America's Benefit Specialist August/September 2023
PRODUCT NEWS
Moda Health entered the Idaho market in 2022, offering its evidence-based plans, programs and customer service to individuals and family purchasers, employers with up to 50 employees, and Medicare Supplement plans to those 65 and older. “We were excited last year to begin offering Idaho more choice,” says Jason Gootee, VP of sales & strategic market de velopment at Moda. “We exceeded our membership goals by more than 100%, and now we’re expanding our coverage to make it even easier for Idaho’s employers to find the health plan that will better care for their employees and families.” Moda Health continues to partner with the Saint Alphon sus Health Alliance network, the Patient Quality Alliance network, a comprehensive network of hospitals and physi cians throughout Southeast Idaho, and Minidoka Memorial Hospital, along with other local providers. “We’re delighted with the ongoing strategic growth of this partnership,” says Lannie Checketts, chief financial officer at Saint Alphonsus. “These new plans will bring added oppor tunities to deliver on our shared mission of creating health ier communities. Even more Idahoans will have access to our network of more than 3,000 providers, including many long-established practices in Treasure Valley.” To help deliver on this promise, Moda Health focuses on: • Helping members get the care they need: Moda Health combines its Idaho networks in Treasure Valley, South Cen tral Idaho and Southeast Idaho with a national network to support today’s workforce. It then layers on modern and convenient care options to connect members with doctors and mental health support via secure apps. • Tools to help improve health and wellness: Moda Health offers tools, discounts, coaching and care programs that put members in the driver seat of their health. • Service to make things easy: There are no phone trees for Moda Health, just access to experts that care and are ready to guide and help. • “Patient Quality Alliance supports this expansion,” says Brock Merrill, Executive Director of PQA. “This additional option for Idaho’s large employer groups will ensure more members of our communities have access to high quality preventative healthcare in a partnership focused on ad dressing rising healthcare costs.” Moda Health’s Individual and Employer Group plans for 2023 are now available in Ada, Adams, Bannock, Bingham, Boise, Canyon, Caribou, Elmore, Gem, Minidoka, Oneida, Owyhee, Payette, Power and Washington counties. Medicare Supplement plans are available statewide. More information can be found at modahealth.com/Idaho. Producers can also reach Jim Light at 503-243-5213.
The suite syncs with users’ monthly workflows, allowing for efficient reconciliation of billing cycles and facilitating streamlined operations. On-time reconciliation and bill pay: Tracking the progress of all clients and their individual billing cycles is remarkably easy. Users can effortlessly maintain an organized billing workflow and be assured of timely payment. Visit www.AdminaHealth.com for more details.
TRITON BENEFITS & HR SOLUTIONS UNVEILS GAME-CHANGING APPROACH TO PRESCRIPTION RX SOURCING Triton Benefits & HR Solutions, a specialist in group health benefits, payroll and HR services, is leveraging international sourcing to slash the costs of prescription Rx for its clients. The innovative strategy has been shown to cut the cost of prescription medications by half, making healthcare signifi cantly more affordable for businesses and their employees. For example, Triton’s global sourcing approach can reduce the cost of a $25,000, 90-milligram prescription of Stelara to just $12,500, delivering substantial savings without compro mising on quality or efficacy. Additionally, Triton is now working closely with employees and pharmaceutical manufacturers to tap into Patient Assis tance Programs (PAPs). These initiatives aim to provide high cost medications at little to no cost for businesses enrolled in Triton’s group health insurance plans. Medications covered under this new approach include Stelara, Humira and a range of antiviral drugs. The strategic utilization of these programs can lead to substantial savings, contributing significantly to the affordability of healthcare for Triton’s clients. For more information, visit www.TritonHR.com or call 877-OK-TRITON.
MODA HEALTH BRINGS LARGE-GROUP PLANS TO IDAHO
Idaho’s large employers have a new health option to consid er when they’re looking for competitive, affordable medical insurance plans to help them attract and retain top talent. “As an employer ourselves, we understand the benefits package you offer employees is a reflection of your company, culture and values,” said Jim Light, head of Idaho sales and development for Moda Health. “We all know attracting and retaining employees is more competitive than ever.”
14 ABS | benefitspecialistmagazine.com
Made with FlippingBook Digital Publishing Software