Research

Research

Our health care system is complex, but we’re working to apply measured approaches and find solutions that address pressing health care needs. Learn more about key findings from our white papers and reports, and see results from Anthem Inc.’s pilot programs and initiatives that are driving change across the country.

Report

A new analysis from Avalere Health, sponsored by Anthem’s Public Policy Institute, highlights the improvements in care that chronic condition special needs plans (C-SNPs) can deliver to Medicare beneficiaries with diabetes as compared to non-SNP plans.

Report

Managed care is an approach in which managed care organizations (MCOs) contract with state Medicaid agencies to deliver health care benefits and services for a set payment amount per member per month.

Report

The Urban Institute (Urban) and the American Action Forum (AAF) recently partnered to host a panel discussion that addressed an often misunderstood or overlooked mechanism of health care: risk adjustment.

Report

Across the country, Medicaid Managed Care Organizations (MCOs) are prioritizing the integration of benefits for and delivery of physical health, mental health and substance use disorder care and services for their members. This integration improves the traditional model of fragmented care delivery, which has resulted in poorer outcomes and higher health care costs, particularly for individuals with mental health conditions or substance use disorders (MH/SUD).

Report

Traditionally, physical health, mental health and substance use disorders have been treated and paid for separately. However, it has been shown that in the case of Medicaid beneficiaries with MH/SUD, outcomes are greatly improved with integrated care.

Report

Medicaid patients with MH/SUD often have their behavioral health needs addressed separately from their physical health care, since the payment and/or delivery systems for each are separate in many states.

Report

Historically, Medicaid members with MH/SUD have received care and services in a system that rewards providers for volume of care, rather than quality of care such as prevention and improved outcomes.

Report

For Medicaid members who are diagnosed with mental health conditions and/or substance use disorders (MH/SUD), effective, high-quality behavioral and physical health care is only one part of improving their overall wellness. These individuals also face challenges in securing stable housing, gaining meaningful employment, and navigating a range of financial and day-to-day challenges. Addressing these concerns as well as medical needs has been shown to improve health and wellbeing.

Report

A recently released Anthem Public Policy Institute white paper,

Report

A white paper from the Anthem Public Policy Institute,

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