{"id":146648,"date":"2026-04-23T18:52:06","date_gmt":"2026-04-23T22:52:06","guid":{"rendered":"https:\/\/medcitynews.com\/?p=146648"},"modified":"2026-04-23T18:52:07","modified_gmt":"2026-04-23T22:52:07","slug":"scan-ceo-urges-brokers-to-drop-plans-that-treat-them-poorly-one-says-she-has-no-choice","status":"publish","type":"post","link":"https:\/\/medcitynews.com\/2026\/04\/scan-ceo-urges-brokers-to-drop-plans-that-treat-them-poorly-one-says-she-has-no-choice\/","title":{"rendered":"SCAN CEO Urges Brokers to Drop Plans That Treat Them Poorly \u2014 One Says She Has No Choice"},"content":{"rendered":"\n<p>During a fireside chat at the <a href=\"https:\/\/medicarians.com\/\">Medicarians Conference<\/a> in Las Vegas on Tuesday, SCAN Health Plan CEO Sachin Jain made a plea to brokers: Drop the for-profit plans that treat you poorly and seek not-for-profit partners.<\/p>\n\n\n\n<p>It was a \u201cself-interested\u201d message as SCAN is a not-for-profit health plan. The comments came after the Centers for Medicare and Medicaid Services <a href=\"https:\/\/www.cms.gov\/newsroom\/fact-sheets\/2027-medicare-advantage-part-d-rate-announcement\">announced<\/a> this month a final Medicare Advantage rate increase of 2.48%, which is really more of a \u201crate cut\u201d when inflation is higher than 2.48%, according to Jain.&nbsp;<\/p>\n\n\n\n<p>This will lead to plans exiting markets and suspending broker commissions, while not-for-profit plans like SCAN haven\u2019t \u201cmonkeyed around with people&#8217;s commissions,\u201d he added. For-profit plans will do what they need to do to hit their margin targets, whereas not-for-profit plans can afford to not make a profit for a couple of years to maintain benefit stability.<\/p>\n\n\n\n<p>Oftentimes, even when a for-profit plan exits a market and cuts broker commissions, brokers still keep going back to that same plan, Jain declared.<\/p>\n\n\n\n<p>\u201cThe number of folks who are like, \u2018So and so is my friend at such and such plan, so I&#8217;m going to keep working with them even though they&#8217;re messing with me.\u2019 Forget it, really pay attention to who they are and how they treat you and don&#8217;t go back. What would you tell a friend who&#8217;s like, \u2018I borrowed this money from you \u2026 and I&#8217;m not going to pay you for it?\u2019 You would say \u2018F off.\u2019 You should be thinking about why it is that you want to keep doing business with people who show you exactly who they are and it&#8217;s not pretty,\u201d he said.<\/p>\n\n\n\n<p>An independent broker in the crowd, Julia Cooke, had a visceral reaction to this comment, stating that the reason they keep going back to these plans is because they also \u201cown the doctors.\u201d<\/p>\n\n\n\n<p>Jain later went on to say that he doesn\u2019t think brokers will take his advice to steer away from for-profit plans because they\u2019re going to \u201cinvite you to a Celtics game or they&#8217;re going to invite you to a SoFi game.\u201d This prompted Cooke to exclaim, \u201cNo, that\u2019s not why.\u201d<\/p>\n\n\n\n<p>In an interview after the session, Cooke explained that when a company \u2014 like UnitedHealth Group \u2014 owns an insurance plan, a pharmacy benefit manager and the healthcare providers, they\u2019re too dominant not to work with. She noted that where she lives in Snohomish County, Washington, UnitedHealth Group owns 40% of primary care.<\/p>\n\n\n\n<p>\u201cIf I have clients who say, \u2018My doctor that I&#8217;ve been with for 30 years has been bought out three times and is now Optum,\u2019 [then] their only option is United,\u201d she said.<\/p>\n\n\n\n<p>In other words, sometimes brokers have to work with plans that treat them poorly because the client\u2019s choice in provider overrules everything else.&nbsp;<\/p>\n\n\n\n<p>Ultimately, Jain argued that healthcare needs to transition from being a \u201cpolyamorous industry to being a monogamous industry.\u201d<\/p>\n\n\n\n<p>\u201cThis is a promiscuous industry. \u2026 I&#8217;m talking about the fact that every plan partners with every broker, and every broker partners with every plan,\u201d he said on stage. \u201cAnd those people who stand for everyone stand for no one. \u2026 Pick a plan. Pick one plan, just one plan that you actually think is the right plan. Don&#8217;t get lost in, \u2018Oh, it doesn&#8217;t have this benefit or that benefit,\u2019 and \u2018I will lose this sale or that sale.\u2019 Actually, pick your partners and go deep with your partners.\u201d<\/p>\n\n\n\n<p><em>Editor\u2019s note: Arundhati Parmar contributed to this story.<\/em><\/p>\n\n\n\n<p><em>Photo: Medicarians<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>SCAN Health Plan CEO Sachin Jain urged brokers to abandon for-profit plans that treat them poorly, but one broker argued they often can\u2019t because dominant players like UnitedHealth Group control so much of the healthcare system.<\/p>\n","protected":false},"author":31767,"featured_media":146649,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"om_disable_all_campaigns":false,"featured_image_focal_point":[],"homepage_placement":"top","homepage_placements":{"top":true,"featured":true,"sidebar":false},"homepage_alternative_layout":false,"featured_categories":[75],"hide_from_feed":false,"footnotes":""},"categories":[156,75,36,24],"tags":[40415,52567,46319],"class_list":["post-146648","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-consumer-employer","category-payers","category-syn","category-top-story","tag-brokers","tag-medicarians","tag-scan-health-plan"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.9 - 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