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Simple. Innovative. Comprehensive.
•
Visit skyway.healthcare or Call 440-592-1120
Value, Quality & Convenience
Clearing the way to healthcareSkyway provides top-quality care coverage solutions, customized to meet employer and employee needs while creating a vibrant, healthy community.
Helping businesses control healthcare outcomes: Identify pain points & opportunities Reduce risk & manage cash flows Manage employee health Analyze current health data Take actionable steps
Skyway leads by listening, personalizing innovative solutions, and delivering the best coordinated care for the right price—offering cost savings to clients and members.
Learn more about Skyway. Call us at 440-592-1120 Visit skyway.healthcare
What sets us apart?As your trusted healthcare partner, your needs are our first priority.
Skyway offers health solutions created by care designers to coordinate and deliver the right care, in the right place, at the right time, for the right price.
SM
NEW Innovative Solutions
SkyCare Products with Skyway
integrated network
Target Audience
Stop Loss TPA Slice or Full Replacement
StartDate
Pharmacy FeaturesPersonal care &
customer service
SkyCare Focus Self-funded employers or fully insured >50
Self-funded or level funded
Work with Employer’s TPA
Either with population health access fee (see back)
With openenrollment
- Employer’sPBM- MetroHealthpharmacybenefit option
• Cost savings• Flexible/customized to
specific populations
Celestial Healthcare Self-funded employers or employers with 2+ employees
Self-funded or level funded
Key Benefits Administrators
Full with population health access fee (see back)
With openenrollment
CVS Caremark • Cost-share/shared savings
• Referenced-based pricing only
Health-e Ohio Self-funded employers or employers with 10+ employees
Self-funded or level funded
Hawaii Mainland Administrators (HMA)
Either with population health access fee (see back)
With openenrollment
Welldyne; MetroHealthand Discount Drug Mart pharmacies
• Cost savings• Skyway network/
Referenced-Based pric-ing/ Out-of-network
SkyCare Prime Employers needing a MEC plan offering
NA NA Primary care Membership
NA Anytime—1st or 15th ofthe month
Covered scripts reim-bursed at MH
• Satisfies MEC require-ments for ACA
• Cost savings; no claimsgenerated
SkyCare Prime Plus Employers need-ing MEC offering but want more coverage
Swiss Re HMA NA OpenEnrollment
Welldyne; MetroHealth/Disct Drug Mart pharmacies
• Same as Prime• Primary care/specialty
care with copays• Prescription coverage
SkyCare Prime Premier
Employers need-ing MEC offering but want more coverage
Swiss Re HMA NA OpenEnrollment
Welldyne;MetroHealth/Disct Drug Mart pharmacies
• Same as Prime• Primary care/specialty
care with copays• Prescription coverage
SkyCare Direct Employers
Individuals
NA Primary Care Membership w/ PEPM fee or membership fee
NA Anytime—1st or 15th ofthe month
Discount at MetroHealthpharmacies
• Cost savings; no claimsgenerated
• Direct primary care pric-ing bundles
• Fixed costs
skyway.healthcare
Case Studies/ Proven Results
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S K Y W A Y — C L E A R I N G T H E W A Y T O H E A L T H C A R E | W W W . S K Y W A Y . H E A L T H C A R E
Switching to a self-funded plan to avoid a $200,000 rate increase seemed frightening, but the Skyway team ensured a seamless transition. SkyCare saved us and our employees thousands of dollars, while delivering excellent care.
– Rob Durham PresidentHKM Direct Market Communications
CASE STUDY: SWITCHING FROM FULLY-INSURED TO SELF-FUNDED PLANS
High Deductible? Primary Care Membership
Benefits Fixed costs for primary care needs and more.
Priced to provide tremendous value of services to patients and their families — especially those that may require multiple care visits (chronic disease management, children well/sick visits).
Simplistic, upfront pricing.
Providing the right care, in the right place, at the right time.
Access to preferred Skyway pricing for other needed services, creating even more savings!
Three tiers of primarycare membership plans
SM
S K Y C A R E D I R E C T
Award-winning Wellness Solutions
Customized Employer Wellness Solutions
SkyWell is one of the health and wellness products developed by Skyway Health Solutions, part of The MetroHealth System
• Designed exclusively to fit your company using best practices andthe latest innovations
• Dedicated team of doctors and certified corporate wellness specialists*
• Award-winning wellness strategies to lower costs and retain healthier employees
• Sophisticated personal wellness portal with resources and mobile app
Includes: • Strategic wellness plan development,
implementation and monitoring
• Creative personal/team challenges for well-being and lifestyle improvement
• Engagement-driven incentives
• Real-time measurement, monitoring andreporting
“The SkyWell product was the key to the success of our newly implemented Well-ness Program at John Carroll University.
The support you receive from the team is phenomenal, and the portal tool is customizable to allow for the marketing of many events.
I highly recommend SkyWell to any company who wants to take wellness to a new level!”
