One City Built to Last

The news is in: On November 7, 2014, the justices announced they would decide on a lawsuit claiming that the language of the Affordable Care Act doesn’t allow the government to provide tax-credits to low-and-moderate-income health insurance consumers using federally funded Obamacare exchanges operating in more than 30 states. Indeed, there’s a medical quagmire. And there is a lack of communication between doctors, staffing and patients. For example, the Affordable Care Act isn’t just about insurance coverage. The legislation is also about transforming the way health care is provided. In fact, it has brought in new competitors, services and business practices, which are in turn producing substantial industry shifts that affect all players along health care’s value chain. Read Amy Armstrongs story on page 16. On page 21, our reporter Judy Magness, profiles companies all over the country making incredible advances. Take a look at Functional Medicine and the driving breakthroughs in breast cancer while The news is in: On November 7, 2014, the justices announced they would decide on a lawsuit claiming that the language of the Affordable Care Act doesn’t allow the government to provide tax-credits to low-and-moderate-income health insurance consumers using federally funded Obamacare exchanges operating in more than 30 states. Indeed, there’s a medical quagmire. And there is a lack of communication between doctors, staffing and patients. For example, the Affordable Care Act isn’t just about insurance coverage. The legislation is also about transforming the way health care is provided. In fact, it has brought in new competitors, services and business practices, which are in turn producing substantial industry shifts that affect all players along health care’s value chain. Read Amy Armstrongs story on page 16. On page 21, our reporter Judy Magness, profiles companies all over the country making incredible advances. Take a look at Functional Medicine and the driving breakthroughs in breast cancer while

20.03.2015 Views

y amy m. armstrong Providing More than Just Health Insurance Last year’s federal failure in terms of allowing even eligible Americans to enroll online for Obamacare via the health care exchange systems, laid the groundwork for today's success of Alaska’s largest Affordable Care Act enroller. “We lost a lot of momentum with that,” admits Joshua Weinstein, president of Northrim Benefits Group, affiliated with Anchorage, Alaska's Northrim Bank. “Yet, consequently, the success that comes out of it is that we are the largest agency in the state of Alaska for individual consumers wanting to enroll in health benefits under the Affordable Care Act. We built a model that is lucrative and sustainable for our firm around what, in industry standards, I would consider a fairly meager commission on individual health insurance products.” Weinstein is referring to the “Enroll Alaska” division of Northrim. One year ago, as health insurers ramped up for Obamacare enrollment, Northrim identified more than 100,000 individual Alaskans who would be income-eligible for the federal subsidy being offered. Northrim had nearly 40 employees – including an “Enroll Alaska” division Chief Operating Officer – all ready and willing to process applications. When the health care exchanges opened last October – and technical glitch after technical glitch plagued the system – Weinstein and his associates at Northrim were just as, if not even more, frustrated than the consumers who could not log on. While the delays were admittedly discouraging, in hindsight Weinstein sees blessings in disguise for Northrim. It gave them the motivation they needed to up their game in terms of customer service within the health care exchange system. “Not only do we help people get tax credits and manage the policies that they have purchased on an individual basis, but we also provide care advocacy, so if there are claims issues or medical billing errors, we provide a full wrap-around solution. That has become a great success story, because people who are trying to navigate the insurance marketplace do not have to do it alone – and they do not have to pay more for that help when they work with our ‘Enroll Alaska’ division,” Weinstein explains. He adds that the experience taught the benefits group he heads how to be nimble and flexible in the ever-changing climate of regulatory, political and legislative priorities surrounding health care. It almost sounds like an over-used cliché, unless one considers the monumental changes Obamacare presented to the issuers of health care policies and the employers purchasing them on behalf of employees. Since its founding, Northrim's mainstay has been providing group benefits. The “Enroll Alaska” THE SUIT MAGAZINE - NOV 2014

