« This agreement is based on the shared goal of improving care and reducing costs for the parishioners we serve, » said Mary Boosalis, President and CEO of Premier Health. « By working with Anthem BlueCross and Blue Shield, with a focus on member/patient health and not just the economy, we are confident that this will benefit the entire community. » The agreement is in line with the Prime Minister`s public health model and is based on Anthem`s enhanced Personal Health Care model, which provides value-based compensation based on quality measures and common savings through better health. The new agreement includes Employer-based Anthem members, individuals, and Medicare Advantage. Anthem is Ohio`s largest commercial health insurer, with nearly four million members throughout the state. The new contract provides Anthem members with interconnected access to care provided in marine care facilities and its affiliated physicians, and protects consumer affordability, according to the joint statement. The new agreement applies to Anthem Blue Cross consumers who participate in HMO and PPO plans. « We are pleased to have reached an agreement with Anthem Blue Cross, » said MarinHealth CEO Dr. David Klein, who took the reins on September 1 of Lee Domanico, who retired on August 31 after 10 years at the helm of MarinHealth. « Access to quality services for our community was and remains our top priority. With this new agreement, patients with Anthem Blue Cross can continue to rely on MarinHealth to take care of their healthcare. After negotiations failed in May 2019, NorthBay Healthcare and Anthem agreed on a new three-year contract signed two months later in August. The deal brought both NorthBay Medical Center and NorthBay`s VacaValley Hospital back into the network and retained NorthBay doctors and specialists. « Our members have remained our top priority as we have worked hard and in good faith to find common ground and reach an agreement that contributes to greater affordability, » said Beth Andersen, President of Anthem Blue Cross.
MarinHealth had informed Anthem in March of its intention to terminate the hospital contract if no agreement had been reached by September 15, Anthem said last week. DAYTON – Premier Health, Anthem Blue Cross and Blue Shield in Ohio have partnered to deliver value-driven healthcare in the Miami Valley. Value-based health care, a fast-growing national model for health care delivery and compensation, focuses the health care system on the practice of family physicians. Anthem`s model provides improved data and analytics for healthcare providers to more effectively coordinate patient care, focus on preventive health, manage chronic disease, and reduce overall costs. Anthem Blue Cross and Blue Shield are the trade name of the Community Insurance Company, an independent licensee of the Blue Cross Blue Shield Association….