NEW YORK, Oct. 11, 2021 /PRNewswire/ -- Northwell
Health, New York state's largest
healthcare provider and private employer, has selected healthcare
enablement company Brighton Health Plan Solutions to administer all
of the employee health benefits plans for its approximately 75,000
employees and dependents who will be accessing care through the
Northwell Direct network. Combining Brighton's third-party
administrative services with the Northwell Direct network enables a
direct-to-employer network contracting model that promotes
high-quality care without the need for a traditional insurance
carrier. This is the first time Northwell Health has chosen direct
contracting for its employee benefits plan.
Beginning Jan. 1, 2022, Brighton
will deliver claims processing, online and mobile support, and
customer service for all the Northwell Health employees and
dependents who receive their care through the Northwell Direct
network, which includes nearly 20,000 providers in the New York metropolitan area. Brighton's member
support center, comprised of dozens of highly trained, dedicated
customer service representatives, will support members as they
transition to the Northwell Direct network. Brighton will also
provide its award-winning Create® Technology online platform and
mobile app, which includes specialized tools for benefits claims
administration and member activation, engagement and
navigation.
The contract builds on the success of Brighton's existing
relationships with Northwell Health and Northwell Direct. Since
2021, Brighton has been administering Northwell Health's
high-deductible health plan for approximately 1,000 non-unionized
employees who transitioned to the Northwell Direct network.
Northwell Direct also chose Brighton as its first TPA partner for
the commercialization of its provider network.
"Employers are clamoring for innovative, direct-to-employer
solutions like the Northwell Direct network as they invest in new
strategies to control costs and promote better care," said Brighton
Health Plan Solutions Chief Sales and Marketing Officer
Michelle Zettergren. "The
opportunity to both administer all of the Northwell Health employee
plans and also partner with Northwell Direct to bring its high
quality provider network directly to other employers is a
significant step toward improving access to high quality care that
is convenient, coordinated and cost effective."
A Northwell Health for profit business venture, Northwell Direct
provides businesses in the New
York metropolitan area an opportunity to contract directly
with a high-performance provider network as well as health and
wellbeing services for their employees. Since launching in 2020,
Northwell Direct has partnered with large, national and regional
employers such as Whole Foods, JetBlue and RXR Realty on a range of
direct-to-employer healthcare programs.
"As a provider-centered organization, we believe the provider
should always be at the core of medical decision-making," said
Northwell Direct CEO Nick
Stefanizzi. "In Brighton, we've found a like-minded
organization that understands the value of direct-to-employer
network contracting and shares in our mission to provide
high-quality healthcare in the most efficient and cost-effective
way possible."
About Brighton Health Plan Solutions
Brighton Health
Plan Solutions is an innovative healthcare enablement company based
in New York City on a mission to improve how healthcare
is accessed and delivered in the self-funded health plan market. We
believe extraordinary things happen when everyone works together —
health systems, providers, carriers and TPAs, self-insured plan
sponsors, and members alike. Brighton goes beyond other TPAs to
offer unprecedented flexibility and customization in our
proprietary networks, administrative services, casualty solutions,
and integrated digital tools. Together with our trusted partners,
we are transforming the health plan experience with the promise of
turning today's challenges into tomorrow's solutions. For more
information on Brighton, visit BrightonHPS.com.
Media Contacts:
Erin George, for Brighton Health
Plan Solutions
erin@lovell.com
615-946-9914
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SOURCE Brighton Health Plan Solutions