BROKER NEWSLETTER APRIL 2023
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| Our 2023 Corporate & Commercial Markets Update took place on March 28, 2023 with great success. At the event, 2022 accomplishments were highlighted as well as notable updates on our new Family Centered-care program, Behavioral Health care and services, migration updates, and more.
We have recorded the event in case you were unable to join.
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Important information and updates to help you manage your clients’ needs.
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2023 Broker Compensation Brochures Now Available
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We are pleased to share our 2023 Broker Compensation Program. Each state’s market has a defined program to support new group sales, as well as rewards for retained groups. Log in to our Broker Portal under the general materials tab to view specific details. Please contact your sales executive with any questions.
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| HMO Enrollment Area Changes
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As a reminder, the HMO enrollment area will change on January 1, 2024, to include fewer Connecticut zip codes applicable to our HMO plans. Employer groups may need to consider adding a PPO or POS plan design upon 2023 renewal to accommodate their employees residing in Connecticut. Learn More.
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Reminder: RxDC Data Collection From Employers Underway
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Under the Consolidated Appropriations Act of 2021, we are required to collect certain premium data for the Prescription Drug Data Collection report. We recently emailed surveys (in Excel format) to our fully insured and self-insured employers and asked that they return the completed surveys to us by April 28, 2023. This will help to ensure we meet the June 1 deadline set by CMS. To view copies of the emails and surveys, visit the News & Updates section of your secure Broker Portal.
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Enhancing value for members and clients.
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Unwinding of the Public Health Emergency |
In March of 2020 the federal government implemented a ‘continuous coverage’ requirement to prevent people from losing Medicaid health care coverage during the pandemic. This continuous coverage requirement expires at the end of March 2023 which will begin a process known as the “unwinding” of the continuous coverage requirement. It is estimated that at least 150,000 to 200,000 Granite Staters and Mainers will be disenrolled from the Medicaid programs in each state.
We share this with you as you may see an influx of new enrollees over the next year as consumers seek new health plans and coverage. We value your partnership in supporting consumers who need quality care. Our organization remains deeply committed to providing access to affordable health care in the markets we serve.
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Update on Integrated Behavioral Health Program Launch & Provider Network Expansion
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As we approach the launch of our integrated behavioral health program for all commercial members on July 1, we want to share an interim update on our network development and future provider access. Today, we continue to build our insourced provider network while also leveraging additional providers offered through our national network partner, UnitedHealthcare. With these approaches, we expect no significant disruption for any of our members currently using behavioral health providers or services. Additional safeguards, including Continuity of Care, will also be available to ensure our members receive and access the care they need.
Additional updates will continue to be shared throughout the coming months. In the meantime, if you have any questions, please don't hesitate to contact your account executive.
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Reduce My Costs: Cutting Costs without Compromising Quality of Care |
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Reduce My Costs concierge program1 empowers members to choose high-quality, cost-effective providers for a wide range of outpatient tests and procedures2, including lab work and diagnostic imaging. This program encourages members to make informed health care choices and offers financial incentives through cash rewards3 and substantial savings on member’ cost-sharing, potentially amounting to thousands of dollars depending on the service and provider location. The program is designed to lower overall healthcare expenses without increasing deductibles, premiums, or compromising the health care members receive.
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- Quick and easy access: Members have exclusive access to an experienced nurse who assists in comparing costs and locating nearby cost-effective providers.
- Comprehensive support: A dedicated nurse can also help with scheduling appointments and handling any required paperwork, ensuring a seamless experience for members.
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Contact your account executive to learn more.
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1 Reduce My Costs program is included with all Harvard Pilgrim fully insured plans except Littleton Options HMO. Buy up options are available to self-insured employers. 2 Members’ health plan may require a referral and/or prior authorization before they receive services from a cost-effective provider. To ensure the services will be covered, members should always refer to their plan documents.
3 Cash rewards comes in an e-gift card format that is emailed directly to the member. Rewards are offered on services that meet minimum savings threshold. Rewards are considered taxable income; please consult with your tax advisor. Rewards vary based on plan and state.
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Save the Date for the Fall 2023 Broker Update Webinars.
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New Hampshire | Wednesday, September 27, 2023
Maine | Thursday, October 5, 2023
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