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Integration of Health Care and Value-Based Reimbursement in New Jersey

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Presentation on theme: "Integration of Health Care and Value-Based Reimbursement in New Jersey"— Presentation transcript:

1 Integration of Health Care and Value-Based Reimbursement in New Jersey
Allen Karp Senior Vice President, Healthcare Management Horizon Blue Cross Blue Shield of New Jersey

2 Disclosure Declaration
Mr. Karp does not have a vested interest in or affiliation with a corporate organization offering financial support or grant monies for this CE activity. Mr. Karp does not have an affiliation with an organization that has a specific interest in the therapeutic areas under discussion.

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9 2016 Value-Based Program Results
The results indicate improved quality outcomes at a lower total cost of care 2016 Value-Based Program Results 3% Lower total cost of care 4% Improved control of diabetes costs. 3% Improved rate of diabetes control 3% Higher rate in breast cancer screenings. 5% Higher rate of colorectal cancer screenings. 3% Lower rate of Emergency Room visits. 3% Lower rate of hospital admissions. Source: Horizon BCBSNJ Analytics Cost & utilization metrics risk adjusted; 100K cap applied 7

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