L.S. Assistant Director, Human Resources John Carroll University
*Modeled after MetroHealth’s wellness program with 6,000+ employees which has maintained a positive return on in-vestment and flattened healthcare costs since 2012 withhigh employee participation
High Performance Network
For a current listing of health centers and physician nearest you, please visit metrohealth.org/locations and lakehealth.org/locations
Network Locations
25
11
19
17
18
2614
24
12
34
35
28
32
27
3031
33
36
8
2
6480
90
71
71
71
480
20 1615
22
1
9 377
480
480
23
77
7
271
271
1380
90
90
21
271
5
4
80
2
44
6
322
422
82
10
27
28
29
30
31
34
35
33
32
36
Hospital
Health Center
Emergency Department
Health Center with MetroExpressCare
Lake Health
Health Center with Pharmacy
Discount Drug Mart
29
16
15
14
12
10
9
18
17
21
22
7
4
13
8
3
MetroHealth Medical Center, Main CampusMetroHealth Medical Center, Cleveland HeightsMetroHealth Medical Center, Old BrooklynMetroHealth Medical Center, Parma
Beachwood Health Center
Bedford Medical Offices
Brecksville Health and Surgery CenterBroadway Health Center
Brooklyn Health Center
Brunswick Health Center
Buckeye Health Center
Lyndhurst Health Center
Middleburg Heights November Family Health Center
Parma Health Center
Physical Therapy at West Shore Family YMCA
Rocky River Medical Offices
State Road Family Practice
West 150th Health and Surgery Center
West Park Health Center
Westlake Health Center at Crocker Park
J. Glen Smith Health Center
Thomas F. McCafferty Health Center
1 11
19
5
20
6
2
23 Independence
North Royalton
Olmsted Falls
Parma Heights
24
25
26
MetroHealth at Discount Drug Mart
Health Centers
Medical Centers Lake HealthOperating in conjunction with Cleveland Department of Public Health (in partnership w/ city of Cleveland): Chardon Campus
Continuing Care Campus
Madison Campus and 24/7 ER
Mentor Campus
Brunner Sanden Deitrick Wellness Campus and LiveHealthy fitness center
Perrico Health Campus
SOM Center Campus
TriPoint Medical Center
West Medical Center
Willowick Campus
Listen to a recent clip from NPR about Skyway’s New Innovative Health Solutions
Dr. Holly Perzy, Executive Director, Skyway
Clearing the way to healthcareSkyway provides top-quality care coverage solutions, customized to meet employer and employee needs while creating a vibrant, healthy community.
Helping businesses control healthcare outcomes: Identify pain points & opportunities Reduce risk & manage cash flows Manage employee health Analyze current health data Take actionable steps
Skyway leads by listening, personalizing innovative solutions, and delivering the best coordinated care for the right price—offering cost savings to clients and members.
Learn more about Skyway. Call us at 440-592-1120 Visit skyway.healthcare
What sets us apart?As your trusted healthcare partner, your needs are our first priority.
Skyway offers health solutions created by care designers to coordinate and deliver the right care, in the right place, at the right time, for the right price.
SM
GO TO MAIN SCREEN
SkyCareCost-effective solutions for self-funded employers
Customized provider health network options
Access to MetroHealth System’s 900 providers and over 25 locations
Developed from MetroHealth Select
24/7 virtual care
Phone, video and mobile app
Prescriptions sent to your pharmacy
Customized cost structure
S K Y C A R E O F F E R I N G SCost-saving health care solutions
Unique, personalized health care experience
Choice of membership plans
Your own personal doctor
Stress-free, empowering, compassionate care
Customized strategies
Engagement driven incentives for measurable results
Personal/team challenges and support
Sophisticated wellness portal with HRA, tools and resources
Modeled after award-winning wellness program
Employer Benefits:Improved ROI
Lower healthcare costs
Healthier employees
Care management
Reduced absenteeism
Increased productivity
Higher employee satisfaction
Employee Benefits:Convenient MetroHealth locations near youTop doctors for all stages of life
Lower out-of-pocket costs
Online scheduling with MyChart
Same-day appointments
Care coordination
The Skyway difference: a client-focused partnership approachOur unparalleled dedication to employers and employees in the community is reflected by
their commitment to us. We are proud of our near 100% client retention, and our year over year growth.
As your partner, we are in it together.
Visit skyway.healthcare
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MetroHealth Select, now SkyCare, is a product of Skyway
Value, Quality & Convenience for Employees
1. Your Health Care $$$ Go Further• More affordable plan compared to other plan choices• Lower out-of-pocket costs
2. Personalized Health Care Experience• Seamless transition of your care to new providers• Personal assistance exclusive number for members: 216-778-8818 with SkyConnect
Nurse Line after hours at 216-778-7878• Personal visits for patients in the hospital• MyChart: securely manage your health care online - appointments,
message your doctor, view your test results, and more -- mobile app too
3. Convenient Access to Health Care• MetroHealth System (Cuyahoga and Medina Counties)
o 25+ MetroHealth locations in Cuyahoga County; Now in Medina and Brunswicko Inpatient hospitals now at MetroHealth Cleveland Heights and Parma locationso Outpatient surgery centers including Brecksvilleo Advanced imaging and lab services including 3D Mammographyo 3 free-standing Emergency Depts. in Brecksville, Cleveland Heights and Parmao 9 convenient Pharmacy locations plus home delivery, mobile app tooo 4 MetroExpressCare locations, check wait times at metrohealth.org/expresscareo 5 Primary Care Walk-in Clinics at Buckeye, Medina, Middleburg Heights, Rocky
River and Westlake – check metrohealth.org/locations for detailso 4 Walk-in Clinics at Discount Drug Mart locations in Independence,
North Royalton, Olmsted Falls and Parma Heights• NEW Lake Health in Lake County is in network
4. Top Quality Care• 1,000+ top providers for all stages of life• Coordinated care for chronic disease patients
Visit skyway.healthcare
Call 440-592-1120 or email [email protected]
GO TO MAIN SCREEN
SkyCare Products with Skyway
integrated network
Target Audience
Stop Loss TPA Slice or Full Replacement
Start Date
Pharmacy Features Personal care &
customer service
SkyCare Self-funded employers or fully insured >50
Self-funded or level funded
Work with Employer’s TPA
Either with population health access fee (see back)
With open enrollment
- Employer’sPBM- MetroHealthpharmacybenefit option
• Cost savings• Flexible/customized to
specific populations
Celestial Healthcare Self-funded employers or employers with 2+ employees
Self-funded or level funded
Key Benefits Administrators
Full with population health access fee (see back)
With open enrollment
Cerpass • Cost-share/sharedsavings
• Referenced-basedpricing only
Health-e Ohio Self-funded employers or employers with 10+ employees
Self-funded or level funded
Hawaii Mainland Administrators (HMA)
Either with population health access fee (see back)
With open enrollment
Welldyne; MetroHealth and Discount Drug Mart pharmacies
