Loading...Loading...How we’re supporting employer groups’ RxDC reporting for 2024
The Consolidated Appropriations Act, 2021 (CAA) requires us to report on employer groups’ health care costs each year to CMS. Learn how we’ll support you by collecting necessary data for 2024 reporting.
Winter health woes: Know where to go for the right care
Before going to an ER, employees should know when to consider virtual care (telehealth), urgent care or primary care first. To help them know their options, you can share this article through email, your newsletter or your intranet site.
ASO groups’ claims invoices now accessible on Employer Center
We’re pleased to announce new functionality on Employer Center that makes life easier for ASO groups. You can now access your weekly claims invoices through Employer Center.
Getting the most out of your 2025 benefits: A guide for employees
As the new year unfolds, help your employees take control of their well-being by exploring their benefits. Encourage them to create an account on our website or download our app, unlocking a world of personalized health plan features.
How small groups can maximize Regence Empower rewards in 2025
With our wellness rewards program, small groups on metallic plans earn a medical premium discount when employees complete health-related activities—and employees earn rewards! Learn how to get your employees engaged.
Embedded and buy-up cancer care solutions help support employees’ care journey and contain costs
A cancer diagnosis can disrupt every aspect of a patient’s life. As the costs of treatment continue to rise, our comprehensive approach to cancer care provides tools to support employees through their care journey and contain your costs.
How we’re supporting Consolidated Appropriations Act, 2021 (CAA) gag clause attestation
We’re attesting to our compliance with the Consolidated Appropriations Act, 2021 gag clause prohibition rule for fully insured and self-funded groups for 2024.
Covered drug list and formulary changes for 2025
Updating our formulary each year ensures we offer the safest, highest-quality and most cost-effective prescription drugs on our pharmacy plans. Learn about the updates happening effective Jan. 1, 2025.
SMS feature enables employees to get their member ID card faster
To help employees receive their member ID card faster, our SMS ID card feature puts a digital copy in their hands days before the physical card arrives in the mail.
Resources for employer groups to get a fast start on 2025 preventive care
While the year draws to a close, there’s still time for employees to take advantage of valuable 2024 wellness benefits. Plus, it’s not too early to start planning—and for small groups to start thinking about earning premium discounts—for 2025.
How we’re collecting employees’ race, ethnicity and language data for renewing groups using 834 files
Health equity requires a deeper understanding of our members via data. During open enrollment, employees whose groups enroll online can share race, ethnicity and language data. If you enroll using 834 files can share this data any time.
Diabetes and hypertension solutions now available for large (101+) and self-funded groups
Research shows people with diabetes account for about one of every four health care dollars spent the U.S. Solutions available to large (101+) and ASO groups can help make those dollars count more toward improved outcomes.
Benefits updates for 2025 in compliance with the ACA Section 1557 final rule
We’re updating our benefits and nondiscrimination disclosures in accordance with Affordable Care Act (ACA) Section 1557 final rule issued this year.
We’re emailing your 2025 benefit booklets
To reduce paper usage, we’re emailing digital benefit booklets to employer groups beginning with Jan. 1, 2025, renewal effective dates.
Doctor On Demand telehealth solution adds Virtual Primary Care option for large (51+) and ASO groups
Virtual Primary Care from Doctor On Demand makes accessing primary care convenient for employees and affordable for employers.
Dental4Health program will improve employees’ health and lower their cost of care in 2025
Our dental plans deliver an expanded network, comprehensive coverage, affordability and no out-of-pocket costs for preventive care. In 2025, our Dental4Health program will improve employees’ oral and physical health and lower their cost of care.
Health equity: Collecting more member data to improve members’ health
Health equity means achieving fair access to health care for everyone. Learn how members’ sharing more data about themselves enables us to advance equity and support a more personalized health care journey for each individual.
Creditable coverage: How we’re supporting groups for 2025
Employers must notify Medicare-eligible members of their plans’ creditable coverage status by Oct. 15. Read how we’re supporting groups whose plans fail the creditability test so they can offer creditable coverage to affected employees.
Need help? Chatbot now augmenting support for all employees’ customer service inquiries
Since we launched our chatbot in 2022 to support fully insured employees’ Customer Service needs, its functionality has continued to grow. The chatbot is efficient and available 24/7 to handle many of employees’ most frequently asked questions.
