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Business of Health with Mike Martens

Business of Health with Mike Martens
Author: Mike Martens
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© 2024 Business of Health with Mike Martens
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The Business of Health Podcast examines how group health insurance brokers and agents grow profitable businesses. We focus on issues like ACA compliance, ERISA, and other issues that cost companies thousands. Host Mike Martens brings over a decade of experience in group health compliance. His company First Staff Benefits has saved clients millions of dollars and countless hours through Affordable Care Act compliance services. The Business of Health is here to save your group health business time and money, and give you the tools to be an all star for clients. mikem@firststaffbenefits.com
24 Episodes
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Dr. Jack Forbush, DO is the owner of the Osteopathic Center for Family Medicine, Maine's first Direct Primary Care practice offering comprehensive, full-spectrum medical care for all ages including obstetrical and hospital care. He is also a founding member of both the Direct Primary Care Alliance and New England Direct Primary Care Alliance. Dr. Forbush has been and remains actively involved in "all things" related to Direct Primary Care. In addtion to the Direct Primary Care community...
Krista Martens, MS, RD, CDN is a registered dietitian nutritionist who has seven years of professional experience as a registered dietitian. Her graduate school experience allowed her to practice in clinical, research, food service and community settings. Krista aims to provide culturally appropriate, science based, and compassionate care to help others identify and succeed in reaching their long- term nutrition goals. In this episode of the Business of Health podcast, Mike Martens speaks w...
Dr. Char Hu is the Co-Founder and CEO of The Helper Bees, an insurtech company successfully improving the home care experience for the payer and care recipient. They work with some of the world’s largest insurance carriers to deliver transformative experiences in digitization, sourcing great care options, and applying machine learning to power intelligent care and claim analytics and processing In this episode of the Business of Health podcast, Mike Martens welcomes Dr. Char Hu to discuss th...
Adam Butcher is the owner and Vice President of Fred's Appliance LLC, an appliance repair service company that provides field service for all major home appliances in northeast Ohio with over 50 years of combined experience working on every make and model of appliance from such leading manufacturers as Whirlpool, KitchenAid, Maytag, GE, Frigidaire, Kenmore and countless others. They also offer a diverse technical training program that covers all aspects of appliance repair through the F...
Matt Noe is a benefits consultant and business development executive at OneDigital with over 26 years of industry experience. Matt works with existing clients as well as develops new relationships in the challenged industry market. He works with employers to align their employee benefits programs with the employer’s goals and that high performing business leaders need to compete in the market. In January 2020, the Individual Coverage Health Reimbursement Arrangement (ICHRA) began to make wav...
Nancy Giacolone is a seasoned insurance broker with over 30 years of experience in the industry. As the President of Olympic Crest Insurance, she specializes in providing health insurance solutions for small businesses. As a certified Health Rosetta Benefits Associate Advisor, Nancy is committed to providing her clients with exceptional service and transparency, educating her clients on making informed decisions about their health plans, and advocating for cost-effective solutions. The world...
Al Kushner is a recognized Financial Educator, Author, Speaker, Retirement Specialist, and the Founder of Superior Mutual Inc. He specializes in Medicare plans and represents national and regional carriers. Today, he joins Mike today to talk about Medicare. They highlight the most common mistakes made by individuals during the Medicare sign-up process and provide insights on how to avoid them. They also touch on the importance of understanding Medicare plans and representational carriers. Med...
Todd Archer is the President of Concierge Third Party Administrator, a company recognized as one of the nation’s premier industry leaders in third-party administration of self-funded health benefit plans for employer groups of all sizes. With over 35 years of experience, Todd has a proven track record in the field of health benefits third-party administration. He joins Mike today to delve into the topic of reference-based pricing, a reimbursement approach that relies on Medicare allowable rat...
Stacy Barrow is a Partner at Barrow Weatherhead Lent LLP, and one of the nation’s leading experts on the Affordable Care Act. He uses a practical, business-focused approach to counsel his clients on all matters related to employee benefit plans. Today, Stacy and Mike discuss the complexities of mergers and acquisitions, particularly how two groups may end up a control group and the compliance requirements of such a situation. When it comes to mergers and acquisitions, it is important to...
