MagnaCare Mobile Technology Wins Multiple Industry Accolades

MagnaCare technology awards 2019NEW YORK, December 13, 2019 – MagnaCare, a leader in health plan management, network rental, medical management, and casualty solutions today announced that its MyCreateHealth mobile app has been named a Silver winner in the App of the Year – Enterprise and SMB category in the 9th annual Best in Biz Awards and has received merit recognition for its mobile app in the Mobile Digital Health Resources category for the Digital Health Awards.

The vendor-agnostic MyCreateHealth app, which is part of the Create technology suite, helps Labor, Public Sector, and commercial plan sponsors support members and boost engagement. The tool not only supports MagnaCare’s robust PPO network and its innovative direct provider contracting network Create, but can also integrate with any of the plan sponsor’s chosen carriers and health benefits vendors.

When health plan members download the MyCreateHealth mobile app, they enjoy on-the-go access to complete plan and benefits information, real-time claims status, receipt uploads to speed reimbursement, and GPS-enabled search for in-network providers. Plan sponsors whose members use the MyCreateHealth mobile app report dramatic reductions in cumbersome paperwork and time spent fielding routine member questions and note improved ease of communication with members throughout the plan year.

“From the outset, our aim was to make the MyCreateHealth app and the entire Create tech platform highly flexible,” said Arun Bhatia, MagnaCare’s Chief Information Officer. “The result is an all-in-one benefits administration hub that integrates with any insurance carrier, ancillary benefits vendor, payroll platform, or point solution. These distinctions from Best in Biz and The Digital Health Awards further validate the exceptional utility of our tech.”

Michelle Zettergren, MagnaCare’s President of Labor and Chief Sales & Marketing Officer adds, “These back-to-back recognitions echo the overwhelmingly positive feedback from our clients. By giving members on-the-go, real-time access to plan information and claims status, plus enabling plan sponsors to directly message their membership via their smartphones, the MyCreateHealth app is helping transform the way groups interact with and communicate about benefits and beyond.”

Best in Biz Awards is the only independent business awards program judged by prominent editors and reporters from top-tier publications in North America. This year’s Best in Biz Awards winners were chosen from more than 700 entries submitted by public and private companies of all sizes in the US and Canada. Selection was based on scoring from independent judging panels assembled from some of the most respected newspapers, TV, and radio outlets, and business, consumer, technology, and trade publications in North America. For a full list of gold, silver and bronze winners in Best in Biz Awards 2019, visit: http://www.bestinbizawards.com/2019-winners.

The Digital Health Awards recognizes high-quality digital health resources for consumers and health professionals. The awards program, going on its twentieth year, is organized by the Health Information Resource Center (HIRC), a clearinghouse for professionals who work in consumer health fields. The Digital Health Awards is an extension of the HIRC’s National Health Information Awards, the largest program of its kind in the United States. Because of the dynamic nature of digital health resources, the Digital Health Awards competition is held twice each year—Spring and Fall. To request the full list of winners from its Fall 2019 competition, visit: http://www.healthawards.com/dha/.

About MagnaCare
For more than 25 years, MagnaCare has been building healthy communities together with Taft-Hartley funds, TPAs, carriers, and workers’ compensation and no-fault payors in the New York, New Jersey, and Connecticut tristate 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

MEDIA CONTACT: Lexy Siegel, Group Gordon, (212) 784-5727, [email protected]

 

5 Reasons to Offer a Minimum Essential Coverage (MEC) Health Plan

To contain health care costs, many employers and other plan sponsors are considering Minimum Essential Coverage, or MEC, health insurance.

Is Minimum Essential Coverage right for your workforce? Here are five reasons to consider MEC health insurance:

1. MEC plans keep your workforce healthier

Preventable diseases, gone undetected, can turn into life-threatening illnesses. Heart disease and diabetes alone are responsible for nearly 70% of early deaths for Americans each year. MEC covers some 63 distinct preventive screenings and immunizations, which help detect conditions early. And, immunizations can prevent illnesses. When they go for recommended screenings and immunizations, your workforce remains healthier and more productive.

2. Early detection lowers health care costs

Preventable conditions are responsible for 75% of health care spending in the United States annually. They cause Americans to miss some $260 billion worth of work every year due to absenteeism and reduced productivity. Clearly, these illnesses put an extreme drain on the economy.

3. MEC provides tangible health benefits to your employees

Many of your employees are not getting their recommended health screening as often as they should. MEC covers immunizations against serious diseases. It also covers screenings for diabetes, heart disease, skin cancer, colon cancer, and other serious conditions.

