tand TANDEM HEALTH ADVANTAGE <ul><ul><li>  Personalized Healthcare  </li></ul></ul><ul><ul><li>  Shopping Services </li></...
Who is Tandem Care? <ul><li>Tandem Care, LLC was created to meet the needs of employers seeking simple, effective solution...
What is Tandem Health Advantage? <ul><li>Tandem Health Advantage gives employees the information and incentives they need ...
How can Health Advantage save employers money? <ul><li>Within any provider network, there are significant differences in t...
Example of provider network price differences:
How   does  Health Advantage work? <ul><li>The health shopping service will complement and support any provider network. <...
Here’s how it works……
What does Health Advantage cost? <ul><li>No risk pricing:  Employer pays only when savings are realized. </li></ul><ul><ul...
What is the employer’s role? <ul><ul><li>Assist in promotion of the program to employees </li></ul></ul><ul><ul><ul><li>Di...
Need more information? <ul><li>Visit Tandem Care’s website:  www.tandemcare.com </li></ul><ul><li>Email:  [email_address] ...
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Hlth Adv Er Slides Aug 2009

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Reduce group medical expense with detailed cost and quality comparisons and cash incentives for members who choose to use low cost providers

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Hlth Adv Er Slides Aug 2009

  1. 1. tand TANDEM HEALTH ADVANTAGE <ul><ul><li> Personalized Healthcare </li></ul></ul><ul><ul><li> Shopping Services </li></ul></ul><ul><ul><li>  </li></ul></ul><ul><ul><ul><ul><li>Empowering and rewarding </li></ul></ul></ul></ul><ul><ul><ul><ul><li>smart healthcare consumers. </li></ul></ul></ul></ul><ul><ul><ul><ul><li>  </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Connecting employees to </li></ul></ul></ul></ul><ul><ul><ul><ul><li>the right provider at </li></ul></ul></ul></ul><ul><ul><ul><ul><li>the right time at </li></ul></ul></ul></ul><ul><ul><ul><ul><li>the right price. </li></ul></ul></ul></ul><ul><ul><li>  </li></ul></ul>
  2. 2. Who is Tandem Care? <ul><li>Tandem Care, LLC was created to meet the needs of employers seeking simple, effective solutions to the rising cost of employee benefits. </li></ul><ul><li>Tandem Care and Tandem Injury Management are staffed by a team of experienced professionals who deliver an unprecedented level of personalized service to help employees and their covered dependents get healthier faster and stay healthier longer. </li></ul><ul><li>Tandem reduces costs by assuring employees and their covered dependants get the care they need at the right time, from the right provider and at the right price. </li></ul><ul><li>Tandem’s services include: </li></ul><ul><ul><li>Tandem Health Advantage : a personal healthcare shopping service offering clients detailed comparative information on the cost and quality of health services and providers to empower consumers and reward smart healthcare decisions. </li></ul></ul><ul><ul><li>Tandem Injury Management: cost-effective management of workers’ compensation injuries to maximize health outcomes and minimize lost work time. </li></ul></ul><ul><ul><li>Tandem Health Connection is a team of experienced nurses who will serve as a personal healthcare coordinator for individuals who require assistance due to age, disability, or chronic conditions. </li></ul></ul>
  3. 3. What is Tandem Health Advantage? <ul><li>Tandem Health Advantage gives employees the information and incentives they need to be smart healthcare consumers. </li></ul><ul><ul><li>Comparative prices for health services is just a phone call away. The Tandem Health Advantage team of nurses will provide current, accurate and specific prices to members for any health service they need. </li></ul></ul><ul><ul><li>Provider quality information is also available so that employees may make fully informed healthcare purchasing decisions. </li></ul></ul><ul><ul><li>Covered employees who use Tandem Health Advantage services and choose a low cost provider will receive a financial reward for being a smart healthcare consumer. </li></ul></ul><ul><ul><li>Nurses are available telephonically, by email, and on-line to assure that members understand the cost and quality information provided. </li></ul></ul>
  4. 4. How can Health Advantage save employers money? <ul><li>Within any provider network, there are significant differences in the cost of healthcare services from one provider to the next. </li></ul><ul><li>By rewarding participants to use lower cost providers, self-funded employers can reduce benefit costs. </li></ul><ul><li>Employees are not required to use the service, but if they do, are paid cash rewards. </li></ul><ul><li>Health Advantage offers savings opportunities with positive rewards: </li></ul><ul><ul><li>No benefit change </li></ul></ul><ul><ul><li>No cost shifting </li></ul></ul><ul><ul><li>Completely voluntary </li></ul></ul>
  5. 5. Example of provider network price differences:
  6. 6. How does Health Advantage work? <ul><li>The health shopping service will complement and support any provider network. </li></ul><ul><ul><li>Cost information is based on each group’s own paid claims data and reflects actual discounted network prices. </li></ul></ul><ul><ul><li>Quality comparative data comes from third party sources. </li></ul></ul><ul><li>Rewards are paid directly by Tandem to the member. </li></ul><ul><ul><li>Tandem pays rewards out of its share of the savings to any covered member who calls and uses a lower cost provider as compared to the initial referral. </li></ul></ul><ul><ul><li>Minimum reward is available to employees who use the service and use a low cost provider, regardless of savings. </li></ul></ul>
  7. 7. Here’s how it works……
  8. 8. What does Health Advantage cost? <ul><li>No risk pricing: Employer pays only when savings are realized. </li></ul><ul><ul><li>Employer pays a percentage of documented cost savings on a case-by-case basis. </li></ul></ul><ul><ul><li>Detailed savings report documents actual health care cost savings per member per service (see sample report). </li></ul></ul><ul><li>Alternative per member per month fee is available at employer’s option. </li></ul><ul><li>Tandem provides extensive employee training to assure employees understand the service and know how to use it. </li></ul><ul><ul><li>On-site training and periodic visits promote the service and the opportunity to earn cash rewards. </li></ul></ul><ul><ul><li>Payroll stuffers, email messages, posters, and pocket reference cards. </li></ul></ul><ul><ul><li>One-on-one telephonic training available to further promote employee appreciation and understanding of the service. </li></ul></ul>
  9. 9. What is the employer’s role? <ul><ul><li>Assist in promotion of the program to employees </li></ul></ul><ul><ul><ul><li>Distribute materials to employees </li></ul></ul></ul><ul><ul><ul><li>Schedule on-site meetings for employee education </li></ul></ul></ul><ul><ul><ul><li>Post promotional materials prepared by Tandem Care </li></ul></ul></ul><ul><ul><li>Provide health benefit plan materials to Tandem Care </li></ul></ul><ul><ul><li>Provide monthly enrollment and claims data </li></ul></ul><ul><ul><li>Pay monthly savings share (or alternative pepm fee) to Tandem </li></ul></ul><ul><ul><li>Meet periodically to assess program and discuss improvements </li></ul></ul>
  10. 10. Need more information? <ul><li>Visit Tandem Care’s website: www.tandemcare.com </li></ul><ul><li>Email: [email_address] </li></ul><ul><li>Phone: 603-624-5696 </li></ul>

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