Harvard Pilgrim Health Care Home
  HPHConnect
 
  Learn more.
  Sign up for HPHConnect.
Medical Management
E-Transactions
HPHConnect
Pharmacy
For Your Patient
News Center
Network Matters
Newsletter Archives
Newsletter Registration
Newsroom
Office Support
Products
Provider Manual
Medicare Advantage
Research & Teaching
Resources & Links
 
Print    Text Size

Network Matters
News and Information for the
Harvard Pilgrim Health Care Network

October 2015

Harvard Pilgrim Creates Benevera Health in New Hampshire


Harvard Pilgrim has collaborated with Dartmouth-Hitchcock, Elliot Health System and Frisbie Memorial Hospital to form Benevera Health, a new company that will begin operations on January 1, 2016 and is designed to improve the quality of health care in New Hampshire while reducing costs. 

The new entity is focused on health care coordination, bringing together clinical, financial and operational data from across partner institutions to provide actionable analytics for clinicians to further improve the quality and efficiency of patient care. At the center of this approach will be locally-based care advocates who will identify early opportunities to engage patients — especially those with chronic, complex or emerging conditions — and provide them with one-on-one support.

Benevera Health will help physicians raise the standard of care, leading to a better patient experience and better health outcomes.

This new joint venture will support all of Harvard Pilgrim’s over 80,000 fully insured members in New Hampshire, regardless of which plan they have.  Harvard Pilgrim will continue to offer a robust product portfolio that includes both its full network plans and its ElevateHealth high-performance network plans. Benevera Health’s sophisticated approach to population health improvement will:

  • Provide health care clinicians with access to more robust information about best practices and care outcome patterns to guide their care recommendations
  • Offer outreach by trained New Hampshire health care professionals to address emerging, complex or chronic health issues and identify appropriate solutions
  • Establish thoughtful member health monitoring systems to allow timely health care intervention to reduce the need for urgent care, thus reducing costs and providing better health outcomes
  • Provide information to allow members and their physicians to make informed choices about specialty physicians, facilities and treatments based on associated outcomes
  • Allow for comprehensive analysis of payer and provider data to optimize care delivery and cost, based on the New Hampshire patient experience

“Our new company is a game changer,” said Eric H. Schultz, president and chief executive officer of Harvard Pilgrim.  “We began this discussion with the creation of ElevateHealth. Today, we take the next, very important step by forming a new population health improvement entity owned by providers and a health insurance company. The goal is to vastly improve patient care in New Hampshire by injecting personnel and new technology that will provide doctors and other clinicians with the information they need to help their patients make the best choices about their health care. This system will create value and enable us to pass on that value to patients, members and employers.”

By better aligning health care delivery with best practice analytics and proactive patient intervention, Benevera Health will improve the overall quality of care delivery and the health of patients.

Email this article to a colleague   


Network Matters Archives

Download printer-friendly version

HPHCURRENT EVENTS

Harvard Pilgrim Rated 5 Out of 5 by NCQA

Medicare Advantage Reminders: Expansion and Prior Authorization Policies

Harvard Pilgrim Offers Provider Support for ICD-10

Harvard Pilgrim Creates Benevera Health in New Hampshire

New HMO Product, Maine’s ChoiceSM, Offered for 2016

Connecticut Hearing Aid Mandate Expands Coverage

New Hampshire Premium Assistance Program: Medicaid Expansion

Medical Group Name to be Listed in Provider Directory

CLINICIAN CORNER

Reminder: Referral Procedure Change for Massachusetts Providers

New Medical Policy on Treatment of Uterine Fibroids

ADHD Diagnosis and Follow-up Care

Harvard Pilgrim Discontinuing Dispensing of C-II Opioids by Mail

OFFICE ASSISTANT

2016 CPT and HCPCS codes

PUBLICATION INFORMATION

Eric H. Schultz,
President and Chief Executive Officer

Robert Farias,
Vice President, Network Services

Annmarie Dadoly,
Editor

Joseph O'Riordan,
Writer

Kristin Edmonston,
Production Coordinator