Thomas DiLiegro exemplifies health plan excellence and stewardship.

Health Rosetta recognizes the top health plans in America at the annual Rosie Awards. The Rosie Awards recognize high-value, low-cost health plans from employers and unions across the U.S.

Rosie Award winners are chosen from plans recommended by benefits advisors, solution providers, or clinical leaders who meet two important criteria: a high Plan GraderTM score and excellent use of their Health Rosetta Dividend.

The Plan Grader™ is the first comprehensive independent plan assessment to measure and improve your health plan strategy. Plan Grader is an independent 360° health plan risk assessment that provides actionable insights to create an effective 2-3 year strategy to lower costs and improve benefits. Plan Grader is built on the Health Rosetta’s eight components that have been modeled on the successes of hundreds of high-performance plans. Employers and unions can evaluate how their health plan benchmarks to other employers or union plans adopting a Health Rosetta-style health plan. Reach out to Thomas DiLiegro to get your Plan Grade today.

Health Rosetta Dividend refers to the well-documented over $1 trillion of industry waste that can be reinvested back into an organization or community to improve wellbeing and build the foundation to restore the American Dream. Examples of Health Rosetta Dividend reinvestment include free college education, advanced primary care services, free or subsidize healthy food, pay increases, Dream Manager, $0 medications, or other tangible improvements that have a direct impact on the health and wellbeing of their workforce, dependents, and communities.

Thomas DiLiegro

CEO

Vero Advising, LLC
tom@truthinbenefits.com
843.412.2583

Health Rosetta Advisor since 2017

I started my benefits career in 2007, right out of business school, assuming employer health plans were built on direct partnerships between employers and medical providers rather than traditional insurance. I spent the next several years learning how the system actually worked, first at a carrier-owned TPA from 2007 to 2012, then at a small regional health plan.

From 2013 to 2017, I worked in Managed Care at a Charleston-based hospital system. I managed a private-label health plan in partnership with a carrier, negotiated single-case agreements, oversaw PPO contracts, analyzed reimbursements, and supported provider credentialing.

After nearly a decade on the payer and managed-care side, I shifted in 2016 to advocate for employers looking to reduce plan costs and improve the employee experience. I use my background to design high-performing health plans and to help employers feel confident exploring alternative, value-based models.

I’m based in Charleston, SC, and consult with companies across the country

Shares data, strategies, or results openly with other employers or community groups
Presents or testifies publicly (E.G., conferences, legislative hearings) to advance better models
Actively mentors peer employers/advisors to replicate their model
Invites employees or family representatives into benefits governance/committees

About

Industry: Adjustment And Collection Services
# of Employees: 102
Location: South Carolina

Health Rosetta Dividend

Eliminated employee deductibles and/or copays
Reduced employee payroll contributions or premiums
Created or expanded onsite/nearsite primary care or clinic access
Introduced or expanded wellness and prevention programs (fitness, screenings, EAP, mental health)
Provided significant employee bonuses or across the board raises
Funded education benefits (college tuition, student loan support, training programs)
Subsidized healthy food (cafeteria, farmers market, meal stipends)
Strengthening the company (E.G., R&D, improving facilities, strategic initiatives, creating reserves, etc)

Solutions

TPA: Health Plan Inc. (HPI)
PBM: Procare Rx
Stoploss: Ryan Specialty
PrimaryCare: Palmetto Proactive Healthcare (PPHC)
Individual Stewardship: Employer's Health Network (Ehn)
OtherSolutions: HaloScrips