Roger Francoline serves as Executive Vice President of Remedy Partners’ Commercial Business Lines and oversees all its day-to-day responsibilities. Since 2016, Roger has led the development of all business and operational requirements to convert and update existing company technology and operational assets to support episode-of-care initiatives in the commercial space. His deep expertise in risk and insurance has allowed Remedy Partners to deploy products for payers, self-funded employers and provider organizations.
Prior to joining Remedy Partners, Roger served as Chief Operating Officer and Chief Administrative Officer at Maas Global Solutions, a global transaction-processing technology company, which served the high-volume/ availability needs of independent sales organizations (ISOs) and merchants in all industries. From 2006 to 2014, Roger served as the Co-Founder and Chief Administrative Officer of TransEngen, a company which facilitated healthcare and financial transaction processing, growing revenue to more than $5 million per year.
Before TransEngen, Roger served as Senior Vice President for Aon Healthcare, where he developed risk products and technology solutions that included working to place a billion-dollar reinsurance program for the newly established Medicare Part D product. From 2000 to 2005, Roger was the Senior Vice President of HealthMarkets, an episodes of care consumer driven health plan. He oversaw product development, compliance, underwriting and the actuarial function for a consumer driven health plan (CDHP) operating in nine states. He was part of the team that developed the methodology and business rules for the first-ever designed “episode of care” benefit. From 1994 to 2000, Roger held senior regulatory and underwriting roles at Coventry Health Plans and MAMSI, which is now a subsidiary of United HealthCare Services, Inc. Roger holds a bachelor’s degree in Economics and Finance from Vanderbilt University and a J.D. from the Columbus School of Law at The Catholic University of America.
Episode-Based Benefit Plans: The Right Way to Do Reference-Based Pricing for Employees
U.S. employers have implemented reference-based pricing programs since 2009. As healthcare prices continue to grow at a rate that outpaces inflation, and high-deductible health plans are causing employees to reduce the use of high- and low-value services, many employers are looking to alternative benefit plans to keep costs down and employee engagement up.
In this webinar, we will explore:
- The potential for episode-based benefit plans to be an effective alternative to high-deductible health plans
- Using episode-based benefit plans to help employees find high-value providers and become more engaged in managing their own health
- The advantages of adding episode-based benefit plans to a referenced-price product to reduce or eliminate hidden pitfalls of these reemerging products
This is the third of our Executive Webinar Series: Transforming Healthcare with Value-Based Payment & Benefit Strategies.