Allison De Paoli

Published Author; Benefits Strategist & Enrollment Expert; Founder Altiqe Consulting

[Allison De Paoli @acdepaoli]

You don't need the PBM to be a villain for the contract to cost you. Blind trust does the job by itself.

A clean(er) contract in a dirty business is a real, achievable thing.

https://t.co/Bq4qB5CjHF

[Allison De Paoli @acdepaoli]

The renewal is the one room you keep walking out of without leverage. Somebody told you that was fine. It wasn't.

And how is that working for you?
https://t.co/pe0twNqZB9

[Allison De Paoli @acdepaoli]

You negotiate every vendor in your building. Freight, software, banking. Terms, benchmarks, a walk-away. Then your biggest one after payroll gets a pass. 👇

[Allison De Paoli @acdepaoli]

Bring the discipline you use everywhere else. Comp disclosure certified in writing. Readable contracts. Real benchmarks. Options beyond the same four carriers in new logos.

[Allison De Paoli @acdepaoli]

"You're too small to have options."

That's inventory talking. An advisor who sells four carriers finds four-carrier answers to everything.

Who told you that, and what do they sell?

https://t.co/JtHh4a0dC5

[Allison De Paoli @acdepaoli]

"You're too small to self-fund. Claims too bad. Just take the increase."

Ugly claims are our specialty. They're what these structures were built for.

https://t.co/JtHh4a0dC5

[Allison De Paoli @acdepaoli]

Your workforce got repriced this year. Were you part of the decision, or just on the distribution list?

https://t.co/8KISeEPrKC

[Allison De Paoli @acdepaoli]

Every raise at your company gets approved. Someone signs off. Except one line: your health plan's annual price hike. It just... happens. 👇

[Allison De Paoli @acdepaoli]

Employers who control this treat the plan like a managed cost, not a fixed one. They see what drives the number, then they decide. Like they decide everything else.

[Allison De Paoli @acdepaoli]

One was a negotiation. The other was a presentation.

You scrutinize every vendor except your biggest one after payroll: the health plan.

Time to bring the same discipline to that room.

https://t.co/pe0twNqZB9

[Allison De Paoli @acdepaoli]

@HealthReformGuy The TPA choice quietly decides how much control an employer actually keeps. Most CFOs think they hired a claims processor and got a gatekeeper instead. Curious where Part 2 goes on plan design control.

[Allison De Paoli @acdepaoli]

It's July. Your renewal is under construction right now. Are you in the room, or waiting for the reveal?

https://t.co/yiSAPj1ejj

[Allison De Paoli @acdepaoli]

Someone in your building said the six most expensive words in business this spring: "We'll deal with it at renewal." 👇

[Allison De Paoli @acdepaoli]

A CCO told me his sales quota jumped $8 million this year. Not because the business grew. Because the renewal did, and his team has to sell enough to cover it.