Included Health Launches Alternative Plan Design for Employers - MedCity News

"The San Francisco-based company provides virtual and in-person care, navigation and care coordination and 24/7 support for clinical and administrative needs. The new alternative plan design offers a "copay-first plan," meaning patients know what care is going to cost upfront. The plan is centered around primary care. It starts with a well-being consult, which is an extended primary care appointment that allows members to ask questions, understand their benefits and form a relationship with the provider."

"The payment model for the alternative plan design can be tailored to the employer, whether that's a per-member-per-month fee or a value-based model, according to Parekh. Included Health's plan can also be offered as an option alongside another traditional health plan. The company has already launched its health plan with one employer, which the company declined to name. About 20,000 employees of this employer are enrolled in Included Health's plan, Parekh said."

Included Health introduced an alternative employer health plan that emphasizes primary care and transparent, upfront copay costs. The plan begins with an extended well-being consult so members can ask questions, understand benefits, and establish a provider relationship. Members receive 24/7 access to an AI assistant named Dot with escalation to human support when needed. The plan connects members to virtual and in-person care nationwide for routine and complex needs. Employers can choose payment structures such as per-member-per-month or value-based models, and the plan can be offered alongside traditional plans. Early enrollment reached about 20,000 employees, with high consult utilization.

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