New Jersey insurers thriving under value-based care models: 4 things to know

While value-based care continues to gain traction in the U.S., several insurers in New Jersey are already seeing promising results, NJSpotlight reports.

Here's what you need to know.

1. Four state insurers are already spending significant amounts on value-based care. They include:

  • Newark, N.J.-based Horizon Blue Cross Blue Shield spends more than 60 percent of its budget on value-based care.
  • Hartford, Conn.-based Aetna spends more than 66 percent of its budget on value-based care.
  • Minnetonka, Minn.-based UnitedHealthcare pays more than half of its claims to providers in value-based arrangements.
  • Cigna spends around 40 percent of its budget on value-based care.

2. Horizon started offering value-based initiatives in 2010 through its Patient Centered Medical Homes program before it scaled to include hospitals. The insurer is developing a model which will integrate mental healthcare with physical treatments in the coming years.

3. Horizon's efforts are paying off. It has more than 4,000 providers signed to value-based contracts, and it has thwarted more than 3,500 would-be emergency room visits, saving nearly $60 million.

4. UnitedHealthcare has more than a dozen ACOs and is looking to have an 80 percent value-based care provider base in the coming years.

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