Cost Containment Strategies in SF & LF

This one-hour course provides insurance professionals with an educational overview of cost containment strategies used in level-funded and self-funded group health plans. The course reviews the underlying cost drivers in employer-sponsored health plans, compares traditional carrier-led approaches with alternative funding and administrative models, and explains how strategies such as PPO network discounting, utilization management, pharmacy management, specialty drug controls, site-of-care steerage, member navigation, reference-based pricing, Medicare-indexed reimbursement, direct contracting, centers of excellence, captives, risk-sharing arrangements, and data reporting may affect plan cost and member experience.

The course is designed to help producers evaluate cost containment strategies objectively, identify the types of claims or cost categories each strategy is intended to address, and ask appropriate questions when advising employer clients. Product and carrier examples may be referenced for educational comparison purposes only and are not presented as endorsements or recommendations.

SPEAKER:  Jason Powers

Jason Powers is the Partner and Co-Founder of Legacy Brokers, LLC, and is known in the benefits community as The Self-Funded Sensei.

Licensed since 2000, Jason has spent more than two decades helping brokers and employers navigate fully insured, level-funded, self-funded, and TPA-driven health plan strategies. Before co-founding Legacy Brokers, he served as National Sales Director for a third-party administrator, giving him firsthand experience with claims administration, stop-loss, cost containment, and the operational realities of self-funded plans.

Jason currently serves as President of NABIP Kansas City, sits on the Board of Directors for EBPA, and serves as Chairman of the Board for Barton Mutual Insurance Company. His work also includes a strong focus on helping Native American Tribes evaluate and improve their employee health plans.

Today, Jason helps producers become stronger advisors by understanding the strategies behind healthcare financing, pharmacy, network design, cost containment, and employer plan ownership.

We encourage you to arrive early for networking with your fellow members and guests.