Does the Insurance Model of the Future Exclude A Traditional Health Insurance Carrier

 

U.S. insurance is privatized, which presents a host of challenges. Michelle Zettergren, Chief Sales and Marketing Officer of Brighton Health Plan Solutions and Nick Stefanizzi, CEO of Northwell Direct, spoke with Host Kevin Stevenson about opportunities to eliminate the standard middleman of health insurance.

Direct contracting is when employers partner with organizations that provide care for employees without an intermediary between the two. This saves money and ensures access to quality, tailored programs for a better workforce experience. “Judgements are made based on what the clinical needs of that patient are, what’s going to get them the best outcome, and not around how are we going to get the highest return on dollar to our shareholders,” Stefanizzi explained.

With direct contracting, businesses meet employers at a place consistent with the culture. This may involve providing onsite services such as flu shot or telemedicine campaigns. “The employers that are going to win the war for talent are those being seen as making investments in the health, safety, and resiliency of their workforce,” said Stefanizzi.

Brighton supports direct contracting by connecting with employers partnering with integrated delivery systems. They provide claim processing, benefit grids, and customer service to create transparency for the employer and members, which removes the health insurance middleman that often causes fragmented care.

Direct contracting programs are successful because they support and improve the patient-provider relationship, whereas in traditional settings, carriers don’t make data available to allow programs to be successful. Northwell has access to this data and makes it actionable. “The patient is hearing directly from their provider, and the level of adherence is going to be so much higher, the satisfaction so much higher, and it improves the outcome overall,” Zettergren stated.

More Like This Story:

The Rising Tide of Food Allergens

From an Idea to Billion Dollar Company: How a Doctor Lobbied DC for HSAs

Follow us on social media for the latest updates in B2B!

Image

Latest

The Tesla Test-How AI is Changing How We Search Video
The Tesla Test: How AI is Changing How We Search Video
October 7, 2025

In this episode of Secured, Mike Monsive sits down once again with Idan Koren, EVP of Marketing at Verkada, to discuss how artificial intelligence is transforming the landscape of physical security, operational efficiency, and the broader business of technology. The conversation begins with Verkada’s groundbreaking integration of natural language search in video surveillance —…

Read More
workforce education
Finding the North Star for Adult Learning: How UTI Is Redefining Workforce Education for Today’s Talent Needs
October 7, 2025

In a world where rapid technological change is redefining how we live, work, and learn, the demand for skilled labor and lifelong learning has never been higher. From electric vehicle repair to advanced diagnostics in healthcare, the U.S. faces a widening talent gap in the skilled trades and allied health industries. According to the…

Read More
child advocacy
Child Advocacy in Action: How CASA Sustains Impact Through Volunteerism and Vision
October 7, 2025

Across the United States, roughly 390,000 children are living in foster care, each facing the challenges of navigating the child welfare and court systems. Nonprofits working in this space carry the dual responsibility of supporting children’s emotional needs while also sustaining the funding and partnerships that make child advocacy possible. This raises a pressing…

Read More
women empowerment
Creating a Playbook for Pro Athlete’s Families: How Ladies Playbook Champions Empowerment for Women Off the Field
October 7, 2025

In today’s world of rapid transitions—career moves, geographic relocations, and shifting personal identities—community has become more than a comfort; it’s a lifeline. Studies show that strong social ties can increase well-being, reduce stress, and even improve physical health. For those navigating high-pressure environments, like the partners of professional athletes, having access to a supportive,…

Read More