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Outcomes Focused Network
Our Outcomes Focused Network consists of specialists, physical therapy professionals and surgical centers that closely collaborate to deliver medical care to injured workers using evidence-based medical guidelines. The Outcomes Focused Network keeps patients engaged in their medical treatment so that they understand their condition and play an active role in their recovery. The program helps to decrease the use of opioid medications, resulting in faster recovery without the high cost and high risk of addiction.
Delivering Efficiency, Precision and Results
Our services enable workers’ compensation and automobile insurers to achieve excellent financial results. Our medical directors are practicing doctors, and HCS is NCQA-accredited. More than 97 percent of New Jersey hospitals are in our network and our network is directly contracted, not leased. HCS also has an extensive ambulatory surgery network and is contracting with affiliated anesthesia groups.
Automated data analytics
Dedicated account management
Dedicated IT, with fully integrated, proprietary systems
Legal representation of provider contracts and rates
Medical bill processing, tracking, monitoring and payment
Resolution of provider inquiries
Systems and data security under Horizon Blue Cross Blue Shield of New Jersey
Web-based client access
HCS also offers industry-leading services to increase network utilization and efficiency for insurance company nurses and adjusters. These services include:
Appointment scheduling and tracking services
Network participant look-up tool
Extraction of key data elements from medical reports
Medical management through the Outcomes Focused Network participants
Treatment/return-to-work tracking within specific diagnosis and associated national medical guidelines
This website is operated by Horizon Blue Cross Blue Shield of New Jersey and is not the Health Insurance Marketplace website. This website does not display all Qualified Health Plans available through the Health Insurance Marketplace website. To see all available Qualified Health Plan options, go to the Health Insurance Marketplace website at HealthCare.gov.
Some pages of our website may include links to others that we do not own, control or influence. We refer to external websites that we think might be useful to you, but we are not liable for their content or privacy practices. Information contained in those websites is not endorsed by Horizon BCBSNJ.
Services and products may be provided through Horizon Blue Cross Blue Shield of New Jersey, Horizon Healthcare of New Jersey, Inc., Horizon Healthcare Dental, Inc., Horizon Casualty Services, Inc., or Horizon NJ Health*, a product of Horizon HMO, each of which is an independent licensee of the Blue Cross and Blue Shield Association.