Impact of the Patient Protection and Affordable Care Act

Impact of the Patient Protection and Affordable Care Act

Andrea Billings, the Administrator for the Valley Schools Employee Benefits Trust, was the featured speaker at a panel entitled, Impact of the Patient Protection and Affordable Care Act, at the recent Arizona Association of School Business Officials (AASBO) conference in Tucson, Arizona.

Andrea Billings, VSEBT

Andrea Billings, VSEBT

Valley Schools Employee Benefits Trust (VSEBT) serves tens of thousands of school district employees and their families, providing health care, dental insurance and other benefits through group purchasing.  Keeping their members informed and up-to-date on changes in the health care landscape is just one of their goals.  As part of a 3 hour Panel Session conference on Health Care Reform, Andrea Billings brought vital information to business officials from around the state of new implementation rules and costs.



Assisting Andrea Billings from Valley Schools was Michael Saavedra from United Healthcare, and several others from local organizations. The moderator was Kathy A. Steadman from Hennelly & Steadman PLC.  AASBO members packed the room, asking detailed questions of the panel.

Passage of the Patient Protection and Affordable Care Act and healthcare reform laws represent the most significant regulatory overhaul of the U.S. healthcare system since the passage of Medicare and Medicaid in 1965. The impact of the implementation of these laws will be far-reaching, evolving and challenging for all schools and districts in Arizona. The Workshop provided a unique opportunity for an in-depth discussion and exploration of this vital topic. Covering such areas as the individual mandate, penalty provisions, part-time vs. full-time definitions, notification requirements, resource allocation, strategic budgeting options and a host of other topics, come join in this important session to make sure your district is prepared for 2014 and beyond.

VSEBT and UHC Team Up to Provide Bilingual Health Website

United Healthcare (UHC) in their preferred provider status with the Valley Schools Employee Benefits Trust (VSEBT) is providing an online Bilingual Health Information Center Website.  This is increasingly important in places like Arizona where language can be a serious barrier to proper treatment.  Speaking a second language is difficult enough, but many of the medical terms used are not picked up in daily life, leaving patients frustrated describing or understanding their conditions.  Savings and better health outcomes result when patients are able to clearly communicate their symptoms, problems and any adverse treatment reactions.  Congratulations to both organizations for taking this critical step to improve health care services to individuals in their own native language.

bilingual med

New Features Offered on Bilingual Health Information Center Website


As a reminder, one way UnitedHealthcare Latino Health Solutions has responded to the needs of Hispanics in utilizing mobile devices is by developing the Bilingual Health Information Center. The mobile website offers access to extensive and culturally relevant health and wellness information and resources when users enter from a smartphone browser.

New features have recently been added to the website. The new features include:

  • · A glossary of medical terms
  • · Healthy recipes
  • · Podcasts
  • · Sharing capabilities
  • · Other tools and resources in both English and Spanish

Digital strategies, such as the use of mobile devices to increase Hispanics’ access to health information, are essential in assisting them to become empowered and educated health care consumers. This technological approach may lead to better health outcomes and help cultivate healthier lifestyles.

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Tolleson Union High School District Holds First Health Fair!

The Tolleson Union High School District (TUHSD) held its first Wellness Fair this year on April 24, 2013.  The event was attended by several hundred people.  The purpose of the event is to raise awareness of wellness for staff, students and community members.  The event had many participants that helped provide nutritional and healthy living instruction to participants.  The TUHSD food service provided healthy snacks for attendees to sample as well as providing the recipes.

The Mobile On-site Mammography (MOM) team performed screenings for breast cancer at the event.  There was also screening for diabetes and other conditions.

Among the health and insurance providers present and providing assistance were:  Delta Dental;  TDA; ING; The Kidney Foundation; United Healthcare; VSP; Assurant; and the Valley Schools Employee Benefits Trust (VSEBT).

Door prizes were donated by VSEBT “preferred providers” – VSP, United Healthcare, Assurant, and Delta Dental.

tolleson u h s d logo

Congratulations to TUHSD on this first annual event to help improve health and wellness in their community!

Dr. Oz Videos Available Through UHC and VSEBT

United Healthcare and the Valley Schools Employee Benefits Trust (VSEBT) have teamed up with the Dr. Oz show to bring weekly healthy videos to their members.  This new service allows their health benefit members and families to watch live streaming video of various healthcare topics.  Just another innovation to help bring good, current health information to those who need it.  Kudos to them!


Here is a link to the Doctor Oz site.  You can find a number of good health resources here and by watching his show.

