2019 Broker Summit

Hometown Health

2019 Broker Summit

Hometown Health

Today’s Agenda

• Hometown Health Staff Introductions• Lunch• Ritz-Carlton Memorable Customer Service Presentation• Renown Health Update• Legislation Update• 2020 Products & Benefits• Southern Nevada Update• Online Provider Directory Sneak Peak• Healthy Tracks & Health Fairs• Broker Recognition• Questions & Answers

2019 Broker Summit

Hometown Health

Hometown Health Leadership

Hometown Health

Ty WindfeldtCOO Health Services Division

Renown Health

Sam KingCFO & Interim CEOHometown Health

2019 Broker Summit

Hometown Health

Hometown Health

Hometown Health

2019 Broker Summit

Hometown Health

Ty WindfeldtChief Operating Officer

Health Services

Previous Structure

Overview Acute CareDivision

Network Services Division

Transitional Care Division

Health Insurances Division

Shared ServicesDivision

Focus

Provide acute care services and

Renown financial sustainability.

Improve the health of consumers by offering care and coverage that is high-quality &

affordable.

Provide health services that are neither hospital

care nor traditional medical group

services.

Provide health insurance products for Medicare and

Commercial populations.

Provide corporate/shared services,

population health services and

operating division oversight.

New Structure

OverviewAcute Care

DivisionHealth Services

Division

Focus

Provide acute care services with high quality, efficiency, reliability, & experience.

Improve the health of consumers by offering care and coverage that is high-quality, affordable.

Support ServicesDeliver solutions to operating divisions based on their requestedspecifications.

Four Pillars

Access

Affordability

Population Health

Affordability

Population Health

Quality

2019 Broker Summit

Hometown Health

2019 Broker Summit

Hometown Health

Jon HagerDirector, Planning & Performance

Hometown Health

Legislative Update – AB469

Hometown Health

Balance Billing:A practice in which a Non-Participating Provider bills you for amounts in excess of the allowed amount.

AB469:Prohibits an Out-of-Netowrk (OON) Provider from balance billing for medically necessary emergency services. OON hospitals are required to provide notification.

*Does not apply to:• Persons covered by policies outside of Nevada,• Services provided more than 24 hours after stabilization,• Services provided at critical care hospitals• Self-funded plans (unless the plan opts-in)

Legislative Update

SB87: Guaranty Assocations

SB88: No longer required to take course to be a licensed producer- just the test

SB262:Asthma Medications

SB370:Fetal alcohol spectrum disorder

SCR10: PEBP to provide health insurance to public

AB472:Surrogate Coverage

AB254:Provisions to Sickle Cell Disease

SB447: Durable Medical Equipment

Legislative Update

SB481:Commissioner may regulate self-funded MEWAs;

Short term policies can't be renewed within a 365 day period;

Off-exchange carriers required to notify members of on-exchange options

SB482: Allows reciprocal licensure with surrounding states;

Allows the Commissioner to apply for an ACA innovation waiver;

Eliminates 90 day waiting period on-going enrollment

2020 Individual & Family and Small Group Benefits at a Glance

Hometown Health

$65, CYD

2020 Product Differences

Market Individual and Family Small Group Large Group

Product HMO PPO HMO PPO HMO PPO

Hometown Network Signature PPO Signature PPO Sig Stndrd PPO

Referral Required Yes No Yes No Yes No No

OneHealth Network No* Yes No* Yes No* Yes Yes

National Network No* No* No* Available* No* Available*

Access Outside of Network No Yes No Yes No Yes

Formulary Standard EHB Standard EHB Standard EHB Standard EHB Enhanced Enhanced

Pediatric Vision Covered Covered Covered Covered Supplemental Supplemental

Dental Supplemental Supplemental Supplemental Supplemental Supplemental Supplemental

Hearing Aids Covered Covered Covered Covered Not Covered Not Covered

2020 IFP and Small Group Benefit Changes – Gold

2020 IFP and Small Group Benefit Changes – Silver Plans

Hometown Health

2020 IFP and Small Group Benefit Changes – Bronze Plans

Hometown Health

2020 IFP and Small Group Benefit Changes – Catastrophic Plan

Hometown Health

$65, CYD

2020 IFP Enrollment Period Changes

Hometown Health

90-day waiting period for year-round enrollment. Beginning 1/1/2020, we will no longer allow year-round enrollment with a 90-day waiting period for IFP. The ONLY ways you can enroll to become an IFP member is through Open Enrollment (11/1 – 12/15) or with a QLE. The 2020 IFP EOCs will be changed as follows:

