PRIVACY POLICY

HORIZON Health Ventures, LLC,
Privacy Statement


At HORIZON Health Ventures, LLC, we are committed to protecting your privacy as a visitor to this Website and as our customer. To our visitors and to our customers, we offer this pledge:

We will not sell, disseminate, disclose, trade, transmit, transfer, share, lease or rent any personally identifiable information to any third party not specifically authorized by you to receive your information except as we have disclosed to you in this Privacy Policy.

 

Personally identifiable information that you provide voluntarily. 

This includes information such as contact information that allows us to respond to your requests; preferred email or shipping address; the information you provide in online web forms (e.g., application forms, registration forms, survey forms, etc.).  This information is used to process your purchase, your gift; respond to your requests, communicate with you or provide you with better service.  We may combine this information with information from previous visits to provide you with added convenience in using our products and services. The information entered on this site, including for example your name, contact information and credit card information, are collected to process the transaction you are authorizing. We utilize third parties to process this transaction, using only the necessary information needed to securely perform their functions, and they are prohibited from using it for other purposes.

Please note that when you send us email from this Website, you will provide us with certain personally identifiable information including your email address. At anytime, if you wish to no longer receive correspondence via email, please contact us via the address listed on our site under the “Contact” link.

 

Security.

HORIZON Health Ventures has contracted with third parties that have met industry-standards for security to take in necessary data, such as credit card information, to store, transmit and process this transaction securely.

Your Consent.
As described in the processing of your transaction, by clicking Submit, you agree to the transaction under the terms entered above and under the terms of this Privacy Statement.

 

Cookies.

A cookie is a piece of data that is stored on a visitor's hard drive while they are visiting this Website. We may utilize a short-lived form of cookie when you visit this site. At HORIZON Health Ventures, a cookie is only used to identify one unique visitor from another visitor during a particular session. A session is the period of active site-use while that unique visitor is linked to our server. We may use cookie technology during a session as a tool to carry forward your input information during the purchase process. This enables the visitor to input their information once and have the information appear later during the purchase process. No personally identifiable information is stored on the cookie. The cookie expires and is deleted from the visitor's computer as soon as they close their browser.

 

Third Party Links.

This Website may contain links to third party Websites that are not controlled by HORIZON Health Ventures, LLC. These third party links are made available to you as a convenience and you agree to use these links at your own risk. Please be aware that HORIZON Health Ventures, LLC is not responsible for the content of third party Websites linked to HORIZON Health Ventures, LLC nor are we responsible for the privacy policy or practices of third party Websites linked to  HORIZON Health Ventures.  Our Privacy Policy only applies to information we collect from you while you are at and while you are actively in a session with HORIZON Health Ventures, LLC. If you should link to a third party Website from HORIZON Health Ventures, LLC, we strongly encourage you to review and become familiar with that Website's privacy policy.

 

Tracking information that you specifically agree to. 

With your opt-in consent, we collect personally identifiable information that allows us to track your visits online and offer you information we believe would interest you, based on your visits to our web site.

Auto-collected information (web logs).  Our web server automatically recognizes the Internet domain and IP address from which you accessed our web site, the date and time of your visit, and the pages you visited on our site, as well as information automatically forwarded by your browser. This information is used to help us understand aggregate uses of our site, track usage trends, and improve our services. Web logs may also be used for system problem monitoring and maintenance. This information is retained on a temporary basis and then deleted completely from our systems to prevent unauthorized access to, or use of, the information collected online.

 

Children under 13.

This web site is intended for use by people aged 13 or older. If you are under 13, please do not send any information about yourself to us, including your name, address, telephone number, or email address. In the event that we learn that we have collected personal information from a child under age 13 without verification of parental consent, we will delete that information as quickly as possible. If you believe that we might have any information from or about a child under 13, please contact us.

 

Changes In Our Privacy Policy.

