This is the latest step by the insurer in pushing for greater value-based payments. It affects 20,000 commercially insured and Medicare Advantage patients.
“Our new agreement with Horizon is an exciting opportunity to advance value-based care and to improve the health of thousands of New Jersey patients,” said Dan Bowles, vice president of provider networks at Aledade. “In collaboration with local primary care practices, our innovative physician-led model will drive improvements in quality and patient outcomes through more personalized, coordinated care.”
The strategy focuses on Accountable Care Organizations and allowing physicians to continue to operate independently.
“This collaboration with Aledade is another example of how Horizon is working closely with doctors and hospitals to improve health care, lower costs and deliver better outcomes for our members,” said R.J. Franzoi, Horizon’s vice president for health care delivery. “Last year, Horizon members engaged with practices like those in the Aledade ACO had fewer ER visits, spent less time in the hospital and had lower overall costs of care than members in traditional practices. These joint efforts are essential to achieving Horizon’s goal of delivering better care, not just more care, to our members.”