Healthcare Toolbox

September 2018 – ConditionCare

Over 26% of the Wright State University population is coping with a chronic condition.  Managing this condition can be stressful and lead to many questions.  Where should you turn when you have questions about your disease, information provided to you by your doctor or how to navigate your medical plan?

Wright State University offers a 100% confidential program through Anthem called ComplexCare. 

Through this program, employees, spouses and dependents covered by the WSU medical plan that are diagnosed with certain conditions, for example Cerebrovascular Disease, Osteoarthritis, Cancer and Coronary Artery Disease, are assigned a personal care nurse.  This nurse provides:

  • Personal support outreach
  • Care coordination and benefits education
  • Access to a full care team, including RNs, dieticians, pharmacists, medical directors, respiratory therapists, etc.
  • Individualized education, care and prevention tips

If you are managing a complex condition, there are 2 things you can do to enroll in this program:

  1. Pick Up the Phone
    Make sure your phone number is up to date with Anthem. If Anthem reaches out to you, take the call and listen to the services they are offering.  They are there to help you.
     
  2. Call Anthem
    You can call Anthem to see if you are eligible by calling the number on the back of your ID card or by calling 888-249-3820.

Additional Resources

Video:  https://www11.anthem.com/video_player/player.html?bctid=5640879904001&enableMapping=true

ConditionCare (PDF) 

Case Management (PDF) 

ComplexCare (PDF) 
 

August 2018 – Pharmacy Savings Tips

According to IMS Institute for Healthcare informatics, Americans filled 5.4 billion prescriptions and spent $57.8 billion dollars in 2017.  At Wright State University, the number of prescriptions filled is down by 3.7% but the cost per prescription has increased by 10%.  So, how can you save money on prescriptions and drugs?

Here are 5 simple steps to saving money on prescription drugs:

  1. Understand Your Benefit Plan

Make sure you understand what medications are covered and where they can be filled.

  1. Use the tools provided by Castlight and Anthem to make sure you are getting the best deal.

Utilize generic when possible.  Purchase your medicine at the lowest cost pharmacy. 

  1. Consider pill splitting.

Did you know that many times the prescription dose doesn't vary the price?  For example, 100mg of a medication may cost the same as 200mg.  If that medication is eligible for pill splitting, you can save 50% on the cost of your medication by splitting a higher dose in half. Interested?  Talk to your doctor or pharmacist.

  1. Do your homework before your doctor appointment and have a discussion with your doctor.

If you take a medication today, do your homework to find out if there is a lower cost alternative, if mail order is less expensive or if pill splitting may be an option. If so, you will want to discuss this with your doctor.  They may need to evaluate if an alternative is right for you or write you a new prescription, either for a different dose or for 90 days.

  1. Research your medications.

You may find prescription savings outside of your health plan.  While money spent outside of your plan won’t accumulate to your deductible or out-of-pocket maximum, reputable programs, like GoodRx or manufacturer coupons, can save you money at the pharmacy. 

Additional Resources

Generic Drugs Information (PDF)

 

July 2018 – Receiving Appropriate Care

Want to save time and money?

By receiving medical services at the most appropriate place of care you could save 2 hours of time and approximately $1,000!

Every year millions of people visit the emergency room to treat a variety of medical needs. According to the Centers for Disease Control, 136 million people visit the emergency room each year. According to the New England Health Institute, 56% of emergency room visits are avoidable.

The WSU health plan performance tells a similar story.  The average cost of an emergency room visit is $1,511.  Redirected visits could have saved $1,012 per visit.  The data shows that if a different setting of care is chosen 25% of the time, the WSU plan and employees would share in a cost savings totaling $290,331.

Choosing the appropriate place of care can seem overwhelming.  Knowing your resources ahead of time is key to making the right decision when the time comes to seek care.

Tools to help you choose:

  1. Castlight
  2. 24-7 NurseLine (video)
  3. Anthem.com
  4. Anthem Mobile App

 

Places you can go:

  1. Anthem LiveHealth Online (video)
  2. Convenience Care Clinic
  3. Primary Care Clinic
  4. Urgent Care
  5. Emergency Room

 


3 Simple Steps to Savings:

  1. Download the Anthem App to your phone
  2. Register for Castlight
  3. Establish a relationship with a Primary Care Physician


Additional Resources

Castlight WSU Quick Start Guide (PDF)

Skip the ER (PDF)

ER vs Urgent Care (PDF)

Anthem Mobile App Flyer (PDF)