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NY Hospital Joins Payer Fray

Rene Letourneau, for HealthLeaders Media, August 5, 2013

Gold believes the CareConnect plan will also help North Shore LIJ keep pace as the healthcare industry moves towards population health management.

"All of this is in response to us wanting to run an organization that is concerned about health as opposed to sickness and how you do that from the point of view of reimbursements and clinical staff. We are looking at wellness and the continuum of care over a lifetime," he says.

Provider organizations and commercial carriers should embrace the idea of forming new relationships designed to lower costs and improve quality, Murray says, and offers a warning to those that don't.

"Those providers who are not involved in these kinds of activities or those insurers who are not involved with providers who are willing to be in these kinds of activities will fall by the wayside," he says. "Plans that do this, whether it is a provider that owns the plan or a plan that wants to work with providers like us are the ones that are going to succeed and be very successful under the Affordable Care Act."

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