Issue link: http://www.insightdigital.biz/i/180153
participate on the exchange? Rai: Prevea 360 will be the only local company on the exchange headquartered in northeast Wisconsin, available to all the counties we work within. Everybody submitted rates, but you don't know where you're going to land, if you're going to be a viable product or not. We have no idea if this is a good business decision for Prevea to be on the exchange or not. Lingenhag: There's just so much uncertainty and you had to file your rates so far ahead of time. We (Network) will reevaluate it to see if in 2015 we want to enter that or not. INSIGHT: How is the ACA going to change your business? Rai: We have it on both ends. We have patients, because we are a health care provider, we have three partnered hospitals, so our 1,500 employees need to know how to answer questions. Patients are going to say, "What do I do?" Lingenhag: We basically have changed the way we do business. Our biggest tool was underwriting, up front, in terms of selection. Now all the familiar tools we've had have been taken away, and we've got to come up with new tools. We're in the process of figuring out what tools we have on the back end in terms of managing the care, risk adjustment. McClone: People have never needed an advisor more than they do today. It used to be extremely easy to put up a shingle and be in our business. There are predictions that in the next three to four years, there might be only 10 to 20 percent of us standing, because you need so much manpower to stay on top of the regulations and to communicate with your clients. INSIGHT: What about the future? Lingenhag: Innovation is going to be very important going forward, trying to figure out whether it's selffunded, more managed plans. Private industry is going to have to adapt and grow if we're going to thrive. McClone: I see a huge trend to a large percentage of employers going to these self-funded plans. That will get people to see what the underlying risk is and therefore start attacking that risk. I kind of view this as a cold football "The silver lining is this has forced people to ask, 'Why are we doing this to ourselves?'" – Dustin McClone, executive vice president, McClone Insurance game. The weather's terrible but we're all in it. You've got to find out between you and your competitor, who's going to win. It's below zero and you're both miserable but you've got to find a way to get an advantage so you can get ahead. You can bury your head in the sand or you can step up and say, "Hey, this is another way for us to create that advantage." [continued] » ENROLLING NOW BS-N Completion for RNs! • Transfer in up to 90 credits • Finish in as little as two years • Accelerated courses meet once per week • Flexible scheduling for the working adult cuw.edu/Appleton cuw.edu/GreenBay Appleton Green Bay 920-968-0933 • 3232 North Ballard Road w w w. i n s i g h t o n b u s i n e s s . c o m 920-498-2551 • 1150 Springhurst Drive O c t o b e r 2 013 • Insight | 31