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Health plan launches gift card incentive program

August 3, 2015
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Health plan launches cost-calculator tool
The web-based health care Cost Estimator tool can also be accessed via a mobile app. Courtesy Priority Health

A health plan has launched an incentive program to engage members in managing both their finances and health.

Priority Health in Grand Rapids said last week that it has launched PriorityRewards, which rewards members with up to $200 in the form of a Visa gift card for making informed decisions about their care by choosing medical procedures through the use of its web-based Cost Estimator tool, which can also be accessed via mobile app.

How it works

The program is intended to incentivize members to use the cost-calculator tool and access information to choose physicians and facilities that offer services at or below fair-market price.

PriorityRewards uses the health plan’s Cost Estimator to access cost information based on a member’s health plan for more than 300 common health procedures across 26 categories.

Examples of the types of procedures that can earn rewards are knee scopes, MRIs and CT scans.

Prices listed in the cost-calculator tool reflect consumer out-of-pocket costs, since the services incorporate Priority Health contracted rates for each physician, facility and procedure combination, according to Marti Lolli, senior director of product development and health care reform, Priority Health.

“There is a benchmark we have created to help consumers easily understand if this price seems to be reasonable,” Lolli said. “Consumers must choose a physician-facility combination that is at or below fair-market price in order to receive a reward.”

Lolli added that members also have an opportunity to save on out-of-pocket costs by using the tool.

Financial part of care

By using the cost-calculator tool and PriorityRewards incentive program, Lolli said the health plan hopes to reduce the amount of waste in the health care system and ensure members receive the right care, at the right time, at the right place.

“This is intended to really get at how we address the issue of waste and effective health care delivery,” Lolli said. “We think the best way to do that is by supporting consumers with information they (need) to make the best decisions for their family. Patient-centered medical care really must consider all aspects of that patient, and finances are a big consideration.”

Lolli said Priority Health will continue to make sure members have the information they “deserve” and the nudge they may need to really support making decisions.

“This is a game changer in the health market, because traditionally consumers have not had tools that would help them understand the cost of health care services before they received them. Consumers haven’t been engaged in understanding price, and the prices in the market haven’t had to be competitive. This really provides individuals with tools to manage their dollars and their health better.”

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