North Shore-LIJ Health System to Launch a Health Plan

John Commins, for HealthLeaders Media , August 1, 2013

CareConnect, the first provider-owned commercial health plan in New York, will offer lower prices and gives the healthcare provider "serious control" over quality and care coordination, says an NS-LIJHS executive.

North Shore-LIJ Health System has been granted a license by New York to launch the first provider-owned commercial health insurance plan on the state's health insurance exchange.

When enrollment begins on Oct. 1, members of the new North Shore-LIJ CareConnect, will have several plans to choose from. When the plan takes effect on Jan. 1, 2014, members will have access to one of the state's largest integrated healthcare systems, which includes 15 hospitals and ambulatory services at more than 400 physician and ambulatory practices in Long Island, Queens, Staten Island and Manhattan.

"As the first provider-owned health plan in New York, North Shore-LIJ CareConnect will be able to deliver a simple, total solution for individuals, families and businesses looking to access both high-quality medical care as well as more-affordable insurance coverage," North Shore-LIJ President/CEO Michael J. Dowling said in a media release.

See Also: PA Hospitals Mull Health Plan Launch

"During an era when healthcare is becoming increasingly confusing, we're simplifying the process and transforming the way we connect with and serve our customers. In addition, taking risk for a population in this manner will significantly add to our capabilities to work productively and creatively with other third party insurance company partners."

Howard B. Gold, North Shore-LIJ's executive vice president of managed care and business development, told HealthLeaders Media that ConnectCare hopes to enroll between 10,000 and 15,000 lives in its first year of operation and offer a line of plans that are significantly less expensive than those of their competitors.

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5 comments on "North Shore-LIJ Health System to Launch a Health Plan"

Seth chandler (12/17/2014 at 1:45 AM)
Let me save you some aggravation...don't ever ever ever sign up for this insurance. I had the misfortune of paying an inordinate amount of money for this insurance for a two month period. During this period, they denied paying for claims, charged hidden fees, and charged multiple copays for one doctors visit. Their customer service only offers to file a grievance with their grievance department, who won't speak to you and denies your grievance anyway. There is no other oversight in ensuring that their policies are adhered to. Please I urge anyone considering this insurance to think before signing up, as you will be paying far more than just your monthly premium.

Linda Salvio (9/25/2013 at 9:41 PM)
I reside in the NS LIJ area and I was interested in knowing how this coverage will be accepted state-wide if perhaps you are traveling or have a student residing in another state or abroad. Thank you

robert in smithtown (9/8/2013 at 6:24 AM)
Is there an rss feed or twiter hashtag or email list to get on for more info on this? Id like to know more specifics as they become available, which doctors will be available, etc.




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