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:
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 http://www.HorizonBlue.com.
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