Providence Health Assurance

AS EXPRESSIONS OF GOD'S HEALING LOVE, WITNESSED THROUGH THE MINISTRY OF JESUS, WE ARE STEADFAST IN SERVING ALL, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE.

SEE SCHEDULE OPROVIDENCEAT PROVIDENCE, WE USE OUR VOICE TO ADVOCATE FOR VULNERABLE POPULATIONS AND NEEDED REFORMS IN HEALTH CARE. WE PURSUE INNOVATIVE WAYS TO TRANSFORM HEALTH CARE BY KEEPING PEOPLE HEALTHY, AND MAKING OUR SERVICES MORE CONVENIENT, ACCESSIBLE AND AFFORDABLE FOR ALL. IN AN INCREASINGLY UNCERTAIN WORLD, WE ARE COMMITTED TO HIGH-QUALITY, COMPASSIONATE CARE FOR EVERYONE - REGARDLESS OF COVERAGE OR ABILITY TO PAY. WE HELP PEOPLE AND COMMUNITIES BENEFIT FROM THE BEST HEALTH CARE MODEL FOR THE FUTURE - TODAY.TOGETHER, OUR 120,000 CAREGIVERS (ALL EMPLOYEES) SERVE IN 52 HOSPITALS, 1,085 CLINICS AND A COMPREHENSIVE RANGE OF SERVICES ACROSS ALASKA, CALIFORNIA, MONTANA, NEW MEXICO, OREGON, TEXAS AND WASHINGTON. THE PROVIDENCE FAMILY INCLUDES:-PROVIDENCE ACROSS SEVEN WESTERN STATES-COVENANT HEALTH IN WEST TEXAS-PROVIDENCE FACEY MEDICAL FOUNDATION IN LOS ANGELES, CA-HOAG MEMORIAL HOSPITAL PRESBYTERIAN IN ORANGE COUNTY, CA-KADLEC IN SOUTHEAST WASHINGTON-PACIFIC MEDICAL CENTERS IN SEATTLE, WA-SWEDISH HEALTH SERVICES IN SEATTLE, WAREALIZING OUR MISSIONPROVIDENCE MEDICARE ADVANTAGE PLANS ARE SOLUTIONS FOR PEOPLE WHO ARE ELIGIBLE FOR MEDICARE, SUPPORTING AFFORDABLE ACCESS AND EASIER ADMINISTRATION FOR MEMBERS LOCATED IN OREGON AND SW WASHINGTON. PHA ADVOCATES FOR EVIDENCE-BASED AND COST EFFECTIVE TREATMENTS FOR PATIENTSAND APPROPRIATE PAYMENT LEVELS TO PROVIDERS TO KEEP ACCESS TO HEALTH CARE AVAILABLE TO PEOPLE WHO ARE ELIGIBLE FOR MEDICARE.TO DELIVER TRUE HEALTH TO OUR MEMBERS, PHP FOCUSES ON INNOVATION, PERSONALIZED MEDICINE, COLLABORATION AMONG DIVERSE PARTNERS, AND STABILITY. IN RECOGNITION OF OUTSTANDING SERVICE AND QUALITY, THE PROGRAM WAS AWARDED A 5 MEDICARE STAR RATING.PROVIDENCE HEALTH ASSURANCE (PHA) PROVIDES COVERAGE FOR HEALTH CARE SERVICES TO MEDICAID-ELIGIBLE MEMBERS OF THE PUBLIC IN THE GREATER PORTLAND AREA WITHOUT REGARD TO RACE, ETHNICITY, GENDER, SEXUAL ORIENTATION, AGE, ABILITY, RELIGION OR SOCIOECONOMIC STATUS. AS PART OF PROVIDENCE HEALTH PLAN (PHP), PHA FULFILLS ITS SOCIAL WELFARE PURPOSE BY FURTHERING THE HEALTH CARE SERVICES AND HEALTH EDUCATION IN THE COMMUNITY - SPECIFICALLY BY COMMITTING RESOURCES OF EMPLOYEE TIME