Technology contributes to health plan satisfaction

Mobile app technology
MagnaCare’s mobile app improves the member experience

According to a new JD Power consumer study, advanced technology platforms can improve health plan performance for payors. They play a key role in health plan member satisfaction.

To improve the customer experience, MagnaCare has recently rolled out a new service technology platform that offers:

  • Easier navigation
  • Self-service tools that allow members to manage their health plan benefits
  • Explanation of Benefits (EOBs) that are color-coded and easier to understand

The new service platform, powered by Create® technology, improves how members interact with their MagnaCare or Create health plans.

MagnaCare members who have migrated to the new service platform prefer the user-friendly portal. The mobile app gives them anywhere, anytime access to their health plan information, including their ID card.

“Our members couldn’t be happier with the new mobile app,” adds Michael Smith, President of Local 810, which has recently migrated to MagnaCare’s new service platform. “It is receiving widespread accolades.”

Contact your MagnaCare account manager or [email protected] to find out more about improving your member satisfaction using our new service technology platform.

MagnaCare Launches New Opioid Oversight Program

The initiative will assist plan sponsors in creating safer, more productive workplaces

Opioid Oversight ProgramNEW YORK, Jan. 10, 2019MagnaCare, a leader in health plan management services, announced today a new Opioid Oversight Program that aims to help labor organizations account for their workers’ safety and productivity, while also reducing associated costs. MagnaCare developed the unique program in response to the staggering rates of opioid abuse occurring nationwide and to address the epidemic’s devastating impact on the workplace.

While it is often assumed that opioids primarily affect young people, opioid misuse and related deaths occur most frequently within the working age population — those between ages 25 and 54. As a result, workplaces across the nation are facing significant safety and work quality challenges. Overuse of opioids also contributes to additional health care costs that severely burden employers and plan sponsors, both of whom already pay annual premiums of over $18,000 per employee for employer-sponsored family health coverage. While plan sponsors are heavily burdened by opioid abuse, they are also uniquely positioned to respond to the crisis.

“MagnaCare’s new Opioid Oversight Program comes at a time of great need — a time when Americans consume 75 percent of the world’s opioid supply, despite making up just five percent of the world’s population,” said Michelle Zettergren, President of MagnaCare. “The disastrous impact of our country’s opioid epidemic has serious implications for the work environment, making it critical for employers and plan sponsors to take any steps they can to ensure the safety of their employees and members in the workplace. The Opioid Oversight Program will help plan sponsors in executing this important goal.”

The Opioid Oversight Program will help plan sponsors better regulate opioid use among plan members, thereby increasing workplace safety and members’ quality of life, all while reducing the burden of medical and pharmacy costs. Since most opioid addictions stem from medical prescriptions for pain relief, employers and plan sponsors have the ability to leverage their access to members’ pharmacy and medical data, as well as observation of workplace behavior, to identify and respond to potential opioid abuse.

“MagnaCare’s Opioid Oversight Program, the first of its kind, recognizes the differences between new opioid users and those who have been on long-term opioid treatment for pain management, and is uniquely tailored to address their distinct needs,” said Dr. A. Bartley Bryt, Chief Medical Officer. “For new users, this means early intervention that helps them avoid addiction, while for long-term users, the program focuses on providing a structured support system to help individuals manage the conditions leading to opioid use and misuse.”

The Opioid Oversight Program goes beyond just providing support. It also works with plan sponsors and contracted pharmacies to notify them when a member fills multiple opioid prescriptions written by different doctors, implements a medical review process before enabling refills, and monitors prescriptions and dosages to help support physician-directed intervention programs.

The program is already being rolled out to plan sponsors for implementation. For more information visit: www.magnacare.com

About MagnaCare

For more than 25 years, MagnaCare has been building health communities together with Taft-Hartley funds, TPAs, carriers, and worker’s compensation and no-fault payors in the New York, New Jersey, and Connecticut tri-state area. Its broad, 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.

 

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]

Brighton Health Plan Solutions Appoints President of Labor and Public Sector

Long-time Labor Industry Leader Michelle Zettergren Joins Company’s Senior Leadership Team

Michelle ZettergrenNEW YORK, Oct. 19, 2017 ‒ Brighton Health Plan Solutions (BHPS), a leading health plan management company, today announced that Michelle Zettergren has been appointed President, Labor and Public Sector to build on the company’s long-standing leadership in bringing to market innovative health plan solutions, including MagnaCare. Zettergren brings with her almost two decades of experience in the health care industry and an impressive career focused on the customer experience.

As President, Labor and Public Sector, Zettergren will lead all sales, account management, and business development activities for the labor and public sector of BHPS. Among her primary responsibilities, she will ensure that MagnaCare continues to serve the needs of labor and public sector clients.

