Anthem Blue Cross of California
A subsidiary of Anthem Inc., Anthem Blue Cross of California is one of the largest managed health care companies in California. It is an independent licensee of the Blue Cross Blue Shield Association based in Thousand Oaks, Calif. Anthem serves 28 percent of Covered California enrollees in regions statewide.
Anthem has strengthened partnerships with many physicians, including hundreds in rural areas such as Monterey County and areas of Covered California pricing region 1, such as Amador, Humboldt, Shasta, Butte and Sutter counties. Overall, Anthem has added provider groups that encompass more than 11,000 physicians.
Anthem has teams of nurses to assist with specialized health care needs, including chronic conditions like diabetes, coronary artery disease, congestive heart failure, chronic obstructive pulmonary disease and asthma, as well as complex conditions such as end-stage kidney disease and multiple sclerosis.
Future Moms program
Anthem’s Future Moms program helps members have the healthiest pregnancy possible and provides a 24-hour telephone access to obstetric nurses for questions. Members who participated in the Future Moms program visited the emergency room 30 percent less than non-participants, and babies born to Future Moms participants spent 25 percent less time in the neonatal intensive care unit (NICU), resulting in a 50 percent reduction in NICU costs.
Access to clinicians through telehealth
Anthem’s LiveHealth Online telehealth program gives members access to real-time, face-to-face visits with a choice of doctors across a range of specialties via computer, tablet or mobile phone 24 hours a day.
Promotion of integrated care
Anthem is working with doctors and hospitals that share responsibility for increasing access to appointments, improving the member experience and providing a more coordinated treatment plan to patients. Anthem’s Enhanced Personal Health Care Program has been established to direct quality and cost improvements among preferred provider organization (PPO) membership. More than 20 medical groups serving more than 600,000 Anthem members are already participating in this program. Leveraging the medical group’s care capabilities and Anthem staff, the program is driving improvements in quality and reduced costs. Cost savings are then used to further improve care management programs.