Two state senators are calling on New Jersey’s attorney general to investigate the state’s largest health insurer’s new health benefits system.
Democratic Senators Nia Gill and Joseph Vitale said Monday the state should establish a permanent oversight mechanism over Horizon’s new OMNIA Alliance.
Gill and Vitale also say Horizon misrepresented the makeup of its OMNIA Alliance and did not disclose all participating providers in the so-called tiered system.
The system includes seven health networks, plus Horizon, which has almost 4 million members.
Horizon calls the alliance a first of its kind and says the current system generally treats patients after they’re sick resulting in higher costs. Horizon says the alliance aims at keeping people healthy and lowering costs.
Lawmakers worry the alliance could hurt some hospitals and compromise patient care.