The newly added hospitals include RaritanBayMedicalCenter in OldBridge, RaritanBay in Perth Amboy and HackensackUMC Palisades. Hackensack (N.J.) Meridian Health owns and operates all three facilities.
Currently, only about half of New Jersey’s acute care hospitals are part of Horizon’s tier 1 network. The tiered nature of the Omnia products incited a number of lawsuits against Horizon from lower-ranked hospitals in the last year. Some hospitals ranked tier 2 claimed the status unfairly affected their clinical reputations in the highly competitive New Jersey market. The majority of those lawsuits have been dropped or dismissed.
Horizon is one of the state’s largest insurers, serving 3.8 million out of 9 million residents.
More articles on payer issues:
Covered California board discusses lower federal funding under ACA repeal
Sendero Health Plans implements Softheon cloud-based IT solution
Hanover Insurance takes on former Aetna executive as VP
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.