How we support RxDC reporting for groups that terminate in 2024
We support 2024 RxDC reporting for groups after they terminate coverage with us during the year. Review the information that we’ll need in order to submit RxDC reporting on your behalf.
Pre-authorization requirement expansion for ABA therapy
To help support our members’ health and help them avoid unnecessary care, we’re expanding the pre-authorization requirement for ABA therapy to members under 18.
Look into the facts and impacts if Oregon Ballot Measure 118 passes this November
Oregon Ballot Measure 118 (M118) seeks to add a new tax on companies’ gross sales in Oregon in excess of $25 million. If it passes, the measure will significantly affect what consumers pay for everyday goods and services, including health care.
HDHP definitions and HSA contribution limits updated for 2025
The IRS has issued updated definitions for high-deductible health plans and set new contribution limits on health savings accounts for 2025.
2025 product updates for midsize and large (51+) groups
We’re pleased to announce highlights of our midsize (51-100) and large (101+) group product and benefits updates, which deliver an enhanced experience and improved employee health in 2025.
Small group plan, product and benefit updates for 2025
Check out our small (1-50; 2-50 in Idaho) group plan, product and benefit updates for 2025. For the coming year, we’re focused on delivering a complete experience with innovative health plan options to fit the needs of each employer.
We’re expanding access to convenient in-home urgent medical care for employees in Salt Lake County
DispatchHealth, an in-network provider of on-call, at-home medical care, is a convenient way for employees to get urgent, in-person medical care at home. Effective July 11, it’s expanding service into Salt Lake County.
Midyear preventive care checkup
Midyear is a good time to remind employees to use the zero-cost in-network preventive care included in their health plan. Plus, read about the importance of primary care and why behavioral health is being integrated into it.
Multifactor authentication required for accessing private and secure emails
To secure employees’ private information, we’ve added multifactor authentication to our secure mail exchange. When sending or receiving secure emails, users will need to verify their identity via a code sent to their cell (SMS) or email.
Help employees access in-network care while traveling
Whether your employees are traveling for vacation or business, encourage them to plan ahead and know how to access in-network care for peace of mind wherever they go.
Text messaging campaign targets employees’ diabetes screening needs
To increase important screenings for people with diabetes and hypertension, we’re launching a text messaging campaign in Q2. The campaign includes personalized messages to eligible employees who’ve not maintained their screening regimen.
New EAP offers employees mental health and emotional support
We've partnered with a new EAP provider, ComPsych®. A global EAP leader, they offer an improved member intake experience with expert advice from master’s-level clinicians and a wider network of participating providers.
Submit your 2023 RxDC reporting information to us by April 30, 2024
For us to submit required 2023 RxDC reporting to CMS on behalf of all employers, we need to collect information from you that we don’t hold in our systems. Learn how to complete your RxDC reporting form by April 30.
Research reinforces the efficacy of telehealth for employees’ mental health care needs
Telehealth use for mental health and substance abuse care increased sharply during the pandemic and remains high today. A new study gives high grades to our telehealth partners MDLIVE and Doctor On Demand.
Tools for encouraging employees to seek mental health care
We’ve updated our tools for Mental Health Awareness Month to encourage use of your plan’s care options and guide employees to providers. Share these resources so your employees know how and where to access care when they need it.
How we’re supporting your 2023 RxDC reporting
We’ve launched a data collection form on Employer Center to collect the data we need from employers to submit 2023 RxDC reporting to CMS. Make sure you have an Employer Center account and submit your data to us by April, 30, 2024.
New resource to inform employees about dental benefits
Good oral health is critical to good overall health, but people frequently skip routine covered dental visits. Our new employee dental flyer can help explain why your dental coverage is so important.
End of Q1- Time for a preventive care checkup
The beginning of spring marks a good time to remind employees to take advantage of zero-cost in-network preventive care. These services help detect problems earlier, when they’re easier and less costly to treat.
Pelago tobacco cessation program available to self-funded groups in 2025
Tobacco use increases employers’ health care costs and causes lost productivity. To help self-funded groups avoid unnecessary cost and provide employees an effective way to quit tobacco, we’re offering Pelago as a buy-up option for 2025.
The SMS member ID card feature provides subscribers opportunity to get their card faster
To help our subscribers receive their member ID card information faster, we launched our SMS member ID card feature. Now they can receive a digital copy of their card before they receive their physical card in the mail.