division, however, primarily targets individual consumers, representing a welcome expansion into this new area for the firm. When Weinstein came on board as a temporary summer hire in 2002, the Northrim Benefits Group consisted of three employees. He was in between teaching positions and took the job “not just to kill some time” in the summer months, but to use his time and skills wisely while school was out. He found himself enjoying the industry enough to stay. “I am a numbers person,” Weinstein said. “I enjoy helping a client establish what their need is and then putting together a solution to fill that need.” At first, his policy writing work focused on responding to the care needs associated with an illness or injury. Then the insurance policy tide turned, and Weinstein saw opportunities to help people stay healthy by emphasizing preventative care and wellness. That evolved into helping companies purchase group plans at lower than usual cost. “Health care spending has become such a significant part of the financial picture for business owners, that if they do not get a handle on the rising cost of their health care plan, they lose their competitive edge,” he stressed. Weinstein put his love of num- bers to work, analyzing budgets and spreadsheets for the firms Northrim serviced. The benefits group began to grow. Today, the firm employs 12 to 20, with renewal season requiring more staff. As Obamacare began to be implemented, it became clear to Weinstein that the firm’s clients needed plain English guidance as to how this would impact them. “The most significant consideration in the early part of the law back in 2010, was just getting our arms around this and figuring out what does it mean to us,” he noted. “Now, further into its implementation – as employers we work with are seeing the sticker shock associated with this expansion of health care benefits and the compliance requirements associated with it – a lot of concern has been created in our office that employers may not, or likely are not, doing everything they are supposed to be doing at the right time or getting the right information to the right people at the right time.” Hence, Northrim’s focus regarding Affordable Care Act education gave way to a focus on compliance and a new set of services began to be offered to clients: Online communication portals offering support for human resource departments, document preparation services and a primer on Obamacare titled “Healthcare Reform 101.” This was written to get clients up to speed and comfortable with the latest mandates they had to meet. “Added to Obamacare are the continual announcements from the Federal Department of Labor that the agency intends to audit every employer sponsoring health and welfare plans within the workplace,” Weinstein notes. This only provides Weinstein and his staff with more reason to focus on compliance in regards to health care insurance policies. “It has gotten a lot more technical – and we really have had to roll up our sleeves,” Weinstein emphasized. “But for us, being able to take all of that information and regurgitate it back to the client in a way that is understandable and meaningful to them, so that they know we are full partners with them in this journey, is our goal.” 3111 C St, Suite 500 Anchorage, Alaska 99503 P: 907.263.1401 |TF: 888.910.6667 Email: info@northrimbenefits.com www. northrimbenefits.com THE SUIT MAGAZINE p.47

y amy m. armstrong<br />

Providing<br />

More than Just<br />

Health Insurance<br />

<strong>Last</strong> year’s federal failure in terms of<br />

allowing even eligible Americans<br />

<strong>to</strong> enroll online for Obamacare via<br />

the health care exchange systems,<br />

laid the groundwork for <strong>to</strong>day's success of<br />

Alaska’s largest Affordable Care Act enroller.<br />

“We lost a lot of momentum with that,”<br />

admits Joshua Weinstein, president of Northrim Benefits<br />

Group, affiliated with Anchorage, Alaska's Northrim Bank.<br />

“Yet, consequently, the success that comes out of it is that<br />

we are the largest agency in the state of Alaska for individual<br />

consumers wanting <strong>to</strong> enroll in health benefits under<br />

the Affordable Care Act. We built a model that is lucrative<br />

and sustainable for our firm around what, in industry standards,<br />

I would consider a fairly meager commission on individual<br />

health insurance products.”<br />

Weinstein is referring <strong>to</strong> the “Enroll Alaska” division of<br />

Northrim.<br />

<strong>One</strong> year ago, as health insurers ramped up for<br />

Obamacare enrollment, Northrim identified more than<br />

100,000 individual Alaskans who would be income-eligible<br />

for the federal subsidy being offered. Northrim had nearly<br />

40 employees – including an “Enroll Alaska” division<br />

Chief Operating Officer – all ready and willing <strong>to</strong> process<br />

applications.<br />

When the health care exchanges opened last Oc<strong>to</strong>ber –<br />

and technical glitch after technical glitch plagued the system<br />

– Weinstein and his associates at Northrim were just<br />

as, if not even more, frustrated than the consumers who<br />

could not log on.<br />

While the delays were admittedly discouraging, in hindsight<br />

Weinstein sees blessings in disguise for Northrim. It<br />

gave them the motivation they needed <strong>to</strong> up their game in<br />

terms of cus<strong>to</strong>mer service within the health care exchange<br />

system.<br />

“Not only do we help people get tax credits and manage<br />

the policies that they have purchased on an individual<br />

basis, but we also provide care advocacy, so if there are<br />

claims issues or medical billing errors, we provide a full<br />

wrap-around solution. That has become a great success<br />

s<strong>to</strong>ry, because people who are trying <strong>to</strong> navigate the insurance<br />

marketplace do not have <strong>to</strong> do it alone – and they do<br />

not have <strong>to</strong> pay more for that help when they work with<br />

our ‘Enroll Alaska’ division,” Weinstein explains.<br />

He adds that the experience taught the benefits group<br />

he heads how <strong>to</strong> be nimble and flexible in the ever-changing<br />

climate of regula<strong>to</strong>ry, political and legislative priorities<br />

surrounding health care.<br />

It almost sounds like an over-used cliché, unless one<br />

considers the monumental changes Obamacare presented<br />

<strong>to</strong> the issuers of health care policies and the<br />

employers purchasing them on behalf of employees.<br />

Since its founding,<br />

Northrim's mainstay<br />

has been<br />

providing<br />

group benefits.<br />

The “Enroll<br />

Alaska”<br />

THE SUIT MAGAZINE - NOV 2014

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