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North Shore-LIJ and EmblemHealth Sign Agreement to Offer More Integrated Health Care to 170,000 Members

October 9, 2013

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GREAT NECK, NY – Performance-based incentives for quality of care and efficiency will benefit EmblemHealth members in an agreement announced today between North Shore-LIJ Health System and EmblemHealth.  The three-year agreement covers more than 170,000 members enrolled in all EmblemHealth insurance products, including commercial, Medicare and Medicaid.

The North Shore-LIJ/EmblemHealth agreement involves three large New York area medical groups – Manhattan’s Physician Group, Queens-Long Island Medical Group and Staten Island Physician Practice, which are now part of AdvantageCare Physicians, one of the largest physician practices in the New York metropolitan region with more than 400 primary care physicians and specialists in 39 convenient locations.

“We are creating an integrated delivery model that aligns quality with payment incentives, and creates relationships that will ultimately improve the coordination of care provided to EmblemHealth members,” said Howard Gold, Executive Vice President of Managed Care and Business Development at North Shore-LIJ.

Through this agreement, North Shore-LIJ, EmblemHealth and AdvantageCare Physicians have agreed to work collaboratively to improve the coordination of care in emergency, inpatient and ambulatory settings, and physician offices; enhance customer satisfaction and lower medical costs.  Additionally, physicians from North Shore-LIJ and AdvantageCare Physicians support a delivery model that includes measurable performance criteria.

“Working with North Shore-LIJ, EmblemHealth can extend its pioneering approach with AdvantageCare Physicians, which has shown that increased coordination of care improves health outcomes and patient satisfaction. The agreement with North Shore-LIJ will offer our patients an enhanced experience and access to quality health care,” said William Gillespie, MD, President and CEO of AdvantageCare Physicians.

EmblemHealth and North Shore-LIJ have aligned to create an innovative delivery system tailored to the needs of New Yorkers that promotes quality health outcomes and medical cost reductions in both outpatient and hospital settings.

About North Shore-LIJ Health System
The nation's third-largest, non-profit, secular healthcare system, North Shore-LIJ delivers world-class clinical care throughout the New York metropolitan area, pioneering research at The Feinstein Institute for Medical Research and a visionary approach to medical education, highlighted by the Hofstra North Shore-LIJ School of Medicine. North Shore-LIJ cares for people at every stage of life at 16 hospitals, long-term care facilities and about 400 outpatient physician practices throughout the region. North Shore-LIJ’s owned hospitals and long-term care facilities house more than 6,000 beds, employ more than 10,000 nurses and have affiliations with more than 9,400 physicians. With a workforce of more than 47,000, North Shore-LIJ is the largest employer on Long Island and the third-largest private employer in New York City.  For more information, go to www.northshorelij.com.

About EmblemHealth
EmblemHealth, Inc., through its companies Group Health Incorporated (GHI) and HIP Health Plan of New York (HIP), provides quality health care coverage and administrative services to approximately 3.4 million people. Groups and individuals can choose from a variety of PPO, EPO and HMO plans, as well as coverage for prescription drugs and dental and vision care. EmblemHealth offers a choice of networks, including quality doctors and other health care professionals throughout the region, leading acute care hospitals across the tristate area, and physicians and hospitals across all 50 states. For more information, visit www.emblemhealth.com.

About AdvantageCare Physicians
AdvantageCare Physicians, P.C. is one of the largest physician-led practices in the New York Metropolitan Area, with more than 400 primary care physicians and specialists in 39 locations. These conveniently located community-based medical destinations provide coordinated quality care and support culturally competent care delivery. They provide access to health and wellness education and health screenings, to help patients assess health risks and to make informed choices.

Charlene Maher/EmblemHealth
646-447-0346
 

  • Media Contacts:

    Terry Lynam, Vice President of Public Relations
    (516) 465-2640
    tlynam@nshs.edu
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