In a move away from traditional fee-for-service (FFS) reimbursements to value-based incentives, Anthem Blue Cross and seven top hospital systems have partnered to offer Anthem Blue Cross Vivity, an integrated health system, according to Anthem Blue Cross.
The Vivity model financially rewards activities to keep patients healthy, as opposed to FFS models that may incentivize increasing the volume of medical procedures performed by providers, officials say.
The seven hospital systems, all of which rank in the top 30 in Los Angeles and Orange counties by U.S. News & World Report, are: Cedars-Sinai, Good Samaritan Hospital, Huntington Memorial Hospital, MemorialCare Health System, PIH Health, Torrance Memorial Medical Center and UCLA Health System.
Common electronic medical records systems (EMR), shared care management systems, and joint wellness resources, among other things, will facilitate longer term value through efficiency and effectiveness.
Benefits of the partnership include the following:
- Anthem Blue Cross Vivity provides members with access to a wide network of primary care doctors, specialists and hospitals.
- Vivity members are just responsible for co-pays, whether they are having a medical procedure or picking up a prescription.
This model is the first such partnership in the nation between an insurer and seven competing hospital systems that will align to enhance the health of all Anthem Blue Cross Vivity members and also share financial risk and gain, officials say.
The name Vivity is coined from vivify, a verb meaning “to enliven or animate.” The name’s root in the Latin vivere, “to live,” highlights what Vivity is about: impacting the lives of Southern Californians by giving them access to the high quality care, choice and control, officials say.
Source: Anthem Blue Cross, September 2014
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