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The collaboration will provide a fully integrated Complex Care Management model for Wisconsin Medicaid members who are Supplementary Security Income (SSI) eligible.
Anthem BlueCross and BlueShield (Anthem) and Inclusa are collaborating on a pilot program that will expand coordination services for Medicaid members throughout Wisconsin. The program is designed to improve care coordination, social services supports and better link members to community resources.
“We believe this pilot program will positively impact Medicaid members by enhancing our care management and social service coordination capabilities,” said Leon Lamoreaux, Anthem BlueCross BlueShield plan president. “By expanding our presence in rural parts of the state and connecting with members at locations that are convenient for them, we are confident that this pilot program will create a new standard of care and social service coordination for Medicaid SSI members.”
As part of the pilot program, Anthem and Inclusa collaborate to meet Medicaid SSI members in their regular environments including: in-home, community-based organizations, treatment centers and other convenient locations. Inclusa will focus on members in rural parts of the state while Anthem will focus on members in Milwaukee and the surrounding areas.
The pilot program will maximize access to health programs and improve quality of life outcomes for members with SSI eligibility.
“A collaboration built from Anthem’s care delivery system and Inclusa’s community-centered support structure offers a more holistic approach to honoring individual needs. Simply, we are combining the strengths from both organizations to develop a unique model of support throughout Wisconsin in the communities we call home,” said Mark Hilliker, CEO of Inclusa.
The pilot program will run through the remainder of 2017.
About Anthem BlueCross and BlueShield
Anthem is one of 18 BadgerCare Plus offerings in Wisconsin. Anthem is one of 10 Medicaid SSI offerings in Wisconsin.
For more information on Anthem’s Wisconsin Medicaid programs, please visit www.anthem.com/wimedicaid.
Anthem Blue Cross and Blue Shield is the trade name of Compcare Health Services Insurance Corporation, an independent licensee of the BlueCross and BlueShield Association. ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association.
Inclusa manages the provision of a person-centered and community-focused approach to long-term care services and supports to over 15,500 FamilyCare members across its 51-county service region in Wisconsin. As a value-based organization devoted to building vibrant and inclusive communities, Inclusa deploys a unique approach to managed care with a trademarked model of support named Commonunity® which focuses on the belief in everyone, and from that belief, the common good for all is achieved.
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