Expanding our member demographic capabilities for 2024
Accurate data is essential to our work of addressing health disparities and improving outcomes. For 2024, we’ve begun offering more members the option to self-report their race, ethnicity, language (REL) and nonbinary gender.
Text-messaging campaign targets employees’ breast, cervical & colon cancer screening needs
To help increase adoption of potentially life-saving breast, cervical and colorectal cancer screenings in Q1, 2024, we’re launching a text-messaging campaign with personalized messages to eligible employees. Learn more.
How we’re supporting employer groups’ RxDC reporting for 2023
The Consolidated Appropriations Act, 2021 (CAA) requires us to report health care costs each year to CMS. Learn how we’ll be supporting employer groups with collecting data necessary to submit reporting for calendar year 2023.
Help familiarize employees with all their benefits for 2024
Now’s the best time of year to help your employees learn about their 2024 benefits and care options. Encourage them to create an account on our website or download the app so they can unlock the features included with their plan.
American Heart Month: Resources and info to share with employees; plus, new heart-health solutions for ASO groups
American Heart Month is a time for families and communities to focus on preventing heart disease and stroke, the number-one killer of Americans. Share heart-health resources with your employees; plus, discover new solutions for ASO groups.
Update on our new enhanced dental experience for 2024
A better standard of care, larger local and national dental provider networks, more plan options and better value. It all adds up to an enhanced dental experience for your employees and you.
Regence aiming to tackle health care affordability in Utah as employers do in other states
When S.B. 184 was defeated during this year’s legislative session, it was a powerful statement about slowing rising health care costs. We’re continuing to advocate for affordability. Learn how you can get involved and help support our efforts.
Covered drug list and formulary changes for 2024
Updating our formulary each year ensures we offer the safest, highest-quality and most cost-effective prescription drugs on our pharmacy plans. Learn about the updates happening effective Jan. 1, 2024.
New EAP partner to provide improved employee experience and enhanced capabilities effective Jan. 1, 2024
Our EAP offers mental health support and life-balance tools to help employees address minor health concerns before they cause major problems. Learn how changing EAP providers will help us improve that support in 2024.
Make sure employees 45+ get screened for colon cancer: Resources in English and Spanish
Colorectal cancer is highly detectable and treatable when caught early. Yet screening rates are low, particularly among the Latinx population. Share our resources in English and Spanish with employees age 45+ and encourage them to get screened.
Hinge Health may help reduce opioid misuse, improve care outcomes and cost savings
Digital MSK Clinic enables employees to receive effective, guided exercise therapy at home, helping relieve chronic pain and reducing the need for costly surgeries and opioid prescriptions.
We’re making advanced imaging safer and more cost effective
To help ensure employees receive safe, appropriate care in the right setting, we’ve added a pre-authorization (PA) requirement for nuclear imaging services to our Advanced Imaging Authorization program.
Explore our comprehensive approach to cancer care
Cancer costs continue to rise and failing to meet employees’ care needs leads to poorer health outcomes and, often, avoidable expenses. See how our comprehensive approach to cancer care provides tools to help contain costs and improve outcomes.
Coverage for GLP-1 drugs effective Oct. 1, 2023
To help groups manage financial exposure, effective Oct. 1, 2023, we’ll require pre-authorization to ensure GLP-1 drugs are used for diabetes only. Also, we’ve added two Humira biosimilars to our formulary to broaden choice for members.
2024 product updates for midsize and large (51+) groups
We’re pleased to announce highlights of our midsize (51-100) and large (101+) group product and benefits updates to deliver an enhanced experience and improved employee health in 2024.
How our COVID-19 coverage for commercial members will change as the public health emergency ends
During the COVID-19 pandemic, we temporarily expanded benefits to ease access to care. With the public health emergency set to end at 11:59 p.m. on May 11, 2023, we’re making changes to COVID-19 coverage.
How Medicaid redetermination may impact you and your employees
With states redetermining Medicaid beneficiaries’ eligibility, many employees are expected to enroll in employer-sponsored health plans. Read how this may impact your business and how to help these employees maintain access to health care.
Immunizations are good preventive medicine for infants, and nearly everybody else
National Infant Immunization Week offers a good reminder about why it’s important for young children, and everyone else, to keep up to date on immunizations. Learn more.