Empire Exchange beneficiaries can now access ProHEALTH’s 500 plus physicians, ProHEALTH’s free standing Ambulatory Surgery Center, Diagnostic Imaging Centers, and multiple Urgent Care Centers that were previously considered to be out-of-network.
(PRWEB) November 26, 2014
ProHEALTH Care Associates, LLP (ProHEALTH) and its affiliated physicians, has agreed to a new multi-year agreement with Empire BlueCross BlueShield to join Empire's Pathway and Pathway Enhanced Networks. These networks serve Empire members who purchase individual insurance plans on the New York State of Health marketplace, or Exchange, and for Empire small groups and individual members who purchase health insurance plans off of the Exchange.
Empire's Pathway Network is comprised of nearly 49,000 physicians and 83 hospitals that are considered "in-network" for Exchange or Affordable Care Act compliant individual plans. The Pathway networks are designed to focus on primary care physicians who are committed to transforming their practices to a patient-centered model of care to help members achieve a higher-level of care in an efficient and cost-effective way.
As part of the new agreement, Empire Exchange beneficiaries can now access ProHEALTH’s 500 plus physicians, ProHEALTH’s free standing Ambulatory Surgery Center, Diagnostic Imaging Centers, and multiple Urgent Care Centers that were previously considered to be out-of-network. With over 300 medical practices located throughout Manhattan, Brooklyn, Queens, Bronx and Long Island, ProHEALTH brings services directly to where patients live and work. Patients also benefit from the seamless integration of their electronic medical record throughout the ProHEALTH network.
“ProHEALTH has been successfully participating in the Empire BlueCross BlueShield “Enhanced Personal Health Care” program - engaging in those comprehensive primary care functions that move us toward a coordinated, evidence-based care model that has the greatest impact on achieving the triple aim of improved quality, patient experience and affordability,” notes ProHEALTH’s Managing Partner, David Cooper, M.D.
"We are pleased to partner with ProHEALTH and its affiliated physicians. Having ProHEALTH be a part of our Pathway networks further solidifies Empire BlueCross BlueShield as a leading health insurance provider in the state and demonstrates our commitment to the New York Marketplace, and the Individual and Small Group markets," said Empire's President and CEO, Brian Griffin. "We've served New Yorkers for more than 80 years and look forward to continuing the peace of mind that comes with carrying the cross and shield."
To enroll in, or to find out more about Empire's robust and cost-effective plans on-and-off the New York State of Health Marketplace or Exchange, please log onto http://www.empireblue.com or call 877-315-5503 on or after Nov. 15, 2014, when open enrollment begins.
About Empire BlueCross BlueShield
Serving New Yorkers for over 75 years, Empire BlueCross BlueShield is the largest health insurer in New York supporting nearly five million members and more than 38,000 business,union and small employers in New York. Empire BlueCross BlueShield (Empire) is the trade name of Empire HealthChoice Assurance, Inc., and Empire Blue Cross Blue Shield HMO is the trade name of Empire HealthChoice HMO, Inc., independent licensees of the Blue Cross Blue Shield Association, serving residents and businesses in the 28 eastern and southeastern counties of New York State. Additional information about Empire is available at http://www.empireblue.com.
ProHEALTH Care Associates, LLP, ("PHCA") is the largest independent multi-specialty practice in New York State caring for patients in all boroughs of New York City as well Nassau, Suffolk and Westchester counties. PHCA is managed by ProHEALTH Medical Management, LLC, a Physician Practice Management Company, which specializes in integrating technology and electronic practice management systems into medical practices, analyzing practice data that assures compliance with quality measures, and delivering high quality cost effective care. It also manages one of the most successful Accountable Care Organizations in the country, ProHEALTH Accountable Care Medical Group, PLLC.