Health Care and Human Resources

Insurer and health system sign coverage agreement

February 1, 2017
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Priority Health doctor and patient
Grand Rapids-based Priority Health is an insurer that serves nearly 1-million members across Michigan. Photo via fb.com

A local insurer has reached an agreement with a health system to expand its coverage across the state.

Grand Rapids-based Priority Health said last week its newfound partnership with Flint-based McLaren Health Care will bring Priority Health’s HMO, PPO, POS and Medicare Advantage coverage to hospitals in Lansing, Bay City, Lapeer and Flint and nearly 1,000 physicians across the state.

Priority Health President and CEO Joan Budden said the expansion is in line with Priority Health’s goals of offering options for individuals and employer groups across Michigan.

“Our partnership and continued growth with McLaren Health Care has been of tremendous value, as we continue to expand the Priority Health provider network statewide,” Budden said.

The agreement expands on a previous relationship between the two organizations, dating back to 2007.

In 2014, an updated agreement added McLaren’s northern Michigan, central Michigan, Karmanos, Oakland and Macomb hospitals to the Priority Health provider network.

McLaren President and CEO Phil Incarnati said the expansion represents a “natural evolution” of the partnership.

“Providing Priority Health’s customers with greater access to McLaren’s statewide network of hospitals and physicians is truly a win-win combination for our respective organizations,” Incarnati said.

Priority Health

Priority Health, part of Spectrum Health, is a nonprofit health insurer. It says its network of providers includes 95 percent of "practicing physicians available in Michigan" and more than 900,000 nationwide.

Priority Health was named the benchmark plan for all individual and group plans by the State of Michigan and is one of 20 health plans with wellness programs accredited by the National Committee for Quality Assurance.

McLaren Health Care

The McLaren system includes 12 hospitals, in addition to ambulatory surgery centers and imaging centers.

It says it also operates the state’s largest network of cancer centers and providers, including the Barbara Ann Karmanos Cancer Institute in Detroit.

McLaren employs 22,500 and includes more than 44,000 network providers with operations at more than 350 facilities throughout the Lower Peninsula and a portion in the Upper Peninsula.

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