America's Benefit Specialist July 2023
PRODUCT NEWS
difficult, if not impossible, to read and use: The data sets are extremely large. To find a single rate for a physician at a facili ty requires querying billions of lines of data in real-time. The data are also too limited to have value alone with out appending additional information and adding context, including provider demographics. Finally, the data are noisy. Every contracted rate for a provider is required to be included regardless of whether or not they offer that service. For ex ample, Zelis found chiropractors with cesarean delivery rates and an allergist with rates for knee joint replacement. Zelis’ Healthcare Insights 360 addresses these challeng es by making the data digestible down to the specific CPT codes, facility and provider, empowering both collective containment on rising costs as well as enhancing individual payers’ market position. Zelis’ Healthcare Insights 360 em powers payers to: • understand how an organization’s cost position compares to the national, regional and local market to hone financial planning and expansion opportunities. • make strategic decisions for geographic-based plan growth, like entering or exiting markets, based on cost and provider performance. • identify opportunities and risks related to how an organi zation’s contracted rates compare to competitors • leverage pricing data to showcase plan value to prospec tive employer clients by quantifying value. Visit zelis.com to learn more. NEW YORK LIFE LAUNCHES SUITE OF TERM LIFE PRODUCTS New York Life has launched a suite of attractively priced term life products that provide greater value for clients’ protec tion dollars and support preparedness for life’s financial challenges and opportunities. Designed for individuals and small-business owners, New York Life’s updated Term Life suite includes: Level Term—Available for 10-, 15- and 20-year periods. Level Term enables customers to put financial protection in place for themselves and their families for a specified period, ensuring peace of mind and opportunity to address other long-term financial goals. Yearly Renewable Term—Delivers year-to-year protection for those with short term needs or who plan to convert to long-term coverage within a few years.
With the company’s user-friendly mobile app, employees can easily manage their prescriptions, access digital ID cards, track deductibles and more. The Sola app also integrates benefit navigation, 24/7 free virtual care and hospital finan cial assistance applications to ensure employees have dozens of ways to save on healthcare. While Sola serves groups of all sizes, their primary focus is on those with 25-200 employees. This segment is frequently underserved and often unaware that self-funding is a viable alternative to traditional healthcare funding methods. Go to www.solahealth.com to learn more. WARNER PACIFIC FORMS CARRIER PARTNERSHIP WITH COMMUNITYCARE Warner Pacific Insurance Services recently announced a partnership with CommunityCare, a health plan serving in dividuals and businesses in Oklahoma. Brokers working with Warner Pacific now have a new fully insured product to offer their group clients. The partnership took effect June 1. CommunityCare offers Warner Pacific brokers and their cli ents a wealth of experience, services and access to excellent care. Their dedication to customer satisfaction aligns perfect ly with Warner Pacific’s core values, making this partnership an ideal match. “We are thrilled to announce our partnership with Com munityCare,” said John Kurath, Chief National Sales Officer for Warner Pacific. “Their commitment to providing afford able, high-quality healthcare and the vast services they offer members is impressive. Together, we will support the well-being of individuals and businesses in Oklahoma.” The partnership reflects the shared vision of Warner Pacific and CommunityCare to make high-quality healthcare acces sible to all Oklahomans.
ZELIS UNLOCKS POWER OF PRICE TRANSPARENCY DATA
Zelis, a healthcare technology company modernizing the healthcare financial experience, has launched Healthcare Insights 360. This new healthcare intelligence solution pairs data from Zelis’ network analytics solutions with intelligent technology that collects, normalizes and translates the billions of cost-data elements that have recently become available through the federal Transparency in Coverage Rule. The rule requires companies offering health insurance cov erage to disclose in-network provider-negotiated rates via machine-readable files (MRFs). As is, these payer MRFs are
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