Northern Colorado Companies. The Power of Innovative Integration

Save this PDF as:
Size: px
Start display at page:

Download "Northern Colorado Companies. The Power of Innovative Integration"

Transcription

1 Northern Colorado Companies The Power of Innovative Integration July 22, 2014

2 Agenda Introductions and Expectations Overview of Kaiser Permanente Northern Colorado Network Overview Integrated Medical Delivery Model Questions / Wrap Up 2 7/22/ Kaiser Foundation Health Plan, Inc. For internal use only.

3 History Integrated healthcare delivery and financing system focused on quality, affordability, total health & productivity 3 January 16, Kaiser Foundation Health Plan, Inc.

4 Kaiser Permanente - America s Largest Integrated Health System 9M members 16,658 physicians 48,033 nurses 172,997 employees 37 medical centers 611 medical offices 3,800 research and evaluation studies 900 peer-reviewed studies published $50B+ revenues (2013) World s largest, most advanced EHR deployment Electronic Personal Health Record (PHR) used by 4M members 1M+ secure s sent to our physicians and clinicians monthly 4 January 16, Kaiser Foundation Health Plan, Inc.

5 Leading the Way on Quality LEADING the WAY Leads the nation in the most No. 1 s in Effectiveness of Care Measures The KP flagship and Every Body Walk! apps have received Silver Web Health Web Awards recognizing high-quality digital resources for consumers Kaiser Permanente Hospitals Among the Safest in the Nation All KP Medicare health plans receive 5 out of 5 stars for 2014 from the Centers for Medicare & Medicaid Services 6 out of 7 Kaiser Permanente regions received 5-Star ratings, and the Georgia Region received 4.5 Stars Kaiser Permanente Wins Prestigious Eisenberg Award for Patient Safety and Quality Efforts Kaiser Permanente ranks highest in J.D. Power and Associates Member Satisfaction Study Kaiser Permanente has received 36 Stage 7 Hospital Awards for successful electronic health record implementation 10 Kaiser Permanente Hospitals listed among the nation s elite in annual Best Hospitals rankings Implant registries recognized for contributions to patient safety, quality improvement and cost effectiveness

6 6 January 16,, Kaiser Foundation Health Plan, Inc.

7 7 January 16, Kaiser Foundation Health Plan, Inc.

8 8 January 16, Kaiser Foundation Health Plan, Inc.

9 9 January 16, Kaiser Foundation Health Plan, Inc.

10 KP / Banner Health Partnership Jason Tacha Executive Director of Northern Colorado 10 January 16, Kaiser Foundation Health Plan, Inc.

11 Northern Colorado Model facts Northern Colorado Medical Model Cross Market Access Plan Hospitals 3 KP Medical Office Locations in Northern Colorado Extended and Urgent Care Hours

12 Loveland Medical Office Building Primary Care: IM, FM, and Pediatrics Specialty Care: Rheumatology, Endocrinology, Dermatology, and Sleep Pharmacy, Laboratory, and Medical Imaging (including Mammography) 12

13 Fort Collins Medical Office Building Primary Care: IM, FM, and Pediatrics Pharmacy, Laboratory, and Medical Imaging Extended Hours 13

14 Greeley Medical Office Building th Ave. Site Primary Care: IM, FM, and Pediatrics Pharmacy, Laboratory, and Medical Imaging 14

15 Kaiser Permanente and Banner Health A GREAT PARTNERSHIP Great for the community Great for patient care 15

16 Banner Health KP Strategic Relationship Banner - Integrated Health System Hospital Inpatient Services Outpatient Services!! Emergency Department!! OP Surgery!! Diagnostics!! Lab!! Therapy TCU Ambulatory Surgery Center Free Standing OP Lab PCP s Specialists Home Care, DME, Home Infusion Pharmacy Banner - Integrated Health System!!!!!!! KP - Integrated Health Plan Overlapping Services PCP Specialist OP Lab Diagnostics (Mammo, General X-ray) Pharmacy EMR/Clinical Data Integration Other OP Services? KP - Integrated Health Plan Sales/Marketing Insurance License KP-PCP KP-Specialists OP Services!! Diagnostics!! Lab!! Behavioral Medicine!! Other OP Services? Care Coordination IT Connectivity/Integration Contracted Medical and Surgical Provider Network Value Options 16

17 Integrated Medical Delivery System Jamison Bohl, MD Chief of Family Medicine 17 January 16, Kaiser Foundation Health Plan, Inc.

18 It s easy to stay connected My Health Manager on kp.org Manage your care online or from your web enabled mobile device:!! your doctor s office!! View most lab test results as soon as they re available!! Refill most prescriptions!! Schedule or cancel routine appointments!! Help take care of a family member, like a child or parent, using these features and more

19 KP HealthConnect Kaiser Permanente Receives Two Awards for Leadership in Electronic Health Record Implementation Feb 22, 2012 OAKLAND, Calif. Kaiser Permanente, the nation s leading health care provider, with the largest privatesector electronic health record system in the world, received two awards today from the Healthcare Information and Management Systems Society (HIMSS) for its leadership in the use of health information technology. By putting technology in the hands of physicians and caregivers, we are able to diagnose patients quicker, get test results faster, reduce hospital infection rates, and ultimately transform the way we deliver care, said Jack Cochran, MD, executive director, The Permanente Federation. Electronic health records allow us to deliver on the promise of high quality, patient-centered care. Nearly 9 Million Kaiser Permanente Health Records Securely Available on Mobile Devices 19 January 16, Kaiser Foundation Health Plan, Inc.

20 Key Enablers to Sustainable Growth Highly integrated delivery model combined with preferred contracted ( affiliated ) physician network. Affiliated physician network comprised of Banner-employed and independent/affiliated physicians. Physician quality metrics/scorecard embedded in contracts. Interoperability with KP HealthConnect electronic medical records and other clinical data systems. Wrap-around services available to all Northern Colorado members: Population and Prevention Services, case and care coordination, chronic care management programs, etc. Price Competiveness Outstanding Service One State / One Region Developing Key Employer and Community Relationships 20

21 Kaiser Permanente - Northern CO Network Hospital Services McKee Medical Center, NCMC, and future Fort Collins hospital (2015), Estes Park Medical Center, Northern CO Rehab Hospital Urgent / After Hours Care options at Skyline Urgent Care, Summit View Urgent Care, Weekend Healthcare Clinic of Fort Collins, Banner Health Urgent Care, Windsor Over 450 affiliated providers representing all specialty care services In addition KP Primary Care, 60 primary care physicians in network 21

22 Choose BETTER. Choose Kaiser Permanente. kp.org/choose better 22 January 16, Kaiser Foundation Health Plan, Inc.

Colorado Small Business Enrollment Guide A BETTER WAY to take care of business

Colorado Small Business Enrollment Guide A BETTER WAY to take care of business 2015 SMALL BUSINESS HEALTH Colorado Small Business Enrollment Guide A BETTER WAY to take care of business Choose BETTER. 31 Important deadline Open enrollment begins on November 15, 2014 for coverage beginning

More information

Kaiser Permanente. Product Type: HMO. Kaiser Permanente Northern Colorado - CON003

Kaiser Permanente. Product Type: HMO. Kaiser Permanente Northern Colorado - CON003 Kaiser Permanente Kaiser Permanente Northern Colorado - CON003 Product Type: HMO Accessing Care Outside the service area / State: Visiting Members: When members (subscribers or dependents) are temporarily

More information

PERSPECTIVES ON HEALTH INFORMATION TECHNOLOGY. Connected Digital Health For Patients, Clinicians, And Health Systems

PERSPECTIVES ON HEALTH INFORMATION TECHNOLOGY. Connected Digital Health For Patients, Clinicians, And Health Systems PERSPECTIVES ON HEALTH INFORMATION TECHNOLOGY Connected Digital Health For Patients, Clinicians, And Health Systems Kaiser Permanente Overview USA s largest non-profit health plan and hospitals Integrated

More information

Kaiser Permanente Comments on Health Information Technology, by James A. Ferguson

Kaiser Permanente Comments on Health Information Technology, by James A. Ferguson Kaiser Permanente Comments on Health Information Technology, by James A. Ferguson FTC Public Workshop: Innovations in Health Care Delivery 24 April, 2008 Kaiser Permanente Overview Established in 1945,

More information

A BETTER WAY to take care

A BETTER WAY to take care 2015 SMALL BUSINESS HEALTH Colorado Small Business Enrollment Guide A BETTER WAY to take care of your employees and your business Choose BETTER. Choose a better way that s right for you You put a lot into

More information

Kaiser Permanente: Transition Care Performance and Strategies

Kaiser Permanente: Transition Care Performance and Strategies Kaiser Permanente: Transition Care Performance and Strategies Carol Ann Barnes, PT, DPT, GCS carbarne@gmail.com April 2009 Netta Conyers-Haynes, October, 2014 Principal Consultant, Communications Agenda

More information

Napa County. Medicare Advantage Plans. (Medicare Part C Plans) Compliments of HICAP. (Health Insurance Counseling and Advocacy Program)

Napa County. Medicare Advantage Plans. (Medicare Part C Plans) Compliments of HICAP. (Health Insurance Counseling and Advocacy Program) 2015 Napa County Medicare Advantage Plans (Medicare Part C Plans) HICAP Volunteer Counselors are available to help compare health plans in an objective and unbiased manner. They can help consumers understand

More information

Kaiser Permanente Northwest Region Enrollment Service Area

Kaiser Permanente Northwest Region Enrollment Service Area Kaiser Permanente v Kaiser Permanente Northwest Region Enrollment Service Area Kaiser Permanente Senior Advantage Medicare Plan The Value of Kaiser Permanente Sr. Advantage Medicare Plan and PHIP Partnership

More information

A better choice for good health

A better choice for good health Enrollment Book Northern Colorado 2015 en A better choice for ood health a wide rane of specialists view most test results online convenient facilities near you I can choose and chane my doctor anytime

More information

Coventry Health and Life Insurance Company PPO Schedule of Benefits

Coventry Health and Life Insurance Company PPO Schedule of Benefits State(s) of Issue: Oklahoma PPO Plan: OI08C30050 30 Coventry Health and Life Insurance Company PPO Schedule of Benefits Covered Services Contract Year Deductible For All Eligible Expenses (unless otherwise

More information

Informational Series. Community TM. Glossary of Health Insurance & Medical Terminology. (855) 624-6463 HealthOptions.

