Anthem HealthKeepers Plus unveils comprehensive support strategy for Medicaid providers

Anthem HealthKeepers Plus is taking significant steps to enhance the Medicaid experience for both providers and members as part of the new Cardinal Care initiative. During a recent Provider Q/A session, Anthem emphasized its commitment to being more than just a payer; it aims to be a true partner in improving the health of Medicaid patients.

Central to Anthem's strategy is a comprehensive approach that focuses on streamlined processes and robust support for providers. The organization is simplifying the credentialing process through the CAQH system, which will allow providers to spend less time on administrative tasks and more time on patient care. Additionally, Anthem is leveraging technology to minimize paperwork by utilizing the state's PRSS Provider Enrollment Portal for demographic updates.

Anthem is also introducing quality incentives and shared savings programs designed to enhance provider revenues while promoting better health outcomes for members. These initiatives are rooted in the belief that prioritizing member health ultimately benefits everyone involved.

To further support providers, Anthem is launching training programs, such as the Pathways Program, which offer tailored content to help deliver high-quality care. The organization is also enhancing communication with providers by monitoring billing patterns and addressing claims system issues, ensuring that providers are well-informed and can focus on patient care without operational distractions.

Anthem's holistic health strategy emphasizes a person-centered approach, supported by specialized clinical teams and strong community partnerships. This ecosystem of care is designed to improve the well-being of children and families, ensuring that high-quality providers are incentivized to deliver exceptional services.

With these initiatives, Anthem HealthKeepers Plus is poised to significantly enhance the Medicaid experience in Virginia, fostering a healthcare environment that prioritizes efficiency, responsiveness, and the needs of both providers and members.