Anthem Blue Cross and Blue Shield in Missouri announced today that Esse
Health is entering into a patient-centered care agreement with Anthem
that will create an accountable care model to help ensure Anthem members
access to quality health care focused on improved outcomes and lower
Anthem continues to expand its work to support patient-centered care, a
model that will help drive improvements in both the quality of care and
cost of care. Under this new model, Anthem will support the important
clinical care coordination work Esse Health does between traditional
office visits, as well as support the adoption and expansion of
patient-centered care principles within Esse Health. Esse Health will be
eligible to share in savings that are made possible from improved care
coordination, such as reduced duplication of services and more timely
intervention of care.
Under the patient-centered care model, Esse Health will coordinate care
for its patients, work to improve their overall health, and work to
reduce avoidable hospital readmissions and emergency room visits by
helping patients manage chronic disease and prevent illness.
"Esse Health physicians have long supported the concept of the patient
centered medical home," said Mike Castellano, CEO of Esse Health. "We
are pleased to be working with Anthem toward achieving the same goal -
promoting high quality, cost-effective care for those we serve."
"We value the importance of primary care physicians in the care delivery
model. For that reason, we designed our program to empower and
incentivize primary care physicians to manage the overall health of
their patients," said Kate Lichtenberg, D.O., physician director of the
Enhanced Personal Health Care initiative at Anthem Blue Cross and Blue
Shield inMissouri. "We cannot have a sustainable health care system
with traditional fee-for-service payment. This innovative model will
advance payment reform in Missouri, while helping improve the health of
our members, and be a model for all providers and insurers in the state."
Both organizations noted that this effort is yet another element of a
strong collaboration between the entities.
About Anthem Blue Cross and Blue Shield in Missouri
In Missouri (excluding 30 counties in the Kansas City area) Anthem Blue
Cross and Blue Shield is the trade name for 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. 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 Blue
Shield Association. Additional information about Anthem Blue Cross and
Blue Shield in Missouri is available at www.anthem.com.
Also, follow us on Twitter at www.twitter.com/healthjoinin,
on Facebook at www.facebook.com/HealthJoinIn,
or visit our YouTube channel at www.youtube.com/healthjoinin.
About Esse Health
Esse Health is a St. Louis-based, independent physician group that
strives to improve the overall well-being of its patients through
patient education, lifestyle modification and prevention. With 36
locations throughout the St. Louis and Metro East area, Esse Health's
services include asthma, allergy and immunology, family medicine,
internal medicine, nutrition, pediatrics, radiology, urology,
cardiology, rheumatology and gastroenterology. Esse Health is recognized
as a leader in using technology in health care and physician
accountability for both quality and cost of care. For more information
on Esse Health, visit www.essehealth.com.
[ Back To NFVZone's Homepage ]