Justin Leader
President & Founding PartnerBenefits DNA
jleader@benefitsdna.com
724.466.2078
Health Rosetta Advisor since 2017
Justin began his career in the pharmaceutical industry and later moved into finance at Morgan Stanley, where he developed expertise in employer benefit plans. In 2014, he founded BenefitsDNA (Direct Negotiation Advisors), an independent consulting practice comprising industry experts. Justin and his partners assist employers of all sizes in creating competitive self-funded healthcare and innovative employee benefit plan design. He is also a partner in Highlight Health, a joint venture focused on providing affordable and accessible healthcare to individuals who are uninsured, or underinsured cannot afford to participate in traditional employer healthcare offerings.
Superior has supported our work at Health Rosetta and also supports patient rights advocacy and their mission. We have gone to bay demanding data and information from prior covered-service providers. Superior continues to support their people by providing high-quality, low-cost healthcare.
- Industry: Plastics Pipe & Pipe Fitting Mfg
- # of Employees: 234
- Location: Pennsylvania
This group has decided to reinvest their dividend by keeping costs down for their members in terms of both premiums and out-of-pocket expenses. Superior continues to advance their understanding of their health plan and are working toward year-over-year improvements as well as transparency. They have grown tired of the network games and have saved $800,000 on $3,000,000 in spend by moving to RBP.
- TPA: Boone Chapman; Allied Benefit Systems
- PBM: Welldyne Rx; Cigna
- Stoploss: Nationwide; Crum & Forster
- PrimaryCare: 98point6 Technologies
- Individual Stewardship: Price MDs
- Other Solutions: Marketplace Chaplains; Prime Dx; Quantify Specialty Care; Ouma Health; Benefits DNA
This fund has gone above and beyond to drive savings back to their plan by appropriate fiduciary management. They have also pushed the new laws to the max by filing a class action lawsuit against Anthem BCBS for violating the Consolidated Appropriations Act (CAA).
- Industry: Taft-Hartley Fund
- # of Employees: 600
- Location: Connecticut
Plan participants have no deductible, and benefits have increased for both vision and hearing. Death benefits have also increased for plan participants.
- TPA: Capital RX & IAA
- PBM: Capital RX
- Stoploss: RMTS
- PrimaryCare: No Cost Primary Care
- Individual Stewardship: Innovative Care Mangement
- Other Solutions: Highlight Health
- Industry: Offices of Dentists
- # of Employees: 260
- Location: Pennsylvania
The organization has applied their savings toward waiving deductibles for participation in the plan. They have done a fantastic job applying those savings to keeping premium costs down for their employees, after a few difficult years with a prior fully insured arrangement as well as a broker.
- TPA: N/A
- PBM: N/A
- Stoploss: N/A
- PrimaryCare: N/A
- Individual Stewardship: N/A
- Other Solutions: Ouma Health