1. health and fitness

With Health Advantage,
MVP Is Here To Support You...
From Day One!
How to take
full advantage of
Health
Advantage
We’ll help you make the most of Health Advantage—with personalized support,
service and access to in-person consultation on clinical trends, financial trends
and wellness strategies that can help you drive better outcomes.
Any Questions?
Call your Account Manager or 1-800-TALK-MVP (825-5687).
LET’S GET STARTED!
To arrange a meeting with your MVP Account Manager,
call 1-800-TALK-MVP (825-5687) today.
“ MVP Health Care” is the parent company of MVP Health Insurance Company; Preferred Assurance Company, Inc.; MVP Health Services Corp.;
MVP Health Plan, Inc.; MVP Health Insurance Company of New Hampshire, Inc.; MVP Health Plan of New Hampshire, Inc.; MVP Select Care, Inc.;
and Preferred Administrative Services, Inc., which may issue or administer health benefit plans. Not all such health benefit plans are available
in all states.
HA POST ENROLL_B (8/12)
A GUIDE FOR BENEFITS MANAGERS
Welcome to
Health
Advantage
You’ve chosen Health Advantage from MVP Health Care, a fully insured
retrospective funding arrangement that combines quality benefits with
one-of-a-kind wellness resources. It’s the health plan solution that pays you
back for unused health care dollars.
But how does your new plan actually work? How and when do the
reimbursements happen? What can you do to create a healthier workforce…
and reduce your health care claims?
MVP has the answers and support you need—to take full advantage of
Health Advantage!
HOW IT WORKS
Next Steps:
Launch Proactive Wellness Programs—to Potentially Lower Your Claims
Health Advantage puts MVP’s top-notch wellness resources to work for you—to help improve employee
health, for a healthier bottom line. Studies show that for every dollar spent on wellness programs,
companies can save an average of $3 on health care costs. Healthy employees also have improved
productivity and enhanced morale.
6Your Health Advantage Core Team
MVP Account
Manager
MVP Clinical
Account Manager
Your Company’s
Wellness Leader
your plan design and
financial expert
your ultimate wellness
partner
your internal wellness
champion
We’ll Help You Track the Impact of Wellness, and Adapt Your Approach if Necessary
Bi-annually: WellStyle Rewards
Participation Report (with 25 or
more WellStyle participants)
Quarterly: Health Coaching,
Annually: Employee Interest
Utilization and Outcomes reports
Survey, Aggregate Personal
Health Assessment Report,
Wellness Audit Report
Getting Started:
Choose a High-Quality MVP Plan
Moving Forward:
We’ll help you select from MVP’s EPO, PPO and high-deductible options—to find the right plan
for your employees.
Keep Your Eyes on the Bottom Line
Then, You Get a Cost—and Pay Fixed Monthly Premiums—Based on
Expected Claims
Your goal: improving the health, well-being and decision-making of your workforce...to achieve
lower-than-expected claims costs.
Groups with 51-100 enrollees receive detailed financial reporting every quarter, including Medical Loss Ratio and
Group Demographic. Groups with 101+ enrollees receive full quarterly experience reporting starting at nine months.
Finally, If Your Claims Come in Lower, You’ll Get Money Back!
Favorable cost savings are shared with Health Advantage customers at the end of settlement, typically six
months after the close of your group’s policy period.
Favorable Cost
Savings Shared
•
•
•
•
•
51-249
Subscribers
50%
•
•
•
•
•
250+
Subscribers
100%
WHAT HAPPENS WHEN:
Q1
Q2
Months 1-3
Your MVP Clinical Account
Manager will meet with your
company’s Wellness Leader(s)
to review the wellness program
checklist and MVP wellness
support tools. He/she will identify
specific goals and strategies
to improve the health of your
population.
Month 9
Implement 1
Implement 2
Wellness Program
Implementation
Claims Review Meeting
Your Clinical Account Manager
may identify additional
campaigns/programs and provide
implementation support to assist
you in building a results-oriented
wellness program.
