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Covered California Qualified Health Plans 2021 Plan Updates

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Covered California Qualified Health Plans 2021 Plan Updates Welcome Covered California Qualified Health Plans 2021 Plan Updates Breakout Room #1 April 20, 2021 WEBINAR HOUSEKEEPING The agenda, breakout room links and troubleshooting guide can be found at https://hbex.coveredca.com/toolkit/webinars-briefings/. • All participants will be in listen-only mode. Participants • Questions for presenters can be sent to [email protected] . Dial in by phone: • Any questions not answered during the webinar will be addressed in an 1-669-900-6833 FAQ which will be sent to all registrants approximately two weeks after the Meeting ID: event. 823 6574 4243 • Today’s virtual meeting will be recorded and sent via agent and community partners alerts • The recording will also be available in two to three business days via https://hbex.coveredca.com/toolkit/webinars-briefings/. Refer to the Zoom Troubleshooting Guide found in your Eventbrite email or Technical http://www.hbex.coveredca.com/troubleshoot . Email the Outreach & Sales team at Difficulties [email protected]. 2 KAISER PERMANENTE George N. Papacalos Senior Sales Executive, Small Business 3 A BETTER WAY TO TAKE CARE OF BUSINESS The coronavirus pandemic — we’re built for this 4 | Copyright © 2020 Kaiser Foundation Health Plan, Inc. KAISER PERMANENTE’S RESPONSE TO COVID-19 A BETTER WAY TO TAKE CARE OF BUSINESS Leveraging our strengths to keep delivering high-quality care Telehealth Testing and care Communication . Massive increase in telehealth . Covering all COVID-19 . Sending out timely visits testing, diagnosis, and communications to our treatment at no cost for members and groups . Using virtual visits for more our members than 80% of all care visits . Strategically redeploying our systemwide* . Ensuring long-term access staff and resources where to care through a national most needed — and to better . Expanding our mail-order command center protect our front-line workers pharmacy capacity *Kaiser Permanente internal data as of April 30, 2020. 5 | Copyright © 2020 Kaiser Foundation Health Plan, Inc. A BETTER WAY TO TAKE CARE OF BUSINESS A BETTER WAY TO TAKE CARE OF BUSINESS Telehealth 6 | Copyright © 2020 Kaiser Foundation Health Plan, Inc. CARE CHANNELS An integrated virtual E-Visits care ecosystem will Video combine multiple virtual In Person Care and physical modalities and be powered by a Guided highly personalized, Phone Navigation easily accessible digital front-door to self-guide Remote Chat with a across the virtual and Diagnostics provider physical care continuum Short term Connected Medium term Devices/Wearables Long term 7 | Copyright © 2020 Kaiser Foundation Health Plan, Inc. KAISER PERMANENTE’S RESPONSE TO COVID-19 A BETTER WAY TO TAKE CARE OF BUSINESS Telehealth powered by the world’s largest Electronic Health Record While other providers struggled to respond to the increased demand for telehealth services, we ramped up our virtual care offerings quickly and effectively. Powered by the world’s largest civilian electronic health record system, we can: . Continue providing convenient, high-quality care for our members without COVID-19 . Keep our care teams connected as they provide in-person care and fight COVID-19 8 | Copyright © 2020 Kaiser Foundation Health Plan, Inc. KAISER PERMANENTE’S RESPONSE TO COVID-19 A BETTER WAY TO TAKE CARE OF BUSINESS Expanding mail-order pharmacy access Percent of total prescriptions filled by mail February 2020 March 2020 29% 52% 2.2 million Rx 3.6 million Rx filled by mail filled by mail Source: Internal Kaiser Permanente data. 9 | Copyright © 2020 Kaiser Foundation Health Plan, Inc. KAISER PERMANENTE’S RESPONSE TO COVID-19 A BETTER WAY TO TAKE CARE OF BUSINESS A safe and convenient pharmacy experience We’re encouraging our members to use convenient mail-order options for most prescriptions. But when they need in-person service, we’re keeping them safe: . Greeters prescreen patients and provide masks to those who need them . Increased cleanings at all pharmacies and plexiglass sneeze guards at our counters . Curbside pickup at select pharmacies for COVID-19 patients and other immunocompromised patients . Doctor-designated home delivery of urgent medications for COVID-19 patients 10 | Copyright © 2020 Kaiser Foundation Health Plan, Inc. KAISER PERMANENTE’S RESPONSE TO COVID-19 A BETTER WAY TO TAKE CARE OF BUSINESS Wellness tips for health at home at thrive.kp.org Our Thrive Together site offers articles and videos to help members stay healthy, practice self-care, and navigate the disruptions to their everyday lives. 