Providence Health Plan

AS EXPRESSIONS OF GOD'S HEALING LOVE, WITNESSED THROUGH THE MINISTRY OF JESUS, WE ARE STEADFAST IN SERVING ALL, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE.

SEE SCHEDULE OPROVIDENCEAT PROVIDENCE, WE USE OUR VOICE TO ADVOCATE FOR VULNERABLE POPULATIONS AND NEEDED REFORMS IN HEALTH CARE. WE PURSUE INNOVATIVE WAYS TO TRANSFORM HEALTH CARE BY KEEPING PEOPLE HEALTHY, AND MAKING OUR SERVICES MORE CONVENIENT, ACCESSIBLE AND AFFORDABLE FOR ALL. IN AN INCREASINGLY UNCERTAIN WORLD, WE ARE COMMITTED TO HIGH-QUALITY, COMPASSIONATE CARE FOR EVERYONE - REGARDLESS OF COVERAGE OR ABILITY TO PAY. WE HELP PEOPLE AND COMMUNITIES BENEFIT FROM THE BEST HEALTH CARE MODEL FOR THE FUTURE - TODAY.TOGETHER, OUR 120,000 CAREGIVERS (ALL EMPLOYEES) SERVE IN 52 HOSPITALS, 1,085 CLINICS AND A COMPREHENSIVE RANGE OF SERVICES ACROSS ALASKA, CALIFORNIA, MONTANA, NEW MEXICO, OREGON, TEXAS AND WASHINGTON. THE PROVIDENCE FAMILY INCLUDES:-PROVIDENCE ACROSS SEVEN WESTERN STATES-COVENANT HEALTH IN WEST TEXAS-PROVIDENCE FACEY MEDICAL FOUNDATION IN LOS ANGELES, CA-HOAG MEMORIAL HOSPITAL PRESBYTERIAN IN ORANGE COUNTY, CA-KADLEC IN SOUTHEAST WASHINGTON-PACIFIC MEDICAL CENTERS IN SEATTLE, WA-SWEDISH HEALTH SERVICES IN SEATTLE, WAREALIZING OUR MISSIONTO DELIVER TRUE HEALTH TO OUR MEMBERS, PHP FOCUSES ON INNOVATION, PERSONALIZED MEDICINE, COLLABORATION AMONG DIVERSE PARTNERS, AND STABILITY. PHP ALSO PARTICIPATES IN HEALTH MEASUREMENT PROGRAMS, INCLUDING HEALTHCARE EFFECTIVENESS DATA AND INFORMATION SET (HEDIS),WHICH ALLOW US TO BENCHMARK OUR CARE AND SERVICE, AND IMPLEMENT A TARGETED APPROACH TO IMPROVING MEMBER HEALTH AND SERVICE. PHP'S OREGON COMMERCIAL LINE OF BUSINESS RECEIVED A 4.0 RATING FROM THE NATIONAL COMMITTEE FOR QUALITY ASSURANCE (NCQA) FOR THE 2021-2022 RATINGS. PROVIDENCE CONTINUES TO BE RECOGNIZED AS THE HIGHEST RATED COMMERCIAL PPO PLAN IN OREGON. FOR PLAN YEAR 2021, PHP'S OREGONEXCHANGE LINE OF BUSINESS RECEIVED A 4.0 RATING FOR THE QUALITY RATING SYSTEM (QRS).PROVIDENCE OFFERS PROVIDENCE ADMINISTRATIVE SERVICES ONLY (ASO) FOR LARGE GROUPS CAPABLE OF SELF-FUNDING THE RISK EXPERIENCE OF THE GROUP, BUT ALSO WANT THE DEDICATED AND COMPASSIONATE SERVICE THAT PROVIDENCE DELIVERS FOR CLAIMS ADMINISTRATION, MEMBER SERVICE, AND SKILLED MEDICALMANAGEMENT. ASO GROUPS ARE OFFERED OPTIONS FOR A WIDE ARRAY OF PLAN BENEFITS, INCLUDING PREVENTATIVE CHOICES AIMED AT IMPROVING EMPLOYEE HEALTH AND WELLNESS, ALTERNATIVE CARE, GROUP HEALTH REPORTING AND METRICS, ACCESS TO PROVIDENCE PROVIDER NETWORKS AND PROPRIETARY HEALTHINNOVATIONS, AND CONSUMER CHOICE PLANS WHICH OFFER QUALIFIED HEALTH SAVINGS ACCOUNT (HSA) OPTIONS. GRANTS AND ALLOCATIONS TO 501(C)(4) ORGANIZATIONS: SEE SCHEDULE IAT PROVIDENCE, RESPONDING TO COMMUNITY NEEDS, ESPECIALLY IN TIMES OF CRISIS, HAS ALWAYS BEEN AT THE HEART OF THE HEALING CARE PROVIDED BY OUR FAMILY OF ORGANIZATIONS. PROVIDENCE HEALTH PLAN'S PRIORITY REMAINS THE