Hackensack Meridian Health has signed on to Brighton Health Plan Solutions’ Create platform – a cloud-based system that allows members of self-funded health care plans to choose an exclusive provider.
Brighton and Hackensack Meridian will form an accountable care organization that will be offered to New Jersey residents who are members of corporate, government or labor-sponsored health care plans. Those members can now price out and choose Hackensack Meridian or another ACO as its exclusive health care provider.
The idea behind the Create service is to provide patients with more cost efficient health care, since they will have access to a competitive health care marketplace and receive treatment from one hospital system, said Brighton CEO Simeon Schindelman.
Signing on Hackensack Meridian gives Brighton’s customers significant access to care in New Jersey, as Hackensack Meridian is the state’s second largest hospital system next to RWJBarnabas with 6,000 doctors across 13 hospitals, 140 ambulatory care centers and the John Theurer Cancer Center. Brighton has also formed relationships with Englewood Hospital and Medical Center, New York-based Long Island Health Systems and Mt. Sinai Hospital.
While ACOs are typically associated with Medicare plans, Schindelman said the reality is that “health care providers have been building ACOs to serve Medicare and individuals groups for no less than 15 years, so there’s quite a history of ACOs in every other part of healthcare.”
Health care groups such the Medical Society of New Jersey have cited that one of the biggest inefficiencies in today’s health care system is that patients to who see multiple doctors often must explain their medical histories to those doctors.
Schindelman argues that the Create system takes care of that problem while increasing quality of care because it encourages patients to build long-term relationships with a single health care system who will always know their medical histories. He also said Create will lower costs because it creates competition between providers and steers patients to systems focused on providing value-based care.
“We’re trying to change the nature of the way people buy health care,” said Schindelman. “Create was launched as a result of us evaluating and thinking about what can we do to unravel this conundrum of increasing healthcare costs while it’s not obvious that quality of care is getting better. We think Create solves that problem.”
The Create platform, which was launched in September, has already signed on three self-funded health care plans with between 100 to 2,000 employees, and plans to add another ACO early next year, said Schindelman, and is still actively marketing to mid-level plans.
Patrick Young, president of Population Health at Hackensack Meridian Health, said that Create helps Hackensack Meridian maintain its commitment to patient-centered care.
“Hackensack Meridian Health is committed to developing a new state of health care. By participating in Create, we’re able to provide quality and affordability while delivering on our promise to improve health in our communities,” he said.