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We Are a Wellness Plan

We know our focus on wellness improves employee health and reduces cost. It also improves employee productivity, employee recruitment and enhances loyalty and retention.

Our plan has 4 major components that work together to maximize care and reduce costs for both the employer and employees:

  1. We Only Contract with Best-in-Class Hospitals. Healthgrades is a company that measures hospital quality, measuring among other things, complication rates of care. In 2019 6 Illinois hospitals ranked in the top 50 nationally. 4 of those are in Chicago and 3 of those are among AMITA/Presence 15 Chicago-area hospitals: St. Alexius Hospital, Hoffman Estates; Alexian Brothers Medical Center, Elk Grove; and Village and Presence Resurrection Medical Center.
  2. We Only Contract with Best-in-Class Specialists. Assessing the quality of a specialist is not as quantifiable as assessing a hospital at present. Our Specialists are hand-picked based on the recommendations of primary care physicians who have long practiced with them. We continually monitor the outcomes of specialty care and track patient satisfaction to ensure top-notch care. This information is used to guide our referrals.
  3. We Provide Accessible, Attentive Primary Care. Our Primary Care Providers are focused on the best health outcomes for our Members, whether that means frequent visits or longer visits. We aggregate patients in a few primary care practices so that the providers know how we work, we know how they work, and everyone knows our Members. Our staff and our processes back up our Primary Care Providers.
  4. Our Plan Does Not Have a Wellness Program; It Is a Wellness Program. Members self-report to us annually on a series of structured questions so we understand their health care needs. Our Primary Care Providers use this information combined with a panel of laboratory studies and measurement of height, weight and blood pressure to evaluate each Member at a yearly visit, focusing especially on preventive screenings (such as Pap smears, colonoscopy, and mammograms) and on hypertension, smoking and early stage diabetes. Financial incentives for participation in the Wellness Program and follow-up with the Member’s Primary Care Provider result in high levels of participation.
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