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KelseyCare

​​About the Plan

Accountable care relieves healthcare cost, quality, complexity headaches for Houston employers.

KelseyCare is a coordinated, accountable health plan available in the Greater Houston area to employers with two or more benefits-eligible employees. The plan leverages Kelsey-Seybold Clinic’s comprehensive healthcare network. It delivers up to 30% savings on total medical cost, with consistent high member satisfaction. The plan includes:

  • World-Class hospital affiliations
  • Over 500 physicians and allied health professionals
  • Over 7,200 affiliate specialists
  • No referral needed to see Kelsey specialists
  • 24/7 appointment scheduling
  • After-hours Nurse Hotline
  • Virtual care options
  • Member concierge service

High Quality Health Plan

  • The region’s only accountable care health plan is also the nation’s first Accountable Care Organization (ACO) accredited by the National Committee for Quality Assurance (NCQA). Learn more about accountable care
  • The KelseyCare plan scores comparable or better on member satisfaction compared to all major health plans across Texas.


Recognized for Excellence

  • KelseyCare is ranked highest in clinical quality by an independent benchmarking study
  • The plan was named “most cost-efficient health plan” compared to all Houston area HMO, PPO, and POS plans for nine years by an independent third-party benchmarking study.


Disease Management

  • KelseyCare is highly effective in managing catastrophic and pre-catastrophic claimants who account for the majority of healthcare costs.
  • Clinically integrated disease management, case management, and hospitalist management are all delivered within Kelsey-Seybold Clinic’s Accountable Care Organization and its affiliated physician and hospital networks.


Which Plan is Right for You?

  • KelseyCare teams with leading insurance carriers Aetna, Cigna, Humana and UnitedHealthcare. Employers can add a KelseyCare health plan option to existing benefits, and tailor benefit solutions to specific needs.


Links

  • High Quality Health Plan
  • Recognized for Excellence
  • Disease Management
  • Which Plan is Right for You?


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