First-ever ‘health systems marketplace’ comes to LI

Brighton idea: Port Jefferson's John T. Mather Memorial Hospital and other affiliates of the Long Island Health Network are now featured on Brighton Health Plan Solutions' Create platform.

The tri-state region’s first “marketplace of health systems” has come to Long Island.

New York City-based Brighton Health Plan Solutions – which allows members to shop for and compare health systems in depth, perchance to find the best single plan for each member’s particular needs – has partnered with Long Island Health Network, a network of nine Island-based hospitals and affiliated services.

The alliance adds those hospitals and hundreds of specialized services and practitioners to Create, Brighton Health Plan Solutions’ flagship product and the “first marketplace of healthcare systems in the tri-state area,” according to the company, the health-plan management division of NYC-based healthcare investors Brighton Health Group.

The idea behind Create – which also dives deep into the seven hospitals and 6,500-plus physicians of the Mount Sinai Health System, plus staff and services at New Jersey’s Englewood Hospital and Medical Center, which is affiliated with the Icahn School of Medicine at Mount Sinai – is to reduce user (and provider) costs and increase quality of care by helping users select individual health plans best suited to their situation.

Users can’t mix-and-match providers between healthcare systems. But by choosing the proper exclusive care provider, users – including commercial customers selecting group plans – can lower their healthcare costs and create “stronger relationships between patients and healthcare providers,” according to Brighton Health Plan Solutions.

Featuring user-friendly online enrollment, Create’s cloud-based consumer technology helps members easily assess costs, geography, special services and various other factors that can inform their selection of a personal or commercial health plan. By carefully narrowing their search, users can select the plan with the best set of integrated options – while providers will ultimately lower their costs by accepting new members tailor-made for their specific services.

Simeon Schindelman: Lower costs, higher quality.

The higher-quality care comes when those well-aligned patients and providers develop deeper clinical relationships, bolstered by the benefits of intra-network collaborations and comprehensive health-data analysis.

These are common themes for Brighton Health Group, which counts employers, Taft-Hartley funds, collective-bargaining groups, commercial insurers, governments and other large blocs – including health-plan providers like the Long Island Health Network and the Mount Sinai Health System – among its customers.

The investor fund/consultancy and its Brighton Health Plan Solutions subsidiary, which manages the MagnaCare and Brighton Casualty Solutions brands, aim to deliver better healthcare at lower costs by “fundamentally transforming how healthcare is accessed and delivered,” according to the BHPS website.

Create is now available to patients in New York, New Jersey and Connecticut within geographic reach of the inaugural roster of healthcare providers. Expansions are already in the works, with Brighton Health Plan Solutions “planning to introduce collaborations with additional health systems” in all three states “during 2017 and beyond,” according to a company statement.

Simeon Schindelman, the former chief executive of Minnesota-based benefits administrator Bloom Health who was named Brighton Health Plan Solutions CEO in 2015, said as the platform grows, it will continue to “help doctors and hospitals deliver the results that we all know come from effective markets – lower costs and higher quality.”

“By collaborating closely with leading health systems and helping families choose the single system that best suits their unique needs, we immediately lower costs for plan sponsors and families,” Schindelman said in a statement. “(We) improve quality of care for patients and increase patient loyalty for providers.”


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