Informational Series. Community TM. Glossary of Health Insurance & Medical Terminology. (855) 624-6463 HealthOptions. Informational Series Glossary of Health Insurance & Medical Terminology How to use this glossary This glossary has many commonly used terms, but isn t a full list. These glossary terms and definitions

More information

Report to Board of Administration

Report to Board of Administration Report to Board of Administration Agenda of: DECEMBER 13, 2011 From: Alex Rabrenovich, Chief Benefits Analyst ITEM: VIII-A SUBJECT: MEDICARE STAR QUALITY RATINGS Recommendation: That the Board receive

More information

Bronze CoventryOne Health Plan options in Georgia

Bronze CoventryOne Health Plan options in Georgia Bronze CoventryOne Health Plan options in Georgia Plan GA Coventry Bronze Ded Only HSA Eligible HMO Member benefits Deductible (ded) individual/family1 (applies to out-of-pocket maximum) Member coinsurance

More information

2016 Medicare Advantage Special Needs Plans (SNP) Full Dual Medicare & Medicaid Maricopa County

2016 Medicare Advantage Special Needs Plans (SNP) Full Dual Medicare & Medicaid Maricopa County 2016 Medicare Advantage Special Needs Plans (SNP) Full Dual Medicare & Medicaid Maricopa County Special Needs Plans for Dual Eligible beneficiaries are an HMO plan that limits their membership to people

More information

VISITING MEMBER SERVICES. Getting care away from home. For travel in other Kaiser Permanente areas

VISITING MEMBER SERVICES. Getting care away from home. For travel in other Kaiser Permanente areas 2016 VISITING MEMBER SERVICES Getting care away from home For travel in other Kaiser Permanente areas Getting care in Kaiser Permanente service areas This brochure will help you get a wide range of care

More information

Challenges And Learning In The New Era of Health IT

Challenges And Learning In The New Era of Health IT Challenges And Learning In The New Era of Health IT Jamie Ferguson Vice President, Health IT Strategy & Policy Kaiser Permanente jamie.ferguson@kp.org Session Agenda About Kaiser Permanente And Health

More information

2015 plan comparison guide

2015 plan comparison guide 2015 plan comparison guide Groups of 1 50 Plans available Jan. 1, 2015, through Dec. 31, 2015 Washington Better health starts here Hello. Welcome to Moda Health, the place you go when you want more than

More information

The Value of Medicare Advantage for CalPERS Medicare eligible retirees

The Value of Medicare Advantage for CalPERS Medicare eligible retirees Agenda Item 8, Attachment 1, Page 1 of 33 The Value of Medicare Advantage for CalPERS Medicare eligible retirees 1 Proprietary Information of UnitedHealth Group. Do not distribute or reproduce without

More information

Healthy Michigan MEMBER HANDBOOK

Healthy Michigan MEMBER HANDBOOK Healthy Michigan MEMBER HANDBOOK 2014 The new name for Healthy 1 TABLE OF CONTENTS WELCOME TO HARBOR HEALTH PLAN.... 2 Who Is Harbor Health Plan?...3 How Do I Reach Member Services?...3 Is There A Website?....

More information

HEALTH CARE PROVIDERS

HEALTH CARE PROVIDERS Agency/Address Days/Hours Phone Banner Weld County Medical Clinics 16 th Street 2010 16 th St., Suite C, Greeley, CO 80631 Services: Family Medicine Banner Weld County Medical Clinics 19 th Street 5623

More information

Colorado Springs Health Partners INDIVIDUAL & FAMILY PLANS

Colorado Springs Health Partners INDIVIDUAL & FAMILY PLANS Colorado Springs Health Partners INDIVIDUAL & FAMILY PLANS WHEN IT COMES TO HEALTH INSURANCE, WE KNOW WHAT MATTERS MOST: YOU. No one plans to be sick or injured, but if something happens, we want you to

More information

SMALL BUSINESS Health Insurance Plans

SMALL BUSINESS Health Insurance Plans SMALL BUSINESS Health Insurance Plans UNDERWRITTEN BY LAND OF LINCOLN MUTUAL HEALTH INSURANCE COMPANY For more information, call or visit us online! PREFERRED PARTNER PLANS SWEDISH COVENANT SMALL BUSINESS

More information

Kaiser Permanente: Integration, Innovation, and Information Systems in Health Care

Kaiser Permanente: Integration, Innovation, and Information Systems in Health Care Kaiser Permanente: Integration, Innovation, and Information Systems in Health Care October 2012 Molly Porter, Director Kaiser Permanente International molly.porter@kp.org kp.org/international Copyright

More information

VISITING MEMBER SERVICES. Getting care away from home. For travel in other Kaiser Permanente areas

VISITING MEMBER SERVICES. Getting care away from home. For travel in other Kaiser Permanente areas 2015 VISITING MEMBER SERVICES Getting care away from home For travel in other Kaiser Permanente areas Getting care in Kaiser Permanente areas This brochure will help you get a wide range of care in Kaiser

More information

Carelink CaroMont Provider Directory

Carelink CaroMont Provider Directory Carelink CaroMont Product Service Area: Cleveland, Lincoln, and Gaston Counties November 2013 Carelink from Coventry benefit plans are underwritten and administered by Coventry Health Care of the Carolinas,

More information

What is the overall deductible? Are there other deductibles for specific services?

What is the overall deductible? Are there other deductibles for specific services? This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.anthem.com/cuhealthplan or by calling 1-800-735-6072.

