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# Taft-Hartley Health Plans
At ICM, we value the tremendous contributions of the working men and women within Labor Funds nationally. Since ICM’s inception over 30 years ago, our organization has partnered with various regional and national Taft-Hartley Third Party Administrators in delivering customized care management solutions to this unique type of self-funded program.
## Taft-Hartley Health Plans
Taft-Hartley healthcare plans come with a specific set of needs and requirements. At , we’re experienced and capable of working with Taft-Hartley plans and can offer these unique plans proven oversight. ICM is uniquely qualified and experienced in delivering our focused  in partnership with national PPO networks, including both Blue Cross and Blue Shield. With our experience in working in the unique Taft-Hartley benefits arena, ICM can provide proven results in driving exceptional care outcomes and lower costs.
ICM is also well positioned to act as a fair and unbiased third party within the Taft-Hartley health plan structure. We are an impartial and fair mediator, with a strong focus on evidence-based medical care. Should any disagreements or conflicts of interest arise between management and labor, or employers and employees, ICM can walk the fine line between the two parties and provide expert opinions on the matter at hand.
## Our Medical Management Services for Taft-Hartley Plans
All of the core services offered through ICM can be provided to medical plans for Taft-Hartley Trusts. This includes, but is not limited to, access to , , and the . ICM currently has 40 active Taft-Hartley plans covering a wide variety of different industries. Our experienced and adaptable team is ready to provide for any union, trust, or business interested in our medical services.
At ICM, we are also very comfortable laying our services on top of national networks. Our team has first-hand experience working within these arrangements, as many of our Taft-Hartley clients require a national PPO network.
## Your Questions Answered
What is a Taft-Hartley Health Plan?
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A Taft-Hartley Health Plan also called a multi-employer welfare arrangement (MEWA), is a health plan that is created solely for the benefit of collectively bargained employees working for many employers. The plan is based on a trust agreement and one or more collective bargaining agreements (CBAs). In short, a Taft-Hartley Plan is a health plan the union is providing to union members on behalf of their employer. The Taft-Hartley name refers to the Taft-Hartley Act of 1947, also known as the Labor-Management Relations Act.
What sets ICM apart from its competition?
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ICM is 100% independent of outside ownership. This independence allows us to focus on the health plan member and not shareholders, hospital system owners/partners, and investors.
Are there any limitations to group size for ICM services?
ICM offers services to groups of any size. Currently, ICM’s smallest clients are fewer than 25 employees, while its largest client is over 16,000 employees.
Does ICM work in all 50 states?
ICM currently has members in all 50 states.
Does ICM work with Reference Based Pricing (RBP) Programs?
Yes, ICM’s independence allows it to comfortably work in RBP type programs. Additionally, ICM is comfortable in member engagement programs incentivizing care delivery at facilities that deliver optimal outcomes at strongly discounted rates.
## Why Choose Innovative Care Management?
At ICM, we do healthcare differently. Our top priority has always been to give our patients and clients the best quality care at an affordable price because we believe every single member we work with deserves nothing less. This compassionate care is why we retain more than 97% of our client base every year.
If you’re looking for any medical management services for your Taft-Hartley health plan, you want to know you can trust your provider. ICM has been a reliable and independent organization for over 30 years now, doing our best to sincerely help each and every client. To find out how we can be of service to you, reach out today to speak with an ICM team member.
## Learn More About Taft-Hartley Health Plans
We work with clients and patients across all 50 states, and our focus is on delivering a premium service with a compassionate approach.
**Call us today to learn more about our Taft-Hartley Health Plan services.**
Call Now
Innovative Care Management, Inc.
PO BOX 22386
Portland, OR 97269
**Phone:**
Toll Free: 800-862-3338
Portland Area: 503-654-9447
Fax: 503-654-8570
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Health
Utilization
Management
Expires 04/01/2027
### Notice To Plan Participants
Innovative Care Management (ICM) is your provider of medical management services and honors your rights and responsibilities as a plan participant. We value your privacy and will limit our communication with you to pertinent information about your health and your health plan. By providing your wireless phone number to either ICM or your health plan, you agree and acknowledge that ICM may send text messages to your wireless phone number for any purpose, including marketing purposes. At ICM, we prioritize diversity, equity, and inclusion among our consumers as a fundamental commitment to fostering a more inclusive and equitable world. Please see your health plan document for complete information on your benefits and eligibility as well as your rights and responsibilities. For more information, you may contact your health plan sponsor or benefits department as identified on your plan ID card. Some Utilization Management services may be provided in conjunction with our partner organizations.
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# Narrow Network Plans & Integration
Healthcare bills are frequently inflated by up to 500% for private payers versus Medicare and Medicaid. Numerous industry leaders have taken notice and are looking to change the healthcare reimbursement model. Clients that opt to incorporate various cost-saving strategies, whether Reference Based Pricing, Narrow Networks, Centers of Excellence (or a combination of these), will find a welcome partner in ICM. Furthermore, we have exceptional partnerships with entities that provide these types of services so we can make introductions when needed. Healthcare is rapidly changing, and ICM is actively embracing and promoting these much-needed solutions.