Your Account Manager and
Clinical Account Manager will
meet with your Wellness Leader(s)
to review claims experience and
wellness program activity to
date and recommend additional
wellness strategies.
Q4–Year 2
Year 2
Evaluate
Payout
Months 10-14
Year End Review/
Year Two Renewal Meeting
Your Account Manager and Clinical
Account Manager will conduct
a comprehensive year-end review
of claims data and applicable
wellness program reports and
begin to plan for year two by
establishing targets and adjusting
the wellness strategy if needed.
Month 16
• • • • • • • • • • • • • • • • • • • • •
Wellness Strategy Meeting
Q3
• • • • • • • • • • • • • • • • • • • • •
Meet with your MVP Account
Manager and Clinical Account
Manager to review plan details
and target loss ratio for the year
ahead. Assess current state of
organizational wellness initiatives.
Discuss applicable data to review
for program planning.
Plan
• • • • • • • • • • • • • • • • • • • • •
Introductory Meeting
• • • • • • • • • • • • • • • • • • • • •
Assess
Months 4-6
Favorable cost savings paid out to
group if premiums exceed claims
for the previous year. (If actual
claim costs exceed expected costs
at the end of the year, you do not
owe extra dollars, because the
plan is fully insured.)
With Health Advantage,
MVP Is Here To Support You...
From Day One!
How to take
full advantage of
Health
Advantage
We’ll help you make the most of Health Advantage—with personalized support,
service and access to in-person consultation on clinical trends, financial trends
and wellness strategies that can help you drive better outcomes.
Any Questions?
Call your Account Manager or 1-800-TALK-MVP (825-5687).
LET’S GET STARTED!
To arrange a meeting with your MVP Account Manager,
call 1-800-TALK-MVP (825-5687) today.
“ MVP Health Care” is the parent company of MVP Health Insurance Company; Preferred Assurance Company, Inc.; MVP Health Services Corp.;
MVP Health Plan, Inc.; MVP Health Insurance Company of New Hampshire, Inc.; MVP Health Plan of New Hampshire, Inc.; MVP Select Care, Inc.;
and Preferred Administrative Services, Inc., which may issue or administer health benefit plans. Not all such health benefit plans are available
in all states.
HA POST ENROLL_B (8/12)
A GUIDE FOR BENEFITS MANAGERS
Welcome to
Health
Advantage
You’ve chosen Health Advantage from MVP Health Care, a fully insured
retrospective funding arrangement that combines quality benefits with
one-of-a-kind wellness resources. It’s the health plan solution that pays you
back for unused health care dollars.
But how does your new plan actually work? How and when do the
reimbursements happen? What can you do to create a healthier workforce…
and reduce your health care claims?
MVP has the answers and support you need—to take full advantage of
Health Advantage!
HOW IT WORKS
Next Steps:
Launch Proactive Wellness Programs—to Potentially Lower Your Claims
Health Advantage puts MVP’s top-notch wellness resources to work for you—to help improve employee
health, for a healthier bottom line. Studies show that for every dollar spent on wellness programs,
companies can save an average of $3 on health care costs. Healthy employees also have improved
productivity and enhanced morale.
6Your Health Advantage Core Team
MVP Account
Manager
MVP Clinical
Account Manager
Your Company’s
Wellness Leader
your plan design and
financial expert
your ultimate wellness
partner
your internal wellness
champion
We’ll Help You Track the Impact of Wellness, and Adapt Your Approach if Necessary
Bi-annually: WellStyle Rewards
Participation Report (with 25 or
more WellStyle participants)
Quarterly: Health Coaching,
Annually: Employee Interest
Utilization and Outcomes reports
Survey, Aggregate Personal
Health Assessment Report,
Wellness Audit Report
Getting Started:
Choose a High-Quality MVP Plan
Moving Forward:
We’ll help you select from MVP’s EPO, PPO and high-deductible options—to find the right plan
for your employees.
