Photo: John Fedele / Getty Images
Northwell Health has selected Northwell Direct to provide the 2022 health system health care delivery network for approximately 75,000 employees and dependents, avoiding the traditional approach of partnering with a private insurer.
Northwell Direct, the affiliate of Northwell Health, Direct to Employer, is a for-profit entity that provides solutions for a variety of businesses. This is the first time that the state’s largest private employer has chosen Direct Network Contracts, a healthcare delivery approach that enables companies to provide their workforce with access to healthcare without having to worry about it. engage with a traditional insurance company.
The move, said Northwell Health, aims to control costs without compromising access to care by leveraging Northwell Direct’s selective network, which has been specifically designed to meet the needs of employers with employees and dependents in the area. tri-state region.
Northwell Direct will also make managed care programs available to plan members. Such programs can guide participants through their health care needs, potentially helping to prevent gaps in care in order to avoid potentially dangerous and costly exacerbations, the system said.
WHAT IS THE IMPACT ?
Since launching in 2020, Northwell Direct has provided a number of healthcare programs and services to large national and regional employers. He works with JetBlue Airways to provide a comprehensive set of COVID-19 solutions for the local airline workforce, and with Whole Foods Market, providing team members in the tri-state region with a network of primary care that provides holistic and lifestyle-based care.
Other out-of-the-box and customizable services provided by the company include on-site and near-site health clinics, clinical concierge services, occupational health and workforce safety solutions and a range of other options.
Its provider network includes nearly 20,000 physicians in the New York metropolitan area, including those in Long Island, Queens, Staten Island, Brooklyn, Bronx, Manhattan, New Jersey and Westchester.
Northwell Health has selected Brighton Health Plan Solutions as its third party administrator to manage complaints handling and customer service for its employee health plan. A wrap-around network is available for employees or dependents who need access to out-of-state care, which can be important for a family member attending college outside of New York and the United States. New Jersey, for example.
THE BIGGEST TREND
Northwell Health was at the epicenter of the pandemic in New York State. He treated 200,000 COVID-19 patients over a 15-month period ending in August. At the height of his hospital inpatient care for COVID-19, in April 2020, Northwell had 3,500 patients in the hospital daily, according to CEO Michael Dowling.
From March 11 to June 1, 2020, 4,516 probable deaths associated with COVID-19 occurred among residents of New York City, according to the Centers for Disease Control and Prevention.