• Cost savings• Skyway network/
Referenced-Based pric-ing/ Out-of-network
SkyCare Prime Employers needing a MEC plan offering
NA NA Primary care Membership
NA Anytime— 1st or 15th of the month
Covered scripts reim-bursed at MH
• Satisfies MEC require-ments for ACA
• Cost savings; no claimsgenerated
SkyCare Prime Plus Employers need-ing MEC offering but want more coverage
Swiss Re HMA NA Open Enrollment
Welldyne; MetroHealth/ Disct Drug Mart pharmacies
• Same as Prime• Primary care/specialty
care with copays• Prescription coverage
SkyCare Prime Premier
Employers need-ing MEC offering but want more coverage
Swiss Re HMA NA Open Enrollment
Welldyne; MetroHealth/ Disct Drug Mart pharmacies
• Same as Prime• Primary care/specialty
care with copays• Prescription coverage
SkyCare Direct Employers
Individuals
NA Primary Care Membership w/ PEPM fee or membership fee
NA Anytime— 1st or 15th of the month
Discount at MetroHealth pharmacies
• Cost savings; no claimsgenerated
• Direct primary care pric-ing bundles
• Fixed costs
skyway.healthcare
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Skyway Population Health Management Fee (PEPM)
Fee includes but is not limited to: • Access to Skyway Team: Client Services & Member Experience Manager and
Member Liaison Specialist • SkyConnect Line (216-778-8818) - exclusive for members to access Skyway • Personal assistance with PCP assignment and transition of care • Appointment scheduling with preferred times and locations through
our SkyConnect Team • Enhanced appropriate appointment access with guaranteed timely
specialist appointments • Customized onboarding process with seamless transition and coordination of
care to Skyway Network • Skyway Team acts as intermediary with Payers for problem resolution,
either clinical or payment • Access to online functionality: online appointment scheduling and online bill pay
with increased support and outreach • Inpatient visits and amenities for your inpatient stay • Access to online patient portal MyChart and MyChart mobile app with increased
support and outreach • Appropriate Care Coordination and Care Management integration based on
specific population needs • Ongoing aggregate data analysis to optimize management of the population • Proactive patient panel management • Annual comprehensive assessment of overall plan/population performance including review of
utilization of Skyway Network with focus on optimization of service, value and medical spend • Quarterly Newsletter and timely Skyway Network email news/updates for members • Access to certified SkyWell team and use of SkyWell portal for strategic employee wellness
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Celestial Healthcare is a unique health plan that improves your healthcare cost by addressing your plan’s primary cost drivers. Our solution is the result of a collaborative effort by some of the nation’s most innovative, well-respected healthcare organizations and population health management programs. Together we have created an integrated approach that allows employers to control healthcare costs from every angle.
Access to the financial advantages of a level-funded or self-funded health planKey Benefit Administrators (KBA) is one of the country’s largest independently owned third party administrators, supporting a wide variety of group benefit plans.
Quality providers collaborate to improve health and control costsCelestial Healthcare includes comprehensive Tier 1 access to more than 900 high quality providers, hospitals and a wrap network allowing participants to seek care at a provider of their choice.
Results-based health management programs that improve employee healthAmerican Health Data Institute (AHDI), the largest and oldest population health database in the country, uses an evidence-based approach to provide an integrated platform for population health management.
The Celestial Healthcare Approach: 3
2
1
1 2 3
Reduce healthcare spend through direct relationships with the highest quality medical providersCelestial Healthcare network providers know exactly how your plan works and are collaborating to reduce your claim costs. Our benefit plan network includes Tier 1 providers, MetroHealth Hospitals, outpatient diagnostic, outpatient surgery, specified pharmacies, physicians and other specialty providers. The Tier 1 providers are wrapped locally and nationally by Skyway and PHCS networks, allowing plan participants to seek care at the provider of their choice.
• Access to the lowest cost provider network in the greater Cleveland area
• Best-in-class service through recognizable local providers
• Employers will enjoy the cost savings of a narrow network while employees retain the ability to choose providers for care
• Bundled pricing discounts on business health services, fully-insured dental and vision
• More than 30 plan design options and ability to customize
• Our DTE program partners with several industry leading Pharmacy Benefit Managers.
• Unique contract options such as gain sharing
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To learn more about Celestial Healthcare, please contact [email protected] or visit celestialhealthcare.com
DTE_CH_072318
HOW IT WORKS
BENEFIT BUDGET• Employers and Healthcare Providers determine health benefit budgets
• Healthcare Providers arrange for preferred healthcare service pricing
• Employers and Healthcare Providers share in the savings to the healthcare budget throughfinancial performance rewards
ENGINEERING AND COORDINATION OF CARE• Medical Director engineers the coordination of patient care pathways through top
performing medical providers
HIGHEST QUALITY PHYSICIANS & HOSPITALS RECRUITED• High quality physicians are identified and credentialed through the Skyway network
• High quality, cost effective physicians
• Performance management and quality monitored by Celestial Healthcare Medical Director
DEVELOPING A NEW CULTURE OF WELLNESS• Access to Skywell, a member health and wellness program
• Healthcare Coaching- Ongoing Healthcare Education
Benefits to Employers• Added benefit at no additional cost
• Ability to align incentives to maintain good health
• Reporting capabilities on CDM Benefit utilization
• Incentive for proactive healthcare treatment
Benefits to Employees• Added benefit at no additional cost
• No cost barriers to receiving healthcare
• Proven treatment plan for chronic diseases
Celestial Healthcare using Skyway Network Providers work as a team to:• Identify and adopt the best clinical protocols for treatment of disease states
• Develop systems to monitor compliance with the adopted protocols on an inpatient and outpatient basis
• Collaborate with hospital facilities to encourage compliance with inpatient performance improvementprocesses and protocols
• Perform services with cost conscience awareness
Improving physician performance optimizes both employer and patient healthcare investment. The adoption and embracement of clinical integration by providers, employers and health plans helps to improve population health and ensure quality care at a reduced cost.
