Employee Benefits

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Managed self-insured health benefits plans, and negotiated and managed various third-party
health benefits (major medical / health, vision, dental, deferred comp, etc.) including but not limited to:


PEBSCO
Public Employee Benefit Services Corporation

Reynos.com:

• Conceived and developed an innovative health benefits delivery system that unlike traditional indemnity plans, HMOs, PPOs, EPOs, IPOs, Medicare, and the Affordable Health Care Act (Obamacare): (1) reduces both employer and employee health care costs by 25% within twelve months of implementing my proprietary health benefit matrix, and produce another 25% reduction within the next 18 months (and I can prove it!); (2) continues to produce on-going savings - and with absolutely no reduction in the quantity or quality of health benefit services; (3) captures and indexes health benefit savings to various financial instruments; and most importantly, (4) dramatically improves the health of all plan participants!

I have consistently proved to actuaries, benefit managers, and health care providers there's a cheaper, more efficient, far more accurate, and higher quality delivery system to provide health care. Note the following response to my innovative benefits delivery system from Mutual of Omaha (click here) in 1990. Ironically, the “status quo” of HMOs, PPOs, EPOs, IPOs, indemnity plans, Medicare, and Obamacare are akin to the continued reliance on the anachronism of fossil-based fuels. Likewise, instead of reviewing my health benefits delivery system, which is strategically designed to actually improve participant health and reduce health benefit expenses, President Obama sent me a bureaucratic response in 2009 (click here) and then launched Obamacare, which as accurately conveyed by President Trump continues to have absolutely no impact toward reducing the cost of health care and/or improving individual health. Albert Einstein said it so clearly, “Insanity: Doing the same thing over and over again and expecting different results.”

My proprietary health benefits delivery system is:

1. Significantly advanced beyond current state-of-the-art health care delivery systems;

2. A giant leap in health benefits administration and data management;

3. The first real-time, total-comp solution to establish compensable measures between all employee related expenses;

4. Uniquely designed to reduce health care expenses with absolutely no corresponding reduction in the quantity or quality of health care services;

5. An original solution that phenomenally empowers employees to seize control of both the state of their health and the cost of their health care (it's cheaper!);

6. An original solution that finally puts the design and administration of health benefits plans back under the control of employers - instead of profit seeking/revenue oriented health carriers (HMO, PPO, EPO, POS, IPO, indemnity, Obamacare, etc.).

7. An original solution that finally stops the perpetual increase in health expenditures.

Again, without any reduction or discrimination in the quality, scope, or distribution of coverage, I can reduce both employer and employee health care costs by 25% within twelve months of implementing my proprietary health benefit matrix, and produce another 25% reduction within 18 months or less - and I can prove it! Absolutely no benefits delivery system (Obamacare, HMOs, PPOs, EPOs, IPOs, indemnity plans, Medicare, etc.) can outperform my matrix. As represented by correspondence from Mutual of Omaha, this is a serious proposal, involving Big Data, Analytics consulting, and related technologies conceived 25 years ago that remain state-of-the-art. To schedule a formal presentation, please download, review and return the following NDA (Non-Disclosure Agreement). I won’t waste your time. Contact me to discover a better way, a smarter way to deliver and administer health care!


• At Fremont Area Medical Center

• Directly responsible for the design (including desktop publishing) and communication of all health benefits related information, including open enrollment packaging via memorandum, manuals, brochures, administrative directives, Internet (including HTML design), and both formal and informal presentations before staff, senior management and executive boards.

• Designed and promoted pre-retirement planning seminars in conjunction with the University of Nebraska at Lincoln:

• At Denver Community Federal Credit Union:

Negotiated and managed all health benefits (health, vision, dental, deferred comp, etc.); reduced expenses by 50%!

• At the City of Dallas

Managed Benefits - E.A.P. (Employee Assistance Program), benefits cost containment, C.A.R.E. (Counseling Assistance and Resources for Employees) Services, Wellness Program, D.A.R.T. (Dallas Area Rapid Transit) Buss Pass Program, Van Pool Program, managed care, ICD-9 claims analysis, deferred compensation programs 401(k) and 457, COBRA and workers compensation.

• Worked with the Dr. Kenneth Cooper's Institute for Aerobics Research in Dallas, Texas (this is the organization that "re-invented" the word "aerobics" in the creation of an original wellness program for the City of Dallas! Established an original health care model that successfully reduced health care expenses.

Specific example: As a self-insurer for health benefits, the City of Dallas faced continuing rising health care costs.

What did I deliver: I performed as the "key" player in guiding senior management in the design, scope, implementation, and training on health care cost containment initiatives. The piloting stage of this project lasted six months, with full implementation delayed for nearly three years until allocation of funding. Program scope included: the design of an original wellness program; research and designation of facilities, staff and equipment; writing a RFP, contacting vendors, and scheduling on-site presentations by vendors to provide medical and fitness services, which culminated with my unilateral selection of a service provider. Monitored and validated program effectiveness: Reduced health promotion expenses by 52% in less than two months, with no reduction in services; increased health promotion program membership by 23% in less than six months; and, most importantly, validated a 68% drop in health claims by program membership vs. 79% increase in health claims by non-members.

 

 
 
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