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EdHEALTH is beating the healthcare cost curve

EdHEALTH is Beating the Healthcare Cost Curve

EdHEALTH is poised for growth. Our healthcare rates are beating the rising healthcare cost curve:Five year average increase is 1.7% compared with the industry average of 8.1%

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Join edHEALTH at This Year’s VCIA Conference August 6-8, 2019

If you own or work for a Captive Insurance Company, or are a vendor who sells to captives, we look forward to seeing you at this year’s Vermont Captive Insurance Association (VCIA) Conference. Held in Burlington, Vermont, August 6-August 8, 2019, this conference is a “must attend” for captive insurers, companies like Educators Health Exchange that are owned and established by a parent company for the main purpose of insuring its own risks..“The VCIA Conference allows those of us in the captive industry to meet, spend time with, and learn from Vermont regulators,” said A. Tracy Hassett, edHEALTH’s, and its health insurance captive, President and CEO. “As a Captive evolves, it needs to make changes in order to grow, and this conference provides valuable insights for streamlining these processes. The sessions are outstanding.”Tracy Hassett will be sharing edHEALTH’s innovative approach t...

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New Benefits Administrator Expands edHEALTH Reach Nationally

EdHEALTH is now available throughout the country. For 2019, we entered into an agreement with CoreSource, a subsidiary of Trustmark Mutual Holding Company, is a national employee benefits company. (To better tie the subsidiary to the parent company, CoreSource will be rebranded to Trustmark Health Benefits effective January 1, 2020.) The company has access to over 60 carrier-owned and provider-sponsored networks. These include Aetna, Cigna, Empire Blue Cross Blue Shield of New York, Anthem Blue Cross of California, and Blue Cross and Blue Shield of Georgia.CoreSource uses a customized approach to determine which networks best meets the needs of new clients. They evaluate network panel scope, how strongly the network and types of care align with the client’s utilization patterns, and financial value. These findings are provided to the new member organization, edHEALTH, and Spring Consu...

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Telehealth Offers Convenience for Non-Emergencies, Skin Concerns, and Behavioral Health - Download the App Today

Take Advantage of a Telehealth visit with a credentialed doctor specializing in internal medicine, family practice, pediatrics, dermatology, psychology, or psychiatry. A virtual care visit enables you to see a provider through real-time, Skype-like technology using a smartphone, tablet, or computer that has a microphone and webcam. Benefits include:Immediate access to doctors 24 hours a day, 365 days a yearNo need to travel from work or homeSecure and private two-way video chats with U.S. board-certified doctors and therapistsPrescriptions sent to your drug store, if needed$25 copay/visitConsider taking advantage of telemedicine benefits if you have any of the following non-emergency needs:AllergiesUpper respiratory infectionFluEaracheSkin rashUrinary tract infectionConjunctivitisSinus infectionUpset stomachBehavioral HealthTelehealth behavioral health benefits are confidential and co...

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Get to Know Cindy Bartelson, edHEALTH’s Operations Whiz

If you’re a current edHEALTH member school, you’ve probably worked with Cindy Bartelson, edHEALTH’s Operations Manager. Cindy is the “go to” person for edHEALTH’s day-to-day activities:Troubleshooting health insurance-related issuesHR employee orientationPlan Design Committee logisticsNew group implementationTwo years ago, Cindy joined edHEALTH. She previously worked for 15 years in the HR Department at member school Worcester Polytechnic Institute (WPI). Cindy’s skills and experience make her uniquely qualified to running edHEALTH’s operations. She’s especially gratified to help member schools troubleshoot health-insurance related issues. “In HR there are a lot of urgent personnel-related issues,” says Cindy. “The school HR staff appreciates having one less item on their plates. And, through investigating member health insurance issues, I identify and find resolutions for larger conc...

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New Population Health Initiative Off to Strong Start

It was a pleasure to meet with all of you to discuss the new edHEALTH population health initiative, KnovaSolutions® Clinical Prevention Service. We’ve already heard from many of you that you want to participate in the program that targets the 5% of your population that comprises over 50% of claim costs.  It’s a triple-win solution:1) Potential Reduction in High-Cost ClaimsThe program’s clinical staff provides personalized care for high-risk, high-cost employees and covered dependents. Through phone and secure email, participants receive support for medical decisions. Information, education, and decision support helps decrease unnecessary costs and utilization.2) Improves Healthcare Quality and Employee Satisfaction24/7 access to assistance: Questions about diagnosis, treatments, tests, and medicationsSupport for making lifestyle changesMedication review assistanceWork/life balance sup...

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Award-Winning Optum Rx Program Effectively Tackles Opioid Abuse

Opioid abuse is a national epidemic: every 13 minutes there is an opioid-related death. Between 2015 and 2016 drug overdoses increased 21%, according to the Centers for Disease Control. Our prescription drug vendor, OptumRx, uses an innovative opioid management program that helps members and patients balance the need for powerful medications with the risk of abuse and misuse.  Targeted drugs include Oxycodone, hydrocodone, morphine, hydromorphone, codeine, fentanyl, methadone, tramadol, OxyContin, Percocet, Lorcet, and Vicodin. The program takes a multi-pronged approach to help tackle abuse:Prevention and education: OptumRx provides education to patients and providers about the risks of opioids. Home delivery patients who fill opioid prescriptions through mail order receive education and promotion of proper leftover drug disposal. The drugs our dispensed with label and bottle cap warn...

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2019 Annual Meeting

There was lots to celebrate at this year's Annual Meeting: 20 members before 2020; beating healthcare cost trends; financial performance; and $2 million in dividend distributions.Watch our presentation video here

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Nancy McConaghy Named Business Development Executive at edHEALTH

Nancy McConaghy Named Business Development Executive at edHEALTHLong-time Harvard Pilgrim Health Care Account Executive Brings Unique Expertise to the Role NORTHBRIDGE, MA, June 20, 2019 - EdHEALTH, the member-owned healthcare purchasing collaborative for colleges, universities, private and charter schools, welcomed Nancy McConaghy, former Harvard Pilgrim Health Care Senior Account Executive, as its Business Development Executive. In this new role, McConaghy will be responsible for membership growth and retention.McConaghy was the account representative for edHEALTH’s Harvard Pilgrim Health Care Administrator and helped to ensure member satisfaction for the colleges, universities, and their employees enrolled in the Harvard Pilgrim health plan option. She served in that capacity since edHEALTH’s inception six years ago. With over 25 years of experience in account management for major ...

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