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. MagnaCare Provider Locator Find a healthcare provider Choose your plan to find a provider in your area. 2022 Northwell Health Benefit Guides and Important Documents Review claims and relevant plan activity The contract builds on the success of Brighton's existing relationships with Northwell Health and Northwell Direct. 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. What it is, how it works, and more from key terms and benefits to out of pocket costs. We dont limit you to a standard plan design. All Rights Reserved. Premium Provider Portal Login Premium Provider Portal Login Single point of entry for Premium Network providers Secure, HIPAA compliant Houses all value-based program information Contact (800) 381-6140 or ciipa@northwell.edu for help The healthcare delivery and payment landscape is shifting. When Northwell Health, the second-largest employer in New York and the states largest health system, decided the rising cost of traditional health insurance was unsustainable, they decided the future lay with a direct-to-provider solution. Nick Stefanizzi, CEO of Northwell Direct, says direct-to-provider contracting ensures employee access to quality tailored programs. Medical Management and other cost-containment programs reduce our clients medical spend while improving health outcomes for their members. With Northwell Direct, Zettergren says, the patient is hearing directly from the providers and the level of adherence is going to be so much higher, as well as employee satisfaction, and it improves the outcome overall., *https://www.shrm.org/resourcesandtools/hr-topics/benefits/pages/health-plan-cost-increases-return-to-pre-pandemic-levels.aspx, One Penn PlazaSuite 1410New York, NY 10119. From self-funded health plans to tech-forward administrative services to integrated provider networks, MagnaCare has you covered. A: 2022 benefit guides are available on the myBenefits site. 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. For your protection your session is about to timeout.Would you like to stay logged in? When health systems, employers, or TPAs want to launch a unique initiative, they turn to us. You should always confirm with your provider/facility using your member and group ID found on your medical benefit ID card. Protecting your business is not just important it is necessary and with the help of a McDougall Commercial Insurance Broker we will make sure it is done correctly. At McDougall Insurance & Financial in Brighton we make insurance as easy and convenient as possible. Northwell Health offers the following medical plans for employees. Northwell Health, New York's largest healthcare provider and private employer, has chosen its affiliated, direct-to-employer company, Northwell Direct, to . Here you will find helpful information on MagnaCare programs and procedures for providers. BeginningJan. 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 theNew Yorkmetropolitan area. Northwell Health updates healthcare benefits through direct-to-employer Brighton Health Plan Solutions,LLC. Dr. Vincent J. Leone, MD | Great Neck, NY - US News Health 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. With self funded health plans, you own the data. With reference based pricing, you pay providers a reasonable fee based on a reference point, such as the Medicare price for the same service. 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. Northwell Health, Inc and Blue Shield of California Life & Health Insurance Company: Case Number: 0:2023cv05043 . 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. 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.The Northwell Direct network and MagnaCare network already serve as the Tier 1 and 2 networks for the HDHP. formId: "e87d5f0d-b924-40dd-8bc5-76ddca6ddeb0" Brighton Health Plan Solutions,LLC. Cision Distribution 888-776-0942 That is why finding the proper protection for it is essential. Northwell Health Labs Test Directory It can be an excellent, low-cost, and flexible way to provide health coverage to your employees. hbspt.forms.create({ Northwell Direct is a common health insurance in New York, and individuals who have Northwell Direct may wish to find marriage and family therapists who are in-network with their health insurance. Reference based pricing adds transparency to the cost of healthcare. Brighton Insurance Quotes | Home, Car, & Business Insurance 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. 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. Our commercial experts will sit down with you to uncover what exposures and risks your company faces and build a comprehensive business insurance plan to meet your needs. A: Please sign up on Northwell.edu/myMedical where you can search for providers and facilities, view and share your digital ID card, review claims and your Explanation of Benefits (EOBs) and check coverage and benefits. Brighton Health Plan Solutions enables self funded clients, health systems, and TPAs to solve the problems facing todays healthcare. Learn more about our Medical Management services >. Using a third party administrator (TPA) to administer the health plan removes the hassle of managing the plan. I mean we have been in business for over 70 years! Northwell Health Selects Northwell Direct's Provider Network for NetScaler AAA Welcome to the Northwell Health Labs Test Directory The Test Directory includes comprehensive information for each test Northwell Health Labs offers including test name, methodology, test code, collection container, reference range and more. Visit Northwell.edu/myMeds for information about Vivo Health and in-network pharmacies. 