New Jersey’s largest health plan transforms the member experience
Health Plans

Simplifying value-based care with the Theon® platform

December 8, 2020
New Jersey’s largest health plan transforms the member experience.
Director, Client Success

Horizon Healthcare Services, Inc. (Horizon) is transforming healthcare in New Jersey by working with doctors and hospitals to deliver innovative, patient-centered programs that reward the quality, not quantity, of care patients receive. In 2016, Horizon introduced its OMNIA Health Plans, designed as a value-based healthcare option with high-quality care at lower costs.

Horizon Healthcare Services

To better serve its mission of empowering its members, Horizon selected Geneia to accelerate member-centric healthcare. Horizon chose the Theon® Platform for Population Analytics delivered through Salesforce® Health Cloud to support its population health management strategy and help members achieve their best health.

Horizon’s and Geneia’s missions are well aligned. Geneia’s mission is centered on our commitment to help customers achieve meaningful patient-centered care and improve healthcare. Client success is at the heart of this. At Geneia, we strive to become a strategic partner and foster the delivery of customer success in many ways. Two ways that we do this is by becoming a trusted advisor for our clients and by knowing their business inside and out. Over the past year, teams across Geneia have built strong and enduring relationships with the Horizon team. Together, we’ve identified collaboration opportunities and created initiatives that enable Horizon to gain greater member insights through Geneia’s healthcare analytics. Through this partnership, we are positioned to achieve mutually-beneficial outcomes that advance each of our growth strategies.

Horizon’s mission of leading with strength, integrity and innovation to generate substantial improvements in healthcare quality performance, affordability and member experience is evident. Through the Horizon team’s high level of engagement, resource allocation and collaboration, together we are continually surfacing new ideas to better manage population health for the benefit of their members and providers. As an example, our teams are successfully working on several innovative projects to enhance Geneia’s data analytics leveraging clinical data. The results show that Horizon and provider partner care managers are able to access better quality and cost-of-care insights about the highest-risk members and do so more quickly.

Benefits of Geneia's combined solution for Horizon

Some of the benefits Horizon gained from the combined solution are:

  • Identification of gaps in care for high-risk members
  • Prioritized quality-measure reporting, actions and shared risk
  • A 360-degree longitudinal patient view
  • Improved patient satisfaction

To dive into how Horizon put value-based care into practice and the results, I invite you to download the case study Simplifying Value Based Care with the Theon® Platform.