Horizon NJ Health Rates as New Jersey’s Top Medicaid Managed Care Plan

The link for The State of New Jersey's HMO Performance Report should read: http://www.state.nj.us/humanservices/dmahs/news/2010_hmo_performan_report.pdf The corrected release reads: HORIZON NJ HEALTH RATES AS NEW JERSEY'S TOP MEDICAID MANAGED CARE PLAN Horizon BCBSNJ Company Graded Highest in HMO Performance Report for NJ FamilyCare/Medicaid Horizon NJ Health, a subsidiary of Horizon Blue Cross Blue Shield of New Jersey, is the highest rated Medicaid managed care plan among all of the state's participating Medicaid plans. According to the NJ FamilyCare/Medicaid "HMO Performance Report" released, Horizon NJ Health received a 92% overall performance score, the highest of all New Jersey'sMedicaid managed care plans and the only plan to improve its overall score from previous reports (see also Medicare and Medicaid).

The NJ FamilyCare/Medicaid "HMO Performance Report" for 2010 provides information on the quality of each health plan's performance that includes the quality of care provided to clients, client satisfaction levels in their health plans and the performance of internal operations of all plans.

"This is great news," said Karen L. Clark, Vice President Medicaid, Horizon Blue Cross Blue Shield of New Jersey, President, Horizon NJ Health. "The performance report validates our commitment to our members and providers. To be rated as the highest among all of the plans serving New Jersey residents confirms our efforts and the trust our members place in us to consistently deliver quality, accessible care for more than a half a million lives. We are honored and will continue our efforts on behalf of our members."

The FamilyCare/Medicaid HMO Performance Report uses several quality measures to track member utilization of provider services, health service delivery and client satisfaction with their health plan. The measures used are HEDIS (Healthcare Effectiveness Data and Information Set) which is a set of detailed measures that health plans use to report their overall performance results, CAHPS (Consumer Assessment of Healthcare Providers and Systems Performance Measures), a member satisfaction survey conducted annually by all plans and EQRO, an independent, external quality review organization that conducts reviews of each of the state's Medicaid health plans to assess quality and compliance standards.