Sutter Health Plus is pleased to announce important changes to its large group plans that will promote convenience and lower costs for members.
Network
Sutter Health Plus Network Medical Groups Earn IHA Awards for Clinical Quality and Patient Experience
Through its Align. Measure. Perform. (AMP) program, the Integrated Healthcare Association (IHA) assesses how well medical groups perform on clinical quality and patient experience measures each year. Recently, IHA recognized six medical groups in the Sutter Health Plus network for performing well on over a dozen measures in 2020 (the most recent year for which data is available).
Sixteen Network Hospitals Honored for Reducing C-Section Births
Sutter Health Plus is pleased that many of its network hospitals were recognized by the California Health and Human Services Agency (CHHS) for reducing cesarean section (C-section) births for first-time moms with low-risk pregnancies.
Important Information About New Pharmacy Benefit Manager
On January 1, 2022, Sutter Health Plus is changing its pharmacy benefit manager to CVS Caremark®. Here are a few things members should know.
New Pharmacy Benefit Manager Coming in 2022
Effective January 1, 2022, Sutter Health Plus is changing its pharmacy benefit manager (PBM) to CVS Caremark® from Express Scripts®. CVS Caremark will manage the pharmacy benefits for our members, including retail, mail order and specialty prescription drugs; claims processing; and prior authorization requests for drugs.
Open Enrollment for Individuals and Families
This year’s annual open enrollment period begins Nov. 1, 2021 and ends Jan. 31, 2022. During open enrollment, take time to review your insurance options and find a plan that fits your needs or the needs of your family.
One Member’s Journey with Tera—
Virtual-First Primary Care
Kathy is a Bay Area resident who is living with a chronic, long-term condition. Over the past year, she struggled to find engaged providers who offered care options that fit her needs. Kathy learned about Tera—a virtual-first approach to primary care that is in the Sutter Health Plus network.
Virtual-first Primary Care Expands in the Bay Area
Tera, a virtual-first approach to primary care, is an innovative digital health model that was established by Sutter Health prior to the pandemic. With Tera, a dedicated medical team focuses on helping members live their healthiest lives. The Tera care team includes a primary care physician (PCP), licensed nurse, health coach, and nurse practitioner who all provide in-person or virtual care.
Fifteen Sutter Health Plus Network Hospitals Among Best in California
Fifteen hospitals in the Sutter Health Plus network achieved recognition as being among the best in California for 2021-2022 by U.S. News & World Report. Hospitals were scored on 32 clinical areas, including adult specialties, procedures, and conditions, and patient experience, patient outcomes, nursing quality, and the adept use of technology.
Coverage and Care While Traveling
After more than a year at home, many Californians are ready to hit the road and do some traveling. Before heading out for your next big adventure, it’s important to know where to access care while away from home.