AND ABILITY, AS WELL AS A PERCENTAGE OF NET INCOME, TO BENEFIT THE COMMUNITY THROUGH AGENCIES ESTABLISHED TO SUPPORT THE NEEDS OF THE MOST VULNERABLE AMONG US. THESE INCLUDE MEDICALLY FRAGILE AND AT-RISK CHILDREN; PEOPLE WITH MENTAL HEALTH NEEDS AND ISSUES; PEOPLE IN OURCOMMUNITIES FOR WHOM BARRIERS EXIST BECAUSE OF LANGUAGE, CULTURE AND POVERTY; AND PEOPLE LIVING IN RURAL AREAS, FOR WHOM ACCESS TO HEALTH CARE AND HEALTH PROMOTING ACTIVITIES MAY BE LIMITED.LOCAL COMMUNITIES:- IN THE SECOND YEAR OF THE GLOBAL COVID-19 PANDEMIC, PROVIDENCE PRIORITIZED EASY ACCESS TO TESTING AND VACCINATION IN UNDERSERVED COMMUNITIES, BECOMING ONE OF THE FIRST PLANS TO WAIVE THE COST SHARES ASSOCIATED WITH COVID-19. OUR STEADFAST CAREGIVERS HAVE CONTINUALLY EMBRACED VIRTUAL AND DISTANCING SOLUTIONS WHILE ALSO SERVING TIRELESSLY AT THE FRONTLINES IN CLINICS AND HOSPITALS.O SUCCESSFUL TARGETING OF VULNERABLE POPULATIONS WITH OVER 92% OF MEMBERS AGE 80+ AND OVER 88% OF MEMBERS AGE 65-79 VACCINATED.O COST-SHARING FOR TREATMENT OF COVID-19 WAS WAIVED FOR COMMERCIAL INSURED MEMBERS DURING IN-NETWORK INPATIENT, OUTPATIENT, FACILITY, AND PROFESSIONAL VISITS. O PROVIDENCE WAIVED ALL COST-SHARING FOR TESTING SERVICES RELATED TO COVID-19.O TELEHEALTH PROVIDER POLICIES CONTINUED TO EXPAND, REDUCING BARRIERS TO CARE AND ALLOWING MEMBERS TO SEE PROVIDERS MORE QUICKLY. - AS PART OF THE PROVIDENCE MISSION TO LIFT UP OUR MOST VULNERABLE MEMBERS, WE CREATED A COVID-19 GRANT PROGRAM IN OCTOBER 2021 TO SUPPORT PRIMARY CARE SERVICES IN AREAS WHERE POPULATIONS HAD VERY LOW VACCINATION RATES. WE PERFORMED DIRECT OUTREACH TO ENCOURAGE GRANT APPLICATIONS FROM PRIMARY CARE CLINICS AND FACILITIES THAT:O WERE LOCATED IN COUNTIES WHERE BIPOC VACCINATION RATES WERE BELOW THE OVERALL COUNTY RATE BY 20% OR MORE.O HAD MEMBERSHIP GREATER THAN 1,000 AND THE GROUP'S VACCINATION RATES WERE MORE THAN 10% BELOW THE STATE AVERAGE.O WERE LOCATED IN A COUNTY WHERE THE VACCINATION RATE WAS MORE THAN 10% BELOW THE STATE AVERAGE.- PHP WAIVED ALL COST SHARING FOR TESTING SERVICES RELATED TO COVID-19, SUCH AS COPAYS, COINSURANCE, AND DEDUCTIBLES.- OUR TELEHEALTH PROVIDER POLICIES WERE SIGNIFICANTLY EXPANDED TO REDUCE BARRIERS TO CARE AND TO ENCOURAGE THE USE OF TELEHEALTH SERVICES BY OUR MEMBERS AND PROVIDER PARTNERS. WE ALSO ADDED VIRTUAL CAPACITY SO THAT MORE OF OUR PROVIDERS CAN BE SEEN QUICKLY.