PROGRAMS

CPHCC’s Value Based Programs Made Available to CPHCC Members

 

Best Doctors
 

Best Doctors was founded with the specific goal of providing expert, independent clinical analysis, to the people who need it most, regardless of their physical location. For more than 28 years, Best Doctors has defined a market and built a global network to continue its mission of identifying and taking on the most complex, critical and costly cases, wherever it may occur.  Best Doctors is now a part of Teladoc Health, the global leader in virtual care.

 

Best Doctors is a program created with the purpose of networking the most-trusted physicians for the improvement of diagnostics and treatment. As the leader in expert medical review and advisory services, we have partnered with hundreds of companies, ensuring that our members have access to the very best. Members have immediate access to our database of more than 50,000 expert physicians in over 450 specialties and subspecialties. As a result, employees make better informed health care decisions while your company decreases its medical costs.

Best Doctors provides entities with innovative, cost containment programs, to identify and manage the most complex, critical and costly cases using a collaborative methodology with top clinical talent for proven outcomes, cost containment and a solid return on investment (“ROI”).

As a member of the National Labor Alliance of Health Care Coalitions, the CPHCC Best Doctors program offers significantly lower pricing than what an individual public agency or pool would otherwise have access to on their own. 

 

Website

https://bestdoctors.com

News

https://bestdoctors.com/for-organizations/industry-solutions/

Webinar

https://www.teladoc.com/knowledgecenter/the-key-to-better-outcomes-for-expert-reviews/

 

BridgeHealth

The CPHCC BridgeHealth Program gives self-insured health plans access to higher quality healthcare while reducing costs.  BridgeHealth is making value-based health care accessible by combining pre-negotiated case rate bundles for major surgery with high quality healthcare providers.   The BridgeHealth Surgery Benefit Program gives members access to top-rated providers across the country for planned surgeries. Their providers are recognized for high quality outcomes in their surgical specialties, which means members have a reduced chance of experiencing complications. With BridgeHealth’s contracted rates, members pay little to nothing for their surgery, and their Care Coordinators take care of almost everything members need to schedule and plan for surgery.

 

The BridgeHealth surgery benefit management program is an add-on to your existing health benefits.  The program is designed to enhance benefit packages, reduce healthcare costs for both plans sponsors and members, lessen administrative burden and improve surgical care and outcomes. 

 

As a member of the National Labor Alliance of Health Care Coalitions, the CPHCC BridgeHealth program offers significantly lower pricing than what an individual public agency or pool would otherwise have access to on their own. 

 

https://bridgehealth.com/

https://bridgehealth.com/plan-sponsors/success-stories/

Delta Dental

Delta Dental is California’s leading dental insurance carrier, with a network of over 348,000 provider locations nationwide. With a presence in all 50 states and US territories.  Delta is well-established and present in many California school districts.

 

The CPHCC self-funded dental program is one of the largest public agency pools in California.  CPHCC can offer your entity comprehensive dental coverage, with flexible benefit plan designs at the lowest self-funded administrative rate that Delta Dental offers in California. 

 

As a joint purchasing coalition, the CPHCC dental program can leverage the size of its pooled participants to achieve volume pricing that is significantly lower than what an individual school district or pool can receive on their own.

 

Website

https://www.deltadentalins.com/about/

SmileWay Wellness Site

https://www.deltadentalins.com/oral_health/

News

https://www.deltadentalins.com/about/pressroom/2018/delta-dental-community-care-foundation-awards-105318-grant.html

EPIC Hearing Health Care

EPIC Hearing’s service plan is the nation’s first specialty care plan devoted entirely to hearing abilities. EPIC has the largest network of professional Audiologists and ENT physicians in the nation. In addition to high quality hearing services, EPIC provides valuable discounts on brand-name hearing aids from major manufacturers, as well as wellness rewards and a $0 hearing exam.

 

The EPIC Hearing Service Plans offer a variety options including fully insured, self-insure and value add discount plans.  As a member of the National Labor Alliance of Health Care Coalitions, the CPHCC EPIC Hearing Health Care program offers significantly lower pricing than what an individual public agency or pool would otherwise have access to on their own. 

 

Website

https://www.epichearing.com/

Listen Hear

https://www.epichearing.com/listenhear/

MORE Health

 

MORE Health’s mission is to provide patients access to the best physicians in the world when they are needed the most; when faced with decisions regarding a critical, potentially life-changing illness, such as cancer or heart disease. Initially delivered as a concierge service to private clients, MORE Health was founded to offer its medical second opinion service to patients around the world, regardless of their physical location. MORE Health’s vision is to become the virtual global hospital for serious illness, by providing the highest quality diagnosis and treatment.

