{"id":188072,"date":"2025-12-16T19:40:08","date_gmt":"2025-12-16T19:40:08","guid":{"rendered":"https:\/\/www.newsbeep.com\/il\/188072\/"},"modified":"2025-12-16T19:40:08","modified_gmt":"2025-12-16T19:40:08","slug":"2-n-j-hospitals-to-leave-horizon-network-in-2026","status":"publish","type":"post","link":"https:\/\/www.newsbeep.com\/il\/188072\/","title":{"rendered":"2 N.J. hospitals to leave Horizon network in 2026"},"content":{"rendered":"<p class=\"article__paragraph article__paragraph--left\" id=\"OOTDU3M56NDPXEXLZWP6VCH2C4\">Thousands of New Jersey patients may need to reconsider their health care options in light of a major insurance coverage shake-up. <\/p>\n<p class=\"article__paragraph article__paragraph--left\" id=\"TIZGW7ROEBCNHBS3JSVIOTZR34\">Horizon Blue Cross Blue Shield of New Jersey recently announced that two hospitals part of the St. Joseph\u2019s Health system are set to leave the network. <\/p>\n<p class=\"article__paragraph article__paragraph--left\" id=\"FH2HDRYMGRCB7IEWDQKN6M76MA\">Effective March 1, 2026, St. Joseph\u2019s University Medical Center in Paterson and St. Joseph\u2019s Wayne Medical Center in Wayne will no longer be part of the Horizon Hospital Network, according to Horizon\u2019s Nov. 20 <a href=\"https:\/\/www.horizonnjhealth.com\/for-providers\/news\/updates-and-announcements\/st-josephs-health-hospitals-to-leave-our-network\" target=\"_blank\" rel=\"noreferrer nofollow noopener\" title=\"https:\/\/www.horizonnjhealth.com\/for-providers\/news\/updates-and-announcements\/st-josephs-health-hospitals-to-leave-our-network\">press release<\/a>. <\/p>\n<p class=\"article__paragraph article__paragraph--left\" id=\"64ZIDSCHTBDVZJMT5XB2XNO3JM\">\u201cHorizon has been working to reach an agreement with St. Joseph\u2019s Health (St. Joseph\u2019s) hospitals to stay in the Horizon Hospital Network. Unfortunately, we have not reached an agreement,\u201d the press release states. <\/p>\n<p class=\"article__paragraph article__paragraph--left\" id=\"NXV5R3B5PZF7LJ6AKRGBGIBGYQ\">Issues with insurance reimbursement appear to be the key sticking point in negotiations, according to a <a href=\"https:\/\/stjosephshealth.org\/newsroom\/horizon-blue-cross-blue-shield-of-new-jersey-members-frequently-asked-questions\/\" target=\"_blank\" rel=\"nofollow noopener\" title=\"https:\/\/stjosephshealth.org\/newsroom\/horizon-blue-cross-blue-shield-of-new-jersey-members-frequently-asked-questions\/\">Q&amp;A page<\/a> about the decision on St. Joseph\u2019s website. <\/p>\n<p class=\"article__paragraph article__paragraph--left\" id=\"ICDPB57UTJF2VPQNMSXCIER6FI\">\u201cUnfortunately, Horizon\u2019s current reimbursements to St. Joseph\u2019s Health have not kept up with inflation and are overwhelmingly inadequate to account for the cost of providing safe and quality care,\u201d the page states. <\/p>\n<p class=\"article__paragraph article__paragraph--left\" id=\"IJNOL7P4VZAPVKLBOFFYLZ47B4\">Although St. Joseph\u2019s Health has notified Horizon that they intend to leave the network, Horizon Spokesman Thomas Wilson said the two parties \u201chave a long and positive relationship\u201d and \u201care still working together to reach an agreement.\u201d<\/p>\n<p class=\"article__paragraph article__paragraph--left\" id=\"ICHKIB76E5FWZJ7RAZLHO5GHS4\">However, if they can\u2019t reach an agreement, then St. Joseph\u2019s Health will be out of network with Horizon starting March 1, 2026. The decision impacts both doctors\u2019 offices and hospitals. <\/p>\n<p class=\"article__paragraph article__paragraph--left\" id=\"6HV5SPPM7BBOHPVJBOJ2UHSSDU\">The move could affect nearly 100,000 patients that have used St. Joseph\u2019s facilities or received services from St. Joseph\u2019s Health Medical Group providers over the past 18 months.<\/p>\n<p class=\"article__paragraph article__paragraph--left\" id=\"6HBGA3B5MFGGLNTT3HAWZLQ5MM\">St. Joseph\u2019s Health is advising patients to explore their insurance options to ensure that they can continue to see trusted providers and avoid any disruption in care. It remains in network with the following commercial insurance companies:<\/p>\n<p>United HealthcareAetnaAmeriHealthFidelis CareClover HealthWellPoint<\/p>\n<p class=\"article__paragraph article__paragraph--left\" id=\"RD5C6DTGM5ECNK73AMHDX56USU\">St. Joseph\u2019s Health is comprised of: St. Joseph\u2019s University Medical Center\/St. Joseph\u2019s Children\u2019s Hospital; St. Joseph\u2019s Wayne Medical Center, an acute care community hospital in Wayne; St. Joseph\u2019s Healthcare and Rehab Center, a long-term residential facility in Cedar Grove; Visiting Health Services of New Jersey, based in Totowa; and outpatient facilities located across northern New Jersey. <\/p>\n","protected":false},"excerpt":{"rendered":"Thousands of New Jersey patients may need to reconsider their health care options in light of a major&hellip;\n","protected":false},"author":2,"featured_media":188073,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[34],"tags":[163,521,85,46],"class_list":{"0":"post-188072","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-healthcare","8":"tag-health","9":"tag-healthcare","10":"tag-il","11":"tag-israel"},"_links":{"self":[{"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/posts\/188072","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/comments?post=188072"}],"version-history":[{"count":0,"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/posts\/188072\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/media\/188073"}],"wp:attachment":[{"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/media?parent=188072"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/categories?post=188072"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/tags?post=188072"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}