Viewing profile — mjamilkowski

There are a lot of opportunities to partner with other innovators / startups. We are always looking for ways to do things differently. For you, it translates into a different exper…

Oh yeah it can get crazy expensive. I was just asking to gauge your sense of risk aversion. One of the things I think is missing is being able to bring value to you even if you do …

And for those of you willing to stick it out and help make change happen here, we are hopeful that our differentiated product, use of technology, and processes will stir dialog and…

Now I am curious why you buy health insurance. Are you insuring against the risk of a high cost claim, like a heart attack or premature baby, cancer or transplant? Is it just somet…

Sounds like each one of those "integrated" components are actually separate things and each has an expense to you. And theres noone at the plan to help you navigate or coordinate w…

Hi Mark here - Just to be clear we are not using ROI, but rather clinical impact. The expectation being that the expense of encouraging better care through facilitating coordinatio…

Hi - Mark here - I'm curious to know what you get for your $500 monthly premium. Do you get anything else of value, any incentive programs, knowledge support, coaching, etc. I am a…

I have a different take. Haven was an attempt to get 3 large, very different, groups to reach consensus on some very contentious issues. It was akin to asking everyone at the Thank…

Yes it would be possible - and I know of a couple of benefits consultants that have tried to do this, but bias and independence is a vexing issue. Keep the ideas coming!

Underwriting a whole group actually gives us protection from risk selection and creates a more population based risk which is more stable. Yes there will be individuals that have e…

We are embedding several programs into the benefit plan and still charging a lower price. We think its the best solution to the employer demanding positive ROI on the disease manag…

Hi – Mark (Chief Actuary) here. Now we’re talking.... rolls up sleeves ...thanks for asking the fun question. Medicare for All (MFA) is a proposal to provide the Medicare-based bas…

Product: It is possible that in the future we would roll out a PPO based product to have a broader out of network option. Right now we do not have any plans to do so. Our target em…

Yes you are right - And we recognize this as part of our outreach and contract development efforts. Our collaboration seems to be working and we are getting great reaction from phy…

I’m sorry to hear about the bad reaction you had to the vaccine and then the terrible experience you had with the care system. You are correct, individuals do need to have better u…

For B2B, it’s worth noting that most Americans still receive their health coverage through employers, and this is especially true for the 200-2,000 company size segment. Meeting th…

Thanks for the great summary!

thallium205 does a great job of summarizing some of the common approaches insurers have used to try and get outcomes to be part of the payment of care delivery. We find that most p…

There are several studies and analysis about waste in the US healthcare system. This one gives a great overview and summarizes several other studies as well. https://pubmed.ncbi.nl…