HEALTH CARE CLINICS Case Studies from the City of Oshkosh and Waukesha County
|
|
- Maryann Hawkins
- 6 years ago
- Views:
Transcription
1 Wisconsin Public Employer Labor Relations Association Annual Conference January 21, 2016 HEALTH CARE CLINICS Case Studies from the City of Oshkosh and Waukesha County John Fitzpatrick Assistant City Manager / Director of Administrative Services City of Oshkosh and Jim Richter Human Resource Manager Waukesha County City of Oshkosh, Oshkosh Area School District, Winnebago County
2 2 Agenda Waukesha County Experience City of Oshkosh Experience Questions
3 3 Waukesha County Experience Partnerships Feasibility Study Scope of Services Governance Issues Challenges and Successes
4 4 School District of Waukesha Serving nearly 14,000 students, achieving a 97% graduation rate 26 schools, geographically diverse 1,300+ employees Vision: - To be a 21st century learning organization dedicated to equity, innovation, human excellence, and collaboration Health plan: - Self Funded, Just implemented CDHDHP
5 5 Waukesha County 400,000 citizens 1,400 full time employees Major services: - Law Enforcement - Corrections - Administrative Services - Health and Human Services - Public Works - Parks and Land Use Core values: - Collaboration - Communication - Cost Savings - Customer Service - Diversity - Efficiency - Innovation - Teamwork Health plans: - Self-funded PPO and CDHDHP
6 6 City of Waukesha Located in Southeast Wisconsin Population of 71,000 One of Money Magazine s 100 best places to live 530 employees Health plan: - Self-funded
7 A Shared Vision 7
8 8 Project Timeline Consulting Agreement Phase 1: Feasibility Study Phase 2: Vendor Selection October 22, 2012: RFP for Clinic Feasibility Study Consulting February 4, 2013: Kickoff Meetings Held in Waukesha September 6, 2013: RFP for Clinic Vendor December 20, 2012: CBIZ selected May 21, 2013: Clinic Feasibility Study Presented January 27, 2014: Healthstat, Inc. selected Clinic Opening October 30, 2014: Open House November 3, 2014: Grand Opening
9 9 Phase 1: Feasibility Study Process Data analyzed from County, City and School District - Employee demographics and home/work location - Medical and pharmacy claims - Workers compensation - HRA/biometric data - Employee survey - Stakeholder interviews Employee input via focus groups and survey - Scope of services (prescription dispensing) - Hours of operation (weekend hours) - Staffing model (physician preference)
10 10 Phase 1: Feasibility Study Findings Study evaluated cost of independently implementing and sharing Sharing resulted in most cost effective option for all three entities Enrolled Employees Enrolled Dependents Enrolled Retirees Total Enrolled % of Total Participants Waukesha County 1,194 1, ,315 40% City of Waukesha ,293 16% School District of Waukesha 1,045 2, ,575 44% Total 2,671 4, , %
11 11 Scope of Services Scope of Services: Preventive exams, including well woman and well man Health risk assessments Urgent care such as sinus infections, flu, sore throats, etc. Routine lab services and biometric screenings Routine immunizations including flu shots, tetanus, hepatitis, etc. Prescriptions (to include generic medications) Wellness counseling and coaching, including goal setting - Nutrition counseling - Exercise and fitness challenges - Diabetes programming and education Blood pressure checks EAP coordination and stress management services (referrals to counselors) Price transparency tools to aid in referrals to specialists Worker s Compensation and Occupational Health: - Triage of occupational injuries - Random and pre-employment drug testing - Pre-employment physicals - Audiograms - TB tests Eligibility: Benefit Enrolled Employees Benefit Enrolled Spouses and Dependents (over the age of 2) Benefit Enrolled Retirees Staffing Model: Shared Clinic 95 Provider Hours Per Week Physician-2 Part Time Physician Assistants 2 Full Time Medical Office Assistant 3 Full Time Receptionist- 2 Part Time Health Coach Physical Therapist Physical Therapy
12 12 Location 615 West Moreland Blvd. Waukesha, WI % of the County employees work within 5 miles 100% of the City employees work within 2.1 miles 100% of the School District employees work within 5 miles RFP respondents were asked to review the floor plan 12
13 13 Phase 2: Vendor Selection Process 12 Responses to RFP 5 Selected for Finalist Presentations - Froedtert, Wellness For Life, CareHere, QuadMed and Healthstat 2 Finalists Selected - QuadMed and Healthstat Reference Site Visits - QuadMed: Miller-Coors and Rexnord - Healthstat: West Bend School District Recommended Vendor - Healthstat 13
14 14 Clinic Utilization 11/ / total visits - 15% City - 35% County - 50% School District 450 pre-packaged prescriptions dispensed 90% of patients seen with less than10 minutes wait time 100% felt their privacy and confidentiality was maintained 95% of patients stated services received were excellent/good
15 15 Governance Issues Division of Expenses Location Decision making process Contractual relationship Varying timelines and decision making processes Political hurdles Agreement on scope of services - Standardized vs. customized
