Exceedent TPA Services.
Our third-party administration services are categorized into three tiers – E2 E3 and E4.
E2 Exceedent Essentials
Risk Management Services
- Included in base administrative fee
- Disease management
- Care coordination
- Case management
- 50% of specific stop loss engagement
- Fully integrated with IHN of Wisconsin process and providers
- Nurses and physicians on staff
- Full access to best in class medical department chairs for case reviews
Nurse Navigator
- Included in base administrative fee
- Telephonic
- Web based (FaceTime)
- In-person
- Owns all clinical program interfaces
- Virtual
- Wellness programs
- Risk management services
- On-site – integration and flow
Exceedent VirtuCare
- Live chat with physicians
- No cost to member
- Capitated - unlimited usage
- Paid as a claim
- 24/7/365
- Nation’s largest network of board-certified physicians
Transition of Care Assistance
- Education
- Medical records
- Prescriptions
- New physician search
- Appointment scheduling
Health Care Guardian
- Member activated
- Third-party works for the member
- Worldwide providers and solutions
- Diagnosis confirmation
- Diagnosis and prognosis education
- Treatment plan support
- Physician search, recommendations and scheduling member drives
Health & Wellness Educational Event
- Education on wellness programs
- 1 on 1 support offered
- Clinical discussions
- Condition support
- Rx – formulary, mail order, retail and home infusion support
- Employer-specific customization very broad options
- Account manager, nurses, occupational medicine
Exceedent Care Now
- No copay or deductibles
- Limited to primary care or quick care services = equivalent to teledoc but in person
- No lab or x-ray
- Limited to certain locations
- Alternative to urgent care and emergency room
- Significant member savings to out of pocket expenses
Rx Services
- Retail EPO
- Mail order
- Specialty
- Home infusion
- Medication Therapy Management
- Adherence
- Formulary- custom or our standard
- Financial support for members
E3 Educate, Engage & Empower
All services listed in E2 plus...
Health Risk Assessment (HRA)
- Questionnaire and in-person available
- Individual counseling post screening
- Programs designed programs
- Dated integrated to claims and analytic tools
- Detail and custom reporting
Biometric Screenings
- Personalized health reports
- Individual counseling support
- Custom programs
- Data integrated to claims to analytic tools
- Detailed and custom reporting
Health Coaching Services
- Individual and personalized one-on-one care
- Nutrition
- Tobacco cessation
- Workplace health assessment
- Ergonomic assessment
- Return to work
- Job mechanics training
- Diabetic education – can be expanded to include other diseases
Nurse Navigator Plus
- An on-site or virtual resource
- Assigned to an employer
- Dedicated and allocated time
- Manages and drives all population health
Vaccinations
- Flu
- TB testing
- Pneumococcal
- Shingles
- Drug testing
Exceedent Day of Wellness
- Stress management education
- Nutrition education and healthy eating on the job
- Flexibility and strength testing
- Musculoskeletal screen
- Blood pressure and cholesterol screenings
- Work health routine acute care needs
E4 On-Site Full-Service Health and Wellness
All services listed in E2 and E3 plus...
On-Site Workplace Clinic
- Basic prevention & wellness services
- Assessment, evaluation & treatment of minor illness and injury
- Health coaching
- Case management
- School, sports & camp physical exams
- Tobacco cessation
- Diabetic education
- Lab testing & vaccinations
On-Site Occupational Medicine
- Pre-employment evaluations
- Rapid urine drug testing
- Immunizations & TB testing
- Medical surveillance testing
- Illness and injury assessment, evaluation & treatment
- Return-to-work plans