Doctor Oz



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March Healthcare Update

This is the March 2013 UnitedHealthcare Newsletter and Bulletin sent to all Valley Schools Employee Benefits Trust (VSEBT) members.  Each month their tens of thousands of members who work at school districts throughout the state get the latest in health news, updates on regulatory changes and free webinars.  What does your health provider do for you?  If you want more information, please contact Sheri Gilbert at Valley Schools at 623-594-4370.  It is unfortunate that not every plan provides such up-to-date information each month.

Pardon the formatting, it was drawn from an email forwarded to our press release department.

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Monthly Business Communications
March 2013
In This Issue

Important Links:


United for Reform –

Resource Center


2013 Wellness Calendar & Source for Women



Pharmacy News:

Learn more about Mail Order

“Not all drugs are created equal” – Cost and Value are not necessarily the same – View Total Health Care Value

Keep informed about OptumRX Transition


Important eServices update:


Please read about the new demos and videos soon to be displayed at:



Dear Districts,

Please see the attached March Care 24 Health Bulletin, Calendar and Poster, focused on “Getting Help for your Aching Back”.

Back pain affects about 80% of Americans at some point in their life. Back pain can range from a dull, constant ache to a sudden, sharp pain. Most back pain goes away on its own, though it can take time. While most backaches can be treated with self-care, if your pain is severe or doesn’t improve after three days, call your doctor. Or, if your pain is the result of an injury, make sure to get medical attention.

Depending on what kind of back pain you have, there are a wide variety of treatment options available:

If your pain is acute – pain that starts quickly and lasts less than six weeks, you may want to take acetaminophen, aspirin or ibuprofen to ease the pain. If your pain is chronic – lasting more than three months, your doctor may suggest hot or cold packs, certain exercises, medication, changes in how you move and sleep, alternative treatments such as acupuncture, injections or surgery.

To learn more about coping with low back pain, go to

Make the most of our Care24 service. When you call you get one-on-one help from experienced professionals who are here for you and all your health and wellness concerns. Call 1-866-271-7340 to get started.

Please remember that full Care24 services are not isolated to medial consultation. There are other licensed professionals available to assist you with counseling needs, financial issues and legal consultation.

Please see the below recap to provide you updated information on Health Care Reform, Optum RX, Source4Women and Employer eServices.

Thank you for being a valued customer and please let us know if you need anything,


Mark Baggot

Sr. Field Account Manager



UnitedHealthcare Profile and Preference Center – your source for UnitedHealthcare Communications!



Multicultural Sites offered by UnitedHealthcare




If you would like information on our Plan Bien program, please contact your Field Account Manager.








Just a little St. Patrick’s Day Trivia:


St. Patrick was actually born in Great Brittan near Kilpatrick, Scotland


St. Patrick’s Day use of the leprechaun has no direct relationship to St. Patrick and actually originates from a 1959 Walt Disney movie featuring a very American version of Irish folklore characters. This American leprechaun quickly evolved into a highly recognized St. Patrick’s Day symbol.


Boston was the first U.S. city to officially celebrate St. Patrick’s Day.


A “shillelagh” is a short and stout oak club.



Health Reform

United for Reform Resource Center

Welcome to a new era of health care.

When President Obama signed the Patient Protection and Affordable Care Act (PPACA) into law on March 23, 2010, we entered a new era of comprehensive health reform. The act includes several provisions which are designed to expand coverage, control health care costs, and improve the health care delivery system.


Our goal at UnitedHealthcare is simple: to help you understand what health reform means for you. New laws. New benefits. From children to seniors, changes are happening – we are with you every step of the way.


Please log onto for more information as you need.

2013 Wellness Calendar & Source4Women

Please see the attached 2013 wellness calendar. March focuses on “Healthy Fast Food”. Please join the seminar at the Source4Women site on Must Eat Foods for You and Your Family. That webinar will be March 12, 2013.


Please also view healthy recipes on

In addition to the seminar, submit your health recipe for a chance to win $2,000 in groceries! $$$$$$$$$$$$

Upcoming Online Seminars



Must Eat Foods for You and Your Family

Kathleen Zelman, MPH, RD
March 12 – 12:30 p.m. (ET), 11:30 a.m. (CT)
Register now | Speaker biography | Speaker blog

Good nutrition starts in the kitchen. The foods you choose to stock your pantry and refrigerator are the foundation for healthy meals and snacks. Upgrade your kitchen with our healthy cooking tips, simple recipe swaps, and great ways to pump up the protein and make your favorite recipes and meals healthier. Getting kids to enjoy and embrace a healthy diet may be a real challenge for parents. By loading your shelves with delicious and nutritious foods, your kids will stop begging for junk food. Join us for this informative webinar that will give you tips and tricks to help your family make healthier food choices and develop good eating habits that can last a lifetime.