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Employees Want Great Healthcare!
Employers Want a Plan that’s Easy to Manage and Straightforward!
AMAZING BENEFITS* $5 Office Visit Copay $10 Specialist Copay $5 Prescription Drug Copay $250 Deductible 90% Coinsurance $750 Maximum Out-of-Pocket * Tier 1
Welcome to: A new approach to health care
for Northeast Ohio small businesses
TRANSPARENCY The ability to manage your healthcare costs
like every other aspect of your business! Claims Data ● Fees & Expenses ● Cost of Services
3 LEVELS OF SERVICE
Tier 1 – Cuyahoga County Amazing Benefits & Exceptional Care with Skyway Providers
Tier 2 – Outside Cuyahoga County Market-Competitive Deductibles, Copays & Maximums with
PHCS nationwide providers & value-based facility pricing
Tier 3 – Non-Network Value-Based Benefits outside Skyway & PHCS
provider networks
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Value-Added Services included at no additional cost: COBRA Administration
Employer Reporting – 1094 / 1095 Plan document and SPD preparation
Financial and statistical reporting
Health-e Ohio was created to provide Northeast Ohio
businesses with high-quality, self-funded health insurance options that offer cost-saving alternatives to inflexible, fully insured plans. Options are pre-packaged with many benefits normally available only to large U.S. employers.
For Additional Information, please contact Kim Clark at [email protected] or (330) 677-4585
EPO250 EPO750 PPO250-2500 PPO250-5000 PPO500-5000 PPO750-6500 Benefits Skyway Network Skyway PHCS Skyway PHCS Skyway PHCS Skyway PHCS Annual Deductible $250 $750 $250 $2,500 $250 $5,000 $500 $5,000 $750 $6,500
Out-of-Pocket Max $750 $1,750 $750 $6,500 $750 $5,000 $1,500 $9,000 $1,750 $6,500
Primary Care Office Visit $5 $15 $5 $45 $5 100%
** $15 $45 $15 100%
**
Specialist Office Visit $10 $30 $10 $75 $10 100%
** $30 $75 $30 100%
** Telemedicine Visits $0 $0 $0 N/A $0 N/A $0 N/A $0 N/A
Inpatient Hospital** 10% 10% 10% 30% 10% 100%
** 10% 30% 10% 100%
**
Outpatient Hospital** 10% 10% 10% 30% 10% 100%
** 10% 30% 10% 100%
** Naturopathy $35 $35 $35 $35 $35 $35 $35 $35 $35 $35 Chiropractic Care $35 $35 $35 $35 $35 $35 $35 $35 $35 $35 Acupuncture $35 $35 $35 $35 $35 $35 $35 $35 $35 $35
Massage Therapy $35 $35 $35 $35 $35 $35 $35 $35 $35 $35
Prescriptions - Metro $5 / $10 / $25 / 20% Specialty
Prescriptions - Drug Mart $20 / $40 / $75 / 20% Specialty
** After deductible..
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Skyway’s Suite of Affordable Health Care Solutions
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Skyway’s Suite of Affordable Health Care Solutions
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S K Y W A Y — C L E A R I N G T H E W A Y T O H E A L T H C A R E | W W W . S K Y W A Y . H E A L T H C A R E
Switching to a self-funded plan to avoid a $200,000 rate increase seemed frightening, but the Skyway team ensured a seamless transition. SkyCare saved us and our employees thousands of dollars, while delivering excellent care.
– Rob Durham President HKM Direct Market Communications
CASE STUDY: SWITCHING FROM FULLY-INSURED TO SELF-FUNDED PLANS
GO TO MAIN SCREEN
D E C A D E S O F I M P A C T I N P O P U L A T I O N H E A L T H R E S E A R C H A N D P R A C T I C E | H o p k i n s A C G . o r g S K Y W A Y — C L E A R I N G T H E W A Y T O H E A L T H C A R E | W W W . S K Y W A Y . H E A L T H C A R E
OVERVIEWAs part of their benefits package HKM provides health care benefits to their employees, covering 70% of the costs. For many years, health care was offered through traditional insurance companies, meaning that HKM had a “fully-insured” plan. Unfortunately, as most businesses continue to experience, insurance renewal rates were rapidly increasing year after year. When faced with another large rate increase from their insurance company, HKM reached a breaking point.
CHALLENGESThe new rate would increase HKM’s contributions by $16,000-$17,000 per month, which was not only not feasible for this small company, but also represented a real hardship to HKM’s employees. HKM needed a new “outside the box” solution that would allow them to continue providing health care benefits to their employees.
APPROACHWorking with Skyway, HKM learned that switching to a “self-insured” or self-funded plan —with stop-loss protection, they would be able to control health care costs while giving their employees access to greater benefits including a low-deductible plan. HKM opted for Skyway’s SkyCare solution (formerly MetroHealth Select) a customized provider health network option for self-funded employers giving members full access to the Skyway network of top-quality providers.