People who have the recommended screenings are far less likely to have complications stemming from smoking, a poor diet, or their corresponding illnesses. A healthier workforce means fewer sick days and more time on the job.

4. MEC satisfies the individual mandate

In some states, such as New Jersey, individuals pay a penalty on their income tax if they don’t have minimum essential health care coverage. MEC plans satisfy the health care requirement for individuals, saving them money.

5. MEC avoids the major ACA penalty for employers

Employers with 50 or more employees are required to provide minimum coverage to employees to avoid the larger ACA penalty, set at $2,500 for 2019. The IRS is enforcing the penalty, so for groups with at least 50 employees, it make good business sense to offer employees a MEC plan.

MagnaCare offers several low cost MEC plans for self-insured employers and Funds. MagnaCare Basic MEC covers the 63 preventive screenings and immunizations required under the Affordable Care Act. MagnaCare Enhanced MEC adds more of the coverage your employees want, such as set number of doctor, specialist, urgent care, and lab visits per year as well as discount Rx. You can optionally add discount dental and vision. Advantages to employers include a healthier workforce, faster back-to-work for employees who get sick, and better morale. By offering a meaningful health care benefit they’ll also attract and retain employees.

For the most economical MEC plan for your business in the New York tri-state area, contact MagnaCare today and start building a healthier, happier workforce.

If you’re a self-insured employer or Fund and would like to give your workforce even more extensive medical benefits, we offer a wide range of health plan options.

MagnaCare Honored Among Winners of Newsday’s Long Island Top Workplaces 2019

Newsday Top Long Island Workplaces 2019NEW YORK, Oct. 28, 2019MagnaCare, a leader in health plan management, network rental, medical management, and casualty solutions, today announced that it has been awarded a Top Workplaces 2019 honor by Newsday. The list is based on feedback gathered through a survey administered to employees in MagnaCare’s Westbury, NY office by research partner Energage, LLC.

The anonymous employee survey gathered responses covering seven areas of workplace culture, including employee alignment, engagement, connection, and compensation, as well as company leadership, management, and effectiveness. The survey also covered organizational health factors that measure how well employees are working together toward a common cause.

“We’re thrilled to be recognized as a Top Workplace in Long Island by Newsday and to share in the honor with other terrific organizations,” said President and CFO Jim Cusumano. “I’m proud to be part of a team whose members are just as passionate as I am about our mission. To me, it speaks volumes that this award was determined solely by our employees.”

“This distinction validates our deep commitment to making MagnaCare, as well as our parent company Brighton Health Plan Solutions, an environment where our employees feel excited to come to work every day,” said Julie Bank, SVP, Human Resources.

The Top Workplaces program started in 2006 as a way to identify, study, and learn from organizations that know how to unlock potential and inspire performance. Top workplaces are organizations that understand the true value of culture, and they use culture as a competitive advantage. This year, MagnaCare was recognized for this award among 80 companies and organizations in Long Island.

Winners were publicly announced in a special edition of Newsday on Sunday October 27, 2019. To celebrate and bring together the Long Island winners, a special event was held in Woodbury, NY on Wednesday, October 23, 2019.

About MagnaCare
For more than 25 years, MagnaCare has been building healthy 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.

About Energage, LLC
Headquartered in Exton, Pa., Energage is a leading provider of technology-based employee engagement tools that help leaders to unlock potential, inspire performance, and achieve amazing results within their organizations. The research partner behind the Top Workplaces program, Energage has surveyed more than 58,000 organizations representing well over 20 million employees in the United States.

MEDIA CONTACT: Lexy Siegel, Group Gordon, (212) 784-5727, [email protected]

MagnaCare Wins 2019 Ragan Health Care PR and Marketing Awards in Website Relaunch Category

Ragan Health Care PR and Marketin Award winnerNEW YORK, October 09, 2019 – MagnaCare, a leader in health plan management, network rental, medical management, and casualty solutions, today announced that it has been named a winner of Ragan’s Health Care PR and Marketing Awards in the Website Relaunch Category. Ragan and PR Daily Award programs celebrate the most successful campaigns, initiatives, and teams in the communication, PR, and marketing industries.

In 2018, MagnaCare launched a campaign to refresh its brand, beginning with an extensive fact-finding stage, including a series of client roundtables and independent research, to determine the specific needs and expectations of its customers. From this research, MagnaCare developed a strategic brand framework to inform all communications. The result was a new logo, refreshed visual identity, and an updated website designed to maximize ease of navigability and streamline the user experience. The updated website features new pages rich in content, presenting a more comprehensive view of the products and services MagnaCare offers, ultimately adding to the enhanced user experience.

