KelseyCare: The Health Plan That Delivers Lower Costs and Higher Quality
- Ranked highest in clinical quality and financial efficiency in the Houston market by an independent benchmarking study
- Consistently earns high marks for member satisfaction in the annual Consumer Assessment of Health Plan Satisfaction survey
KelseyCare® is the Greater Houston area’s “accountable care” plan. KelseyCare is a “select network” health plan in which Kelsey-Seybold physicians and affiliate providers in multiple specialties take responsibility for delivering care and collaborating together to carefully coordinate the care of plan enrollees.
KelseyCare has a proven track record of delivering 15-30% in comparative cost savings, delivering high performance on quality measures and delivering high enrollee satisfaction. KelseyCare has been ranked the market’s “most cost effective plan” by an independent benchmarking study. Members consistently give KelseyCare higher marks for enrollee satisfaction in the annual Consumer Assessment of Health Plan Satisfaction (CAHPS) survey compared to enrollees of competing Houston-area plans.
No referrals
KelseyCare members benefit from the affordable, high-quality, “coordinated” care delivered by the Houston area’s premier accountable care organization – Kelsey-Seybold Clinic. Our members can self-refer to hundreds of Kelsey-Seybold physicians and specialists at 20 multi-specialty care centers throughout the greater Houston area with no referral required. The “select network” includes both Kelsey-Seybold and “affiliate provider” physicians.
Members are referred to “affiliate providers” by their Kelsey-Seybold physician and have access to premier hospital facilities. KelseyCare providers regularly refer to St. Luke’s Episcopal Health System hospitals in the Texas Medical Center, Sugar Land, and The Woodlands; Texas Children’s Hospital; Texas Woman’s Hospital; Methodist facilities in Willowbrook and Sugar Land; Clear Lake Regional Hospital; and more.
The KelseyCare plan is offered by leading Houston-area employers including the City of Houston; the City of Sugar Land; the Port of Houston Authority; Menninger Clinic; the St. Luke’s Episcopal Health System; Mitsubishi Caterpillar Forklift America, Inc. (MCFA); the METRO Transit Workers Union; Igloo Products Corporation; MedCare Pediatrics; United Space Alliance; Universal Weather and Aviation; Spark Energy, and others. Of course, KelseyCare is the benefits plan offered to Kelsey-Seybold Clinic’s 2,400 physicians and employees.
Kelsey-Seybold's Medical Director for Care Coordination, Dr. Patrick Carter, explains how Accountable Care Organizations manage all aspects of patient care.
View the video.The accountable care organization healthcare model is being advocated as a solution to address current healthcare issues facing the United States and rising costs to employees. Dr. Spencer Berthelsen, Chairman and Managing Director of Kelsey-Seybold Clinic, was interviewed about the subject by NPR on-air radio personality Ed Mayberry on KUHF-FM (88.7).
Read the story.Hear what healthcare administrators and Houston employers are saying about KelseyCare.
View the video.Listen to what health care executives across the country are saying about Accountable Care Organizations.
View the video. KelseyCare Concierge
KelseyCare enrollees receive a high level of ongoing support. Each enrollee has access to an exclusive KelseyCare Concierge Service available by phone during business hours to assist them with any questions or needs. After hours, KelseyCare enrollees can call the After-Hours Nurse Hotline for help. After-hours nurses have immediate electronic access to patient medical records, can schedule appointments for patients, page their physician and instruct them on care. KelseyCare enrollees also can email their physician, view medical test results and schedule appointments online through MyKelseyOnline, a secure electronic portal connected to the Kelsey-Seybold Electronic Medical Records system.
Value-Added Corporate Benefits
With Kelsey-Seybold Clinic, the commitment to preventive healthcare is made clear with complementary health initiatives designed to help maintain a proactive culture of wellness within the organization. Our own organization is highly committed to wellness. These rewards further help control overall company costs by proactively helping employees keep fit and mindful of healthy lifestyles.
- Physician-hosted lunch-and-learns
- Monthly Webinar Wednesday and Healthy Living eNewsletter
- Free Health Kiosks located in Downtown Houston, offered in partnership with Waste Management Inc. and the Kelsey Research Foundation