The Skyway services team ensured that HKM staff selecting SkyCare could seamlessly transition and access the doctors, appointments and services they needed.
RESULTS HKM saw a dramatic 19% reduction in their health care costs, and employees continued to access quality health care services while saving money through lower deductibles. Additionally, those selecting SkyCare had access to the services team guidance and support. HKM worked with a third-party-administrator (TPA) and with the Skyway Population Health Management team to analyze utilization, costs, and to quantify the substantial savings—on average 30-38% lower than other local care providers. Because of the positive experience, the following year HKM decided to make SkyCare the only health care offering for their employees. The cost savings provided HKM with the means to develop an employee wellness program. The Skyway population health management team helped design an award-winning program combining the SkyWell program with a health coach onsite at HKM’s facilities to help employees stay healthy and motivated to make better, healthier decisions.
CA
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HKM Direct Market
Communications is a Cleveland- based business
providing integrated marketing solutions
to customers throughout the United States.
They have approximately 140 employees
and annual revenues of $22 million.
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After close to 10 years of cost control, this year we realized a 7.1% total cost reduction creating a true win-win. The client and Skyway both realized 3% savings, plus split an additional 1.1%
– Tracey JaycoxVice PresidentOswald Companies (Client’s Broker)
USING VALUE-BASED CONTRACTING TO REDUCE COST OF CARE
S K Y W A Y — C L E A R I N G T H E W A Y T O H E A L T H C A R E | W W W . S K Y W A Y . H E A L T H C A R E
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D E C A D E S O F I M PA C T I N P O P U L AT I O N H E A LT H R E S E A R C H A N D P R A C T I C E | H o p k i n s A C G . o r g
OVERVIEWA local governmental agency offering several traditional insurance health care options to close to 6,000 of their employees also has a direct-to-provider relationship with a local health system and the Skyway network. SkyCare (formerly known as MetroHealth Select) is one of the options provided through this longstanding relationship, and 48% of eligible employees select it to receive great quality care, at a lower cost.
CHALLENGESLike many other governmental agencies, this client needed to make strategic financial moves to manage budgetary challenges. As their health care partner, Skyway sought to create an innovative solution to avoid a previously agreed upon 3% provider rate increase.
APPROACHThe Skyway population health team worked with the client’s broker and used the total cost of care methodology to predict future health care spend. Based on this forecasting, Skyway offered to keep the client at their current fee-for-service rate and added a value-based contract in the form of a shared savings agreement. In this shared savings model, by taking some of the risk and obligation to control costs, Skyway would recover the first 3% below the determined health care spend, the client would recover the second 3% of health care spend, and both parties would equally split anything over 6%.To achieve this the Skyway team—part of the MetroHealth Population Health Innovation Institute—provided intense disease management and care coordination with a dedicated team which included a care coordinator and a care navigator. Additionally, a Skyway member liaison specialist assisted members to select a primary care provider and to access other MetroHealth providers they needed.
RESULTS Using risk scoring to better manage the employee population, Skyway created a workable solution that generated real savings for the client. Through care coordination, Skyway reduced the client’s total cost of careby increasing primary care visits, which in turn reduced express care, specialist care, and emergency department visits. Most importantly, patient satisfaction was extremely high with 84% of those surveyed indicating that they would “definitely recommend” their care provider.Working together—as a true partnership—Skyway and the client shared in their respective 3% savings plus split an additional 1.1%. Overall, they realized a 7.1% total cost reduction creating a win-win for both the employer and the MetroHealth System. These results exemplify what a true direct employer-provider relationship with Skyway can do.
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SKYWAY
With more
than 25 clients
in Northeast
Ohio—from
municipalities
and universities
to small
businesses—
covering close
to 25,000
member lives,
Skyway was
designed to
offer top-quality
care coverage
options,
customized
to meet your
business needs
while creating a
vibrant, healthy
community.
S K Y W A Y — C L E A R I N G T H E W A Y T O H E A L T H C A R E | W W W . S K Y W A Y . H E A L T H C A R E
GO TO MAIN SCREEN
Benefits Fixed costs for primary care needs and more.
Priced to provide tremendous value of services to patients and their families — especially those that may require multiple care visits (chronic disease management, children well/sick visits).
Simplistic, upfront pricing.
Providing the right care, in the right place, at the right time.
Access to preferred Skyway pricing for other needed services, creating even more savings!
Three tiers of primarycare membership plans
SM
S K Y C A R E D I R E C T
GO TO MAIN SCREEN
Visit www.skyway.healthcare/direct
SM
S K Y C A R E D I R E C T
Primary Care Visits – Internal Medicine, Pediatrics, Med/Peds, Family Med, Express Care, Retail (DrugMart) Up to 3^ Up to 3^ Up to 4^
Routine age-appropriate immunizations and vaccines^# Covered Covered Covered
Screening Mammogram including Tomosynthesis # Covered Covered Covered
Cervical Cancer Screen*# Covered Covered Covered
Complete Blood Count Annually Annually Annually
Lipid Panel Annually Annually Annually
Basic Metabolic Panel Annually Annually Annually
Thyroid Panel Annually Annually Annually
Hepatic Function Panel Annually Annually Annually
Hemoglobin A1c Up to 2 Up to 2 Up to 2
Iron level Annually Annually Annually
Prostate specific antigen (PSA)# Annually Annually Annually
Vitamin D level Annually Annually Annually
Urinalysis Annually Annually Annually
Hepatitis C Screening# Covered Covered Covered
Sexually-transmitted disease screening Covered Covered Covered
Lead Screening (in children)# Covered Covered Covered
Venipuncture (required for screening services) Included Included Included
Bone Density Scan# Not Covered Included Included
Screening Colonoscopy# Not Covered Covered Covered
Basic X-ray Not Covered 1 3
^ For members under 2 years old, well-child visits will be covered according to the American Academy of Pediatrics guidelines. Therefore, these member may have up to 6 visits covered in the Preferred and Premium tiers, and up to 8 visits in the Platinum tier.
