Anthem Blue Cross and Blue Shield Celebrates the First Year Anniversary of Healthy Indiana Plan 2.0

INDIANAPOLIS--()--One year ago, Anthem Blue Cross and Blue Shield supported the Centers for Medicare & Medicaid Services (CMS) and the efforts of Governor Pence to bring affordable health care to more Hoosiers through the Healthy Indiana Plan (HIP) 2.0. As a result of HIP, Anthem Blue Cross and Blue Shield, which serves more than 40 percent of the HIP 2.0 population, has facilitated more than 75,000 total eye care and dentist visits through the first seven months. Additionally, Hoosier Healthwise members who transitioned to HIP have shown a 46 percent reduction in ER utilization based on HEDIS data.

“As we celebrate the one year anniversary of HIP 2.0, it’s important to reflect on what we see, which is members taking ownership of their health by paying a contribution to receive more encompassing benefits”

HIP 2.0 enables Hoosier adults between the ages of 19-64, with incomes up to 138 percent of the federal poverty level to qualify for health care coverage. HIP provides members with robust benefit offerings to cover their health care needs including: doctors, specialists, hospitals, prescription and behavioral health. Anthem also offers 20 trips to the doctor for those with transportation needs.

Anthem has been working with HIP members since the inception of the program in 2008, and more than 128,000 Hoosier residents (41 percent of HIP 2.0 population) receive care through Anthem.

“As we celebrate the one year anniversary of HIP 2.0, it’s important to reflect on what we see, which is members taking ownership of their health by paying a contribution to receive more encompassing benefits,” said Kristen Metzger, President of Anthem Blue Cross and Blue Shield, Indiana Medicaid. “The Pay for Plus approach and results of the program are undeniable. Beyond the numbers and changed behaviors, is the fact that every day we hear from members about how HIP expansion has helped improve their lives.”

All HIP 2.0 plans include a Personal Wellness and Responsibility (POWER) account which functions like a Health Savings Account (HSA) to help pay for deductible expenses. The plans also include incentives for receiving preventive services. Anthem Medicaid members in Indiana will enroll into the HIP Plus or HIP Basic options, which offer different levels of benefits and personal responsibility.

  • HIP Plus: members and the state of Indiana jointly fund a $2,500 POWER account, which allows members to contribute based on a sliding income scale. This option offers enhanced services such as vision and dental services, comprehensive prescription drug coverage, and includes maternity services with no cost-sharing for the duration of pregnancy.
  • HIP Basic: requires co-payments for all services, which may exceed the cost of monthly POWER account contributions required in Plus. This option uses an entirely state-funded POWER account to cover a $2,500 deductible and has more limited benefits with no Dental or Vision coverage. Maternity services are included with no cost-sharing for the duration of pregnancy.

HIP Anthem Blue Cross and Blue Shield Numbers

There’s been a dramatic reduction in ER utilization and HIP members are taking personal responsibility in making decisions about their healthcare:

  • Over 70 percent of members are enrolled in Plus
  • 45 percent of members have paid their POWER account in advance
  • Nearly 22,000 dental visits to date for members who enrolled in Feb-September
  • More than 52,000 eye care visits to date for members who enrolled in Feb-September
  • 90 percent of members applying via “Fast Track” are becoming eligible within 30 days of signing up for Anthem coverage
  • Approximately 90 percent of members are satisfied with overall healthcare based on survey results
  • Anthem has added more than 280 employees to assist HIP members

About Anthem Blue Cross and Blue Shield

Anthem Blue Cross and Blue Shield is the trade name of Anthem Insurance Companies, Inc., an independent licensee of the Blue Cross and Blue Shield 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 Blue Shield Association. Additional information about Anthem Blue Cross and Blue Shield in Indiana is available at www.anthem.com. Also, follow us on Twitter at www.twitter.com/healthjoinin, on Facebook at www.facebook.com/HealthJoinIn, or visit our YouTube channel at www.youtube.com/healthjoinin.

Contacts

Anthem Blue Cross and Blue Shield
Ross Jacobs, 470.891.9892
ross.jacobs@anthem.com

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