Health Partners Plans, now wholly owned by Jefferson, is expanding into South Jersey
Sep. 12—Health Partners Plans Inc., a nonprofit insurer founded in the 1980s by a collection of
Jefferson paid
HPP's
Another big change for HPP is that, as of
Questions and answers have been edited for length and clarity:
Is the move into
The decision to go into
People in the contiguous counties in
Will there be a tie-in to
As a provider-owned organization, as we have been for over 35 years, what we bring to the marketplace is an understanding of the pain points of the providers and also how to work collaboratively with providers to improve health outcomes for our members.
One of the things you'll find different with HPP is that we embed ourselves into the communities. We don't just look at our members, but how do we improve that community because really that's how we're known and that's how we grow.
How do Medicare Advantage plans work? How does a Medicare Advantage plan make a profit when traditional Medicare could just pay for the care directly?
It's about trying to keep members healthy. It's not about denying care. It's not about limiting care. It's about giving the care upfront so that members can remain healthy. That's why we focus on quality so much, and outcomes, because that's where your savings is going to come from. If people don't go in and see the doctor, that's the worst thing that can happen.
Under 100%
I don't think so. We have an independent board, and we are really focused on growing the insurance side of the business, and growing outside of our service area. First and foremost, you always want to grow in your own backyard, and with those lessons learned, to get out and expand. We're really focused on expanding our Medicare product, just like we wanted to expand our Medicaid product statewide.
How has the statewide expansion of Medicaid gone for HPP so far? Did individuals outside the
From a statewide perspective, voluntary selection [by individuals] for any plan was very low. If I'm not mistaken, it was in the low 20% range for voluntary selection. The majority of the population was auto-assigned to the plans. We received about 85,000 additional members statewide. As of today, we have a little over 360,000 Medicaid members.
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