Case Study
Improve Quality and Reduce Costs with Value Based Payments and Episodes of Care
Improve Quality and Reduce Costs with Value Based Payments and Episodes of Care Change Healthcare Shares Results on Nationally Recognized Care Model 1 Customer Horizon Blue Cross Blue Shield of New Jersey (Horizon BCBSNJ) Challenge Traditional payment models led to disjointed care and escalating costs Solutions Episodes of Care (EOC) Results • $90 million in savings between 2014-2018 • 30% decrease in costs for EOC-covered procedures • Lower infection and readmission rates • Providers participating in the EOC program shared in the savings with no reduction in payments • 94% overall member satisfaction rate Case StudyImprove Quality and Reduce Costs with Value Based Payments and Episodes of Care 2 The Customer: Horizon Blue Cross Blue Shield of New Jersey (Horizon BCBSNJ). The