DAYTON, Ohio--(BUSINESS WIRE)--Premier Health and Anthem Blue Cross and Blue Shield in Ohio have teamed up to offer value-based health care in the Miami Valley. Value-based health care, a fast-growing national model for care delivery and payment, centers the health care delivery system on primary care physician practices. Anthem’s model arms health care providers with enhanced data and analytics to more effectively coordinate patient care, focus on preventive health, manage chronic disease and lower overall costs.
The agreement aligns with Premier’s population health model and is built on Anthem’s Enhanced Personal Health Care model that provides for value-based compensation based on quality measures and shared savings through better health. The new arrangement includes Anthem employer-based, individual and Medicare Advantage members. Anthem is Ohio’s largest commercial health insurer with nearly four million members statewide.
“This agreement is based on a mutual goal to improve care and lower costs for the community members we serve,” said Mary Boosalis, president and CEO of Premier Health. “By working collaboratively with Anthem BlueCross and Blue Shield, with a focus on member/patient health rather than economics alone, we are confident that this will benefit the entire community.”
Premier Health is the largest health system in Southwest Ohio and features four member hospitals, along with affiliate partners, such as a large primary care and specialty physician network, community health, home health, and behavioral health partners. Patients and their families are served by over 14,000 employees and nearly 2,600 physicians in more than 70 specialties. Premier offers over 100 access points that provide services across the region.
Anthem’s Enhanced Personal Health Care model incentivizes Premier Health doctors for lowering costs while meeting quality measures set by the National Committee on Quality Assurance and recognized medical associations such as the American Diabetes Association, American Academy of Pediatrics and others. Both organizations will collect and analyze data on quality, costs and utilization allowing them to identify opportunities to improve care and lower costs.
“The shift toward a U.S. health care model that focuses on quality of care rather than volume of care is the foundation for improving care and reducing costs,” explained Anthem Blue Cross and Blue Shield in Ohio President Steve Martenet. “Premier Health is one of the country’s most integrated and technologically advanced health systems - and a perfect partner for this kind of highly collaborative care model.”
About Premier Health
Based in Dayton, Ohio, Premier Health (www.premierhealth.com) has a mission to improve the health of the communities it serves. The health system operates four hospitals: Miami Valley Hospital with an additional site at Miami Valley Hospital South; Good Samaritan Hospital-Dayton; Atrium Medical Center; and Upper Valley Medical Center. In addition, the health system offers a large primary and specialty care network, as well as home health services. The health system is the second largest employer in the Dayton region and is the largest health care system in Southwest Ohio.
About Anthem Blue Cross and Blue Shield in Ohio
Anthem Blue Cross and Blue Shield is the trade name of Community Insurance Company, an independent licensee of the Blue Cross 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 and Blue Shield Association. Additional information about Anthem Blue Cross and Blue Shield in Ohio is available at www.anthem.com. Also, follow us on Twitter at www.twitter.com/anthemBCBS_News.com, on Facebook at www.facebook.com/AskAnthem, or visit our YouTube channel at www.youtube.com/AskAnthem
