Navigation Links
New Horizon Blue Cross Blue Shield of New Jersey Product Brings Innovative Accountable Care Model to Employers

Newark, NJ (PRWEB) November 07, 2013

Horizon Blue Cross Blue Shield of New Jersey (BCBSNJ), which has been leading an effort with physicians, hospitals and health care leaders throughout the state to transform how health care is delivered, has developed a new product for employers to encourage employees to use physicians focused on improving the value of care patients receive, rather than the volume of care. The goal of the new product is to increase the number of Horizon BCBSNJ members who will seek care in patient-centered practices to improve patient outcomes and reduce overall health care costs.

The new product – the Horizon Patient-Centered Advantage EPO Plan – is now being offered to fully insured employer groups for coverage that becomes effective on January 1, 2014.

“Our Patient-Centered Advantage EPO Plan is another example of how we are leading the effort with doctors, hospitals, and now employers to transform how health care is delivered in New Jersey with a focus on the value of care, not the volume of care to improve patient outcomes and begin to control health care costs,” said Christopher M. Lepre, Senior Vice President of Horizon BCBSNJ’s Market Business Units.

More than 320,000 Horizon members and 1,400 doctors currently participate in Horizon’s patient-centered programs, including Patient-Centered Medical Homes (PCMHs), Accountable Care Organizations (ACOs) and Episodes of Care programs. The early results of Horizon’s patient-centered programs indicate the new approach is working with an increase in patient preventive care, 23% fewer inpatient hospital admissions, and 12% fewer emergency room visits.

“Our patient-centered programs reward physicians when the care they deliver produces better health outcomes, is better coordinated, and more efficient and this new product helps employers encourage their employees to take advantage of this new approach,” Lepre said.

The Horizon Patient-Centered Advantage EPO’s main difference from a traditional EPO plan is that it offers members lower co-payments for choosing a PCP from a list of participating patient-centered PCMH or ACO providers. Members who receive services from patient-centered practices will pay 66% lower co-payments than those who do not, or $10 rather than $30.

Horizon Patient-Centered Advantage EPO plan members receive:

  •     Access to physicians who are working to transform health care delivery with a team of professionals, 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.
  •     Proactive communication by the PCP to respond to member needs and monitor their health.
  •     Access to PCPs who work closely with specialists, other medical providers and health care facilities to centrally coordinate a patient’s care.
Groups seeking more information about the Horizon Patient-Centered Advantage EPO, or looking to purchase the plan for their employees, should contact their broker or their Horizon BCBSNJ sales associate or account manager.


About Horizon Blue Cross Blue Shield of New Jersey
Horizon Blue Cross Blue Shield of New Jersey, the state’s oldest and largest health insurer, is a tax-paying, not-for-profit health services corporation, providing a wide array of medical, dental, and prescription insurance products and services. Horizon BCBSNJ is an independent licensee of the Blue Cross and Blue Shield Association, serving 3.7 million members with headquarters in Newark and offices in Wall, Mt. Laurel, and West Trenton. Learn more at

Read the full story at

Source: PRWeb
Copyright©2012 Vocus, Inc.
All rights reserved

Related medicine news :

1. Imprivata is the Most Widely Selected Single Sign-On Solution by U.S. Hospitals Using McKesson Paragon or Horizon According to HIMSS Analytics
2. Horizon BCBSNJ and Jersey City Medical Center to Develop Innovative, Patient-Centered Initiative to Improve Care, Lower Costs
3. Horizon Blue Cross Blue Shield of New Jersey Tees Up Charity, Health and Wellness at The Barclays
4. Horizon Blue Cross Blue Shield of New Jersey and Barnabas Health Announce Anticipated Launch of a New Accountable Care Organization Program
5. Has Announced Complimentary Shipping on All Orders Via LAD Solutions
6. Standard & Poor’s Affirms Horizon Blue Cross Blue Shield of New Jersey’s Credit Rating of “A” - Affirmation Follows Review Under Revised Insurance Criteria
7. Horizon BCBSNJ Facebook Sweepstakes Celebrates Jersey Shore Recovery from Superstorm Sandy
8. BioHorizons and Officite Launch State-of-the-Art Web Marketing Program for Dental Implant Practices
9. Horizon NJ Health Awarded Commendable Accreditation by NCQA
10. Verndale Wins at the 11th Annual Horizon Interactive Awards Competition
11. Roadside Breath Test for Drugs Could Be on Horizon
Post Your Comments:
(Date:6/25/2016)... , ... June 25, 2016 , ... Conventional wisdom preaches ... success. In terms of the latter, setting the bar too high can result in ... than just slow progress toward their goal. , Research from ...
(Date:6/24/2016)... , ... June 24, 2016 , ... Those who have ... these feelings, many turn to unhealthy avenues, such as drug or alcohol abuse, as ... Michigan, has released tools for healthy coping following a traumatic event. , Trauma sufferers ...
(Date:6/24/2016)... ... ... was in a crisis. Her son James, eight, was out of control. Prone to extreme ... “When something upset him, he couldn’t control his emotions,” remembers Marcy. “If there was ... other children and say he was going to kill them. If we were driving ...
(Date:6/24/2016)... ... June 24, 2016 , ... Global law firm Greenberg Traurig, P.A. announced that ... chosen by their peers for this recognition are considered among the top 2 percent ... special honors as members of this year’s Legal Elite Hall of Fame: Miami ...
(Date:6/24/2016)... (PRWEB) , ... June 24, 2016 , ... Comfort Keepers® ... American Cancer Society and the Road To Recovery® program to drive cancer patients to ... and other adults to ensure the highest quality of life and ongoing independence. ...
Breaking Medicine News(10 mins):
(Date:6/26/2016)... Jazz Pharmaceuticals plc (Nasdaq: JAZZ ) announced ... Act of 1976, as amended ("HSR"), with respect to ... CPXX ) expired effective June 24, 2016, ... previously announced on May 31, 2016, Jazz Pharmaceuticals and ... Jazz Pharmaceuticals has commenced a tender offer for all ...
(Date:6/24/2016)... June 24, 2016  Consumers have taken a ... have placed more emphasis on patient outcomes. ... programs in the pharmaceutical industry have evolved beyond ... pharmaceutical companies are focusing on becoming more patient-oriented ... products and services that improve health. ...
(Date:6/24/2016)... Mass. , June 24, 2016   ... Spaulding Rehabilitation Network,s Dean Center for Tick ... Physical Medicine and Rehabilitation, MIT Hacking Medicine, University ... for Innovation, today announced the five finalists of ... for Lyme disease.  More than 100 scientists, clinicians, ...
Breaking Medicine Technology: