SelectHealth Share aligns

financial incentives so employers

can enjoy predictable costs, a
sustainable partnership, and
engaged, healthy employees.

Predictable. Sustainable. Engaged.

© 2015 SelectHealth. All rights reserved. 3970 07/15

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The four pillars of

SelectHealth ShareSM—
Intermountain Healthcare®
and affiliated providers,
SelectHealth®, employers,
and employees—will
collaborate to support
predictable premiums,
greater affordability, and
healthier lives.
 COMMITMENT: Employers support employees by working
toward these commitments.

REWARD: Engaged, healthy employees; predictable rates;

and a sustainable, long-term healthcare model.

1. Agree that SelectHealth will be the sole carrier within

the SelectHealth Share service area.

2. Ensure that SelectHealth Share products are the only

medical plans available for employees living in the
SelectHealth Share service area.

3. Offer a Qualified High Deductible Health Plan (QHDHP)

that meets the SelectHealth Share minimum benefit
design requirements. A traditional plan can also be
offered alongside the QHDHP.

4. Fund an employer-match Health Savings Account

(HSA) contribution (employer matches the employee’s
contribution between 25-50 percent of the
annual deductible).

5. Contribute at least 70 percent of the aggregate

premium across all rating tiers.

6. Promote the Intermountain Health Answers 24/7 nurse

phone line.

7. Meet all of the requirements of the Healthy Living

product (e.g., provide a wellness incentive, establish a
wellness council, engage in quarterly wellness activities,
support a tobacco-free environment, supply healthy
food options, promote a violence-free work site).

Investing in Employee Health 8. Participate in an annual member engagement review

with SelectHealth and implement measures identified in
Employers work to reduce the cost of
the review that will increase member engagement and/
healthcare by engaging employees in wellness.
or control utilization.

EMPLOYERS
9. Reach a minimum of 50 percent employee participation
in the first seven employee engagement requirements.
This percentage will increase to 60 percent and
70 percent in the subsequent two years.
A Healthier Life COMMITMENT: Employees fulfill these 13 commitments that
empower them to take control of their health and their care.
Employees collaborate to make decisions that
affect their health, their care, and its cost. REWARD: Employees engaged in living healthy lives and making
decisions about their healthcare.

1. Establish and fund an HSA if applicable.

2. Choose a doctor on the SelectHealth Share network and work

with him or her to coordinate care.

3. Complete an annual Health Risk Assessment (HRA), which includes

a health screening, within the first 90 days of the plan year.

4. Participate in Digital Health Coaching (if identified as needed).

5. Engage in employer-sponsored physical activity campaigns

(two per year).

6. Participate in disease management with a SelectHealth or

Intermountain Healthcare care manager for the following
conditions: asthma, diabetes, Chronic Obstructive Pulmonary
Disease (COPD), and Congestive Heart Failure (CHF).

7. Complete preventive screenings as prescribed by a physician

and in accordance with United States Preventive Services Task
Force age/gender-specific preventive services guidelines.

8. Create a My Health account.

9. Enroll in the Weigh to Health® program, if needed.

10. Enroll in the SelectHealth Healthy Beginnings® maternity program,

when pregnant.

11. Engage in the Intermountain Healthcare “hot spot” program, if

identified as an unnecessarily high user of the emergency room
or other services.

12. Participate in Shared Decision Making (SDM) modules, as

EMPLOYEES
prescribed by a physician.

13. Complete the educational portion of a tobacco cessation

program, if applicable.
A Long-term Partner SELECTHEALTH SHARE NETWORK
SelectHealth creates evidence-based benefit designs and AND SERVICE AREA
facilitates data sharing, active lifestyles, and cost transparency. 2,200+ PARTICIPATING PROVIDERS
19 HOSPITALS

SelectHealth Share members

have access to Intermountain
Medical Group® physicians and
over 1,000 affiliated providers.
Additionally, members can use
recognized hospitals such as
Primary Children’s Hospital,
Intermountain Medical Center®,
Utah Valley Regional Medical
Center, Dixie Regional Medical
Center, and The Orthopedic
Specialty Hospital (TOSH®).
COMMITMENT: SelectHealth will share its resources and utilize its
knowledge and experience to support employers, employees, and doctors.

REWARD: Provide access to affordable healthcare while helping people

live healthy lives.

