EMPLOYER NEWSLETTER | SPRING 2024
|
|
|
Did you know? Our "Find a Provider" online tool makes it easy for members to search for providers quickly and conveniently.
|
- Provider directories are updated each business day.
-
Search via the member's secure account offers providers based on specific plan designs.
- Convenient access to a comprehensive network of providers.
- Members can easily search providers based on their specialty, location or name.
- Offers key details such as virtual care options, new patient availability and more.
|
|
|
Supporting Your Employees
|
|
|
|
Mindfulness practices such as meditation help boost brain power, performance and well-being. Harvard Pilgrim offers innovative mindfulness programs and resources to help your employees live and work up to their potential. Online sessions are available weekly at no additional cost to members.
Learn More ›
|
|
|
Mental Health Wellness Exams
|
Annual mental health wellness exams performed by a licensed mental health professional or primary care provider are covered at no cost for most Massachusetts members.* Contact your account manager with any questions.
|
|
|
|
No matter where a member is in their behavioral health journey, our Behavioral Health Service Navigation teams are ready to help remove barriers to care, find the right behavioral health provider, schedule appointments, and educate members about our tools and resources.
|
|
|
Family & Maternal Health Support from Ovia Health
|
Harvard Pilgrim’s collaboration with Ovia Health is part of our overall dedication to supporting the health and well-being of our members. All Harvard Pilgrim commercial members have access to Ovia Health, a maternity and family health solution supporting reproductive health, pregnancy and parenthood. Ovia Health features three mobile apps — Ovia, Ovia Pregnancy, and Ovia Parenting — to support your employees wherever they are in their family planning journey.*
Ovia Health’s suite of apps provide access to enhanced, personalized health and wellness features, including:
|
- Health assessment and symptom tracking
- Physician-developed clinical programs to help maximize health
- Personalized, 1-on-1 health coaching
- Behavioral health and wellness resources
|
*Harvard Pilgrim Health Care does not specifically endorse or recommend, and makes no warranties expressed or implied, that communication with Ovia Health is a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or qualified health provider with any questions concerning your medical or mental health condition.
|
|
|
Extended: Waiver of Prior Authorizations for Sub-Acute Care
|
In support of and in accordance with a recent directive from the Massachusetts Executive Office of Health and Human Services (EOHHS), Harvard Pilgrim Health Care (a Point32Health company) is waiving prior authorizations from January 9, 2024 until August 1, 2024 for members transitioning from acute care hospitals to Massachusetts sub-acute care facilities and rehabilitation facilities. As we shared with you in February, the waiver was originally set to expire on April 1, 2024, but has been extended.
|
| New: Waiver of Prior Authorizations for Home Health Care
|
Effective April 12, 2024, we are updating our prior authorization requirements for home health care services for members of commercial plans. Beginning April 12, home care services will not require utilization management for the first 30 days after a member is discharged from the hospital.
|
|
|
Living Well Portal to be powered by WebMD One
|
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, a community social feed, enhanced app functionality, and much more. This transition will begin on May 1, 2024, and continue through July to provide the best experience for your employees.
|
|
|
Consider adding Point32Health Dental and Point32Health Vision to your medical plan for complete coverage and increased employee satisfaction. Available to Harvard Pilgrims groups with 51+ eligible employees.
Learn More ›
|
|
|
|
| AbleTo Mental
Health Support
|
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:
|
- Health plans: 45% Fewer hospitalizations1
-
Employers: 55% Reduced absenteeism2
- Patients: 61% Decrease in depression3
|
|
|
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. |
|
|
Comprehensive Care for Autism
|
Your employees have quick and easy access to comprehensive care for autism and other neurodevelopmental diagnoses through Cortica, a physician-led autism service provider group located in Massachusetts. Services include applied behavior analysis, speech therapy, occupational therapy and more — all in one place.
|
|
|
Virtual Care Saves Time and Money
|
Doctor On Demand helps employers save on costs and provides employees quick access to care for non-emergency conditions:
|
- Convenient: 24/7 access to a U.S. board-certified doctor via smartphone, tablet or computer in less than 15 minutes
-
Efficient: No appointment required for immediate diagnosis. Prescriptions sent directly to the member's local pharmacy when medically necessary
- Member satisfaction: 4.9/5 rating and 60% of members are repeat users within six months*
|
*Statistics provided by Doctor On Demand
|
|
|
|
Reminder: Harvard Pilgrim Wellness Reimbursement Program
|
This program expands upon the existing fitness reimbursement program to offer rebates on a broad range of wellness activities and expenses, including existing fitness subscriptions and fees. Reimbursement is now available for cardiovascular and strength training equipment; seasonal town, club or school athletic fees; and facilities that offer dance, gymnastics, swimming and martial arts. Harvard Pilgrim fully-insured, employer groups (51+ members), and ASO plans that elect this option, will have access to the Wellness Reimbursement program. Small group plans will continue to have access to the existing fitness reimbursement.*
|
*To qualify, members must be active for at least four months in the calendar year.
|
|
|
|
All Harvard Pilgrim employer groups now have access to the Noom weight loss program. Noom is an award-winning, app-based weight loss program designed by psychologists and scientifically proven to create real, sustainable results through behavior change. Noom uses a personalized, mind-first approach that combines technology and human coaching to create healthier daily habits that lead to more sustainable weight loss. Employer groups must purchase a Noom license to access the program for their employees. Contact your account manager to get started.
|
|
|
Our highly skilled Member Services representatives are available and ready to offer solutions that support our members’ needs. We appreciate these moments that help support your employees in getting the care they need.
|
|
|
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 earlier, Point32Health signed an agreement with Baystate Health to acquire its subsidiary, Health New England (HNE).
|
|
|
Manage your preferences | Opt Out using TrueRemove™
Got this as a forward? Sign up to receive our future emails.
View this email online.
|
1 Wellness Way | Canton, MA 02021 US
|
|
| This email was sent to matthew.viano@point32health.org.
To continue receiving our emails, add us to your address book.
|
|
|
|
