Anthem Successfully Renews Sutter Health Agreement
Anthem would like to remind its members that its Sutter Health negotiations were finalized on April 1st. Letters to all parties who received a pre-termination letter have already been sent, which included HMO members and related clients, brokers and agents as well as affiliated physicians and HMO admitting medical groups.
On-boarding Pilot Program Announced for New Trio AppleCare Members
Blue Shield has announced a new on-boarding pilot program with its Trip provider partner, Applecare Medical Group, which welcomes Trio HMO members. The program features outbound calls to Trio members assigned to AppleCare. It’s designed to improve a client’s experience when choosing Trio by:
• Welcoming them to Trio and Applecare
• Scheduling Appointments
• Helping transfer medical records
• Answering benefit questions (or transferring directly to our Shield concierge team without hold time)
Phone calls welcoming members began early March and will be made monthly going forward.
Blue Shield Announces Bronze PPO Plan Changes
Blue Shield has updated some of their off-exchange Bronze PPO plans, effective for Q3 2019 and renewing groups. In order to comply with California regulations, the changes were required to meet DMHC mandates for metal level actuarial values and now include combined medical and pharmacy deductibles. Rate information will be available in group renewal packets beginning April 11.
Groups enrolled in the Bronze PPO 4000/70 or Bronze PPO 6000/65 plans will move to the updated plans at their next renewal, starting with Q3 2019. Groups that prefer separate medical and pharmacy deductibles may consider the Silver PPO 2000/45 plan.
For more information, please contact your Dickerson Account Executive.
New Data Reveals Employers are Getting Creative with their Health Benefits Offerings
According to a new data report from DirectPath, employers are looking to get more creative with their health benefits, many realizing that traditional plans and activities are no longer sufficient for benefits offerings. DirectPath conducted an analysis of 1,004 employer health plans “to see what kinds of offerings they were providing to workers this year.” These types of creative incentives included dental checkups, blood donation drives, and volunteer days. The analysis also identified that many of these employers now offer HRAs and HSAs in conjunction with their high-deductible health plans. “HSAs are more popular- 79% of employers offer them to workers,” says DirectPath. To learn more, you can click here to read the entire article and data review.
What HR Pros Should Know About Clinical Guidelines
Employers and benefits consultants must stay up-to-date with the latest clinical guidelines to ensure the well-being of their employees. Due to the ever-changing science behind clinical testing, it is important to stay aware of changes to insurance guidelines for what types of clinical tests will be covered by their policies. By staying up-to-date with clinical guidelines, employers and HR managers should be checking to make sure gaps in care are communicated to help employees take action. Not only should these managers be communicating about gaps, but they should also be letting employees know about what types of assessments are available that employees can take advantage of to be proactively managing their health.
To learn more, click here.