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EmblemHealth Prepares to Launch Its Reimagined City of New YorkHMO Plan

New plan includes personalized health coaching, concierge customer service and support, Centers of Excellence for City workers

New York, NY—September 20, 2018

EmblemHealth, one of the nation’s largest non-profit health insurers, has worked closely with the City of New York and its union leaders to create a new model for employee-based health and wellness coverage. EmblemHealth’s new Reimagined City of New York HMO Plan combines a curated health care experience with affordable pricing and ease of use for City workers. 

As part of the new plan, EmblemHealth is launching a new Centers of Excellence program with Hospital for Special Surgery (HSS), the top-ranked orthopedic hospital in the nation, and Memorial Sloan Kettering Cancer Center (MSK), one of the country’s leading cancer centers. This program will begin on Jan. 1, 2019 for HMO members and July 1, 2019 for PPO members.

The goals of this effort reflect EmblemHealth’s focus on deploying more services and supports to keep City workers healthy, to partner with the world-class health care institutions, and to provide a dedicated team to help City workers navigate the health system.

Members in the HMO plan will still have access to all of their preventive and specialist benefits, but now with the added ability to coordinate all of their care and appointments, receive personalized health coaching and care management, and access to innovative Centers of Excellence support and care.

"Our commitment to the City and its unions is to deliver the highest quality care for the hard-working men and women of New York," EmblemHealth President and CEO Karen Ignagni said. "As a centerpiece of this new model, we are proud to partner with two nationally-recognized health institutions equally committed to investing in the health and wellness of City workers and their families."

"At HSS, we serve as the leader in musculoskeletal health by providing the best possible care to our patients, focusing on improving movement and thereby improving quality of life," said Louis A. Shapiro, President and CEO, HSS. "We are pleased to extend that same high-quality care to the individuals who protect, serve and teach New Yorkers."

"Like EmblemHealth, MSK is proud to call New York City home and is committed to serving New York City patients," said Lee Erickson, MD, Memorial Sloan Kettering’s Deputy Physician in Chief for Clinical Operations. "As EmblemHealth’s Oncology Center of Excellence, MSK doctors, nurses, and staff will have the great privilege to better serve New York City’s workforce, those who keep our City running day in and day out, through world class, personalized cancer care close to home when they need it."

EmblemHealth will have a dedicated and specially trained team to help City workers navigate through the health care system and get them to the right care at the right time. City members will also have access to a new, state-of-the-art health outreach and education program through Care Management Solutions, Inc., an EmblemHealth affiliate, with personalized value-based insurance design supports for staying healthy and managing their chronic conditions.

About EmblemHealth
EmblemHealth is one of the nation’s largest nonprofit health insurers, with 3.1 million members and an 80-year legacy of serving New York’s communities. The company offers a full range of commercial and government-sponsored health plans to employers, individuals and families, as well as convenient community resources. As a market leader in value-based care, EmblemHealth partners with top doctors and hospitals to deliver quality, affordable care. For more information, visit emblemhealth.com.



About HSS | Hospital for Special Surgery
HSS is the world’s leading academic medical center focused on musculoskeletal health. At its core is Hospital for Special Surgery, nationally ranked No. 1 in orthopedics (for the ninth consecutive year) and No. 3 in rheumatology by U.S.News & World Report (2018-2019). Founded in 1863, the Hospital has one of the lowest infection rates in the country and was the first in New York State to receive Magnet Recognition for Excellence in Nursing Service from the American Nurses Credentialing Center four consecutive times. The global standard total knee replacement was developed at HSS in 1969. An affiliate of Weill Cornell Medical College, HSS has a main campus in New York City and facilities in New Jersey, Connecticut and in the Long Island and Westchester County regions of New York State. In 2017 HSS provided care to 135,000 patients and performed more than 32,000 surgical procedures. People from all 50 U.S. states and 80 countries travelled to receive care at HSS. In addition to patient care, HSS leads the field in research, innovation and education. The HSS Research Institute comprises 20 laboratories and 300 staff members focused on leading the advancement of musculoskeletal health through prevention of degeneration, tissue repair and tissue regeneration. The HSS Global Innovation Institute was formed in 2016 to realize the potential of new drugs, therapeutics and devices. The culture of innovation is accelerating at HSS as 130 new idea submissions were made to the Global Innovation Institute in 2017 (almost 3x the submissions in 2015). The HSS Education Institute is the world’s leading provider of education on the topic on musculoskeletal health, with its online learning platform offering more than 600 courses to more than 21,000 medical professional members worldwide. Through HSS Global Ventures, the institution is collaborating with medical centers and other organizations to advance the quality and value of musculoskeletal care and to make world-class HSS care more widely accessible nationally and internationally.


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