FOR EMPLOYER GROUPS

Monument Health Services for Self-insured Employers

Developing healthy, happy, and productive employees is your top priority. Our mission is to help you accomplish this goal by helping you offer sustainable and competitively-priced plans.

Why Self-insured Employers Choose Us

Data Driven Cost Containment Reports
Our team analyzes your plan’s claims for trends to pinpoint containment opportunities

Workforce Health Insights
Engagement reports, risk stratification data, and care management analytics to optimize health outcomes

Plan Customization Updates
Modify services on utilization and employee needs

Improved Outcomes

Population Health Coordinators engage with members on their preventive care, chronic condition management, and health system utilization needs to create better outcomes.

Better Access

Members receive guaranteed access to local, top tier primary care providers, specialists, and facilities. We work directly with providers and members to ensure they get in to receive care from providers that fit them best.

Payor Flexibility

We provide flexibility through partnerships with various payers and the development of direct provider models. We streamline the process to fit the needs of the payor without having to go through extra steps.

Cost Containment

Our network offers personalized rates and value-based strategies to help your company contain healthcare costs. Our ability to work with payors, providers, and insurance providers gives a full picture view of costs.

Comparing Monument Health to Traditional Networks- Add description

 

COST CONTAINMENT

NETWORK CONTROL

PAYOR FLEXIBILITY

CARE FOCUS

EMPLOYER SUPPORT

Traditional Payor Networks

Moderate

Insurer Determined

Single-Payer

Fee-For-Service

Low-Touch

Monument Health Logo

High

Custom

Multi-Payor

Value-Based

High-Touch

Why partner with Monument Health?

Customizable to your Population

We have a variety of unique programs and services to fit your companies needs and give you a personalized healthcare experience.

Start Local, Stay Local

We align healthcare providers, specialists, and wellness resources under one local umbrella. We are a local company that works with local companies. Our local knowledge sets us apart and makes the experience working with Monument Health all the more personal. We offer local coordination and in person connections here in the valley that can’t be replicated.

Benefits to Your Business

  • Opportunity to contain costs
  • Boost employee satisfaction and retention
  • Improve chronic condition management
  • Offer exclusive health experiences

Data Driven, Human Centered

  • Employer-specific population health reports
  • Co-branded communications and scheduling support
  • Wellness programs

Frequently Asked Questions

Who Is Monument Health?
Monument Health is a clinically integrated network of primary care providers, medical specialists, hospitals, and insurance providers working with together to provide better, patient-centered health care.
What does offering Monument Health mean for my organization and our employees?

Having healthier, more satisfied employees likely means less absenteeism, more days on the job and improved productivity. To support these efforts, Monument Health provides obtainable and patient-centered health plans for employers of all sizes.

Members will have guaranteed access to Tier 1 primary care practices, and efforts will be made to accommodate urgent needs with same-day or next-day appointments. If members need specialty care, they can access it close to home.

And because our providers work together as a team and confidentially share data, members are less likely to experience repeated or duplicated tests and procedures. This saves frustration, time and money.

What are the reasons for the tiers and what does it mean to be in tier1?

Monument Health Tier 1 providers have agreed to provide services at a lower cost for you and your covered family members. When you see a tier 1 provider you will experience the highest level of care with the most manageable costs.

Tier 2 providers provide you and your family the option to choose a provider from the larger network of contracted providers, but you may pay more out-of-pocket costs.

Tier 3 providers are considered “out-of-network” and who are generally associated with the highest costs.

All emergency room care is covered at the Tier 1 benefit level without exception.  And most urgent care is also covered at the Tier 1 benefit level.

If you ever have questions about coverage, you can review the provider directory please call the number on your member ID card to confirm.

What wellness benefits are available when working with Monument Health?

The Monument Health team will identify and proactively contact a member who may need wellness services like mammograms, flu shots, or well-child checks. And we take it a step further to help them get scheduled appointments for and quicker access to the needed services.

Also, Monument Health has a long history of working with health insurance companies, third party administrators, and HR/benefits/wellness professionals in various organizations to develop and deploy high-impact wellness activities. With Monument Health, your organization can easily integrate wellness activities into broader wellness programs and portals.

How can my organization offer "choice" to employees yet optimize the Monument Health value?

Yes.

Members are encouraged to select Monument Health (Tier 1) providers and facilities to optimize their care experience and to ensure the lowest cost for both the member and the employer organization.

Members are not required, however, to use Monument Health providers or facilities exclusively and may continue to see any provider they wish.

How will my employees and my organization be supported when we need assistance?

Onboarding and open enrollment support will be available to benefits professionals. And both benefits professionals and employees may contact the Monument Health team, a local resource, at (970) 683-5630 or [email protected].

If your organization accessed Monument Health via Rocky Mountain Health Plans (RMHP), members may contact RMHP Customer Service at (970) 244-7912 or (888) 282-1420 from 8 a.m. to 8 p.m., or via email from 8 a.m. to 6 p.m.

If your organization accessed Monument Health via a third-party administrator, we encourage employees to contact the third-party administrator directly via the contact method noted on their member ID card.

Can Monument Health help my organization navigate the ACA requirements and other policy updates?
Monument Health highly values the experience and expertise of our broker and consultant partners who are best equipped to support your ACA or other health care policy needs.
What does a transition from another health insurance product to a Monument Health product involve?

Monument Health, along with your broker and plan administrator, will work together to support you throughout the entire process, from contracting through onboarding.

We will provide a toolkit consisting of high-impact collaterals that are clear and simple to support you and your organization during the open enrollment period.

Monument Health offers on-site support from local experts during your organization’s open enrollment sessions, benefit fairs, biometric screenings, etc.

What visibility does my organization have into our quality and cost data?

The Monument Health organization is built on measurement, collaboration and transparency.

Our employer group partners have access to a dashboard that contains their quality and cost data. And we always invite in-person discussions or operating reviews to review the data and programmatic updates, share feedback, etc.

Interested in partnering?

Contact Us

461 Main Street, Suite 200
Grand Junction, CO 81501
(970) 683-5630
[email protected]