MagnaCare Debuts New Branding

New York, NY, December 20, 2018MagnaCare, a leader in health plan management, network rental, medical management, and casualty solutions, announced today the launch of a new brand identity, including a new logo and website. The new branding, which will elevate the MagnaCare brand among both new audiences and current clients, is intentionally designed around MagnaCare’s brand promise—putting the customer first. A modern, fresh logo reflects this priority, emphasizing the custom-built nature of MagnaCare’s client strategy, and the personalization and flexibility that are offered in each of its products.

“This new brand identity for MagnaCare embraces our proud history and our bright future as the leader in Labor benefits and health plan management services,” said Rosemary Chowallur, VP of Marketing at MagnaCare. “It’s important for MagnaCare’s branding to embody what our customers and partners experience, so we asked them for direct input. The result—a new logo that’s bold yet approachable, combined with a modern look-and-feel and comprehensive website—now aligns beautifully with MagnaCare’s core values.

For 25 years, MagnaCare has provided quality health care services to a core Labor audience as well as to brokers, TPAs, and workers’ compensation and no-fault payers. Over the course of its history, it has built a reputation for being responsive to and invested in its clients’ success and building strong relationships with its customers. With this refresh, MagnaCare will even better support existing customers while elevating its appeal to new audiences.

“Our strategic investment in our branding and website allows us to better support our current clients and also facilitates new relationships with a broader range of partners,” said Michelle Zettergren, President of MagnaCare. “Our brand is a reflection of who we are. All of us at MagnaCare take great pride in the work that we do here and truly take health care personally.”

Following the release of the new website and logo, the balance of MagnaCare’s rebranding will occur through 2019. No changes will be made to member, client, and provider portals today, ensuring continuity and quality of service. To see more of MagnaCare’s new branding, visit https://www.magnacare.com/

About MagnaCare

For more than 25 years, MagnaCare has been building health communities together with Taft-Hartley funds, TPAs, carriers, and workers’ compensation and no-fault payors in the New York, New Jersey, and Connecticut tri-state area. Its broad and wholly owned network, full health plan management services, comprehensive in-house medical management, and leading outcomes-based casualty solutions offer the ultimate flexibility and customization that help customers control health care costs, improve health, and achieve exceptional value. MagnaCare is a division of Brighton Health Plan Solutions, LLC.

 

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Know Before You Go: Eye Exams

Your eyesight is precious. Periodic eye exams are an important step in preserving your vision long term. In addition to correcting your vision, during an eye exam your eye doctor can detect any eye disorders at an early stage, when they are more easily treated and their progress can possibly be reversed.

But navigating eye care benefits can be confusing. The first thing to understand is that there are three different types of eye care providers: opticians, optometrists, and ophthalmologists.

Opticians have a 1- or 2-year degree certification, and specialize in filling lens prescriptions. Once you have your eyeglass prescription in hand, an optician will assist you with lens and frame selection and fitting. An optician is not qualified to conduct eye exams.

Both optometrists and ophthalmologists are qualified to conduct eye exams, where they will not only check your vision, but will also check your eye health for conditions such as glaucoma and macular degeneration.

What’s the difference between optometrists and ophthalmologists?

Optometrists are doctors of optometry (OD) with four years post-graduate doctoral training, and they can diagnose and treat certain non-complex eye conditions, including writing prescriptions. They cannot perform surgery.

Ophthalmologists are medical doctors (MD or DO) who went through four years of medical school plus specialized training in ophthalmology. They can diagnose and treat complex medical eye conditions and perform surgery.

Which should I go to for my eye exam, an optometrist or an ophthalmologist?

Doctors available through vision plans are usually optometrists. If you have a vision plan, it is usually better for you to go to a participating optometrist, for several reasons:

  • Optometrists specialize in eye exams for healthy people who may have some loss of vision, as usually occurs as we get older. That’s what they do all day, every day. It’s their area of expertise.
  • With most vision plans, you pay a lower copay than if you go to an eye doctor who is a medical doctor through your medical plan.
  • Importantly, many medical insurance plans will not cover your visit to an MD/DO eye doctor for the purpose of a routine eye exam.
  • Convenience — very often optometrists will share an office with an optician they trust, so you can choose your frame and lenses during the same visit – a one-stop shop. Also, locations with optometrists are more prevalent and more conveniently located.

An eye doctor is listed in my vision plan, but their office is telling me they will only accept my medical plan. What should I do?

Use your vision benefit plan where possible, not your medical plan. When you call to make an appointment, some optometrists might tell you that they prefer to use your medical health plan, not your vision plan. Don’t be afraid to insist that you will be using your vision benefit plan.

Finally, understand your coverage before you go. Check online with your vision benefit plan before you go to the appointment so you know what’s covered and what’s not, and what your costs might be.

Proactive Ways to Fight the Opioid Crisis

Did you know that there are more accidental deaths from prescription opioids (20,101 in 2016) than from heroin overdoses (12,990 in 2016)? And that more than 80% of heroin users start out abusing prescription painkillers?

