Res 2016-077/approving an administrative services agreement with United Healthcare Services, Inc. for the provision of medical, pharmacy, dental, flexible spending accounts (fsa), retiree, online enrollment tool and cobra benefits administration in a tot

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Service Comments identify and prevent delays in treatments, and provide intervention with respect to Participants' health care needs that are highly likely to drive utilization and medical expenses of the Plan. . . .. . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ................................................... . . . . . . . . . . . . . . . ............................... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ............................ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Medical policy functions, as guided by a medical director. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ................................... Standard on all managed plans. .............................. ................ Complex Medical Conditions: • Cancer Resource Services • Congenital Heart Disease Resource Services • Healthy Pregnancy • Kidney Resource Services • Parent Steps In Discount Program 11 ..._Online Health Coach.!. �.. g .............................................................................................................. ............................... .. . . . . . . . . . . . . . . ............................................... . ............................................. . .................................................. . . . . . . ...................................... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Alternate Care Proposals (ACP) which provide appropriate Customer consents to United's use and administration of the and cost effective health care services and supplies ACP program and delegate to United the discretion and alternatives that would otherwise not be covered by the Plan. _ authority to develop and revise ACPs. ............ Activation programs to engage Participants including, ....................... monthly health statements member call services, and access to member portal with consumer messaging .................. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .............................................. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Predictive modeling, using data from a proprietary system, . . . . . . . . . . . . . . . . . . . . ..... ...................... . ......................................... Standard on all managed plans. Additional charges apply for to identify individuals at risk and offer proactive programs to ' integrating an outside vendor's pharmacy data. improve their health status. .T. UNITED BEHAVIORAL HEALTH — MENTAL HEALTH AND SUBSTANCE USE DISORDER SERVICES Service Comments Behavioral Health Solutions, Full Care Management • Network access, development and maintenance. • Ongoing case management. • Outpatient care management. • Inpatient care management. • Outcomes measurement. • Claims processing, adjudication and member services. • Account management, reporting and communication materials. • Interface with employee assistance program (EAP) vendors. • Enhanced Autism Program K. EMPLOYEE HEALTH EDUCATION AND MEDICAL SELF -CARE PROGRAM SERVICES Service Comments NurseLinesM..'..provides 24 -hour access to registered nurses...........' .................... ......................................................................... .................... ..................... ... ................ ......... ................ Health Content — providing members with access to online Health and Wellness contentihealth assessments /health coaching, personal health records (located on myuhc.com), and automated messaging. L. UNITEDHEALTH ALLIES® DISCOUNT PROGRAM Service Comments Core UnitedHealth Allies® Discount Program enabling The Core UnitedHealth Allies® Discount Program can be made plan participants to access pre- negotiated savings on certain I available to non - covered employees or employees participating out -of- pocket health care purchases. The discount value in plans not administered by United for an additional fee. ro am is not a health insurance plan. PJa