Fragmentation of the care delivery system is widely recognized as a cause of missed opportunities to treat both acute and chronic conditions. Coordination of care among physicians and other practitioners is seen as an essential part of improved quality. Anthem is partnering with well-established medical groups in California to direct their extensive clinical resources into helping the PPO members who seek care with these groups.

Each medical group is provided member-level data by Anthem so they can intervene with the sickest PPO members to provide more coordinated care. In addition to the information, Anthem pays each participating group a care coordination fee, which helps fund the additional clinical coordination and care. Because each medical group’s patient population is unique, each group is empowered to determine what steps are appropriate for their patients.


TO READ THE FULL ARTICLE…

This article is premium content and requires a subscription. If you have a subscription, then please here. If you do not have a subscription, you may purchase one below.

Best Offer: 2-Year Premium

$144.97/Every 2 Years

Get 2-Year Premium
  • 12 bimonthly print issues (accessible in PDF, Nook, Kindle, Apple Library, or digital formats) to The Remington Report
  • Full access to the remingtonreport.com
  • Access to back issues of The Remington Report
  • Download access to the articles archives
  • MarketScan reports
  • Latest news from across the continuum
  • Exclusive premium subscription articles and case studies
  • FutureFocus e-newsletter
  • TrendLens e-newsletter

1-Year Classic

$74.97/Every 1 Year

Get 1-Year Classic
  • 6 bimonthly print issues (accessible in PDF, Nook, Kindle, Apple Library, or digital formats) to The Remington Report
  • Full access to remingtonreport.com.
  • Access to back issues of the Remington Report
  • Download access to the articles archives
  • MarketScan reports
  • Latest news from across the continuum
  • Exclusive premium subscription articles and case studies
  • FutureFocus e-newsletter
  • TrendLens e-newsletter