We reserve the right to change this Privacy Policy without providing you with advance notice of our intent to make the changes.  If you have any questions about our privacy policy, please feel free to contact us at:

HORIZON Health Ventures, LLC
attn: Todd Easton
PO Box 61122
Potomac, MD 20859-1122
Email: contact form

 

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Success Stories
Association Employer – New Jersey – HORIZON Solution: Employer Group Waiver Plan (EGWP)

Number of Retirees: 239
This Association had been managing their retiree pharmacy program and filing for the Retiree Drug Subsidy (RDS) since 2006 through its insurance carrier. After evaluation of current drug spend and projected RDS for 2014, the plan decided to move to a fully insured Employer Group Waiver Program (EGWP). Based on current enrollment, no change in plan design or drug plan, the group saved $430,000 or $1,800 PMPY. This was hard dollar savings and did not infer savings from the elimination of attestation, administration or from the elimination of OPEB liabilities.

Success Stories
Government Association - Washington, DC- HORIZON Solution: Employer Group Waiver Plan (EGWP)

Number of Retirees: 108
This Association had been managing their retiree pharmacy program and filing for the Retiree Drug Subsidy (RDS) since 2006 through its Pharmacy Benefit Manager (PBM). During the course of the relationship, the PBM never introduced the Employer Group Waiver Program (EGWP) to either the Association or their insurance broker. In May 2013, HORIZON Health Ventures introduced the concept of EGWP to the broker who immediately addressed the capability with the client. Keeping all pharmacy benefits the same, HHV was able to save this plan $189,000 or 28% of drug trend for 2014.

Success Stories
Municipal Employer –Michigan – HORIZON Solution: Employer Group Waiver Plan (EGWP)

Number of Retirees: 1,200
Managed for many years by the same carrier, this municipality moved their group retiree pharmacy program to HORIZON Health Ventures and its proposed Employer Group Waiver Program (EGWP) for a 13% savings to the plan. In addition, the group did so while improving their plan design on generic drugs. At the direction of HORIZON Health Ventures, the EGWP provider lowered copayments on generic products both at retail and mail thus resulting in greater steerage to lower cost products and thus a lower premium. In addition, based on this client’s plan year, (along with the new plan design adopted), the client was able to secure a rate cap for 2015 fixing their costs at a maximum liability until January 1, 2016.

Success Stories
Union – New Jersey – HORIZON Solution: RDS Reopening

Retirees Covered: 1,032
Reopening subsidy = $1,518,000
Additional subsidy = $280,000
18% additional subsidy recovered upon Reopening

Upon hiring HHV and RDS Reopening Services requested an audit of past Retiree Drug Subsidy filings from CMS. The request was approved and based on missed eligibility and inaccurate reconciliation of subsidy eligible claims, this client successfully Reopened their RDS filings from 2009-2012 recovering over $90,000 in additional subsidy. 

Success Stories
Municipality – New Jersey – HORIZON Solution: Pharmacy Benefit Management

Total Lives Covered – 2,900
Annual Drug Spend - $4,400,000
Issue – Adverse drug mix in the Proton Pump Inhibitor (PPI’s) category resulting in $297,000 in unnecessary drug spend.

Resolution – Plan design modification mandating PPI’s be purchased Over-the-Counter (OTC) along with full subsidy of a $0 copayment to the member.

Recommendation to eliminate member cost share for mandatory purchases of OTC PPI’s resulting in $177,000 net savings to the plan. Significant savings to both plan and member realized through slight modification of design and no member disruption.

Success Stories
Corporate Employer – Pennsylvania – HORIZON Solution: Medical Bill Review

Total Lives Covered – 400
Number of bills reviewed - 5
Total Amount of Hospital Bills Reviewed - $1,135,914
Negotiated Amount Paid by Plan Sponsor - $446,874

After hiring HHV for Cost Containment Services (Medical Bill Review), five out-of-network hospital bills (different patients with different health conditions) were reviewed for appropriateness and necessity. Due to the identification egregious billing practices, undocumented charges and reasonableness audit, successful negotiation was realized reducing the amount paid by $690,000.