11 | Copyright © 2020 Kaiser Foundation Health Plan, Inc. KAISER PERMANENTE’S RESPONSE TO COVID-19 A BETTER WAY TO TAKE CARE OF BUSINESS No-cost digital tools for mental health and wellness Particularly during the COVID-19 crisis, we’ve made a commitment to offer members even more innovative ways to promote personal health and wellness. That’s why we’ve added 2 new, no-cost digital health apps to our portfolio of self-care tools: myStrength® is a wholly owned subsidiary of Livongo Health, Inc. 12 | Copyright © 2020 Kaiser Foundation Health Plan, Inc. KAISER PERMANENTE’S RESPONSE TO COVID-19 A BETTER WAY TO TAKE CARE OF BUSINESS Kaiser Permanente cited as a model for how to care for customers in times of crisis “An employee opened the door for each customer that entered and exited; another employee greeted me in the waiting room, checked my temperature, and asked if I was experiencing any symptoms; the prescription was filled quickly. They were respectful, courteous, and pleasant, and I felt very cared for.” — Maya Hu-Chan, global leadership expert Source: Hu-Chan, Inc., April 21, 2020. 13 | Copyright © 2020 Kaiser Foundation Health Plan, Inc. “How will Kaiser Permanente distribute vaccines?” Kaiser Permanente’s role in vaccination “Can Kaiser Permanente members get vaccinated outside of Kaiser Permanente “What if I need facilities?” care now?” Copyright © 2021 Kaiser Foundation Health Plan, Inc. All rights reserved. May not be reproduced in any form without the written permission of Kaiser Foundation Health Plan, Inc. • Available vaccines are property of the United “How will Kaiser States government. Permanente distribute • Kaiser Permanente is vaccines?” required to follow federal and state delivery and reporting guidelines. Copyright © 2021 Kaiser Foundation Health Plan, Inc. All rights reserved. May not be 15 Copyrightreproduced © 2021 in any Kaiser form Foundation without the Health written Plan, permission Inc. All of rights Kaiser reserved. Foundation May Healthnot be Plan,reproduced Inc. in any form without the written permission of Kaiser Foundation Health Plan, Inc. Yes. Kaiser Permanente members will be able to get “Can Kaiser Permanente the COVID-19 vaccine at no cost from facilities approved members get as COVID-19 vaccine vaccinated outside providers by their state’s department of health, in of Kaiser Permanente order of prioritization. facilities?” Copyright © 2021 Kaiser Foundation Health Plan, Inc. All rights reserved. May not be 16 Copyrightreproduced © 2021 in any Kaiser form Foundation without the Health written Plan, permission Inc. All of rights Kaiser reserved. Foundation May Healthnot be Plan,reproduced Inc. in any form without the written permission of Kaiser Foundation Health Plan, Inc. For non-emergency issues: • Email your care team • Schedule a telehealth “What if I need appointment care now?” • 24/7 advice line For emergency issues: • Call 911 or go to the nearest hospital Copyright © 2021 Kaiser Foundation Health Plan, Inc. All rights reserved. May not be 17 Copyrightreproduced © 2021 in any Kaiser form Foundation without the Health written Plan, permission Inc. All of rights Kaiser reserved. Foundation May Healthnot be Plan,reproduced Inc. in any form without the written permission of Kaiser Foundation Health Plan, Inc. KAISER PERMANENTE’S RESPONSE TO COVID-19 A BETTER WAY TO TAKE CARE OF BUSINESS Timely updates and comprehensive information at kp.org/coronavirus Your employees can find answers to common questions about their care and coverage during COVID-19, including: . Should I get tested for COVID-19? . How do I get care and prescriptions? . What if I lose coverage? . How can I deal with anxiety about this situation? 18 | Copyright © 2020 Kaiser Foundation Health Plan, Inc. A BETTER WAY TO TAKE CARE OF BUSINESS A BETTER WAY TO TAKE CARE OF BUSINESS Extended Special Enrollment for the American Rescue Plan Act 19 | Copyright © 2020 Kaiser Foundation Health Plan, Inc. A BETTER WAY TO TAKE CARE OF BUSINESS Extended Special Enrollment Period (SEP) Communications Key Communications: • Higher Subsidy Amounts now Available • More people than ever will qualify for subsidies Audience: • Outreach to all existing Off-Exchange members letting them know they may qualify for financial assistance • Advertise to drive awareness with the uninsured regarding American Rescue Plan subsidies • Capture shoppers looking for information about the new subsidies kp.org/choosebetter ©2020 Kaiser Foundation Health Plan, Inc. All Rights Reserved. 20 | Copyright © 2020 Kaiser Foundation Health Plan, Inc. A BETTER WAY TO TAKE CARE OF BUSINESS Facilities Updates 21 | Copyright © 2020 Kaiser Foundation Health Plan, Inc. A BETTER WAY TO TAKE CARE OF BUSINESS Northern California • Spruce Medical Offices (Fresno Service Area) • Opening Spring: • Marshall Medical Offices, Redwood City (South Bay and Peninsula Service Area) • Berkeley Medical Offices (East Bay Service Area) • Southern California • Playa Vista Medical Offices (West Los Angeles Service Area) • Clairemont
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