Dan Elliott Employee Benefits Consultant View Bio

For regular organizations, health insurance can be difficult, cumbersome, and expensive. For Employee Stock Ownership Plan (ESOP) companies, employees who own the organization must endure the difficulties of health insurance plans and, at the same time, make decisions to protect their own health and that of their families. When faced with growing costs of health insurance and benefits programs, how do ESOP companies decide what plan is best?

The answer for ESOP companies may be hidden in plain sight: Tom Emerick.

Emerick was the Chief Health Plan Strategist at Walmart for many years. During this time, he discovered and solved a very complex issue for Walmart and other employers around the country. What was the issue? That every company has a 6% problem.

Breaking it down, 6% of health plan members, called “outliers,” spend a whopping 47% of the health plan dollars each year. And, it turns out, they can present with medical conditions that are the most commonly misdiagnosed and mistreated. Meaning ESOP companies, and other organizations, can spend money to fix a health issue with an employee that might not even be there – wasting money.

Emerick sites multiple studies, including Walmart’s own 20 years of historical data on millions of plan members. One horrifying statistic to note: cancer, alone, is misdiagnosed and mistreated 30% of the time on average. This is a serious problem.

Additionally, the outliers spend about 16% of plan dollars each year on treatments for diseases they don’t have. And, about 40% of the outlier population have treatment plans, that in Emerick’s own words, are “flat out erroneous or clearly sub-optimal.”

This means about 32 percent of total plan dollars each year are in fact wasted, not to mention the huge amount of medical harm that is being done to these health plan members.

So, what can ESOP companies do? Just as employees took on the responsibility to own the organization, they must take on the responsibility to significantly improve the quality of care available at their company to drive better outcomes and realize significantly lower health plan costs.

That’s where programs like Lawley Correct Care make sense for ESOP companies.

Lawley Correct Care is an exclusive “turn-key” healthcare management model that partners national industry thought leaders, insurance carriers, technology, healthcare professionals, and Fortune 500 validated point-solution programs to significantly improve the quality & delivery of healthcare — delivered with high quality member care. This model especially helps the 6% of members experiencing serious health challenges. Here is a basic outline of Lawley Correct Care:

  • The solution includes the exact same programs and contracts Tom Emerick originally designed for Walmart, one that uses lower cost pre-negotiated bundled pricing agreements, and, guaranteed medical procedure outcome cost protection
  • The program works with almost all major health insurance carriers and health plan TPAs
  • It’s “Fortune 500 Company Tested & Approved” – hundreds of companies already use it
  • There’s little to no cost to implement – and independently validated ROI savings
  • It’s simple to administer and simple for employees to understand & use

This Lawley Correct Care model shows how ESOP companies can take control back into their own hands. Managing care correctly can help save organizations money and save employee lives. ESOP companies need to know that the future of their organization, its employees, and their families, have the best health care available now and in the future.

If you’re interested in learning more about Lawley Correct Care, contact Dan Elliott today. He is the leader of Lawley Correct Care and can walk you through what it would look like for an ESOP company to join the program.

Dan Elliott
Lawley Correct Care | Employee Benefits Consultant
315.243.6824 | delliott@lawleyinsurance.com