Current Language:3. Selection Outside of Open or Special Enrollment Periods

This policy is available for enrollment outside of the Open Enrollment and Special Enrollment Periods. For applicants seeking to enroll in the plan during this period, there will be a 90 day waiting period for coverage to begin after your completed application and first month’s premium has been received. You may change your plan selection during the waiting period if the revised application has been received on or before the 15th of the month immediately preceding the first date of coverage. Coverage is effective upon the first day of the month immediately succeeding the month in which the waiting period expires. Coverage is not retroactive to the date on which the application for coverage was received.

New Language:This policy is not available for enrollment outside of the Open Enrollment and Special Enrollment Periods.

Teladoc

Hometown Health

Highlights of the Teladoc benefit:

• $0 copay for covered members (including specialty visits)• Both telephone and video consults are available• Teladoc is available in all 50 states • Teladoc can diagnosis and treat wide variety of

general health issues• Teladoc offers dermatology diagnosis and treatment• HDHP copays are $45 or $75 for Dermatology until

you satisfy your annual deductible – after that, the cost will be $0.

Teladoc

Hometown Health

Frequently Asked Questions:

Q: Does Teladoc include Renown providers?A: No, only Teladoc physicians are available.

Q: Will Teladoc providers have access to EPIC?A: Not in real time. Post visit notes will be uploaded to EPIC at a later date.

Q: Is payment required at time of service?A: Yes. Debit or credit card can be used.

Association Health Plans

Hometown Health

Nevada Behavioral Health Systems

Hometown Health

Hometown Health has partnered with Nevada Behavioral Health Systems to provide timely and effective behavioral health care to our members.

Including:• Same Day Behavioral Health Evaluations• Medication Management • Care Coordination

2019 Broker Summit

Hometown Health

Questions?

2019 Broker Summit

Hometown Health

Raffles

Hometown Health

Raffle Time!

2019 Broker Summit

Hometown Health

2019 Broker Summit

Hometown Health

CJ BawdenDirector, Government Programs

Hometown Health

Hometown Health Comprehensive Provider Networks

Provider Type

Hometown Health

OneHealth

Family Practice 357 743

Internal Medicine

101 560

Pediatrics 71 224

OB/GYN 92 223

Orthopedists 122 151

Cardiology 70 125

All Others 2,552 2,552

Total 3,277 4,578

As of January, 2019

Hometown Health Comprehensive Provider Networks

Provider Type

Hometown HealthNorth

Hometown HealthSouth

Family Practice 357 743

Internal Medicine

101 560

Pediatrics 71 224

OB/GYN 92 223

Orthopedists 122 151

Cardiology 70 125

All Others 2,552 2,552

Total 3,277 4,578As of January, 2019

One State, Two Vastly Different Markets

Southern Nevada

Market Overview• Available in Clark & Nye County – P3 Health Partners• Broker Driven Sales – Partner with Medicare Brokers• Everything is FREE! Including Extra Benefits• FY20 Focus: Maintain Membership, Grow by Supporting Broker

Sales – Southern Nevada Broker Summit 8/27

Southern Nevada

Hometown Health

$65, CYD

2019 Broker Summit

Hometown Health

Questions?

2019 Broker Summit

Hometown Health

2019 Broker Summit

Hometown Health

Ed JaquetteManager, Information Technology

Renown Health

Provider Directory Demo

2019 Broker Summit

Hometown Health

2019 Broker Summit

Hometown Health

Heather ReimerDirector, Self-Funded & Wellness Experience

Healthy Tracks

Hometown Health

Web-based, customizable wellness portal with self-management tools aimed at reducing health risks.

• Incentive Campaigns• Health Risk Assessment• Personal Health Profile• “University” of Health & Wellness Courses• Wellness Challenges • Fitness Tracker Syncing• Mobile App

Healthy Tracks

Hometown Health

HEALTHY TRACKS UPDATES

• 100 New Challenges!– Loaded in portal, ready to use

• Peer-to-Peer Challenges– Challenge your co-workers or family!

