Bright Health is always working to innovate healthcare systems and evolve as a company, and that sometimes lands us in the news. Stay connected to what we're doing across the country with press releases, news articles, and interviews.
Bright Health announced details of its market expansion into three key markets in Tennessee where it will offer Individual and Family Plans (IFP) and Medicare Advantage with Prescription Drug coverage (MAPD) plans through new partnerships with three leading health systems. Bright Health filed paperwork with the federal government to begin offering both IFP and MAPD plans in Tennessee during this fall's annual open enrollment period.
Bright Health will be offering individual health plans to residents of the greater Memphis and Knoxville metropolitan areas, and both individual plans and Medicare Advantage with Prescription Drug coverage plans to residents of the Nashville area.
In each region, Bright Health has teamed up with a single Care Partner per market to give members access to more affordable, top-quality healthcare—in Memphis, the partnership is with Baptist Memorial Health Care, who has been providing care across the Mid-South for more than 100 years; in the Knoxville area, they've partnered with The University of Tennessee Medical Center, which includes the city's top-rated hospital for the past six years; and in Nashville, it's with TriStar Health, the region's largest and most comprehensive health system in the Middle Tennessee market.
6 Questions is a new interview series with Medical Alley leaders on the future of healthcare. This interview with Kyle Rolfing, President & Co-Founder of Bright Health, has been lightly edited for clarity and length.
Will the future of healthcare be most significantly defined by reigning in costs or accelerating outcomes?
Both, and the key to both reigning in costs and improving outcomes will be addressing waste and redundancy. That’s one of the things we’re most proud about at Bright Health. Addressing waste and redundancy is at the center of the Bright Health Care Partner Health Plan model. By partnering with one health system per market, we are able to streamline the process of approvals and referrals, reduce duplicate and/or unnecessary testing, and ultimately enhance our providers’ ability to deliver coordinated care across their systems. This next generation health plan cuts down on time and money while also delivering better healthcare.
Phoenix Children's Care Network (PCCN) is proud to announce it is partnering with Bright Health, and soon Phoenix Children's facilities and providers will be covered in-network on Bright Health Individual and Family health plans in Maricopa County. With this partnership, families purchasing 2019 health insurance plans on the Health Insurance Marketplace will have the option to select Bright Health and receive care at Phoenix Children's.
"Our contract with Bright Health is exciting for a number of reasons," said Robert. L. Meyer, President and CEO of Phoenix Children's. "In 2018 there were no exchange networks offering plans with Phoenix Children's which was distressing for many patient families. Now, with Bright Health's entry into the Phoenix market, we can again care for families selecting plans from the Health Insurance Marketplace and provide the top-quality pediatric care they have come to expect."
Maricopa and Pima county residents will have more choices of Affordable Care Act health-insurance plans for 2019, though fewer federal dollars will be available to help people enroll in them.
Bright Health partners with one health system or network per market to develop insurance plans. In Maricopa County that partnership will be with the Arizona Care Network, providing members access to Abrazo Community Health Network, Dignity Health, Maricopa Medical Center, and Phoenix Children’s Care Network.
“Phoenix Children’s is thrilled to partner with Bright Health and we’re so excited there is another ACA Marketplace offering in our region," said Renee Clarke, executive director of managed care at Phoenix Children's. "The Bright Health contract allows our health system to again offer in-network care to families purchasing insurance products from the Health Insurance Exchange."
Phoenix Children's was not in-network for this year's Maricopa County Ambetter plans, Clarke said.
"We are excited patients can now receive in-network covered care at Phoenix Children’s facilities and from Phoenix Children’s medical providers through Bright Health," she said.
In Pima County, Bright Health is collaborating with the Carondelet Health Network.
Bright Health's partnership model is not about narrow networks, but rather making health care simpler and more personal, said Katrina Cope, who is Bright Health's Arizona market lead. Bright Health plans to do a lot of community outreach about 2019 plans, and that outreach will include educating the consumers about health insurance, she said.
Bright Health officials say their model eliminates the friction that often exists between providers and insurers.
Bright Health, a Minneapolis-based health insurance startup, is Minnesota’s most valuable venture capital-backed startup, according to new data from Pitchbook. Bright Health was most recently valued at $400M. Last summer, the company closed its Series B round at $160M – likely the largest VC raise in Minnesota history. Bright Health, founded in 2015, aims to help users access affordable health insurance plans by partnering with health systems across the country.