Product Distribution
  • Articles
  • October 2015
  • 3 minutes

Looking Ahead: Emerging Trends for Healthcare Provider Organizations and Self-Funded Products

By
  • David Sipprell
  • Lauren Pickard
Skip to Authors and Experts
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In Brief
Nine out of 10 brokers have provider clients asking about self-funded products, and 78% have provider clients interested in offering self-funded products. Ë¿¹ÏÊÓƵAPP's David Sipprell and Lauren Pickard explore findings from a recent healthcare stop loss survey. 

The survey results validate a growing momentum and substantial opportunity in the next year and beyond for self-funded products with providers looking to seize the opportunity to keep members in network with their own self-funded products. 

According to the brokers surveyed, there is a very strong level of interest in offering self-funded products among their provider clients in the near term. This confirms what Ë¿¹ÏÊÓƵAPP has seen over recent months: There is a growing desire among healthcare providers to offer a self-funded product and a growing need for support services to help make the transition to self-funding possible.

The survey reveals that nine out of 10 brokers have provider clients asking about self-funded products, and 78% have provider clients interested in offering self-funded products.

Over the next four to six months, one quarter of provider clients are looking to pursue self-funded products, and the majority of providers (63%) are looking to pursue self-funding products in six months or beyond. 

While providers are motivated by the market growth opportunity, entering the self-funded market is not without challenges. Brokers identified the following as the main challenges faced by provider clients wanting to enter the self-funded market: 

  • Distribution and distribution support were selected as the top challenges by a considerable margin. 
  • Understanding of self-funding and competitive employer stop loss (ESL) rates tied for the second and third biggest challenges, underscoring a need and opportunity for education and training. 
  • The need for a dedicated stop loss partner ranked as the fourth biggest challenge.

In order to successfully enter the self-funded market and seize the opportunity ahead, providers will benefit from a strategic partner to help with distribution and distribution support. Furthermore, having a dedicated stop loss partner to build capabilities and capacity can help providers overcome barriers to entry, and reap the benefits of the growing market.

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Meet the Authors & Experts

David Sipprell
Author
David Sipprell
Senior Vice President, Head of U.S. Group Healthcare, Ë¿¹ÏÊÓƵAPP U.S. Group Reinsurance
Lauren Pickard
Author
Lauren Pickard
Business Development Manager, Ë¿¹ÏÊÓƵAPP U.S. Group Reinsurance

References