12:56 PM

BCBS plan targets behavioral health to reduce total cost of care

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 analytics for "identifying patients at risk upstream, providing insights on best timing and type of intervention, and reducing cost and utilization." The plan seeks to continue these first-year results by making these strategies part of its overall value-based care solutions.

Horizon's behavioral health initiative uses multiple, disparate data sources, structured and unstructured, to look backward and forward. Using "advanced analytics," Horizon identified probable high-cost members and generated risk scores to link patients with providers, programs, and community resources.

Read more at Heath Leaders.