Anthem Blue Cross And Blue Shield And New Haven Community Medical Group Announce New Agreement To Improve Quality And Decrease The Cost Of Care
New agreement creates incentives to coordinate care, improve outcomes and lower costs
June 14, 2013
WALLINGFORD, Conn. & NEW HAVEN, Conn. - Anthem Blue Cross and Blue Shield and New Haven Community Medical Group announced today that the two organizations have partnered under a patient-centered care agreement that will create an accountable care model to help ensure Anthem members' access to quality health care that is focused on improved outcomes and lower costs.
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 NHCMG's important clinical care coordination work they do between traditional office visits, and will support the adoption and expansion of patient-centered care principles within NHCMG practices. In addition, NHCMG members 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, NHCMG will coordinate care for 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.
"We view this as another positive step toward changing the way health care is delivered," said Joseph L. Quaranta, MD, President of New Haven Community Group. "The concept is to bring community-based physicians and Anthem together all with the same goal - to promote high quality, cost-effective care to those we serve. NHCMG also provides the opportunity for close collaboration between our primary care and specialty physicians to help improve patient care."
"We value the importance of primary care practitioners in the care delivery model. For that reason, we designed our program to empower and incentivize primary care providers to manage the overall health of their patients," said Peter Bowers, MD, Chief Medical Officer, Anthem Blue Cross and Blue Shield. "We cannot have a sustainable health care system with traditional fee-for-service payment. This innovative model will advance payment reform in Connecticut, 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 two entities. Anthem will be collaborating with other primary care groups in the coming months on this type of model.
Anthem Blue Cross and Blue Shield in Connecticut
Anthem Blue Cross and Blue Shield is the trade name of Anthem Health Plans, Inc., an independent licensee of the Blue Cross Blue Shield Association. (R) 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 Connecticut 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.
New Haven Community Medical Group
The New Haven Community Medical Group, Inc. is an integrated network of physicians, podiatrists, dentists and midlevel practitioners, dedicated to providing the communities they serve with appropriate access to care, clinical services excellence and the prudent use of resources. Founded in 1987, New Haven Community Medical Group includes 591 providers in over 200 practices located throughout New Haven County. New Haven Community Medical Group is a Connecticut corporation governed by an elected Physician Board of Directors that is responsible for the governance and management of the company. The goal has been to connect the physician community, build programs to help manage patients more efficiently, develop group recognition, and have a voice in directing the health care delivery system. A number of members are actively involved in specific clinical integration committees including pediatrics, internal medicine, surgery and obstetrics/gynecology. The committee members are focused on developing office based process improvement programs and chronic disease management tools and the group is deeply involved in collaborative efforts to bridge the gap between outpatient care and care delivered during hospitalizations. Information about New Haven Community Medical Group, Inc. is available at www.nhcmg.org.
The Blue Cross and Blue Shield Association is a national federation of 37 independent, community-based and locally-operated Blue Cross and Blue Shield companies that collectively provide healthcare coverage for nearly 105 million members – one-in-three Americans. For more information on the Blue Cross and Blue Shield Association and its member companies, please visit bcbs.com. We encourage you to connect with us on Facebook, check out our videos on YouTube, follow us on Twitter and check out The BCBS Blog, for up-to-date information about BCBSA.