Horizon Blue Cross Blue Shield of New Jersey is transforming and improving New Jersey’s health care delivery system by collaborating and developing solutions to create a health care system marked by high-quality care, a better patient experience and improved affordability.
In 2011, Horizon BCBSNJ, the New Jersey Academy of Family Physicians and the leadership of eight primary care practices collaborated to launch New Jersey’s first comprehensive, state-wide PCMH Program. Horizon BCBSNJ’s PCMH Program is New Jersey’s largest PCMH initiative. To help improve quality outcomes and patient experience, doctors, nurse care coordinators and practice staff work as a team to improve care coordination for Horizon BCBSNJ members within their practices. Horizon currently has more than 900 patient-centered-care practices with more than 3,700 doctors.
On January 1, 2015, Horizon will join other Blue Cross Blue Shield organizations in offering covered members access to patient-centered programs in other states. For more information on the expansion of the Blue Cross Blue Shield PCMH program click here.
The purpose of Horizon BCBSNJ's patient centered practices is to provide patients with more coordinated and personalized care, including:
The PCMH Program increases reimbursement to support physicians for managing and improving the health of their patients while controlling the cost of care. Participating PCMH practices also have an opportunity to receive additional outcome-based or shared savings payments provided they meet specified goals for delivering better quality care and controlling costs.
In July of 2014, Horizon announced its new Patient-Centered Advantage EPO plans. The two plans, one silver and one bronze, have premiums about 15 percent lower than Horizon's current lowest price plans for small employers. When members of the new plans see primary care physicians at those practices, the in-network deductible ($2,500 for bronze plans, $2,000 for silver) does not apply, there is no co-insurance, and copayments are $40 for bronze and $20 for silver.
Horizon Press Release (August 2015) evaluation of 750,000 patients participating in Horizon patient-centered practices
Horizon Industry Report (July 2014)
Horizon Industry Report (July 2013)
Horizon Press Release (August 2015) evaluation of 750,000 patients participating in Horizon patient-centered practices
Horizon Industry Report (July 2014)
Horizon Industry Report (July 2013)
Horizon Press Release (August 2015) evaluation of 750,000 patients participating in Horizon patient-centered practices
Horizon Industry Report (July 2014)
Horizon Industry Report (July 2013)
Horizon Press Release (August 2015) evaluation of 750,000 patients participating in Horizon patient-centered practices
Horizon Industry Report (July 2014)
Horizon Industry Report (July 2013)