Cleveland Clinic, Oscar Health to Offer Individual Health Insurance Plans in Northeast Ohio

Collaboration marks Cleveland Clinic’s entry into health insurance market with branded product and Oscar Health’s expansion into Ohio

Cleveland Clinic | Oscar Plans Will Pair Cleveland Clinic’s Clinical Excellence and Innovation with Oscar Health’s Member Engagement to Offer Consumers a Seamless, Guided Experience 

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Thursday, June 15, 2017, CLEVELAND / NEW YORK: Cleveland Clinic and Oscar Health announced today they will offer co-branded health insurance plans to consumers in northeast Ohio, marking Oscar Health’s expansion into Ohio and Cleveland Clinic’s first entrée into the health insurance market with a product bearing its name.

Beginning this fall, pending regulatory approvals, consumers in five northeast Ohio counties – Cuyahoga, Summit, Lorain, Medina and Lake – will be able to purchase new Cleveland Clinic | Oscar individual health plans. These health plans are anticipated to be sold on the Ohio health insurance exchange as well as off the exchange, with coverage to begin on January 1, 2018.

Cleveland Clinic and Oscar Health will work together to integrate their clinical and member-facing care approaches to offer consumers a seamless, guided health care experience. Cleveland Clinic and Oscar Health aim to help members navigate the system with ease, to deliver world-class care, and to ensure quality coverage with affordable costs.

“Together, Cleveland Clinic and Oscar Health intend to offer a different approach, one that breaks down the complexities between providers and insurers, allowing our patients to easily navigate the healthcare and health insurance systems, get the highest quality care at a reasonable price, and improve their overall health,” said Steve Glass, Cleveland Clinic’s Chief Financial Officer. “Cleveland Clinic’s guiding principle of ‘Patients First’ shapes everything we do, including our relationships with insurers, which is why we look for insurance plans with innovative, patient-centered policies.”

Cleveland Clinic and Oscar Health share values that prioritize the patient/member experience, and will work together to ensure every patient/member interaction delivers easy, guided care.

“This is a rare opportunity to work with Cleveland Clinic to deliver the simpler, better, and affordable health care experience that consumers want,” said Mario Schlosser, Oscar Health’s CEO and Co-Founder. “Oscar was founded to help restore the focus of our health care system on the needs of the consumers. By linking Oscar’s member engagement platform to a world-renowned, physician-led health system like the Cleveland Clinic, we can align incentives and focus on the things that matter most: keeping members healthy; making it as easy as possible for them to find care when they need it, in the right clinical setting; and driving health care costs down.”

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Every member will be matched with both a Cleveland Clinic Care Team (comprised of a primary care provider, physician assistants and other allied health professionals) and an Oscar Health Concierge Team (made up of a nurse and three care guides).

These clinical and concierge teams will work together across the continuum of care to ensure that each patient/member’s health and wellness needs are proactively met. Anytime patients/members seek care, they will be able to have the option of a virtual visit through Cleveland Clinic’s Express Care Online and Oscar’s Virtual Visits with no co-pay. Smartphone technology will help analyze their health needs, understand their care options and costs, and guide them to the right medical options.

“We are looking to build a new relationship among payers, providers and patients,” said Cleveland Clinic Chief of Staff Brian Donley, M.D. “This relationship goes beyond the traditional approach of getting sick and seeing the doctor. Instead, it’s about getting people the right care, at the right place, at the right time. It’s about avoiding an unnecessary trip to the doctor or a stay in the hospital, whenever possible, through better patient education, better access to care, better care coordination, better behaviors and, ultimately, better health. We intend to hold this up as a solution that others can look to, as the healthcare industry continues to tackle issues of access, quality, value, experience and, of course, cost. As you take better care of people, you will begin to reduce the overall cost of healthcare.”

Cleveland Clinic will continue to work collaboratively with other health insurers.

 

About Cleveland Clinic

Cleveland Clinic is a nonprofit multispecialty academic medical center that integrates clinical and hospital care with research and education. Located in Cleveland, Ohio, it was founded in 1921 by four renowned physicians with a vision of providing outstanding patient care based upon the principles of cooperation, compassion and innovation. Cleveland Clinic has pioneered many medical breakthroughs, including coronary artery bypass surgery and the first face transplant in the United States. U.S. News & World Report consistently names Cleveland Clinic as one of the nation’s best hospitals in its annual “America’s Best Hospitals” survey. Among Cleveland Clinic’s 51,000 employees are more than 3,500 full-time salaried physicians and researchers and 14,000 nurses, representing 140 medical specialties and subspecialties. Cleveland Clinic’s health system includes a 165-acre main campus near downtown Cleveland, 10 regional hospitals, more than 150 northern Ohio outpatient locations – including 18 full-service family health centers and three health and wellness centers – and locations in Weston, Fla.; Las Vegas, Nev.; Toronto, Canada; Abu Dhabi, UAE; and London, England. In 2016, there were 7.1 million outpatient visits, 161,674 hospital admissions and 207,610 surgical cases throughout Cleveland Clinic’s health system. Patients came for treatment from every state and 185 countries. Visit us at clevelandclinic.org. Follow us at twitter.com/ClevelandClinic. News and resources available at newsroom.clevelandclinic.org.

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About Oscar Health

Oscar Health is a technology-driven, consumer-focused health insurance startup in the individual and small group markets founded in 2012 and headquartered in New York City. Oscar, the first health insurance company to make telemedicine services completely free for members, uses technology, data and personalized service to guide members through the health care system and empower them to choose quality, affordable care. Oscar’s member experience includes a dedicated Concierge team that proactively reaches out to members to help them with their care, simple plan designs and clear enrollment tools, and a tightly integrated, curated network of first-rate physicians and hospitals. Members can easily manage their care and access their health history and account information through a beautiful mobile and web app experience. Backed by a renowned set of investors and advisors, Oscar currently serves nearly 100,000 individual and small group members in New York, California, and Texas with plans for continued expansion going forward. Oscar Health’s legal name is Oscar Insurance Corporation of Ohio. Say hi or learn more at hioscar.com or follow us at https://twitter.com/OscarHealth.