Canopy Health Market Update€¦ · • Canopy Health is a single network of alliance partners •...

© 2019 CANOPY HEALTH. PROPRIETARY & CONFIDENTIAL. 888.8.CANOPY | CanopyHealth.com

DENISE VANCE-RODRIGUES

Canopy Health Market Update

1

August 6th, 2019

Vice President of Business Development – Canopy Health

STANLEY WARRENVice President of Sales & Account Management - UnitedHealthcare

HEATHER HENSICSmall Business Sales Executive - UnitedHealthcare

TODAY’S HOSTSDENISE VANCE-RODRIGUESVICE PRESIDENT OF BUSINESS DEVELOPMENT

2© 2019 CANOPY HEALTH. PROPRIETARY & CONFIDENTIAL. 888.8.CANOPY | CanopyHealth.com

INTRODUCTIONS

STANELY WARREN – UNITEDHEALTHCAREVICE PRESIDENT OF KEY ACCOUNTSNORTHERN CALIFORNIA MARKET

HEATHER HENSIC– UNITEDHEALTHCARESMALL BUSINESS SALES EXECUTIVE

AGENDA


Overview of Canopy HealthExpansion into Santa Cruz CountyUnitedHealthcare Partnership UpdateCanopy Health Upcoming EventsLive Q&A

12345


WHO WE ARE• Canopy Health is a single network of alliance partners• Established in 2015• Owned by UCSF Health, John Muir Health, Muir Medical Group IPA, Hill

Physicians, and Meritage Medical Network• Focused on changing healthcare delivery in the Bay Area• We are a licensed HMO in California with a Restricted Knox-Keene

License (we do not sell direct to the market)• We own the risk and pay claims so our doctors work to provide efficient

and effective care• As an alliance, we moderate pricing to pass savings on to members

through lower premiums• Treatment is important, but a member’s overall health and well-being is

paramount• Ultimately, Canopy Health exists to help people effectively manage their

health care


OVERVIEW

HOW WE’VE BEEN SUCCESSFULCanopy Health's Core Value Proposition• Choice of providers and provider organizations with valuable

distinctive characteristics• Seamless & cost-competitive care

Canopy Health's Mission• Canopy Health will improve member health and facilitate partner

growth through a seamless collaboration of independent healthcare organizations

Canopy Health Service Area

HOSPITALS & MEDICAL CENTERS1. Alameda Hospital2. Dignity Health Dominican Hospital3. Dignity Health Sequoia Hospital4. Good Samaritan Hospital 5. Highland Hospital 6. John Muir Medical Center, Concord 7. John Muir Medical Center, Walnut Creek 8. Marin Health Medical Center9. Regional Medical Center San Jose10. Saint Francis Memorial Hospital

11. San Leandro Hospital 12. San Ramon Regional Medical Center 13. Sonoma Valley Hospital 14. St. Mary’s Medical Center15. UCSF Benioff Children’s Hospital Oakland 16. UCSF Benioff Children’s Hospital at Mission Bay 17. UCSF Medical Center at Mission Bay 18. UCSF Medical Center at Parnassus 19. Washington Hospital Healthcare System


WE’VE GOT THE BAY AREA COVEREDOur Medical Groups allow referrals to each other’s specialists, creating a single integrated network. All our doctors, hospitals, and care centers are at your service – no matter where you live, work, or play.

• Dignity Health Medical Network – Santa Cruz (DHMN-SC)• Hill Physicians Medical Group – East Bay, San Francisco, San Mateo, & partial Solano • John Muir Health Physician Network – Alameda, Contra Costa & partial Solano• Meritage Medical Network – Marin & Sonoma• Santa Clara County IPA (SCCIPA) – Santa Clara

EXPANSION INTO SANTA CRUZ COUNTY


NEW MEDICAL GROUP PARTNER

DIGNITY HEALTH MEDICAL NETWORK SANTA CRUZ (DHMN-SC)• Effective 8/1/2019 with UnitedHealthcare SV Advantage• Effective 1/1/2020 with Health Net SmartCare (Large Group)• Largest independent practice association (IPA) of primary care and

specialist physicians in Santa Cruz County• 42 specialties• 90 convenient locations• Owned and led by physicians with a team-based approach to innovative

and inclusive care• Focuses on patients’ access to prevention, care coordination, and

chronic condition management


NEW HOSPITAL PARTNER

DIGNITY HEALTH DOMINICAN HOSPITAL• Effective 8/1/2019 with UnitedHealthcare SV Advantage

• Effective 1/1/2020 with Health Net SmartCare (Large Group)

• Caring for Santa Cruz County community for over 75 years

• Emergency services & certified stroke center

• Only comprehensive Cancer Center in Santa Cruz County

• National recognition for superior patient safety, cardiac care, and

stroke treatment from Healthgrades

REINVENTINGHEALTHCARE



UnitedHealthcare Partnership

Personalized network options to suit your needs.In Northern California, we offer a suite of options to help you meet your cost and provider choice objectives. Options range from traditional network plans to coordinated care alliances to networks designed for additional savings without compromising quality of care.

