West Virginia University To Acquire The Health Plan

WVU Health System’s acquisition to make it an integrated financing/delivery network

West Virginia University Health System is taking the first steps toward becoming an integrated health care financing and delivery system with Tuesday’s announcement it would merge with a Wheeling, West Virginia-based insurer.

Financial terms of the deal between WVU Health System, also known as WVU Medicine, and managed-care provider The Health Plan, weren’t disclosed. The Health Plan would become a subsidiary of WVU Health System as a nonprofit corporation.

An integrated financing and delivery system puts under one system both the payor and provider of health care similar in structure to UPMC, which owns its own insurance division, as well as Highmark Health, which owns insurer Highmark and the Allegheny Health Network. It’s a model that is increasingly employed elsewhere in the country, including Geisinger in the central part of Pennsylvania.

“By aligning and integrating our two organizations and by leveraging our respective expertise in a more coordinated fashion, we can deliver better outcomes to the people of West Virginia,” said WVU Health System President and CEO Albert L. Wright Jr. in a statement Tuesday. “The Health Plan will also continue to build collaborative, value-based partnerships with other health systems and independent providers in West Virginia.”

WVU Medicine is a powerhouse in West Virginia, based in Morgantown and including hospitals throughout West Virginia. It’s also is in the midst of a growth spurt, including the building of a new children’s tower and other facilities in Morgantown, and it’s expanding in Pennsylvania, including a facility just over the border into Waynesburg as well as a potential affiliation with Uniontown Hospital.

The Health Plan began operations in 1979 and has licenses in West Virginia’s 55 counties as well as a 36-county area in Ohio. As of 2017, it had 400 employees and four offices in Ohio and West Virginia. It offers a wide range of insurance options, including HMOs, PPOs, point-of-service and self-funded health plans. The Health Plan’s market share in group health in West Virginia was 7 percent with coverage of 20,024 lives, according to a West Virginia state report in 2017.

The HealthPlan’s 2019 Marketing Materials are Available

The HealthPlan 2019 materials are now available to order through your direct THP Agent link!

Agent Certification for 2019 is required before the 2019 materials can be ordered. 2019 kits consist of Enrollment Guides that include all SecureCare HMO and SecureChoice PPO Summary of Benefits and Enrollment Forms for a particular region. Kits are designated by region and are labeled either OH, WVOH or CAP.

SecureCare DSNP kits contain a Summary of Benefits, Enrollment Form, and a Star Ratings Form. There are no Enrollment Guides included with DSNP kits. Additional quantities of enrollment forms for this product ARE available to order separately.

You will receive an email confirmation that your order has been submitted for approval, and will receive a follow-up email notification when the order has been processed and is ready for shipping.

Contact your Cornerstone representative for more information.

The HealthPlan 2019 Medicare Product Training and Certification is Now Available Online

You will soon receive an email with the training and testing link to complete your 2019 HealthPlan certification. In the meantime, please forward your 2019 AHIP/Gorman CMS compliant General Medicare Rules and Regulations certification to <a href=”mailto:brokerrelations@healthplan.org”>brokerrelations@healthplan.org</a>.

As a reminder, below is the contact information in case you experience any technical difficulties while completing this training:
Certification (training and testing) System Issues
The Health Plan Help Desk
740-695-7610 or 1-877-903-7501

The Health Plan Provides 2018 Quick Links

The Health Plan recently sent out a notice that all of their Medicare Services links have been combined into one easily accessible link. The links will continually update whenever THP updates their website.

To access the link, click here.