The financial ramifications are staggering as well – with much higher work absenteeism and many times more emergency room visits, car crashes, health issues in newborns, rehab treatments, and so on. In fact, health plan sponsors paid nearly twice as much in health care for opioid abusers.

Clearly we need to stem the prescription opioid epidemic.

Many people suffer from chronic pain in this country – but are opioids right for everyone?

Watch the on-demand webinar, “What Can the Workplace Do to Fight the Opioid Epidemic?” where we will explain what you can do to curb opioid abuse. You will learn how to:

  • identify workers at risk of addiction
  • limit the use of opioids among your workers
  • use your health insurance and pharmacy programs to support your workers

During the webinar we present our Opioid Oversight Program, which prevents addiction among newly prescribed members and transitions care for persistent users.

Know where to go: Urgent care, emergency room or primary care physician?

Urgent care centers are a little like Starbucks: They seem to be popping up on every corner. Well, there’s a good reason for this, and it has to do with (you guessed it) money.

Urgent care centers are like a primary care physician, but in a storefront, and without any continuity in your care. And on all health plans I’ve heard of, they also command a higher copay. But urgent care centers are popular because we’re an impatient society that wants something when we want it, and urgent care centers deliver immediacy in care.

If your condition can wait, you’re better off seeing your doctor, who knows you and your history, and will cost you less. Below are some helpful guidelines about whether you should see your doctor, visit urgent care, or go to the ER.

Should I see my doctor, visit an urgent care center, or go to the emergency room?

Unless it is obvious that you should go to the emergency room (ER) or call 911, you should CALL YOUR DOCTOR! All doctors have an on-call service or a nurse triage line that can give you some direction. Your doctor or the nurse triage line can even call in a prescription to your pharmacy if medications are called for.

What if my doctor, her partner, or her practice is not available to speak with me?

If you have access to one, you can use a telemedicine service where a physician appointment is done – right on the telephone. Another alternative is to visit an urgent care center.

Before you find yourself sitting for hours in a hospital emergency room, or end up with medical fees that are not fully covered by your health plan, explore other options first.

When should I go to urgent care?

Urgent care is basically a primary care physician who you doesn’t know you, in a storefront. It’s preferable to go to your doctor who knows you and your medical history, for better coordinated care. Plus, you pay a lower copay to your doctor than you would pay at an urgent care center. However, if you are experiencing a non-life-threatening situation that can’t wait until your doctor can see you, an urgent care center is a fast, more affordable alternative to the emergency room.

What if I don’t have a doctor?

You can find a doctor who’s in your network and make an appointment. If it’s after hours and you don’t have a doctor you can call, then go to urgent care if it can’t wait to find a doctor in the morning.

What exactly is emergency care?

Emergency care is necessary when a person has an unexpected onset of symptoms or a severe medical condition, accident, or illness that could place a person’s health in jeopardy if not treated with immediate medical attention. Severe, sudden symptoms or conditions that don’t quickly get better such as chest pain, extreme shortness of breath, and bad accidents causing severe pain or bleeding require emergency care.

Colorectal screening recommendations

As medical guidelines evolve, MagnaCare aims to keep you informed and recommend the best course of care for your members.

The American Cancer Society recently released new guidelines regarding colorectal cancer screening for average-risk individuals, lowering the recommended age for screening from age 50 to age 45.

The cost implications of these recommendations are potentially significant. Under the new guidelines, your member population would receive the screening at an earlier age, and therefore get more screenings over their lifetime. Additionally, screenings are not without risk to the patient. For example, colonoscopies can tear the lining of the colon and virtual colonoscopies subject the patient to high levels of radiation.

It’s important to note that other guideline-producing organizations such as the US Multi-Society Task Force on Colorectal Cancer and the U.S. Preventive Services Task Force (USPSTF) have not changed their recommended starting age for colorectal screening, which remains at age 50. Based on these standard guidelines, MagnaCare continues to recommend colorectal screenings starting at age 50 in average-risk people, except for African-Americans in whom evidence supports screening starting at age 45.

We also recommend benefit designs that encourage performing the procedure at a participating doctor’s office or ambulatory surgical facility, not in an outpatient hospital setting which is typically much more expensive without providing any additional benefit.

MagnaCare will keep abreast of this issue as the medical organizations build consensus and make strong, clear, and consistent recommendations, and we will recommend coverage determinations based on their decisions.

Physicians’ Reciprocal Insurers (PRI) Renews Exclusive Agreement with MagnaCare

ROSLYN, NY, August 7, 2018Physicians’ Reciprocal Insurers (“PRI”), the second largest admitted medical malpractice insurer in New York State, today announced the renewal of a cooperative agreement, first established in 1998, with MagnaCare, a leading full-service health plan administrator based in New York. Under the agreement, full-time physicians associated with MagnaCare will receive a 7 percent discount off their malpractice premiums.

MagnaCare offers a range of services and access to a proprietary provider network of nearly 130,000 individually contracted physicians, hospitals, and healthcare providers.

“MagnaCare is known in New York State for being a trusted resource to patients and medical professionals alike,” said Bruce Shulan, CEO of PRIMMA, PRI’s wholly owned Attorney-in-Fact. “Their valuable partnership enables MagnaCare member physicians and medical facilities to offer more options to their patients. We have partnered with them for 20 years, and look forward to many more.”

