HealthChoice will pay its members $100 to use a “Select” provider for colonoscopies and sigmoidoscopies in 2016, according to information presented at a public hearing on Sept. 30.
HealthChoice is the insurance product for public employees operated by the state of Oklahoma’s Employee Group Insurance Division (EGID).
EGID is proposing the new Select provider network, which will offer certain services to HealthChoice at a bundled price that includes physician fees. EGID will waive out-of-pocket costs for members that use Select providers. Because colon cancer screening is already covered without cost sharing under the Affordable Care Act, EGID plans to offer bonus cash to members choosing a Select provider for colonoscopy and sigmoidoscopy.
Facilities can view the Select payment rates by logging in to the HealthChoice fee schedule listings page.
EGID intends to add services, including shoulder arthroscopy and CT scans of the head, to the Select program in the second quarter of 2016. Other services, identified by input from members and providers, will be added later in 2016 and beyond. Providers joining the Select program can choose to participate in one or more categories of service under the program. The list of participating Select providers and Select services will be maintained on the HealthChoice website.
A copy of EGID’s presentation at the Select public hearing is available here.
Written comments on the proposal are due Oct. 9. Questions, comments or requests can be faxed to (405) 717-8977, emailed to EGID.NetworkManagement@omes.ok.gov, or mailed to Office of Management and Enterprise Services, E.G.I.D - Network Management, 3545 N.W. 58th St., Suite 110, Oklahoma City, Okla., 73112. (Rick Snyder)
Qualivis was developed as a collaborative effort among multiple state hospital associations to meet the temporary staffing needs of member hospitals and health systems.