“We are thrilled to add Michelle to our senior leadership team as we work to expand our already-strong presence in the labor market and build a thriving public sector presence,” said Simeon Schindelman, CEO of BHPS. “Michelle’s past industry success illustrates her dedication to establishing strong relationships with union leaders and putting the needs of her clients first. Her unique expertise, coupled with her well-rounded industry knowledge, will greatly support our goals of reinventing the health benefits space, improving quality of care, and strengthening doctor-patient relationships.”

Previously, Zettergren served as Chief Sales Officer at HPOne, where she led sales, new business development, and market positioning. Zettergren also spent over 10 years at Anthem Blue Cross & Blue Shield in various leadership roles, managing public sector sales and underwriting. Michelle completed labor relations training with the University of Connecticut’s Office of Labor Relations and participated in numerous labor negotiations, serving as an expert witness in several arbitration and mediation labor disputes. Additionally, she is a former board member of the Third Party Administrators Association of America (TPAAA).

“I’m fortunate to join an incredibly talented team at Brighton Health Plan Solutions and support its mission to preserve the future of health care benefits for working people – something I’ve dedicated my career to achieving,” said Zettergren. “Brighton Health Plan Solutions has a fantastic reputation in offering high-quality, innovative products customers want, like MagnaCare and its newly launched Create®, a first-of-its-kind marketplace of health systems and service platform. I’m excited to bring these products to labor and public sector customers.”

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, MagnaCare, and Brighton Casualty Solutions – 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.

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

Brighton Health Group Announces New Health Plan Leadership

Simeon SchindelmanSTAMFORD, CT & NEW YORK, NY, December 18, 2015Brighton Health Group (BHG), a healthcare enterprise building innovative products that align the interests of health care providers, employer and other plan sponsors, families, and payers, today announces the appointment of Simeon Schindelman as CEO of Brighton Health Plan Services, effective immediately. Schindelman has assumed authority over all aspects of Brighton Health Plan Services, which includes both MagnaCare and a brand new, highly creative commercial platform that is in early stage development. Joseph Berardo Jr., former MagnaCare CEO, will continue to serve on the BHG Board of Directors, and in an advisory role to Schindelman. Berardo remains critical to the company’s success, and Schindelman has asked Joe to maintain his strong relationships with clients and partners.

“Simeon exemplifies the spirit of innovation Brighton Health Group’s companies are using to transform the way that healthcare is purchased, financed, accessed and delivered,” said Bill Sullivan, BHG chairman, pointing to Schindelman’s accomplishments as chairman and CEO at Bloom Health and in executive roles at Medica Health Plans and UnitedHealthcare. “He will take MagnaCare in new and exciting directions, and drive a unique set of products and services highly valued by the marketplace. With his vast experience and specialized expertise, he will lead Brighton Health Plan Services to rapidly advance its mission to provide plan sponsors and their employees and families with unique and cost-effective health plan solutions that deliver levels of service unknown in the industry today, while closely partnering with health care providers, channel partners and other key stakeholders.”

At Bloom Health, a leader in the private exchange market, Schindelman grew revenue rapidly, added highly differentiated products and services that increased average subscription income, and built a platform which earned extremely high consumer satisfaction scores.

Prior to Bloom, Schindelman was senior vice president, Commercial Markets, at Medica Health Plans, and served in a number of leadership roles at UnitedHealthcare, including president, Small Business, and as senior vice president at UnitedHealth Group.

Schindelman stated, “This is an extraordinary opportunity to make a critical difference for health plan sponsors, employees and their families, health care providers, and other key stakeholders. The assets BHG has assembled are unique and remarkably well-positioned to continue to transform the market. The Brighton Health Plan Services platform will present a new era of healthcare innovation that transcends anything currently available in the marketplace. I look forward to further advancing the history of success that Joe Berardo and his team have established.”

In 2014, a Goldman Sachs Group Inc.-led consortium of investors set up BHG and acquired MagnaCare, Privia Health, LLC, a physician practice management company and Dwell Family Doctors, a group of full-service primary care centers.

Berardo added, “My dedication to this organization has never been stronger, and I look forward to assisting Simeon in his work at Brighton Health Plan Services with both MagnaCare and the new commercial platform he will create.”

About Brighton Health Group

Brighton Health Group is a healthcare enterprise dedicated to developing innovative products that align the interests of healthcare providers, employers and other plan sponsors, families, and payors. By creating a sustainable business model based on a shared reward system, Brighton Health Group collaborates with stakeholders to align economics for optimal results and to enable consumers to make better decisions. The Brighton Health Group portfolio of companies includes: Privia Health, MagnaCare and DWELL Family Doctors. Visit: http://www.brightonhealth.com.