In addition to the 7 percent discount, qualified medical professionals could be eligible for other discounts as well, including:

  • 10-Year Claims Free Discount: 12 percent
  • 5-Year Claims Free Discount: 7.5 percent
  • Risk Management Discount: 5 percent
  • No Consent Discount: 5 percent
  • Annual Pre-Pay Discount: 2 percent

MagnaCare-associated physicians who meet all of the above qualifications could receive discounts up to 31 percent on their premiums.

About MagnaCare

For more than 25 years, MagnaCare has provided innovative health care solutions to Taft-Hartley funds, TPAs, carriers, and workers’ compensation and no-fault payors in the New York, New Jersey, and Connecticut tri-state area. Its broad and wholly owned network, full plan management services, comprehensive in-house medical management, and leading outcomes-based casualty solutions offer the ultimate flexibility and customization that help customers control health care costs, improve health, and achieve exceptional value. MagnaCare is a division of Brighton Health Plan Solutions, LLC.

 

Brighton Health Plan Solutions and its CEO Simeon Schindelman receive Gold, Silver, and Bronze awards, recognizing multiple achievements in transforming the region’s health care system

Stevies Gold AwardNEW YORK, NY, May 03, 2018Brighton Health Plan Solutions, a leading health care enablement company, today announced it was honored with five Stevie® Awards in the 16th Annual American Business Awards:

  • Gold for Brighton Health Plan Solutions: Medium Sized Company of the Year – Health Products & Services
  • Silver for Simeon Schindelman: Executive of the Year – Health Products & Services
  • Silver for Create®: Founding Team of the Year – Consumer Products Industries
  • Silver for Create®: Best Marketing or Sales Brochure or Kit – Print
  • Bronze for Create®: Health & Pharmaceuticals – Product

“I am honored that we were recognized with not one, but five Stevie Awards,” said Simeon Schindelman, CEO of Brighton Health Plan Solutions. “These wins reflect our incredible team’s passionate commitment to transforming health care. Through our products, we are aligning the interests of families, health care providers, and health plan sponsors to reduce medical cost, improve health care quality, and increase consumer satisfaction with the health care system.  It’s bold, it’s important, and it’s happening now.”

The American Business Awards are the U.S.A.’s premier business awards program. All organizations operating in the U.S.A. are eligible to submit nominations – public and private, for-profit and non-profit, large and small. The awards reflect Brighton Health Plan Solutions’ pioneering contributions to how health care is accessed and delivered throughout the New York tri-state area. In 2017, under Simeon Schindelman’s leadership, the company launched its latest innovation, Create®, which combines a proprietary online technology platform with a competitive provider marketplace for commercial, labor, and public sector health plan sponsors. Leveraging Mr. Schindelman’s deep industry expertise, Create has established partnerships with leading health systems, including Mount Sinai Health System and Long Island Health Network in New York, and Hackensack Meridian Health, Englewood Hospital and Medical Center, and Saint Peter’s Healthcare System in New Jersey.

Judges acknowledged Brighton Health Plan Solutions as a company that is “creating efficiencies in the market by working with businesses across the health care value chain” and “bringing real-life solutions to patients, doctors, and plan sponsors across the tri-state area.” Additionally, Mr. Schindelman was applauded for his “extensive health plan operations experience” and “demonstrated unique and visionary leadership.”

“The nominations submitted for the 2018 American Business Awards were outstanding. The competition was intense, and those recognized as Stevie Award winners should be immensely proud of this accomplishment,” said Michael Gallagher, president and founder of the Stevie Awards.

This year, the total number of nominations exceeded 3,700 from organizations of all sizes across industries. More than 200 professionals worldwide participated in the judging process to select this year’s Stevie Award winners. For more information about The American Business Awards and the list of 2018 Stevie winners, visit: www.StevieAwards.com/ABA.

About Brighton Health Plan Solutions
Headquartered in New York City, Brighton Health Plan Solutions (BHPS) is an innovative health care enablement company with several industry-leading brands, including Create and MagnaCare – all on a mission to deliver better health care at lower cost. We believe aligning the interests of our partners through exceptional health care products and services will fundamentally transform how health care is accessed and delivered.

BHPS, a division of Brighton Health Group, serves commercial and labor plan sponsors, health plans, health care providers, and other stakeholders.

About the Stevie Awards
Stevie Awards are conferred in seven programs: the Asia-Pacific Stevie Awards, the German Stevie Awards, The American Business Awards®, The International Business Awards®, the Stevie Awards for Women in Business, the Stevie Awards for Great Employers, and the Stevie Awards for Sales & Customer Service. Stevie Awards competitions receive more than 10,000 entries each year from organizations in more than 60 nations. Honoring organizations of all types and sizes and the people behind them, the Stevies recognize outstanding performances in the workplace worldwide. Learn more about the Stevie Awards at http://www.StevieAwards.com

MEDIA CONTACT: Anna Clark, (212) 784-5715, [email protected]