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Patient-Centered Primary Care Program

Enhanced Personal Health Care is our centerpiece value-based, patient-centered care program and an important part of Anthem Togetherworks, our name for our provider collaboration work.  
You may sometimes see this program referred to as “Blue Distinction Total Care.” This is the name that some employers, notably those with employees across many states, use to refer to the collection of patient-centered, value-based payment programs that Blue Cross and Blue Shield plans across the country sponsor. For that reason, some of your patients may know the program as Blue Distinction Total Care.  
What’s behind our program? Enhanced Personal Health Care was designed carefully, based on pilot programs we sponsored on the leading edge of the patient-centered care movement. It is designed to be a complete package, including financial incentives and value-based compensation, but also provides support for making changes to the delivery system that drive better care. This support comes in the form of meaningful information, clinical insights, analysis and administrative advice from local staff who are committed to the success of our provider partners.  
The payment, information and support we offer are meant to support important changes for participating practices. Each program element supports these key elements of patient-centered care: expanded access, shared decision making, proactive health management, coordinated care delivery, adherence to evidence based guidelines and care planning built around the needs of the individual patient.  
Millions of our members already have benefitted from high-quality, patient-centered care delivered by Enhanced Personal Health Care providers. As our offerings under Anthem Togetherworks expand, Enhanced Personal Health Care remains a solid foundation for our collaborations with doctors and hospitals across the health care system.  
Program Description  
For a more complete description of the Program, access the Program Description via the following links: 
Program Description modified 1/1/2017 – Program Description for the Enhanced Personal Health Care Program  
Program Description modified 7/1/2016 – Program Description for the Enhanced Personal Health Care Program  
For a comprehensive description of the quality and utilization measures and how they are scored, access an example of the Commercial Measurement Period Handbook. If your organization participates in the Program, a copy of the Measurement Period Handbook that is specific to your Measurement Period will be distributed to your practice approximately 90 days prior to the start of the Measurement Period. 
Program Topics  
To learn more about specific Program topics, access these links below:  
Medical Panels
Patient Centered Specialty Care Program Pilot
Program Resources 
Additional resources to assist in transforming your practice for the Program.  
Live webinars, valuable Triple Aim Learning Opportunities, the Practice Essentials curriculum, and our extensive on-demand recording library. 
For more information, e-mail us at VAEPHC@anthem.com.  
In your e-mail, include your name, practice name, tax ID and phone number with area code.  
©2005-2017 copyright of Anthem Insurance Companies, Inc.

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