Anthem Blue Cross Nears 60% Value-Based Care Spend

Anthem reports that 58 percent of its reimbursements are now paid via value-based care models.

Of that spend, over 75 percent represents shared savings agreements and shared savings/risk arrangements, according to Anthem CEO. The payer is now working with over 64,000 providers engaged in Accountable Care Organizations (ACOs) and Patient-Centered Medical Homes (PCMHs) who are accountable for over 5.5 million commercial members.

The health insurer that operates Blue Cross and Blue Shield plans in 14 states, is moving aggressively away from the traditional fee-for-service model because the volume of care approach leads to over treatment and unnecessary medical tests and procedures.

About the author