Saint Peter’s Healthcare System And Horizon Blue Cross Blue Shield Of New Jersey Announce End To Litigation Over Omnia Health Plans

April 7, 2021

Saint Peter’s Healthcare System And Horizon Blue Cross Blue Shield Of New Jersey Announce End To Litigation Over Omnia Health Plans
April 7, 2021 (New Brunswick, NJ & Newark, NJ) – Saint Peter’s Healthcare System (Saint Peter’s) and Horizon Blue Cross Blue Shield of New Jersey (Horizon BCBSNJ) announced today that they have agreed to end their dispute over Horizon BCBSNJ’s OMNIA Health Plans. For many years, Saint Peter’s and Horizon BCBSNJ have worked closely to provide high quality, cost-effective care to Horizon members. This settlement builds on their shared history and accelerates the deployment of value-based care and reimbursement models that are an essential element of OMNIA Health Plans’ success. As a result, Saint Peter’s will become a Tier 1 facility in Horizon’s OMNIA Health Plans effective May 1, 2021.
The parties issued the following joint statement:
“We are pleased to have reached an agreement settling our legal dispute. Instead of continuing to focus on our differences, we look forward to working together to advance health care quality, affordability and the customer experience. Saint Peter’s and Horizon BCBSNJ will continue our long history of collaboration to further enhance this partnership to improve the health and well-being of those we serve.”
“We are indeed very pleased that Saint Peter’s has reached a settlement with Horizon BCBSNJ to end the litigation and to put this issue behind us. We have always valued our long-standing relationship and look forward to working together to advance our collective missions to serve the health care needs of our patients and communities,” said Leslie D. Hirsch, FACHE, president and CEO of Saint Peter’s Healthcare System.
“We’re excited to work with Saint Peter’s to expand models of care and reimbursement that have proven effective at improving health care quality, affordability, and convenience for our members. OMNIA Health Plans empower our members to achieve their best health, give them more control of their out-of-pocket expenses, and include every doctor and hospital in Horizon’s managed care network,” said Allen Karp, Horizon BCBSNJ’s executive vice president for healthcare management and transformation.
Consistent with other aspects of the relationship between the two parties, the terms of the agreement will remain confidential.
Saint Peter’s Healthcare System Inc., parent company of the Saint Peter’s healthcare delivery system, is comprised of Saint Peter’s University Hospital, a 478-bed acute-care teaching hospital and state-designated children’s hospital and regional perinatal center; Saint Peter’s Foundation, the fundraising arm of the hospital; Saint Peter’s Health and Management Services Corp., which oversees outpatient facilities, including the CARES Surgicenter; and Saint Peter’s

Physician Associates, a network of primary and specialty care physician practices. Saint Peter’s is a regional specialist in cancer care, diabetes, geriatrics, orthopedics, bariatric surgery and head and neck surgery and is a sponsor of residency programs in obstetrics and gynecology, pediatrics, and internal medicine. Saint Peter’s is sponsored by the Roman Catholic Diocese of Metuchen and is a major clinical affiliate of Rutgers Biomedical Health and Sciences.

Horizon Blue Cross Blue Shield of New Jersey, the state’s oldest and largest health insurer is a tax-paying, not-for-profit health service corporation, providing a wide array of medical, dental, vision and prescription insurance products and services. Horizon BCBSNJ is leading the transformation of health care in New Jersey by working with doctors and hospitals to deliver innovative, patient-centered programs that reward the quality, not quantity, of care patients receive. Learn more at Horizon BCBSNJ is an independent licensee of the Blue Cross and Blue Shield Association serving more than 3.6 million members.

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