* Cervical cancer screens done by a gynecologist will be covered as long as performed during a coded preventive visit.
# Indicated by age appropriate guidelines and testing frequencies. For more information, visit www.cdc.gov/vaccines/index/html
Other diagnostic services, not listed above, including imaging and pathology, will not be covered under this plan but will be provided at preferred discount pricing.
Pending other insurance coverage, additional services needed will be provided at preferred discount pricing. Some notable excluded services: emergency medicine, maternity care, specialty providers, surgical services, physical/occupational therapy, speech therapy, dental care and inpatient services.
Payment is due on/before the 7th of the month, or $10 late fee will be assessed. Requires 12-month coverage commitment with one-time registration fee.
Preferred Premium Platinum
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Customized Employer Wellness Solutions
SkyWell is one of the health and wellness products developed by Skyway Health Solutions, part of The MetroHealth System
• Designed exclusively to fit your company using best practices and the latest innovations
• Dedicated team of doctors and certified corporate wellness specialists*
• Award-winning wellness strategies to lower costs and retain healthier employees
• Sophisticated personal wellness portal with resources and mobile app
Includes: • Strategic wellness plan development,
implementation and monitoring
• Creative personal/team challenges for well-being and lifestyle improvement
• Engagement-driven incentives
• Real-time measurement, monitoring and reporting
“The SkyWell product was the key to the success of our newly implemented Well-ness Program at John Carroll University.
The support you receive from the team is phenomenal, and the portal tool is customizable to allow for the marketing of many events.
I highly recommend SkyWell to any company who wants to take wellness to a new level!”
L.S. Assistant Director, Human Resources John Carroll University
*Modeled after MetroHealth’s wellness program with 6,000+ employees which has maintained a positive return on in-vestment since 2012 with high employee participation
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Skywell is modeled after MetroHealth’s
Award-Winning Program • 2018 Healthy Gold Award from the Ohio
Department of Health and the Healthy Ohio Business Council is the third gold award for the MetroHealthy employee wellness program.
• 79% of benefit-eligible employees participated, a 3% increase from 2017, and over 1,000 spouses participated
• Sick Hour Use Trends: Over 4 years, continuous participants on average used 23% fewer sick hours than non-participants
• Significantly increased rates of healthier be-haviors per online health assessment data over the last 5 years, especially in the areas of nutri-tion, stress management, sleep and tobacco cessation
Our first wellness client, HKM Direct Market Communications, started their wellness program with SkyWell three years ago as has already achieved two Healthy Bronze Awards from the Ohio Depart-ment of Health and the Healthy Ohio Business Council. This award recog-nizes Ohio employers who demonstrate a commit-ment to employee wellness through compre-hensive worksite health promotion and wellness programs encouraging em-ployee health, enhancing productivity and ensuring a healthy work environment.
John Carroll University achieved a Healthy Silver Award in their second year with Skywell and the Cuyahoga Metropolitan Housing Authority achieved a Certificate of Recognition.
For a complimentary wellness assessment or more information, call us at 440-592-1120 Visit skyway.healthcare/wellness
Enhance Your Approach with: • On-site health & safety workplace assessment
• Certified health coaches to guide and motivate employees
• Biometric screenings and flu shot events
• Population health management services
• Health talks and health fairs
Award Winning Results for Clients
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Network Locations
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For a current listing of health centers and physician nearest you, please visit metrohealth.org/locations and lakehealth.org/locations
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Health Center with MetroExpressCare
Lake Health
Health Center with Pharmacy
Discount Drug Mart
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MetroHealth Medical Center, Main CampusMetroHealth Medical Center, Cleveland HeightsMetroHealth Medical Center, Old BrooklynMetroHealth Medical Center, Parma
Beachwood Health Center
Bedford Medical Offices
Brecksville Health and Surgery CenterBroadview Heights Sports Medicine and Physical Therapy
Broadway Health Center
Brooklyn Health Center
Brunswick Health Center
Buckeye Health Center
Lyndhurst Health Center
Medina Health Center
Middleburg Heights November Family Health Center
Parma Health Center
Physical Therapy at West Shore Family YMCA
Rocky River Medical Offices
State Road Family Practice
West 150th Health and Surgery Center
West Park Health Center
Westlake Health Center at Crocker Park
J. Glen Smith Health Center
Thomas F. McCafferty Health Center
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North Royalton
Olmsted Falls
Parma Heights
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MetroHealth at Discount Drug Mart
Health Centers
Medical Centers
Operating in conjunction with Cleveland Department of Public Health (in partnership w/ city of Cleveland):
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Lake Health
