Heathy Business Matters: Stop Loss - It's Not a Data Problem. It's an Engagement Problem.
Healthy Business Matters by Dr. Andrew White
Episode notes
Dr. Andrew White talks with Trey Hinson, a 26-year self-funded insurance veteran, about why stop loss carriers and DPCs (direct primary care) keep talking past each other — even though their interests are actually aligned. The takeaway: the disconnect isn't a data problem, it's an engagement problem.
In This Episode
Trey's path from Blue Cross Blue Shield to advising 91 TPAs and 150+ point solutions. Why stop loss carriers ask for detailed data — and why it's about shared risk, not distrust. The two metrics that actually matter to a stop loss carrier: engagement and medical trend. How to approach stop loss the right way, through the broker, TPA, and carrier.
Key Insights
Employers and stop loss carriers are the two parties with real financial risk in a self-funded plan, which is why data-s ...