U-M Health + St. Joe’s Medicare Advantage
Trinity Health/Saint Joseph Mercy Health System recently finalized an agreement with Physicians Health Plan (PHP) based in Lansing to offer a Medicare Advantage plan under the brands of St. Joe’s and Michigan Medicine. As a part of that agreement, McAuley Health Partners joined the PHP Medicare provider network. The foundation of this plan is to further the delivery of exceptional, compassionate care to our patients and communities we serve.
About Physicians Health Plan
Physicians Health Plan (PHP) is a leader in provider-sponsored health plans. Based in Lansing, MI, PHP was founded in 1980 with three main beliefs to better serve their members and communities: 1) local healthcare delivery is better healthcare; 2) personal relationships matter; and 3) flexibility in healthcare solutions support both the individual and the community.
Sparrow Health System is the majority owner of PHP. In 2019, Michigan Medicine and, in September 2021, Covenant HealthCare invested in PHP as minority owners.
PHP Medicare
In 2020, PHP’s first Medicare Advantage plan year, Sparrow Advantage and Covenant Advantage were the fastest growing new Medicare Advantage with Part D plans in the country based on January 2020 CMS enrollment data.
In 2021, Sparrow Advantage had the top net gain and greatest market share gain of all Medicare Advantage plans based on January 2021 CMS enrollment data.
In 2022, PHP will expand its Medicare Advantage plan to Washtenaw and Livingston counties in partnership with Michigan Medicine and Trinity Health, and in Jackson County under the PHP Advantage plan name.
U-M Health + St. Joe’s Medicare Advantage
In Washtenaw and Livingston counties, the plan will be co-branded with the Michigan Medicine and St. Joe’s logos and under the name U-M Health + St. Joe’s Medicare Advantage. There will be extensive marketing to Medicare-eligibles beginning Oct. 1.
We want you to have the details of what this means so you are prepared in case you receive questions from patients. You are not being asked to promote the plan. Rather, be aware of the strategic priority with PHP and the details of the plan.
Physician Office Training
PHP will provide orientation and training to the U-M Health + St. Joe’s Advantage plan McAuley Health Partners provider offices. These sessions will provide tools and resources for you and your staff to successfully manage the plan in your offices.
Training sessions are in process of being finalized and will be communicated to McAuley Health Partners over the next few weeks.
For More Information
Medicare-eligible residents in Livingston and Washtenaw counties can begin to review the U-M Health + St. Joe’s Advantage plans beginning Oct.1, 2021. The Medicare Annual Enrollment Period takes place Oct. 15 through Dec. 7, 2021.
Coverage for beneficiaries will begin Jan. 1, 2022. You may notice mailings to Medicare-eligible residents as well digital and other marketing. Beginning Oct. 1, details about the plans, its benefits, and how to enroll can be found at UMHealthStJoesAdvantage.com.
For McAuley Health Partners providers, PHP is available to answer questions about the details of the coverage for patients in the U-M Health + St. Joe’s Advantage plan. You can reach out to Peter Graham, Chief Medical Officer, Physicians Health Plan, at 517.364.8467 or Peter.Graham@phpmm.org or Scott Norman, Vice President, Business Development and Medicare at 517.364.8469 or Scott.Norman@phpmm.org.
If you have questions specific to McAuley Health Partners, you can contact:
Cassandra S. Nangle
Cassandra_Nangle@ihacares.com
Quality Project Manager II,
McAuley Health Partners ACO
Cell Phone: 734.301.9618
Melissa Bolt
Melissa_Bolt@ihacares.com
Executive Director,
McAuley Health Partners ACO
Direct Phone: 734.761.1855
Cell Phone: 586.817.0286