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

Bethesda, Maryland-based Aledade helps impartial practices, well being facilities and clinics have interaction in value-based care by way of knowledge insights, coverage experience and contracting help. 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 can 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 deliver value-based care — during which clinicians are paid primarily based on the standard of care they ship versus the amount 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.

“The US 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,” mentioned Ananya Banerjee, Aledade’s chief industrial officer, in an e-mail. “By means of value-based care, practices can preserve folks wholesome and generate financial savings that permit them to increase their companies.”

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

Anthem is already seeing enhancements by way of its partnership with Aledade, mentioned Monica Schmude, president of Anthem Blue Cross and Blue Protect in Virginia.

“We’re already starting to reap the advantages from this partnership seeing rural well being clinics increase entry and provide extra preventive care,” Schmude mentioned in an announcement. “These physicians are in a position to focus completely on higher well being outcomes for our members, making a vital distinction within the well being of our communities.”

By working with Anthem, Aledade finally goals to “help extra impartial main care practices all through Virginia of their efforts to enhance take care of 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 mentioned.

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.

Picture: metamorworks, Getty Photos