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St. Luke’s and SelectHealth Team up to Offer a New Kind of Health Plan for Idaho

By Ken Dey, News and Community
September 5, 2012

Boise, Idaho – September 5, 2012 – St. Luke’s Health System has formed a unique strategic alliance with SelectHealth, a Utah-based health plan, to offer a new approach to health insurance benefits to residents of Idaho. Officials from the two organizations gathered today in Twin Falls and Boise, Idaho to announce the new relationship.

This new alliance is committed to exceptional health care and exceptional health insurance for Idahoans. The alliance will be supported by BrightPath, an extensive network of physicians and health care facilities that has been developed over a number of years by St. Luke’s and other leading health care providers to provide a comprehensive healthcare delivery system in Idaho.

Rather than a traditional pay-for-volume payment model, the new St. Luke’s and SelectHealth alliance will transition over time to a pay-for-value model where:

  • incentives for insurers, patients, and providers are aligned to improve health and deliver better care;
  • overhead is minimized and the cost of care and insurance is examined to reduce unnecessary expense;
  • insurance payment focuses on improving members’ health; and
  • members are supported in taking charge of their health and rewarded for adopting behaviors that support good health.
National research* shows that integrated health systems—where hospitals, patients, providers, and health plans work together—also achieve higher levels of member satisfaction.

“The mutual goals of this alliance are to achieve the triple aim of better health, better care and lower cost in order to provide value for all stakeholders. Our goals will cause us to reach high and our results will take shape over time,” says St. Luke’s CEO and President Dr. David C. Pate. “We’re committed to this effort and we are thrilled to be working with SelectHealth to develop this new approach.”

These new insurance plans will pair a healthcare delivery network that includes St. Luke’s nationally recognized hospitals and providers with health plan administration and member care management expertise SelectHealth has developed over nearly 30 years. Plan members can expect innovative plan designs, stable insurance premiums, top-ranked customer service, and access to a robust and trusted network of St. Luke’s affiliated and independent healthcare providers and services.

“Our exciting new relationship will fundamentally change how health care is delivered and how health insurance is experienced,” says SelectHealth President and CEO Patricia R. Richards. “Together we will improve care and stabilize premiums.”

SelectHealth will offer plans for Medicare Advantage, large employers, and federal employees beginning in January 2013.

Like St. Luke’s, SelectHealth is a not-for-profit organization that gives back to the community. Both organizations share a community pledge for improving health care, providing superior service, and actively supporting health and wellness education initiatives.

To provide local service to members, providers, and the community, SelectHealth will establish a local office in Boise.

For more information about this strategic alliance, visit selecthealth.org/idaho.

About St. Luke’s Health System St. Luke’s Health System is Idaho’s largest and only locally-governed health care system, employing more than 10,000 people. With hospitals in Boise, Meridian, Twin Falls, Ketchum, McCall, and Jerome, St. Luke’s provides patients with unmatched care in specialized medical fields, including cancer, heart and vascular, obstetrics, women’s services, and children’s health care. To find out more, visit www.stlukesonline.org

About SelectHealth SelectHealth is a not-for-profit health insurance organization serving members in Utah and Idaho, and is committed to health improvement, superior service, and providing access to high-quality care. SelectHealth is recognized as Utah’s top-ranked health plan, according to NCQA's Private Health Insurance Plan Rankings, 2011–2012. For more information, visit selecthealth.org.

* http://businesscenter.jdpower.com/news/pressrelease.aspx?ID=2011028

Spencer Sutherland, SelectHealth, 801-442-7960  

Frequently Asked Questions

Who is SelectHealth?

SelectHealth is a Salt Lake City-based not-for-profit health insurance company serving more than 500,000 members in Utah and southern Idaho. SelectHealth is committed to helping members stay healthy, offering superior service, and providing access to high-quality care. Throughout its 27-year history, SelectHealth has maintained a retention rate of 95 percent of large employer groups. SelectHealth is also recognized as Utah’s top-ranked health plan (NCQA's Private Health Insurance Plan Rankings, 2011–2012). Why is St. Luke’s forming an alliance with SelectHealth?

St. Luke’s and SelectHealth share a commitment to clinical quality and cost efficiency and making meaningful improvements to the way healthcare is experienced. The organizations share a similar not-for-profit mission, vision, and community pledge. This new relationship is a step toward aligning incentives for participating healthcare providers and their patients, and SelectHealth and its members, to achieve important long-term improvement in the health of our communities.

A strategic alliance between these organizations will benefit residents ofIdaho through access to quality healthcare and innovative, high-value health plan offerings. The alliance will combine St. Luke’s quality with SelectHealth’s core competencies and experience supporting an integrated healthcare delivery system, and will be supported by BrightPath, an extensive network of physicians and healthcare facilities.

What do St. Luke’s and SelectHealth hope to accomplish through their alliance?

The new alliance is committed to exceptional healthcare and exceptional health insurance for Idaho.  The mutual goals of this alliance are to achieve the triple aim of better health, better care, and lower cost.  Over time, the St. Luke’s/SelectHealth alliance will fundamentally change how healthcare is delivered and how health insurance is experienced. Together we will simplify services, improve care, support health, stabilize premiums, and eventually reduce costs.

What makes these health plans different?

  •  Collaborative efforts that lead to innovative health plan designs that give individuals more information and financial control
  • Stable insurance premiums (with reduced overall costs over the long-term)
  • Top-ranked customer service from SelectHealth
  • Experienced care management for better quality health outcomes
  • Inclusion of independent providers through the BrightPath network
  • Data sharing and collaboration among the participating hospitals, providers in the BrightPath network, and SelectHealth
How will SelectHealth’s premiums compare to other insurance companies in the market?

The premiums will be competitive with other carriers in the market. St. Luke’s and SelectHealth anticipate providing more stable premiums from year to year, meaning that health plan members should not see the steep annual increases that many have come to expect.

Will the plans offered by SelectHealth only include St. Luke’s physicians and facilities as preferred providers, or will the plan solicit other providers and/or facilities to join?

The plan will include physicians and hospitals that participate in the BrightPath network, a comprehensive provider network that includes both St. Luke’s and non-St. Luke’s providers and facilities.

When can individuals or businesses begin subscribing to the new plans?

It is anticipated that SelectHealth will offer coverage to individuals, families, and small businesses (2-50 employees) beginning fall 2012. Plans for Medicare Advantage, large employers (including self-funded groups), and Federal Employee Health Benefits enrollees will be available beginning in January 2013.

 

 

About The Author

Ken Dey served as Public Relations Coordinator at St. Luke's from 2008-2014.