More information

Kaiser Permanente: Health Education. Mei Ling Schwartz, MPH Director, Health & Physician Education Kaiser Permanente Panorama City Medical Center

Kaiser Permanente: Health Education. Mei Ling Schwartz, MPH Director, Health & Physician Education Kaiser Permanente Panorama City Medical Center Kaiser Permanente: Health Education Mei Ling Schwartz, MPH Director, Health & Physician Education Kaiser Permanente Panorama City Medical Center Who Is Kaiser Permanente? Founded in 1945, Kaiser Permanente

More information

Electronic Health Records: Trends, Issues, Regulations & Technologies

Electronic Health Records: Trends, Issues, Regulations & Technologies New September 2010 Critical Report! Electronic Health Records: Trends, Issues, Regulations & Technologies A Management Primer & Update Including: EHR Definition and Role EHR vs. EMR The New Momentum in

More information

OPERATING ENGINEERS HEALTH & WELFARE FUND BENEFIT PLANS SUMMARY COMPARISON FOR ACTIVES and EARLY RETIREES

OPERATING ENGINEERS HEALTH & WELFARE FUND BENEFIT PLANS SUMMARY COMPARISON FOR ACTIVES and EARLY RETIREES PPO Kaiser Permanente For Non-PPO Providers Employee Premium None None None None None Explanation of s and Options Available to You If you choose a doctor who is not contracted with Anthem Blue Cross the

More information

Ambulatory EMR Implementation at Texas Children s Hospital. GE Healthcare User Summit September 23, 2004

Ambulatory EMR Implementation at Texas Children s Hospital. GE Healthcare User Summit September 23, 2004 Ambulatory EMR Implementation at Texas Children s Hospital GE Healthcare User Summit September 23, 2004 1 About TCH Texas Children s Hospital (TCH) is the largest pediatric hospital in the U.S., with licensing

More information

Kaiser Permanente Guide to Medicare Basics

Kaiser Permanente Guide to Medicare Basics Kaiser Permanente Guide to Medicare Basics The National Medicare program, which was created in 1965, has given people peace of mind and the security of knowing they ll have access to health coverage. Medicare

More information

HMO. 2015 Individual HMO Plans Comparison of Benefits. Page 1

HMO. 2015 Individual HMO Plans Comparison of Benefits. Page 1 2015 Individual HMO Plans Comparison of Benefits HMO (including 15 Routine Specialist Visit (including Behavioral HF Platinum HMO Select 100 1300 100% $800 / $1,600 $1,000 / $2,000 $0 $15 $35 $35 0% HF

More information

Get healthy. Stay healthy. Kaiser Permanente. Kaiser Permanente. Health Plan. kp.org

Get healthy. Stay healthy. Kaiser Permanente. Kaiser Permanente. Health Plan. kp.org Get healthy. Stay healthy. Kaiser Permanente Kaiser Permanente Student Student Health Plan Health Plan w i t h d e d u c t i b l e kp.org Table of Contents The Basics 3 How It Works 4 Frequently Asked

More information

Compare your plan options

Compare your plan options SMALL BUSINESS GROUP 2015 Compare your plan options Plans for businesses with 1 50 employees 1 SMALL BUSINESS GROUP Value, choice, and quality the Group Health difference Your job is running a business.

More information

Embedding Guidance in the Kaiser Permanente EHR. Wiley Chan, MD Kaiser Permanente Care Management Institute Oakland, CA, USA

Embedding Guidance in the Kaiser Permanente EHR. Wiley Chan, MD Kaiser Permanente Care Management Institute Oakland, CA, USA Embedding Guidance in the Kaiser Permanente EHR Wiley Chan, MD Kaiser Permanente Care Management Institute Oakland, CA, USA Statement of Disclosure Wiley Chan, MD I have no commercial or academic conflicts

More information

Medweb Telemedicine 667 Folsom Street, San Francisco, CA 94107 Phone: 415.541.9980 Fax: 415.541.9984 www.medweb.com

Medweb Telemedicine 667 Folsom Street, San Francisco, CA 94107 Phone: 415.541.9980 Fax: 415.541.9984 www.medweb.com Medweb Telemedicine 667 Folsom Street, San Francisco, CA 94107 Phone: 415.541.9980 Fax: 415.541.9984 www.medweb.com Meaningful Use On July 16 2009, the ONC Policy Committee unanimously approved a revised

More information

A Guide to Patient Services. Cedars-Sinai Health Associates

A Guide to Patient Services. Cedars-Sinai Health Associates A Guide to Patient Services Cedars-Sinai Health Associates Welcome Welcome to Cedars-Sinai Health Associates. We appreciate the trust you have placed in us by joining our dedicated network of independent-practice

More information

A better choice for good health

A better choice for good health Individuals and Families Enrollment Guide 2015 A better choice for good health a wide range of specialists view most test results online convenient facilities near you I can choose and change my doctor

More information

MEDICARE 101 A Webinar presented by Keenan & Associates and Kaiser Permanente

MEDICARE 101 A Webinar presented by Keenan & Associates and Kaiser Permanente MEDICARE 101 A Webinar presented by Keenan & Associates and Kaiser Permanente Sylvia Weathers Service Consultant Keenan & Associates Nancy C. Voltero Retiree Programs Consultant Kaiser Permanente License

More information

Statement for the Record. Bernadette Loftus, MD. Executive-in-Charge, Mid-Atlantic Permanente Medical Group. Kaiser Permanente

Statement for the Record. Bernadette Loftus, MD. Executive-in-Charge, Mid-Atlantic Permanente Medical Group. Kaiser Permanente Statement for the Record Bernadette Loftus, MD Executive-in-Charge, Mid-Atlantic Permanente Medical Group Kaiser Permanente Defense Health Care Reform Subcommittee on Personnel of the Committee on Armed

More information

The Healthy Michigan Plan Handbook

The Healthy Michigan Plan Handbook The Healthy Michigan Plan Handbook Introduction The Healthy Michigan Plan is a health care program through the Michigan Department of Community Health (MDCH). Eligibility for this program will be determined

More information

Kaiser Permanente: Platinum 90 HMO

Kaiser Permanente: Platinum 90 HMO Kaiser Permanente: Platinum 90 HMO Coverage Period: Beginning on or after 01/01/2015 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Individual/Family Plan Type: HMO

More information

HEALTH CARE DESIGNED AROUND You.

