From:
Sent:
Ziemer, Scott A [Scott.Ziemer@umr.com]
5/19/2020 5:58:29 PM
To:
CC:
Subject:
Haben, John M [john_m_haben@uhc.com]
Paradise, Rebecca B [rebecca_paradise@uhc.com]; Aue, Bobbie J [bobbie_j_aue@umr.com]
RE: ASO migration off R&C
Attachments:
20200518 UMR OON Strategy Overview.pptx
Hi John,
Attached is abbreviated presentation that we have been using to explain the strategy. Long story short we are going to
force a change in 2021 for the clients using R&C.
We are changing our legacy CRS program starting on 1/1/21 and clients in that will get our new OON solution
called CRS Reference. It uses Medicare pricing with Advocacy in lieu of Fair Health. Clients will have to opt out if they
want to keep Fair Health.
For clients using Fair Health in our current CRS program, they will get a renewal with CRS Reference starting with
1/1/21 renewals. Again, they will have to opt out if they have to keep Fair Health.
We have been leading with a non-Fair Health solution since 5/1/19 on new business. Again expectation is that
client would have to require us to offer Fair Health.
Goal is that any client who has Fair Health (1.81M) will be off of it by 1/1/22, unless they have required us to keep them
on it. Not sure what the exception rate will be, but I would hope that 75+% of the membership will off.
Let me know if you have any questions or would like me to walk you through the strategy. I’ve talked to Matt P about
this last week and am talking with Saurabh and Neil Brok! on Friday with Hogan/Freiberg, etc…
From: Haben, John M
Sent: Tuesday, May 19, 2020 2:20 PM
To: Ziemer, Scott A
Cc: Paradise, Rebecca B
Subject: RE: ASO migration off R&C
Importance: High
Scott,
Do you have a sense of the total volume of members you will have moved off R&C by 1/1/2021 and how much will you
have still have on R&C?
Also, do you think you’d get all those clients off R&C by 1/1/2022?
Trying to reflect where you’d be in the UHN business plan for 2021.
John
From: Ziemer, Scott A
Sent: Monday, May 11, 2020 4:31 PM
To: Haben, John M
Cc: Paradise, Rebecca B
Subject: RE: ASO migration off R&C
John, here you go:
CONFIDENTIAL
Plaintiffs’ Exhibit
304
Cause No. CJ-2019-482
UHC_PA_00388957
P304.001
Source: Elections - nytimes.com
