Horizon Blue Cross and Blue Shield of New Jersey, Newark, said it plans to expand its patient-centered medical home program to roughly 154,000 members.
N.J. Blues plan expanding medical homes
The program, launched in January 2010, provides participating physician practices with funding to hire population care coordinator nurses, according to a news release.
Currently, 48 primary-care practices and 80,000 members participate in the medical-home program.
“With early results showing that Horizon's collaborative medical home program is improving the quality of care and reducing healthcare costs, we want more of our members to benefit from the program,” Jim Albano, the company's vice president of network management and Horizon Healthcare Innovations, said in the news release. “By the end of this year, we intend to have more than 200,000 members in Horizon's medical home and accountable care programs.”
Horizon Blue Cross and Blue Shield said patients who participated in the medical-home program have reported a 26% lower rate in visits to the emergency room and a 10% lower cost of care. They were also screened for cancer more frequently and had “greater improvement” in controlling diabetes.
This week, Horizon Blue Cross and Blue Shield of New Jersey said it had formed an accountable care organization with Optimus Healthcare Partners. The ACO is expected to include 42 primary-care practices and 40,000 individuals.
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