Healthy Tracks

Hometown Health

PROGRAM ENHANCEMENTS

Health Coaching

• Drive behavior change• Create accountability• Set goals• Biometric screening results review• Conveniently done over the phone or online• Certified, graduate level health educators• Data driven outreach (coach initiated)

Healthy Tracks

Hometown Health

HEALTHY TRACKS MEMBER ACCESS

• IFP, Small Group– Mygymbenefit.myhealthytracks.com

• SCP– Seniorcareplus.myhealthytracks.com

• Large Group, Self Funded Groups– Custom Portal

Healthy Tracks

Hometown Health

LARGE GROUP WELLNESS• Custom portal with company logo• Employer access to health assessment and screening reports• Data analysis

Wellness

Hometown Health

HEALTH FAIRS ARE EVOLVING

Health Fairs

Hometown Health

Data driven approach to engage employee participation to create and maintain a culture of wellness.

CUSTOMIZED WELLNESS EXPERIENCES: Introducing ACT by Healthy Tracks

• Customized stations focused on dimensions of wellness

• Personalized tools and solutions to members to encourage them along their wellness journey

• Drive members to PCP and other preventive health appointments

• Multi-event approach to provide the most support toward attaining health goals

• Integrate with Healthy Tracks for total wellness solution

Wellness

Hometown Health

BENEFITS

• Member benefits• Employer benefits• Health plan benefits• Community benefits

Flu Shots

Hometown Health

FLU SHOT PROGRAM

• Corporate flu shot events– Please have your corporate groups call Mary Bristol at 775-982-4148 to

schedule onsite flu shots.

– No charge for groups of 20 or more Hometown Health members

• Community flu shot events– No cost to Hometown Health members; $40 charge for non-members

~No cost when included in the benefit plan under preventive care(ACA).

Motivate U

Hometown Health

MOTIVATE U 2019 REDESIGN

Program Enhancements•30 participants per session•New session every month•6 months of health coaching•Registered dieticians• Local gym partners•Over 85% completion rate!

– Applications open to all HTH fully-insured members– Exclusive Motivate U sessions available!

Motivate U

Hometown Health

MOTIVATE U STATS!

Session 1 2019, 20 participants:• 103.5 total pounds lost!• 2.34% body fat lost per person• 23.9 pounds of skeletal muscle mass gained • 3.8 inches waist circumference lost per person• 88% program completion rate

Monthly Wellness Luncheons

Hometown Health

TAKE A BITE OUT OF WELLNESS 3RD TUESDAY OF EVERY MONTH

• Trending wellness topics • Free to Hometown Health members!• Option to purchase lunch for $15 • RSVP Required• Raffle Prize!

September 17th – Live your Best Life! October 15th – How Oral Health affects the Body November 19th – The Role of a Plant-Based DietDecember 17th – Stress Management

2019 Broker Summit

Hometown Health

Questions?

2019 Broker Summit

Hometown Health

Broker Recognition

Hometown Health

Broker Recognition

Broker Recognition

Hometown Health

Pete Gilbert, Employer Benefits

Julie Ann EvansJewels Benefits

Bronze Broker Partners

Broker Recognition

Hometown Health

Mark Lehmann, ASG

Chris CarothersCarothers Insurance

Silver Broker Partners

Broker Recognition

Hometown Health

Alex SampsonJT Sampson

Kevin SampsonMatt Law

Grant DodgeHealth Benefits Associates

Gold Broker Partners

Broker Recognition

Hometown Health

Mike DillonDillon Health

Platinum Broker Partners

2019 Broker Summit

Hometown Health

Broker Recognition

Diamond Broker Partners

Memorable Experiences start with Memorable Service.

Select your team’s favorite experience option.

Schedule a day and time for Spring 2020 with your Account Executive.

Broker Recognition

Hometown Health

LP Insurance Lloyd Barnes

Kevin MonaghanTim Holland

Nate Kerr

Dillon Health Mike Dillon

Diamond Broker Partners

Assured Partners Consulting Lauren Yurick

Deanna DehartTodd Wilson

Health Benefits Associates

Alex SampsonKevin Sampson

JT SampsonMatt Law

Grant Dodge

2019 Broker Summit

Hometown Health