Welcome to Geisinger Health Plan
Employer plans
Making better health easier.
Team members from Regency Plus in Mt. Carmel, PA, participate in Geisinger Wellness programs.
“The well-being of our community members has always been Geisinger's focus. And for over 50 years, Geisinger Health Plan has partnered with Pennsylvania employers to help their employees stay as healthy as possible, at a more affordable cost.
As we look to the future, we will continue to invest in programs and services to keep our members healthy and provide access to those programs and services in the most effective way possible.”
– Terry Gilliland, MD, President & Chief Executive Officer, Geisinger
INTEGRATED CARE & COVERAGE
Our mission
Geisinger is a healthcare organization committed to making better health easier for the 1.2 million people it serves.
$10B Revenue
$5M Economic impact 1,700
126 Care sites
10 Hospitals 1.2 million Served 1,400+
Geisinger employed physicians 5,000+
Geisinger College of Health Sciences students annually
Geisinger College research studies
Meet Geisinger Health Plan
Geisinger Health Plan isn’t just another insurance company. It’s a locally serviced and innovative health plan that is tightly integrated with Geisinger, a national leader in care.
500K+* Health plan members
*Data pulled Sept. 20, 2024
Here’s why employer groups select Geisinger Health Plan for their employees.
Geisinger Health Plan
Customer service (compared with 400 call centers)
Top 10% in the nation average for Net Promoter Score
42
2024 NPS
Geisinger Health Plan (HMO plans)
26
2023 Industry average NPS. 2024 not available yet. vs NPS measures customer loyalty based on how likely someone is to recommend our health plans
13% above industry average for Net Promoter Score
Members deserve the best — our performance illustrates how we put this into action every day.
Our service speaks for itself. We’re meeting and exceeding high targets.
Customer Care Team
Multi-year winner
First Call Resolution Excellence Award
98%
Quality
Internal QA based on 100-point internal scorecard YTD Target: 95%
92.61% Service
% answered in 30 seconds YTD Target: 80%
96%
Resolution
First call resolution - Closed inquiries without repeat call in 30 days YTD Target: 95%
2019/2022
Member satisfaction
Overall satisfied with service - Automated post-call survey (5-point scale) YTD Target: 95%
GEISINGER HEALTH PLAN
Our Commitment to you.
Geisinger Health Plan + Geisinger
Doctors and insurance working together to improve access, outcomes and customer experiences.
Highly sought-after care & coverage in your backyard and beyond
Geisinger was founded in Pennsylvania more than 100 years ago with a mission to make better health easier.
Today, Geisinger is a world leader in care, and our mission inspires more than 35,000+ doctors and 200+ hospitals across Pennsylvania.
35,000+ doctors 200+ hospitals
Members have access to hospitals and health systems like these.
200 more hospitals to serve our members
No matter where you are, care is there.
Have employees who live outside the Geisinger network? No worries.
Geisinger offers several options on select plans which allows members to have access to our wrap network.* ASO groups can also elect First Health for in-area employees.
96.5% of U.S. hospitals
800,000 professional providers Over 125,000 ancillary providers
Geisinger to help redefine healthcare in America.
This partnership also extends member access to Kaiser facilities for:
• Urgent, emergent care and pharmacy
Locations in MD, VA, DC, GA, CO, CA, OR, WA
In April 2024, Geisinger became the inaugural member of Risant Health, a transformative solution for healthcare in America.
A Kaiser Foundation Hospital company with a focus on increasing access to value-based care and coverage.
The partnership with Risant provides the investment and support needed to make better health easier in the communities we serve for another 100 years and beyond.
*
Employee wellness: a path to a healthier, happier workplace
Want to boost morale? Help teammates manage stress? Or incentivize employees to make meaningful behavior changes? We’ll help your employees develop lifelong healthy habits that can lead to a healthier, happier workplace.
Our wellness programs can include:
• Education
• Health coaching
• Incentive program management
• On-site screenings and lab services*
• Social needs resources
• Virtual tools & resources
• Wellness activities & challenges
• Wellness consultation
Case study #1
Outcomes-based wellness program
Our outcomes-based wellness program produced results* of high levels of engagement, with qualifying members exceeding benchmarks.
Glucose
Outcomes-based wellness program
31% of participants in prediabetes range decreased to normoglycemia
48% of hypertensive participants reduced blood pressure
Body mass index Participation’s saw a significant reduction in key health measures.
of participants with elevated LDLreduced out of hyperlipidemia LDL
Blood pressure 19% of participants with obese BMI lost 5% or more body weight Average weight lost per participant was approximately 10 lb.
Case study #2
Chronic condition trends are lower for many employers who invest in a Geisinger wellness program.
