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New Horizon Blue Cross Blue Shield of New Jersey Product Brings Innovative Accountable Care Model to Employers
Date:11/7/2013

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.

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