“In recent years, MagnaCare’s brand has evolved alongside our strategy and client offerings. With this rebranding campaign, we wanted to reflect a fresh, modern feel while preserving the connection to our history – maintaining some key elements of our long-standing visual identity, and a clear statement about the value we bring to clients,” said Rosemary Chowullar, VP, Marketing, MagnaCare. “We’re proud of the results of our campaign and honored to be named a winner for our work.”

For more than 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 payors. With an updated website, designed specifically to meet the needs and expectations of today’s customer, MagnaCare will provide even better support to existing customers while appealing to new audiences.

Key MagnaCare team members behind the website redesign include Kat Durko (Creative Director), Dina Jordan (Director of Customer Marketing), Shari Ingerman (Content Manager), Tisa Corona (Lead Generation Manager), and Barbara Geoghegan (Graphic Designer), who were led by Rosemary Chowallur (VP of Marketing).

Ragan’s Health Care PR and Marketing Awards celebrates teams, organizations, consultants and agencies who have redefined the field with their groundbreaking work. As a winner in the program, MagnaCare joins an elite group of past winners, including VSP Vision Care, McLean Hospital, the Centers for Disease Control and Prevention, Spectrum Health, University of Michigan Comprehensive Cancer Center, ATI Physical Therapy, Genentech, and NewYork-Presbyterian.

On Wednesday, September 18, winners were publicly announced in a Special Edition of Ragan.com. See the Special Edition.

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.

About Ragan Communications
Ragan and PR Daily run 11 awards programs each year, including the prestigious PR Daily Awards, Employee Communications Awards, Communicators of the Year Awards (formerly the ACE Awards) and its inaugural Top Women in Communications Awards. Judged by globally regarded experts and featuring multiple categories, these programs honor the top work in communications, PR, marketing and media.

Ragan Communications operates two of the top news and information sites for the PR and corporate communications industry: Ragan.com and PRDaily.com. Together, these daily news sites attract more than 700,000 global visitors monthly.

Ragan is the leading provider of conferences and online training to PR, media relations, and corporate communications professionals.

The Chicago-based company also produces RaganTraining.com, the industry’s leading video and online education portal.

 

MEDIA CONTACT: Lexy Siegel, Group Gordon, (212) 784-5727, [email protected]

MagnaCare’s Michelle Zettergren Named to City & State’s Labor Power 100 List

City & State NY logoNEW YORK, Sept. 03, 2019MagnaCare, a leader in health plan management, network rental, medical management, and casualty solutions, today announced that Michelle Zettergren, President, Labor, Chief Sales and Marketing Officer, has been named one of the 100 most powerful people in Labor by City & State. The Labor Power 100 list honors the most influential people in the Labor community working across government, unions, academia, law, and advocacy.

“I’m honored to be recognized for my career-long commitment to the Labor community, and I’m proud to be a part of a health care enablement company that deeply understands and supports Labor organizations and their members,” Zettergren said. “To be listed among so many influential leaders whose advocacy and service I’ve long admired, and many of whom I’ve had the privilege of working with, is the ultimate compliment.”

Zettergren leads MagnaCare’s mission to provide highly customized, innovative health care solutions to Labor, commercial, and public sector clients, as well as brokers, carriers, TPAs, and workers’ compensation and no-fault payors. Throughout her 25-year career in the health insurance industry, she has built a reputation for driving business growth and customer satisfaction across a diverse client base. Prior to joining MagnaCare, Zettergren held leadership roles at HPOne, ConnectiCare, a subsidiary of EmblemHealth, as well as Anthem BCBS, where she managed public sector sales and underwriting.

“The Labor Power 100 list showcases the champions of labor in New York,” said Tom Allon, President of City & State. “Those listed deserve to be recognized for their hard work and should be proud of their accomplishments.”

City & State profiles Zettergren along with 99 other powerful people in the Labor community in a special commemorative magazine issue published on September 2nd, and will host a reception celebrating their achievements on September 4th. This is the second time Zettergren will be honored by City & State, which named her to its 2018 Responsible 100 list in recognition of her outstanding corporate citizenship.

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.

About City & State
City & State is the premier media organization dedicated to covering New York’s local and state politics and policy. Its in-depth, non-partisan coverage serves New York’s leaders every day as a trusted guide to the issues impacting New York. City & State offers round-the-clock coverage through award winning commentary and analysis, weekly publication, daily e-briefs, events, interviews and more. For more information, please visit www.cityandstateny.com.

