Presentation is loading. Please wait.

Presentation is loading. Please wait.

Priorityhealth.com Providing Value-Driven Health Care Michigan Purchasers Health Alliance Conference Sept. 20,2007 Jeff Hoerle Executive Director, Southwest.

Similar presentations


Presentation on theme: "Priorityhealth.com Providing Value-Driven Health Care Michigan Purchasers Health Alliance Conference Sept. 20,2007 Jeff Hoerle Executive Director, Southwest."— Presentation transcript:

1 priorityhealth.com Providing Value-Driven Health Care Michigan Purchasers Health Alliance Conference Sept. 20,2007 Jeff Hoerle Executive Director, Southwest Region Priority Health

2 priorityhealth.com Helping people get & stay healthy

3 priorityhealth.com For more than 20 years helping people in Michigan get excellent & affordable health care

4 priorityhealth.com Providing health care plans for more than 8,500 companies and nearly 565,000 people in Michigan

5 priorityhealth.com “among the top 20 health plans in the nation” - Health Plan Employer Data and Information Set performance measurement tool, May 2006 “Among the Top 5% of health plans in the nation” – U.S. News & World Report October 2006

6 priorityhealth.com Value … through engagement We’re focused on providing innovative health solutions that allow members to be more involved in their health and gain control over the money they spend.

7 priorityhealth.com Value … through engagement For example … PriorityHealthHSA SM – a cost-focused, high-deductible health plan combined with a special savings account PriorityHealthHRA SM – a cost-focused health plan combined with a customized fund arrangement that allows employers to manage costs HealthbyChoice Incentives SM – a cost-focused health plan combined with a wellness program that encourages members to make healthier lifestyle choices in exchange for a better benefit level PriorityHealthFSA SM – a spending account that’s funded with pre-tax dollars

8 priorityhealth.com Value … through quality We’re focused on preventive care and managing diseases effectively so our members can live healthier lives at less cost to them and their employers.

9 priorityhealth.com Value … through quality For example … Increased our collective rating across 27 quality measures while the national average for top performers declined (2007) Achieved national high rankings for our diabetes, mammograhies, cervical cancer screenings and quit-smoking measures (2007) Recognized by the federal Environmental Protection Agency for our asthma control results (2007)

10 priorityhealth.com Health Plan Data and Information Set (HEDIS) is a registered trademark of the National Committee for Quality Assurance (NCQA) Averages of 27 HEDIS ® Clinical Quality Measures

11 priorityhealth.com Value … through technology We’re focused on continuing & substantial investments in information technology to provide 24/7 access to information and streamline business transactions.

12 priorityhealth.com Value … through technology For example … Health outcomes tracking Individualized health profiles Robust and secure login Member, Employer, Agent and Provider Centers at priorityhealth.com for tracking and transacting EDI claims = 85%

13 priorityhealth.com Value … through transparency We’re focused on providing access to data and easy-to-understand information that allows members to understand their plans and make informed decisions about their care.

14 priorityhealth.com Value … through transparency For example … First in Michigan to provide online cost information for common procedures, services & drugs (October, 2006) Award-winning online physician-rating reports Leading the way with easy information

15 priorityhealth.com Value... through what’s next For example… Expanding our physician rating system to include Eastern Michigan providers Expanding our cost transparency information to reflect Eastern Michigan data Continuing to develop innovative new health solutions for employers throughout Michigan

16

17


Download ppt "Priorityhealth.com Providing Value-Driven Health Care Michigan Purchasers Health Alliance Conference Sept. 20,2007 Jeff Hoerle Executive Director, Southwest."

Similar presentations


Ads by Google