Previously Recorded Seminars

Unable to attend the live broadcast? You can still watch previously recorded seminars on Source4Women. All seminars will be recorded and made available on the site a few days after the live event. See all previously recorded seminars.

Pharmacy News:

About UnitedHealthcare pharmacy services

UnitedHealthcare pharmacy provides full-service pharmacy management and OptumRx Mail Service solutions for United Healthcare’s commercial business. With more than 30 years of integrated pharmacy and medical management experience, we take a total health care approach to supporting better health for members, and lowering total costs for you and your employees.


We have a long history of leading the PBM industry in innovative total cost management – from introducing the first 3-tier drug benefit to integrated clinical services and member support. Plus, our OptumRx Mail Service Pharmacy specializes in the delivery, clinical management and affordability of prescription medications and consumer health products. (

Important eServices Update:

New, Redesigned Employer eServices Portal Launches March 18

UnitedHealthcare will launch a new, redesigned Employer eServices® portal on March 18. The portal will feature streamlined navigation, intuitive design and state-of-the-art tools, making it easier than ever for customers to administer benefits online, as well as launch workplace wellness initiatives.


The portal will be the result of years of research, including nearly 100 interviews with end users. Once launched, it will be the cutting-edge, source-of-truth benefits management system for UnitedHealthcare’s brokers, consultants and customers.


Employer eServices Portal Improvements – What’s New:

· Dashboard

· Navigation

· Health and Wellness Tools

· Notifications and Alerts

· Training and Resource Materials

  • · Watch for informational webinars later in March!



VSEBT and UHC provide January Healthcare Updates

United Healthcare, in conjunction with its partnered independent trust, the Valley Schools Employee Benefits Trust (VSEBT) provides monthly updates to all its members on important topics in wellness, healthcare and benefits.  Here is the January update:

UHC Updates Jan 2013 (3)

Thank you to UHC and VSEBT for sharing this information publicly with their non-members so they can benefit and know the information they should be receiving from their own employee benefits providers.








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Holiday Care 24 Communication!

United Healthcare Offers its premium program, Care 24, to members of the Valley Schools Employee Benefits Trust (VSEBT).  Many of those members are school districts around Arizona that take breaks during different parts of the year, in conjunction with the school year.  Accompanying this email, was a brochure as well.  It is good to see that a health carrier and a trust like VSEBT are able to provide such extensive and timely information in advance of the holidays!



Dear Districts:

Happy Holidays…Wishing you good health and happiness this holiday season and throughout the coming year!

Attached you will find the Care24 Calendar and Tip Sheet along with information about the HCR W-2 reporting requirement. Other topics of interest this month include additional information about our upcoming Pharmacy Migration, Negotiations with Emergency Physicians Southwest P.C.
and more…

Monthly Care24 Topic:

Please find the attached the monthly Care24 Tip Sheet and Care24 Calendar.
This month’s topic is Holiday Stress and attached are some important tips to remember and share with your employees:

Stress less this season.

Festive though it may be, the holiday season can also drain us of time, energy and dollars. If you sense that the stress in your life might be growing out of control, take note and take action. You can manage your stress level any time of year by:

* Just saying no if you may have taken on too much
* Not demanding perfection from yourself or others
* Making the most of your support network – talking it out with a
friend or family member
* Trying relaxation techniques to help push your stress aside for awhile
* Exercising, getting enough rest and eating a well-balanced diet

To learn more about coping with stress, go to<>.

Make the most of our Care24 service. When you call, you get one-to-one help from experienced nurses who are here for you and all your health and wellness concerns. All calls are completely confidential. Call 1-866-271-7340 to get started.


What’s New on UHC.TV?

Is There A Healthy Holiday Cookie?<
Managing Stress–BBC Brainsmart<
Joy Bauer: Weight Loss Strategies<

Links to videos:

Remember UHC.TV is our online television network that presents relevant, focused, educational and entertaining video programs about good health and living well to help people get inspired to grow healthy and live better.
From expert advice on healthy living to side-splitting comedy, it’s available online anytime. Visit for ready- made materials to promote UHCTV at your workplace.

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Copy and place the following UHC.TV links in your employee communications.

