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Based Insurance Design (VBID) Pilot Program with the goal of improving
health outcomes while lowering overall costs through copayment waivers
or reductions.
(a) The JCHB will work with the State to look at a copayment waiver
program for office visits and prescription drugs when related to chronic
conditions. Should the VBID Program prove successful, and be expanded
to other disease states, the copayment reductions or waivers, including
copayments for prescription medications, will be evaluated for inclusion in
any future VBID programs.
(13) The JCHB will work with the State to develop a voluntary Pilot
Telemedicine Program. The purpose of the Telemedicine Program is to
increase access to health care services by establishing a program to use
telecommunications to provide healthcare.
(14) The JCHB will work with the State to explore the implementation
and oversight of a voluntary Healthy Back Program and Bariatric Surgery
Management Program. Nutritionist coverage will be available when
clinically appropriate.
(15) The JCHB and the State will regularly review the ongoing role of
nurse practitioners and convenient care clinics (also referred to as “minute
clinics” or “retail clinics”) as providers in the Empire Plan.
(16) The JCHB will work with the State to solicit a health risk assessment
program and implement a voluntary, incentivized program as well as
development of educational endeavors to influence healthy lifestyles.
(d) The Joint Committee's area of review and counsel shall include but
not be limited to the following areas:
(1) Development of health benefit communication programs related to
the consumption of health care services provided under the Plan.
(2) Development, as appropriate in conjunction with the carriers, of
revised benefit booklets, descriptive literature and claim forms.
(3) The CSEA Joint Committee on Health Benefits will work with the
State to develop a "report card" which will include objective quality data
to assist employees in selecting the health benefit plan that best meets the
needs for the employee and their dependents.
(4) In cooperation with the State, the Joint Committee on Health
Benefits will review the implementation and ongoing oversight of an
Annual Health Insurance Enrollment Opt-out.
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