Keep Your Eyes on the Bottom Line
Then, You Get a Cost—and Pay Fixed Monthly Premiums—Based on
Expected Claims
Your goal: improving the health, well-being and decision-making of your workforce...to achieve
lower-than-expected claims costs.
Groups with 51-100 enrollees receive detailed financial reporting every quarter, including Medical Loss Ratio and
Group Demographic. Groups with 101+ enrollees receive full quarterly experience reporting starting at nine months.
Finally, If Your Claims Come in Lower, You’ll Get Money Back!
Favorable cost savings are shared with Health Advantage customers at the end of settlement, typically six
months after the close of your group’s policy period.
Favorable Cost
Savings Shared
•
•
•
•
•
51-249
Subscribers
50%
•
•
•
•
•
250+
Subscribers
100%
WHAT HAPPENS WHEN:
Q1
Q2
Months 1-3
Your MVP Clinical Account
Manager will meet with your
company’s Wellness Leader(s)
to review the wellness program
checklist and MVP wellness
support tools. He/she will identify
specific goals and strategies
to improve the health of your
population.
Month 9
Implement 1
Implement 2
Wellness Program
Implementation
Claims Review Meeting
Your Clinical Account Manager
may identify additional
campaigns/programs and provide
implementation support to assist
you in building a results-oriented
wellness program.
Your Account Manager and
Clinical Account Manager will
meet with your Wellness Leader(s)
to review claims experience and
wellness program activity to
date and recommend additional
wellness strategies.
Q4–Year 2
Year 2
Evaluate
Payout
Months 10-14
Year End Review/
Year Two Renewal Meeting
Your Account Manager and Clinical
Account Manager will conduct
a comprehensive year-end review
of claims data and applicable
wellness program reports and
begin to plan for year two by
establishing targets and adjusting
the wellness strategy if needed.
Month 16
• • • • • • • • • • • • • • • • • • • • •
Wellness Strategy Meeting
Q3
• • • • • • • • • • • • • • • • • • • • •
Meet with your MVP Account
Manager and Clinical Account
Manager to review plan details
and target loss ratio for the year
ahead. Assess current state of
organizational wellness initiatives.
Discuss applicable data to review
for program planning.
Plan
• • • • • • • • • • • • • • • • • • • • •
Introductory Meeting
• • • • • • • • • • • • • • • • • • • • •
Assess
Months 4-6
Favorable cost savings paid out to
group if premiums exceed claims
for the previous year. (If actual
claim costs exceed expected costs
at the end of the year, you do not
owe extra dollars, because the
plan is fully insured.)
Welcome to
Health
Advantage
You’ve chosen Health Advantage from MVP Health Care, a fully insured
retrospective funding arrangement that combines quality benefits with
one-of-a-kind wellness resources. It’s the health plan solution that pays you
back for unused health care dollars.
But how does your new plan actually work? How and when do the
reimbursements happen? What can you do to create a healthier workforce…
and reduce your health care claims?
MVP has the answers and support you need—to take full advantage of
Health Advantage!
HOW IT WORKS
Next Steps:
Launch Proactive Wellness Programs—to Potentially Lower Your Claims
Health Advantage puts MVP’s top-notch wellness resources to work for you—to help improve employee
health, for a healthier bottom line. Studies show that for every dollar spent on wellness programs,
companies can save an average of $3 on health care costs. Healthy employees also have improved
productivity and enhanced morale.
6Your Health Advantage Core Team
MVP Account
Manager
MVP Clinical
Account Manager
Your Company’s
Wellness Leader
your plan design and
financial expert
your ultimate wellness
partner
your internal wellness
champion
We’ll Help You Track the Impact of Wellness, and Adapt Your Approach if Necessary
Bi-annually: WellStyle Rewards
Participation Report (with 25 or
more WellStyle participants)
Quarterly: Health Coaching,
Annually: Employee Interest
Utilization and Outcomes reports
Survey, Aggregate Personal
Health Assessment Report,
Wellness Audit Report
Getting Started:
Choose a High-Quality MVP Plan
Moving Forward:
We’ll help you select from MVP’s EPO, PPO and high-deductible options—to find the right plan
for your employees.
