HEALTHCARE SOLUTIONS ENSURING THE HEALTH OF OUR MEMBERS’ MOST VALUABLE RESOURCE: THEIR EMPLOYEES.
In September, WGAT added new multi-practice provider Healthy Families to its Mexico Cross-Border program. Located closed to the border in Mexicali, Mexico, the Healthy Families Medical Center enables patients to access quality medical services at a significantly reduced cost compared to stateside care. Additionally, WGAT enhanced its Mexico plans to include nutritionist consultations for patients diagnosed with diabetes, as well as on-site consultations for cardiology and neurology. PinnacleRx Solutions (PRxS), our pharmacy benefit management company, implemented several cost-saving measures for plan members. After renegotiating with our rebate aggregator, PRxS has nearly doubled its rebates revenue, and retail margins have gone up as PRxS is able to buy drugs at lower costs. REPORTING AND TRANSPARENCY One of the major projects of 2022 was building new transparency tools in response to the Consolidated Appropriation Act. These new tools, available to all members of WGAT and Pinnacle, allow users to access real cost estimates for medical services and understand their cost share of those services. Additionally, further investment in technology and reporting allows WGAT to build Ag-specific reporting analytics for large employers that will empower them to make the best decisions about their benefits programs. NEW TECHNOLOGY A large time investment went into research to find the best healthcare technology tools for members in 2022. In 2023, those investments will pay off with the Spring launch of the new healthcare concierge mobile app available to both PCMI and WGAT clients. In today’s world where everyone has a smartphone, our new app puts a dedicated team of healthcare experts in a user’s pocket to help navigate the complex world of healthcare. Our app and the concierge team behind it will
Western Growers and its family of companies continue to evolve and innovate to provide the best healthcare solutions for Western Growers members.
A TEAM OF HEALTHCARE EXPERTS DEDICATED TO AG In 2022, Steve Mangapit returned to Western Growers in his new role as the Chief Operating Officer, leading both Western Growers Assurance Trust (WGAT) and Pinnacle Claims Management, Inc. (PCMI). In addition to Steve, we have continued to build our team of talented experts in healthcare by onboarding new staff and furthering their education and development. Steve Mangapit ACCESSIBLE AND QUALITY HEALTH CARE PCMI announced in August it has taken over as a managing services organization at the Cedar Health and Wellness Center located in Santa Maria, Calif. As part of the WGFC, PCMI serves the needs of Western Growers members with health administration services for the association’s health plan. Our continued venture in health care delivery reinforces our mission to streamline services and focus on delivering a more hands-on approach to patient-centered, culturally sensitive health care in the agricultural community. PLAN ENHANCEMENTS In the third year of the COVID-19 pandemic, healthcare continues to seek out a new normal. As the marketplace looks for more innovation and cost efficiency, WGAT has built new plan enhancements that will be effective Jan. 1, 2023 to find that sweet spot of bringing value to members and reducing costs. These enhancements include a Zero Cost Share Telemedicine program where members can access virtual primary care without any expense and a change to a Zero Cost Share on our best-in-class Mexico Network of healthcare providers.
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