16 16 Challenges Recruiting - Perceived complexity of clinic - Finding the right candidate - Challenging labor market - Mixed provider clinic Multiple carriers and plan designs - Training complexity - Compliance with copay accumulators and HSA plans Timeline 3 projects ACA implementation overlap Wellness services Marketing
17 17 Successes Mutually committed leadership Ample time planning Accountability Intergovernmental agreement with clear terms Clear, data-driven analysis guided decisions Outstanding Providers Health Coach
18 18 City of Oshkosh, Oshkosh Area School District, Winnebago County Our journey Implementing a shared employer clinic
19 19 City of Oshkosh Experience Considerations / Research Partnership Due Diligence Scope of Services Challenges and Successes
20 20 Considerations / Research Private vs. Public Employer Sponsored Health Clinics Employer / Employee Savings Convenience Primary Care Wellness Labor Relations Future Issues
21 Top Reasons for Establishing and Continuing Onsite Health Centers (Towers Watson, 2012) 21
22 22 City of Oshkosh, Oshkosh Area School District, Winnebago County Partnership Impact: 7,000 Covered Lives
23 23 Due Diligence Request for Information, then Proposals Vendor Visits Model Determination / Current and Future Waukesha Feasibility Study / ROI Sought Financial Responsibilities / Current and Future Vendor Interviews and Selection Site Selection Branding / Copyright Future Issues
24 Medical Services Currently Offered or to be Offered Within 12 Months (Towers Watson, 2012) 24
25 Do You Currently or Plan to Allow Any of the Following to Use the Services of the Health Center Within 12 Months? (Towers Watson, 2012) 25
26 How Do You Staff Your Onsite Health Center? (Towers Watson, 2012) 26
27 Other Services Currently Offered or to be Offered Within 12 Months (Towers Watson, 2012) 27
28 28 Scope of Services Scope of Services: Eligibility: Provide primary and preventive medical care Diagnose and treat illnesses Prescriptive authority Focus on health promotion and wellness Partner to manage chronic illnesses (non-insulin dependent diabetes, asthma, cholesterol, etc.) Order, perform and interpret diagnostic studies such as lab work and x-ray (x-rays not performed at clinic) Benefit Enrolled Employees / Retirees Benefit Enrolled Spouses Benefit Enrolled Dependents (Age 2 and Above) Staffing Model: Shared Clinic Schedule & Staff Expand Based on Utilization Physician Assistants / Nurse Practitioners 3.75 Total FTE Medical Assistants / Office Assistants 4.75 Total FTE Health Coach(s) - Future Chiropractor(s) Future Physical Therapist(s) - Future
29 29 Challenges Recruiting - Perceived complexity of clinic - Finding the right candidate - Challenging labor market - Lengthy notice requirements for NPs / PAs Multiple carriers and plan designs - Labor relations suspicion of Clinic as a stepping stone to substandard H. Ins. Timeline 3 projects ACA implementation overlap Wellness services Marketing
30 30 Successes Mutually committed leadership Ample time planning Accountability Intergovernmental, vendor, and office lease agreement with clear terms Clear, data-driven analysis guided decisions Top management and elected official support
31 31 Keys to Success Select a clinic partner with experience You may only have one chance to be successful. Evaluate utilization patterns in order to determine staffing needs. Start small, provide for a positive experience, and build confidence in the clinic. Plan for Employer/Employee Savings - Incentivize participation. It does not matter if the clinic is less expensive, if no one visits. Make it Convenient Again, if the clinic is not accessible it will not be utilized and it will not reduce ancillary issues, such as excessive sick leave use. With the increased usage brought about by the Affordable Care Act, this option can help stem health care avoidance by providing another access point. Plan for Primary Care Managing primary care can reduce self-referrals and correspondingly the increased costs of specialty care. Integrate Wellness By providing a vehicle for a holistic approach to medicine, high cost claims can be avoided. Healthier employees & their family members can be the outcome. Carefully consider Labor Relations Ensure record and visit privacy, focus on wellness, reduce health care costs for the employer and employee rather than shifting costs to the employee without addressing core issues. Frame the clinic as a benefit. Become an employer of choice. Engage employees in the programming and development. Future Issues Carefully monitor usage, consider enhancements when prudent, keep employees involved, and re-invest savings when warranted.
32 Contacts Questions? John Fitzpatrick Assistant City Manager / Director of Administrative Services City of Oshkosh jfitzpatrick@ci.oshkosh.wi.us (920) Thank you! Jim Richter Human Resource Manager Waukesha County jrichter@waukeshacounty.gov (262)
11/10/2015. Are Employer Based Health Clinics the Answer? Agenda for Discussion. The Aurora Health Care Journey. Marketplace. Outcomes.
