Monthly news & updates
June 2022| Issue 25
Here, we'll share updates related to what's coming soon and what we may need from you, our member-owner schools.

PCORI Due July 31, 2022
The 2021 PCORI (Patient Centered Outcomes Research Institute) Fee calculation is now available on the edHEALTH portal/forum. Please note that the 2021 PCORI Fee covers policy period ending on December 31, 2021.

Separately, please also find the enrollment report provided by your carrier supporting the 2021 PCORI Fee calculation. Please make sure to save this for your records as well.
Questions? Contact Cindy Bartelson.
Rx strategic opportunities in your email box
As edHEALTH member-owner schools begin to plan for 2023 offerings, be sure to review the most recent report you received from our pharmacy benefits manager. There are many programs available to help your school save on rising prescription drug costs. This includes a program that offers savings when employees choose to receive maintenance medications via mail order or at our most popular national chain pharmacy across all edHEALTH schools.
2023 renewal kick-off is here!
Get ready to start planning for your school's 2023 health plan offerings.

To start the process, you’ll receive an email from Nick Frongillo, one of our actuarial partners at Spring Consulting Group, in the first week of July.

More details to follow soon.
Machine Readable Files (MRF) coming soon for member-owner schools
As part of the Transparency in Coverage Final Rule, you'll receive your link to your school's Machine Readable File on July 1, 2022.

Your file will include information to more clearly understand in-network rates, out-of-network billing, and historical payments. This helps your school to better understand pricing and the cost of health care services.
What to know about your MRF:
  • This new link is exclusive to your school's benefit
  • Your MRF is managed by your third-party administrator (i.e., employees' health plan)
  • Your file will be updated monthly in accordance with Federal guidelines

You'll receive your school's link within the week!
Annual Strategic Reviews coming soon for 15 member-owner schools
Keeping our member schools informed on their healthcare trends and savings opportunities for next year is a priority for the edHEALTH team. We do this once we have sufficient data to analyze, which is five years of member utilization.

This summer, we look forward to having thoughtful and interactive conversations with staff from 15 member-owner schools. Scheduling is now underway!
Summer break: July and August
In recognition of Independence Day on July 4 and so many well-earned vacations, you have one less work read during July and August.

Our edHEALTH newsletter returns in September. Cheers to happy and safe summer months ahead.
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Have questions or ideas? Email Lisa Barnstein.
Interested in learning more about the many benefits of edHEALTH?
Call Nancy McConaghy at 1.866.692.7473 ext. 702 or send her an email.