HealthSpan | FAQs

Q:

What services does HealthSpan provide?

A:

HealthSpan provides the following services:

Network Access through the HealthSpan Preferred Network includes substantial negotiated savings on hospital, physician and ancillary services.
Complete Care Management Services including Utilization Management, Case Management, Disease Management, Nurse Health Coaching (e-based or telephonic), and On-site Wellness, which includes Health Screening and Health Risk Assessment, and Data Management, including predictive modeling with evidence based medicine protocols.
On-site Wellness Options, which provide the tools to improve employee health and productivity, and assist in controlling the cost of health care expenditures.
Employee Assistance Program (Life Management Systems) provides assessment, brief counseling and referral assistance to the client's employees and their household members regarding all types of personal and emotional concerns. This program provides formal training for compliance with the Ohio Bureau of Workers' Compensation Drug-Free Workplace Program and the U.S. Department of Transportation regulations.

Q:

What is the level of savings that can be realized by the network, HealthSpan Preferred?

A:

HealthSpan offers carrier competitive discounts. Please contact Sales Managers, Chris Crapsey at 513-551-1472 or Diane Oliver at 513-551-1473 for more information.

Q:

If a TPA does not reprice HealthSpan Preferred claims, how is this handled?

A:

The TPA may use their repricing vendor, if approved by HealthSpan, or HealthSpan can direct the client to an approved vendor.

Q:

If we wish to work with a TPA whom HealthSpan does not currently work, how can we make that happen? How much time is needed to set up the relationship?

A:

HealthSpan is open to working with quality TPAs and wants to be sure the relationship will be a positive one. As mentioned before, we ask the TPA to complete an RFI and this information is reviewed by our management team. Setup time is determined by many factors.

Q:

Which networks do you recommend for employers out of your market area or does the TPA arrange that service?

A:

Many TPAs have their own relationships with networks in other markets, be they primary networks, wrap or travel networks. HealthSpan is happy to make a recommendation upon request.

Q:

Is your Care Management required when we recommend the HealthSpan Preferred network?

A:

We believe the best way to impact overall health cost is through a combination of excellent discounts and focused care-management services. Therefore we believe a fully integrated approach best serves our customers. When the client is based in Greater Cincinnati and the majority of employees reside in this market, HealthSpan's Care Management is required.

We understand that some of our TPA partners may also offer Care Management services. We are open to discussing case by case situations when the prospective customer's employee base in largely out of our service area and when unique opportunities are presented.

Q:

Can we market your Care Management services outside of the HealthSpan network geographic area?

A:

Yes, HealthSpan's Care Management services are a stand-alone product and can be utilized nationally.

Q:

Do you offer Wellness services? If yes, what level of services is available? Are these Wellness services sold only with the HealthSpan network, as part of HealthSpan’s Care Management services, or can a Wellness program be sold as a stand-alone option?

A:

HealthSpan offers clients the choice of three HIPAA compliant Wellness options. These options can be purchased with the Network, the Care Management program or on a stand-alone basis.

Please contact one of our Sales Managers to determine which option is the best for your client.

Available features include:

On-site biometric health screenings with blood draw, testing every organ of the body, and includes PSA and thyroid tests
Health Risk Assessment tool available by paper and online
An interactive web site
Confidential employee test results provided online and in hard copies
Employer aggregate report
Nurse/coach follow up
HealthSpan E-Coach

Q:

What are some of the advantages HealthSpan offers the customer?

A:

HealthSpan provides the following advantages to the customer:

Excellent and consistent network stability as evidenced by physician retention of 98%
Strong commitment to health and wellness with solutions and tools that improve the health of our clients' employees
Client is assigned his/her own nurse/health coach who provides members actionable assistance in improving health (i.e., diabetes, weight, smoking cessation) as well as the traditional services of utilization review and case management
Local provider ownership offers a cost-effective option for employers who want responsive service as well as savings
Excellent reputation with employers, brokers, TPAs and providers

Q:

How do I get a quote from HealthSpan for services?

A:

Please contact our Sales Managers, Chris Crapsey at 513-551-1472, lccrapsey@health-partners.org or Diane Oliver at 513-551-1473, dmoliver@health-partners.org.
HealthSpan's Toll-Free number is 888-914-7726.