Chardon Campus
Continuing Care Campus
Madison Campus and 24/7 ER
Mentor Campus
Brunner Sanden Deitrick Wellness Campus and LiveHealthy fitness center
Perrico Health Campus
SOM Center Campus
TriPoint Medical Center
West Medical Center
Willowick Campus
SM
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6. MetroHealth Bedford Medical Offices
19999 Rockside Road, Bedford, OH 44146
216-524-7377
Pharmacy: 216-957-MEDS (6337)
7. MetroHealth Brecksville Health & Surgery Center
9200 Treeworth Blvd. Brecksville, OH 44147
216-957-9000
Pharmacy: 216-957-MEDS (6337)
8. MetroHealth Broadview Heights Sports Medicine and Physical Therapy
Cleveland Sports Institute 1 Eagle Valley Court, Suite 204 Broadview Heights, OH 44147
216-957-7678
9. MetroHealth Broadway Health Center
6835 Broadway Ave., Cleveland, OH 44105
216-957-1500
MetroExpressCare 216-957-1680 for minor illnesses and injuries
Dental: 216-957-1850
Pharmacy: 216-957-MEDS (6337)
10. MetroHealth Brooklyn Health Center
5208 Memphis Ave., Cleveland, OH 44144
216-398-0100
11. MetroHealth Brunswick Health Center
1299 Industrial Parkway North Suite 250 Brunswick, OH 44212
216-957-1450
12. MetroHealth Buckeye Health Center
2816 East 116th St., Cleveland, OH 44120
216-957-4000
Pharmacy: 216-957-MEDS (6337)
13. MetroHealth Lyndhurst Health Center
Brainard Place Medical Center 29001 Cedar Road, Suite 518 Lyndhurst, Ohio 44124
216-778-5791
14 MetroHealth Medina Health Center 111 W Reagan Parkway
Medina, Ohio 44256
330-725-6226
15. MetroHealth Middleburg Heights November Family Health Center
7800 Pearl Road Middleburg Heights, OH 44130
216-957-9700
MetroExpressCare 216-957-1680, for minor illnesses and injuries
Pharmacy: 216-957-MEDS (6337)
16. MetroHealth Parma Health Center
6820 Ridge Road, Suite 201 Parma, OH 44129
440-888-3200
17. MetroHealth Physical Therapy at West Shore Family YMCA
1575 Columbia Road Westlake, OH 44145
216-778-4414
18. MetroHealth Rocky River Medical Offices
20575 Center Ridge Road Rocky River, OH 44116
216-957-3200
You’re Close to Great CareMedical Centers1. MetroHealth Medical Center,
Main Campus 2500 MetroHealth Dr., Cleveland, OH 44109
216-778-7800
Pediatric MetroExpressCare 216-957-1680 for minor illnesses and injuries
Dental: 216-957-1850
Pharmacy: 216-957-MEDS (6337)
2. MetroHealth Medical Center, Cleveland Heights
10 Severance Circle Cleveland Heights, OH 44118
216-524-7377
Pharmacy: 216-957-MEDS (6337)
Emergency Department 216-957-0900
3. MetroHealth Medical Center, Old Brooklyn
4229 Pearl Road, Cleveland, OH 44109
216-957-2000
Senior Health Outpatient Program: 216-957-2100
MetroHealth Rehabilitation Institute of Ohio: 216-957-3500
Pharmacy: 216-957-MEDS (6337)
Prime 55+ Program: 216-957-2800
4. MetroHealth Medical Center, Parma 12301 Snow Road, Parma, OH 44130
216-524-7377
Pharmacy: 216-957-MEDS (6337)
Emergency Department 216-957-0900
Health Centers5. MetroHealth Beachwood
Health Center 3609 Park East Dr., 3rd Floor
North Building, Beachwood, OH 44122
216-957-9959
MetroExpressCare 216-957-1680 for minor illnesses and injuries
MetroHealth is home to Cuyahoga County’s most experienced Level I Adult Trauma Center and Level II Pediatric Trauma Center, and is one of two verified adult and pediatric burn centers in the state of Ohio.
Every year, The MetroHealth System sees more than one million patients at its main campus hospital and network of more than 20 locations throughout the county. MetroHealth also provides care at four Discount Drug Marts and at more than 40 additional sites in Cuyahoga County through community partnerships such as the School Health program with the Cleveland Metro-politan School District.
MetroHealth’s mission is, “Leading the way to a healthier you and a healthier community through service, teaching, discovery and teamwork.”
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19. MetroHealth State Road Family Practice
12744 State Road North Royalton, OH 44133
440-582-1484
20. MetroHealth West 150th Health and Surgery Center
4330 West 150th St., Cleveland, OH 44135
216-251-6990
21. MetroHealth West Park Health Center
3838 West 150th St., Cleveland, OH 44111
216-957-5000
MetroExpressCare 216-957-1680 for minor illnesses and injuries
22. MetroHealth Westlake Health Center at Crocker Park
38 Main St., Suite 300, Westlake, OH 44145
216-957-3200
Operating in conjunction with the Cleveland Department of Public Health (in partnership with the city of Cleveland):
23. J. Glen Smith Health Center 11100 St. Clair Ave.
Cleveland, OH 44108
216-957-5600
24. Thomas F. McCafferty Health Center
4242 Lorain Ave. Cleveland, OH 44113
216-957-4848
Physicians and staff speak English and Spanish.
MetroHealth at Discount Drug Mart25. Independence, OH 44131
6160 Brecksville Road 216-524-1835
26. North Royalton, OH 44133 5500 Wallings Road 216-230-9100
27. Olmsted Falls, OH 44138 8191 Columbia Road 440-235-8787
28. Parma Heights, OH 44130 6476 York Road 440-845-6800
metrohealth.org/discount-drugmart
METROHEALTH EXPRESS CARE AND WALK-IN CLINICSMetroExpressCare centers and MetroHealth walk-in clinics are convenient solutions when you or your family needs immediate attention for a minor illness or injury – even during weekends and evenings.
METROEXPRESSCAREDo you have a broken bone? Is it strep throat? X-ray and lab services are available at each location.
MetroExpressCare locations are great for conditions that require attention sooner than a regular appointment with your doctor but are NOT life-threatening. These may include minor burns, cuts, scrapes, sprains and strains, minor allergic reactions, fever or flu.
