A: 2022 benefit guides are available on the myBenefits site. More When you see a therapist who is in-network with Northwell Direct, each session you'll pay only a copay, which typically ranges from $0-$75/session. We excel at devising new products for healthcare delivery that become industry standards. Brighton Health Plan Solutions to Administer Northwell Health's - ADVFN You can also give us a call at 613-475-1430. Brighton goes beyond other TPAs to offer unprecedented flexibility and customization in our proprietary networks, administrative services, casualty solutions, and integrated digital tools. Drayden is Did you know McDougall Insurance also offers Life & Financial services? What does make sense is having a one of our McDougall Insurance Brokers from Brighton look at your home, and truly assess the potential risks. It is the income that supports yourself, your family, your employees and their families and your customers. Brighton Health Plan Solutions,LLC. 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 OfficerMichelle Zettergren. Brighton Health Plan Solutions,LLC. Search for providers and facilities here or call (855) 340-7737, Monday through Friday, 8:00 am to 6:00 pm, to assist with your provider search. The Northwell Direct network and MagnaCare network already serve as the Tier 1 and 2 networks for the HDHP. Combining Brightons 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. A: Whether you are on the Value, Buy-up, HDHP or union-sponsored plan administered by Northwell, you can now search for in-network doctors, and other healthcare providers and facilities, all in one place. Groups rely on our expertise in provider contracting, and health systems depend on our administrative expertise to manage the health plan and fill any gaps in their network. With expertise in so many areas related to self funded health plans, we step in to fill in the gaps for our partners and realize the projects they envision. Customize Your Network & Health Plan Design with Brighton A: In the event of a medical life-threatening emergency, you should go to the closest emergency room. For more information about the cookies we use, see our Privacy Policy. Brighton Health Plan Solutions enables self funded clients, health systems, and TPAs to solve the problems facing todays healthcare. Cision Distribution 888-776-0942 Our representatives are available to schedule your appointment Monday through Friday from 9am to 5pm. As a Northwell Health company, we provide access to the vast resources of the largest health system in New York stateand that includes the extensive experience of world-class physicians, specialists and wellness experts. You will speak with a triage expert who will evaluate your symptoms and when appropriate connect you with one of our Emergency Medicine physicians to help decide next steps of care. A: The TPA for union-sponsored plans administered by Northwell changed from UnitedHealthcare to Brighton as a plan administrator on Jan. 1, 2022. The contract builds on the success of Brighton's existing relationships with Northwell Health and Northwell Direct. Northwell Direct's health provider network connects your employees to the highest level of care in New York all while keeping costs low. If you have a health concern that is not life-threatening, you may consider calling our ER on Demand service at (516) 918-6005. Brighton Health Plan Solutions enables self funded clients, health systems, and TPAs to solve the problems facing today's healthcare. Vivo Health offers convenient services such as mail order, a specialty pharmacy and a mobile app for your on-the-go pharmacy needs. Members A: The Northwell Direct network** became effective on Jan. 1, 2022, and is the Tier 1 network for our team member Value and Buy-Up medical plans replacing the Northwell Clinical Integration IPA (CIIPA) network. Interested in our Customized Editorial Services. Brighton to Administer Northwell's Health Benefits Plan Brighton Health Plan Solutions to Administer Northwell Health's Northwell Health ditches insurers for direct network contracting A: No. Online websites and applications may vary how they list and identify the plan. Brighton Health Plan Solutions,LLC. Northwell Health, Inc and Blue Shield of California Life & Health Insurance Company: Case Number: 0:2023cv05043 . Our traditional open access network IDNs offer the lowest rates in exchange for members who commit to using the health system's providers. With 30 years TPA experience, we have the knowledge and expertise to administer any health plan. When health systems, employers, or TPAs want to launch a unique initiative, they turn to us. This is the first time Northwell Health has chosen direct contracting for its employee benefits plan. A: Northwell offers three medical plans, Value, Buy-up and the HDHP. Northwell Health Labs at West New Brighton (718) 226-5632 Fax: (718) 226-5646 584 Forest Avenue Staten Island, NY 10310 About As the largest health-based laboratory in the region, Northwell Health Labs provides a wide range of lab services from highly trained, compassionate experts. In the new era of direct contracting between groups and health systems, both sides rely on Brighton Health Plan Solutions to fulfill critical aspects of the relationship. 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. Northwell Direct today announced that it has been selected by Northwell Health to supply the provider network for the health system's 2022 health care benefits for approximately 75,000 employees and dependentsNorthwell Direct's provider network is provided through Northwell Direct Administrative Services Organization, Inc. Northwell . With self funded health plans, you own the data. With this increased availability, there are more areas that were previously considered OOA now determined as in-area. You can easily request an insurance quote but filling out the request a free insurance quote form and selecting the type of insurance you are looking for. PDF MagnaCare Administrative Guidelines Northwell Direct also chose Brighton as its first TPA partner for the commercialization of its provider network. This is the first time Northwell Health has chosen direct contracting for its employee benefits plan. Copyright 2023 Northwell Health. Provider Find - MyCreateHealth It can be an excellent, low-cost, and flexible way to provide health coverage to your employees. 