Are Employer Based Health Clinics the Answer? Scott Austin, CEBS, Aurora Health Care Patrick D. Falvey, Ph.D., Aurora Health Care Agenda for Discussion Marketplace Outcomes Scott Austin National Statistics
More informationUTILIZING HEALTH CLINICS TO MANAGE AND REDUCE HEALTHCARE COSTS
UTILIZING HEALTH CLINICS TO MANAGE AND REDUCE HEALTHCARE COSTS PRESENTED BY: Mardi Burns, CHC Senior Vice President, Senior Benefits Consultant Al Jaeger, CEBS Senior Vice President, Senior Benefits Consultant
More informationNEW EMPLOYEE HEALTH PLAN BENEFIT. Care When You. Need
NEW EMPLOYEE HEALTH PLAN BENEFIT Care When You Care When You Want It Need It What is Access Health? WHAT IS ACCESS HEALTH? Access Health offers cost savings worksite solutions by providing a medical clinic
More informationHealth Plan Tools Telemedicine, Expert Second Opinion, Urgent Care & Wellness Centers
Health Plan Tools Telemedicine, Expert Second Opinion, Urgent Care & Wellness Centers Compiled August 2014 Prepared by Aon Hewitt February 16, 2016 Health & Benefits Prepared by Aon Hewitt Health & Benefits
More informationYour Choice. 3-Tier Network Option Plan
Your Choice 3-Tier Network Option Plan What is Your Choice? Click Here to Watch Video Your Top Questions What is Your Choice? Are my doctors in the plan? Are my medications covered by the plan? If I get
More informationThe Value of On-Site and Near-Site Primary Health Centers for Employers. Overview Analysis Benchmarking 2017
The Value of On-Site and Near-Site Primary Health Centers for Employers Overview Analysis Benchmarking 2017 On-Site and Near-Site Health Centers Conner Strong & Buckelew consults with clients around the
More informationOnsite Clinic and Wellness Programs 2010 VACo Achievement Awards. Montgomery County, VA
Onsite Clinic and Wellness Programs 2010 VACo Achievement Awards Montgomery County, VA 1. Brief overview Montgomery County implemented a fully integrated on site disease management Clinic and Wellness
More information7. Discussion regarding the Employer Sponsored On-site and Near-site Health Clinics presentation. (Tim McDonald, Aon Hewitt) (Information/Discussion)
7. 7. Discussion regarding the Employer Sponsored On-site and Near-site Health Clinics presentation. (Tim McDonald, Aon Hewitt) (Information/Discussion) Employer Sponsored Health Centers: Overview of On-site
More informationWalk-in Clinic. Dear Patients. Frequently Asked Questions (FAQ)
Walk-in Clinic Klamath Tribal Health & Family Services 330 Chiloquin Boulevard Chiloquin, OR 97624 (541) 882-1487 Frequently Asked Questions (FAQ) Monday Friday, 8:00 a.m. 3:30 p.m. * First Wednesday of
More informationOn-site Clinic Feasibility Study for 2013 RFP and 2014 Implementation (Executive Summary)
On-site Clinic Feasibility Study for 2013 RFP and 2014 Implementation (Executive Summary) Executive Summary - ROI Potential Details on slides 8-12 Buck anticipates that in year 1 the Pinellas County clinic
More informationYour Choice 3-Tier Network Option Plan
. Your Choice 3-Tier Network Option Plan Your Top Questions What is Your Choice? Are my doctors in the plan? Are my medications covered by the plan? If I get sick, what do I do? How much will I pay out
More informationBBVA Compass Employee Health Center
BBV Compass Employee Health Center Rev. January 2016 Introduction Wellness is an important part of the culture at BBV Compass, and we encourage healthy diet, exercise and lifestyle choices for all team
More informationMARATHON HEALTH CENTER a benefit of CHG Health and Wellness
Health & Wellness MARATHON HEALTH CENTER a benefit of CHG Health and Wellness WE ARE A DIFFERENT KIND OF HEALTHCARE COMPANY. OUR MISSION IS TO INSPIRE PEOPLE TO LEAD HEALTHIER LIVES. CHG Healthcare Services
More informationFAQ S. Frequently Asked Questions: WellCare Clinic Logistics
Frequently Asked Questions: FAQ S WellCare Clinic Logistics 1. What is the City of Lawrence WellCare Clinic? The City of Lawrence WellCare Clinic is a part of the CHAMP Wellness Program. The WellCare Clinic
More informationSaint Francis University. Health and Wellness Program
2015 Saint Francis University www.francis.edu/disepio Health and Wellness Program ABOUT THE WELLNESS PROGRAM Saint Francis University is committed to being a University where employee health and wellness
More informationThe simple equation for more choice
The simple equation for more choice April 2017 2017 Aetna Inc. 90.25.203.1-PA (3/17) What matters most to you? Choice Network Access Member Experience Cost 1 Aetna is proud to be one of your new choices
More informationTrials and Tribulations of Simplifying the Health Care Experience
Trials and Tribulations of Simplifying the Health Care Experience Kim Berdinsky, Director, Benefits Calvin Hilton, Vice President, Corporate Human Resources March 2017 Have your employees ever been frustrated
More information2/21/2018. Chronic Conditions Health and Productivity Specialty Medications. Behavioral Health
Employee Health, Engagement and Productivity: Moving Beyond the Traditional Approach Sarah Smith Senior Consultant, Lockton Health Risk Solutions Hot topics in population health management Behavioral Health
