wu direct © a 2015 wu employee health initiative
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WUDIR
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WHAT IS WUDIRECT©
A new program designed to provide WU insureds (employees and dependents) priority access for initial appointments with Washington University Physicians 14 days non-cancer 7 days cancer or suspected cancer
diagnosis
WUDIRECT©
Endorsed by: Washington University HR WU/WUSM Central
Administration WUSM Clinical Department
Heads
WUDIRECT©
Importance to WUSM: Approximately 48% WU insureds seek
care from non-WUSM providers Loss revenue $18m - $22m annually Ability to provide enhanced care and
lower cost to WU If successful, sets stage for WUSM
exclusive network product offering in 2016
WUDIRECT©
Importance to WU Insureds: Enhanced care Lower out-of-pocket co-pays
and deductibles
WUDIRECT© HMO/POS Plans PPO Plans WUDirect Other WUDirect Other
Non-preventive PCP Visit
$15 $25 10% 20%
Non-preventive Specialist Visit
$25 $40 10% 20%
Preventive Exams/Diagnostics
$0 $0 0% 0%
Chiropractic/Spinal Manipulation*
N/A $40 N/A 20%
Outpatient Mental Health
$25 $40 10% 20%
ABA Therapy for Autism (UHC)
$25 $40 10% 20%
Autism Services (Anthem BCBS)
10% 20%
PT/OT/Speech Therapy $25 $40 10% 20%Urgent Care Facility Services
N/A $35 N/A 20%
Non-Preventive Diagnostics- Lab/X-Ray services- Major Radiologic
Tests
N/AN/A
10%20%
N/AN/A
20%20%
WUDIRECT©
Perceptions That Must Be Addressed For A Successful Program: Timely access to care Patient confidentiality
HOW WILL IT WORK?• WU insured calls department to schedule an
appointment• If appointment is not able to be scheduled in
a timely manner, patient calls 314-747-6500• Access specialist calls Scheduling Supervisor
for assistance getting a timely appointment• If appointment is not able to be scheduled,
Access specialist notifies FPP Clinical Operations
HOW WILL IT WORK?• FPP Clinical Operations calls
Department Business Manager/Executive Director for assistance
• If a timely appointment is not able to be scheduled, FPP Clinical Operations notifies FPP CEO
• FPP CEO calls Department Chair for assistance
WUDIRECT©
WUDIRECT©
We Need Your Assistance Identifying obstacles to program
success Designing a methodology to
achieve targeted appointment wait times
Educating your staff regarding WUDirect©
Timely feedback about how it’s working