In this week’s podcast, Lisa Stamm discusses various strategies for mitigating health plan risks.
Strategies that Lisa elaborates on include implementing deductibles with a rate cap for individuals on a health plan and ensuring cash-flow protection for aggregate coverage. The latter strategy allows employers to pay for large claims without waiting for reimbursement from the stop-loss carrier. Lisa also delves into scenarios where an employee may not be covered by a health plan.
Another topic for discussion revolves around specialty drugs. Specialty drugs are a significant concern for health plans, especially because of their high costs. Specialty drugs typically cost more than $1,000 per month and are developed for specific conditions. They are life-saving or life-altering for those who need them, but they can also bankrupt health plans.
*The views and opinions expressed in the Public Risk Management Association (PRIMA) blogs/podcasts are those of each respective author/speaker. The views and opinions do not necessarily reflect the official policy or position of PRIMA.*
Vice President, Consulting Services, Sherrill Morgan
Summary of Qualifications
Lisa is a graduate of Northern Kentucky University and the University of Cincinnati College of Law. She has been with Sherrill Morgan since 2005 and manages health and welfare benefit plans, particularly in the self-funded arena. As a licensed attorney, she can consult clients regarding applicable state and federal laws regarding health plans. She is also available to answer questions regarding compliance with applicable laws, including federal health care reform, COBRA, ERISA and HIPAA. Lisa is also an expert and featured speaker on regulatory issues, particularly as they relate to health care reform. She has been a member of the Kentucky Bar Association since 1992.
Lisa is the VP of the consulting division. She and her team oversee all self-funded groups. She is the primary contact for regulation, compliance, and health care reform issues and questions. She has an outstanding track record in reducing and maintaining plan costs. Her vast experience makes her invaluable to her clients.
Lisa has been with Sherrill Morgan since 2005, and she has worked with a wide variety of clients in that time including both public and private employers in Ohio, Kentucky, and Tennessee.