"This is not a classic relationship between a provider and a payer. In fact, what we're doing is blurring the lines to try to come up with a better model to take care of our members and the patients of Atlantic," says Allen Karp, executive vice p...

As a longtime health care insurance executive, Allen Karp can recall many a meeting when his side sat across the table from a provider and negotiated — and argued — about rates of reimbursements. In the end, neither side ever really won. And t...

Horizon Blue Cross Blue Shield of New Jersey and Atlantic Health System are seeing early success in their payer-provider shared accountability program, under which the organizations have agreed to tie payments for health care services directly to...

  New Jersey's health care giants are teaming up to sell a Medicare Advantage plan for 2021 to seniors in eight counties in a new model that they say will lead to better health and lower costs. Horizon Blue Cross Blue Shield of New Jersey a...

Horizon Blue Cross Blue Shield of New Jersey and the state’s two largest health care networks — Hackensack Meridian Health and RWJBarnabas Health — are making a big push into Medicare Advantage with the creation of Braven Health, they announced M...

Horizon Blue Cross Blue Shield of New Jersey is teaming with Hackensack Meridan Health and RWJBarnabas Health to launch a new Medicare Advantage plan. The plan, called Braven Health, will be offered across eight counties in New Jersey beginning in...

In the field of health care, Rutgers has repeatedly proven itself to be a global leader—not only through groundbreaking coronavirus research but also through programs that advance personal health to build stronger, more resilient communities. A r...

  N.J.’s largest insurer didn’t slow rollout of $25M program, Horizon Neighbors of Health, when COVID-19 hit — it doubled down The rules limiting social interactions have helped the state battle the COVID-19 pandemic. But the strict guid...

  Chairman says picking up costs for COVID-19 coverage, telehealth use and working with companies on premium payments, covering furloughed employees was right thing to do in crisis. All health care organizations have hard-to-believe numbers...

  After a successful pilot project in Newark — built largely around community health workers who visited people at home to help address medical and social concerns — and nearly a year of planning, New Jersey’s largest health insurer was ready ...

Vanguard Medical Group was one of the more advanced physician groups in the state when it came to telehealth before the COVID-19 pandemic produced a stay-at-home order. The Fairfield-based group, which has more than 55 doctors and advanced pra...

Horizon Blue Cross Blue Shield of New Jersey has announced its plan to offer expanded paid time off for health care workers that volunteer for Gov. Phil Murphy’s “Call to Serve” on the front lines of New Jersey’s fight against COVID-19. The Ne...

By Allison Pries Horizon Blue Cross Blue Shield of New Jersey is donating $2.35 million worth of protective medical equipment and food to help in the state’s fight against the coronavirus pandemic. The health insurance company will begin de...

By Anthony Vecchione Horizon Blue Cross Blue Shield of New Jersey announced Monday it is waiving pre-authorization and pre-certification for inpatient admissions at in-network acute care hospitals. The change took effect on March 27, and is...

By Kevin Conlin If ever there were an argument for competition, look no further than the generic drug market. According to Health of America research, the average cost-per-script for single-source generic drugs, i.e. drugs with no competiti...

By building a robust payer-provider relationship, payers can better ascertain the right quality measures to mobilize pediatric quality measures in value-based care. If value-based care in pediatric healthcare truly is the future of value-based...

Horizon Blue Cross Blue Shield of New Jersey (Horizon BCBSNJ) joined 17 other Blue Cross Blue Shield plans across the country to announce a collaborative partnership with Civica to create a new subsidiary dedicated to lowering the cost of selecte...

The Blue Cross Blue Shield Association and 18 independent and locally-operated BCBS companies are partnering with Civica Rx to lower the cost of generic prescription drugs. The 18 BCBS companies will provide $55 million to help create a Civica...

The African American Chamber of Commerce of New Jersey has long strived to empower and sustain African American businesses across the state through entrepreneurship and capitalistic initiatives. That mission, coupled with our goal of ensuring equ...

Last fall, in his first public statements as the chairman, CEO and president of Horizon Blue Cross Blue Shield of New Jersey, Kevin Conlin played it close the vest. He was thoughtful and deliberate, as is his way. And nothing he told ROI-NJ on th...

In a move that will dramatically change the corporate status and corporate actions of the state’s largest health insurer, Horizon Blue Cross Blue Shield of New Jersey, legislation was introduced Monday that would make it possible for the company ...

Horizon Blue Cross Blue Shield of New Jersey announced Monday that it has been named the exclusive medical carrier for the state of New Jersey’s public employee health programs, the State Health Benefits Program and the School Employees’ Health B...

Opioid addiction has led to thousands of deaths nationwide, with 68% of the United States’ 70,000 fatal overdoses occurring in 2017 being attributed to a prescription or illicit opioid. Recently, Oxycontin manufacturer Purdue Pharma, agreed to a ...

The Garden's State's largest health network is investing $1 million dollars in a comprehensive strategy to combat vaping among middle school and high school students. "The statistics that are out there now are really only the tip of the iceber...

State officials along with insurance and healthcare providers in New Jersey are joining forces to address the glaring racial disparities in the state’s maternal and infant care. They are part of a unique seven-state coalition focused on reducing ...

In a first-of-its kind partnership that brings together New Jersey’s State Medicaid agency, its largest health insurer and biggest health care system, the Garden State has been selected to become a laboratory for innovating solutions to reverse m...

In a partnership that brings together New Jersey’s State Medicaid agency, its largest health insurer and biggest health care system, the Garden State has been selected to become a laboratory for innovating solutions to reverse maternal and infant...

In the first known partnership of its kind, a major insurer and health system in New Jersey are partnering with the state's Medicaid agency to test innovative solutions to reduce health disparities and maternal and infant mortality rates. Thei...

  Kevin Conlin, President & CEO of Horizon Blue Cross Blue Shield of New Jersey (BCBSNJ) was recently interviewed for New Jersey Health Care Quality Institute's Take Five series.  Horizon Blue Cross Blue Shield of New Jersey has been a memb...

Horizon Healthcare Services Inc., New Jersey’s largest health insurer, is leveraging near real-time data analytics to identify high-risk members and implement targeted formulary and drug adherence interventions to improve outcomes. Partnering with...