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Horizon BCBSNJ’s 2013 Study Results Demonstrate Patient-centered Program Improves Patient Care and Lowers Costs
Date:7/22/2014

e in hospital admissions.
  • 4 percent lower cost of care for diabetic patients.
  • 4 percent lower total cost of care.
  • Members under the care of a patient-centered practice were also able to avoid more than 1,200 emergency room visits and 260 inpatient hospitals admissions, which represent a savings of approximately $4.5 million.

    For a look into how a patient-centered practice is improving the patient experience, coordinating and personalizing the care for Horizon BCBSNJ members, click here.

    “Patient-centered” care refers to an innovative approach where health insurance companies provide incentives to doctors to meet certain clinical quality, patient satisfaction and efficiency benchmarks. Unlike the traditional fee-for-service model, patient-centered practices are also financially rewarded to improve the patient experience and improve patient care based upon national clinical guidelines.

    Patient-centered practices provide patients with more coordinated and personalized care, including:

    • A care coordinator who provides additional patient support, information and outreach.
    • Wellness and preventive care based on national clinical guidelines.
    • Extra wellness support and education.
    • Active patient monitoring and communication from the doctor and care coordinator.
    • Active coordination of a patient’s care with specialists and other providers.

    There are more than 3,700 network doctors in 900-plus patient-centered practice locations in Horizon BCBSNJ’s patient-centered programs. The patient-centered practices include doctors in Patient-Centered Medical Homes (PCMHs), Accountable Care Organizations (ACOs) and practices focused on Episodes of Care across New Jersey.

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