More informationMedical Management Program
Medical Management Program Introduction Molina Healthcare maintains a medical management program to ensure patient safety as well as detect and prevent Fraud, Waste and Abuse in its programs. The Molina
More informationTen Things to Know About Your Activate Health & Wellness Center. 10Serving. Elkhart Community Schools
Ten Things to Know About Your Activate Health & Wellness Center 10Serving Elkhart Community Schools 1 Your Activate Health & Wellness Center FOR MORE DETAILS: activatehealthcare.com/elkhartcommunityschools
More information2019 Select HMO. Benefit guide. One of the most affordable CalPERS HMO plans CAMENABC Rev. 07/18
2019 Select HMO Benefit guide One of the most affordable CalPERS HMO plans 40184CAMENABC Rev. 07/18 Why choose the Select HMO plan? We re glad you re taking time to check out all that Anthem has to offer
More information$25 copay per visit annual deductible applies. $30 copay per visit annual deductible applies
Minnesota Public Employees Insurance Program (PEIP) Advantage Health Plan 2018-2019 Benefits Schedule Benefit Provision Cost Level 1 You Pay Cost Level 2 You Pay Cost Level 3 You Pay Cost Level 4 You Pay
More informationMARATHON HEALTH CENTER AND HEALTH COACHING a benefit of CHG Health and Wellness for our North Carolina office
Health & Wellness MARATHON HEALTH CENTER AND HEALTH COACHING a benefit of CHG Health and Wellness for our North Carolina office WE ARE A DIFFERENT KIND OF HEALTHCARE COMPANY. OUR MISSION IS TO INSPIRE
More informationONSITE CLINICS BRING HEALTH CARE VALUE TO THE WORKPLACE
EXECUTIVE SUMMARY ONSITE CLINICS BRING HEALTH CARE VALUE TO THE WORKPLACE the value of onsite health care services for employees. employee satisfaction. The Onsite Clinic User Group Colony Brands Inc.
More informationTrends in Health Benefit Designs and Strategies
Trends in Health Benefit Designs and Strategies Larry Boress President and CEO Midwest Business Group on Health Executive Director National Association of Worksite Health Centers Copyright 2017 MBGH The
More informationOxford Condition Management Programs:
Oxford Condition Management Programs: Helping your employees learn, be encouraged and get support. Committed to helping improve the health and well-being of those we serve and improve the health care
More informationBurns & McDonnell On-Site Clinic
Burns & McDonnell On-Site Clinic A Prescription for Financial and Productivity Success Fall 2013 Lockton Companies Company P r ofi le Engineering, architecture, construction, environmental and consulting
More informationBlue Cross provides administrative claims services only. Your employer or plan sponsor is financially responsible for claims.
HOPE COLLEGE - HOURLY ORANGE 007013084/0011/0012/0013/0014/0015/0016/0017 Simply Blue PPO HSA ASC Effective Date: On or after July 2018 Benefits-at-a-glance This is intended as an easy-to-read summary
More informationHealthcare Clinic at Walgreens Access to Care Innovations Panel March 5, 2014
Healthcare Clinic at Walgreens Access to Care Innovations Panel March 5, 2014 Dr. Alan London Vice President, Strategic Clinical Partnerships 2014 Walgreen Co. All rights reserved. Walgreens is Well-Positioned
More informationCOWLITZ COUNTY REQUEST FOR PROPOSALS INMATE HELATH CARE # Issued September 13th, 2017 ADDENDUM #2. Issued: October 6th 2017
COWLITZ COUNTY REQUEST FOR PROPOSALS INMATE HELATH CARE #09-2017 Issued September 13th, 2017 ADDENDUM #2 Issued: October 6th 2017 1 Vendor submitted questions; 1. Do you expect your inmate population to
More informationPhysicians Plus MEMBER NEWSLETTER
Physicians Plus MEMBER NEWSLETTER FALL 2016 Inside This Issue Ten Reasons Why You Need a Primary Care Doctor...p. 2 How can I confirm my Primary Care Physician (PCP) selection?...p. 2 Who s the Right Doctor
More informationHEALTHY EMPLOYEES HEALTHY EMPLOYEE BENEFIT PLAN
HEALTHY EMPLOYEES HEALTHY EMPLOYEE BENEFIT PLAN At a point in time when many employers are forced to cut benefits healthcare costs are increasing at 3 to 4 times the rate of inflation access to quality
More informationMedical Plans Benefit Guide
Medical Plans Benefit Guide Employers with 1-50 employees 1.1.01 Provider network built for value and quality... Wellness rewards...3 Medical Travel Support and Air or Surface Transportation... Support
More informationONSITE CARE: CAN THIS STRATEGY CHANGE YOUR HEALTHCARE GAME? May 29, 2014
ONSITE CARE: CAN THIS STRATEGY CHANGE YOUR HEALTHCARE GAME? May 29, 2014 TOPICS COVERED TODAY Intro Who s a Good Fit and How to Build an Onsite Program Cost Structure and Payment Methods Keys to Onsite
More informationState of NM Group Benefits Plan Plan Year: January-December 2015
State of NM Group Benefits Plan Plan Year: January-December 2015 Who We Are Founded in 1908, Presbyterian Healthcare Services has served New Mexicans for more than 100 years. Presbyterian Health Plan was
More informationProfessional Drivers Health Network. What?
