North Shore University Hospital (NSUH) in Manhasset is an 806-bed teaching hospital that is spread across the 58-acre Sandra Atlas Bass Campus. The hospital is one of the cornerstones of North Shore-LIJ Health System and is academically affiliated with th
Howard Gold has more than 20 years of experience in senior executive management positions in multi-billion dollar organizations, including serving as Senior Vice President, Managed Care and Business Development for North Shore-LIJ Health System.
For more than a decade, Mr. Gold has successfully developed and negotiated managed care contracts for one of the nation's leading integrated health systems.
Prior to joining North Shore-LIJ in 1995, he served as Vice President-Vice Provost for Strategic Planning at The New York Hospital-Cornell Medical Center.Mr. Gold also served as Executive Director of Governor Mario Cuomo's Health Care Advisory Board.
Howard Gold, VP Managed Care & Business Development, North Shore LIJ Hospital
Mr. Gold oversees all business matters related to managed care and business development, including contractual relationships with third-party payers.Prior to joining the health system in 1995, he was vice president-vice provost for strategic planning, The New York Hospital-Cornell Medical Center.From 1991 to 1993, Mr. Gold was executive director of Governor Cuomo's Health Care Advisory Board.Prior to that, he held several positions with the New York State Office of Mental Retardation and Development Disabilities, culminating in his serving as deputy commissioner, office of policy and planning.Mr. Gold received his Bachelors of Arts degree from the State University of New York at Buffalo and his master's degree from the New School for Social Research.
Humana Expands Population Health Management, Accountable Care
"We are proud to collaborate with Humana in the New York market, further increasing our value-based contracting," said Howard Gold, Executive Vice President and Chief Managed Care Business Officer at North Shore-LIJ.
"The skills necessary to be successful in the healthcare world are no longer just putting beds into hospitals and opening your doors," says Howard Gold, executive vice president and chief managed care and business development officer for Great Neck, N.Y.-based North Shore-LIJ Health System.
"There's not a day that goes by that someone doesn't call and say, 'We want to explore a relationship with you,'" says Mr. Gold from North Shore-LIJ.
These potential relationships come in all shapes and sizes, from joint ventures to affiliations, sponsorships to management agreements.
But to really hold North Shore-LIJ's attention, the partner and proposed model has to fit the system's vision of providing high-quality care that's highly accessible to patients.
"We don't just do things based on what's opportunistic," says Mr. Gold.
"We were getting downward pressure on revenue from payers when, at the same time, we saw we could manage our own employees in a reasonable way," says Mr. Gold.
"We said, 'Why don't we take this plan and sell it in the general marketplace?'"
North Shore-LIJ applied for its insurance license from New York regulatory officials and received the green light about five months later, in August.
Its CareConnect, the first provider-owned commercial health plan in New York, went on the state's health insurance exchange Oct. 1 for small groups and individuals.
The system hopes to enroll up to 15,000 people in the plan's first year of operation.
"There's a lot of buzz out there that North Shore-LIJ is a name brand, and we think that we may get a good deal of business," says Mr. Gold.
He says developing the health plan is "very, very hard to do" and it has already forced North Shore-LIJ to change the way it delivers care, as it makes administrators more cognizant of which sites of service, physicians and programs are most effective.
It's also changing the way the 15-hospital system interacts with other commercial insurers - but not necessarily for the worst.
"This does not mean, in any stretch of the imagination, that we'll only do business with our own insurance company," says Mr. Gold.
To Mr. Gold, diversifying is necessary for healthcare organizations to succeed.
Every other successful business has found a way to diversify the methods and mechanisms it has to deliver its products or services, he says.
For NorthShore-LIJ, this not only includes its health plan, but also expanding into CVS Caremark's MinuteClinics and other retail settings, opening more urgent care sites, developing a medical complex without beds in New York's Greenwich Village and partnering with the once-troubled Lenox Hill Hospital in Manhattan in 2010.
"I don't buy the idea that we're diluting ourselves," says Mr. Gold.
"We are creating an integrated delivery model that aligns quality with payment incentives, and creates relationships that will ultimately improve the coordination of care provided to EmblemHealth members," said Howard Gold, Executive Vice President of Managed Care and Business Development at North Shore-LIJ.
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