New Pharmacy Benefit Manager Coming in 2019
Effective Jan. 1, 2019, Sutter Health Plus is changing its pharmacy benefit manager to Express Scripts® from MedImpact. Express Scripts will manage the pharmacy benefits for our members, including retail, mail order and specialty prescription drugs, claims processing, and prior authorization requests.
Express Scripts focuses on delivering services that provide members with convenience and flexibility. The Express Scripts member portal and mobile app will allow members to:
Read More about New Pharmacy Benefit Manager Coming in 2019
What Do Consumers Want from a Health Plan?
Rob Carnaroli serves as vice president of sales for Sutter Health Plus.
In this article published in the December 7, 2018 issue of BenefitsPRO, Sutter Health Plus Vice President of Sales Rob Carnaroli explains how brokers can recognize market demands to pair clients and their employees with the best health plan options available.
From the rush of open enrollment to keeping pace in an ever changing industry, brokers are constantly on the move. Connecting clients with the right benefit options comes from a deep understanding of emerging trends, new entrants, regional considerations and marketplace dynamics. Yet, the ability to best serve clients all comes down to one important question: What do consumers want from a health plan?
We reviewed data on consumer preferences in health care. After citing multiple studies from elite organizations including the American Academy of Family Physicians, Brigham Young University and the Kaiser Family Foundation, five core fundamentals stand out: convenient access points, quality care, affordability, easy-to-use online tools and member-centric customer service. Read More about What Do Consumers Want from a Health Plan?
Sutter Health Plus Network Physician Organizations Earn Awards for Patient Experience
Physician organizations in the Sutter Health Plus network received awards from the Integrated Healthcare Association (IHA), a renowned industry leadership group in California. The following physician organizations were honored with a “top performer” recognition for patient-centered care, with average scores among the top 10 percent:
Read More about Sutter Health Plus Network Physician Organizations Earn Awards for Patient Experience
2018 Large Group View from the Top
Rob Carnaroli serves as vice president of sales for Sutter Health Plus.
Rob Carnaroli, Sutter Health Plus Vice President of Sales, was recently interviewed for an article published in the October 2018 issue of California Broker. The following are his responses. You can read the full article here.
What are the most important trends affecting large groups in California? For example, do believe the AHP rule will have an impact on the large group market?
One of the biggest trends I see that impacts large groups in California is the external market pressure to re-imagine what health care should look like. This includes pending mergers between large pharmaceutical companies and insurance carriers, and with non-health care companies like Amazon, Berkshire Hathaway and JPMorgan Chase. Alphabet, Google’s parent company, is another disruptor spending significant capital to influence health care delivery. All of this places a heavy demand on the traditional healthcare marketplace that we elevate the model and look for ways to become better. It is no longer about just price, benefits and network—digital capabilities, unexpected convenience and modernization are the real motivating factors. Read More about 2018 Large Group View from the Top
Be Prepared and Take Action This Breast Cancer Awareness Month
Starting at age 40, women are encouraged to consider starting routine breast cancer screening.
October is Breast Cancer Awareness Month, when the cause of fighting and preventing this all-too-common disease deserves special attention.
Read More about Be Prepared and Take Action This Breast Cancer Awareness Month