John Youngs is the chairman and CEO of OneSource StopLoss Insurance Services. He entered the insurance industry in 1983, working as a broker, and moved to the insurer side in 1989, with a focus on large group self-funded, group life and long-term disability and development of community health plans, the precursor of affordable care organizations.
Youngs has served in various management positions with Anthem, Acordia and Lincoln National, including underwriting, compliance, network development, disease management and marketing. Since 1996, Youngs has run several organizations focused on medical stop loss, custom network development and disease management.
In this second article regarding sustainability of provider networks and managing health plan costs, we will focus on carve-out programs, integration of provider delivery models and direct contracting. As referenced in the first article, the Affordable Care Act (ACA) has hurt re-pricing through preferred provider networks (PPNs). Claim amounts being billed by specialty and institutional […]
We are all familiar with preferred provider organizations (PPOs), and many have utilized either subset networks (exclusive provider organizations) or other iterations to control escalating medical claim costs. While these approaches to provider networks had proven successful between 1970 and 2010, based on the impacts of the Affordable Care Act (ACA) they may no longer […]