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Anthem's ACO Pilot Program Expands North with SCCIPA

Oct 24, 2011

Santa Clara County Individual Practice Association (SCCIPA) has joined our Accountable Care Organization (ACO) program.  Anthem believes SCCIPA’s participation in this exciting health care program will benefit Anthem Blue Cross and Anthem Blue Cross Life and Health Insurance Company members in the Silicon Valley.

Certain members will soon receive letters to notify them that they've been selected to become part of a pilot program in Anthem's Accountable Care Organization (ACO). These members will not only continue to receive all the same benefits of their Anthem PPO plan - but they will also enjoy additional support and services at no additional cost.

This ACO is a new approach to the members' current PPO plans. Anthem Blue Cross and HealthCare Partners were chosen by the Engleberg Center for Health Care Reform at Brookings and the Dartmouth Institute for Health Policy and Clinical Practice to participate in this innovative, nationally recognized health care model. While not part of the demonstration project, SCCIPA, Sharp Rees-Stealy Medical Group, Sharp Community Medical Group, and Graybill Medical Group are also offering their own ACO pilot programs with Anthem Blue Cross. 

Members will experience a new level of coordination of care. The ACO works by focusing health care resources and efforts on high-quality care and better member health. In practical terms, this approach gives the health care team more flexibility in treating medical conditions, more opportunities to work with members on preventive care, and more incentives to help members stay healthy. 

Here are some examples of the types of changes members will notice: 

Taking advantage of these services is easy. The selected members are already patients of doctors affiliated with SCCIPA, so members simply choose to continue receiving their care from a SCCIPA doctor. For most of the selected members, it's the doctor they already see. Everything else is automatic. 

Please read the member letters and FAQs to get all the details of what the program entails, how members were selected, how the ACO works, and how it will be communicated to members and their employers. For answers to additional questions or further information, please contact your Sales or Account Representative.

Everyone is excited about this innovative new approach to health care delivery, and eager to work together to improve patients' health and their health care experience. 

To view the letters and FAQs that are being sent to members, click on this link: Member Letter & FAQs from Anthem and SCCIPA (Serving Members in the Silicon Valley)

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