Anthem Blue Cross and Blue Defend in Virginia has partnered with Aledade, a community of unbiased main care practices, to enhance entry to value-based main look after Medicaid members, the businesses introduced final week.

Bethesda, Maryland-based Aledade helps unbiased practices, well being facilities and clinics interact in value-based care via knowledge insights, coverage experience and contracting assist. It really works with greater than 1,500 practices and neighborhood well being facilities throughout 46 states and the District of Columbia. 

By means of the partnership, Anthem’s Medicaid members could have higher entry to main and preventive care, together with well being screenings. Aledade and Anthem started working collectively final yr with the insurer’s Medicare Benefit and commercially insured members. The partnership allows Aledade to carry value-based care — through which clinicians are paid based mostly on the standard of care they ship versus the quantity of care they supply — to greater than 80 practices, 15 well being facilities and 25 rural well being clinics in Anthem’s community throughout Virginia. Greater than 150,000 Anthem members are affected by this partnership.

“America stands aside in its underinvestment in main care, and lots of of Virginia’s rural areas are federally designated Well being Skilled Scarcity Areas (HPSAs) for main care,” stated Ananya Banerjee, Aledade’s chief industrial officer, in an electronic mail. “By means of value-based care, practices can hold folks wholesome and generate financial savings that permit them to develop their companies.”

Within the value-based settlement, Aledade is concentrated on serving to sufferers obtain preventive care and screenings and handle persistent circumstances and medicines, Banerjee added.

Anthem is already seeing enhancements via its partnership with Aledade, stated Monica Schmude, president of Anthem Blue Cross and Blue Defend in Virginia.

“We’re already starting to reap the advantages from this partnership seeing rural well being clinics develop entry and provide extra preventive care,” Schmude stated in a press release. “These physicians are in a position to focus solely on higher well being outcomes for our members, making a crucial distinction within the well being of our communities.”

By working with Anthem, Aledade in the end goals to “assist extra unbiased main care practices all through Virginia of their efforts to enhance look after all of their sufferers, no matter their insurance coverage protection. This partnership permits us to supply higher knowledgeable, extra accessible, extra engaged and extra accountable main care to 150,000 Anthem members in Virginia throughout all traces of enterprise,” Banerjee stated.

The partnership follows a number of different partnerships Aledade has introduced with insurers this yr, together with one with CareFirst BlueCross BlueShield and a 10-year settlement with Humana.

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