HEALTH CARE DESIGNED AROUND You. HEALTH CARE DESIGNED AROUND You. Health care designed around you means... Access to the best care {where you live and work. What does health care designed around you really mean? In a time when health

More information

Utilizing Physician Extenders to Achieve Group Practice Initiatives

Utilizing Physician Extenders to Achieve Group Practice Initiatives Utilizing Physician Extenders to Achieve Group Practice Initiatives Your presenters Debra Johansen, MBA, CMPE Chief Operating Administrator, HealthFirst Medical Group, Melbourne FL Richard Baney, Jr, MD,

More information

of the Nurse Practitioner

of the Nurse Practitioner The Emerging Role of the Nurse Practitioner Rhonda Hettinger DNP, NP C, CLS Introduction The American health care system is in need of a fundamental change (Institute t of Medicine, 2001). Nurse practitioner

More information

Advanced Practice in MS Care

Advanced Practice in MS Care Advanced Practice in MS Care Stephanie Agrella, MSN, APRN, ANP-BC, MSCN Bryan Walker, MHS, PA-C CMSC May 2015 Session Faculty & Disclosures Stephanie Agrella MS Clinic of Central Texas, Director of Clinical

More information

Good health happens together

Good health happens together Good health happens together CITY OF BALTIMORE 2016 HEALTH CARE OPTIONS WHAT S INSIDE BENEFITS OVERVIEW WELLNESS RESOURCES ONLINE TOOLS Thank you for considering UnitedHealthcare. We are proud to again

More information

Covered Services: All plans offered on the Marketplace cover 10 Essential Health Benefits:

Covered Services: All plans offered on the Marketplace cover 10 Essential Health Benefits: Introduction The NY State of Health 2015 Plan Compare provides information about health plans offered on the Individual Marketplace. Here's some general information to get you started. Metal Levels: Plans

More information

#Aim2Innovate. Share session insights and questions socially. UCLA Primary Care Innovation Model 6/13/2015. Mark S. Grossman, MD, MBA, FAAP, FACP

#Aim2Innovate. Share session insights and questions socially. UCLA Primary Care Innovation Model 6/13/2015. Mark S. Grossman, MD, MBA, FAAP, FACP UCLA Primary Care Innovation Model Mark S. Grossman, MD, MBA, FAAP, FACP Chief Medical Office, UCLA Community Physicians & Specialty Care Networks June 16, 2015 DISCLAIMER: The views and opinions expressed

More information

Glossary of Health Coverage and Medical Terms

Glossary of Health Coverage and Medical Terms Glossary of Health Coverage and Medical Terms This glossary defines many commonly used terms, but isn t a full list. These glossary terms and definitions are intended to be educational and may be different

More information

Sharp HealthCare ACO. Pioneer Introduction to the FSSB November 8, 2012

Sharp HealthCare ACO. Pioneer Introduction to the FSSB November 8, 2012 Sharp HealthCare ACO Pioneer Introduction to the FSSB November 8, 2012 Sharp HealthCare Not-for-profit serving 3.1 million residents of San Diego County Grew from one hospital in 1955 to an integrated

More information

Lawrence Livermore National Security (LLNS) Kaiser Permanente Senior Advantage with Health Reimbursement Arrangement

Lawrence Livermore National Security (LLNS) Kaiser Permanente Senior Advantage with Health Reimbursement Arrangement Lawrence Livermore National Security (LLNS) Kaiser Permanente Senior Advantage with Health Reimbursement Arrangement Agenda Welcome Medicare Five Star Rating 2016 Benefit Summary Payment Options and How

More information

Los Rios Community College District KAISER PERMANENTE

Los Rios Community College District KAISER PERMANENTE Los Rios Community College District KAISER PERMANENTE GROUP # 602838: Early Retiree DHMO Plan (under age 65 or over 65 w/o Medicare A & B) Senior Advantage (age 65+ with Medicare A & B) In order to continue

More information

Health Information Technology 101

Health Information Technology 101 Health Information Technology 101 THE BASICS OF HEALTH IT AND WHY IT MATTERS Andrew M. Wiesenthal, MD, SM Associate Executive Director, The Permanente Federation Why health care IT really matters [Insert

More information

BAKERSFIELD CITY SCHOOL DISTRICT

BAKERSFIELD CITY SCHOOL DISTRICT BAKERSFIELD CITY SCHOOL DISTRICT INSURANCE PLANS for RETIREES 2015-2016 GENERAL INFORMATION About DISTRICT Plans for Retirees And INDIVIDUAL Retiree Plans, SISC Sponsored Retirees of the Bakersfield City

More information

Randy Fink Frontier Nursing University December 5 th, 2012

Randy Fink Frontier Nursing University December 5 th, 2012 Randy Fink Frontier Nursing University December 5 th, 2012 A Registered Nurse trained in one of four advanced practice roles at the graduate level (National Council of State Boards of Nursing, 2008) Certified

More information

March 17, 2015. The Honorable Jerry Moran U.S. Senate 361A Russell Senate Office Building Washington, DC 20510. Dear Senator Moran:

March 17, 2015. The Honorable Jerry Moran U.S. Senate 361A Russell Senate Office Building Washington, DC 20510. Dear Senator Moran: March 17, 2015 The Honorable Jerry Moran U.S. Senate 361A Russell Senate Office Building Washington, DC 20510 Dear Senator Moran: On behalf of the 42 undersigned organizations representing the Nursing

More information

ESSENTIA HEALTH AS AN ACO (ACCOUNTABLE CARE ORGANIZATION)

ESSENTIA HEALTH AS AN ACO (ACCOUNTABLE CARE ORGANIZATION) ESSENTIA HEALTH AS AN ACO (ACCOUNTABLE CARE ORGANIZATION) Hello and welcome. Thank you for taking part in this presentation entitled "Essentia Health as an ACO or Accountable Care Organization -- What

More information

Are there services this Yes. Some of the services this plan doesn t cover are listed on page 6. See your policy or plan

Are there services this Yes. Some of the services this plan doesn t cover are listed on page 6. See your policy or plan : SAIF Corporation All plans offered and underwritten by Kaiser Foundation Health Plan of the Northwest Coverage Period: January 1, 2016-December 31, 2016 Summary of Benefits and Coverage: What this Plan

More information

KAISER PERMANENTE PLAN (Non-Medicare Eligible)

KAISER PERMANENTE PLAN (Non-Medicare Eligible) CEMENT MASONS HEALTH AND WELFARE TRUST FUND FOR NORTHERN CALIFORNIA RETIRED CEMENT MASONS AND THEIR ELIGIBLE DEPENDENTS EFFECTIVE JANUARY 1, 2015 GENERAL When You Can Change Plans Type of Plan, Service

More information

NO DEDUCTIBLE FOR MANY SERVICES

NO DEDUCTIBLE FOR MANY SERVICES How Deductible plans work Deductible plans generally offer lower monthly premiums in exchange for higher out-of-pocket payments for covered services. With these plans, you pay full charge for certain covered

More information

CALIFORNIA. Kaiser Permanente Student Health Plan. Comparison charts

CALIFORNIA. Kaiser Permanente Student Health Plan. Comparison charts CALIFORNIA Kaiser Permanente Student Health Plan Comparison charts 1 Protect your students with award-winning integrated care Offer your students and their dependents a health plan with broad coverage

More information

Welcome to Crozer-Keystone Health Network Primary Care

Welcome to Crozer-Keystone Health Network Primary Care Welcome to Crozer-Keystone Health Network Primary Care A Guide to Your CKHN Patient-Centered Medical Home: What you can expect from us... What we will need from you......so you can gain the full benefits

More information

: Western University of Health Sciences (Oregon)

: Western University of Health Sciences (Oregon) : Western University of Health Sciences (Oregon) All plans offered and underwritten by Kaiser Foundation Health Plan of the Northwest Coverage Period: March 1, 2015-February 29, 2016 Summary of Benefits

More information

Disclosure Form for Kaiser Permanente for Individuals and Families Copayment Plans and Deductible Plans

Disclosure Form for Kaiser Permanente for Individuals and Families Copayment Plans and Deductible Plans Kaiser Foundation Health Plan, Inc. Northern and Southern California Regions Disclosure Form for Kaiser Permanente for Individuals and Families Copayment Plans and Deductible Plans Your Health Plan Coverage

More information

EHRs vs. Paper-based Systems: 5 Key Criteria for Ascertaining Value

EHRs vs. Paper-based Systems: 5 Key Criteria for Ascertaining Value Research White Paper EHRs vs. Paper-based Systems: 5 Key Criteria for Ascertaining Value Provided by: EHR, Practice Management & Billing In One www.omnimd.com Before evaluating the benefits of EHRs, one

More information

Rhode Island Hospital/Hasbro Children s Hospital The Miriam Hospital Newport Hospital Bradley Hospital Gateway Healthcare

Rhode Island Hospital/Hasbro Children s Hospital The Miriam Hospital Newport Hospital Bradley Hospital Gateway Healthcare Rhode Island Hospital/Hasbro Children s Hospital The Miriam Hospital Newport Hospital Bradley Hospital Gateway Healthcare A MESSAGE FROM THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF LIFESPAN Over the past

More information

2015 Provider Network Strategy

2015 Provider Network Strategy 2015 Provider Network Strategy Accessing the Provider Network Template Rocky Mountain Health Plan Rocky Mountain HMO Colorado Springs Health Partners Provider Network C4HCO Shopping Page Carrier Product

More information

Physicians Plus Insurance Corporation Coverage Period: 01/01/2016 12/31/2016

Physicians Plus Insurance Corporation Coverage Period: 01/01/2016 12/31/2016 This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.pplusic.com or by calling 1-800-545-5015. Important Questions

More information

California Public Hospitals and the Health Care Coverage Initiatives: A Model for Health Care Reform

California Public Hospitals and the Health Care Coverage Initiatives: A Model for Health Care Reform California Association of Public Hospitals and Health Systems April 2009 POLICY BRIEF 70 WASHINGTON STREET, SUITE 215 OAKLAND, CALIFORNIA 94607 510.874.7100 WWW.CAPH.ORG California Public Hospitals and

More information

2015 Health Benefits

2015 Health Benefits 2015 Health Benefits Product Cost Sharing - Member's Responsibility Health Care Reform Compliant Health Care Reform Compliant Health Care Reform Compliant Deductible (DED) (Per Person/Family Aggregate)

More information

2015-2016 MIT affiliate Health Plan

2015-2016 MIT affiliate Health Plan 2015-2016 MIT affiliate Health Plan - Top five things you need to know - Insurance plan rates - Your medical benefits - How to enroll - Commonly used terms - Useful contact information The top five things

More information

Diagnostic Imaging Management

Diagnostic Imaging Management Diagnostic Imaging Management Frequently Asked Questions (FAQ) from Providers Updated August 1, 2013 Program Overview Q1. What is AIM Specialty Health SM (AIM)? A1. AIM Specialty Health SM (AIM) is a leading

More information

Choose the Medicare Advantage Plan That s Right for You

Choose the Medicare Advantage Plan That s Right for You Choose the Medicare Advantage Plan That s Right for You Indiana University Health Plans is a Medicare Advantage organization with a Medicare contract. Other pharmacies/physicians/providers are available

More information

Telehealth: Today & Tomorrow National Health Policy Forum

Telehealth: Today & Tomorrow National Health Policy Forum Telehealth: Today & Tomorrow National Health Policy Forum April 11, 2014 Karen E. Edison, MD Philip Anderson Prof. & Chair, Dept. of Dermatology Medical Director, Missouri Telehealth Network Director,

More information

Practice Readiness Assessment

Practice Readiness Assessment Practice Demographics Practice Name: Tax ID Number: Practice Address: REC Implementation Agent: Practice Telephone Number: Practice Fax Number: Lead Physician: Project Primary Contact: Lead Physician Email

More information

Benefit Summary - A, G, C, E, Y, J and M

Benefit Summary - A, G, C, E, Y, J and M Benefit Summary - A, G, C, E, Y, J and M Benefit Year: Calendar Year Payment for Services Deductible Individual $600 $1,200 Family (Embedded*) $1,200 $2,400 Coinsurance (the percentage amount the Covered

More information

The Healthy Michigan Plan Handbook

The Healthy Michigan Plan Handbook The Healthy Michigan Plan Handbook Introduction The Healthy Michigan Plan is a health care program through the Michigan Department of Community Health (MDCH). The Healthy Michigan Plan provides health

More information

Primary Care Specialist Physician Collaborative Guidelines

Primary Care Specialist Physician Collaborative Guidelines Primary Care Specialist Physician Collaborative Guidelines I. Purpose To provide optimal health care for our patients. To provide a framework for better communication and safe transition of care between

More information

Important Questions Answers Why this Matters:

Important Questions Answers Why this Matters: This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.pplusic.com or by calling 608-282-8900 (1-800-545-5015).

More information

Senate Bill 91 (2011) Standard Plan - EHB and Cost Share Matrix - Updated for 2016 ***NOT INTENDED AS A STATEMENT OF COVERAGE***

Senate Bill 91 (2011) Standard Plan - EHB and Cost Share Matrix - Updated for 2016 ***NOT INTENDED AS A STATEMENT OF COVERAGE*** Deductible Medical: $1,250; Medical: $2,500; Integrated Medical/Rx: Rx: $0 Rx: $0 $5,000 Maximum OOP Combined Medical Combined Medical Combined Medical and and Drug: $6,350 and Drug: $6,350 Drug: $6,350

More information

Andrew C. Bledsoe, MBA, CHPA, PCMH CCE Executive Director. Northeast KY Regional Health Information Organization. www.nekyrhio.org

Andrew C. Bledsoe, MBA, CHPA, PCMH CCE Executive Director. Northeast KY Regional Health Information Organization. www.nekyrhio.org Andrew C. Bledsoe, MBA, CHPA, PCMH CCE Executive Director Northeast KY Regional Health Information Organization www.nekyrhio.org NCQA Program Setup Standards Six Standards Outline Program Elements Six

More information

2015-2016 MIT Student Health Plan

2015-2016 MIT Student Health Plan 2015-2016 MIT Student Health Plan - Top five things you need to know - Insurance plan rates - Your medical benefits - How do I enroll or waive coverage? - Commonly used terms - Useful contact information

More information

The Deductible is applicable to all covered services except for flat dollar Copayment services.

The Deductible is applicable to all covered services except for flat dollar Copayment services. PRIORITY HEALTH www.priorityhealth.com/mpsers PRIORITYHMO SM PLUS PLAN MICHIGAN PUBLIC SCHOOL EMPLOYEES RETIREMENT SYSTEM (MPSERS) Effective January 1, 2016 through December 31, 2016 The HMO Plus plan

More information

Decision Guide. For 2014 Individual & Family Health Insurance Coverage

Decision Guide. For 2014 Individual & Family Health Insurance Coverage Your Plan Decision Guide For 2014 Individual & Family Health Insurance Coverage Health care reform is here. And some things are changing. Starting in 2014, nearly everyone will be required to have health

More information

Kaiser Permanente: KP CA Bronze 5000/60

Kaiser Permanente: KP CA Bronze 5000/60 Kaiser Permanente: KP CA Bronze 5000/60 Coverage Period: Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Plan Type: HMO This is only a summary. If you want more detail

More information

FOR YOU HEALTH PLANS THAT WORK EMPLOYER MATERIALS 1

FOR YOU HEALTH PLANS THAT WORK EMPLOYER MATERIALS 1 HEALTH PLANS THAT WORK FOR YOU Blue Cross & Blue Shield of Rhode Island understands that when it comes to health plans, small businesses have different needs. Affordability is important, but so are quality

More information

PIONEER ACO A REVIEW OF THE GRAND EXPERIMENT. Norris Vivatrat, MD Associate Medical Director Monarch HealthCare

