Health Alliance Plan, the third largest managed care plan in Michigan, and Henry Ford Health System, one of the nation’s leading health care providers, today announced a new integrated partnership to offer a new health plan for businesses designed specifically to deliver care while reducing medical costs.
Called Pivotal, the new plan is designed for businesses with 100 or more employees and can be customized to meet each workforce’s unique needs. Pivotal also allows employers to collaborate directly with their insurer and health care providers, as well as their insurance agent, on the best ways to address the health care needs of their own workforce.
“Health care coverage is one of the most important benefits offered by employers and the one most valued by employees,” says Dr. Michael Genord, president and CEO of HAP in Detroit. “HAP created Pivotal with the full support of Henry Ford Health System because we know that choosing a health plan is such a ‘pivotal’ decision for employers.”
With Pivotal, employers can take the lead on developing their health plan, selecting benefits that are affordable and most needed by their organization. The collaboration between HAP and Henry Ford, which they say includes industry best practices, evidence-based medicine, and improved efficiency, provides employers, their employees, and their families an opportunity to better manage the quality and cost of care.
The new plan offers a network of health care providers, which includes Henry Ford Health System and its Henry Ford Physician and Jackson Health networks and Henry Ford Allegiance Health, as well as HAP’s full network of ancillary providers, HAP’s full pharmacy network, and all HAP-contracted pediatric physicians and providers.
In total, the Pivotal network includes seven hospitals, more than 6,000 physicians, and 3,500 ancillary providers such as urgent care, labs, radiology, imaging, rehab services, long-term care and nursing facilities, and physical, occupational, and speech therapy.
“Pivotal’s extensive network means high-quality, value-based care is close to home for patients,” says Dr. Bruce Muma, president and CEO of the Henry Ford Physician Network, which comprises more than 2,100 Henry Ford Medical Group, hospital-employed, and private practice physicians across southeast Michigan.
In addition, HAP Pivotal features access to virtual care with zero cost share for members for any doctor in the network who has virtual care capabilities.
The benefit comes with three ways for members to access virtual care:
— For video visits, a member can see their doctor or specialist from the convenience of their own home via the patient’s own smartphone, tablet, or computer — physicians are set up with a secured patient portal such as Henry Ford’s MyChart.
— Clinic-to-clinic telemedicine video visits in which a practitioner at one health care facility can connect the member to a health care provider at another location, making it a convenient option for those who are near one facility but need to access a specialist across town.
— E-visits, which use email for non-urgent electronic visits.
Every Pivotal plan comes with premiere concierge service and personalized attention This includes a personalized onboarding experience for each employer group, concierge phone support that offers easy access to a specialist who will help members navigate their health care experience, same-day appointments with primary care physicians for sick visits, and appointments within 10 business days to see a specialist or to get an annual physical.
“HAP and Henry Ford have a long history of working together and sharing the same focus,” says Genord. “Working together, we’ve made sure that as many Michigan businesses as possible have access to high-quality affordable care, whether they’re in Detroit or Jackson or anywhere in between.”
For more information on Pivotal or other HAP plans for employers, call HAP at 800-427-7587 to contact a HAP sales representative.
HAP is a nonprofit health plan that provides health coverage to individuals and companies of all sizes. It offers a product portfolio with six distinct product lines: Group Insured Commercial, Individual, Medicare, Medicaid (through HAP Empowered Health Plan), Self-Funded, and Network Leasing.
Henry Ford Health System is a six-hospital system and is one of the nation’s leading comprehensive, integrated health systems, recognized for clinical excellence and innovation. Henry Ford provides both health insurance and health care delivery, including acute, specialty, primary, and preventive care services backed by excellence in research and education.