N.J. acting attorney general says Horizon's Omnia plans not illegal

New Jersey's acting attorney general said Friday that Horizon Blue Cross Blue Shield's Omnia tiered-network plans do not break any state laws, according to NJ.com.

Lawmakers had asked the attorney general's office to delay the insurer's rollout of the tired network plan until the state established "a permanent oversight mechanism for the process for tiering and rating healthcare providers in New Jersey," according to the article.

Providers in the state have accused Horizon of a lack of transparency in its tiering process, pointing out that some hospitals ranked in its second tier were ranked higher for care quality than those in the first tier. Article


3 Keys to the Future of CX in Healthcare

Cut to the chase with this quick-read outlining 3 consumer experience (CX) strategies payers can start using immediately to fuel better outcomes and drive more value in 2021.