 

MORE Health focuses on providing patients access to the nation’s top physicians. Our collaborative approach to diagnosis puts the patient at the center of the process by connecting their attending physician with our Physician Specialist to jointly develop a diagnosis and treatment plan using MORE Health’s cloud-based and HIPAA-compliant Physician Collaboration Platform ™. We’ve partnered with academic medical centers listed in the top 20 hospitals by US News & World Report to provide patients access to our network of over 30,000 physicians in general and specialty areas, such as oncology, neurology, cardiology and pediatrics. All the costs of working with these world-class medical minds are completely covered.

 

MORE Health delivers its second opinion service to businesses who offer it to their employees as an employer-provided benefit in order to ensure that the highest quality care is available. We increase the quality of healthcare for employees while decreasing medical costs to your business by minimizing unnecessary overtreatment and reducing waste due to the treatment of misdiagnosed conditions.

Website
https://www.morehealth.com

News
https://www.morehealth.com/news

Video
https://www.morehealth.com/videos/the-more-health-experience-video-doctor-broker-patient

Patient Stories
https://www.morehealth.com/patient-stories

Optum Credit Balance Resolution

Optum provides Credit Balance services to resolve hospital and health system credit balance account inventories to recover overpayments and prevent future errors.  Optum helps identify the procedural and system issues that create credit balances to identify opportunities to prevent future overpayments. Their detailed root-cause error documentation allows plans and providers to change processes that create ongoing incorrect claims.

 

Hospitals respect and appreciate the assistance Optum provides in diligently working to resolve credit balance accounts. This allows your providers to focus their staff and resources without having to spend additional dollars on auditing staff.

 

 The multi-tiered recovery solution from Optum® is a relationship-oriented approach that reconciles existing errant claims while meeting cost-containment goals. As a health care technology company, Optum utilizes strong relationships with providers and health plans to collect 65 percent of overpaid claims and close the remaining 35 percent, saving your entity time and resources.

 

As a member of the National Labor Alliance of Health Care Coalitions, the CPHCC Optum Credit Balance program offers significantly lower pricing than what an individual public agency or pool would otherwise have access to on their own. 

 

Website

https://www.optum.com/solutions/health-plans/enhance-claims-payment-accuracy/recovery/credit-balance.html

 

VSP Group Plan

VSP believes that innovation belongs in vision benefits. That’s why they look for new ways to make your life easier while providing groundbreaking benefits that your employees will love. With cutting-edge services and their extensive network of VSP doctors, you can be sure that employees are getting the highest quality care – now and in the future.The CPHCC VSP group vision program is one of the largest self-funded vision pools in California and offers comprehensive coverage, with flexible benefit plan designs at the lowest administrative rate that VSP offers in California.

 

Website

https://www.vsp.com/

 

Blog

https://vspblog.com/

 

 

VSP Individual Plan

CPHCC is pleased to partner with VSP® to offer two Individual Vision Plans to your non-benefit eligible employees and their family members.  The good news is there’s no administration on the part of the benefit pool, benefit administrator, or district personnel.  We just ask that you tell your employees this great benefit is available.   

 

Now substitutes teachers, classified part-time staff, part-time cafeteria workers, instructional aids, bus drivers, adjunct faculty, retirees with no vision coverage and others without vision coverage can purchase a VSP plan for themselves and their families.    

To view the enrollment website, click the link below:

https://www.vspdirect.com/cphcc/welcome

 

CPHCC is a member of the following organizations:

 

National Labor Alliance of Health Care Coalitions, Inc.

The NLAHCC is a non-profit national organization of labor management health and welfare coalitions representing purchasers of health services, working together to increase value in services and benefits for participating member coalitions.

 

The National Labor Alliance of Health Care Coalitions works with its member coalitions and its Product Development committee to form strategic partnerships and alliances with organizations which provide advantages in service, quality and cost to participating funds.

 

Website

http://www.nlahcc.org/

Newsletters

http://www.nlahcc.org/pdfs/NLA-Newsletter-4Q-2018.pdf

 

California Health Care Coalition

The California Health Care Coalition is a non-profit organization consisting of public and private-sector employers, unions and trust funds determined to improve healthcare quality and control costs without losing benefits. The mission of the CHCC is to bring employers, unions, and health and welfare trusts together to increase accountability for the quality of care we receive and control the accompanying cost.

 

Website
https://www.calhcc.org/

 

 

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