Can you describe the new health products that Best Healthcare of Western Pennsylvania hopes to develop?
PL: Best Health Plan is a licensed entity in Pennsylvania, currently delivering a Medicaid product line. Best Healthcare has applied to the Insurance and Health departments in Pennsylvania to do an integrated delivery system arrangement with Tri-State Health System. In addition, Best has also filed commercial HMO and point of service products for approval. They re new products under the current licensed plan. The enhanced access HMO product allows an individual member the choice to bypass the primary care physician and go directly to a specialist. There will be a co-payment for that. PND: What do you hope to achieve with these new insurance products? PL: We hope to achieve better, more consistent health care results for the populations that we serve at the right cost. In order to demonstrate our capability we must have a defined population or membership attached to our delivery system in order to measure results. The insurance component (Best) sells product and delivers membership, the
PL: Best Health Plan is a licensed entity in Pennsylvania, currently delivering a Medicaid product line. Best Healthcare has applied to the Insurance and Health departments in Pennsylvania to do an integrated delivery system arrangement with Tri-State Health System. In addition, Best has also filed commercial HMO and point of service products for approval. They re new products under the current licensed plan. The enhanced access HMO product allows an individual member the choice to bypass the primary care physician and go directly to a specialist. There will be a co-payment for that. PND: What do you hope to achieve with these new insurance products? PL: We hope to achieve better, more consistent health care results for the populations that we serve at the right cost. In order to demonstrate our capability we must have a defined population or membership attached to our delivery system in order to measure results. The insurance component (Best) sells product and delivers membership, the
