Health Alliance Plan (HAP) Accomplishments
“My sister and I brought our mother into the HAP customer service department. Within a matter of moments, the representative had gotten us organized and had us filling out forms while helping our mother get her account squared away. Your representative took a great weight off all our shoulders that day. Her kindness, patience, thoughtfulness and amazing ability to relax us…was incredible!”
- Anonymous Patient
The J.D. Power 2017 Member Health Plan Study ranked HAP highest in member satisfaction among health plans in the Michigan region. This was the ninth win for HAP in the last 10 years. HAP was the top regional performer for coverage and benefits, cost, information and communication, and claims processing, and received the highest regional score among participating health plans.
Tiered Plan for Jackson County
HAP introduced a new tiered network health plan designed for Jackson County businesses and their employees. HAP Jackson Health Network Select is the result of a partnership between HAP, Jackson Health Network and Henry Ford Allegiance Health. Providers include approximately 4,000 physicians associated with Jackson Health Network and Henry Ford Physician Network, and facilities and programs affiliated with Henry Ford Allegiance Health and Henry Ford Health System.
4-Star CMS Rating
HAP’s Medicare Advantage HMO improved its Centers for Medicare and Medicaid Services (CMS) rating to 4.0, which will result in an estimated $29 million CMS bonus payment for 2019. These bonus payments allow HAP to provide much-needed products and services to Medicare members.
Reducing Readmission Rates
- HAP’s medical management team reduced Medicare Advantage HMO admits/1,000 (non-HFMG network) by 13 percent, and reduced Medicare Advantage HMO days/1,000 (non-HFMG network) by nine percent.
- The HAP Midwest Medicare-Medicaid Dual Program (MMP) serves 5,000 patients in Wayne and Macomb counties with chronic disease resulting in frequent hospitalizations. HAP provided tools and resources for patients to thrive outside of the hospital, and reduced the 30-day all-cause hospital readmissions for MMP members by 23 percent during 2017. This created $400,000 in savings, which can be passed on to members.
HAP expanded its sales area to include Hillsdale and Ingham counties, which extends reach in and around the important Jackson and Lansing markets.
Financials Trend Upward
Net operating income rose by approximately $30 million compared to 2016, due primarily to improved administrative expense management. Further financial improvements are anticipated following withdrawal from the on-Exchange individual product market, renegotiated contracts with key customers and business partners, and implementation of new medical management programs.
A $0 Plan
HAP introduced a $0 premium Medicare Advantage plan that features benefits of the Silver&Fit® Exercise & Healthy Aging Program. The plan features a $0 premium, $0 copay for primary care doctor visits and $0 for Tier 1 preferred generic drugs, along with a low deductible and first-dollar drug coverage.
Free In-Home Vision Screening
To help detect and combat adult blindness, HAP introduced in-home vision screenings for Medicare members with diabetes. These mobile diabetic retinopathy screenings are free for HAP’s Medicare Advantage members.
HAP Crim Festival of Races
HAP was title sponsor of Flint’s signature event, the HAP Crim Festival of Races. This weeklong event in late August draws tens of thousands of participants and spectators, both locally and from around the globe. HAP also partners with the Crim Fitness Foundation on numerous initiatives, including in-school programming for Flint Public Schools students.
The Splash Bash water aerobics program is free and open to the public, and offered by HAP at recreation centers throughout southeast Michigan. Water exercise reduces stress on joints, making it ideal for seniors and people with limited mobility or chronic conditions.
Keeping Little Feet Warm
A HAP-run program, Boots for Kids has served low-income mid-Michigan families for more than a decade. About 1,000 pairs of boots are collected and donated annually to local nonprofits for distribution.