Bright Health brings its groundbreaking Health Plan Care Partner Model to 13 new markets for 2020

PR Newswire

MINNEAPOLIS, July 24, 2019 /PRNewswire/ -- Today, Bright Health announced it will begin offering its innovative Health Plan Care Partner Model in 13 new markets across seven states in 2020 plus expanded product offerings in every existing market. This market expansion brings Bright Health Plan's footprint to a total of 22 markets in 12 states, building on its sizable growth last year when it added products in Arizona, New York, Ohio and Tennessee. All product offerings are subject to final regulatory approvals.

(PRNewsfoto/Bright Health)

"In just four years, we've grown from serving consumers in our pilot market of Colorado to serving tens of thousands of members across six states. This substantial growth shows that consumers are hungry for a new healthcare model that is simple, personal and more affordable," said Bright Health CEO Bob Sheehy. "We've been able to meet this demand because our Health Plan Care Partner Model allows us to scale quickly and effectively, and our significant expansion in 2020 is further validation of that."

The Health Plan Care Partner Model features proprietary care networks available to Bright Health Plan members in each of its markets. Bright Health Plan develops these personalized Care Partner networks based on several criteria including comprehensive care across specialties, geographic reach, quality of care and operational efficiency. By working hand-in-hand with physicians in local communities, Bright Health Plan is able to proactively engage with members, including those with high-risk or chronic conditions, to improve health outcomes through in-network care. For members, this translates into a more personalized and affordable patient experience, including:

Fully coordinated care
Lower out-of-pocket costs¹
Fewer readmissions² and emergency room visits³
A reduction in duplicate testing⁴
Referral-free specialist visits

Investors also continue to see promise in Bright Health's trajectory. During last year's open enrollment period, Bright Health closed a $200M Series C financing round, bringing total funding raised to $440M.

Said Sheehy, "With decades of experience under our belts, we knew it would take a radical change to fix healthcare, and we've found that many consumers, investors and health systems agree. Bright Health is leading the charge in the formation of truly collaborative relationships with our Care Partner networks to track savings, share data and rein in costs, all while personalizing the patient experience. We've had phenomenal success in our first four years and our 2020 expansion proves that we are able to deliver a much-needed product to an underserved population."

Bright Health Plan's Product Availability by Market⁵

State	Market	Existing Products	New Products in 2020
AL	Birmingham	IFP, MA, Supplemental	Supplemental
AZ	Maricopa County	IFP, MA, Supplemental	Supplemental
AZ	Pima County	IFP, Supplemental	Supplemental
CO	Denver	IFP, MA, Supplemental	Supplemental
CO	Summit County	IFP, MA, Supplemental	IFP
FL	Jacksonville (& Pensacola)		IFP, Supplemental
	Orlando (& Daytona Beach)		IFP, MA, Supplemental
	Palm Beach		IFP, MA, Supplemental
	Tampa		IFP, Supplemental
IL	Chicago		MA
NC	Charlotte		IFP, Supplemental
NC	Winston-Salem		IFP, Supplemental
NE	Omaha		IFP, MA, Supplemental
NE	Statewide		IFP, Supplemental
NY	New York City	MA (+D-SNP)
OH	Cincinnati (& Springfield, Toledo & Youngstown)	MA
OH	Cleveland (& Akron)		MA
OK	Oklahoma City		IFP, Supplemental
SC	Greenville (& Anderson)		IFP, MA, Supplemental
TN	Knoxville	IFP, Supplemental	Supplemental
	Memphis	IFP, Supplemental	MA, Supplemental
	Nashville	IFP, MA, Supplemental	Supplemental
IFP – Individual and Family Plans MA – Medicare Advantage Supplemental – Bright Health Secure

About Bright Health
Bright Health is a consumer-focused health insurance and technology company. Through its collaborative Health Plan Care Partner Model in local communities and unique intelligence capabilities, Bright Health Plan is reshaping how people and care providers achieve better health together by making healthcare simpler, more affordable and personal. Bright Health Plan currently offers a range of individual, family and Medicare Advantage plans in Alabama, Arizona, Colorado, New York, Ohio and Tennessee via its website, call center, broker partners and through government websites as well as public health insurance exchanges. Learn more at www.brighthealthplan.com.


¹ In 2017, redirection and repatriation resulted in in-network care that would have amounted to $2.2M of out-of-network charges billed to members.

² Based on 30-day all cause readmission rates for 2018 for Bright Health Plan MA patients as compared to CMS county level benchmarks in CO and AZ.

³ Comparison of 2018 emergency department utilization rates for Bright Health Plan members across all business lines to national utilization rates to National Center for Health Statistic data published by the CDC for [2016].

⁴ Comparing 2015 CO EPO product reimaging rates to Bright Health Plan's 2017 CO IFP reimaging rates.

⁵ Markets determined by individual state filings with discrete geographic markets noted in parentheticals.