The Celestial Healthcare program provides an innovative opportunity to directly deliver and manage health care services for area employers without an insurance company as intermediator. The program combines the best strategies and management practices with self-funded health plan administration and Proprietary chronic care management that has been reducing health care expenses for over 30 years.
Access to the financial advantages of a level-funded or self-funded health plan
As an employer, you only pay for medical claims when they occur. This allows you to retain all unused health care funds and reinvest them into growing your business.
Quality providers collaborate to improve health and control costs
Benefit plan network includes Tier 1 providers, MetroHealth hospitals, outpatient diagnostic, outpatient surgery, specified pharmacies, physicians and other specialty providers. The Tier 1 providers are wrapped locally and nationally by Skyway and PHCS networks, allowing plan participants to seek care at the provider of their choice.
Results-based health management programs that improve employee health
Celestial Healthcare’s population health management program combines data analytics and result-tested wellness initiatives to improve your employees’ health and reduce costs. The complete suite of programs allows us to address each of your employees’ specific health issues, regardless of where they are on the health care continuum.
How it works:
INTEGRATED MANAGEMENT BENEFIT BUDGET
• Employers and Healthcare Providers determine health benefit budgets.
• Healthcare Providers arrange for preferred healthcare service pricing.
• Employers and Healthcare Providers share in the savings to the healthcare budget through financial performance rewards.
ENGINEERING AND COORDINATION OF CARE
• Medical Director engineers the coordination of patients’ care pathways through top performing medical providers.
HIGHEST QUALITY PHYSICIANS & HOSPITALS RECRUITED
• High quality physicians are identified and credentialed through the Skyway network.
• High quality, cost effective physicians.
• Performance management and quality monitored by Celestial Healthcare Medical Director.
DEVELOPING A NEW CULTURE OF WELLNESS
• Access to SkyWell, a member health and wellness program
• Healthcare Coaching
– Ongoing Healthcare Education