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November newsletter

November 2021 Newsletter

Find out:Why Saint Joseph’s College is a good fit for the captive solutionWhat is Advanced Primary Care and why is it an important healthcare policy

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First Maine School Joins edHEALTH: Saint Joseph's College is a Good Fit for Captive Solution

edHEALTH welcomes its first Maine educational institution when Saint Joseph’s College of Maine joins effective January 1, 2022. The school’s needs for faculty and staff healthcare benefits were a good fit for edHEALTH’s captive model. “Our college was attracted to edHEALTH because you have captured a balance of characteristics that echo the way we view ourselves,” said Kristine Avery, Associate Vice President & Chief Human Resources Officer for Saint Joseph’s College of Maine.“edHEALTH is regionally focused but diverse,” said Kristine. “Its membership is higher education-focused but offers a range of sizes and types of colleges and universities. And the captive model is innovative but also lower risk. The ownership embedded in this model — that any savings goes back to the institutional owners, and that each member can make its own set of plan choices and stop-loss levels based on...

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How Does our Captive Solution Work?

edHEALTH’s Tracy Hassett explains how the edHEALTH captive provides a healthcare solution that benefits higher education and secondary school institutions, their faculty and staff, and tuition-paying students and families in this Vermont Captive Insurance-produced video.I Would Like to Learn More

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Point32Health Selects UnitedHealthcare as its National Network – What This Means to Tufts Health Plan and HPHC Members

Point32Health, the combined Tufts Health Plan and Harvard Pilgrim Health Care organization, selected UnitedHealthcare as its national network provider effective January 1, 2024. UnitedHealthcare is already the national provider for Harvard Pilgrim Health Care members, so there are no changes for Harvard Pilgrim Health Care members as the result of this announcement. Until 2024, Tufts Health Plan members will continue to use the nationwide Cigna network. Tufts Health Plan and HPHC members residing in New England access the plans’ networks of nearly 100K healthcare providers and all New England hospitals. For PPO members, the national carrier complements these networks outside of the service area. When visiting a doctor or hospital, the employee shows their edHEALTH health carrier ID card, which gives the provider the information they need for billing the plan administrator.

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Higher Ed HR Leaders Share 3 Benefits from edHEALTH Coalition That Helped Them Navigate the Pandemic

Three of our higher education institution HR leaders shared how the edHEALTH coalition helped them navigate the pandemic at the October Association for Collaborative Leadership (ACL) Conference. This interactive forum provided a roadmap for other higher education consortiums. Higher education was hit particularly hard during the pandemic, and edHEALTH pivoted from a growth and retention trajectory to collaboratively focus on the needs of our member institutions. edHEALTH’s Tracy Hassett led a discussion that focused on three strategies that helped member schools.1) Collaboration Forums for MembersRecognizing that collaboration between colleges and universities could help HR departments learn from one another, we implemented bi-weekly virtual meetings for member schools toward the end of March 2020. Average attendance ranged from 60-65 people, primarily HR and financial staff along wit...

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Move to Self-Insurance Improves Control and Cost Transparency for Holy Cross — Joins edHEALTH Effective January 1, 2022

The College of Holy Cross began its search for a new employee healthcare benefit provider last spring when Fallon Health, their longtime carrier, announced that it was leaving the commercial market. As part of the selection process, the school evaluated whether it made sense to remain fully insured or move to a self-insurance arrangement. “Given our size and claims experience, we felt it was the right time to become self-funded and gain more control and cost transparency for our healthcare benefit program,” said Marymichele Delaney, the college’s Chief Human Resources Officer.Over 950 faculty and staff work at the school. “Holy Cross is at a size where self-funding makes sense,” said Jessie Campbell, Holy Cross’s advisor and a principal at Strategic Benefit Advisors. The school selected Harvard Pilgrim Health Care as its plan administrator. As edHEALTH offers this carrier, the school ...

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What’s Next for Harvard Pilgrim Health Care and Tufts Health Plan Merger? Vice President Patrick Cahill Shares Update

This year’s member-owner meeting included a presentation from Point32Health’s Vice President of the Massachusetts Market, Patrick Cahill, on the Harvard Pilgrim Health Care and Tufts Health Plan merger. The two plan administrators cover the majority of edHEALTH’s member schools. The name Point32Health refers to the 32 points on a compass. “Our combined organization’s mission is to guide members to better health,” said Patrick Cahill. He likened Point32Health to a holding company with the Harvard Pilgrim and Tufts Health Plan brands continuing for the foreseeable future.Cain Hayes is Point32Health’s new Chief Executive Officer, succeeding Tom Croswell, who retired in July. Cain Hayes leads the company’s executive team; ensures a strong culture of quality, innovation, and customer service; and defines strategic vision and direction. Previously he held leadership positions at Gateway Hea...

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Member-Owner Meeting Helps Focus on Pain Points and Opportunities

Which strategic initiatives should edHEALTH and its member schools focus on? This year’s member-owner meeting helped to guide those discussions. Almost 100 members, business partners, and – for the first time – school advisors attended this year’s event to learn about edHEALTH’s initiatives, find out which trends are concerning, and discuss options for improving care and bending the cost curve.edHEALTH’s data vendor staff provided an in-depth analysis of edHEALTH’s medical and pharmacy trend and where it diverges from higher education benchmark trends. This led to a discussion about the initiatives we’ve pursued and where there are opportunities for tackling the pain points. These conversations provide a springboard for our strategic vision for 2023 and beyond.The meeting also included Board news, financial reports, and updates on communications, the Tufts Health Plan and Harvard Pilg...

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Tracy Hassett Selected to Chair Search Committee for President of Vermont Captive Insurance Association

Educators Health Exchange President, Tracy Hassett, is chairing the committee to identify the next president of the Vermont Captive Insurance Association (VCIA). The organization’s president, Richard Smith, announced that he was stepping down in January 2022. He had helmed the organization since 2009.VCIA is the largest trade association for the captive industry and provides educational opportunities and legislative advocacy. Tracy Hassett is a Board member of VCIA. She will chair the selection committee that will identify the organization’s priorities for a new president, interview prospective candidates, and make a recommendation to the full board.“Our committee’s top priority is to find a new president who can advance VCIA’s mission and serve its members,” said Tracy Hassett. “We also want to ensure a smooth transition so that we’re ready to hit the ground running in 2022.”

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Share-it Employee Engagement Communications

edHEALTH provides share-it employee engagement communications to help member school employees navigate and maximize their healthcare benefits. Check out these helpful communication tools:PPO Members Can Access In-Network Providers Nationwide: PPO Members Can Access In-network Providers Nationwide.pdf | Online VersionHow to Save Money on Prescription Drug Costs: How to save money on your prescription drug costs.pdf | Online VersionHealthcare Terms You Need to Know to Understand Your Options and Navigate Your Benefits: Healthcare Terms to Know Share-It Communication.pdf | Online versionTake advantage of Your Telehealth Benefits Tufts Health Plan and Trustmark Health Benefits version: Tufts Health Plan and Trustmark - Telehealth Benefits.pdf | Online version Harvard Pilgrim Healthcare version: Harvard Pilgrim Health Care - Telehealth Benefits Share-it.pdf | Online versionTips for saving ...

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