HealthLink’s competitive edge is evidence by four core strengths:
Broad Network Access
HealthLink delivers broad regional access to contracted providers who have agreed to accept
competitively discounted payments for health services.
HealthLink service areas include:
Arkansas, Illinois, Missouri and Texas; Mid-Atlantic service areas of Maryland, Virginia
and Washington DC; and expansion markets of Ohio and Kentucky. Network development
efforts are underway in Indiana and Wisconsin. HealthLink also provides a national network
solution for clients with enrollees who reside or travel outside the service area.
Competitively Discounted Payments
A disciplined approach to fixed payment methodologies, precise modeling/forecasting of
rate changes and actuarial calculations allows us to establish aggressive pricing targets
by market and product.
Plan Performance Management
Sophisticated rate modeling techniques analyze and evaluate how current market trends,
enrollee demographics and client objectives affect plan design. We make this information
available to you so that you may evaluate your health benefit program and have the
ability to recognize the cost/benefit of changing or adding programs and services
when the time is right.
Stability
HealthLink allocates substantial administrative resources to contracted physicians and
facilities to ensure retention rates well above the market average. Our provider retention
rate of 98% reflects the high levels of satisfaction that have become a HealthLink
standard.
Flexible Plan Options
HealthLink core programs, HealthLink PPO and HealthLink Open Access III (OAIII), can be
integrated into company benefit plans to support any plan design. Clients may purchase
the basic PPO and OAIII program package, add components on a menu basis, or purchase
a comprehensive PPO or OAIII package of programs and specialty components. HealthLink
has the flexibility to work with a wide range of plan administrators. Employers may
choose the plan administrator along with the HealthLink network.
Specialty Programs
HealthLink’s Workers’ Compensation network, CompManagement, helps employers control medical
and related costs associated with work-related illness and injury. Through our affiliation
with WellPoint, HealthLink offers a broad portfolio of other specialty programs, including:
Reinsurance; Life and Disability; Dental; Vision; and Employee Assistance Program.
Cost Mangement
HealthLink’s Health Care Management Program is an extensive suite of health promotion and
wellness information, case management and care coordination services to help physicians
help their patients achieve optimal health outcomes. The program includes three levels
of services: HealthLink Signature; HealthLink Wellness Plus; and HealthLink Personal Care
Resources.
HealthLink Signature Services
Medical Management – HealthLink Medical Management is comprised of two components: Utilization
Management and Case Management.
The URAC-accredited Utilization Management program provides clinical review of the medical necessity for medical care to help clients determine eligibility in accordance with health benefit plan provisions and includes the following components:
HealthLink’s Case Management program is a collaborative process among HealthLink and other health professionals who manage the resources necessary to support individuals with catastrophic or chronic medical conditions. Case Management helps the treating health care professional(s) help the patient achieve optimal and timely medical outcomes.
HealthLink Signature Services also include the following based on a fee-for-service basis:
HealthLink Wellness Plus
The following programs are offered at no charge to the client or member:
The following programs are available on a fee-for-service basis. Please contact a sales
account representative for pricing information:
HealthLink Personal Care Resources
The following value-added electronic member resources are available at no cost to clients
and members:
Administrative Accountability
Administrative Services
HealthLink is committed to supporting your health plan’s benefit administration through
maximum use of technology throughout our organization. We offer fast, efficient electronic
claim repricing, eligibility management, a state-of-the-art customer service response system,
a provider portal and a fully interactive website.
Account Management Services
HealthLink account managers serve as liaison between HealthLink and contracted clients.
They are responsible for the timely resolution of day-to-day service issues. Account
managers also make on-site service visits and compile/present management reports.
Management Reporting
Timely reporting tracks membership, health care services, claims accuracy, payments and
utilization.
HealthLink®, Inc., is an Illinois corporation. HealthLink, Inc. is an organizer of independently contracted provider networks, which it makes available by contract to a variety of payors of health benefits, including insurers, third party administrators or employers. HealthLink has no control or right of control over the professional, medical judgment of contracted providers, and is not liable for any acts or failures to act, by contracted providers. HealthLink, Inc. is not an insurance company and has no liability for benefits under benefit plans offered or administered by payors. HealthLink® is a registered trademark of HealthLink, Inc. and a separately incorporated and capitalized subsidiary of WellPoint, Inc. Any reference in the material to other organizations or companies, including their Internet sites, is not an endorsement or warranty of the services, information or products provided by those organizations or companies. Discount offerings made available by third-party vendors.