Horizon Blue Cross Blue Shield of N.J.’s PCMH Improves Quality, Cuts Costs

Horizon Blue Cross Blue Shield of New Jersey announced its 2012 Patient-Centered Medical Home Program has improved quality and reduced costs for its participating members.

Advertisement

Compared with Horizon BCBSNJ members in other primary care practices, the 70,000 members in patient-centered practices had the following results, according to the news release:

•    5 percent higher rate in improved diabetes control
•    3 percent higher rate in breast cancer screenings
•    11 percent higher rate in pneumonia vaccinations
•    23 percent lower rate in hospital inpatient admissions
•    12 percent lower rate in emergency room visits
•    9 percent lower cost of care for diabetic patients

In the release, Jim Albano, vice president of network management and Horizon healthcare innovations at Horizon BCBSNJ, said the program’s early success enables the payer to expand the program to 80,000 additional Horizon BCBSNJ members.

More Articles on Patient-Centered Medical Homes:

90 Hospital-Affiliated Practices Test Patient-Centered Medical Neighborhood
BCBS of Michigan Boosts Physicians in PCMH Program by 25%
Aetna Starts PCMH Program in Massachusetts

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

The 2 KPIs that drive readmissions — and how hospitals act on them in real time

Tuesday, August 11
1:00 PM - 2:00 PM CDT

Presenter: Nik Rao, Dexur

Advertisement

Next Up in Integration & Physician Issues

Advertisement

Comments are closed.