Show cover of The Paytient Podcast

The Paytient Podcast

The Paytient Podcast is a show about how people access and afford healthcare. We cover trends in health and benefits while talking to innovators who are empowering consumers to take charge of their health. We explore the implications of decisions made at the benefits level, with an eye toward how we can all lead healthier lives. The podcast is hosted by Dr. Jay Moore and J.R. Clark, who have decades of experience in healthcare and insurance. They excel at bringing their expertise to conversations with other leaders in the space — and having a great time while they're at it. To learn more, visit us at https://www.paytient.com/.

Tracks

Unraveling an Artificial Intelligence Mystery (w/ Dr. Leo Celi of MIT Critical Data)
This week on the Paytient Podcast, we're thrilled to welcome Dr. Leo Celi to the show.Dr. Celi is a principal research scientist in IMES at MIT and an associate professor of medicine at Harvard Medical School. He was involved in a recent study published in Lancet Digital Health that focused on AI recognition of a patient's race based on medical imaging.The team found that AI was able to accurately predict the self-reported race of patients from medical imaging alone, even though the images contained no mention of the patient's race. Dr. Celi discusses the mystery surrounding this study — nobody is quite sure how the model was able to do this — and the implications of AI and potential bias in the health and benefits space. If you'd like to connect with Dr. Celi and learn more about his research, you can follow MIT Critical Data on Twitter, LinkedIn, and Facebook.**Have questions or comments? Email us at podcast@paytient.com!For more information on Paytient and how we can help your team better access and afford healthcare, click here.
46:54 10/05/2022
The Wonderful World of Ancillary Benefits (w/ Alex Frommeyer of Beam Benefits)
On this episode of the Paytient Podcast, we're finally diving into ancillary benefits! Whether you're passionate about dental or vision care, this one is for you.We welcome Alex Frommeyer to the show to talk about his personal journey in the benefits world as well as the origins of Beam Benefits. The company started as an IoT company in the dental space and eventually transformed into a fully fledged insurance and employee benefits business. Beam now offers full dental, vision, life, disability, and supplemental health coverage for employers of all sizes.If you'd like to connect with Fro (we're basically best friends at this point) and learn more about Beam Benefits, you can reach them on Twitter, LinkedIn, and Facebook.**Have questions or comments? Email us at podcast@paytient.com!For more information on Paytient and how we can help your team better access and afford healthcare, click here.
35:32 09/21/2022
Out-of-Pocket Costs and the Power of Preventive Care (w/ Dr. Eric Bricker of AHealthcareZ)
In our first official episode of the Paytient Podcast, we welcome Dr. Eric Bricker to the show. His popular YouTube channel AHealthcareZ offers facts about healthcare delivery in the U.S.; how benefits are set up and designed; and how the system affects patients, providers, and organizations.Dr. Bricker recently became the medical director of SimplePay Health and Coupe Health, where he is helping them offer alternative health plans that empower employees with high-quality care, concierge support, and easily understood payment structures. If you'd like to connect with Dr. Bricker and tap into his wealth of knowledge, you can follow him on LinkedIn or YouTube.**To listen to our full episode on the various types of health plans, click here.Questions? Comments? Feedback? Email us at podcast@paytient.com!For more information on Paytient and how we can help your team better access and afford healthcare, click here.
39:53 09/07/2022
A Continuing Look at the Affordable Care Act
In this installment of the Explanation of Benefits podcast, Dr. Jay and J.R. continue to reflect on the Affordable Care Act and its impact on health insurance.Both Dr. Jay and J.R. were working in insurance at the inception of the ACA, and they saw some of these sweeping changes from the inside. A large portion of the conversation focuses on the three R's established by the ACA: risk adjustment, reinsurance, and risk corridors. **Questions? Comments? Feedback? Email us at podcast@paytient.com!Interested in learning more? Subscribe to the Paytient newsletter for a steady stream of high-quality content for benefits leaders.For more information on Paytient and how we can help your team better access and afford healthcare, head to https://www.paytient
28:10 08/24/2022
Reflecting on the Lasting Impacts of the Affordable Care Act
In the latest installment of Explanation of Benefits, Dr. Jay and J.R. talk about the Affordable Care Act and how it has altered the healthcare world.After discussing a few of the general provisions that the ACA put into place, they focus on three ways the act changed the game in terms of insurance: It introduced medical loss ratio restrictions, it established the idea of guaranteed issue, and it largely eliminated medical underwriting. Get ready to learn about the lasting impact of the ACA! **Questions? Comments? Feedback? Email us at podcast@paytient.com!Interested in learning more? Subscribe to the Paytient newsletter for a steady stream of high-quality content.For more information on Paytient, head to https://www.paytient.com/.
