K
Kyle Gerdts
VP of Sales & Account Management at Pinnacle Claims Management / Pinnacle Health Solutions, a self-funded health plan TPA; Certified Self-Funding Specialist (CSFS®).
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Oct 6, 2026
S8E3 - Health Plan Cost Containment Part 1 - Medical Plan and Rx Spend Cost Containment
15:52

Dorothy CociuHOST
So what about other areas other than LA, Orange County, Riverside, San Bernardino? What about Northern California versus really Southern California? Let's look at San Diego County versus Ventura County versus know central california santa barbara ventura i mean all these different areas are there again kind of go-to networks that you guys that you guys use if given the situation given the location or the primary location let's face it a lot of self-funded plans are in multiple locations that's why yeah reasons funded right but assuming they're domiciled or the majority of their people are in one of these other areas are there certain networks that you would would recommend that are maybe stronger in
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16:29Kyle GerdtsGUEST
california Majority of the time we're recommending Anthem because from all of the repricings we've done, Anthem has typically showed the strongest from a discount perspective in California, kind of no matter where the region is.
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16:48Kyle GerdtsGUEST
Now in certain geographic areas, so if you take like Bakersfield, Fresno, Northern California, like Sacramento area, or the Central Coast, of California, we have worked with local hospital systems to create our own high performance network.
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17:09Kyle GerdtsGUEST
So for instance, in central California, central coast of California, so Santa Maria, Oxnard, Ventura, that area, we actually have created our own network and clinics.
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17:26Kyle GerdtsGUEST
We're producing food for how much of the world, right? So we have a lot of business in that area where we have our seeder network and clinics.
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17:36Kyle GerdtsGUEST
So we have four clinics and we have contracted with local hospital systems to offer a high performance network.
9 MINS LATER