When did you decide this would be the year you would introduce this plan? And that’s how we’ll continue to operate in the future. That’s how managed care companies have operated from day one. That is not something we’re embarrassed by. One of the ways we were able to achieve that kind of price reduction was by this notion of, you’re in Tier 1, you make a commitment on price concessions and you by definition will see increased volume. Had we put a public document out there in a Request for Proposal form as people have asked us to do, we would literally be telling our competitors what this company intends to do for the next three to five years.īut why do you have to exclude some places? And in the process of doing that, we were looking for some very specific criteria. The strategy of the company over the next three to five years is to move the delivery system in New Jersey from a volume-based system to a value-based system. The other reason why we chose an internal process as opposed to a (Request for Proposal) process, where you literally go out and put a document out there and say, "You’re invited to participate," is because we’re talking about the strategy of the company. No hospital or provider was contacted throughout this process. And it is only at that point in time that they were contacted. It's only after we evaluated every hospital in the state that we identified the potential partners that we thought would be the partners for Tier 1. But I think a lot of it was fueled by misunderstanding and not knowing exactly what it is we were trying to do.ĬentraState was very vocal saying it wished it was at least offered the chance to participate. ![]() Candidly and honestly, I think some of the legislative reaction was a little bit deeper than I thought it was going to be. this is new, it's bold, it's different, and not everyone was going to be aligned with our thinking. He talked to the Press for a half hour about the public reaction to the plan, why the company didn't include everyone, and where the company wants to take health care in New Jersey. ![]() Marino, 66, has been president and chief executive of Horizon since 2011. "This is the direction we’re going in, and Horizon has taken, I think, a really important step for the state to push us along in the right direction," said Joel Cantor, director of the Center for State Health Policy at Rutgers University. And open enrollment for Obamacare begins Nov. Observers said it likely is too late to stop. The state itself began to offer the plan to public employees on Oct. Yet instead of being thrown a parade for finally reversing skyrocketing health care costs, a joint Senate committee called a hearing and hammered away at Marino and other executives for four hours, saying they were concerned that the insurer was picking winners and losers that could leave some hospitals struggling to survive and some communities without access to care.Ĭommittee leaders asked both state and federal regulators to step in and halt the plan until they could devise a system to oversee it.
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