Northern New Jersey | New Jersey | 2018 | Market Overview (Event Driven)

Publish date: November 2018

Big data is transforming patient care in Northern New Jersey. Health systems are affiliating with as many physicians as possible to widen use of electronic health record systems to avoid gaps in care and offer best-practice treatments. Payers, led by Horizon BCBS of New Jersey and UnitedHealthcare, are placing providers in tiers and bundling more payments to maintain tight cost controls. One of the most dynamic developments in Northern New Jersey is payment reform for breast cancer care led by Hackensack Meridian Health, Horizon BCBS of New Jersey, Regional Cancer Care Associates, and oncology data analysis firm Cota. The payer/provider partnership is a model for Medicare bundled payments and could spur more payment innovations that use individualized patient data to match a treatment with a bundled payment. These models offer significant opportunities for pharma companies with new oncology-, cardiovascular-, and pulmonary-related drugs that show better outcomes over an episode of care.