Health Alliance Plan by Henry Ford Health

What it reported doing in 2024

Corporate overviewhap is a subsidiary of henry ford health one of the nation's leading health care systems. Hap provides coverage to individuals, companies and organizations. We partner with doctors, employers and community groups to improve the overall health of every community we serve. Our mission is to enhance the health and well-being of the lives we touch.company highlights: founded in 1960 based in detroit, Michigan 419,994 members and 900 plus employeesin august 2023, hap and caresource, an Ohio-based nonprofit managed care health plan, entered into an agreement to form a joint venture. The goal of the joint venture is to bring high-quality coverage to more Michigan residents. This positions henry ford health and the joint venture in an extremely strong strategic position for a successful medicaid procurement, statewide medicaid growth, and re-entry into the on-exchange individual market. Hap is a full-service health insurance company with distinct product portfolios: employer group plans hmo, ppo, epo, narrow network and consumer-driven health plans. Health engagement program offers employees incentives to adopt a healthier lifestyle. Individual plans hap plans hmo, ppo and health savings account are for individuals and families not covered through employer health insurance. Medicare hap medicare solutions offer hmo and ppo health plans, prescription drug plans and medicare supplement plans for individuals and employer-sponsored employees and retirees. Medicaid hap empowered health plan is an hmo based in southeast Michigan with about 33,383 enrollees. Self-funded aso and asr health benefits offer competitive options for employers and health and welfare funds seeking to self-fund their health benefit costs. Network leasing hap preferred, inc. Is a ppo network that can be administered by third-party administrators and health and welfare funds.participating physicians and ancillary providers: hap's robust provider networks include the leading Michigan doctors, hospitals, and health systems.hap contracts with more than 50,000 provider partners and 88 plus Michigan hospitals to serve its members. Statewide and national provider network solutions are available for other product lines through strategic partnerships for companies with multiple locations. Hap expends a considerable amount of resources communicating with members and providing supportive health programs and resources to help them achieve sustainable healthy habits and manage chronic conditions. Examples of health and wellness programs and resources include: preventive and wellness services: hap covers preventive services, including cancer screenings, physicals, flu shots and more. Worksite wellness programs: free or low-cost preventive services and health education for the workplace. Istrive for better health: online health assessment and digital coaching. Easy-to-understand educational tools: we help members manage their plan benefits and overall health.community outreach overview & initiativesestablishing and managing relationships with non-profit organizations that support community health and well-being is an integral part of the mission and vision of hap's community outreach department. 2024 activities and accomplishments in community outreachkey initiatives: establish and manage relationships with human service agencies and non-profit organizations that support community health and well-being. Support programs at senior centers, area agencies on aging and veterans affairs organizations to keep the hap brand top of mind among medicare advantage prospects. Develop and present member engagement activities to aid in retention for all lines of business. Partner with henry ford health, other contracted providers and enrolled employer groups to present community events and member engagement activities. Collaborate with hap hcm and quality teams to produce and execute "clinic days" to close gaps in care for medicaid members. Identify, promote, and coordinate hap

Financial Efficiency

• Mission deployment rate: 95.7%; rating input score 96
• Program expense ratio: 98.4%; rating input score 98
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 92.3%; rating input score 92; 12th percentile among comparable filings
• Pay-setting controls: 0 of 6 controls in place; rating input score 0
  • Compensation committee: Missing
  • Independent consultant: Missing
  • Other Form 990s reviewed: Missing
  • Written employment contract: Missing
  • Compensation survey or study: Missing
  • Board or committee approval: Missing
• Foreign activity oversight: Limited
• Grant itemization coverage: 97%; rating input score 97; 31st percentile among comparable filings
• Major donor itemization: Limited
• Related-party transparency: Yes; rating input score 100

Accountability

• Independent voting board: 81.2%; rating input score 81; 29th percentile among comparable filings
• Governance controls: 7 of 9 controls in place; rating input score 78
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Fail
  • Other executive compensation review process: Fail
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: 1.6%; rating input score 41; 41st percentile among comparable filings
• Total-asset coverage ratio: 0.44; rating input score 15; 15th percentile among comparable filings
• Liabilities to assets ratio: 0.47; rating input score 38; 38th percentile among comparable filings
• Officer compensation ratio: 0.4%; rating input score 86; 86th percentile among comparable filings

Growth

• Program expense growth: -1.6% per year; rating input score 0; 4th percentile among comparable filings
• Revenue growth: -1.2% per year; rating input score 0; 3rd percentile among comparable filings
• Asset growth: 1.6% per year; rating input score 100; 13th percentile among comparable filings