here: https://ideas.ethosbenefits.com/continuing-education

    SHRM: Ethos Benefits is recognized by SHRM to offer professional development credits (PDCs) for SHRM-CP® or SHRM-SCP® recertification activities.

    HRCI: Ethos Benefits is approved to offer HRCI® recertification credits for this program. This program has been approved for 0.5 - 1 HR (General) recertification credit(s) toward aPHR®, PHR®, SPHR®, and GPHR® certification.
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    45 分
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