MetroExpressCares are available at our Beachwood, Broadway, Middleburg Heights and West Park locations. For more information, hours at each location and to check wait times, visit metrohealth.org/expresscare.
DISCOUNT DRUG MART LOCATIONSMetroHealth locations inside Discount Drug Marts are ideal for minor illnesses, work and school physicals and more.
Locations are found in Independence, North Royalton, Olmsted Falls and Parma Heights.
Services are available seven days a week. Appointments aren’t required – just walk in. For more information, hours at each location or to schedule a spot ahead online, visit metrohealth.org/discount-drugmart.
PRIMARY CARE WALK-IN CLINICSWalk-in primary care services are available at the following MetroHealth locations:
• Buckeye (Cleveland) – adults only
• Medina
• Middleburg Heights – children only
• Rocky River – adults only
• Westlake
Visit metrohealth.org/locations for more information
METROHEALTH PHARMACYWith locations across Cuyahoga County, MetroHealth pharmacies offer excellent value and conve-nience for our patients and the entire community. We fill prescriptions from MetroHealth and non-MetroHealth providers. Pharmacies are available at the following MetroHealth locations:
• Bedford
• Brecksville
• Broadway (Cleveland)
• Buckeye (Cleveland)
• Cleveland Heights
• Main Campus (Cleveland)
• Middleburg Heights
• Old Brooklyn (Cleveland)
• Parma
Why pay more for your prescriptions?MetroHealth Mail Order Phar-macy is the easiest and most cost-effective prescription option available! One phone number for all your pharmacy needs:
216-957-MEDS (6337)
Manage and refill your exist-ing prescriptions online at metrohealth.org/pharmacy
Download the pharmacy app.
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29. Chardon Campus 510 Fifth Avenue Chardon, OH 44024
440-286-8908
Services include: urgent care for non-life threatening injuries and illnesses, X-ray, lab, Lake Health Physician Group Chardon Family Practice and Lake Health Physician Group Chardon Pediatrics.
30. Continuing Care Campus 10977 Capital Parkway Concord Township, OH 44077
Center for Comprehensive Rehabilitation 440-953-6251
Inpatient facility providing rehab nursing and physical, occupational and speech therapy to patients with a wide variety of physical disabilities.
Center for Geriatric Psychiatry 440-918-6366
Inpatient facility treating a variety of medical problems in conjunction with a primary psychiatric diagnosis for those ages 65 and older who are experiencing serious emotional difficulties.
31. Madison Campus and 24/7 ER 6270 North Ridge Road Madison, OH 44057
Campus: 440-428-6800
ER: 440-428-0280
Services include: 24/7 emergency room, X-ray, CT scan, ultrasound, lab, physical therapy, Lake Health Physician Group Madison Family Practice and Lake Health Physician Group Madison Pediatrics.
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32. Mentor Campus 9485 Mentor Avenue Mentor, OH 44060
440-974-6800
Services include: Lab; X-ray; MRI; CT Scan; PET/CT Scan; bone densitometry; digital mammography; core breast biopsy; same-day surgery; Lake Health/University Hospitals Seidman Cancer Center; and physician offices, including internists, obstetricians/gynecologists, and pediatricians, along with a broad range of specialists.
33. Brunner Sanden Deitrick Wellness Campus and LiveHealthy fitness center 8655 Market St. Mentor, OH 44060
Services include: medically based fitness center; urgent care for non-life threatening injuries and illnesses; X-ray; lab; open MRI; physical therapy; sports medicine; occupational services; integrative medicine; and Lake Health Physician Group Mentor Family Practice.
34. Perrico Health Campus 4176 State Route 306 Willoughby, OH 44094
Services include: Lake Health Physician Group Women’s Health Specialists, internal medicine, X-ray, digital mammography, 3D mammography, lab, ultrasound, bone densitometry, and physical therapy.
LocationsVisit lakehealth.org for more information and directions. To schedule an imaging, lab or physical therapy appointment, call 866-652-5253. For general questions, call the Best of Health Line at 440-953-6000.
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35. SOM Center Campus 5105 SOM Center Road Willoughby, OH 44094
Services include: X-ray; lab; and physician offices, including primary care, general surgery, rheumatology, obstetrics and gynecology and pain management.
36. TriPoint Medical Center 7590 Auburn Road Concord Twp., OH 44077
440-375-8100 Open 24 hours
Pharmacy: 440-375-8790
Services include: 24/7 emergency room; 119 private patient rooms; family birthing unit; state-of-the-art surgical services; advanced diagnostic imaging including 3D ultrasound, 64-slice CT scan, high-field MRI with 3D imaging, digital mammography, 3D mammography, fluoroscopy, nuclear medicine and X-ray; lab; comprehensive rehabilitation services; and physician offices, including family practitioners, obstetricians/gynecologists and a broad range of specialists.
37. West Medical Center 36000 Euclid Avenue Willoughby, OH 44094
440-953-9600 Open 24 hours
Pharmacy: 440-375-8790
Services include: 24/7 emergency room; 268 patient rooms; family birthing unit; state-of-the-art surgical services, including robot-assisted surgery, open-heart surgery and bariatric surgery; advanced diagnostic imaging including 3D ultrasound, 64-slice CT scan, high-field MRI with 3D imaging, digital mammography, 3D mammography, fluoroscopy, nuclear medicine and X-ray; lab; comprehensive rehabilitation services; and physician offices, including a broad range of specialists.
38. Willowick Campus 29804 Lakeshore Boulevard Willowick, OH 44095
440-585-3322
Services include: urgent care for non-life threatening injuries and illnesses, X-ray, lab, occupational services and Lake Health Physician Group Primary Care.
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