NeueHealth Announces Participation in Innovative Medicare Model in Six States
April 07 2022 - 8:00AM
Business Wire
NeueHealth, the care delivery and provider enablement business
of Bright Health Group (NYSE: BHG), announced today its
participation in the Center for Medicare and Medicaid Innovation’s
(CMMI) Global and Professional Direct Contracting Model. Through
its participation, NeueHealth will extend its unique enablement
platform and fully aligned model of care to approximately 50,000
Medicare beneficiaries through approximately 2,000 affiliated
primary care providers in California, Florida, Illinois, Ohio,
Missouri, and Kansas.
“NeueHealth’s integrated and aligned care delivery model is
purpose-built to achieve the outcomes CMMI intends for the Direct
Contracting program and successor, ACO REACH. These include
advancing health equity, shifting care to home and community-based
settings, and transforming risk-sharing arrangements in Medicare
fee for service (FFS),” said Megan North, President of NeueHealth
Solutions.
NeueHealth’s multi-payor, multi-segment, risk-bearing care
delivery model serves consumers across their life journey, enabling
them to build long-term relationships with their physicians.
NeueHealth has currently deployed its risk-bearing care delivery
model to approximately 131 owned and affiliated clinics covering
400,000 Medicare, Commercial, and Medicaid patients in value-based
arrangements.
“We are honored that NeueHealth was selected as one of 99 new
organizations to participate in this innovative model which strives
to accelerate the shift to value-based care for the nearly
two-thirds of seniors enrolled in traditional Medicare—particularly
those in underserved communities,” said Sam Srivastava, CEO of
NeueHealth. “Participating in this program enables us to progress
on our mission to bring together the financing and delivery of care
to strengthen healthcare’s most critical relationship: that between
the consumer and their primary care physician.”
The Direct Contracting Model and its successor, ACO REACH,
aspire to improve the quality of care for people with Medicare
through better care coordination and reaching and connecting health
care providers and beneficiaries, including those beneficiaries who
are underserved. The model creates opportunities for provider-led
organizations like NeueHealth to continue their momentum in testing
the next evolution of risk-sharing arrangements.
The statements contained in this document are solely those of
the authors and do not necessarily reflect the views or policies of
CMS. The authors assume responsibility for the accuracy and
completeness of the information contained in this document.
About NeueHealth
At NeueHealth, we operate local Integrated Systems of Care
designed to improve outcomes and experiences for our consumers and
Care Partners. We engage in local, personalized care delivery
through our ecosystem of Care Partners and empower care delivery
organizations to succeed in their efforts to transition from
fee-for-service to value-based care through our fully aligned
clinics which provide comprehensive care to all populations.
NeueHealth provides care delivery to over 400,000 value-based
patients through our owned and affiliated clinics. NeueHealth is
part of Bright Health Group (NYSE: BHG).
Forward-Looking Statements
Statements made in this release that are not statements of
historical fact, including statements about our beliefs and
expectations, are forward-looking statements and should be
evaluated as such. Forward-looking statements include information
concerning possible or assumed future results of operations,
including descriptions of our business plan and strategies. These
statements often include words such as “will,” “target,”
“anticipate,” “expect,” “plan,” “believe,” “intend,” “project,”
“forecast,” “estimates,” “projections,” “2022,” and other similar
expressions. These forward-looking statements include any
statements regarding our plans and expectations with respect to
Bright Health Group, Inc. and its businesses and segments. Such
forward-looking statements are subject to various risks,
uncertainties and assumptions. Accordingly, there are or will be
important factors that could cause actual outcomes or results to
differ materially from those indicated in these statements. Factors
that might materially affect such forward-looking statements
include: a lack of acceptance or slow adoption of our business
model; our ability to retain existing consumers and expand consumer
enrollment; our ability to contract with care providers and arrange
for the provision of quality care; our ability to accurately
estimate our medical expenses, effectively manage our costs and
claims liabilities or appropriately price our products and charge
premiums; the impact of the COVID-19 pandemic on our business and
results of operations; the risks associated with our reliance on
third-party providers to operate our business; the impact of
modifications or changes to the U.S. health insurance markets; our
ability to manage the growth of our business; our ability to
operate, update or implement our technology platform and other
information technology systems; our ability to retain key
executives; our ability to successfully pursue acquisitions and
integrate acquired businesses; the occurrence of severe weather
events, catastrophic health events, natural or man-made disasters,
and social and political conditions or civil unrest; our ability to
prevent and contain data security incidents and the impact of data
security incidents on our members, patients, employees and
financial results; and the other factors set forth under the
heading “Risk Factors” in Bright Health Group’s prospectus filed
pursuant to Rule 424(b)(4) on June 25, 2021, and our other filings
with the U.S. Securities and Exchange Commission. All forward
looking statements contained in this release reflect management’s
beliefs as of the date hereof, and except as required by law, we
undertake no obligation to update publicly any forward-looking
statements for any reason after the date of this release to conform
these statements to actual results or changes in our
expectations.
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Investor Contact: IR@brighthealthgroup.com
Media Contact: Kris Patrow Kris.Patrow@padillaco.com
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