Professional Drivers Health Network What? An Integrated Occupational Health Program The definition - the ability of a worker to function at an optimum level of well-being at a worksite as reflected in
More informationHealth plans for Maine small businesses Available through the Health Insurance Marketplace
Health plans for Maine small businesses Available through the Health Insurance Marketplace Effective January 1, 2016 We can help you navigate the health care road We re here to help. In fact, for more
More informationAnthem Blue Cross Effective: January 1, 2018 Your Plan: University of California CORE Plan Your Network: Anthem Prudent Buyer PPO
Anthem Blue Cross Effective: January 1, 2018 Your Plan: University of California CORE Plan Your Network: This summary of benefits is a brief outline of coverage, designed to help you with the selection
More informationBlue Options. Health Plan Information Guide. What should I know about my benefits? What happens next? Where do I go to get assistance?
Blue Options Health Plan Information Guide What happens next? What should I know about my benefits? Where do I go to get assistance? Welcome At Florida Blue, we provide you with guidance and support because
More informationBETTER INFORMED. BETTER TOGETHER.
BETTER INFORMED. BETTER TOGETHER. easy to get appointments free to focus on my patients excellent prenatal care test results online I can choose my doctor wide range of specialists I m part of the decision
More informationCalifornia Pay for Performance: A Case Study with First Year Results. Tom Williams Integrated Healthcare Association (IHA) March 17, 2005
California Pay for Performance: A Case Study with First Year Results Tom Williams Integrated Healthcare Association (IHA) March 17, 2005 Agenda National Perspective California Program Overview Data Collection
More information2017 FALL ENROLLMENT BROCHURE RETIREES AND OTHERS ELIGIBLE FOR MEDICARE. (800)
(800) 252-8039 www.healthselectoftexas.com 2017 FALL ENROLLMENT BROCHURE RETIREES AND OTHERS ELIGIBLE FOR MEDICARE Jan u a r y 1, 2 0 1 8 D e ce mbe r 31, 2 01 8 Call toll-free (800) 252-8039 Monday-Friday
More informationThe HMO provider network is available by clicking on this website address: Plan Provider Directory Search<b/>
GENERAL PROVISIONS Web Site Address Find a Plan Doctor or Facility Health Plan Telephone Number NCQA Accreditation Status http://www.bcbsil.com The HMO provider network is available by clicking on this
More informationYOUR TRUSTED HEALTH COMPANION. A plan for life.
YOUR TRUSTED HEALTH COMPANION A plan for life. Being healthy is about more than preventing illness. It s achieving the best possible quality of life, physically and emotionally. That s what CDPHP is all
More informationAnthem Blue Cross Your Plan: Modified Classic HMO 15/30/250 Admit/125 OP Your Network: California Care HMO
Anthem Blue Cross Your Plan: Modified Classic HMO 15/30/250 Admit/125 OP Your : California Care HMO This summary of benefits is a brief outline of coverage, designed to help you with the selection process.
More informationTEXAS CHILDREN S EMPLOYEE MEDICAL CLINIC
DEPARTMENT NAME TEXAS CHILDREN S EMPLOYEE MEDICAL CLINIC THE NEW VALUE IN EMPLOYER HEALTH CENTERS & SERVICES Julie Griffith, Manager, Employee Medical Clinic and Wellness Houston Business Coalition on
More informationBuilding photos courtesy of LLT Building Corporation
Building photos courtesy of LLT Building Corporation Primary areas of prevention and health promotion High risk drinking and drug prevention Mental health Physical health (nutrition, physical activity,
More informationPayment: We are permitted to use and disclose your health information to receive payment for our services. For example, we may:
Your Rx Pharmacy Notice of our privacy practices THIS NOTICE DESCRIBES HOW HEALTH INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
More informationComplete Health Solutions. Copyright 2010, Health Advocate, Inc.
