Anthem Blue Cross ACO Initiative

Anthem Blue Cross has expanded its ACO model and network with the introduction of a program focused on enhanced care coordination in collaboration with well organized, high quality provider organizations in California. This program is specifically designed to help improve the health of members affected by chronic conditions and improve the value of the care delivered. The new program will be available to fully insured PPO members at no additional cost, with self-funded offerings to follow. Anthem's program focuses on enhanced care coordination by emphasizing coordinated, evidenced-based care delivered by a health care team focused on members who suffer from multiple chronic conditions such as diabetes, asthma, high blood pressure as well as heart and joint diseases.

Members will have access to a personalized health team which includes a physician, a registered nurse and other healthcare practitioners as needed. Together, the team will coordinate a member’s care based on their unique needs and will help guide them through the most effective and efficient care possible by eliminating duplicative procedures, providing reminders for follow-up examinations and immunizations and managing emergency room and hospitalization follow up. Anthem has 14 ACOs offering enhanced care coordination to members across California. The program sharpened its focus to those with two or more chronic diseases – the population that research shows can most effectively be helped by coordinated care.