Keep Your Eyes on the Bottom Line
Then, You Get a Cost—and Pay Fixed Monthly Premiums—Based on
Expected Claims
Your goal: improving the health, well-being and decision-making of your workforce...to achieve
lower-than-expected claims costs.
Groups with 51-100 enrollees receive detailed financial reporting every quarter, including Medical Loss Ratio and
Group Demographic. Groups with 101+ enrollees receive full quarterly experience reporting starting at nine months.
Finally, If Your Claims Come in Lower, You’ll Get Money Back!
Favorable cost savings are shared with Health Advantage customers at the end of settlement, typically six
months after the close of your group’s policy period.
Favorable Cost
Savings Shared
•
•
•
•
•
51-249
Subscribers
50%
•
•
•
•
•
250+
Subscribers
100%
WHAT HAPPENS WHEN:
Q1
Q2
Months 1-3
Your MVP Clinical Account
Manager will meet with your
company’s Wellness Leader(s)
to review the wellness program
checklist and MVP wellness
support tools. He/she will identify
specific goals and strategies
to improve the health of your
population.
Month 9
Implement 1
Implement 2
Wellness Program
Implementation
Claims Review Meeting
Your Clinical Account Manager
may identify additional
campaigns/programs and provide
implementation support to assist
you in building a results-oriented
wellness program.
Your Account Manager and
Clinical Account Manager will
meet with your Wellness Leader(s)
to review claims experience and
wellness program activity to
date and recommend additional
wellness strategies.
Q4–Year 2
Year 2
Evaluate
Payout
Months 10-14
Year End Review/
Year Two Renewal Meeting
Your Account Manager and Clinical
Account Manager will conduct
a comprehensive year-end review
of claims data and applicable
wellness program reports and
begin to plan for year two by
establishing targets and adjusting
the wellness strategy if needed.
Month 16
• • • • • • • • • • • • • • • • • • • • •
Wellness Strategy Meeting
Q3
• • • • • • • • • • • • • • • • • • • • •
Meet with your MVP Account
Manager and Clinical Account
Manager to review plan details
and target loss ratio for the year
ahead. Assess current state of
organizational wellness initiatives.
Discuss applicable data to review
for program planning.
Plan
• • • • • • • • • • • • • • • • • • • • •
Introductory Meeting
• • • • • • • • • • • • • • • • • • • • •
Assess
Months 4-6
Favorable cost savings paid out to
group if premiums exceed claims
for the previous year. (If actual
claim costs exceed expected costs
at the end of the year, you do not
owe extra dollars, because the
plan is fully insured.)
With Health Advantage,
MVP Is Here To Support You...
From Day One!
How to take
full advantage of
Health
Advantage
We’ll help you make the most of Health Advantage—with personalized support,
service and access to in-person consultation on clinical trends, financial trends
and wellness strategies that can help you drive better outcomes.
Any Questions?
Call your Account Manager or 1-800-TALK-MVP (825-5687).
LET’S GET STARTED!
To arrange a meeting with your MVP Account Manager,
call 1-800-TALK-MVP (825-5687) today.
“ MVP Health Care” is the parent company of MVP Health Insurance Company; Preferred Assurance Company, Inc.; MVP Health Services Corp.;
MVP Health Plan, Inc.; MVP Health Insurance Company of New Hampshire, Inc.; MVP Health Plan of New Hampshire, Inc.; MVP Select Care, Inc.;
and Preferred Administrative Services, Inc., which may issue or administer health benefit plans. Not all such health benefit plans are available
in all states.
HA POST ENROLL_B (8/12)
A GUIDE FOR BENEFITS MANAGERS