May 13, 2019
The Board of MetroPlus Health Plan today announced the appointment of Talya Schwartz, MD, as the health plan’s President and CEO. MetroPlus is the low-cost, five-star quality health insurance plan of choice for more than 500,000 New Yorkers. As the health plan owned by NYC Health + Hospitals, MetroPlus is a vital component of Mayor de Blasio’s Guaranteed Health Care plan to ensure health care for all New Yorkers. Dr. Schwartz, currently the Chief Medical Officer of MetroPlus, assumed her new position on May 10th. The five-star rated health plan is the health insurance plan of NYC Health + Hospitals and growing and strengthening the plan is part of the public health system’s comprehensive, multi-year redesign to build a competitive, sustainable organization that will continue to offer high-quality and accessible health care to the people of New York City.
“On behalf of the board, I am delighted to announce Dr. Schwartz’s appointment as President and CEO,” said MetroPlus Board Chair Sally Hernandez-Piñero. “MetroPlus is the plan of choice for over half a million New Yorkers. We are confident Dr. Schwartz is the strong, clear-sighted leader we need to help ensure many more New Yorkers have access to affordable health services they deserve.”
“I am honored to assume this role to continue serving so many fellow New Yorkers in this new capacity in close collaboration with Health + Hospitals,” said Dr. Talya Schwartz. “MetroPlus has been providing coverage to all eligible New Yorkers, regardless of their situation, since 1985. I am proud of our long history of inclusive, person-centric, quality-driven care, and look forward to extending that care to many more City residents.”
Since 2016, Dr. Schwartz has served as Chief Medical Officer at MetroPlus, leading the Medical Management division including quality, case management, utilization management, pharmacy, network relations, provider contracting, credentialing, health analytics and various lines of business. Under her leadership MetroPlus ranked among the top plans in the State for quality. She transformed the care management program into a holistic, field-based program that now also addresses social determinants of health with special focus on housing for its homeless population. Additionally, the Plan became a state-designated peer certification program for HIV peers and has made great strides in engaging patients in their own care to achieve high levels of HIV suppression, results that have been presented at medical conferences at home and abroad.
Dr. Schwartz joined MetroPlus from the private sector. She has been a founding member of a behavioral health technology startup company and prior to that served in various leadership roles in regional and national health plans. Earlier in her career she worked as a strategic consultant at the Advisory Board Company, a post-doctoral researcher at the University of Pennsylvania, and served as a Fellow at the National Institute of Health.
Dr. Schwartz earned her medical degree from Sackler Medical School and a graduate certificate in Health Services Management and Leadership from the George Washington University. She completed her residency in Pediatrics at Maimonides Medical Center in Brooklyn, New York, and worked as a pediatrician at Children’s National Medical Center in Washington, DC.
Dr. Schwartz replaces Arnold Saperstein, MD, who served as President and CEO of MetroPlus since 2006.
MetroPlus Enrollment Efforts
MetroPlus Health Plan options and benefits
MetroPlus offers eligible New Yorkers a wide selection of health insurance options, with affordable fees and copays based on income and family size. The most popular plans include:
Special membership benefits include: