BROKER NEWSLETTER | SPRING 2024
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| Reminder: RxDC Survey for Employers Closes March 29
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In accordance with the Consolidated Appropriations Act, we are collecting certain premium data for the 2023 prescription drug data collection (RxDC) report, required by the Centers for Medicare & Medicaid Services (CMS). We emailed a survey and instructions to all Harvard Pilgrim employer groups in February, followed by a series of reminder emails. The survey deadline is March 29.
While we have received a steady flow of responses over the past month, we ask that you check with your clients to see if they need assistance. If you or your clients have any submission questions, please email RxDCDataCollection@point32health.org or contact your Account Manager.
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Now Available: 2024 Administrative Guide
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The 2024 edition of the Harvard Pilgrim Health Care Administrative Guide for Employers, Brokers and Third-Party Administrators (TPAs) is now available online. This guide is designed to answer the most common questions and assist you with the completion of membership transactions, including instructions on enrollment procedures and premium payments.
View Guide ›
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Broker Portal Updates
Coming Soon
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Your feedback is important to us. We’re working hard to improve your user experience in our broker portal to make managing your book of business even better. Updated features will be available soon.
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| Medicare Part D Creditable Coverage: What You Need to Know
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The Medicare Modernization Act (MMA) requires entities (Employers and Union groups) who offer prescription drug coverage to Medicare Part D eligible individuals to disclose to both CMS and members whether the drug coverage provided is "creditable prescription drug coverage." Learn More ›
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Seamless New Member Onboarding
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Our suite of tools and resources provides a seamless onboarding experience for new hires. MyWire, our secure text message channel, offers a series of messages that guide new members through accessing their plan information and other resources.
To provide additional support to Tufts Health Plan members who have migrated to the Harvard Pilgrim plans, we are sending out a monthly welcome postcard to help them find a provider, access virtual care through Doctor On Demand and more.
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2024 Broker Compensation Program
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Our 2024 Broker Compensation Brochures are now available.
Log in to the broker portal to view specific details by state.
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| Are your clients looking for more comprehensive well-being benefits and coverage? Consider adding Point32Health Dental and Point32Health Vision to their medical plan for complete coverage. Available to Harvard Pilgrims groups with 51+ eligible employees.
Learn More ›
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No matter where a member is on their behavioral health journey, our Behavioral Health Service Navigation teams are ready to help remove barriers to care, find the right provider, schedule appointments, and offer education on our tools and resources.
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| Did you know? Our "Find a Provider" online tool makes it easy for members to search for providers quickly and conveniently.
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- Provider directories are updated each business day.
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Search via the member's secure account offers providers based on specific plan designs.
- Members can easily search for providers based on their specialty, location or name.
- Offers key details such as virtual care options, availability and more.
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AbleTo Mental Health Support
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All Harvard Pilgrim members have access to AbleTo mental health services. This program aims to seamlessly integrate on-demand, digital, self-care tools with personalized virtual therapy sessions, resulting in better outcomes at a lower cost.
Here are some results from AbleTo coaching and therapy:
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- Health plans: 45% Fewer hospitalizations1
- Employers: 55% Reduced absenteeism2
- Patients: 61% Decrease in depression3
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1. Impact of AbleTo on Per Capita Resource Utilization and Health Spending among Beneficiaries from a Large National Health Plan (performed by Veracity Health Analytics), Boston, 2019.
2. An Innovative Technology-Enabled Behavioral Health Solution to Improve Employee Productivity: Outcomes from a National Real-World Population. Behavioral Therapy for U.S. Workers with Comorbid Medical and Mental Health Conditions. AbleTo, Inc. (2017). New York, NY.
3. Internal AbleTo book of business analysis to evaluate change in depression symptoms (DASS-21) among 10,249 Therapy360 program graduates with an initial consultation between Jan 1 – Sept 30 2022 with depression symptoms at baseline. February 2023. |
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Our highly skilled Member Services representatives are available and ready to offer solutions that support our members’ needs. We appreciate these moments to help support our mutual clients in getting them the care they need.
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| Living Well Portal to be powered by WebMD One
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The recent purchase of Limeade by WebMD will provide significant enhancements to our market-leading wellness portal (Living Well) including better team challenge support, point solution integration, community social feed, app functionality, and much more. This transition will begin on 5/1 and continue through July to provide the best experience for our Harvard Pilgrim clients and their employees.
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Corporate & Commercial
Markets Update 2024
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9:30-10:30 a.m.
Visit the Broker Event webpage for details.
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We're pleased to share that Patrick Cahill, President of Commercial Markets, will now lead the integration efforts for Health New England. A search for his successor has already commenced. As we shared last month, Point32Health signed an agreement with Baystate Health to acquire its subsidiary, Health New England (HNE).
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