Healthc are ate EBITDA
Healthca
And
your
shifting
makes up healthcar
Too Many Competing Interests…
Competing Interest #1 YOUR BROKER
represent a 3-10% waste within the value chain
Competing Interest #2 YOUR PPO
Where are your employees going now?
Competing Interest #3 YOUR INSURANCE CARRIER
Carrier Share Prices since ACA
Medical Loss Ratio
Medical Loss Ratio
Carriers operate with a 3.3 – 5% profit margin
Competing Interest #4 YOUR
PHARMACY
BENEFIT MANAGER
Role of a Pharmacy Benefit Manager
Role of a Pharmacy Benefit Manager
Two
into the healthcare system
Direct Contracting
Bundled Pricing
Client Interests
Direct Primary Care:
What does all this mean for EO?
1) An offering of health insurance to member owned orgnzaztions that cost 35%-60% less than then are spending now
2) An offering of health insurance that gives those employees a path to ZERO out of pocket for primary care, prescriptions, imaging, surgery, durable medical equipment and more
3) An aligned health plan stack in which the perverse incentives are removed and Employers win only when employees when
4) A demonstrated leader in delivering results (and a former EO member) managing the plans for for member owned organizations across the country
5) A revenue source for EO that would be a combination of a fixed per employee per month perpetual income as well as a profit based bonus based on savings that would be shared by EO and the employers in the program