Morris County NJ News Updates Live
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Newark, NJ (PRWEB) February 12, 2014
Horizon Blue Cross Blue Shield of New Jersey (Horizon BCBSNJ) and the LHS Health Network announced today the launch of a collaborative Patient-Centered Accountable Care Organization (ACO) to improve care and patient outcomes for over 17,000 Horizon BCBSNJ members. Approximately 90 primary care doctors practicing at approximately 40 practice locations in Burlington, Camden, Gloucester and Mercer counties are participating in this Patient-Centered ACO that began on January 1, 2014.
“Our new collaboration with Lourdes is another vital step toward transforming how patient care is delivered in New Jersey with an eye toward stronger care coordination, a better patient experience, and lower cost of care for Horizon members,” said Jim Albano, Vice President of Network Management and Horizon Healthcare Innovations at Horizon BCBSNJ.
“We are extremely pleased to be developing this innovative model of service with Horizon, who share our vision for providing high quality, high-value care to the Southern New Jersey community,” commented Alexander J. Hatala, President and CEO of Lourdes Health System and the LHS Health Network.
ACOs are built on a strong primary care foundation. Participating physician groups help create a healthier patient population through a coordinated, accountable approach to care among providers within the ACO. ACOs are designed to achieve measured patient quality outcomes and decrease unnecessary and duplicative medical tests and treatments.
Under this Patient-Centered ACO agreement, Horizon BCBSNJ will provide care coordination payments to the ACO to take on additional accountability for improving the health and patient experience as well as controlling the cost of care for its Horizon BCBSNJ patients. The ACO and its affiliated practices, provided the ACO meets certain health improvement, patient satisfaction and cost goals, have an opportunity to share in the resulting financial savings with Horizon BCBSNJ.
Horizon BCBSNJ has a number of Patient-Centered Programs, including Accountable Care Organizations, Patient-Centered Medical Homes, and programs focused on different Episodes of Care (i.e. joint replacement, pregnancy). More than 500,000 Horizon BCBSNJ members are now benefiting from Horizon BCBSNJ’s Patient-Centered Programs that are working to improve patient care while controlling costs.
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.
About the LHS Health Network
Formed in 2013, the LHS Health Network seeks to provide the highest value medical care for beneficiaries through coordinated, comprehensive care across physician practices, hospitals, and other healthcare providers.
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Newark, New Jersey (PRWEB) October 16, 2014
Horizon Blue Cross Blue Shield of New Jersey (Horizon BCBSNJ) today announced the offering of a new patient-centered Medicare Advantage plan for Medicare-eligible consumers. The new plan features lower out-of-pocket costs and more coordinated care when members use Horizon BCBSNJ’s network of patient-centered practices, the largest in New Jersey.
“We have worked with doctors and hospitals to build New Jersey’s largest network of patient-centered practices, and we’re committed to extending the many benefits of this approach to our Medicare Advantage consumers,” said Erhardt Preitauer, CEO, Horizon NJ Health and Senior Vice President, Government Programs, Horizon BCBSNJ.
“Patient-centered” care refers to an innovative approach where health insurance companies use incentives to improve the quality, not quantity, of care patients receive from their health care professionals. Unlike the traditional fee-for-service model, patient-centered practices are rewarded when they improve the patient experience and improve patient outcomes with care based upon national clinical guidelines.
More than 500,000 members and over 3,700 doctors at 900 practice locations across New Jersey participate in Horizon BCBSNJ’s patient-centered programs, including Patient-Centered Medical Homes (PCMHs), Accountable Care Organizations (ACOs) and Episodes of Care programs.
Members have lower cost sharing with the new Medicare Advantage patient-centered plan, Horizon Medicare Blue Patient-Centered w/Rx (HMO), when they preselect and use a Primary Care Physician affiliated with one of Horizon BCBSNJ’s participating patient-centered doctor practices.
For the annual enrollment period from October 15 through December 7 (for coverage beginning January 1, 2015), the Horizon Medicare Blue Patient-Centered w/Rx (HMO) plan will be offered in 20 New Jersey counties (excluding Burlington County, where customers may purchase Horizon Medicare Blue Choice w/Rx (HMO).
The review of 2013 claims data demonstrate that patient-centered care works to improve the quality of care while lowering total health care costs. Claims data compared outcomes for more than 200,000 Horizon BCBSNJ members using patient-centered practices with outcomes for members using traditional primary care practices and found a:
14 percent higher rate in improved diabetes control.
