MemorialCare participates in more value-based plans than any other health system in Southern California. Value-based products allow us to reduce waste, avoid overdiagnosis and ensure your employees are receiving the right level of care, while preventing large claims costs to your company.
We reduce the total cost of care by identifying rising-risk and high-risk employees and engaging them in better health. By proactively connecting with these employees, we improve their health and well-being and reduce the cost of their care.
Our high-value plans and partnerships include:
Learn how value-based care is changing healthcare.
MemorialCare is Aetna’s exclusive Orange County partner for the Aetna Whole Health ACO, a benefit plan for both self-insured and fully-insured companies. Membership in this plan tripled from 2018 to 2019 and building on its success, an HMO version was created in 2019. Aetna Whole Health is available to small, mid-sized, and large companies in Orange and LA Counties.
Why choose the Aetna Whole Health ACO plan?
And the results are in. With Aetna Whole Health, we reduced avoidable emergency department visits by 15%, achieved strong quality results, beat the market in managing population health costs, and increased employee wellness screenings by 30%.
Learn more about Aetna Whole Health.
MemorialCare, Anthem Blue Cross and other top hospital systems have partnered to offer Vivity - an integrated network HMO plan in Los Angeles and Orange Counties. This is a first-in-the- nation partnership and includes:
When Vivity members go to the doctor, have a medical procedure or pick up a prescription, all they pay is their co-pay. They won’t have to worry about meeting deductibles or deciphering complicated medical bills. We've had strong results to date, including a 33% increase in enrollment from 2018 to 2019, and over 50 employers in Southern California have chosen Vivity for their employees.
Learn more about Vivity.
Another option for self-insured companies with as few as 100 employees is MemorialCare Direct, which we developed at the request of employers in our community. This is a Direct-to-Employer (DTE) PPO plan, where your company partners directly with us, rather than a health plan.
Our first DTE arrangement was with The Boeing Company, which began in 2017. Called the MemorialCare Health Alliance, the program was the first of its kind in California. The results so far include reduced inpatient admissions, reduced Emergency Department admissions, and reduced pharmacy spend - all while exceeding patient satisfaction targets. Enrollment in this plan has grown by 33%, leading The Boeing Company to extend our partnership through 2024.
The benefits of the MemorialCare Direct DTE option include:
Learn more about direct-to-employer options.
We continue to expand our product offerings to ensure you can find the right one for your company and/or client. The new products offered this year include:
We have dedicated Care Management programs to proactively ensure the health of your employees and – as a result – your bottom line. These programs include:
We also have specialized clinics for patients with diabetes, anti-coagulation issues, or post-hospital discharge issues to help them manage their conditions and reduce the risk of (re-)admission to a hospital.
Learn more about our care management programs.
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