Complete Health Solutions Health Advocate The nation s leading independent health advocacy and assistance program Offered by more than 7,000+ clients nationwide Serving more than 16 million Americans Covers
More informationThe MITRE Corporation Plan
Benefit Type Plan Year Type Calendar Year Annual Medical Out of (for certain services) Employee Employee + 1 Family Annual Prescription Drug Out of Employee Employee + 1 Family Copayments: One copay per
More informationFrequently Discussed Topics
Frequently Discussed Topics L.A. Care Health Plan Please read carefully. What are Copayments (Other Charges)? Aside from the monthly premium, you may be responsible for paying a charge when you receive
More informationPATIENTS + DOCTORS + MACHINES
Meet Today s Healthcare Team: PATIENTS + DOCTORS + MACHINES Accenture 2018 Consumer Survey on Digital Health 2 Healthcare consumers are more open to using intelligent technologies, sharing data and allowing
More informationTrinity Health Healthy Blue Solutions SM Plan Year. January 1 December 31. Benefit Plan Coverage Comparison Guide
Trinity Health Healthy Blue Solutions SM 2013 Plan Year January 1 December 31 Benefit Plan Coverage Comparison Guide Contents The Trinity Health Healthy Blue Solutions Program...2 How to take your BlueHealthConnection
More informationGenerations Advantage Focus DC (HMO SNP) Diabetes Care Special Needs Plan GENERAL MODEL OF CARE (MOC) TRAINING
Generations Advantage Focus DC (HMO SNP) Diabetes Care Special Needs Plan GENERAL MODEL OF CARE (MOC) TRAINING Through this training you will learn: What is a SNP? What is Martin s Point Generations Advantage
More informationSection 7. Medical Management Program
Section 7. Medical Management Program Introduction Molina Healthcare maintains a medical management program to ensure patient safety as well as detect and prevent fraud, waste and abuse in its programs.
More informationDirect Primary Care Medical Home Pilot Program & Related Issues
RESOLUTION of the SHBP Plan Design Committee Direct Primary Care Medical Home Pilot Program & Related Issues BE IT RESOLVED THAT The New Jersey State Health Benefits Program ( SHBP ) Plan Design Committee
More informationExclusively for Health Advocate Members. All-in-1 Benefit. Benefits Gateway Personal Dashboard Healthcare Help Wellness Support EAP+Work/Life
Exclusively for Health Advocate Members All-in-1 Benefit Benefits Gateway Benefits Gateway Connect to the right benefit Welcome to HealthAdvocate Health Advocate is a service provided by your employer
More informationBenefits at a Glance. Vectrus Systems Corporation Policy Number: 04804A. OAP Global Plan
Benefits at a Glance Vectrus Systems Corporation Policy Number: 04804A OAP Global Plan Vectrus Systems Corporation Long Benefits at a Glance Policy # 04804A Effective Date January 1, 2016 Vectrus Systems
More informationOn Site Health Clinics: Effectively Managing Initial Costs and Incorporating Innovative/Effective Programs
On Site Health Clinics: Effectively Managing Initial Costs and Incorporating Innovative/Effective Programs Health Plan Overview: Where We Were In 2009/2010 Fully Insured through BCBS of Florida Covered
More informationNew Patient Welcome. elrio.org
New Patient Welcome elrio.org Welcome to EL RIO Your HEALTHCARE HOME A healthcare home is a place where healthcare professionals know your needs, history, and how to help you stay healthy. A healthcare
More informationWe re Tufts Health Plan, and our goal is better health and wellness for you.
We re Tufts Health Plan, and our goal is better health and wellness for you. Thank you for taking the time to read this short overview of Tufts Health Plan. Being willing to learn about your healthcare
More informationHigh Deductible Health Plan (HDHP)
High Deductible Health Plan (HDHP) BeneFIts Summary Effective July 1, 2012 or October 1, 2012 Benefit Highlights How The Plan Works...1 Summary Of Benefits...4 Special Programs...7 Approval Of Care At
More informationIntroducing. UPMC Community Care. UPMC Community Care. Your choice for wellness and recovery. at a glance
Introducing UPMC Community Care Your choice for wellness and recovery There are two parts to good health behavioral and physical. You ve already taken a step toward good health by accessing behavioral
More informationBenefits Committee August 19, 2015 PLEASE Sit at least 5 to a table
August 19, 2015 PLEASE Sit at least 5 to a table 1 Our Focus 2 Our Goal for the Benefits Committee Goals will be to help assure current insurance benefits are appropriately structured and financed to support
More informationMarathon Health Center and Health Coaching
Marathon Health Center and Health Coaching a benefit of CHG Health and Wellness for our Utah offices We are a different kind of healthcare company. Our mission is to inspire people to lead healthier lives.
More informationBenefits are effective January 01, 2018 through December 31, 2018 PLAN DESIGN AND BENEFITS PROVIDED BY AETNA LIFE INSURANCE COMPANY
PLAN FEATURES Annual Deductible The maximum out-of-pocket limit applies to all covered Medicare Part A and B benefits including deductible. Hearing aid reimbursement does not apply to the out-of-pocket
More informationCareFirst BlueChoice. District of Columbia
CareFirst BlueChoice District of Columbia Welcome We are pleased to offer you enrollment in our CareFirst BlueChoice Health Maintenance Organization (HMO) plan. Designed for today s health conscious and
More informationMedicare Coverage. You Can Count On. A simple guide to your University of California benefit choices. Medicare
Medicare Group Plans Medicare Coverage You Can Count On A simple guide to your University of California benefit choices Health Net Seniority Plus (Employer HMO) H0562_18_2989EGBROC_08232017 Health Net
More informationIV. Benefits and Services
IV. Benefits and A. HealthChoice Benefits This table lists the basic benefits that all MCOs must offer to HealthChoice members. Review the table carefully as some benefits have limits, you may have to
More informationTABLE OF CONTENTS. Primary Care 3. Child Health Services. 10. Women s Health Services. 13. Specialist Health Services 16. Mental Health Services.
