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Ground Breaking Program Improves Diabetes Patient Outcomes
Date:1/29/2008

Insurer-Physician Collaboration Improves Quality of Care, Patient

Compliance, and Lowers Costs

NEWARK and EAST BRUNSWICK, N.J., Jan. 29 /PRNewswire/ -- A first-in-the-nation, ground breaking pilot program has produced empirical data demonstrating the effectiveness of the Patient Centered Medical Home (PC-MH), a concept of care that facilitates partnerships between individual patients and their personal physicians and -- when appropriate -- the patient's family. Partners In Care, Corp., ("PIC"), a physician led organization, and Horizon Blue Cross Blue Shield of New Jersey, (Horizon BCBSNJ) conducted the one-year pilot program, which focused on New Jersey State Health Benefits Program members with diabetes.

The pilot program, which bolsters the long-term viability of primary care practice, provides evidence that the Patient Centered Medical Home model improves quality of care and clinical outcomes as well as lowers total health care costs. Patients with diabetes in the one-year pilot program substantially increased compliance for the key HbA1c blood test from 43% to 91%. The HbA1c blood test is a primary indicator of how well diabetes is being managed by those who are affected. This pilot program between Horizon BCBSNJ and PIC physicians demonstrates that innovative collaboration between insurers and physicians on funding and information sharing can improve compliance and clinical outcomes for patients.

"These results validate the Patient Centered Medical Home concept," said Dr. Richard Popiel, Vice President and Chief Medical Officer, Horizon Blue Cross Blue Shield of New Jersey. "Based on the impressive outcome of this pilot program we are expanding this model to other chronic illnesses. Horizon Blue Cross Blue Shield of New Jersey is proud to be one of the first health insurers in the nation to reimburse physicians for this new model of care and demonstrate significant improvements in clinical outcomes for pat
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SOURCE Horizon BCBSNJ
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