Mount Carmel Health System to remain in-network for thousands of
Anthem Blue Cross and Blue Shield members in Central Ohio.
COLUMBUS, OHIO — Mount Carmel Health System and Anthem Blue Cross and Blue Shield announced today a new, multi-year provider network agreement. The agreement secures long-term access to affordable health care for Mount Carmel patients covered by Anthem Medicare, Medicaid, and employer-sponsored health plans.
As part of the agreement, the two organizations will accelerate their collaboration on several innovative initiatives, including advance data connectivity and value-based care (VBC) models designed to improve health outcomes and better control costs for care for Mount Carmel patients covered by Anthem health plans.
Mount Carmel and Anthem will incorporate Epic Payer Platform into regular operations, a technology that will streamline secure patient data flow between the organizations, bolster operational efficiency, accelerate approval processes, and improve patient outcomes. The platform’s Clinical Data Exchange simplifies processes and reduces administrative burden for medical teams, allowing doctors to spend less time doing paperwork and more time treating patients.
“We’re dedicated to providing the best in patience-centered care,” said Lorraine Lutton, Mount Carmel President and CEO. “We are grateful that an agreement with Anthem could be reached without disruption to patient care and we eagerly anticipate continuing to provide our communities with high-quality care.”
While Mount Carmel and Anthem have long partnered on VBC delivery and quality-based payment models, the new agreement expands that work to include Anthem’s advanced VBC methodology. This represents further progress in moving toward healthcare models that align payment with improved health outcomes and reduced cost trends.
“Our work together with Mount Carmel to simplify our health system and remove barriers to care will serve as a model for others to follow,” said Anthem Ohio President Jane Peterson. “Most importantly, it means improved health outcomes and lower cost trends for Anthem members and their employers.”