MEDIA CONTACT: Lexy Siegel, Group Gordon, (212) 784-5727, [email protected]

MagnaCare Wins Silver for Health Medicine Website in the 2019 Summit Creative Awards

Summit-Silver-Award-2019NEW YORK, August 19, 2019 – MagnaCare, a leader in health plan management, network rental, medical management, and casualty solutions, today announced it has been honored with a Silver Summit Creative Award in the Health Medicine Website category. The redesigned website, featuring new digital content and customer service features, incorporates cutting-edge web design capabilities while maintaining the familiar integrity that defines MagnaCare’s brand promise of putting the customer first.

“MagnaCare continuously strives for innovative ways to build on our exceptional history. We have always been a customer-centric company, which is why it’s so gratifying to receive this recognition,” said Michelle Zettergren, President, Labor, Chief Sales and Marketing Officer. “We’re proud to offer a web destination that not only enriches and supports our clients’ and members’ experiences but is also a valuable resource for any organization looking to take control of their health care costs and give their members access to high-value care.”

In 2018, MagnaCare launched a campaign to refresh its brand, with a special focus on the website and digital content, to keep pace with new product and service roll-outs. The result was a refreshed visual identity, including a new website designed to streamline navigability and enhance the user experience. The updated website features helpful information to guide customers, and rich content to display a holistic view of the unique products and services MagnaCare offers.

“Our new website showcases our one-of-a-kind product offerings and provides more resources to help customers with their health plan questions and needs,” said Rosemary Chowallur, VP of Marketing, MagnaCare. “We are thrilled to be recognized by the Summit Creative Awards for our leadership in health care marketing and design.”

MagnaCare provides highly customized, innovative health care solutions to Labor, Commercial and Public Sector clients as well as brokers, carriers, TPAs, and Workers’ Compensation and no-fault payors. Over the course of its history, it has built a reputation as a leader in benefits and health plan management services through its personalized offerings and responsiveness to client needs.

The Summit Awards is the oldest and most prestigious organization administering awards for excellence in advertising and communication. More than 4,500 submissions from 27 countries were received this year alone. Using strict evaluation criteria and blind judging processes, award recipients include only those firms whose work exemplifies the best in their class. For more information, visit www.summitawards.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.

MEDIA CONTACT: Lexy Siegel, Group Gordon, (212) 784-5727, [email protected]

Gene therapy policy

ZolgensmaGene therapy is an exciting new medical technique that inserts genes into a person’s cells to treat or prevent disease. While gene therapy can potentially cure a wide range of diseases caused by genetic mutations, it comes with a high price tag.

The FDA recently approved the drug Zolgensma®, gene therapy for pediatric patients with spinal muscular atrophy (SMA). A single dose of Zolgensma, which may cure this fatal disease, costs more than $2 million.

Policy and processes

MagnaCare has put a policy and process in place establishing strict controls about when Zolgensma is approved for payment.

  1. The most important of these controls is whether your benefit plan covers gene therapies.
  2. Second is whether the patient is eligible for treatment from a clinical point of view. (You may request a copy of our policy laying out how we determine eligibility.)
  3. Third, we have established a drug acquisition program to control the contract cost of the drug when it is supplied.
  4. Fourth, when we administer claims and benefits, we have system controls in place that block payments without explicit approval from you and our Chief Medical Officer.

Next steps

  • Your Account Manager will be in touch with you to review your benefit plan to confirm coverage or non-coverage.
  • If your health plan covers gene therapy:
    • You need to plan how you will cover the cost should one of your members meet criteria for approval. Approaches to consider include stop-loss insurance and pay-over-time programs.
    • Speak with your Account Manager about our drug acquisition program, or one that may be available to you through your specialty pharmacy vendor.

We encourage you to share this information with relevant members of your team, and to talk to your MagnaCare Account Manager about the options available to you.

As additional costly gene therapies emerge, it is important to update your Summary Plan Description to indicate whether and how gene therapy will be covered. As always, your Account Manager is available to you to provide guidance.

Information about LabCorp and Quest Diagnostics data breach

Two of the country’s largest lab providers, LabCorp and Quest Diagnostics, discovered a data breach that occurred at a third-party vendor they both use for billing and collections. This data breach occurred between August 1, 2018 and March 30, 2019. Both LabCorp and Quest have both stated that the breach is limited to members who were referred to a third-party debt collection vendor due to unpaid bills.

The labs are unable to inform affected payors regarding which or how many of their members were impacted by the data breach. If any of your members were affected, they will receive or may have already received notification letters from LabCorp and/or Quest Diagnostics outlining what they can do to protect their identity.

According to the information we received from the labs, the breach included identification and contact information such as name, date of birth, address, and phone number; and payment information such as bank account number, payor information, and diagnosis codes. Credit card information and test results were not included in the breach.

We are not aware of any misuse of patient information related to this incident.

Further details may be obtained from LabCorp and Quest Diagnostics.