Our Method

OhioHealthy plans thoughtfully meet the unique needs of your organization and your employees. This value-based program is designed to lower the cost of care and guarantee first-year savings.

In value-based care, physicians and health systems are rewarded for keeping people healthy and improving the health of people with chronic conditions.

When you choose OhioHealthy, you can take advantage of:

  • Improved care coordination and health outcomes
  • An accountable provider network that ensures cross-referral to existing wellness programs
  • Sophisticated, transparent data analytics that will help highlight employee needs and demonstrate the progress of our programs
  • Data-informed preventive and wellness programs
  • Member advocates who personally help members navigate all aspects of their healthcare and benefits

We are focused on lowering the total cost of care

Our value-based pricing model agreements are designed around the total cost of care for your employees, instead of the volume of services provided.

We believe value-based agreements support the transformation of how healthcare is paid for and delivered and reduces barriers to maintaining and improving health.

Our Integrated Solution

  •  Plan Administration Services
  • Claims Adjudication
  • Payment Recovery
  • Employer Reporting Services
  • Actuarial and Account Services
  • Enrollment Services
  • Integration with Point Solutions
  •  Care Management and Coordination
  • Personal Integrated Care Manager
  • Disease Management
  • Case Management
  • Transitions of Care
  • Utilization Management
  •  Member and Provider Services
  • Member Service Center
  • On Site Member Advocates
  • 24/7 Nurse Advice
  • Complaints and Appeals
  • Provider Call Center
  • Pre-authorizations
  •  Networks
  • Primary Columbus Network
  • Clinically Integrated Network
  • Value-Based Performance Program
  • Case Management
  • Wrap Network