23:50 08/10/2022
How Do High-Deductible Health Plans Impact Spending?
In our latest episode, Dr. Jay and J.R. talk about high-deductible health plans (HDHPs) and how these plans impact healthcare in the U.S. — particularly among people who have private or commercial health insurance.Our hosts take a look at some recent research regarding whether HDHPs are working as anticipated (lowering healthcare costs while making people more engaged in their overall care). While these plans have been shown to decrease the number of "low-value" services members receive, they also had some unintended consequences as it relates to preventive care.**Questions? Comments? Feedback? Email us at podcast@paytient.com!Interested in learning more? Subscribe to the Paytient newsletter for a steady stream of high-quality content.For more information on Paytient, head to https://www.paytient.com/.
22:09 07/27/2022
The Ins and Outs of Contracting Methodologies
We're celebrating 10 episodes today! To mark this momentous occasion, Dr. Jay and J.R. do a deep dive into the various contracting methodologies that insurance companies use when talking to hospitals.They start with fee-for-service models, which pay a set amount of money to providers for a given service. They also explain bundled payments, which see providers take a single payment for a collection of related services. And finally, they look at capitation — weighing all healthcare costs across a population and collecting a set amount of money based on estimates of what sort of care will be necessary. **Questions? Comments? Feedback? Email us at podcast@paytient.com!Interested in learning more? Subscribe to the Paytient newsletter for a steady stream of high-quality content.For more information on Paytient, head to https://www.paytient.com/.
27:05 07/13/2022
Smoked Brisket With a Side of Innovative Benefits (w/ Josh Butler of Butler Benefits & Consulting)
We're thrilled to welcome Josh Butler, president of Butler Benefits & Consulting, to the podcast to chat about everything from entrepreneurship and the changing nature of employee benefits to Texas barbecue. Josh is fresh from his recognition as the 2022 BenefitsPRO Broker of the Year, and he discusses that honor as well as some of the innovative strategies his firm delivers to clients.If you'd like to connect with Josh and learn more about his approach to benefits, you can get details at https://butler-benefits.com/.**To listen to our full episode on insurance networks, click here.Questions? Comments? Feedback? Email us at podcast@paytient.com!For more information on Paytient and how we can help your team better access and afford healthcare, click here.
32:56 06/29/2022
Dad Jokes Meet Insurance Networks
It's nearly Father's Day, and dad jokes are in the air! After making each other groan with some punny quips, Dr. Jay and J.R. delve into perhaps one of the most important functions an insurance company serves: creating a network of providers.This episode touches on everything from why providers are willing to participate in networks to what is actually outlined in the contracts between the payors and providers. They also cover what happens when patients seek care outside of those networks.  Prepare for a heavy dose of network know-how!**Questions? Comments? Feedback? Email us at podcast@paytient.com!Interested in learning more? Subscribe to the Paytient newsletter for a steady stream of high-quality content.For more information on Paytient, head to https://www.paytient.com/.
24:13 06/15/2022
Talking TPAs and SHRM22 (w/ Scott Brewster of 90 Degree Benefits)
Dr. Jay and J.R. welcome a special guest to the podcast today: Scott Brewster, the executive vice president of sales and marketing at 90 Degree Benefits. Scott discusses life as a third-party administrator, including how the role has evolved over the years. Scott also looks ahead to the Society for Human Resource Management's annual conference, which is slated for June 12-15, 2022, in New Orleans, Louisiana. Additional details on SHRM's conference and expo are available at https://annual.shrm.org/. If you'd like to connect with Scott, you can email him directly at scott.brewster@90degreebenefits.com.**Questions? Comments? Feedback? Email us at podcast@paytient.com!Interested in learning more? Subscribe to the Paytient newsletter for a steady stream of high-quality content for benefits leaders.For more information on Paytient and how we can help your team better access and afford healthcare, head to https://www.paytient.com
40:16 06/01/2022
Startup Life and the Future of Benefits (w/ Darius Chehrzad from Paytient)
This week, Dr. Jay and J.R. welcome yet another guest to Explanation of Benefits. And they didn't have to look far to find him!Darius Chehrzad is Paytient's chief commercial officer and oversees the company's go-to-market strategy as well as business development and partnerships. A native of Canada, Darius is fluent in four languages and holds an MBA from the Tuck School of Business at Dartmouth College. Prior to joining Paytient, Darius was an associate partner in McKinsey & Company’s New York office, where he focused on the financial and healthcare services sectors. Darius currently lives in Seattle, Washington.In this casual conversation with Darius, we explore everything from what life is like at a startup to the future of employer benefits — Jay even manages to sneak in a few crab rangoon references. Listen along for a fun and informative discussion.***Questions? Comments? Feedback? Email us at podcast@paytient.com!Interested in learning more? Subscribe to the Paytient newsletter for a steady stream of high-quality content.For more information on Paytient, head to https://www.paytient.com/.
