Horizon bcbs customer service3/2/2024 “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. Collaborative Alignment Elevates Quality and Lowers Overall Cost by 5%
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