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State health insurance plan overpaid hospitals: Bloomberg


New Jersey's state employee health plan, managed by Horizon Blue Cross Blue Shield of New Jersey, has paid millions over what providers charged, according to Becker’s Payer Issues. Bloomberg, which first reported the overpayments, obtained open records showing the state sometimes paid hundreds of thousands of dollars over what hospitals charged for a single hospital stay. In one case, a hospital billed $674,856 for a patient's hospital stay, but the state's health plan paid over $2 million to the provider.

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