Formulary Changes 2012
| Throughout this year and continuing into next year, nearly 15 well-known drugs have or will become available as generics. As an example, Lipitor was the number one selling drug in the United States between 2006 - 2010. We expect the generic form of Lipitor to become available before the end of the year. The third best-selling drug in the same period, Plavix, will become available in generic form in mid-2012.
Core features of our prescription drug program promote the use of generic drugs when appropriate and have allowed us to achieve a generic prescription fill rate of 75.6% compared to an industry average of 71%. These core features include:
- Adding popular brand name medications to Tier One when they become available over-the-counter.
- Incentives in our standard pharmacy riders for members who purchase Tier One medications by mail order - a three month supply for just one copayment.
- Sending letters to our members taking Tier Three drugs alerting them to possible cost savings available if they change to Tier One or Tier Two drugs. Approximately 15% of members who received these letters in 2011 changed their prescriptions.
The list of changes to our formulary that will be effective on January 1, 2012 is available on our website for your review. Feel free to direct any questions you may have to your Account Executive or Account Manager. |
Coventry WellBeing Enhancements
| In November, we are implementing an improved wellness program with valuable new features. Our enhanced program offers more ways to engage employees in their health, as well as greater customization and improved reporting.
More engagement through personalized coaching We will encourage members to take a new health risk assessment (HRA). HRA results become the basis for our new personalized coaching programs. Programs are prioritized to the greatest area of need, with at least nine types of coaching programs available. New tools and trackers help members better monitor their progress, change behaviors and modify health risks.
Greater customization With the updated program, employers will have more flexibility to design an incentive program (both activities and rewards) that meets their needs. You can work with your client and Coventry to create an overall wellness program strategy that includes integrated tools for employees.
Improved reporting Standard reports show participation levels and assess outcomes in several ways. All groups may request activity reports detailing participation. Groups with more than 50 participants may receive a more detailed outcomes report, as well as a comparison to other Coventry business or to the previous year's results.
Watch for more detail on this valuable new program. Meanwhile, if you have questions, please contact your Coventry representative.
|
Vaccine Program Reminder
| As flu season approaches, please remind your clients that their employees may take advantage of our pharmacy vaccine program. Under this program, members may visit participating pharmacies and be vaccinated against the following illnesses.
- Hepatitis A - Havrix, Vaqta
- Hepatitis B - Engerix, Recombivax HB
- Hepatitis A and B - Twinrix
- HPV - Gardasil
- Rabies - Imovax Rabies (HDCV), Rabavert
- Meningitis - Menomune, Menactra
- Tetanus, Diphtheria, Pertussis (Tdap) - Adacel, Boostrix
- Measles - Attenuvax
- Mumps - Mumpsvax
- Rubella - Meruvax II
- Chicken Pox - Varivax
- Shingles/Zoster - Zostavax
- Pneumococcal - Pneumovax
- Influenza - Fluzone, Fluvirin, Fluarix, Flulaval, Afluria
When administered by an employee of the pharmacy, not by a third-party vendor, members will not pay a copayment for these vaccines - they are 100% covered by Coventry Health Care. Some vaccines may require a doctor's prescription. Click here to find a flyer you can share with your clients. |
NCQA's Private Health Insurance Plan Rankings, 2011-2012 - A Commitment to Excellence
| As you know, Coventry Health Care places a great deal of emphasis on the quality of the programs we offer our clients and members. Southern Health Services, Inc. has held an "Excellent" accreditation from NCQA since 2003. We continue to try to find ways to improve the quality of care our members receive. Recently, NCQA published its annual review of HEDIS scores through the online tool, Quality Compass. We are excited to be recognized as number 55 in the country out of 390 ranked plans for our commercial line of business. This is an improvement in our national ranking from 76 to 55.
|
Reminder - Small Group Quote Request Form
|
Please remember to include the Small Group Quote Request Form along with your requests for a proposal. You can find the form on our website in the Broker Tool Kit. Please call your Account Executive with any questions you may have.
|
Small Group Health Benefit Solutions - A Guide for Brokers
|
If you have clients with between 2 - 50 eligible subscribers, please feel free to read our newly published Small Group Health Benefit Solutions brochure. This helpful brochure will give you talking points about Coventry Health Care in the local and national market and a clear list of our underwriting guidelines for small employer groups.
|
Never Miss an Issue!
| |
Remember seeing something in a past newsletter, but didn't keep the email? Not a problem anymore!
Past issues of the Broker News Flash, beginning with January 2008, are now archived for easy access. Click on the link below and be directed to our past issues.
Broker Newsletter Archive |
Safe Senders
| |
If you are not receiving emails notifying you that a new commission statement is available, please check to make sure that the address below is in your "safe senders" list. You may also use this address to send questions about your commissions.
|
| | Coventry Health Care and Southern Health are registered trade names of Southern Health Services, Inc., a Virginia HMO. PPO products are underwritten by Coventry Health and Life Insurance Company and administered by Southern Health Services, Inc. in Virginia. |
|
 |
Charlottesville Office:
434.951.2500
Richmond Office:
804.747.3700
|
|
