Monthly Archives: January 2013

Amerihealth – Meadowlands Hospital Termination

Over the past year AmeriHealth New Jersey has attempted to renegotiate the terms of the agreement with Meadowlands Hospital Medical Center. Unfortunately, we have not been able to reach an agreement. As a result, AmeriHealth New Jersey provided ninety (90) days advanced written notice of our intent to terminate the contract between Meadowlands Hospital Medical Center and AmeriHealth New Jersey. The termination date will be February 1, 2013. Upon completion of the state mandated four month cooling off period, Meadowlands Hospital Medical Center will be a non-participating provider in the AmeriHealth New Jersey network effective June 1, 2013.

We regret the need to end our long standing business partnership, but our main priority is to assure that our members receive quality health care services at an affordable cost.

The following participating acute care hospitals are within a five mile radius of Meadowlands Hospital Medical Center:

  • Hoboken Hospital Center
  • Christ Hospital
  • Palisades Medical Center
  • Jersey City Medical Center

If you have additional questions, please contact your AmeriHealth New Jersey broker representative.

Horizon BCBSNJ Brief Notes V. 22, No. 897, ValueOptions Award 2014

Horizon BCBSNJ Brief Notes V. 22, No. 897, ValueOptions Awarded Behavioral Health Services Management Contract Effective 2014

Applies to: All Customers with Behavioral Health and Substance Abuse Benefits through Magellan Behavioral Health, Inc.

ValueOptions Inc. Awarded Behavioral Health Services Management Contract Effective 2014

As part of Horizon Blue Cross Blue Shield of New Jersey’s strategy to provide our customers with access to effective and safe care, we recently concluded a rigorous five-month Request for Proposal (RFP) and evaluation process to determine the future direction of our behavioral health services program. As a result of the evaluation, Horizon BCBSNJ has decided to transition its behavioral health services management contract from our current vendor, Magellan Behavioral Health, Inc., to ValueOptions Inc.

On December 28, 2012, we informed Magellan of our decision to move forward with ValueOptions. As a result and as a publicly-held company, Magellan has reported this information to its shareholders and other members of the financial community. Our contract with Magellan will remain in place through the first half of 2014 as we transition to ValueOptions.

ValueOptions, the nation’s largest independent behavioral health care and wellness company, specializes in management for all behavioral health issues, and mental health and chemical dependency diagnoses. Our agreement with ValueOptions supports our commitment to the continued health and well-being of our 3.6 million members.

Please read the following questions and answers to help you respond to your client’s questions.

Q1. When will the transition occur?
A1. Horizon BCBSNJ plans to transition our behavioral health management contract to ValueOptions sometime during the first half of 2014. As preparation work begins in early 2013 with ValueOptions and Magellan, Horizon BCBSNJ will give our customers more detailed transition information.

Q2. Why is this transition occurring?
A2. Horizon BCBSNJ is transitioning our behavioral health management function to ValueOptions because we believe the change will:

  • Improve outcomes through better integration of medical and behavioral health¬†services.
  • Improve health care affordability.
  • Continue to improve the customer experience.

Also see:
Horizon897MagellanValue (Size: 108 Kb )

Aetna- New 2013 FlexBen pricing guide now available

New for 2013

Your FlexBen pricing guide here

We want to share with you the 2013 FlexBen pricing guide for our HRA administration. In the coming year, we will continue to work with Flexible Benefit Service Corporation (FlexBen) to handle your clients’ employee benefits administration.

The 2013 pricing guide includes the various administrative fees for the following:

  • Premium-Only Plan (POP)
  • Health Reimbursement Arrangement (HRA)
  • Flexible Spending Account (FSA)
  • COBRA Services
  • Transit Reimbursement Account

Also see:
2013FlexBenPricing (Size: 130 Kb )