In-House Medical Expertise Enhances Whole-Person Advocacy

Effective advocacy directly supports each individual’s personal health needs, making it easier for them to use their benefits and take a proactive approach to whole-person care. Experts agree a comprehensive approach is critical to supporting health across the care continuum.

How an advocacy model delivers its services is crucial, as it can be the determining factor in providing superior support. When in-house clinical expertise and smart data come together, advocacy becomes a high-touch support system offering timely personalized care — connecting individuals to the right expertise at the right time.

Advocates Anticipate Needs And Build Trust

Effective advocacy begins when individuals know they’re not alone in making health decisions. Our advocacy strategy includes solutions that assign a dedicated family advocate to each household. The advocate serves as the single point of contact for all communication related to health needs or concerns, while also collaborating with a robust in-house clinical care team.

Led by medical directors, the clinical care team contains experts from all major areas of medicine and includes care providers like behavioral health specialists, dietitians, exercise physiologists, emergency care physicians, pediatric specialists, oncologists, and many others. Anthem recognizes that in-house medical expertise provides the structure for a powerful, high-touch, connected care experience when it’s needed most — and enables each of your employees to feel confident, covered, and protected.

This in-house team of experts supports existing healthcare providers and community resources. Using their combined expertise alongside industry-leading technology, they help close gaps and establish a full circle of care.

Smart Technology Enhances Interactions And Delivers Proactive Support

Smart technology facilitates clear, consistent communication, enabling advocates to provide proactive support. This technology-forward approach is one that Total Health Connections fully embraces, informing advocates of opportunities to intervene before health concerns escalate into larger issues with long-term cost and care impacts.

The strength of this approach is further supported by what’s called a “connected desktop” — allowing every care team member to be looped into a full view of an individual’s medical history, past interactions, and prescribed next steps. Working from a centralized hub streamlines and simplifies care coordination, keeping the multidisciplinary team fully informed and ready to provide the latest up-to-date medical information.

Advocates can also review care plans and work directly with individuals to schedule follow-up appointments and stay on track. This can help offset physical, mental, or time-based constraints — as well as financial burdens that might otherwise challenge positive health outcomes.

Operational Experts Provide Rapid Responses To Needs

In addition to a robust care team, advocates are also supported by operational experts who provide rapid responses to issues like billing concerns, preauthorization status questions, or claims adjustment inquiries, letting the advocate focus on the member.

Anthem sets itself apart by maintaining a central team of in-house experts across all specialties. By incorporating this expertise directly into its advocacy solution, individuals know exactly how to access important information and resources, unlocking a whole-health approach to their needs.

Personalized health advocacy means individuals can count on simple, intuitive, guided, and customized healthcare experiences. Providing highly-tailored expertise at the right time is another way Anthem helps drive better health outcomes while reducing your business costs — a win-win for employees and employers alike.