1. Propose meaningful incentives for employers to participate and actively

engage in SelectHealth Share (e.g., predictable premium—multi-year rates). SelectHealth Share Minimum Benefit Levels

2. Promote the use of evidence-based medicine and care process High Deductible Health Plan Traditional Plan

models in internal systems, processes, and practices (e.g., integrated Deductible Individual: $1,500 Individual: $750
Family: $3,000 Family: $1,500
Care Management).
OOP Maximum Individual: $3,000 Individual: $2,500
3. Encourage member participation in Shared Decision Making (SDM) Family: $6,000 Family: $5,000
modules to engage members in discussions with their physician ER Copay $75 copay after deductible $250 copay after deductible
concerning treatment options, benefits/risks, costs, and more. Non-preventive 20 percent or 20 percent or
Office Visit $15/$25 after deductible $25/$40 after deductible
4. Develop reports that aid the group/agent and physician in meeting their

SELECTHEALTH
Inpatient Hospital 20 percent or 20 percent or
engagement responsibilities. $500 after deductible $500 after deductible
5. Develop online tools to support cost and quality transparency. Rx 20 percent or 20 percent or
$7/$21/$42/$100 $15/$30/$50/$100
6. Implement population health and wellness programs. after deductible after deductible

7. In conjunction with the Pharmacy and Therapeutics Committee, develop HSA Employer Individual: $375 N/A
Match Family: $750
and implement an efficient drug formulary to promote effective
prescription drug use.
 7. Employ an Electronic Medical Record (EMR) that is nationally certified by the
Certification Commission for Healthcare Information Technology (CCHIT) and
demonstrate a work plan and acceptable progress toward meaningful use.
Engaged Doctors 8. Where clinically appropriate, refer and recommend patients to physicians and
Intermountain Healthcare facilities participating in the SelectHealth Share initiative. Provider acknowledges
and affiliated providers that significant benefit accrues as physicians work together in an atmosphere of
support a highly trust and common purpose. For this reason, as well as to maintain value for
engaged, collaborative patients, referrals will be in-network for both professional and facility services
relationship between unless there is a compelling clinical reason to do otherwise.
individuals and their 9. Use its best efforts to have a critical mass of its practice at an Intermountain
doctors as the facility and to have a significant amount of its patients with SelectHealth to enable
foundation for better SelectHealth, Intermountain, and the provider to adequately evaluate performance.
health and affordability. 10. Disclose to SelectHealth and Intermountain any ownership interest in a healthcare
system, facility, or any other entity that competes with Intermountain.

11. Participate in relevant local value-improvement projects (e.g., QUE 2 projects), as

applicable. Local medical staff and regions will undertake improvement efforts in
COMMITMENT: Intermountain Healthcare and providers on the SelectHealth Share
specific clinical areas (e.g., minimizing supply cost in the operating room) and for
network are contractually committed to the following 18 shared commitments
specific case types.
designed to create a better healthcare system.
REWARD: Strong, more stable patient relationships coupled with the long-term 12. Meet SelectHealth access standards.
resources needed for success.
13. Provide equal access for all patients. For example, if the provider’s practice is open
1. Comply with evidence-based standards and business best practices as defined by for new patients on one SelectHealth network, it will be open to new patients on
Intermountain Healthcare. Provider will contribute to a culture of continuous other SelectHealth networks on which the provider participates.
shared learning and improvement by participating in the development and
14. Provide reasonable access to uninsured patients. Intermountain will carry the
adoption of these standards and practices and by identifying ways they can be
primary accountability for facility services for the uninsured, but medical staff
improved. Best practices and standards may be developed within Intermountain or
members will be expected to participate in meeting the need for professional
by regulatory and accrediting bodies (e.g., Centers for Medicare and Medicaid
services. Intermountain will continue to support and facilitate effective
Services, The Joint Commission, National Committee for Quality Assurance).
mechanisms to meet the needs of the uninsured through community health
2. Participate in staff and department meetings and/or communications as centers, volunteer clinics, and other community-based health initiatives.
specified by Intermountain.
15. Accept accountability for performance on quality, patient engagement, and cost.
3. Provide complete, accurate, and timely documentation and coding of all diagnoses This includes both a commitment to excellence in these areas and a willingness
and treatments for patients. Provider and staff will participate in training to to participate in financial rewards (or penalties) based on performance.
become and remain knowledgeable of the applicable elements of accurate
16. Demonstrate an interest in population health management as well as the
documentation and coding.
capability to manage the health of its patient population.

PROVIDERS
4. Treat other physicians, nurses, staff, patients, visitors, and facilities with respect,
17. Share, and allow SelectHealth and Intermountain to share, performance data with
both in interpersonal interactions and in communications.
Intermountain, SelectHealth, other providers participating in SelectHealth Share,
5. Participate in compliance training (including HIPAA) as required by SelectHealth and with patients. The parties acknowledge that this includes allowed amounts for
and comply with all applicable laws and regulations. claims but does not include billed amounts.

6. Participate in hospital-required emergency department call coverage, as applicable. 18. Disclose, for review and approval by SelectHealth, all conflicts of interest.