Product Distribution
  • Articles
  • October 2015

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

By
  • David Sipprell
  • Lauren Pickard
Skip to Authors and Experts
pair of individuals complete helathcare turnkey negotiation
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. 69É«ÇéƬ'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 69É«ÇéƬ 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.

More Like This...

Meet the Authors & Experts

David Sipprell
Author
David Sipprell
Senior Vice President, Head of U.S. Group Healthcare, 69É«ÇéƬ U.S. Group Reinsurance
Lauren Pickard
Author
Lauren Pickard
Business Development Manager, 69É«ÇéƬ U.S. Group Reinsurance

References