North Shore-LIJ teams with EmblemHealth

The Island Now

A three-year agreement was made between North Shore-LIJ Health System and EmblemHealth last week, covering more than 170,000 members enrolled in all EmblemHealth insurance products, including commercial, Medicare and Medicaid.

“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.

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.

Through this agreement, North Shore-LIJ, EmblemHealth and AdvantageCare Physicians have agreed to work together 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 Physician, 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, president and CEO of AdvantageCare Physicians.

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