|
Health Advocate Wellness Advocate™
Our Wellness Advocate offers a broad spectrum of integrated solutions that leverages the important role of our Core Personal Health Advocates. The solutions provide a personalized, action-oriented approach that helps employees make healthy lifestyle changes to reduce risks of costly diseases and take an active role in their health. Healthy employees have lower healthcare costs, fewer injuries and absences and are more productive.
- Health Risk Assessment (HRA). Online tool for identifying risks for diseases with a personalized summary.
- Wellness Coaching. Unlimited one-on-one, telephonic or online guidance for reaching health goals enhanced by a robust website of health information.
- MedChoice Support. Interactive tool that helps employees understand their options to make wise decisions about tests, treatment and medications.
- Management Reports. For HRAs and coaching to help identify workplace needs, participation, etc.
- Turnkey installation. Customized electronic and print communications to launch Wellness Advocate and promote maximum utilization. We also offer incentive design and planning.
Health Advocate EAP and Work/Life Program™
The Health Advocate EAP and Work/Life program features short-term, telephonic professional assistance and work/life support through a single phone number. Counseling focuses on coping skills to help employees manage personal problems, such as emotional issues, depression, marital/family problems and substance abuse. Referrals are provided for long-term counseling or specialized care. Work/life experts help locate support services such as eldercare, childcare, legal and financial counseling. A companion website and webinars are available. The goal is to resolve issues in early stages, decreasing absences and turnover.
Health Advocate NurseLine™
The Health Advocate NurseLine provides 24/7 access to registered nurses for advice, referral and self-care information, backed by a state-of-the-art clinical health database. Employees receive answers about symptoms and medications, home-care methods for non-urgent conditions, and can be transitioned to a PHA for in-depth help. NurseLine can reduce costly emergency room visits and help employees become informed healthcare consumers.
Health Advocate Tobacco Cessation™
Tobacco users’ medical costs are needlessly high, yet quitting is difficult and relapse rates are high. Health Advocate’s stand-alone Tobacco Cessation Program is a 13-week, low-cost program that provides unlimited, one-on-one support from trained specialists who use best-practice techniques, tailored to the individual. The comprehensive approach blends elements of programs proven to be successful. We can coordinate with employer-paid nicotine replacement therapy, and manage or provide data to employer-sponsored incentive programs. The program can be offered with our Core Advocacy service to help employees navigate healthcare issues, as well as with our Wellness Advocate program, featuring coaching to address lifestyle risk factors.
Health Advocate Personalized Health Messaging™
This feature uses data-driven analytics that stratify employees by age and gender and also identifies those with chronic diseases. The data enables us to create customized preventive communications for the general population and for those identified with specific diseases, to effectively address gaps
in care.
Our tailored, targeted and personalized messaging helps inform and engage employees and drive them to the right preventive services and the right chronic care “best practices” management strategies for better compliance and better outcomes.
The messaging also reminds employees that they can call a Personal Health Advocate for clinical coaching for follow-through on care strategies. Health information is included to encourage them to take charge of their health and adopt healthy behaviors to prevent and manage disease. Parallel communications are sent to the treating physician to reinforce compliance. Print messages are available for an extra cost. Print messages are available for an extra cost.
Benefits Gateway
Health Advocate Benefits Gateway™
Benefits Gateway provides a single, toll-free number and live experts to efficiently connect employees to the right benefit, including all healthcare and retirement plans offered. Powerful Health Information Dashboards collect and organize employee benefit utilization, health and wellness metrics and key productivity benchmarks. The Dashboards enable both the Personal Health Advocate and employer to easily pinpoint areas for improvement, and leverage teachable moments in real time to impact behavior, increase productivity and lower costs.
Health Advocate Health Information Dashboard™
The Dashboard is a stand-alone product that uses powerful information architecture to collect and organize employee benefit utilization, health and wellness metrics, and key productivity benchmarks that may affect an organization’s health spending. The Dashboard enables both the employer and the Health Advocate Personal Health Advocate to easily pinpoint areas for improvement, and leverage teachable moments in real time to impact behavior, increase productivity and lower costs.
Cost-Saving Solutions
Health Advocate MedChoice Support™
Health Advocate's MedChoice Support is a self-directed, interactive tool that compares the pros and cons of dozens of tests, treatments, procedures and medications. The tool provides guidance through key decision-making steps to help employees make informed decisions about appropriate care.
Health Advocate Medical Bill Saver™
Medical Bill Saver provides highly specialized, skilled negotiators to help reduce post-claim bills for healthcare services rendered, resulting in substantial savings. At no upfront cost to the member, the expert negotiation team works with the providers and insurance companies to secure pricing discounts on uncovered medical and dental bills with a balance of $400 or more. Successful negotiation results in the member sharing a percentage of the savings.
HR Solutions
Health Advocate Enrollment Advocate™
Health Advocate’s Enrollment Advocate offers trained benefits specialists to answer employee questions, typically during the open enrollment period, to help them make cost-effective decisions about electing their benefits. Experts explain the details of each benefit, including new benefits and changes, and answer questions regarding Medicare, special individual circumstances, coverage for pre-existing conditions and other issues. Employees also receive guidance on how best to use benefits, and learn about Health Savings Accounts, Flexible Spending Accounts and Health Reimbursement Accounts.
Health Advocate Independent Appeals Administration™
The Independent Appeals Administration service offers objective, independent analysis to help self-funded companies who retain fiduciary responsibility manage the appeals process. An expert team researches and analyzes employee benefits and medical records, and addresses complex claims and medical issues. The program ensures full compliance with ERISA and other regulations, and makes certain that member appeals are properly reviewed and that your organization is protected.
Health Advocate FMLA Support ™
Health Advocate's FMLA Support program provides seasoned medical experts to review and verify the validity of employee leave requests to help make Family Medical Leave Act (FMLA) implementation easier. The program provides accurate, up-to-date information about medical conditions covered by the FMLA, and ensures compliance with FMLA and HIPAA regulations. Our staff can interpret regulations, protect health information and recommend second opinions, when needed. The program is designed to ease the burden on the Human Resources staff, simplify FMLA implementation and protect your organization from invalid claims.
Health Advocate External Appeals Administration ™
This program offers an independent, unbiased, third party, turnkey solution to help employers with self-funded plans meet federally mandated regulations and timelines for external appeals when members’ claims have been denied. We secure cost-effective, discounted contracts with outside, qualified Independent Review Organizations (IROs). Our team collects, documents and tracks required information. We provide all notices and reports, and manage each step of the review process conducted by the IROs to ensure timely responses, including expedited reviews when necessary, abiding by the regulations.
|