Find In-Network Specialists
CDPHP, which stands for Capital District Physicians' Health Plan, is a not-for-profit health insurance provider based in Albany, New York. Established in 1984 by a group of physicians, CDPHP has grown significantly over the years while maintaining its founding mission of providing high-quality health care at an affordable cost. Today, CDPHP serves more than 400,000 members across 26 counties in New York State, offering a variety of plans to meet the diverse needs of individuals, families, and businesses.
The company offers a comprehensive suite of health insurance products, including HMO (Health Maintenance Organization), PPO (Preferred Provider Organization), EPO (Exclusive Provider Organization), and Medicare Advantage plans. These plans are designed to provide members with access to a broad network of healthcare providers while offering flexibility and cost management options. In addition to medical insurance, CDPHP also provides dental and vision coverage, as well as wellness programs and support services to promote overall health and well-being.
CDPHP's Enhanced Primary Care (EPC) model offers several unique benefits, including a value-based payment approach where providers are incentivized based on patient health outcomes rather than volume of services. This model emphasizes preventive care, chronic disease management, and patient engagement. Additionally, CDPHP provides dedicated care team support which includes nurses and care coordinators to assist patients with managing complex health issues, ensuring they receive personalized, holistic care.
CDPHP integrates technology by providing members with access to the 'MyCDPHP' app, which offers several features to enhance the patient experience. Through the app, members can view their plan benefits, track their deductible and out-of-pocket maximum, access telemedicine services, and find in-network providers and pharmacies. The app also sends personalized health reminders and updates, making it a critical tool for managing health and wellness conveniently.
CDPHP addresses mental health by offering comprehensive coverage that includes a wide network of mental health professionals, access to teletherapy sessions, and integrated behavioral health programs. Notably, CDPHP's partnership with aptihealth provides members with virtual mental health services that include therapy and psychiatric care, complete with progress tracking and personalized care coordination. This focus on mental health demonstrates CDPHP's commitment to providing holistic health support.
CDPHP has implemented several strategies to address healthcare costs and enhance transparency. One key initiative is their Cost-Tracker tool, which allows members to compare costs for medical services and prescriptions within the network. CDPHP also participates in value-based care arrangements to help control costs while maintaining quality care. These efforts are reflected in member satisfaction and lower overall out-of-pocket expenses, demonstrating effective cost management and transparency.
