Premium Network
The Northwell Health Premium Network is an integrated group of over 14,400 providers who work together to deliver high quality, coordinated care for defined patient populations. The network is composed of community-based and employed providers with the common goal of improving quality while reducing unnecessary costs through participation in commercial and governmental value-based programs. As the healthcare delivery and reimbursement paradigm evolves from volume to value-based, the Premium Network serves as a foundational element for the successful deployment of population health management activities.
Current value-based offerings for community-based providers include:
- Aetna
- Aetna MA
- Cigna
- Empire
- Empire MA
- Health First
- Health First MA
- Humana
- Molina
Access to the following provider networks:
- Northwell Health Employee Benefit Plan
- Northwell Direct
- Humana
Premium Network benefits
Benefits of Premium Network membership include:
Enhanced revenue opportunities
- Access to commercial value-based programs
Simplicity
- One point of entry via a secure portal for all Premium Network resources and information
- A streamlined set of quality metrics for all value-based programs
- The facilitation of integrated care for the communities we serve
- Enhanced payor relations
Infrastructure and resources
- Tools and support to enable the transition to value-based models of care
- Resources to manage high-risk/complex patients through established chronic disease management programs
- Data collection, aggregation, and reporting on behalf of participating providers
Current and Prospective members
Infrastructure and resources
- Provider Data Change Form
- W-9
- NYS DOH obligation to provide accessible services to people with disabilities
- Complying with Medical Record Documentation Requirements
Prospective Premium Network members
- All prospective Premium Network members must meet the following eligibility criteria:
- Board certification
- Hospital or IPA privileges - Maintain medical staff privileges, as applicable, at a Northwell Health Hospital or other credentialing criteria as set forth by the Northwell IPA
- Annual dues - Agrees to pay a yearly membership fee
- If you are interested in joining the Northwell Health Premium Network, email NorthwellHealthIPA@northwell.edu or call (800) 381-6140.