2022 Northwell Health Benefit Guides and Important Documents Review claims and relevant plan activity In other words, companies are heading back to pre-pandemic levels of rising costs. Visit Northwell.edu/myMeds for information about Vivo Health and in-network pharmacies. Members benefit from coordinated care and stronger doctor-patient relationships. New York-based Northwell Health is one of those systems, moving all 75,000 plus of its employees to coverage managed by its contracting arm, Northwell Direct, and benefits administrator. For more information or to apply for financial assistance, call the Northwell Health Financial Assistance Program at (800) 995-5727, or visit us online. Prescription coverage has not changed. A: Yes. Brighton Health Plan Solutions,LLC. This is the first time Northwell Health has chosen direct contracting for its employee benefits plan. Northwell Direct | Northwell Health , , , , , , Environmental, Social and Governance (ESG), HVAC (Heating, Ventilation and Air-Conditioning), Machine Tools, Metalworking and Metallurgy, Aboriginal, First Nations & Native American, Create Technology online platform and mobile app, Brighton Health Plan Solutions Michelle Zettergren to Speak at 2023 ACHE Congress on Healthcare Leadership. All Rights Reserved. Our Brighton Insurance Brokers are here to help you and we know the area because we are from here. You should always confirm with your provider/facility using your member and group ID found on your medical benefit ID card. We are Northwell Healthand together, we're raising the standard of health care. Regardless of your situation talk to one of our Brighton insurance brokers about your car insurance and let us help you! Its difficult to navigate, and health plan members do not receive holistic care adversely affecting health outcomes. If you would like assistance with identifying a current Tier 1 provider or are interested in nominating a provider to be evaluated for Tier 1 network participation, please call member services at (855) 340-7737. Another reason is Northwell Directs extensive healthcare network. Choose our high-performing narrow networks that give your members exceptional healthcare at lower cost. Laboratories -. The employers that are going to win the war for talent, Stefanizzi says, are those being seen as making investments in the health, safety and resilience of their workforce.. 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. About Brighton Health Plan Solutions Brighton Health Plan Solutions is an innovative healthcare enablement company based inNew York Cityon a mission to improve how healthcare is accessed and delivered in the self-funded health plan market. 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. The Northwell Direct network and MagnaCare network already serve as the Tier 1 and 2 networks for the HDHP. 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. We offer a wide range of health plan services that offer exceptional value to commercial and public sector employers, health systems, and other TPAs: Self funding your health plan is a great way to save money, gain total control over your plan, and realize immediate savings. Brighton Health Plan Solutions | LinkedIn Northwell Health Labs at West New Brighton Business:(613) 475-1430 Our leading PPO network in the New York tri-state area provides you with deep discounts. Our representatives are available to schedule your appointment Monday through Friday from 9am to 5pm. Northwell Health, New York's largest healthcare provider and private employer, has chosen its affiliated, direct-to-employer company, Northwell Direct, to . Provider Resource Center | MagnaCare The Tier 1 network offers you providers and facilities contracted by Northwell, allowing for the lowest out-of-pocket expense to you. For your security, weve logged you out. But if youd prefer to come in to our office and talk to us wed be happy to have you. Brighton Health Plan Solutions, with more than 30 years experience as a third party administrator (TPA), provides ongoing, customizable TPA services and award-winning support technology to facilitate this direct-to-provider contracting. A: For team members part of the Value, Buy-up and HDHP, you should identify that you are a Northwell team member that accesses the Northwell Direct network administered by Brighton Health Plan Solutions when speaking with your in-network provider or facility. 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. A: The Northwell Direct network has more providers and facilities available in New Jersey, the Bronx, Westchester and Connecticut than previously available for you and your family to utilize. , . Fax:(613) 475-4457. 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. Available now *The $45,000 lifetime limit is retroactive and includes prior completed procedures. By signing up you agree to receive content from us. Together with our trusted partners, we are transforming the health plan experience with the promise of turning today's challenges into tomorrow's solutions. A Northwell Health for profit business venture, Northwell Direct provides businesses in theNew Yorkmetropolitan area an opportunity to contract directly with a high-performance provider network as well as health and wellbeing services for their employees. This change does not impact any other benefit plan for Value, Buy-up and HDHP. We transitioned from UnitedHealthcare to Brighton Health Plan Solutions (Brighton) as a plan administrator to administer and manage medical plan aspects such as claims processing and more. You can offer the narrow network for people who prefer a lower cost health plan rather than a broader network. HR Technology News:Sciolytix Wins Talent Experience Award at HR Tech Pitchfest. formId: "e87d5f0d-b924-40dd-8bc5-76ddca6ddeb0" Luckily, with McDougall Insurance in Brighton we have access to several insurance companies who actually reward drivers for a long commute. Brightons member support center, comprised of dozens of highly trained, dedicated customer service representatives, will support members as they transition to the Northwell Direct network. By going " direct to provider " with Northwell Direct, employers get rates that are 20% lower than best-in-market. Northwell shifting staff to direct contracting model For some residents of Brighton they love living in Brighton but often commute daily down the 401 to get to work. The COVID-19 pandemic has illuminated the many advantages of a self funded health plan. Nick Stefanizzi, CEO of Northwell Direct, says direct-to-provider contracting ensures employee access to quality tailored programs. 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.. Our McDougall Days of Summer are back for 2023! 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. Save 1025% on healthcare costs through anintegrated delivery network (IDN) built around a single health system. As a provider-centered organization, we believe the provider should always be at the core of medical decision-making, said Northwell Direct CEONick Stefanizzi. It removes traditional insurers from the equation completely, lowers employer healthcare costs by 20%, and provides high-quality healthcare. Our Brighton office is located at 32 Main St. right downtown. 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.
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