Through its collaboration with Mindoula, Anthem expects to reduce violence-related injuries and costs of care associated with hospitalizations, emergency room utilization and uncoordinated prescribing. “Our innovative collaboration with Anthem is a proven model for positively impacting behavior change, improving health outcomes and decreasing Medicaid program costs.” “Whether it is through an in-person visit, a phone call, a text messenger chat or virtual check-in with one of Mindoula’s AI-enabled tools, Anthem’s most vulnerable members have the support they need, whenever they need it, to help them overcome difficult life challenges,” said Steve Sidel, Founder and CEO of Mindoula. Recently, Anthem expanded its collaboration with Mindoula to offer similar supports to more Medicaid members, including adolescents and young adults who are at risk for a suicidal event as well as members with severe mental health needs who also struggle with complex physical health challenges. Individuals received physical and mental health support as well as help accessing resources such as financial aid, housing, food, education, rehabilitation, employment and transportation.Īfter a thorough pilot, outcomes demonstrated fewer hospitalizations, reduced emergency room visits and lower pharmacy costs, so Anthem formally adopted the program at the beginning of 2020. Through this pilot, Anthem Medicaid members who were dealing with trauma were connected with support teams and innovative technology tools that could help address their needs. “Anthem understands that violence, trauma, stress, isolation, financial instability and other adverse social experiences can severely impact health, so we are adding programs and interventions that address disparities and help empower our most vulnerable members to achieve a better quality of life.”Īnthem engaged Mindoula, a population health management company, to pilot a program that offers specialized care for individuals who have been impacted by interpersonal violence, including gang and domestic violence. “In Nevada and across the country, we are seeing more people of all ages who are struggling with life challenges, especially amid the COVID-19 pandemic and social unrest,” said Lisa Bogard, President, Anthem Blue Cross and Blue Shield Nevada, Medicaid.
A newly added program that offers in-person care teams and virtual supports that are available 24/7, has been expanded to help more members address trauma, suicide risk and complex mental health conditions. Las Vegas, NV – Anthem Blue Cross and Blue Shield Nevada has increased access to tools and resources for Medicaid members who are struggling with physical, behavioral and life challenges. Capabilities & Initiatives Show Capabilities & Initiatives submenu.
The BCBS System Show The BCBS System submenu.Individuals & Families Show Individuals & Families submenu.Member Services Show Member Services submenu.Just fill out the Authorized Representative Form (PDF). This form gives your representative the permission to communicate with Blue Cross Blue Shield of Michigan on a one-time basis about your appeal. You can select someone to act on your behalf at any step of the grievance and appeals process, including your physician. You can use it by itself or with a formal letter of appeal. You can use the Member Appeal Form (PDF) to submit your appeal. You may submit written materials or testimony to help us in our review at any step of the grievance or appeals process. Under either process, we won't charge you anything extra for filing a grievance or appeal. The length of time you have to file an appeal will depend on whether you're eligible for an appeal under a state or federal process. If you were unable to resolve your concern through customer service, we have a formal grievance and appeals process. It's also at the top right-hand corner of your Explanation of Benefit Payments statements. You can find the number on the back of your Blue Cross ID card. If you have a question or concern about how we processed your claim or request for benefits, contact customer service. Blue Cross Blue Shield of Michigan wants to make sure you're satisfied with the services you receive as a member.
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