Supporting Employees Through Advocacy And Provider Partnership

Advocating For Every Employee

A great example of this new approach to health advocacy is Anthem’s Total Health Connections. This whole-health care model prioritizes employee well-being by providing them with the right resources at the right time. Each employee and their family has a dedicated Family Advocate as their main point of contact for any health needs. This not only simplifies the employee’s overall healthcare experience, but also paves a clearer path towards improved health outcomes.

Enabling Whole-person Care

Whole-person care is the focus of an advocacy health model. For example, when an employee goes to the doctor, they don’t present just the symptoms that brought them to that visit. They arrive as a complication of physical, mental, social, and emotional needs — their physical symptoms are just one piece of the puzzle.

Advocate-based solutions like Total Health Connections enable care providers to understand that employee’s total health picture through access to real-time data and advanced analytics. Safely exchanging correct healthcare data between payers and providers makes it easier for employees to receive appropriate care at the right time. In addition, Family Advocates can connect employees with community resources to help them locate healthy food, child care, transportation, and address other social, financial, or mental health concerns.

Using Technology As A Pathway To Partnership

Anthem’s advocacy solutions use Health OS, a bi-directional clinical exchange data platform connecting providers, employees, and health plans. Health OS puts patient information at the fingertips of providers, enabling them to deliver their best care experience with less administrative burden.

Health OS serves as the source of truth for employees’ longitudinal clinical records and enables value-based care. It delivers clinical data and insights to providers to help employees receive proactive care in the most appropriate healthcare setting.

Driving Better Outcomes And Healthier Employees

Offering connected solutions like Total Health Connections can help your employees live their healthiest lives and, in turn, enable them to show up in the workforce at their fullest capacity. Anthem internal studies show that Anthem’s advocacy and provider partnership solutions result in:*

• Up to a 7% trend reduction in total medical and pharmacy costs.
• Up to a 6% decrease in emergency room utilization.
• A 69% gap closure for medical and pharmacy.
• Up to 17% increase in pharmacy refill, indicating increased medication adherence.

Extending The Benefits

Successful partnerships between employers and plan providers can benefit the entire healthcare system. By improving efficiencies, reducing redundant administrative processes, and ultimately making healthcare more affordable — you and your employees can save money while improving health outcomes. At the same time, an advocacy-based model can assist care providers as they help employees manage their health. These partnerships, coupled with advanced algorithms, AI, and third-party data integration, can result in a simpler, more intuitive, and guided delivery of care — one that’s personalized to every employee’s needs.

Anthem, internal Total Health, Total You Analysis, 2019 and 2021.