1. Overview for Patient Care Network of Mississippi
Melisa Hinders, BA, BSN
Staff Vice President, Network Development
Government Business Division

2. Our Experience
The Anthem family of health plans has 25 years of experience providing care management and coordination for state-sponsored health programs that span 20 states.

3. Our Value Proposition Medicaid Value Proposition
Manage costs, both medical and administrative
Medicaid
Value
Proposition
Improve clinical outcomes and access to care
Provide a satisfying customer service experience
Thought leadership

4. Industry Movement Quality and Value are Fundamentally Important
Performance
We Firmly Believe
Reduce the Cost of Care trend
Improve Quality results
Improve Overall System Performance
Time

5. How We Help
Facilitating stronger relationships between doctors and patients for better preventative care
Aligning incentives for better-quality, lower-cost care, and finding smarter alternatives to the fee-for-service system
Working with doctors to choose the partnership model that works best for them, whether that’s value-based payments, shared savings, shared risk or even a co-created product or joint venture
Supporting doctors and employers as they navigate the health care system.
Giving doctors access to data that offers a full picture of their patients’ health — and helps them provide better care and close care gaps more quickly
Streamlining the health care experience, and making it easier for members to access the care they need.

6. Partnership with Providers is Key
Our Partnership Model
Iterative Support Structure – Collaborative Approach & Continuous Improvement

7. Driving Value Based Care

8. Additional Partnership and Collaboration Opportunities
Behavioral Health (BH) / Physical Health (PH) Integration
Rural Access Expansion
Effective Use of Physician Extenders
Expand Telemedicine

9. Additional Partnership and Collaboration Opportunities
BH / PH integration
Potential opportunities for collaboration
Co-location of BH providers in FQHCs
Collaboration between FQHC’s and CMHCs to coordinate continuum of BH / PH care (similar populations / safety-net providers)
Potential Challenges
Practice re-alignment
Data integration

10. Additional Partnership and Collaboration Opportunities
Expansion of rural access
Potential opportunities for collaboration
Satellite locations/SBHCs staffed by physician extenders aligned with FQHC
Telemedicine
Expansion of FQHC presentation sites for specialty consults
Remote and after hours primary care / home-based care supports
Potential Challenges
FQHC adoption of technology solutions
FQHC reimbursement methodology

11. Questions?