The High Performance Health Plan

A Practical Guide to Taking Control of Healthcare Costs and Building Better Benefits

von Corry Hull

252 Seiten, Taschenbuch

Kurzbeschreibung des Verlags

Employers spend enormous amounts of money on healthcare every year, yet many still have surprisingly little control over what they are buying, what they are paying, or whether their health plan is actually performing.The problem is not simply rising premiums. It is a healthcare purchasing system built around complexity, fragmented incentives, opaque contracts, inconsistent pricing, and decisions that are too often made one renewal at a time.The High Performance Health Plan: A Practical Guide to Taking Control of Healthcare Costs and Building Better Benefits was written to help employers change that.Drawing on nearly two decades in employee benefits consulting, Corry Hull explains how employers can move beyond simply managing the annual insurance renewal and begin managing healthcare as a strategic business function.This book breaks down the major forces driving employer healthcare costs and shows how financing, data, provider networks, pharmacy, stop-loss, primary care, high-cost claims, employee navigation, vendor contracts, fiduciary responsibility, and employee engagement all work together.At the center of the book is the High Performance Health Plan Framework-a practical ten-component model for building a more transparent, accountable, and sustainable employer health plan.Readers will learn how to think more critically about: - Fully insured, level-funded, self-funded, and alternative risk strategies- Claims data, analytics, and healthcare cost drivers- Medical networks, hospital pricing, and provider economics- Pharmacy benefit managers, specialty drugs, rebates, and pharmacy contracts- Stop-loss insurance and catastrophic risk- Primary care, direct contracting, and early intervention- High-cost care and Centers of Excellence- Employee navigation and healthcare decision support- Vendor contracts, fiduciary responsibility, and accountability- Employee communication, engagement, and plan performanceThe High Performance Health Plan is not a book about finding one carrier, one vendor, or one magic solution.It is about understanding the entire system.Because employers do not need to fix American healthcare before they can improve their own health plans. They need better information, better alignment, greater transparency, stronger accountability, and a more disciplined approach to purchasing healthcare.This book is written for CEOs, business owners, CFOs, HR leaders, benefits professionals, advisors, and plan fiduciaries who want to understand what is actually driving healthcare costs-and what they can do about it.If your organization is tired of watching healthcare costs increase while repeating the same renewal process year after year, this book offers a different path.Stop managing the renewal. Start managing healthcare.

• Reihe: Independently published
• ISBN: 9798171440527
• Sprache: Englisch
• Erscheinungsdatum: 02.09.2026
• Größe: 229 x 152 mm
• Verlag: Independently published