Source 4 Women<;

Source4Women offers free online seminars and events focused on keeping you and your family healthy. These one-hour seminars are fully interactive and include audio and video of the speaker. Best of all, there is a question and answer period with the speaker immediately following the presentation.

Upcoming Online Seminars:

December 11th: Holiday Social Weight Maintenance

January 1s: Best Weight Loss Tips Ever

Register at:

Wellness Online: December

Wellness Online is designed to educate your employees and their families on key health issues based on National Health Observances. The monthly emails will include health and wellness information, UHC product information, health tips and recipes. All you need to do is simply forward the below Wellness Online link to your employees for distribution.

Webcast Discusses Upcoming Pharmacy Transition

Get up to date on how consolidating UnitedHealthcare’s pharmacy benefit programs internally through OptumRx will affect you and your employees Learn More<

Employers Must Report Cost of Coverage on 2012 W-2 Forms

Employers filing 250 or more W-2 forms are required to report to employees the total cost of their employer-sponsored group health plan coverage under the Patient Protection and Affordable Care Act (PPACA). The W-2 reporting requirement will begin with the 2012 W-2 forms furnished to employees in January 2013.

The cost of coverage generally includes both the portion of the cost paid by the employer and the portion of the cost paid by the employee, regardless of whether the employee paid for that cost through pre-tax or after-tax contributions.


As a reminder, it is the number of W-2 forms filed in the previous year, not the number of employees, that the Internal Revenue Service (IRS) considers when determining which employers are obligated to report the cost of coverage.

At this time, employers filing fewer than 250 W-2 forms do not need to report cost of coverage on W-2 forms. This transition relief will continue until further guidance is issued.

Keep in mind that this requirement is informational only and does not mean that employer-sponsored coverage is subject to income tax.

Ultimately, it is the employer’s responsibility to accurately determine which employees should receive cost of coverage information. Employers are encouraged to consult with their legal counsel or tax preparer for advice on what should be reported to meet the W-2 reporting requirement.

Who Receives Cost of Coverage Information It is important to note that only the plan subscriber (the primary
policyholder) requires the cost of coverage information on his or her W-2 form. Spouses and dependents would not have the cost of coverage on their W-
2 forms. Report the cost within box 12 with a code DD<; of the W-2 form designated for cost of employer-sponsored health coverage.

Employers are not required to report the cost of coverage issue for non- employees currently receiving health coverage such as retirees, former employees not receiving compensation from the employer or an individual to whom the employer is not otherwise required to issue a W-2.

W-2 Reporting Recap
The W-2 Reporting: IRS Recap of What to
UHCEW579805.pdf> outlines what coverage should and should not be reported on the W-2 form.

What Not to Report

Health Insurance Portability and Accountability Act (HIPAA) “excepted benefits” plans (accident, disability income, supplemental liability, workers’ compensation insurance) are not subject to the W-2 reporting requirements. Stand-alone dental and vision plans are also not subject to the requirements. Amounts contributed to a health savings account (HSA) or an Archer medical savings account are not reportable on the W-2. Health flexible spending accounts (FSA) funded solely through employee salary reductions are not reportable. Employers are required to report the FSA value when it exceeds the employee’s cafeteria plan election for all tax favored benefits. In addition, coverage under a health reimbursement account/arrangement (HRA) may be reported on the W-2 at the option of the employer.

Finding Cost of Coverage Data for Employees

* Review the 2012 bills from UnitedHealthcare.
* Talk to payroll vendor and request data for each employee.
* Fully insured clients on the UNET platform may log on to Employer
eServices<; to view monthly invoices to find the premium costs per employee.
* Self-funded clients should reach out to their COBRA vendor for COBRA
rate, if applicable.

Available Upon Request

UnitedHealthcare Benefit Operations Billing and Enrollment will provide supporting data to employers to assist them meeting this requirement. This data will only be made available upon request. For fully insured employer groups, billing operations can provide a member premium audit report that recaps the premiums charged for the calendar year. The premium audit report is a detailed listing for all subscribers invoiced under the policy and will include the subscriber name, subscriber ID, and total premium charged for each coverage month in 2012 for which the subscriber was invoiced.

Requests can be submitted to the dedicated billing analyst or through the broker and employer call center.

Video: W-2 Reporting
Negotiations Continue with Emergency Physicians Southwest November 27, 2012 We are in negotiations with Emergency Physicians Southwest P.C. to renew its contract, which expires on Dec. 31, 2012. Despite several months of intense negotiations, we have not yet reached an agreement.

