May 2016

UnitedHealthcare & the BHCG Update Employers & Brokers

On April 20 UnitedHealthcare and the BHCG held two events at the Boerner Botanical Gardens in Hales Corners to update employers and the broker and consultant community on recent developments in their partnership offerings.

BHCG Executive Director Geoffrey Schick and UnitedHealthcare Wisconsin Health Plan CEO Dustin Hinton welcomed attendees and introduced representatives from UnitedHealthCare who spoke about customer analysis, premium designation and high performance network strategies, fully insured solutions and customer tools and innovations. The following is a brief overview of the presentations.

Customer analysis & solutions

A focus on plan design and disease management available in the BHCG/UnitedHealthcare plans can result in significant savings for employers. David Smith, UnitedHealthcare’s assistant vice president – analytics unit, discussed overall strategy and the actionable data available through various UnitedHealthcare analytic tools to drive better decisions.

  • Healthplan Manager provides benchmarked paid per member per month financial results, demographic insights into member overall health and Tier 1 provider engagement and key utilization metrics.
  • Virtual Health Plan is a unique analytical service performed by UnitedHealthcare's data analysis team that treats the BHCG employer group in total as another health plan to be used as a powerful medical action plan to drive strategy. Initial 2016 results were also presented.

Premium Designation & high performance network strategies

UnitedHealthcare’s vice president of client development, national accounts, John Elliot, explained that the Premium Designation program – where providers compete on the basis of performance – has been operating for more than ten years across the country. He gave an overview of the program and provided a case study of tiered benefit program results.

  • Potential savings of up to eighteen percent can be realized by encouraging use of Tier 1 providers and freestanding facilities – lost productivity and disability costs also go down when employees use Tier 1 providers
  • Uses evidence-based guidelines that are externally defined
  • Covers 75 conditions and 300 measures for an assessment of overall provider performance
  • Accounts for more than 80 percent of all medical costs
  • Providers must meet quality standards, then cost efficiency, to be designated as Tier 1 providers
  • Provides flexibility of plan design and incentives for employers

Fully insured solutions/customer tools & innovations

Tom Kunst, UnitedHealthcare’s vice president of key accounts sales and account management, discussed benefits and solutions developed for fully insured employers. Existing features for fully insured employers include:

  • Designated personal health support and dedicated BHCG customer service team in Green Bay utilizing the enhanced Advocate4Me customer service program
  • Quarterly health law and benefit seminars
  • International Foundation of Employee Benefit Plans platinum membership
  • Access to turnkey employee benefit communication materials
  • Ability to network and share through participation in the BHCG Fully Insured subcommittee
  • Specialty discounts, implementation credits and rate guarantees
  • A variety of funding options
  • UnitedHealthcare Motion program that promotes physical activity through tracking and financially rewarding members with additional HSA contributions
  • Flock – a human resource management system (onboarding, compliance, benefits administration and payroll) – also available for self-funded employers

At the employer event, Lora Mirasola from Charter Manufacturing also presented the company’s recent successful experience in using Rally, UnitedHealthcare’s wellness platform, to boost participation in its wellness program and fitness tracker promotion.

More information

The following links provide more information about the topics discussed at the April 20 events:


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