Channel Sponsor - Coding/Billing/Collections

Sponsored by National Medical Billing Services | | (636) 273-6711

Anthem concentrating on risk-based arrangements, appropriate care settings in 2020

Anthem is focusing on bundled payment initiatives and incentives for delivering care in the appropriate setting, according to a fourth-quarter 2019 earnings call transcribed by The Motley Fool.

Here are three insights that Anthem President and CEO Gail Boudreaux shared during the call:

1. Currently, 60 percent of the company's spend is in risk-based arrangements.

2. Anthem's bundled payment and site-of-care initiatives are centered on orthopedic, cardiac and women's health services. Gastroenterology is another area Anthem sees as important for site-of-care selection.

3. Anthem achieved record organic top-line growth of 13 percent in 2019. It was the insurer's best year for organic, risk-based membership growth in more than a decade.

More articles on coding, billing and collections:
Medicare's bundled payments overcompensate for post-surgical care, analysis says
DOJ collected $3B+ from healthcare fraud cases in 2019 — 5 cases involving ASCs
Outpatient coding worsened in 2019, inaccuracies uncovered in contest — 5 insights



© Copyright ASC COMMUNICATIONS 2020. Interested in LINKING to or REPRINTING this content? View our policies by clicking here.


Featured Webinars

Featured Whitepapers