CentraState quits OMNIA lawsuit, leaving Valley as last plaintiff against Horizon

By Eric Strauss
Freehold/Newark | Oct 18, 2018 at 11:23 am

CentraState Healthcare System and Horizon Blue Cross Blue Shield of New Jersey announced Thursday that the health system was withdrawing from a lawsuit over the insurer’s OMNIA Health Plans.

That leaves Valley Health as the last remaining plaintiff, of seven original participants, in the suit over Horizon’s tiered plan.

“We are pleased to put our differences behind us and to recognize that working collaboratively to improve the quality of care, lower costs and enhance the patient experience is better than continuing to focus on differences,” CentraState and Horizon said in a joint statement. “As part of the agreement, we will accelerate the development of value-based care initiatives at CentraState beginning in 2019 with collaboration on ‘Episodes of Care’ programs for orthopedics and maternity/newborn care. These new collaborations will integrate Horizon’s patient-centered, value-based care models into CentraState’s existing efforts to improve the health and well-being of its patients.”

CentraState and Horizon said terms of the agreement are confidential. CentraState will continue to accept all Horizon patients, including OMNIA patients at a Tier 2 level of benefits.

“We look forward to continuing a longstanding partnership grounded in principles of providing value-based care,” John T. Gribbin, CentraState’s CEO and president, said in a statement.

Freehold-based CentraState’s system includes an acute-care hospital, a health and wellness campus, and other facilities. Newark-based Horizon is the state’s largest health insurer.

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Eric Strauss | estrauss@roi-nj.com | acerimrat