## Narrow Network
Care is simply becoming more and more unaffordable for Americans. With healthcare inflation significantly outpacing worker income over the past 50 years, we choose to be proactive and stand up to such figures. By adapting to and embracing alternative reimbursement models, self-funded clients can save over 30% on their healthcare without sacrificing quality care and positive outcomes.
At ICM, we cherish our total independence from outside ownership. This allows us to leverage our freedom from conflicts of interest and to support the Narrow Networks approach. This ensures you receive paramount clinical outcomes at significantly lower costs. This plan is available to all of our Plan sponsors who are interested in challenging the healthcare status quo.
## The Benefits of Narrow Networks
### For Patients
* Lower out-of-pocket cost.
* Superior clinical outcomes by truly evaluating outcomes rather than the lowest price.
* Lower premium than traditional plans.
* Ambulatory Surgical Centers have lower infection rates than hospitals, making it a safer option.
* Member advocacy for navigating the healthcare system, so you can focus on what’s most important.
### For Clients
* Pay substantially less premium than a traditional plan.
* Controlling premiums means spending money on the rest of your business and increasing overall employee benefits.
* Employees will have a higher rate of participation at work.
* Improved employee morale.
* Opportunity to create a choice.
What is a Narrow Network?
For years, many health plans have relied on national or regional PPO networks to provide discounts on services. While these arrangements offered broad access to providers, there was little oversight on quality and outcomes and the “discounts” were often benefiting only the insurer, leaving the member to bear increasing responsibility for the service through higher co-pays and out of pocket contributions. Some innovative plans are now pursuing narrow networks or specific contracted providers to better control outcomes and manage cost, both for the health plan and the health plan member. ICM works with these health plans to provide information and support to the health plan member to figure out how to maximize their benefits under the health plan.
ICM is 100% independent of outside ownership.  This independence allows us to focus on the health plan member, not shareholders, hospital system owners/partners, and investors.
What size groups does ICM offer service for?
ICM’s smallest clients are fewer than 25 employees, while its largest client is over 16,000 employees.
Can ICM work in all 50 states?
Can ICM work with Reference Based Pricing (RBP) Programs?
At ICM, we do healthcare differently. Our top priority has always been to give our patients and clients the best quality care at an affordable price because we believe every single member we work with deserves nothing less. Our compassionate care and non-adversarial approach are why we retain more than 97% of our client base every year.
If you’re looking for  that can successfully integrate with other plan vendors to support timely, appropriate, and cost-effective solutions to deliver not only the best outcomes but at substantially lower costs for both plan sponsor and member, reach out today to speak with an ICM team member.
## Learn More About Narrow Networks
**Call us today to learn more about our Narrow Network services.**
# Our Services
We offer a variety of medical management services to help our members access the best care at an affordable cost.
## We’re for People. Not for Profit.
 is a compassionate medical management service provider that has been trusted for over 30 years. We believe people are more important than profit, ensuring the best possible care and leading to better clinical outcomes for patients. We pride ourselves on having no outside ownership so concerns about conflicts of interests are a thing of the past. At ICM, we firmly believe good health is always a worthwhile investment, whether it’s for you, your employees, or your union members.
## Our Medical Management Services
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When it comes to healthcare, it is critical to understand what services are medically necessary and covered under the health plan terms. ICM’s Preauthorization services determine medical necessity before procedures, therapies, or services are provided so that our members can feel confident in their health plan coverage before incurring expenses.
Healthcare doesn’t end when a patient leaves the hospital. ICM is dedicated to patients receiving the utmost care during their discharge and afterward, whether that be in a different facility or at home. Care Coordination pieces together the disjointed health system by providing a team to ensure you receive the care and equipment you need to assist your recovery.
At ICM, it is important to us that we help people facing difficult medical conditions receive all the support and advice they need. Our case management service provides patients with experienced nurses to accompany and guide them through treatment, long-term adjustment due to chronic conditions, or simply lend a trusted ear throughout a difficult period.
ICM’s Healthy Mother Baby program works to support expectant parents through their pregnancies. Whether a pregnancy is healthy or requires medical management, the Healthy Mother Baby program works to serve the needs of any new parent by providing personal advice, educational materials, and emotional support.
Helping people with chronic conditions such as heart disease, lung disease, and diabetes, is the mission of this program. Our team of nurses has the experience and passion to support people throughout their medical journey. We provide education and support to help people manage their chronic conditions and stay as healthy as possible.
As an adjunct to all of our services, ICM’s Chief Medical Officer or physicians from ICM-contracted URAC accredited Independent Review Organizations (IROs) may provide objective medical necessity determinations to ensure the care patients receive is appropriate and clinically substantiated. This thorough review ensures that care is clinically appropriate and covered by the plan.
### CSMP
At ICM, we understand concerns related to the overuse of controlled substances. We acted by creating the . For participating health plans, ICM’s nurse care manager conducts a review of pharmacy claims, taking everyone’s unique clinical scenario into consideration to identify inappropriate overutilization. Once identified and following special plan language, the patient may be enrolled in our Mandatory Case Management (MCM) Plan for additional oversight.
## Learn More About Innovative Care Management
ICM is passionate about people and is dedicated to promoting, identifying, and encouraging cost-effective and quality healthcare. We remain a fiercely independent organization and put people over profits, making our approach compassionate and unique. For further information or to utilize ICM’s services, please contact our welcoming and helpful team.