Trinitas Regional drops out of OMNIA suit, strikes value-based contract with Horizon

Horizon Blue Cross Blue Shield of New Jersey and Trinitas Regional Medical Center in Elizabeth, N.J., have teamed up to implement a value-based treatment model for patients with congestive heart failure, reports NJ.com.

Advertisement

Trinitas has also agreed to drop out of a lawsuit a group of New Jersey hospitals brought against the insurer last year for excluding the hospitals from its OMNIA network. Some hospitals named in the lawsuit argue Horizon’s decision to rank the facilities in Tier 2 rather than Tier 1 hurts their reputation and their business.

“The concerns we had over OMNIA are offset by the benefits this new collaboration will bring to the greater Elizabeth community,” Trinitas spokesperson Doug Harris said in an official statement.

The Episodes of Care for Heart Failure program will begin this year, according to the report. 

More articles on finance and payer issues: 

Conn. groups ask for removal of Insurance Commissioner over payer mega-mergers
Metamark affiliates with Anthem BCBS of Georgia
Colorado insurers’ proposed premium increases range from 1% to 40%: 10 key findings

 

At the Becker's 11th Annual IT + Revenue Cycle Conference: The Future of AI & Digital Health, taking place September 14–17 in Chicago, healthcare executives and digital leaders from across the country will come together to explore how AI, interoperability, cybersecurity, and revenue cycle innovation are transforming care delivery, strengthening financial performance, and driving the next era of digital health. Apply for complimentary registration now.

Register to Attend Webinar

Reconsider What’s Possible: Enterprise RCM and the Pro-Fee Practice

Tuesday, July 28
11:00 AM - 12:00 PM CDT

Presenters: Garett Kreitz, Med-MetrixJohn Stefanowicz, Med-Metrix

Advertisement

Next Up in Financial Management

Advertisement

Comments are closed.