The High Performance Health Plan
A Practical Guide to Taking Control of Healthcare Costs and Building Better BenefitsBy Corry Hull
Length10h 12m
About this audiobook
*The High Performance Health Plan* is a practical guide for employers, executives, HR leaders, CFOs, and benefits professionals who want greater control over healthcare costs and better-performing employee benefits.
Written by Corry Hull, REBC®, CSFS®, the book challenges the traditional approach of simply managing the annual renewal. It explains how employers can better understand the financial, contractual, and operational decisions that drive health plan performance, including funding, stop-loss, pharmacy, provider networks, care delivery, navigation, data, vendor management, and employee engagement.
The goal is simple: help employers ask better questions, create greater transparency and accountability, and become better purchasers of healthcare.
Audiobook details
GenreBusiness and Economics
Length10 hrs 12 mins
Narrated byListen with 1,000+ voices
FormateBook with Audio
Publish dateSep 2, 2026
LanguageEnglish
Table of contents
1A Note to the Reader
2Introduction
3Benefits Are Compensation
4How Employer Health Benefits Became the Default
5Healthcare as Interlocking Incentives
Show all chaptersShow less
6Why Discounts Aren't Prices
71. Separate the billed charge from the allowed amount.
82. Treat site of service as a pricing decision.
93. Compare prices for the same service, not discounts across different contracts.
104. Judge the result against a usable reference price.
11Hospital Systems, Networks, and the Price of Care
12The Prescription Drug Money Flow
13Follow the Money Across Intermediaries
14Health Insurance Is Not Healthcare
15The ACA, the Individual Market, and Fifteen Years of Change
16Financing vs. Managing Healthcare
17Self-Funding Mechanics in Plain English
18Level-Funded Plans - The Middle Ground
19How a Health Claim Actually Gets Paid
20Funding the Claims Checkbook: Reserves, IBNR, and Cash Flow
21Stop-Loss Contracts That Matter
22Captives for Risk Sharing and Control
23Data and Transparency: See Before You Solve
24The TPA Is the Operating System
25Contracts Define Control
26Pharmacy Strategy Beyond the PBM Contract
27Provider, Network, and Site-of-Care Strategy
28The Self-Funded Cost-Containment Toolbox
29Navigation, Advocacy, Incentives, and Payment Integrity
30Are You Ready to Self-Fund?
31Design the Plan Around What Matters Most
321. Build for decisions, not descriptions.
332. Put authority in writing.
343. Design the data path before selecting the vendors.
354. Match risk protection to the plan you intend to run.
36Crawl, Walk, Run, Sprint
37Implementation: What a Real Transition Takes
38What a High-Performance Health Plan Feels Like
39Measure, Reinvest, and Keep Improving
40Appendix: Sources and Further Reading
41Final Thoughts: Employers Have More Power Than They Think
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