29:05 05/18/2022
A Holistic View of Employee Benefits (w/ Chris Labrecque from Insurance Office of America)
We're trying something different for our fifth episode of Explanation of Benefits. Today, Jay and JR welcome their first guest! Chris Labrecque, president of Insurance Office of America's Employee Benefits Group, joins the podcast today to talk about the unique approach his consulting house takes in providing employee benefits and insurance information to employers all over the country.Chris embraces a truly holistic view of employee benefits, working to improve employee health and wellness by focusing on five interconnected elements — health, financial viability, professional fulfillment, safety, and a social connection to something bigger than yourself.View the full video of Jay's interview with Chris on the Paytient website.***Questions? Comments? Feedback? Email us at podcast@paytient.com!Interested in learning more? Subscribe to the Paytient newsletter for a steady stream of high-quality content.For more information on Paytient, head to https://www.paytient.com/.
27:51 05/04/2022
How Do Insurance Companies Segment Their Business?
In our fourth episode, JR and Jay talk about the ways that insurance companies segment their business. After breaking down the differences between government and commercial business for insurance providers, they spend some time in the commercial space discussing how insurance companies split things up and generally look at the world.Are you not sure about the difference between Medicare and Medicaid? Curious about what insurance companies do with all of the premiums they collect? Just want to know what separates small and large groups in the eyes of insurers? This episode has something to offer for everyone.***Questions? Comments? Feedback? Email us at podcast@paytient.com!Interested in learning more? Subscribe to the Paytient newsletter for a steady stream of high-quality content.For more information on Paytient, head to https://www.paytient.com/.
25:26 04/20/2022
The Benefits Buffet
In our third episode, Dr. Jay and JR talk food. Well, sort of. They discuss insurance using some brilliant food analogies.Enjoy a piping hot bowl of acronym soup while learning about PPOs, EPOs, HDHPs, and more. Then, take a stroll through the benefits buffet to get a better idea of how these various approaches to insurance impact the benefits members receive. Bon appétit!***Questions? Comments? Feedback? Email us at podcast@paytient.com!For additional information on high-deductible health plans, click here.Interested in learning more? Subscribe to the Paytient newsletter for a steady stream of high-quality content.For more information on Paytient, head to https://www.paytient.com/.
24:25 04/06/2022
Going Back to School for Health Insurance 101
In our second episode, Dr. Jay and JR take a deeper dive into the health insurance world. After discussing health insurance as a concept — looking at what a health insurance company actually does and does not do — they explore the basics of how a health plan is put together and created. Finally, they cover what those benefits look like in the real world for members of a given insurance plan.***Questions? Comments? Feedback? Email us at podcast@paytient.com!Interested in learning more? Subscribe to the Paytient newsletter for a steady stream of high-quality content.For more information on Paytient, head to https://www.paytient.com/.
41:58 03/23/2022
A Brief History of Health Insurance
Welcome to Explanation of Benefits! In our inaugural episode, Dr. Jay and JR explore the history of health insurance. Listen along as we journey from the inception of accident insurance in the 1800s all the way through to the Affordable Care Act becoming law in 2010.***Questions? Comments? Feedback? Email us at podcast@paytient.com!Interested in learning more? Subscribe to the Paytient newsletter for a steady stream of high-quality content.For more information on Paytient, head to https://www.paytient.com/.
34:48 03/09/2022