Achievements

Nearly 12,000 Managed Lives in 2019

  • 96% quality rating in 2017 (3rd in NJ) to 97% in 2018
  • $1K YOY reduction in medical spend since 2016
  • Surplus of $6.4M in 2018
  • Earned savings over $2.7M

Over 35,000 Managed Lives in 2019

  • Over $10M in generated savings from 2016-2018 ($10.40 PMPM)
  • 10% reduction in IP utilization and 20% in subacute submissions in 2018
  • One of Horizon’s Top ACO Partners in 2018

Over 12,000 Managed Lives in 2019

  • Generated savings for 2 years in a row
  • Generated $1.8 M in surplus from 2015 through 2016
  • Market leader for total medical cost performance index on risk-adjusted basis in northern NJ

Over 20,000 Managed Lives in 2019

  • Generated $500,000 in savings in 2016 and 2017 ($20.78 PMPM) for Aetna's Medicare population
  • Generated $1.3 M in savings in 2016 and 2017 for Aetna's commercial pediatric population

Over 18,000 Managed Lives in 2019

  • Achieved 3.9 STAR Rating in first year or program ($2.08 PMPM)