Just recently, Fortify Children’s Health and Anthem HealthKeepers Plus announced a new partnership that will put patients at the center of the healthcare system. Fortify Children’s Health, LLC and Anthem HealthKeepers Plus, Anthem Blue Cross and Blue Shield in Virginia’s Medicaid plan, have announced the formation of a new partnership that will bring value-based health care to more than 25,000 of Anthem’s pediatric Medicaid members within the Commonwealth of Virginia.

Models for Better Health Care 

Anthem Health Keepers PlusThe value-based agreement demonstrates a national health care shift toward a more coordinated model focusing on quality and better patient care experiences. The model aligns Fortify’s vast network of primary care physicians, specialists and facilities caring for children with Anthem’s population health capabilities and primary care support programs.

“Fortify Children’s Health is committed to focusing on managing medical conditions and achieving an optimal level of wellness for the children we serve,” highlighted Suzanne Brixey, MD, and Executive Director at Fortify. “Through the new partnership with Anthem, we will enhance the health of young people within the state and redefine the future of pediatric care by utilizing data to moderate health disparities and make sure that every child can access the resources they need to reach their full potential.”

In this program, Fortify clinicians have access to various tools, enabling real-time collaboration and care coordination. Fortify clinicians will readily identify gaps in Anthem members’ care and find tailored support that can deliver improvements across cost, quality, and outcomes by sharing timely and accurate data.

“Anthem works meticulously to connect with its Medicaid members and offer innovative new technologies that can enhance their overall health and well-being,” says Dr. Paul Gibney, Anthem’s Regional Managing Medical Director for Virginia Medicaid business. “We comprehend that the vital role providers play in reaching members for both their clinical and social needs. Through this partnership with Fortify, we can identify gaps in care, solve prevailing inequities in care, and create additional opportunities to enhance outcomes for our pediatric members served by this partnership.”

Effective Access to Data

Notably, as a clinically integrated network (CIN), Fortify clinicians have access to actionable data. They also collaborate on best practices and utilize care coordination initiatives while working with insurance companies to develop value-based payment methodologies to support population health. Such an arrangement with Fortify fits nicely into Anthem Health Keepers Plus’ value-based care and provider collaboration strategies by putting an emphasis on patient-centered care and value-based payment benefits and rewarding providers, who deliver high-quality, coordinated care and sharing in the savings that result from enhanced care.

“Anthem works thoroughly to connect with its Medicaid members and offer innovative new technologies that can improve their overall health and well-being,” says Dr. Paul Gibney, Anthem’s Regional Managing Medical Director for its Virginia Medicaid business. 

“Moreover, we understand the vital role providers play in reaching members for their clinical and social needs. By partnering with Fortify, we will be able to identify gaps in care, address inequities in care, and create additional opportunities to enhance outcomes for our pediatric members served by this partnership.”

About Fortify Children’s Health, LLC

Anthem Health Keepers MedicareFortify Children’s Health is Virginia’s first clinically integrated network (CIN) devoted to children and the clinicians who care for them. Led by physicians and people with a passion about improving children’s health, our team is working to streamline the delivery of care through a community of peers that is teaming up to share information, develop best practices, and make value for pediatric clinicians and their patients.

About Anthem Blue Cross and Blue Shield

Anthem Health Plans of Virginia, Inc. conducts business with the name Anthem Blue Cross and Blue Shield in Virginia, and its service area is all of Virginia except for the City of Fairfax, the Town of Vienna, and the area east of State Route 123. Anthem Blue Cross and Blue Shield and its partner HealthKeepers, Inc. are autonomous licensees of the Blue Cross Blue Shield Association.

For more information about Anthem health keepers, contact health insurance today!

References and Resources 

Use of technology for better healthcare 

Medicare facts