12 percent higher rate in cholesterol management.
8 percent higher rate in breast cancer screenings.
6 percent higher rate in colorectal cancer screenings.
Results also showed that more active care is being provided at a lower cost, as Horizon BCBSNJ members in patient-centered practices had a:
4 percent lower rate in emergency room visits.
2 percent lower rate in hospital admissions.
4 percent lower cost of care for diabetic patients.
4 percent lower total cost of care.
Patient-centered practices provide patients with more coordinated and personalized care, including:
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.
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.
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 leading the transformation of health care in New Jersey by working with doctors and hospitals to deliver innovative, patient-centered programs that reward the quality, not quantity, of care patients receive. Learn more at http://www.HorizonBlue.com. Horizon BCBSNJ is an independent licensee of the Blue Cross and Blue Shield Association serving more than 3.7 million members.
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Newark, New Jersey (PRWEB) March 10, 2015
Horizon Blue Cross Blue Shield of New Jersey (Horizon BCBSNJ) today announced that it is investing $ 615,625 in four urban community development projects through the New Jersey Department of Community Affairs’ (DCA) Neighborhood Revitalization Tax Credit (NRTC) program. The company will be supporting projects that will help revitalize neighborhoods in Newark, New Brunswick, Perth Amboy and Paterson.
“For more than 82 years, Horizon has been giving back to the communities we serve, and the NRTC program makes it possible for us to join with public and non-profit organizations to invest in New Jersey’s great urban neighborhoods,” said Robert A. Marino, Chairman and CEO of Horizon BCBSNJ.
The NRTC program is designed to foster the revitalization of New Jersey’s distressed neighborhoods. Program funds are used by neighborhood-based non-profit organizations that have prepared, submitted and received approval from the DCA for a revitalization plan for the neighborhood it serves. The funds must be used by the eligible organizations for projects and activities that will implement the goals and strategies of an approved neighborhood plan.
“We are extremely appreciative of Horizon ongoing commitment to the NRTC program,” said Richard E. Constable III, Esq., DCA Commissioner. “With Horizon’s help, we hope to complete projects in urban neighborhoods that improve access to quality, affordable housing and strengthen community-based programs.”
Horizon BCBSNJ is investing in the following projects through the NRTC program:
Ironbound Community Corporation
Ironbound Community Corporation will receive $ 250,000 to help fund the Hawkins Stabilization & East Ferry Revitalization project. The funds will be used to help rehabilitate 10 abandoned housing units on the blocks surrounding Hawkins Street School as affordable housing and to help make improvements to East Ferry Streetscape.
Catholic Charities Diocese of Metuchen
The Catholic Charities Diocese of Metuchen Unity Square will receive $ 115,625 to provide support to the Unity Square 2015 program. Some of the plans include employment training skills, and employment of community residents in full-time work through “Corazon Kitchen,” and to maintain and expand community garden plots and to conduct bilingual gardening workshops.
Jewish Renaissance Foundation
The Jewish Renaissance Foundation will receive $ 125,000 to help assist the Perth Amboy Alliance for Community 2. These funds will help the Civic Justice Corps, exterior housing repair, and Community and Health Education Activities.
NJ Community Development Corporation
The NJ Community Development Corporation will receive $ 125,000 for its Park Corner Apartments/Paterson Youth Arts Program. The funds will be used for construction of Park Corner Apartments creating a new community asset with affordable housing and economic activity and the creation of Paterson Youth Arts Project, a part of the Great Falls Promise Neighborhood Initiative which provides comprehensive arts education to neighborhood youth.
This is the eighth year Horizon BCBSNJ has participated in the State’s NRTC program.
The NRTC program provides business entities a 100 percent tax credit for funds provided to nonprofit entities carrying out comprehensive revitalization plans. Nonprofit entities must use at least 60% of the tax credit funds for housing and economic development; the remaining funds may be used for supportive services and other neighborhood improvements. For more information about the NRTC program, visit http://www.nj.gov/dca/divisions/dhcr/offices/nrtc.html.
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 service corporation, providing a wide array of medical, dental, and prescription insurance products and services. Horizon BCBSNJ is leading the transformation of health care in New Jersey by working with doctors and hospitals to deliver innovative, patient-centered programs that reward the quality, not quantity, of care patients receive. Learn more at http://www.HorizonBlue.com. Horizon BCBSNJ is an independent licensee of the Blue Cross and Blue Shield Association serving more than 3.8 million members.
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