![]() I am proud to lead a health system that has entered into a shared-accountability arrangement and hope that our commitment will serve as a catalyst to others, so that together, we can address the major issue of health care costs in our state.” “To support our journey toward value-based care, we have invested in robust data systems that empower our physicians and caregivers to deliver the most precise, personalized care. This unique partnership has created a framework to deliver high-quality, affordable and accessible care that is increasingly proactive and preventative,” said Brian Gragnolati, President and Chief Executive Officer of Atlantic Health System. “Health care is a team effort, including how we pay for care. Furthermore, these efforts to improve quality and the consumer experience have resulted in a 5% reduction in the total cost of care for patients/members in the first program year. This innovative and successful arrangement has resulted in a reduction of more than 9% in unnecessary hospitalizations and, correspondingly, better overall health outcomes for those involved. To achieve this, the partners collaborated in new ways to enable Atlantic Health System to deliver improved and coordinated care by sharing data, clinical expertise, patient support, and an overall better consumer experience at an unprecedented level. This represents a significant step away from the traditional “fee for service” model under which providers get paid based on the volume of services they deliver. In this innovative model, Atlantic Health shares with Horizon BCBSNJ financial accountability for the health, quality of outcomes, and total cost of care for a population of patients. Newark, NJ and Morristown, NJ Septem– Horizon Blue Cross Blue Shield of New Jersey (Horizon BCBSNJ) and Atlantic Health System are seeing early success in their payer-provider shared accountability program where the two organizations have agreed to tie payments for healthcare services directly to outcomes in achieving quality and cost goals. Members can locate in-network Horizon POS doctors and hospitals using our Doctor & Hospital Finder.Collaborative Alignment Elevates Quality and Lowers Overall Cost by 5% Plus, Horizon members can get support and care from their mobile device or computer – anytime, anywhere – with the Horizon Blue app. All Horizon POS providers handle all of the paperwork for them. When using participating Horizon POS doctors and hospitals referred by your PCP, members have no claim forms to file and virtually no paperwork. Through this option, you pay more of the costs. If you do not wish to coordinate care through your PCP, you may visit physicians and specialists who are outside the participating network for covered services. Your PCP is a duly licensed practitioner who has entered into an agreement with us to participate in the Horizon Managed Care Network and is responsible for coordinating all aspects of your medical care, including referrals to specialists, ancillary providers, or inpatient facilities. Your Horizon POS plan starts with your Primary Care Physician (PCP). You also have the choice of going directly to any provider for care. ![]() We offer preventive health care benefits, an easy-to-use referral system, direct access to your Ob/Gyn, emergency medical care, value-added programs, and much more. We’ve made your health care plan easy for you to understand and use. ![]() ![]() Or you can go directly to any other licensed physician in exchange for paying more costs and submitting your own claims.Īs a Horizon POS member, you have access to many health care services and programs and our large participating physician and hospital networks. Your PCP refers you to specialists available to you through your Horizon POS plan and submits your claims. Coordinate your care with the Primary Care Physician (PCP) you select through your Horizon POS plan. A point of service (POS) plan gives you flexibility in choosing your medical care.
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