HealthNow New York Inc.

  • Overview

HealthNow New York's benefit plans cover patient needs for both urgent and general medical care. The company provides health insurance benefits and related services in New York State. The company offers a wide range of Blue Cross and Blue Shield-branded products, including PPO, HMO, POS, and traditional indemnity health plans, primarily through its Blue Cross Blue Shield of Western New Yorkand BlueShield of Northeastern New York subsidiaries. HealthNow also provides resources to help its members maintain and improve their health and avoid the pitfalls associated with unhealthy lifestyles. The company serves businesses large and small, as well as individuals.

Geographic Reach

HealthNow provides health plans to customers in New York through HealthNow-East, HealthNow-West, and HealthNow-Mid Hudson.

Operations

The health system has agreements with more than 6,000 physicians and other health care providers throughout Upstate New York. It has more than 950,000 members, about 62,000 of which are Medicare product members.

Some of HealthNow's support services include behavioral health and worksite wellness programs for employers, concierge health advocate services for members, disease management programs to help patients monitor and treat chronic conditions, and pharmacy benefit management (PBM) services to control drug costs.

Strategy

HealthNow is promoting its wellness programs as a means of lowering the overall cost of health care; it is also expanding its offering of alternative health plans that cater to individuals and employer groups seeking to cut expenses. The health system is also expanding its footprint and market strength in Western New York.

Company Background

In 2011 the company launched a new Medicare Advantage plan called HealthNow ActiveSaver, which uses a medical savings account and gives members more control over their health care costs. It also formed a new unit, HealthNow Administrative Services, in 2010 that provides third-party benefit administration services to self-funded insurance plans throughout the US.

In 2011 HealthNow became one of about a dozen health insurers ordered by the state of New York to refund close to $115 million (HealthNow's refunds totaled about $5 million) to members statewide due to alleged premium overcharges during 2010.

An earlier settlement related to alleged provider underpayments in the state led HealthNow to pay about $215,000 toward the creation of HEALTHeLink, an independent database that calculates recommended reimbursement rates for insurers, in 2009. In 2010 HEALTHeLink received federal funding to work with the state government to create an electronic health record (EHR) system.

HealthNow was founded in 1936.

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HealthNow New York Inc.


257 W Genesee St
Buffalo, NY 14202-2657
Phone: 1 (716) 887-6900
Fax: 1 (716) 8878548
www.healthnowny.com

STATS


  • Employer Type: Private Non Profit
  • President and Chief Executive Officer: David Anderson
  • Vice Chair: Donald Boswell
  • Chair: John Canavan

Major Office Locations

  • Buffalo, NY
  • Buffalo, NY