Integration of Health Care and Value-Based Reimbursement in New Jersey Allen Karp Senior Vice President, Healthcare Management Horizon Blue Cross Blue Shield of New Jersey

Disclosure Declaration Mr. Karp does not have a vested interest in or affiliation with a corporate organization offering financial support or grant monies for this CE activity. Mr. Karp does not have an affiliation with an organization that has a specific interest in the therapeutic areas under discussion.

2016 Value-Based Program Results The results indicate improved quality outcomes at a lower total cost of care 2016 Value-Based Program Results 3% Lower total cost of care 4% Improved control of diabetes costs. 3% Improved rate of diabetes control 3% Higher rate in breast cancer screenings. 5% Higher rate of colorectal cancer screenings. 3% Lower rate of Emergency Room visits. 3% Lower rate of hospital admissions. Source: Horizon BCBSNJ Analytics Cost & utilization metrics risk adjusted; 100K cap applied 7