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Providing the

Highest Quality

 Health Care

for your

Employees

While Lowering

or stabilizing

Employee

Monthly Premium

& out of pocket Costs

WANT A SOLUTION

for your yearly balancing act?

Here's the solution:

Elite Benefit Program

Small Group Plans Using the

Baylor Scott & White Preferred Network

Scott and White Health Plan (SWHP) and Baylor Scott & White Quality Alliance (BSWQA) have come together to form Baylor Scott & White Preferred (BSW Preferred), an integrated health plan solution. Baylor Scott & White Preferred providers belong to the BSWQA Accountable Care Organization (ACO) and are contracted with Scott and White Health Plan to deliver the healthcare services you need.

In 2019, SWHP introduces Elite Benefit Plans for small groups that utilize the BSW Preferred HMO network.

 

WHAT IS AN ACO?

ACOs are formed from a group of doctors, hospitals, post-acute care facilities and other health care stakeholders that are committed to being accountable to patients and payers for the quality, appropriateness and efficiency of healthcare services. The accountable care model ties payments to quality and utilization measures so that the total cost of care is reduced. In our ACO, doctors, hospitals, Scott and White Health Plan, post-acute care facilities and others work together to make sure you get the right care at the right time and at the right cost.

 

HOW DOES IT WORK?

Your primary care doctor leads a care team that may include physician assistants, medical assistants and registered nurses. They ensure your preventive services are up-to-date and help manage your care if you have been diagnosed with a complex illness.

Your primary care doctor uses and electronic health record system (EHR) to ensure that your doctor and care teams are all on the same page when it comes to your health status. These records are shared securely with specialty care doctors, care teams and care managers with the BSW Preferred network to track your health history, your medicines, and your test results—all in real time. This also helps your doctor identify any gaps in your care.

As a member of a health plan working with an ACO, you can expect care that is:

HIGH-QUALITY. Care delivered is safe, timely, effective, efficient, equitable and patient-centered.

COORDINATED. Your doctor acts as your health care hub, guiding your care team and coordinating appropriate services across all sites of care that might include a specialist's office, the hospital, or laboratory and imaging services.

CONVENIENT. Many of our doctors and facilities offer same-day appointments, extended hours, and onsite laboratory and imaging services. Urgent care centers and retail care clinics are in the BSW Preferred network.

COMPREHENSIVE. Our network of primary and specialty care doctors and facilities is broad. We are confident we can meet your care needs.

COST-EFFECTIVE. Copays and out-of-pocket expenses are kept in check when your care needs are delivered inside the BSW Preferred network (doctors, hospitals, laboratory, imaging and post-acute care.) All other providers are considered out-of-network and no benefits are available for services other than emergency situations.

 

-------------------------------------------------- Licensed - Expert - Certified --------------------------------------------------

Bob Outman - Licensed Broker - Independent

robertoutman@gmail.com | 214-235-8248

Serving Texas