In October 2021, Horizon Blue Cross Blue Shield of New Jersey announced that its Neighbors in Health program had reduced total cost of care (TCOC) while increasing needed behavioral health services. Horizon credits integrated data and advanced analyt...

Cancer care at home? A pilot program is making it possible.Rutgers Cancer Institute of New Jersey and RWJBarnabas Health announced they are partnering with Horizon Blue Cross Blue Shield of New Jersey to launch a collaborative pilot program that prov...

This year’s ‘2021 ROI Influencers: Health Care list’ is a mix of those leading some of the world’s most important companies and those running some of the state’s most important hospitals and health systems.Here is what ROI-NJ has to say about the Hor...

The ROI Influencers: People of Color list was created by ROI-NJ to show employers and others the number of talented people of color that are in New Jersey. ...

John Schreiber has long said that NJPAC defines itself as more than just an anchor cultural institution in Newark.“That means we’re so much more than simply being a presenter of performances,” the CEO told ROI-NJ.Read more at ROI-NJ...

Horizon Blue Cross Blue Shield of New Jersey received the J.D. Power Award for the highest member satisfaction ranking among commercial health plans in New Jersey for 2021 — the fourth time in the last five years it has been so honored.In addition to...

Drugmakers are already developing COVID-19 booster shots, with clinical trials underway to develop safe and effective shots that could help strengthen people’s immunity and protect against new and possibly more deadly variants of the coronavirus. Rea...

State officials have taken proactive steps to support New Jersey’s nearly 1.9 million Medicaid members during the pandemic. Much of the work is being done by a handful of health insurance companies that provide Medicaid coverage under contracts with ...

Horizon Blue Cross Blue Shield of New Jersey is operating an ambitious social determinants of health (SDOH) program for targeted members in partnership with several healthcare provider organizations.Social determinants of health such as food security...

Kevin Conlin, who announced his retirement as chairman of Horizon Blue Cross Blue Shield of New Jersey on Monday morning, has seen the health insurance landscape make dramatic changes in his nearly four decades in the industry.But, for all that has h...

Horizon Blue Cross Blue Shield of New Jersey is providing rebates totaling $48.2 million to customers who bought individual policies for 2019, company officials said Monday.The checks, averaging $367 a person, reflect the pre-COVID era. But executive...

Steve Adubato is joined by Don Liss, MD, Chief Medical Officer, Horizon Blue Cross Blue Shield of New Jersey, to talk about the challenges physicians have faced throughout the pandemic, the need to follow recommendations in taking the COVID-19 vaccin...

The state’s largest health insurer, Horizon, is worth $7 billion, give or take.And that money belongs to us, essentially. Because Horizon is a wholly different animal than the other insurers. It’s a non-profit, born in the Legislature during the Grea...

"Horizon Blue Cross Blue Shield of New Jersey Executive Chairman Kevin Conlin began making the case to legislators Tuesday that the insurer should be allowed to reorganize as a not-for-profit mutual holding company.Conlin, appearing in a Zoom confere...

"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 recen...

  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...