『The Business of Benefits Podcast』のカバーアート

The Business of Benefits Podcast

The Business of Benefits Podcast

著者： Hi Hello Labs Network
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概要

 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 An empowering roadmap for employers ready to break free from outdated models and unlock smarter, more sustainable benefits.If you’re tired of the same old sales pitch and ready to rethink benefits, reduce costs, and improve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
エピソード
  • 71. The Hospital Programs Your Broker Never Mentioned: 501(r) & Hospital Bill Review with Patrick Haig

    71. The Hospital Programs Your Broker Never Mentioned: 501(r) & Hospital Bill Review with Patrick Haig
    2026/02/12
    In this episode of The Business of Benefits, host Donovan Ryckis sits down with Patrick Haig, co-founder and CEO of Goodbill, to reveal the secrets of hospital billing that every employer needs to know. They dive deep into the world of 501(r), a little-known IRS regulation that requires nonprofit hospitals to offer financial assistance, and how it can dramatically reduce healthcare costs for both employees and plan sponsors.
    Patrick explains how Goodbill leverages this and other strategies to audit hospital bills, find errors (which appear in about half of all bills), and secure significant savings. This is a must-listen for any CFO, CHRO, or business owner looking to fulfill their fiduciary duty, contain rising healthcare costs, and provide real, tangible support to their employees—especially those on high-deductible health plans.

    What you’ll learn:
    - What 501R is and how it mandates financial assistance from 80% of hospital beds in the US.
    - The surprisingly high income thresholds that allow many employees to qualify for bill reductions or full waivers.
    - How to get refunds for hospital bills that have already been paid.
    - Why half of all hospital bills contain errors and how to find and correct them for savings of 20% or more.
    - How proactive bill review can be a powerful tool for employee advocacy and trust-building, not a punitive measure.
    - Practical steps for implementing a bill review and financial assistance program, whether you have a fully insured or self-funded plan.

    Time Stamps:
    00:00 – Preview
    01:16 - The Business of Benefits Intro
    01:43 – Meet Patrick Haig
    03:11 – What is 501R?
    05:15 – For-Profit Hospitals and Financial Assistance
    08:23 – Income Limits for 501R
    12:00 – How Goodbill Reviews Bills for Errors
    13:35 – Why Don't More People Know About 501R?
    16:05 – The Bill Review Process
    18:51 – Shocking Bill Review Results
    22:09 – Fiduciary Duty and Overpaying for Healthcare
    25:28 – Bill Review Thresholds and Inaccuracy Percentages
    29:26 – Common Hospital Billing Errors
    34:28 – Implementation and Integration of Goodbill
    37:15 – Timing and Refunds for 501R
    41:47 – Where to Find Patrick Haig

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    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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    42 分
  • 70. Redefining Benefits Leadership w/ Stephanie Porrino & Kristina Ewing

    70. Redefining Benefits Leadership w/ Stephanie Porrino & Kristina Ewing
    2026/01/29
    In this episode of The Business of Benefits, host Chelsea Ryckis sits down with two trailblazing benefits leaders, Stephanie Porrino, Director of HR at Hendry Marine Industries, and Kristina Ewing, Director of Health and Wellbeing at Shoestring Valley Holdings at the Best of the Best Florida Healthcare Alliance event. Together, they share their journeys of transforming employer health plans through innovative strategies, data-driven decision making, and bold vendor partnerships, offering actionable insights for employers ready to take control of their benefits and deliver real value to their people.


    From self-funding and reference-based pricing to no-cost care alternatives and fiduciary governance, Stephanie and Kristina reveal how they navigated complex challenges, disrupted traditional models, and built multi-year benefits strategies that prioritize both financial sustainability and employee wellbeing.


