AmeriHealth Advantage Expands into Six Northern New Jersey Counties with the Addition of RWJBarnabas to Tier 1

On Oct 16, 2017

AmeriHealth New Jersey announced that RWJBarnabas Health will join tier 1 in AmeriHealth Advantage, expanding the plan’s reach to six additional counties in Northern New Jersey, effective January 1, 2018. AmeriHealth Advantage will be available for individual members and group customers based in the following counties statewide: Atlantic, Burlington, Camden, Cape May, Essex, Gloucester, Hudson, Mercer, Middlesex, Monmouth, Ocean, Somerset, and Union County.

“Welcoming RWJBarnabas Health, one of the most comprehensive health systems in the state, is a significant enhancement to our network,” said Ken Kobylowski, senior vice president of provider contracting and network operations.  “This new partnership nearly doubles the county reach of AmeriHealth Advantage, which has consistently been our most popular offering.”

AmeriHealth Advantage members will now experience an enhanced benefit—lower co-pays and out-of-pocket costs—when they obtain services from RWJBarnabas Health’s Physician Enterprise and RWJBarnabas Health’s acute care hospitals.

“RWJBarnabas Health is pleased to join tier 1 in AmeriHealth Advantage, providing its members with increased opportunities to receive outstanding care at our leading medical centers and wide range of ancillary facilities,” stated John Doll, chief financial officer, RWJBarnabas Health. “Our 9,000 physicians and 33,000 employees are committed to providing the highest quality care to our patients and we look forward to offering the finest care to all AmeriHealth members.”

AmeriHealth New Jersey pioneered the use of tiered networks for consumers in the state in 2013 with its first hospital partner. Over the past five years the success of this model, which establishes a more collaborative relationship between a payer and a provider, has enabled the company to expand AmeriHealth Advantage from three to 13 counties as its list of tier 1 hospital partners continues to grow.

RWJBarnabas will also be tier 1 for AmeriHealth New Jersey’s Tier 1 Advantage plans, available in 20 out of 21 counties.

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