TABLE OF CONTENTS Primary Care 3 Child Health Services. 10 Women s Health Services. 13 Specialist Health Services 16 Mental Health Services. 24 2 PRIMARY CARE What is it? Primary care is a patient's first
More informationhealthypack.dasa.ncsu.edu
NC State Student Health Services is a 62,000 square foot outpatient primary care facility located on Central Campus. CENTRAL CAMPUS LOCATION: 2815 Cates Avenue Raleigh, NC 27695 CENTENNIAL LOCATION: Plaza
More informationAnthem Blue Cross Your Plan: Core PPO Your Network: National PPO (BlueCard PPO)
Anthem Blue Cross Your Plan: Core PPO Your Network: National PPO (BlueCard PPO) This summary of benefits is a brief outline of coverage, designed to help you with the selection process. This summary does
More informationObesity and corporate America: one Wisconsin employer s innovative approach
Focus On... Obesity Obesity and corporate America: one Wisconsin employer s innovative approach Amy Helwig, MD, MS; Dennis Schultz, MD, MSPH; Len Quadracci, MD Introduction The United States has an obesity
More informationWELCOME to Kaiser Permanente
WELCOME to Kaiser Permanente PPO PLAN RESOURCE GUIDE Colorado kp.org/kpic-colorado Greetings Subscriber name, we re glad to be your partner on this journey, and we look forward to a long and healthy relationship
More informationThe Heart and Vascular Disease Management Program
Element A: Program Content The Heart and Vascular Disease Management Program GHC-SCW is committed to helping members, and their practitioners, manage chronic illness by providing tools and resources to
More informationAuxiliary Operations Open Forum
Auxiliary Operations Open Forum Notre Dame Conference Center @ McKenna Hall October 20 21, 2015 In Memory of Michael Klosinski 1954-2015 1 Agenda Diversity & Inclusion 2016 Healthcare / Castlight Town
More informationOrange County s Health Care Coverage Initiative Network Structure: Interim Findings
Orange County s Health Care Coverage Initiative Network Structure: Interim Findings Introduction The HCCI Demonstration Program in Orange County provides health care to low-income uninsured adults and
More informationSUMMARY OF QUALIFICATIONS
Jennifer Labs, MSN, RN, CLNC Precision Legal Nurse Consulting 6831 N. Shoreview Drive Rhinelander, WI 54501 Phone: 715.437.0329 labsjennifer@gmail.com www.precisionlegalnurse.com SUMMARY OF QUALIFICATIONS
More informationPCMH 1A Patient Centered Access
PCMH 1A Patient Centered Access The practice has a written process and defined standards for providing access to appointments, and regularly assesses its performance on: Providing same day appointments
More informationBe Well. Outstanding Benefits are among the many rewards of working for UCSB Make the most of them!
Be Well Outstanding Benefits are among the many rewards of working for UCSB Make the most of them! This presentation is intended for communication purposes only. Please see the UCnet website (http://ucnet.universityofcalifornia.edu)
More informationUrgent Care Centers and Free-Standing Emergency Rooms: A Necessary Alternative under the ACA
Urgent Care Centers and Free-Standing Emergency Rooms: A Necessary Alternative under the ACA Kim Harvey Looney, Waller Lansden Dortch and Davis Mollie K. O Brien, Epstein Becker Green Jon Sundock, CareSpot
More informationWelcome to MDLIVE. consultmdlive.com /7/365 access to U.S. board-certified doctors. Request a consultation
Welcome to MDLIVE Welcome to MDLIVE 24/7/365 access to U.S. board-certified doctors Request a consultation *Important: Prescriptions are issued only when clinically appropriate. No controlled substances
More informationAn EPO Employee and Retiree Medical Plan...