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. You choose the types of providers you want, in the locations you need. We can help find you car insurance coverage no matter your situation! MagnaCare | Third Party Administrator Northwell Direct | Northwell Health The HRTech News Desk represents a team of tech journalists who coordinate trending stories and breaking news on behalf of the HRTech Series newsroom. Self funded groups benefited from lower health plan utilization during the COVID-19 crisis. We offer highly customizable plan designs with ultimate flexibility and furnish our clients with tools that enhance the member experience. Brighton Health Plan Solutions to Administer Northwell Health's Use these guides to understand your benefits and select a plan during the annual open enrollment period (or following a Qualifying Life Event). Northwell Health,New York stateslargest healthcare provider and private employer, has selected healthcare enablement companyBrighton Health Plan Solutionsto administer all of the employee health benefits plans for its approximately 75,000 employees and dependents who will be accessing care through theNorthwell Directnetwork. A: No. "In Brighton, we've found a like-minded organization that understands the value of direct-to-employer network contracting and shares in our mission to provide high-quality healthcare in the most efficient and cost-effective way possible.". You dont stay in business that long without adapting to the communities you are a part of. 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. It doesnt make sense to have some big insurance company based out of a large city try and assess your house and offer you protection. If you choose to use providers that are out-of-network you will pay significantly more. The COVID-19 pandemic has illuminated the many advantages of a self funded health plan. Create Technology online platform and mobile app. 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 & Brighton Health Plan Solutions Story Dr. Vincent J. Leone is a Orthopedist in Great Neck, NY. The Northwell Direct network and MagnaCare network already serve as the Tier 1 and 2 networks for the HDHP. 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. Interested in our Customized Editorial Services. A: For team members and dependents currently undergoing specific medical services (e.g., a scheduled surgery, continuation of maternity and delivery care, chemotherapy) utilizing a provider that is not in-network, Brighton will work directly with you to be considered for continued care with that dedicated provider until April 1, 2022, and for maternity care until July 1, 2022. Imaging -. There are increased costs if you visit the Tier 2 networks, but if the provider does not participate in either the Northwell Direct, MagnaCare or CIGNA networks, they are considered a non-participating provider (also called an out-of-network provider). Media Contacts: Erin George, for Brighton Health Plan Solutions erin@lovell.com615-946-9914, View original content to download multimedia:https://www.prnewswire.com/news-releases/brighton-health-plan-solutions-to-administer-northwell-healths-employee-health-benefits-plan-301397180.html, Plus500. Start by getting a free home insurance quote today. Team members on the Value, Buy-up, HDHP or union-sponsored medical plans administered by Northwell do not require referrals when utilizing the Tier 1 and/or Tier 2 provider or facility networks. We will work with you to build your network, customized by any criteria such as by zip codes, specialties, hospital-only, or provider-only. Judgments are made based on the patients clinical needs and whats going to get them the best outcome, and not around how we are going to get the highest return on the dollar for our shareholders., According to a recent blog post in the Society for Human Resource Management, employers group health plan premiums increased, on average, between 4.7% and 5.2% in 2022, even after taking into account cost-management initiatives. "As a provider-centered organization, we believe the provider should always be at the core of medical decision-making," said Northwell Direct CEO Nick Stefanizzi. Northwell Direct Group Practices near Brighton Beach, New York Our Brighton Insurance Brokers are here to help you and we know the area because we are from here. Brighton Health Plan Solutions is a healthcare enablement company that is transforming the healthcare landscape. We believe extraordinary things happen when everyone works together health systems, providers, carriers and TPAs, self-insured plan sponsors, and members alike. Northwell Direct Search - Northwell Health Clinical Integration Network IPA Northwell Direct is a new type of health plan from Northwell Health for New York employers. If you are using the Tier 2 network, you should identify your plan as MagnaCare in New York or New Jersey and CIGNA outside of New York and New Jersey. Hospitals -. Employees - Northwell Health Clinical Integration Network IPA Our Brighton office is located at 32 Main St. right downtown. Since 2021, Brighton has been administering Northwell Healths high-deductible health plan for approximately 1,000 non-unionized employees who transitioned to the Northwell Direct network. This award is voted on by the public and we are very grateful to be recognized as Brightons best insurance company. 