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NBCH Recognizes Health Plans for Efforts to Improve Health

Aetna, Kaiser Permanente and UnitedHealthcare receive 2013 eValue8™ Innovations Awards

WASHINGTON – December 6, 2013 – The National Business Coalition on Health (NBCH), a non-profit organization of purchaser-led business and health coalitions, honored Aetna, Kaiser Permanente in California and UnitedHealthcare with the 2013 eValue8™Innovations Awards at its annual conference. The awards recognize the innovative work of plans to develop programs that address critical health care issues.     

 

“A healthy and productive workforce is critical to the success of U.S. businesses competing in a global economy and we’re proud to recognize the innovations implemented by these plans,” said Foong-Khwan Siew, director for NBCH. “By connecting consumers and physicians to better information and aligning incentives on both the demand and supply side of the health care delivery system, the eValue8 award winners and finalists are excellent examples of leaders working to improve member health.”

 
Aetna’s Member Payment Estimator

Aetna received the award for the Member Payment Estimator (MPE), which improves transparency for members by providing real-time out-of-pocket cost estimates for more than 650 commonly used, non-emergency in-network health services based on a member's personal benefits plan, Aetna’s contracted rates with health care providers and Aetna’s claims adjudication system. The Member Payment Estimator will proactively display up to 10 cost estimates at a time for the selected procedure in a geographic area, which can help make members more aware of the cost differences among different health care providers. Aetna’s research has shown that after members use Member Payment Estimator to obtain cost estimates on one of more than 30 commonly selected health care services, they chose the provider whose out-of-pocket cost estimate was on average $170 lower than the average of the estimates they received.

 Kaiser Permanente’s Exercise as a Vital Sign

Kaiser Permanente in California was selected for the Exercise as a Vital Sign program. Developed by Kaiser Permanente Southern California to consistently capture information on a member’s exercise habits, Kaiser Northern California added support tools such as the Rooming Tool that incorporated physical activity assessment and tracking into KP HealthConnect , the electronic medical record system used throughout all Kaiser locations. Clinicians can view a patient’s minutes of exercise in HealthConnect and provide appropriate advice and referrals for patient to meet exercise recommendations.

 UnitedHealthcare’s Health4Me

UnitedHealthcare won for its flagship mobile smartphone application, Health4Me, which engages members and helps improve consumers’ lives by putting their health and health plan information in the palm of their hand in an intuitive and easy-to-navigate user experience. The application combines visual features (icons, large fonts for easier reading and subtext to explain the menu buttons) with access to an array of personalized health information, including: account status, benefits, provider directories, claims, nearby clinics and emergency rooms, network status, callback by customer service representative or nurse, personal health information, and cost and quality estimates.

 In addition to the winners, there were two finalists. Anthem Wellpoint was recognized for its collaboration with Memorial Sloan-Kettering and IBM to use technology to help oncologists access the latest information on treatments. Blue Shield of California was noted for its ACO program combining Value-Based Insurance Design, smart phone applications and biometric devices designed to align provider incentives for cost and quality outcomes, improve member access to providers, provide member engagement solutions and remove barriers to high-value care.

 About eValue8

eValue8 was created by business coalitions and employers like Marriott and General Motors to measure and evaluate health plan performance. eValue8 asks health vendors probing questions about how they manage critical processes that control costs, reduce and eliminate waste, ensure patient safety, close gaps in care and improve health and health care.

 About the National Business Coalition on Health

NBCH is a national, non-profit, membership organization of purchaser-led business and health coalitions, representing over 7,000 employers and 25 million employees and their dependents across the United States. NBCH and its members are dedicated to value-based purchasing of health care services through the collective action of public and private purchasers. For additional information visit: www.nbch.org.

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