Lake Health enters the insurance market with Medical Mutual

CLEVELAND, Ohio — Lake Health entered the insurance market this month by means of a partnership with Medical Mutual.

Effective July 1, Lake Health started providing the Lake Health Chamber Network HMO product for small companies in Lake County and members of the Mentor Area and Eastern Lake County Chambers of Commerce.

Plans are open to massive companies — these with 51 or extra staff — that belong to the Mentor Area or Eastern Lake County Chambers of Commerce, in addition to to small companies — these with 50 or fewer staff — which have headquarters in Lake County, in accordance with a information launch.

“The Lake Health Chamber Network enhances our mission to improve the health and well-being of our community, including the local workforce,” Cynthia Moore-Hardy, president and CEO of Lake Health, stated in a ready assertion. “By improving access to high-quality primary care, this partnership will help Lake County employees actively manage their health with the aim of achieving exceptional patient experiences and outstanding clinical outcomes.”

What differentiates the Lake Health Chamber Network HMO product from different enterprise plans is that it affords entry to an built-in community, stated Dino DiSanto, vp of selling and authorities affairs for Lake Health.

“It’s an open access product, meaning that while you need to choose a Lake Health primary care provider, you don’t necessarily need a referral to go see a specialist,” DiSanto stated.

“This high level of coordinated care translates to improved health outcomes, while lowering premiums for employers and reducing out-of-pocket costs for employees,” Richard Wallack, regional vp of the Northeast for Medical Mutual, stated in a ready assertion.

Lake Health’s transfer into the insurance market provides one other supplier to the handful providing insurance merchandise. The Cleveland Clinic in 2017 entered the particular person insurance market by means of a three way partnership with Oscar Insurance Corp., a New York-based well being insurance tech startup, known as Cleveland Clinic | Oscar Health. And Summa Health has operated an insurance arm, SummaCare, since the 1990s.

DiSanto stated Lake Health has been prepared to supply an insurance product for some time however was ready for there to be demand in the enterprise group.

“We were waiting for the market to be ready for this,” DiSanto stated.

About the plan

With the Lake Health Chamber Network HMO, small companies can select from eight ACA-compliant profit plans; massive companies have entry to a lot of normal plans; and companies with 100 staff or extra can have custom-made plans made. Lake Health Chamber Network HMO additionally might be provided alongside the Medical Mutual SuperMed PPO plans, the launch stated.

Businesses who enroll could have entry to greater than 375 practitioners at Lake Health, the system’s 11 amenities, together with the new Beachwood Medical Center, and three urgent-care facilities, in addition to University Hospitals amenities and UH Rainbow Babies & Children’s Hospital for tertiary care and providers not accessible at Lake Health, the launch stated. The plans cowl emergency providers at any hospital, even when it’s outdoors the community.

Other options:

Online Quick Care: Members can entry Lake Health suppliers on-line for nonemergency providers from 7 a.m. to 11 p.m. day-after-day.

StayHealthy Membership: Members obtain 40% off the enrollment payment for StayHealthy, Lake Health’s medically based mostly health middle at the Brunner Sanden Deitrick Wellness Campus in Mentor.

Occupational Health Services: Employers obtain 10% off fee-for-service pricing for occupational well being providers, excluding staff’ compensation.

Integrative Medicine Outpatient Services: Members obtain 10% off Lake Health’s Integrative Medicine outpatient providers, together with therapeutic massage remedy, Reiki, reflexology, vitamin counseling, wellness teaching and acupuncture providers.

Source link Christmas 2019

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