PIONEER ACO A REVIEW OF THE GRAND EXPERIMENT. Norris Vivatrat, MD Associate Medical Director Monarch HealthCare PIONEER ACO A REVIEW OF THE GRAND EXPERIMENT Norris Vivatrat, MD Associate Medical Director Monarch HealthCare 2 Agenda Pioneer ACO basics, performance and challenges Monarch HealthCare Post-acute network

More information

PIONEER ACO A REVIEW OF THE GRAND EXPERIMENT

PIONEER ACO A REVIEW OF THE GRAND EXPERIMENT PIONEER ACO A REVIEW OF THE GRAND EXPERIMENT Norris Vivatrat, MD Associate Medical Director Monarch HealthCare 2 Agenda Pioneer ACO basics, performance and challenges Monarch HealthCare Post-acute network

More information

Dual RFI Response Summary

Dual RFI Response Summary Dual RFI Response Summary Improving Care through Integrated Medicare and Medi- Cal Delivery Models Stuart Levine, MD., MHA. Keith Wilson, MD Robert Margolis, MD. Stakeholder Meeting August 30, 2011 1 Organization

More information

MIT Student Health Plan

MIT Student Health Plan M A S S A C H U S E T T S I N S T I T U T E O F T E C H N O L O G Y MIT Student Health Plan 2011-12 What you should know about 2 health insurance Rates 2 What MIT Medical offers 3 Your medical benefits

More information

Health Insurance Marketplace in Illinois Plan Comparison Charts

Health Insurance Marketplace in Illinois Plan Comparison Charts 2015 Independent Authorized Agent for An Independent Licensee of the Blue Cross Blue Shield Association Health Insurance Marketplace in Illinois Plan Comparison Charts preventive services and maternity

More information

Physician Assistant Nurse Practitioner. Pre-Health Advising Misty Huacuja-LaPointe Abby Voss Nicole Labrecque

Physician Assistant Nurse Practitioner. Pre-Health Advising Misty Huacuja-LaPointe Abby Voss Nicole Labrecque Physician Assistant Nurse Practitioner Pre-Health Advising Misty Huacuja-LaPointe Abby Voss Nicole Labrecque Explore many careers in healthcare ExploreHEALTHCareers Occupational Outlook Handbook Google

More information

SECTION 4 1 CCHP PROVIDER NETWORK

SECTION 4 1 CCHP PROVIDER NETWORK SECTION 4 1 CCHP PROVIDER NETWORK Physicians: Chinese Community Health Care Association (CCHCA) 1 Mid-level Practitioner s Services 1 Participating Providers and Pharmacies 1 Affiliated Hospitals 2 Chinese

More information

www.bcbsla.com independent licensees of the Blue Cross and Blue Shield Association.

www.bcbsla.com independent licensees of the Blue Cross and Blue Shield Association. Point of Service Plans for Individuals A subsidiary A subsidiary of Blue of Blue Cross Cross and and Blue Blue Shield Shield of of Louisiana, www.bcbsla.com 01100 00752 0207R FROM A COMPANY YOU ALREADY

More information

CARING FOR NEW YORK S SMALL BUSINESSES Off-Exchange 2016 Plans and Services for Downstate Groups With Up to 100 Employees

CARING FOR NEW YORK S SMALL BUSINESSES Off-Exchange 2016 Plans and Services for Downstate Groups With Up to 100 Employees CARING FOR NEW YORK S SMALL BUSINESSES Off-Exchange 2016 Plans and Services for Downstate Groups With Up to 100 Employees SMALL GROUP PLANS AT A GLANCE With the needs and budgets of small businesses in

More information

Schedule of Benefits (Who Pays What) HMO Colorado Name of Carrier BlueAdvantage HMO Plan $1,500 Deductible 30/$200D Name of Plan $200D-15/40/60/30%

Schedule of Benefits (Who Pays What) HMO Colorado Name of Carrier BlueAdvantage HMO Plan $1,500 Deductible 30/$200D Name of Plan $200D-15/40/60/30% Schedule of Benefits (Who Pays What) HMO Colorado Name of Carrier BlueAdvantage HMO Plan $1,500 Deductible 30/$200D Name of Plan $200D-15/40/60/30% PART A: TYPE OF COVERAGE 1. TYPE OF PLAN Health maintenance

More information

WHAT IS MEDICAL MANAGEMENT? WHAT IS THE PURPOSE OF MEDICAL MANAGEMENT?

WHAT IS MEDICAL MANAGEMENT? WHAT IS THE PURPOSE OF MEDICAL MANAGEMENT? WHAT IS MEDICAL MANAGEMENT? How health plans make decisions to approve payment for medical treatment is a poorly understood part of the healthcare system. One part of the process, known as medical management,

More information

Rocky Mountain Range 2016 INDIVIDUAL & FAMILY PLANS. MK777-A-R08/10/15þ

Rocky Mountain Range 2016 INDIVIDUAL & FAMILY PLANS. MK777-A-R08/10/15þ Rocky Mountain Range 2016 INDIVIDUAL & FAMILY PLANS MK777-A-R08/10/15þ Rocky Mountain Range Rocky Mountain Health Plans is Colorado-based and Colorado-focused. We were founded in Grand Junction more than

More information

Kaiser Permanente Medicare Plus

Kaiser Permanente Medicare Plus 64 Kaiser Permanente Plus Summary of Benefits This plan is offered by the Kaiser Foundation Health Plan of the Mid-Atlantic States. This summary outlines some of the Plan features. It does not list every

More information