Dr. Josh Umbehr is a board-certified family practice physician and the Founder and Owner of Atlas MD, a membership-based direct primary care practice company providing family healthcare that is immediate, thorough, comprehensive, specific, easily affordable, and personal. Today, Dr. Josh and Mike discuss how the U.S. healthcare system is broken and talks about the benefits of Direct Primary Care (DPC). DPC is a healthcare model that eliminates the need for health insurance and provides direct...
Kyle Estep is the Vice President of Growth at Take Command Health, a company offering an end-to-end Individual Coverage Health Reimbursement Arrangement (ICHRA) platform solution for employers adopting the new individual coverage reimbursement model of employee benefits. In this episode, Mike and Kyle discuss the health care policy landscape, the impact of ICHRA on the individual market, and how employers can benefit from options like the QSEHRA. The Individual Coverage HRA (ICHRA) is a...
Mike Martens explains voluntary disruption today. This important concept is about enabling employees to pick the health insurance they prefer with payroll deduction benefits. Between 2020 and 2022, businesses offering ICHRA escalated by three and a half times. In order to take full advantage of ICHRA (Individual Coverage Health Reimbursement Arrangement) and QSEHRA (Qualified Small Employer Health Reimbursement Arrangement), insurance producers and HR executives need to understand them. Atten...
Janet Trautwein is the Chief Executive Officer of the National Association of Benefits and Insurance Professionals and President of the National Association of Benefits and Insurance Professionals Foundation in Washington, D.C. Janet is a highly saught-after speaker who focuses on health insurance markets, the uninsured, risk pooling, and tax issues. Health insurance is impacted dramatically by state and federal policy. Janet watches elections very closely as they can sway compliance, rules, ...
Danny Creed is a certified business executive, sales coach, and bestselling author. He is the seven-time winner of the Brian Tracy Award for Sales Excellence. Danny is also a celebrity coach and the founder of the Danny Creed Group. This episode is about The benefits of using the DISC system in various areas of life. Danny Creed learned about The benefits of using the DISC system in various areas of life from a variety of sources, including his own personal experience. The main points of the ...
David Smith is the president and chief revenue officer of Ilumivu. Ilumivu is a company that was founded in 2009 that provides technology and research for wearable devices. These devices are used to help people with things such as mindfulness, meditation, and behavioral and mental health. David Smith has led sales at Fortune 5 companies (Optum/UnitedHealthcare) and multiple early-stage growth companies in healthcare such as Dakota Imaging, EngagePoint, and ElectrifAi. In this episode, Mike an...
When you work with an employer or group that has 50 or more employees, at some point, you will need to understand the process of responding to IRS notifications - a process that Elizabeth Raggio walks us through in this episode. In this episode you will learn: Elizabeth Raggio is a compliance attorney with the ETC company. She has been with ETC since 2016 and is the Director of Compliance. Raggio explains that the ACA has two primary obligations for employers: to offer the right kind of cover...
In this episode, Mike Martens welcomes Eric Silverman, one of the most innovative and influential brokers in the industry today. Eric explains the right terms applicable to enhanced benefits, which are usually provided for by the company to their employers. As an expert on employer-funded benefits, Eric shares his insights on the difference between voluntary benefits and enhanced benefits. He explains why employers should be keen and critical in integrating the benefit packages into the...
Stephen Dean co-founded Keona Health to simplify the tedious process that providers have to go through with healthcare technology. With his background in information technology, Stephen and his co-founders came up with a systematic customer relationship software built for healthcare. In this episode, Mike and Stephen discuss the major disconnect in the medical community such as fragmented technical systems, inaccessible providers for immediate needs, and inconsistencies in data sources....
Janet Trautwein is the Chief Executive Officer of the National Association of Health Underwriters (NAHU). Also serving as the president of the NAHU Education Fund in Washington DC, she oversees the activities affiliated with employee benefits programs in the design, implementation and management of health plans. Janet shares details about the NAHU’s current activities, initiatives and prospects. Pushing to address the issues in the industry, NAHU continues to coordinate with government agenci...
The pandemic has seen a global spike for solutions to address mental health issues. Whether the issues stem from personal or work-related causes, solutions need to be accessible for people and organizations that need them most. In this episode, Mike welcomes John Troutman, the National Marketing Director for Mazzitti and Sullivan EAP Services. They provide employee assistance programs by conducting onsite training from the c-suite level down to the employees. With a focus on ment...