    Time Stamps:
    00:00 – Welcome to The Business of Benefits
    01:02 – Introduction to Guests and Episode Overview
    02:19 – Stephanie and Kristina’s Backgrounds and Company Profiles
    04:10 – Stephanie’s “Aha” Moment: Discovering Healthcare Pricing Discrepancies
    07:19 – Kristina’s Journey: Unbundling and Finding the Right Partners
    09:31 – The Importance of Ownership and Advisor Switching
    10:08 – Kristina’s Multi-Year Benefits Strategy Overview
    13:26 – Overcoming Challenges: Member Education and Engagement
    15:41 – Vendor Summit and Setting KPIs for Accountability
    18:07 – Hendry Marine’s Roadmap to Reference-Based Pricing and Pharmacy Savings
    20:54 – Increasing Preventive Care Utilization with Onsite Clinics
    25:29 – Financial Performance and Savings Highlights from Shoestring Valley
    27:15 – New Program Innovations and Plan Design Shifts at Hendry Marine
    30:25 – Managing High-Cost Claimants and Spousal Coverage Strategies
    32:53 – Incentivizing In-Network Utilization and Mental Health Support
    33:21 – Compliance and Fiduciary Responsibilities: Leveraging CAA and ERISA
    37:03 – Procurement Best Practices: Questions to Ask Vendors
    41:32 – Fiduciary Governance: Committees and Due Diligence
    43:55 – Addressing Disruption and Administrative Burden in Benefits Changes
    46:13 – Q&A: International Pharmacy Programs Explained
    47:33 – Q&A: Direct Primary Care and C-Suite Perspectives on ROI vs. Disruption
    50:44 – Closing Thoughts on Employee Experience and Leadership Alignment


    Guest Links:
    Stephanie Porrino
    LinkedIn: https://www.linkedin.com/in/stephanieporrino/
    Hendry Marine Industries: https://hendrymarineindustries.com/


    Kristina Ewing
    LinkedIn: https://www.linkedin.com/in/kristina-ewing-98aa9867/
    Shoestring Valley Holdings: https://www.shoestringvalley.com/
    Andersen Construction: https://www.andersen-const.com/


    Connect with Chelsea and Donovan:
    Website: www.businessofbenefitspodcast.com
    Instagram: https://www.instagram.com/businessofbenefitspodcast
    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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    51 分
  • 69. Zero-Copay Generic Drugs & Six-Figure Savings w/ Trace Voshell

    69. Zero-Copay Generic Drugs & Six-Figure Savings w/ Trace Voshell
    2026/01/15
    In this episode of The Business of Benefits, host Donovan Ryckis sits down with Trace Voshell, Chief Revenue Officer at GoGoMeds, to expose one of the most overlooked cost drains in employer healthcare: generic drug inflation. While most employers focus on high-cost specialty medications, Trace reveals that generic drugs, covering 80-90% of employees on medication, are systematically overpriced by 30-60% through PBM spread pricing and hidden conflicts of interest.

    Trace pulls back the curtain on how PBMs profit twice (on adjudication and through ownership of mail order pharmacies), why brokers often block cost-saving solutions (hint: per-script kickbacks), and how employers can bypass these roadblocks even when they feel "handcuffed" to large carrier PBMs. With real case studies showing $45,000 to $140,000+ in annual savings, this episode proves that transparent cost-plus pharmacy pricing can deliver six-figure savings while offering employees zero-copay medications.

    What You'll Learn:
    - Why generic drugs represent the biggest overlooked savings opportunity in pharmacy benefits
    - How PBM "spread pricing" allows them to pocket the difference between what they charge you and what they pay pharmacies
    - The shocking conflict of interest: PBMs owning their own mail order pharmacies and profiting twice
    - Why brokers often block pharmacy savings solutions (per-script fees and backend compensation)
    - Real case studies: How a 70-employee shop saves $45K annually and larger groups save $130K-$140K+
    - The difference between GoGoMeds and Mark Cuban Cost Plus Drug Company
    - How to bypass PBM roadblocks with direct-to-employer pharmacy arrangements
    - The vague PBM contract language that enables systematic overcharging (and how to spot it)
    - A 60-second ChatGPT hack to identify unfavorable terms in your PBM contract
    - Why zero-copay generics are a powerful recruitment, retention, and employee trust-building tool
    - How to implement mail order generic pharmacy mid-year without waiting for renewal


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

    Get more on our guest Trace at:
    GoGoMeds
    https://gogomeds.com/GoGoClient/

    LinkedIn: Trace Voshell
    https://www.linkedin.com/in/trace-voshell-34040b7a/

    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:
    The Business of Benefits Podcast Website:
    https://www.businessofbenefitspodcast.com


    Instagram
    https://www.instagram.com/businessofbenefitspodcast/


    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.
    続きを読む 一部表示
    29 分
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