CDPHP Company Research Report

Company Overview

• Name: Capital District Physicians' Health Plan, Inc. (CDPHP)

• Mission Statement: "We provide quality health care at a reasonable cost for our subscribers and operate CDPHP as a model for the delivery, financing, and administration of health care services."

• Founded: 1984

• Founders: Physician-founded

• Key People:

• Dr. John D. Bennett, President and CEO

• Brian O’Grady, President and CEO

• Ali Skinner, Vice President, Communications and External Affairs

• Headquarters: 6 Wellness Way, Latham, NY 12110

• Number of Employees: No information is available

• Revenue: No information is available

• Known For: High-quality affordable health insurance plans with a strong emphasis on member satisfaction and community-based services.

Products

CDPHP offers a variety of health plan products across different categories:

• HMO (CDPHP®): Includes Healthy New York, Medicare Advantage (HMO), Medicaid, Child Health Plus, and Essential Plan.

• PPO (CDPHP Universal Benefits®, Inc. - CDPHP UBI): Includes Preferred Provider Organization (PPO), High Deductible PPO, Medicare Advantage (PPO), Exclusive Provider Organization (EPO), and High Deductible EPO products.

• ASO (Capital District Physicians’ Healthcare Network, Inc. - CDPHN): Administrative services organization and self-insured plans.

Key Features:

• Affordable Plans: CDPHP focuses on providing affordable high-quality health care.

• Wide Provider Network: Over 10,000 providers and practitioners, with access to top physicians nationally.

• Member-focused Tools and Benefits: Various tools and services including wellness programs, fitness classes, case management, and more.

Recent Developments

Awards & Recognition:

• J.D. Power Award (2024): Named #1 in Member Satisfaction among Commercial Health Plans in New York for the seventh time in eight years.

• NCQA Ratings (2024): Received high ratings for commercial health plans according to the National Committee for Quality Assurance (NCQA).

New Products and Features:

• Medicare Advantage Plans Enhancements (2025):

• Plans with prescription benefits now have a maximum out-of-pocket amount of $2,000.

• New prepaid benefits card for dental and vision benefits.

• Expanded in-home support from Papa Health to 60 hours.

• Insulin cost reduced to maximum $35 for a 30-day supply.

Partnerships:

• Free Group Therapy Initiative (2024): Partnered with United Way to offer free group therapy sessions at Pine Hollow Arboretum.

Legislative Initiatives:

• Medicare Wage Index: CDPHP is actively advocating for changes in Medicare Wage Index adjustments that affect funding for private Medicare Advantage plans, calling for congressional action to protect senior benefits in Upstate NY.

Company Initiatives:

• Employee Recognition: Recognized as one of the Best Companies to Work For in New York for 16 consecutive years.

• Health Equity Statement: Committed to addressing health disparities and promoting inclusive health care.

Conclusion

CDPHP is distinguished by its commitment to affordable, high-quality health care and its consistent recognition for member satisfaction. The company adapts proactively to legislative changes and strives for innovative enhancements in its health plan offerings to meet the evolving needs of its members.