An EPO Employee and Retiree Medical Plan... Member Handbook...with PPO Benefit Option The benefits and service you love. Plus. IMPORTANT CONTACT INFORMATION PLAN INFORMATION AND MEMBER SERVICES Office
More informationKern County s Health Care Coverage Initiative Network Structure: Interim Findings
Kern County s Health Care Coverage Initiative Network Structure: Interim Findings Introduction The Health Care Coverage Initiative (HCCI) program in Kern County is known as the Kern Medical Center Health
More informationMEMBER HANDBOOK. Health Net HMO for Raytheon members
MEMBER HANDBOOK Health Net HMO for Raytheon members A practical guide to your plan This member handbook contains the key benefit information for Raytheon employees. Refer to your Evidence of Coverage booklet
More informationWellness Screenings increase early detection and identification of chronic disease. Wellness Screenings and coaching may help improve health outcomes
Wellness Program Wellness Screenings increase early detection and identification of chronic disease. Wellness Screenings and coaching may help improve health outcomes and save lives for members and their
More informationAnthem Blue Cross Your Plan: Custom Premier HMO 10/100% Your Network: California Care HMO
Anthem Blue Cross Your Plan: Custom Premier HMO 10/100% Your : California Care HMO This summary of benefits is a brief outline of coverage, designed to help you with the selection process. This summary
More informationFREEDOM BLUE PPO R CO 307 9/06. Freedom Blue PPO SM Summary of Benefits and Other Value Added Services
FREEDOM BLUE PPO R9943 2007 CO 307 9/06 Freedom Blue PPO SM Summary of Benefits and Other Value Added Services Introduction to Summary of Benefits for Freedom Blue January 1, 2007 - December 31, 2007 California
More informationElmira City School District. Take on Life and Live Well with MVP Health Care s PPO Gold AnyWhere 2017
Elmira City School District Take on Life and Live Well with MVP Health Care s PPO Gold AnyWhere 2017 2016 MVP Health Care, Inc. Presentation Overview Introduction to MVP Health Care Medicare Advantage
More information2018 Agent Resource Guide. Small Employer Group Plan Pricing
2018 Small Employer Group Plan Pricing Avera Health Plans Your Trusted Partner Created in 1999 to be a health plan that offers more than just traditional health insurance coverage, Avera Health Plans strives
More informationGIVING OUR BEST FOR YOUR BEST. health care coverage for individuals and families. Carelink plans are underwritten by Coventry Health Care of Louisiana
GIVING OUR BEST FOR YOUR BEST health care coverage for individuals and families Carelink plans are underwritten by Coventry Health Care of Louisiana YOUR LINK TO A HEALTHY FUTURE HIGH-PERFORMANCE NETWORK
More informationMINUTEMAN HEALTH MY DOC HMO PLANS FOR INDIVIDUALS & FAMILIES MASSACHUSETTS 2017
MINUTEMAN HEALTH MY DOC HMO PLANS FOR INDIVIDUALS & FAMILIES MASSACHUSETTS 2017 Minuteman Health provides CHOICE, VALUE and, most importantly, QUALITY for Massachusetts individuals and families. CHOICE
More informationIntroducing an Exciting New Benefit: Paladina Health. Fall 2014
Introducing an Exciting New Benefit: Paladina Health Fall 2014 What Is Paladina Health? A new approach to primary care & an opportunity for an unprecedented new physician relationship Unique benefit to
More informationYour 2018 Benefits Understanding Annual Enrollment
Your 2018 Benefits Understanding Annual Enrollment Eligibility At least 30 hours per week Eligible dependents include: Your legal spouse/domestic Partner Dependents up to age 26 Your Medica Medical Benefits
More informationHealth Rite Pharmacy. here when you need us Bayly St W, Ajax, ON L1S 7L7 (905)
Health Rite Pharmacy here when you need us. 15-75 Bayly St W, Ajax, ON L1S 7L7 (905) 428-1711 www.healthritepharmacy.ca We handle your Prescriptions with care R X DISCLAIMER: The content of this document
More informationWellness on the Run. Show Me the Money- Help your employees lower their cost of care
Wellness on the Run Show Me the Money- Help your employees lower their cost of care Agenda 3 Keys to helping employees be better health care consumers Tools and Tips for saving money Health plan programs
More informationMarathon Health Center and Health Coaching
Marathon Health Center and Health Coaching a benefit of CHG Health and Wellness for our Utah offices We are a different kind of healthcare company. Our mission is to inspire people to lead healthier lives.
More informationUNIVERSITY HEALTH CENTER IMPACT REPORT
2015 16 UNIVERSITY HEALTH CENTER IMPACT REPORT 1 DURING 2015 16, THE UNIVERSITY HEALTH CENTER PROVIDED 52.7K TOTAL ENCOUNTERS. DURING 2015 16, 14 STUDENT EMPLOYEES WORKED A TOTAL OF 4.3K HOURS AT THE UNIVERSITY
More informationTHE CARE YOU NEED WHEN, WHERE AND HOW YOU NEED IT.
THE CARE YOU NEED WHEN, WHERE AND HOW YOU NEED IT. Introducing Cigna Telehealth Connection. Choice is good. More choice is even better. Now Cigna provides access to two telehealth services as part of your
More informationDepartment of Human Services PROPOSED FY 2019 BUDGET HIGHLIGHTS. County Board Work Session February 28, 2018
PROPOSED FY 2019 BUDGET HIGHLIGHTS County Board Work Session February 28, 2018 : Vision, Mission & Ideal Culture Vision A community of healthy, safe and economically secure children, adults and families
More information