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Quality measures for members with diabetes exceed national average
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One of our top concerns: Quality care for members. Our Commercial members with diabetes consistently receive better care, exceeding the Quality Compass national averages by 5 to 13 percentage points in measures like managing blood pressure, eye exams, hemoglobin A1c control, kidney health evaluations and statin therapy.
Exceeding national averages in diabetes care quality measures is significant — for us, for our members and for our employer groups.
For members:
- Improved health outcomes – Members with diabetes are likely to have better health outcomes, including better blood pressure control and overall diabetes management. This can lead to fewer complications and a higher quality of life.
- Comprehensive care – The high-quality care includes comprehensive services such as regular monitoring, education and support from a dedicated team of healthcare professionals.
- Preventive measures – Enhanced focus on preventive care can help in early detection and management of potential health issues, reducing the risk of severe complications.
For employer groups:
- Reduced healthcare costs – Better management of diabetes can lead to lower healthcare costs due to fewer emergency visits and hospitalizations.
- Increased productivity – Healthier employees are likely to be more productive and take fewer sick days, benefiting overall workplace efficiency.
- Desirable benefits package – Offering a health plan that exceeds national quality measures can make an employer more attractive to current and potential employees.
These achievements reflect our commitment to providing high-quality care for our members — which benefits employer groups by fostering a healthier, more productive workforce.
Quality Compass® 2023. Quality Compass® is a registered trademark of the National Committee for Quality Assurance (NCQA).
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New ACA rates are now available
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Meet Geisinger’s Administrative Services Only plan
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Did you know GHP offers 2 ASO plans for groups with 25+ enrolled subscribers?
- Traditional:
- This plan offers you the convenience of a set of services, so you know what to expect.
- A la carte:
- Mix and match a variety of benefits to match your employees’ and organization’s needs with a lower base per employee per month (PEPM) fee for core services and choose buy-up services for an additional PEPM
Plus, choose between our Triple Choice Formulary (total lowest net cost) and our High Performance Formulary (offering higher rebates).
When you use GHP for your client’s ASO offering, members have access to our integrated delivery system as well as our diverse provider network. We manage our ASO clients as if they were our own risk business, making sure all our high-quality standards and cost reduction initiatives apply to keep claim costs low.
Questions? Reach out to your account representative.
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IRS administrative management – Employer group requirements
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As an administrative service, Geisinger submits the 1094-B and 1095-B on behalf of fully-insured and GFA clients. It’s the group’s responsibility to determine if they meet the IRS definition of applicable large employer (ALE) and what forms are required.
As required by the IRS, self-insured employers that are ALEs must use Form 1095-C and the transmittal Form 1094-C to meet reporting requirements. For details, click here.
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Geisinger names new chief medical officer
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Following an extensive national search, Geisinger named Jason W. Mitchell, MD, its new executive vice president and chief medical officer, effective Monday, March 24.
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A practicing family physician, Dr. Mitchell has spent the past two decades at Presbyterian Healthcare Services in Albuquerque, N.M., with the last 10-plus years as chief medical and clinical transformation officer. He succeeds J. Edward Hartle, MD, who last July announced his plans to retire in March after nearly 30 years with Geisinger.
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Laser technology allows for less invasive, more precise procedures
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Geisinger Heart Institute recently completed the first laser lead extraction procedure in northeast PA at Geisinger Wyoming Valley Medical Center. The procedure was performed by Pugazhendhi Vijayaraman, MD, system chief of clinical electrophysiology.
The procedure is an effective method to remove problematic pacemaker or defibrillator leads that have become infected, have fractured or have become dislodged. Learn more about this technology and how it can impact members.
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Find your 2025 resources here
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Check out our commercial group benefits center for 2025 resources. Here, you’ll find plan-specific benefit brochures, ACA rate sheets, SOBs, SOCs and more. Check out the broker resources in the repository, as many items have been updated for 2025.
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This bulletin is designed to be a helpful guide to administer the health plan to your clients. The group master policy, summary plan description, group subscription certificate and any applicable amendments or riders are the governing documents.
**If you choose to share this information with others, be mindful. Please take care to avoid altering or modifying the original messaging in this bulletin, or any Geisinger communications, in any way.**
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This email was sent by: Geisinger
100 N. Academy Ave., Danville, PA, 17822, US
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