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Enhanced Personal Health Care

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Anthem is changing its relationship with providers so that we reward value rather than volume. This will also mean change for our members and employer customers. Based on the results of our Enhanced Personal Health Care pilots, we believe that change will be for the better. We’ve gathered frequently-asked questions and more information about our approach on this page, and we’ll update it as our work continues.  
We want to make sure you understand what is driving our Enhanced Personal Health Care initiative, why it’s so important, and how it affects you. If your question isn’t answered here, contact your broker or Anthem Representative.  
View our brief videos demonstrating our patient-centered approach and how it will provide a tangible benefit to you and your employees by addressing the current system’s shortcomings, lowering health care costs and increasing quality and productivity.  
View our brief video promoting our Enhanced Personal Health Care initiative. The video showcases the model and the value it brings to members and providers.
The new Enhanced Personal Health Care transformation video features primary care physicians sharing their thoughts and experience about our collaborative partnership in primary care. The video also features our organizations executives providing their perspective on this important transformation effort.
 
Laying a Foundation: Patient-centered Primary Care Overview for ASO employer groups
Patient-centered care FAQ’s for ASO employer groups
 
Published Industry Studies  
There is a great deal of evidence supporting our shift to patient-centered care and value-based contracting, improving results from our pilot programs: 
Innovation Profile - Early Results Show WellPoint's Patient-Centered Medical Home Pilots Have Met Some Goals for Costs, Utilization, and Quality

Primary care must be reengineered to improve outcomes and affordability. This piece shares how WellPoint has invested in ten patient centered medical home pilots encourage care coordination, preventive care and shared decision making.

Anthem's Patient-Centered Care Approach - Patient Centered, Value Based Care Delivery

This Anthem produced informational document shares how Anthem is committed to supporting, driving and accelerating the necessary improvements to our current system. Our goal is to move to an optimal, sustainable state that strives to improve consumer experience, access and affordability by implementing a patient-centered care approach.

Best Care at Lower Cost: The Path to Continuously Learning Health Care in America

A report from the Institute of Medicine explains why achieving higher quality of care at a lower cost will require commitments to the incentives, culture and leadership fostering this change.

Waste and Inefficiency in the U.S. Health Care System

A comprehensive analysis from the New England Healthcare Institute in support of system-wide improvements by defining waste and suggestions for improving inefficiencies.

The Patient-centered Medical Home

A report from Robert Graham Center, a center for policy studies in Family Medicine and Primary Care, regarding the history, seven core features, evidence and transformational change around the patient-centered medical home model. It describes the opportunity to align physicians and patients, models for improving care and the private and public payment systems necessary to transform the health care system.

 
Media and Press Releases  
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Anthem Blue Cross and Blue Shield is the trade name of: In Colorado Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc. In Connecticut: Anthem Health Plans, Inc. In Indiana: Anthem Insurance Companies, Inc. In Kentucky: Anthem Health Plans of Kentucky, Inc. In Maine: Anthem Health Plans of Maine, Inc. In Missouri (excluding 30 counties in the Kansas City area): RightCHOICE® Managed Care, Inc. (RIT), Healthy Alliance® Life Insurance Company (HALIC), and HMO Missouri, Inc. RIT and certain affiliates administer non-HMO benefits underwritten by HALIC and HMO benefits underwritten by HMO Missouri, Inc. RIT and certain affiliates only provide administrative services for self-funded plans and do not underwrite benefits. In Nevada: Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc., dba HMO Nevada. In New Hampshire: Anthem Health Plans of New Hampshire, Inc. In Ohio: Community Insurance Com pany. In Virginia: Anthem Health Plans of Virginia, Inc. trades as Anthem Blue Cross and Blue Shield in Virginia, and its service area is all of Virginia except for the City of Fairfax, the Town of Vienna, and the area east of State Route 123. In Wisconsin: Blue Cross Blue Shield of Wisconsin ("BCBSWi"), which underwrites or administers the PPO and indemnity policies; Compcare Health Services Insurance Corporation ("Compcare"), which underwrites or administers the HMO policies; and Compcare and BCBSWi collectively, which underwrite or administer the POS policies. Independent licensees of the Blue Cross and Blue Shield Association. ® ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association. Use of the Anthem Web sites constitutes your agreement with our Terms of Use