After conversion, will Horizon BCBSNJ stop participating in Medicaid or New Jersey FamilyCare?
Horizon BCBSNJ, through its affiliate Horizon NJ Health, is the largest managed healthcare organization serving the publicly insured, providing health services for more than 300,000 people in all 21 New Jersey counties. A decision whether or not to continue to participate in government run programs is not dependent upon Horizon BCBSNJ’s status as a nonprofit or for-profit company. Provided the state government adequately funds Medicaid and FamilyCare, Horizon BCBSNJ will continue to participate in those programs. It must be understood that Horizon BCBSNJ could not stay in a government program that is losing money even as a non-profit. To do so would require its other members to subsidize the government program members’ health care. This would essentially amount to a tax on our individual, small group and other private sector members. Furthermore, staying in a government program that is consistently under funded would undermine the company’s strength, which could harm all of our members
Related Questions
- If Horizon BCBSNJ is currently financially strong and the largest health insurer in the state, why is conversion necessary?
- After conversion, will Horizon BCBSNJ with its market share give it monopoly-like power in New Jersey?
- After conversion, will Horizon BCBSNJ stop participating in Medicaid or New Jersey FamilyCare?
