Anthem Report Highlights Early Results of Value-Based Care Programs

Tuesday, March 15, 2016
Anthem Public Policy Institute
Summary and Key Findings: 

The Enhanced Personal Health Care (EPHC) program was created to build upon the success of patient-centered and value-based care, which research has shown is capable of delivering higher quality and more affordable care for patients

A new report from the Anthem Public Policy Institute shares the company’s learnings from the early stages of this effort—which includes partnerships with 54,000 providers serving more than 4.6 million patients as of the end of 2015. 

In examining this transformative program, the report highlights four key takeaways:

  1. Patients in EPHC Received More Patient-Centered Care. Patients seen by providers participating in EPHC experienced improved quality and preventive service use, and reported improved access and care experience. 
  2. EPHC Patients Had Lower Costs. Patients in EPHC had per member per month costs that were $9.51 less – a savings of 3.3 percent – than those of members seen by non-participating providers. After accounting for care coordination payments and shared savings paid to participating providers, net savings were $6.62 per EPHC-attributed member per month. 
  3. Collaboration and Flexibility Are Key Ingredients for Provider Participation. A collaborative approach, including practice transformation support as well as flexible contracting options, allows providers of all sizes and sophistication to engage in EPHC. These factors are critical for incenting participation and retention in VBP programs. 
  4. VBPs Can Be Implemented Nationally with a Range of Providers. VBPs can be successfully implemented across the country with a range of providers at varying levels of experience in risk-sharing and value-based payment. 

As policymakers seek to accelerate the adoption of value-based payment models, especially in the Medicare program, the early results of EPHC can inform the development and evaluation of these initiatives. The full report is available online, and you can read more about Anthem’s primary care programs on ThinkAnthem here.  



Stay Connected!

Sign up here to get ThinkAnthem’s latest insights and event invitations directly to your inbox.