Coronary artery disease trend is 2% lower than national average
Diabetes trend is 7% lower than national average
National average Geisinger groups average Chronic condition trends are lower
All data is for age group 45-64. Groups reflected is the average of 3 of our largest and most invested commercial groups with a comprehensive wellness program. National averages based on CDC data *Diabetes: 18.9% (45-64) - National Diabetes Statistics Report | Diabetes | CDC *CAD: 5.9% (45-64) - MMWR, QuickStats: Percentage of Adults Aged ≥18 Years with Diagnosed Heart Disease, by Urbanization Level and Age Group National Health Interview Survey, United States, 2020 (cdc.gov)
Case study #2
Chronic condition trends are lower for many employers who invest in a Geisinger wellness program.
Hypertension trend is 28% less than national average
trends are lower
condition
Chronic
National average Geisinger groups average
Chronic kidney disease trend is nearly 10% less than national average
National average Geisinger groups average
All data is for age group 45-64. Groups reflected is the average of 3 of our largest and most invested commercial groups with a comprehensive wellness program. National averages based on CDC data *HTN: 54.5% (40-59) –
NCHS Data Brief, Number 364, April 2020 (cdc.gov) *CKD: 12% (45-64) - Chronic Kidney Disease in the United States, 2023 (cdc.gov)
Neighborly
Health and wellness is more than the physical. A myriad of social issues can have an impact. That why we’ve partnered with Neighborly, a resource program that easily connects your employees to free and reduced-cost programs and services to address a variety of social needs.
Visit neighborlypa.com or download the NeighborlyPA app
Virtual care and digital programs adoption provide more access to those with mental health concerns.
Members who would have forgone care without our virtual option 59.1%
Here’s where members would have gone if virtual care were not an option1
Teladoc, 2024
(1) Based on responses in pre-visit intake survey
(2) Based on responses in post-visit survey
Healthier outcomes = a healthier, more productive workforce
Our members’ blood pressures are better controlled than the national average by 11 percentage points
Quality Compass® Average GHP
QUALITY & OUTCOMES Healthier outcomes means fewer claims and more affordability.
Our members with diabetes consistently receive better care exceeding national average by 5 to 13 percentage points
Get support on your terms
MyStrength
• Prioritizes mental health and wellness
• Screening and assessment tools for a number of topics, including depression, anxiety, alcohol and substance abuse, grief, aging, mindfulness tools and stress management
• Text message support
• Up to 7 one-on-one coaching sessions at no extra cost
• Virtual appointments with a licensed psychiatrist or psychotherapist
MyStrength is a free digital mental health tool providing members of select plans with personalized support, screenings and video coaching sessions. With content on topics like mindfulness, work-life balance and stress management, MyStrength is just one of manyways GHP prioritizes your employees’ well-being.
We’re constantly investing in technology to knock down barriers and improve outcomes.
MyGeisinger+
Patient and member portals, all in one place
MyStrength
Screening and assessment tools for a number of topics, including depression, anxiety, alcohol and substance abuse, grief, aging, mindfulness tools and stress management
Employer portal
Administrators and brokers can securely access critical information wherever and whenever they need it
Broker portal
Centralized tool for access to real-time information
Teladoc
Convenient, confidential 24/7 access to 7,000+ medical professionals
MedInsight reporting portal
Stepping up our reporting to help you and your clients make informed decisions – powered by Milliman
Prescriptions, integration and total cost savings
• Increased savings
• A focus on efficacy & clinical outcomes
• Access to medical history
• Proactive testing
• Early intervention
• Manage claims costs
Prescriptions, integration, and total cost savings
Competitor’s approach:
Often slow to deploy less expensive generics and biosimilars on self-funded groups because their financial model is built on maximizing pharmacy rebates.
The result:
Our approach:
Our network physicians prescribe lower cost alternatives when appropriate.
Members see greater savings with the same efficacy and the same clinical outcomes as name brands.
As part of an integrated health system, Geisinger providers can access a member’s full medical and prescription history.
Plus, proactive testing and early intervention can head off serious conditions and higher-dollar claims.
A focus on lower cost alternative drugs means positive outcomes and lower costs for everyone.
The Geisinger approach:
Total lowest net cost
• Lower cost alternative drugs with the same efficacy that produce the same clinical outcomes
• Lower claims costs and huge savings
Competitor’s approach: Rebates and brand names
• Recommend brand-name drugs come with rebates used to help lower ASO admin fees
• Rebates received may be than offset by higher drug costs, which are hidden in the claims report
• Once employees are established on highcost drugs, it’s difficult to move them back to lower cost therapies.
Adoption of cost-saving biosimilars
Our philosophy is one of providing the best available pharmacy services at the lowest cost to our groups and their employees. Switching to biosimilars when appropriate aids in controlling costs for all.
Decrease in Humira scripts Humira scripts Biosimilar scripts Increase in biosimilar scripts
Our commitment to you
A flexible and attentive service team with an ideal blend of technological efficiency and personal touch.
Thanks for your partnership.