A captive changes who finances healthcare risk—but it does not, by itself, change the healthcare system creating that risk. Once employers assume greater financial responsibility for healthcare claims, clinical quality, provider selection, site of care, pharmacy strategy, timely intervention and price become risk-management issues. In this fireside conversation, an employee-benefits and reinsurance executive and a veteran nurse healthcare strategist will examine what happens after the employer owns the risk—and how captive owners can influence the healthcare decisions that ultimately become claims. Attendees will leave with a practical framework for moving beyond financing healthcare risk toward actively managing it.

Following this session, attendees will be able to distinguish between financing healthcare risk and actively managing the clinical, provider, pharmacy, site-of-care and pricing decisions that generate claims, identify healthcare cost and quality drivers that captive owners can influence through evidence-based care, timely intervention, objective provider quality, appropriate site of care and transparent pricing, and apply a practical Five Rights framework—Right Patient, Right Care, Right Time, Right Place and Right Price—to evaluate healthcare strategies and determine whether interventions are actually improving patient outcomes and captive performance.