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June 27, 2024 49 mins

Guest: Jeb Dunkelberger, Founder and CEO of ClearPoint Health

Introduction:

  • Welcome to the Healthcare Nation Podcast.
  • Today's focus is on policy and the payer space with guest Jeb Dunkelberger.

Guest Introduction:

  • Jeb Dunkelberger, founder, and CEO of ClearPoint Health, specializes in empowering small and mid-sized companies with innovative employer benefit solutions.
  • Background includes C-suite positions in healthcare insurance, a master's in Healthcare Innovation from Penn, and a passion for improving clinical delivery and insurance risk.

Discussion Highlights:

  1. Rising Healthcare Costs:
    • Primary drivers include rising costs of claims, underpayment issues in Medicare and Medicaid, and labor shortages in clinical settings.
  2. Challenges for Small and Mid-Size Businesses:
    • Small businesses face unique burdens such as wearing multiple hats, limited leverage, and reliance on standardized insurance solutions.
    • Importance of having creative benefit advisors to navigate the complex insurance market.
  3. Fully Insured Insurance Models:
    • Limitations include lack of transparency and perverse incentives for insurers.
    • Small businesses moving towards self-funding and level funding to gain better control and transparency.
  4. Innovative Insurance Models:
    • Medical Stop-Loss Captives: Pooling risks of small businesses to make insurance more affordable.
    • Benefits include returning unused premiums to employers and fostering community among small businesses.
  5. Regulatory and Economic Factors:
    • Regulatory challenges include managing federal and state laws, and the impact of policy changes like the Affordable Care Act.
    • Economic factors influencing the insurance market and the importance of creative solutions for cost management.
  6. ClearPoint Health:
    • ClearPoint Health focuses on creating transparent, efficient insurance models for small businesses.
    • Emphasis on leveraging technology, community building, and innovative insurance solutions like medical stop-loss captives.

Conclusion:

  • The importance of humility, perseverance, and taking action in the healthcare industry.
  • Jeb's personal story and mission to improve the healthcare system for small businesses and their employees.

Call to Action:

  • Visit ClearPoint Health's website for more information.
  • Stay tuned for the next episode of the Healthcare Nation Podcast.
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