Tim Sintich

Locating Specialty Providers that accept Workers' Compensation claims can present a real challenge. Not only is it time consuming for you, but most Specialty Providers have limited availability, do not understand the Workers' Comp process and have a history of excessive treatment plans. For the past 14 years, HeadsUp Healthcare has assisted TPA's, carriers, employers and municipalities in navigating the challenging world of Worker's Comp Specialty Providers. Let's chat at booth #413. Specialties: Dentist, TMJ, Maxillofacial Surgeons, ENT, Vision, Hearing, Neurology and Psychology. #dentalclaims #workerscompensation

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Lies #benefits brokers tell themselves #5 - It takes 2 - 3 years to develop a new client relationship. If it does, it's because your sales process isn't giving the buyer a compelling reason to move forward. Your primary job (through your #SalesProcess) should be to identify if there is an opportunity for meaningful improvement to a prospect's #HR and benefits program and, assuming there is, show them a clear path to addressing their needs and getting better results. I can't imagine any responsible #business owner and/or decision-maker wanting to wait, much less for two years, once they understand their business is broken and solutions are known, available, and manageable. Q4intelligence, LLC #Goose #YourUltimateWingman #LetsFreakinGO

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How many times did Aetna executives say they are cutting supplemental benefits on their earnings call? I count 6 times! Interesting to hear how the improved star ratings is a tailwind generally, but will also prevent them from cutting certain benefits on those plans. They called out dental specifically as driving high utilization, and also specified some of what they are going to be cutting. The biggest take-away that all of the market movement in MA is hammering home is that long-term medical claims at scale are not as predictable as they need to be for the current MA business model to work well with public markets. The MA plans could actually manage the cost of care down and still get hurt with the way things play out, but meanwhile when you guess incorrectly on medical trend or outlier shifts in the broader healthcare economy, there is no real way to make up the profit no matter how many providers you own. The last few years had an arms race to grow MA membership and everyone in the ecosystem played a role. Carriers in more aggressive plans, Agents asking for more aggressive comp, marketers driving more aggressive advertising and regulators with more aggressive new regulations. Right now there is a backward arms race happening at every major MA carrier, and competitive intel is being traded like gold.

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