Wed. Aug 21st, 2019




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Horizon Blue Cross Blue Protect of New Jersey (BCBSNJ) introduced today that Paul Alexander, MD, MPH has been appointed Vice President and Chief Medical Officer of Government Programs at its wholly-owned subsidiary Horizon NJ Well being. Grant-Davis has also served as Chief of Employees for the New Jersey Division of Health, and Director of Fee and Well being Care Delivery for the Health Business Producers Affiliation (HIMA) in Washington, D.C. She has received numerous awards, together with the 2012 Nationwide Affiliation of Neighborhood Health Middle Leadership Award, 2011 Citizen Action Neighborhood Service Award and Evangelina Menendez Trailblazer Award offered by Sen.

The Larger Newark Health Coalition is a bunch of neighborhood representatives, hospitals, feder­ally certified well being facilities, healthcare professionals, college representatives and city and state companies aimed toward addressing the primary healthcare disaster going through Newark and creating a long-time period plan to enhance health and health services for …

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A ten p.c discount in Medicaid reimbursements from Horizon NJ Well being has brought about an uproar in the home health group, which fears that the cut in reimbursements will hamper companies’ capability to handle more shoppers just when demand is expected to soar as a consequence of a change in how Medicaid is administered. With greater than 3.7 million individuals, Horizon wields appreciable shopping for energy, and the excluded hospitals – a lot of them Catholic, located in cities or serve a sizable number of uninsured and Medicaid shoppers – say they concern they will lose a considerable quantity of income. Here what is known so far based on interviews with Horizon officials and written material they offered.

A: This is about curbing medical health insurance costs and offering cheaper options to employers and shoppers, Minal Patel mentioned, Horizon’s senior vice president and chief strategy officer. He stated 30 …

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Businesses argue that 10 percent reduce could finally have an effect on the standard of care they can ship to purchasers. Based on State Comptroller Matt Boxer, Horizon recovered solely $188,207 in improper Medicaid funds—less than one-tenth of one {5eaaffee4ab337c81141f96681956eea5098eb1163177439c915f87ef21be5e7} of the $1.3 billion Horizon receives yearly from the state. In New Jersey, the Affected person Protection and Reasonably priced Care Act will make up to 500,000 additional residents eligible for Medicaid. Essentially the most attention-grabbing discovering in the Controller’s report, says Tyahla, is that Horizon reported solely 14.1 p.c of its fraud and abuse recoveries to the Division of Human Companies.

The State Comptroller has recognized a major downside because the understaffing of the division of Horizon accountable for overseeing Medicaid. Moving healthy adults and healthy children into a managed care program can provide higher well being outcomes at a reduced cost, and a properly-designed Accountable Care Group can …

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