HEALTH OF OUR MEMBERS AND OUR COMMUNITIES. - IN NOVEMBER OF 2021, PROVIDENCE DISTRIBUTED $110K IN DONATIONS TO 11 PRIMARY CARE GROUPS WHO WERE SELECTED AS PROGRAM CANDIDATES. OF THOSE GRANT RECIPIENTS, FIVE WERE RURAL PROVIDER CLINICS AND SIX WERE HIGH-NEED PEDIATRIC PROVIDERS LOCATED IN THE PORTLAND METRO AREA.THE GRANT FUNDING OFFERED KEY ASSISTANCE TO THESE RECIPIENTS, MAKING EFFORTS TO BOOST VACCINATION RATES MORE ROBUST. WITH THE GRANT AID, CLINICS WERE ABLE TO: - INCREASE OFFICE HOURS AND EXPAND WEEKEND AVAILABILITY, OPENING VACCINATION ACCESS TO MANY INDIVIDUALS RESTRICTED BY WORKING HOURS. - OPEN AND EXPAND MOBILE CLINICS, AS WELL AS CLINICS BASED OUT OF SCHOOLS. - IMPROVE THEIR OUTREACH STRATEGY TO INFORM LOCAL COMMUNITY MEMBERS ABOUT AVAILABLE VACCINATION OPTIONS. - IMPROVE THEIR VACCINE STORAGE THROUGH ADDITIONAL REFRIGERATION UNITS. LOCAL COMMUNITIES:- IN THE SECOND YEAR OF THE GLOBAL COVID-19 PANDEMIC, PROVIDENCE PRIORITIZED EASY ACCESS TO TESTING AND VACCINATION IN UNDERSERVED COMMUNITIES, BECOMING ONE OF THE FIRST PLANS TO WAIVE THE COST SHARES ASSOCIATED WITH COVID-19. OUR STEADFAST CAREGIVERS HAVE CONTINUALLY EMBRACED VIRTUAL AND DISTANCING SOLUTIONS WHILE ALSO SERVING TIRELESSLY AT THE FRONTLINES IN CLINICS AND HOSPITALS.O SUCCESSFUL TARGETING OF VULNERABLE POPULATIONS WITH OVER 92% OF MEMBERS AGE 80+ AND OVER 88% OF MEMBERS AGE 65-79 VACCINATED.O COST-SHARING FOR TREATMENT OF COVID-19 WAS WAIVED FOR COMMERCIAL INSURED MEMBERS DURING IN-NETWORK INPATIENT, OUTPATIENT, FACILITY, AND PROFESSIONAL VISITS. O PROVIDENCE WAIVED ALL COST-SHARING FOR TESTING SERVICES RELATED TO COVID-19.O TELEHEALTH PROVIDER POLICIES CONTINUED TO EXPAND, REDUCING BARRIERS TO CARE AND ALLOWING MEMBERS TO SEE PROVIDERS MORE QUICKLY. - AS PART OF THE PROVIDENCE MISSION TO LIFT UP OUR MOST VULNERABLE MEMBERS, WE CREATED A COVID-19 GRANT PROGRAM IN OCTOBER 2021 TO SUPPORT PRIMARY CARE SERVICES IN AREAS WHERE POPULATIONS HAD VERY LOW VACCINATION RATES. WE PERFORMED DIRECT OUTREACH TO ENCOURAGE GRANT APPLICATIONS FROM PRIMARY CARE CLINICS AND FACILITIES THAT:O WERE LOCATED IN COUNTIES WHERE BIPOC VACCINATION RATES WERE BELOW THE OVERALL COUNTY RATE BY 20% OR MORE.O HAD MEMBERSHIP GREATER THAN 1,000 AND THE GROUP'S VACCINATION RATES WERE MORE THAN 10% BELOW THE STATE AVERAGE.O WERE LOCATED IN A COUNTY WHERE THE VACCINATION RATE WAS MORE THAN 10% BELOW THE STATE AVERAGE.- CONTINUED COST SHARING FOR COMMERCIAL INSURED MEMBERS FOR TREATMENT OF COVID-19 WAS WAIVED FOR IN-NETWORK INPATIENT, OUTPATIENT, FACILITY AND PROFESSIONAL VISITS.- PHP WAIVED ALL COST SHARING FOR TESTING SERVICES RELATED TO COVID-19, SUCH AS COPAYS, COINSURANCE, AND DEDUCTIBLES.- OUR TELEHEALTH PROVIDER POLICIES WERE SIGNIFICANTLY EXPANDED TO REDUCE BARRIERS TO CARE AND TO ENCOURAGE THE USE OF TELEHEALTH SERVICES BY OUR MEMBERS AND PROVIDER PARTNERS. WE ALSO ADDED VIRTUAL CAPACITY SO THAT MORE OF OUR PROVIDERS CAN BE SEEN QUICKLY.