Based in new orleans. Now live floor coverage here on cspan2. The president pro tempore the senate will come to order. The chaplain, dr. Barry black, will lead the senate in prayer. The chaplain let us pray. O lord our god, we are grateful for your marvelous works and power. Keep us from becoming weary in doing what is right, as you remind us about a harvest of blessing is certain. Give strength to our lawmakers and bless them with your peace. We praise you that you are the strength of our lives and we need not fear for the future. As you guid guide our senators h your wisdom create in them a hunger and thirst for righteou righteousness preparing them to be filled with your divine nourishment. Lord, thank you for not withholding blessings from those who walk upright. We pray in your great name. Amen. The president pro tempore please join me in reciting the pledge of allegiance to our flag. I pledge allegiance to the flag of the United States of america, and to the republic for which it
Provide that because what best doctors intends to do is try to provide the right treatment Going Forward and not after the fact. So, sometimes people may want to get a Second Opinion, but its after they have already had a procedure done. Other questions. I have a lot of comments about this. First of all, its not free, its 1. 40 per member per month, adds over 1 million to the rates. Talking about a looming excise tax and i dont understand how you know your diagnosis is better than the other doctor diagnosis. 509 cases open, 413 closed. Unless you follow the case for a long time down the road you wont know whether your diagnosis was better than the other persons diagnosis. And we already have this Service Available to us. If a member has a certain problem, they can get a Second Opinion and a facetoface opinion with another doctor. As far as i know. I know people that do it. And if they dont, i know that h. S. S. Would probably help them facilitate that, and those particular cases. So, a
Transfer, because we do realize that if you sometimes just hand it to the member, they are not going to follow through. So we make sure to offer to do the warm transfer for them. And the same thing holds true with any of the other vendor programs that you have. We dont have everything displayed here, for example. One of the things that we are not displaying on this slide is any of the Tobacco Cessation programs than could be we didnt do outbound programs. They dont have a case that related to the Smoking Cessation or referrals. So these are in bound to best doctors or out bound to one of the benefit partners. Im sure that sometimes it might be a little surprising to see that we have a little bit of lower numbers from particular vendor partners or even from the h. S. S. Wellness team, and one of the great things we do is integrative projects or discussions and that we revisit any opportunities for referral and integration. And so thats ongoing right now. I have a question. Commissioner
Referrals to you, is that what im hearing, or you are just beginning to do that . We have done outreach in order to kick start conversations to look at opportunities for referrals and as you can see here, the only provider that was effective in terms of carrying out a Referral Program was United Health care. All right. Then united refer best doctors, and then you say referred to benefit partners. So, what does that mean, the seven people went back to u. H. C. . No, these are all unique users. So, if we are taking a look benefit partners. Looking at the second line, the u. H. C. , the first column shows referred to best doctors, 19 cases. That means u. H. C. Referred over members to best doctors and out of all the members they referred, we had actually seen through cases through closed status from 19 members. 19 unique users. It says referred to benefit partner seven, what does that mean . That means from best doctors we sent out Seven Members back to u. H. C. And its not the same membe
19 cases. That means u. H. C. Referred over members to best doctors and out of all the members they referred, we had actually seen through cases through closed status from 19 members. 19 unique users. It says referred to benefit partner seven, what does that mean . That means from best doctors we sent out Seven Members back to u. H. C. And its not the same members that were referred in. It was members that obviously didnt know that u. H. C. Had a particular program or could help support them or clarify their questions about their claim or their physician or innetwork status. Looks like it should be 12. Seven from 19, 12. Unique users. 19 people that completed cases with best doctors, and then best doctors sent seven different members to u. H. C. Because they needed Additional Support from u. H. C. So this is best doctors referring to the health plan. Yes. All right. Thats what the second column is. So the first one is in to best doctors from the benefit partners. Dont really know what