Member Notification

If we cannot renew our contract, effective January 1, 2013, Emergency Physicians Southwest P.C. will no longer be considered a network emergency hospital-based physicians for members. Per regulatory and contractual obligations, we will provide notification to affected members (including retirees if applicable) as follows:

· In an emergency, members should always seek care at the nearest

· Members will be advised they can find other contracted
facilities/participating physicians at or by calling the customer care telephone number on the back of their medical ID card.

· We will work closely with patients and their physicians on a
transition of care plan to ensure continuity of care for members receiving ongoing medical treatment at Emergency Physicians Southwest P.C. Members with pre-planned services through Emergency Physicians Southwest P.C. are advised that they may be eligible for network benefits for these services during a transition period as part of our continuity of care program.

Members are advised to call the customer care number listed on their ID card to determine eligibility.

Many of our network physicians have privileges at other local hospitals. We will actively assist physicians with sole privileges at Emergency Physicians Southwest P.C. in obtaining privileges at alternate facilities.

Our Mission

It’s important for you to know that as the steward of health care dollars, we do everything possible to contain the rising cost of health care.
Continuity and access to top quality, affordable health care for members are key priorities. We work hard to ensure that contracted hospitals are reimbursed at rates that are not only fair and reasonable, but consistent with trends in their respective local markets. We understand that employers and consumers have limited budgets, and they count on us to provide them access to affordable in-network hospitals.

Negotiations Continue

We continue to be engaged in discussions with Emergency Physicians Southwest P.C. and we are working hard to bring these negotiations to a fair and successful conclusion.
We regret any inconvenience Emergency Physicians Southwest P.C. potential termination may cause you or your members. We will keep you apprised of our progress through future communications.

Resources Available for Hispanic/Latino Members

Provide your Hispanic/Latino members with access to materials in a culturally-relevant and bilingual format to help improve their health care experience through our Latino Health Solutions website. Fotonovelas or photo novels (in English) are bilingual photo stories depicting how a family discusses common health concerns can be shared with members

The fotonovelas, entitled, “¿Que le dijo el medico?” (What did the doctor tell you?) contain brief vignettes that depict a series of dialogues between family members discussing topics such as diabetes, hypertension, physical activity, nutrition, tobacco use and depression.

The fotonovela information is presented in a format that lends itself to helping Hispanic/Latino members and their families make informed decisions on their health and well-being. It’s another tool that will help them better understand prevention and wellness and guide them to take action by providing them with helpful tips on health-related issues.

View the
language/en-US/Default.aspx>” and other health and wellness information in Spanish and English at our Latino Health Solutions website <; or on your mobile device at

Costco Optical Announcement for Vision

UnitedHealthcare Vision is pleased to announce the addition of Costco Optical to our growing network of vision providers effective January 1, 2013. The retail chain adds 420 store locations nationally and over 420 optometrists to our national network of 35,000 access points.

We recognize the importance of choice for our members in selecting a provider for their eye care needs. That’s why we pride ourselves on being able to offer a robust and well-balanced network of both private practice and retail chain locations on a national and regional basis. This addition to our network will be an exciting option for members who enjoy the added value and convenience that Costco offers.

Members will be able to find participating Costco providers by visiting, and searching for participating locations in their area.

Please keep in mind that UnitedHealthcare Vision members must have a valid Costco membership in order to purchase materials at Costco Optical. A Costco membership is not required to receive an exam.



When will this occur?
As of January 1, 2013 Costco Optical will be part of UnitedHealthcare Vision/ Spectera Eyecare Networks, serving all UnitedHealthcare vision members.

How many store locations are included?
The retail chain adds 420 store locations nationally and over 420 optometrists to our network of 35,000 access points.

Are all Costco Optical locations included in our contract?
Yes, all Costco locations with Vision Centers.

How can I locate a participating provider?
Members will be able to find participating Costco providers by visiting<;, and searching for participating locations in their area.


When will the Costco locations be loaded onto the online Provider Directory?
Costco providers will be available in the directory beginning December 2012
as they are loaded into the system. The load will be complete by January
1, 2013 and will reflect all of the Costco providers at that time.

Does a UnitedHealthcare Vision member need to be a member of Costco in order to utilize their benefit at a Costco Optical location?
UnitedHealthcare Vision members must have a valid Costco membership in order to purchase materials at Costco Optical. A Costco membership is not required to receive an exam.

Thank you for being a valued customer and please let me know if you are having any service issues or concerns.