Innovation with proven results: Enhanced Personal Health Care

Enhanced Personal Health Care is Anthem's marquee value-based payment initiative and part of a national collection of programs called Blue Distinction Total Care. Participating Anthem providers are compensated with both up-front care coordination payments and the opportunity to earn shared savings in recognition of high-quality, efficient care. Since its beginnings in 2012, participation has grown to 47,000 Anthem network providers who care for more than 3.8 million Anthem members – a number projected to reach 4.4 million by the end of 2015.

Results from our first year

Anthem examined the cost of care received by members whose providers participated in Enhanced Personal Health Care over a 12-month period, and compared the results to a matched group of Anthem members who saw providers who were not participating in the program. The results in this study reflect care for Anthem members in our affiliated plans in California, Colorado, Ohio, New York and Virginia. This analysis shows the effect the program had on the overall cost of care. Across the five states in which data was available, Anthem found a gross medical savings of $9.51 per attributed member, per month (PaMPM), or about $130 million in savings for the entire set of members attributed to Anthem providers over the period studied