Horizon Blue Cross Wins Round On Controversial Tiered Insurance Plan

From NJ Spotlight, June 7, 2016:

In a decision that supporters said could benefit patients and those paying for their healthcare far into the future, a New Jersey judge upheld the state’s approval process for the controversial OMNIA insurance plan introduced last year by Horizon Blue Cross Blue Shield.

Ray Castro, a healthcare expert with the liberal-leaning New Jersey Policy Perspective, would prefer to see the focus move from the courts to the actual meat of the issue: How value-based tiered plans like this can better help patients and control costs. As Judge Haas wrote, this is the purview of elected officials who are working on several measures that would further regulate how tiered plans like OMNIA are created. At least a half dozen bills on tiered health insurance, with versions in both houses, are under consideration this session.

“I’d like to think this is the end of the litigation, and maybe there’ll be a lot more substantive discussion about real policy issues,” Castro said. “I think it’s legitimate that the Legislature revisit and review this issue.”