1 NOTICE OF REMOVAL by Blue Shield of California Life & Health Insurance Company (Fee Paid - Tracking Id ANYEDC-16853827) from Nassau County Supreme Court, case number 618432/2022. En vous inscrivant la newsletter, vous consentez la rception de contenus de notre part. Northwell Health, Inc et al 0:2023cv05043 | US District Court for the At McDougall Insurance we have access to more auto insurance markets than any other broker in Eastern Ontario. Northwell Direct also chose Brighton asits first TPA partnerfor the commercialization of its provider network. Since launching in 2020, Northwell Direct has partnered with large, national and regional employers such as Whole Foods, JetBlue and RXR Realty on a range of direct-to-employer healthcare programs. region: "na1", Our health plan products suit every groups needs and budget by offering highly flexible benefit design and access to a wide array of proprietary provider networks. The opportunity to both administer all of the Northwell Health employee plans and also partner with Northwell Direct to bring its high quality provider network directly to other employers is a significant step toward improving access to high quality care that is convenient, coordinated and cost effective.. Brighton Health Plan Solutions to Administer Northwell Health's All Rights Reserved. We believe extraordinary things happen when everyone works together health systems, providers, carriers and TPAs, self-insured plan sponsors, and members alike. We are thrilled to announce that we have merged with Drayden Insurance Ltd. in Alberta, Canada! Each of these plans consist of a Tier 1 network and Tier 2 network. One Penn PlazaSuite 1410New York, NY 10119. All Rights Reserved. But if youd prefer to come in to our office and talk to us wed be happy to have you. 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. You can determine copay amounts, deductibles, services requiring prior authorization, out-of-network reimbursement methodology, and more. Brighton Health Plan Solutions,LLC. You can also give us a call at 613-475-1430. Together with our trusted partners, we are transforming the health plan experience with the promise of turning todays challenges into tomorrows solutions. *The $45,000 lifetime limit is retroactive and includes prior completed procedures. , . Provider Resource Center | MagnaCare Hey you made it to our Brighton insurance page! Northwell Direct is a common health insurance in New York, and individuals who have Northwell Direct may wish to find group practices who are in-network with their health insurance. When you travel outside of the tri-state area, look at the back of your card to find your out-of-area provider. Our curated network of NY's best providers comes at a lower cost. This is the first time Northwell Health has chosen direct contracting for its employee benefits plan. Northwell Health's Direct Contracting Arm Offers Coverage Model to Business:(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. "As a provider-centered organization, we believe the provider should always be at the core of medical decision-making," said Northwell Direct CEO Nick Stefanizzi. Save 1025% on healthcare costs through anintegrated delivery network (IDN) built around a single health system. 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. View the infographic below, and contact us to learn more about the benefits of offering Northwell Direct to your employees. No two clients are alike. The Tier 2 network is an extended network which has higher out-of-pocket expenses. Media Contacts: Erin George, for Brighton Health Plan Solutions [emailprotected]615-946-9914, One Penn PlazaSuite 1410New York, NY 10119. For a Northwell ambulance, call As a provider-centered organization, we believe the provider should always be at the core of medical decision-making, said Northwell Direct CEO Nick Stefanizzi. Whats more, care is typically fragmented across disparate health systems. We provide our clients with actionable insights so they can make informed decisions on plan design changes in real-time. Network - Northwell Direct | Northwell Health Head office location Belleville: 8:30 5:00 Monday Friday, 199 Front Street, #218, Belleville, ON K8N 5H5. Northwell Health selects Northwell Direct's provider network for Brighton Health Plan Solutions to Administer Northwell Health's Search for a provider in the Northwell Direct Network. Brighton goes beyond other TPAs to offer unprecedented flexibility and customization in our proprietary networks, administrative services, casualty solutions, and integrated digital tools. Our innovative and sustainable solutions encourage patient activation and improve the quality of care all at lower cost. A: No. https://www.shrm.org/resourcesandtools/hr-topics/benefits/pages/health-plan-cost-increases-return-to-pre-pandemic-levels.aspx. Check out this weeks free giveaway here! With this increased availability, there are more areas that were previously considered OOA now determined as in-area. By signing up you agree to receive content from us. Brighton's member support center, comprised of dozens of highly trained, dedicated customer service representatives, will support members as they transition to the Northwell Direct network. , , , , , , 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. Get the right care at the best cost. By going direct to provider with Northwell Direct, employers get rates that are 20% lower than best-in-market. Since launching in 2020, Northwell Direct has partnered with large, national and regional employers such as Whole Foods, JetBlue and RXR Realty on a range of direct-to-employer healthcare programs. We have consistently demonstrated cost savings for our clients while maximizing health and wellness for their members. Urgent Care. 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.