Locally Owned. Locally Managed

A significant part of Encore Health Network’s advantage is that we’re locally owned and managed.

ABOUT US

30 and 30. Emerge, Evolve, Excel

2016 represents the 30th year the Encore PPO has served as a provider network to the health benefit plans of hundreds of thousands of Hoosiers. From the beginning – then known as VHA Tri-State — to today, The HealthCare Group (THCG) has prided itself in delivering value to its payer and provider business partners, and ultimately the members collectively served. These “first” 30 years have transpired in a rapidly changing market which THCG has addressed with an evolving product mix from the Encore Health Network PPO, to the high-value Encircle Network, Encore Work Comp PPO, and a variety of unique individual payer and provider collaborations. It’s through the market’s familiarity during our 30-year history that we are often referred to as “Encore,” whereas The HealthCare Group has been the linchpin entity for all the THCG products.

In this 30th anniversary year, it seems fitting that our theme for the celebration campaign is “30 and 30,” with the slogan “Emerge, Evolve, Excel.”

We chose the theme 30 and 30 to recognize and celebrate not only the 30-year history of hard work, challenges and success, but also in anticipation of the success and partnerships to come over the next 30 years.

Emerge, Evolve, Excel is both a philosophy and a strategy that THCG has espoused and strived for under its current leadership. Emerge does not just reference our beginning, but our re-birth from a traditional “PPO” to the role of a “managed care partner.” We Evolve our services to provide increasing value for our business partners and members in the rapidly-changing healthcare benefits market. Striving to Excel at what we do relates to unparalleled operational excellence, as well as understanding and anticipating the needs of our business partners.

Earlier this year THCG conducted a payer/broker survey to assess how our partners and distribution system viewed us. In a market where the largest national payers receive member satisfaction scores in the low 60% range, THCG achieved an 85% satisfaction score. In addition, two of the highest scores THCG received were in the core areas of Trust and Value. Those are scores of great pride as we Emerge into our current market role, continue to Evolve our relationships to deliver exceptional value, and demonstrate how we Excel at achieving service standards. Relationships built on Trust and Value, have resulted in THCG’s 300% growth in the past few years, and are the launching pad for the next 30 years.

THCG will host a variety of events throughout the coming year, including a charity golf outing on July 14th and a partner reception in the fall. You will also see an expanded marketing campaign in which THCG promotes its 30th anniversary and product offerings to the employer benefit market.

These are exciting times for THCG. Thank you for your partnership, your membership and your trust!

Bruce Smiley
President,
The Healthcare Group|Encore Health Network

 

OUR OWNERS
The HealthCare Group, LLC, one of Indiana’s largest managed care organizations, owns Encore Health Network. Ownership includes some of Indiana’s most respected hospitals: Indiana University HealthCommunity Health Network, and Deaconess Health System located in Evansville.

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If you have any questions, please contact webmaster@encoreconnect.com
Special Authorization is required to access the Payor Updates.
Please contact one of the following Account Executives for access:
· Holly Joyce at (317) 621-4263 or hjoyce@encoreppo.com, or
· Kevin McShay at (317) 621-4264 or kmcshay@encoreppo.com

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Notice

Encore has entered into a new arrangement for chiropractic services with HSM, Inc. HSM, Inc., a Minnesota-based specialty network services organization, will administer the chiropractic network for our Encore and Encircle service areas.

HSM will directly hold contracts with all participating chiropractors; therefore, there are some changes of which you should be aware. Regarding billing, chiropractors will now send their claims directly to HSM. HSM will collect the data in their system, including treatment plans for case management, and forward claims to the appropriate Encore payor. The payor will send all payment directly to HSM, who will in turn reimburse the chiropractor according to the negotiated rates.

If you are interested in becoming a participating chiropractor in the Encore Health Network, please contact HSM at 800-432-3640 or visit their web-site at www.hsminc.com.

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Current Worker's Comp Payors

Arete USA D/B/A The Covenant Companies
HealthSmart
HFN, Inc
Indiana University
InterPlan Health Group
IU Health Plan
MCMC LLC
ASU Group
Major Hospital
ACS CompIQ Corporation, A Xerox Company

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Payor and Provider Resources

Payors please contact Account Executive Kevin McShay at (317)621-4264 or kmcshay@encoreppo.com for access.

For any provider issue, please contact Provider Contracting Coordinator, Tina Bilodeau at (317)621-4269 or tbilodeau@encoreppo.com.