Anthem Blue Cross and seven top hospital systems have partnered to offer Anthem Blue Cross Vivity, an integrated health system in Los Angeles and Orange counties.
This is a first in the nation partnership 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.
The seven hospital systems – which all have hospitals ranked 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.
"This is an exciting and historic time," said Pam Kehaly, west region president for Anthem Blue Cross. "This innovative venture will create a foundation to significantly advance the medical delivery system, simplifying the care experience and creating a structure with aligned incentives to eliminate waste and redundancy and improve overall health."
Vivity continues the move away from traditional fee-for-service reimbursements that may incentivize increasing the volume of medical procedures performed by providers, and continues the trend of moving toward a structure that financially rewards activities to keep patients healthy
This is just the first step in aligning the delivery system. Longer term value will come from future improvements in efficiency and effectiveness enabled by such things as a common electronic medical records system, shared care management systems, joint wellness resources, etc.
Anthem Blue Cross Vivity will provide members with a simpler experience and convenient access to some of the best primary care doctors, specialists and hospitals in the region at an affordable price. The seven hospital systems and their affiliated medical groups have built a network of doctors that provide both quality care and affordable prices to Vivity members in Los Angeles and Orange counties.
In the creation of Vivity, accessing health care has been greatly simplified and costs have been made vastly more predictable. When Vivity members go to the doctor, have a medical procedure or pick up a prescription, all they pay is their co-pay. They won’t have to worry about meeting deductibles or deciphering complicated medical bills.
CalPERS, the nation’s second largest purchaser of health benefits and an early adopter of health care system innovations, has already agreed to use Vivity network doctors and hospitals within their Select HMO network in Los Angeles and Orange counties. Large group brokers can start requesting proposals on Oct. 1, with coverage starting on Jan. 1, 2015.
This announcement is the culmination of a year’s worth of work. Each party worked diligently to come together and develop an innovative way to provide Vivity members with convenient access to quality care at an affordable price.