The first step in helping our members become healthy is recognizing the conditions that affect their health. At Horizon BCBSNJ, we are addressing barriers in communities—social determinants of health—that impact access to health care resources and affect health outcomes. Housing, affordable healthy food and access to reliable transportation are just some of the factors that make it challenging for people to get the care they need.
“Our Community Health initiatives give us the ability to address those things that frequently fall out of the scope of traditional health care. This includes concerns like food insecurity, housing, childcare and social isolation, to name a few. We’re starting to intervene and mitigate some of those concerns to improve the health of our members. When we link people with care coordinators, personal health assistants and community health workers that mirror the communities that we serve, we reduce barriers, and impact the health and overall well-being of our members and communities.”
Director, Clinical Design, Community Health
Our Community Health model brings together the payer, health care professional and community resources to significantly reduce cost, increase access to care and improve the patient's health. This model also features a non-clinical support team to intervene on critical elements which currently fall outside of traditional health care. A specialized team works with members through high-touch and face-to-face encounters that:
- Link members to community resources to address barriers to care.
- Help members navigate the health care system by promoting preventive care and care for chronic conditions.
- Educate members on their health plan's benefits, with a focus on appropriate care.
- Help members set goals that empower them to take charge of their health.