Northern California Performance Network Optionsfeaturing UnitedHealthcare SignatureValue®

SignatureValue HMO

A traditional HMO plan that includes our

full network of contracted providers. Members choose a

primary care physician to coordinate care.

SignatureValue Advantage

A plan with traditional HMO coverage at a lower premium. Includes a targeted network of

providers, as well as access to Canopy Health.

SignatureValue Alliance

An HMO plan where members choose a

primary care physician from provider groups

selected for their ability to deliver clinically

proven, cost-effective care.

SignatureValue Focus

An HMO plan designed around a customized

network to help keep costs in check. Features access to local provider systems

and community hospitals at a significant savings.

Employers can wrap or pair with additional plans.

UnitedHealthcare SignatureValue® Advantage employees realize additional value with access to Canopy Health. Owned by physicians and hospitals, it is the Bay Area’s largest health care alliance. The nearly 5,0001 Canopy Health providers in the Bay Area work to provide coordinated quality care for employees at a competitive price.

12

A community of care in the Bay Area: Canopy Health.

1. As of 7/2019.

Quality Bay Area coverage with a focus on improving community health.Membership in a UnitedHealthcare SignatureValue®

Advantage plan allows your members access to the Canopy Health alliance.

Once your members select a primary care physician in the alliance, they can be seamlessly referred to the entire Canopy Health network of Bay Area specialists, hospitals, and care centers.

13

physicians1 spanning 5K9 Bay Area

counties1

1. As of 7/2019.

Strategic Partnership with a focus to improve affordability

• Northern California Health Plan

– Enterprise Go to Market Strategy spans all market segments (Small Business, Key Accounts, National Accounts, Public Sector)

– Cross functional UnitedHealthcare and Canopy Health team partner to drive operations efficiencies and producer channel engagement

• Key Accounts Sales Strategy (100-3000)

– Re-invent managed care through Signature Value Advantage /Canopy Health integrated care delivery model

• Expand member choice, elevate engagement and achieve better outcomes

o Automatic quote issuance (population within Canopy Health service area)

o Offer Signature Value Advantage product alongside Select network (full network)

– Affordability

• SG&A improvements yield 8-10% better pricing of 3Q

• Second year rate cap

– Contribution strategy

• Encourage Signature Value Advantage as “Employer Sponsored” plan

• No minimum SVA participation requirement 14

Choice Simplified IV

Anthem Gold Select HMO

0/35

Blue Shield Gold Trio 80- 0/30

Cal ChoiceGold HMO

UnitedHealthcareAdvantage Gold

Virtual Visits

1st three visits no charge; applicable

plan copay thereafter $5 $0 $5

Physician Visit $35 $30 $30 $30

Tier 1 Rx $15 $15 $15 $15

IN Deductible $0 $0 $0 $0

IN OOP $5500 $5750 $7200 $6000

Wellness Membership Discount Membership Discount

Membership Discount $240

Premium $400 $440 $398 $377

Distinctions Limited network pairing Limited networkpairing

No full network PPO, touching tiers

Private exchangethat can wrap with staff model options

as well as lower first dollar benefit

copays, OOP and price point

RA 4 San Francisco Sales Strategy - HMO Advantage


Canopy Health in the Community

• Community Events− Orinda Car Show – September 7th

− Fiesta de Artes – Los Gatos – September 21st

− Lafayette Art & Wine Festival – September 21st

• Industry Events− CAJPA – Lake Tahoe - September 10th – 13th

− CALPELRA – Monterey - November 18th – 22nd

− PASCO – Santa Rosa – September 12th


Q & A

THANK YOU FOR JOINING US!Please let us know if you have any questions.

Canopy Health Market Update€¦ · • Canopy Health is a single network of alliance partners •...

Documents

Transcript of Canopy Health Market Update€¦ · • Canopy Health is a single network of alliance partners •...