Going above and beyond to help high-need patients
Going above and beyond
to help high-need patients
Many patients with life-threatening or complex conditions cycle in and out of hospitals, yet don’t receive the personalized care they need, including social and emotional support. Anthem is broadening the scope of healthcare and delivering better outcomes for these highly vulnerable people.
Anthem’s expanded and integrated capabilities for high-need patients go above and beyond what is traditionally considered “healthcare” – things like opening an emergency food pantry, providing home visits to lonely seniors, or supporting people recovering from substance abuse with an innovative, home-based protocol.
Case in point: When Aspire nurse practitioner Pamela Sisk visited her patient, Patricia Graham, she quickly saw a person in distress. While Patricia had recently been added to the list for a critical liver transplant, the hospital and physicians who would do the surgery were based in Charlotte, NC – far from her home in Greenville, SC. That meant Patricia wouldn’t be eligible to use transportation services through local agencies.
“It was just unfathomable that she would have to literally go to the state line, get out of the car and get picked up by another service for what would be more than 20 visits,” says Pamela. “I just had to do something, so my first phone call was to our social worker, Reba Pinner, to see if she could help.”
Contacting the local American Cancer Society chapter, Reba was able to secure not only transportation for the two-hour drive, but also coverage for lodging and meals for every visit. “It was the best news we could have imagined,” says Lora, Patricia’s daughter and primary caregiver. “This transplant meant the difference between life and death for my mother. Being able to keep up with all of the appointments to maintain her status on the list meant we would have more time together.” Patricia has since had the transplant and has been recovering well.
When it comes to keeping patients out of the hospital or reducing the time they have to stay in the hospital, CareMore consistently demonstrates impact on complex care patients compared to the Medicare average:
fewer inpatient admissions & lower inpatient length of stay
lower inpatient bed days
fewer acute hospital readmissions
“Our goal is to improve overall outcomes for people with complex and chronic conditions,” says Prakash Patel, MD, Executive Vice President and President of Anthem’s Diversified Business Group, Anthem. “That’s why, through our acquisition and integration of Beacon Health Options, we are building on our current capabilities and creating one of the most comprehensive behavioral health networks in the country.”
At Anthem, the commitment to expecting more of ourselves means our consumers can also expect more from us. Our companies are making significant progress in addressing the things happening outside the exam room and hospital that influence the health of millions of high-need patients.