Get to Know Anthem Healthkeepers Plus: A Comprehensive Guide

Anthem Healthkeepers Plus is a leading healthcare provider that has been serving communities with quality care and innovative solutions. From its extensive network of providers to its diverse range of membership plans, Anthem Healthkeepers Plus has established itself as a trusted name in the industry.

In this guide, we'll take a closer look at the different facets of Anthem Healthkeepers Plus, from its commitment to quality and innovation to its involvement in the community. We'll also provide answers to frequently asked questions and recommend relevant tags and categories for WordPress.

Introduction to Anthem Healthkeepers Plus

Anthem Healthkeepers Plus is a Managed Care Organization dedicated to delivering comprehensive healthcare services to its members. It is a partnership between Anthem, Inc., and the Commonwealth of Virginia, serving the Medicaid population and other vulnerable groups.As a trusted provider, Anthem Healthkeepers Plus aims to enhance accessibility, affordability, and quality of healthcare services in the regions it operates.

By fostering collaboration with healthcare professionals, community organizations, and government entities, Anthem Healthkeepers Plus continuously improves its impact on health outcomes and overall well-being of its members.

Purpose and Scope

Anthem Healthkeepers Plus focuses on addressing the healthcare needs of Medicaid beneficiaries, children, the elderly, and individuals with disabilities. Their scope encompasses preventive care, primary care, and specialty services, empowering members towards healthier lifestyles and improved health management.

Types of Services

The organization offers an extensive range of healthcare services, including:

• Preventive care: routine check-ups, immunizations, and screenings.
• Primary care: general practitioner and pediatric services.
• Specialty care: behavioral health, dental, vision, and long-term care services.
• Wellness programs: initiatives promoting healthy behaviors and chronic disease management.

Geographical Locations

Anthem Healthkeepers Plus operates predominantly within the Commonwealth of Virginia, serving various communities and counties. This geographical focus enables the organization to tailor its services and respond to region-specific healthcare challenges effectively.

History and Background

Anthem Healthkeepers Plus traces its roots back to Anthem, Inc., a leading health benefits company serving millions of people across the United States. With the addition of the Healthkeepers Plus division, Anthem strengthened its commitment to public healthcare programs and enhancing the quality of life for vulnerable populations in Virginia.

The organization's rich history and extensive expertise contribute to its current success and future growth as a trusted Managed Care Organization.

Anthem Healthkeepers Plus’s Network of Providers

Anthem Healthkeepers Plus has a comprehensive network of healthcare providers that cater to the needs of its members across various disciplines. The network includes primary care physicians, specialists, hospitals, and other healthcare facilities, ensuring convenient access to quality care.

Process of Becoming a Provider

To become a part of the Anthem Healthkeepers Plus network, healthcare providers must meet specific criteria and follow a credentialing process. This involves submitting necessary documentation, undergoing background checks, and verifying licensure and education. Interested providers can apply through Anthem's online portal or by contacting the provider services department for assistance.

Benefits of Being a Part of Anthem Healthkeepers Plus’s Network

Becoming a part of the Anthem Healthkeepers Plus network has numerous benefits. Providers gain access to a larger patient base and can increase their visibility within the healthcare community. Additionally, they are part of a reputable and well-established organization with robust support services.

Network providers can also participate in various quality improvement programs and receive reimbursements at negotiated rates, streamlining the payment process.

Quality Measures for Providers

Anthem Healthkeepers Plus prioritizes quality care and holds its providers accountable by implementing various quality measures. These measures include:

• Evidence-based practice guidelines: Anthem Healthkeepers Plus supports providers in adhering to evidence-based clinical guidelines to ensure consistent and high-quality care for patients.
• Patient satisfaction surveys: Regular patient satisfaction surveys help Anthem assess provider performance and identify areas for improvement.
• Clinical performance metrics: Anthem Healthkeepers Plus tracks and analyzes clinical performance metrics, such as readmission rates and complications, to ensure providers meet specific quality standards.

Provider Support Services

Anthem Healthkeepers Plus offers a variety of support services to help providers improve efficiency, deliver high-quality care, and reduce administrative burdens:

• Credentialing and re-credentialing services: Anthem handles provider credentialing and re-credentialing, allowing providers to focus on patient care.
• Educational resources: Anthem offers a wide range of educational resources, including webinars and workshops, to help providers stay up-to-date on best practices and new developments in healthcare.
• Electronic health records (EHR) integration: Anthem Healthkeepers Plus supports providers in integrating EHR systems, facilitating seamless communication between providers and improving patient care.
• Practice management tools: Anthem offers tools and resources to help providers manage their practice effectively, such as billing and coding guides and patient engagement resources.

Membership and Benefits of Anthem Healthkeepers Plus

As a leading healthcare provider, Anthem Healthkeepers Plus offers a variety of plans and benefits for its members. To become a member, individuals can visit the Anthem Healthkeepers Plus website and follow the instructions for enrollment. Eligibility requirements typically include residency in the service area, enrollment in Medicaid or other qualifying programs, and meeting income guidelines.

Plan Options

Anthem Healthkeepers Plus offers several plan options to meet the needs of its members. These plans include:

• Medicaid: This plan provides comprehensive healthcare coverage for eligible low-income individuals and families.
• FAMIS (Family Access to Medical Insurance Security): This plan provides healthcare coverage for children under 19 years of age who are not eligible for Medicaid.
• CHIP (Children's Health Insurance Program): This plan provides healthcare coverage for uninsured children aged 18 and under, including those whose parents earn too much to qualify for Medicaid.
• Plan First: This plan provides healthcare coverage for pregnant women and children under 19 years of age.

Each plan includes a range of benefits, such as preventive care, doctor visits, hospitalization, and prescription drug coverage. Members can also access specialized care, such as behavioral health services and dental care.

Member Resources and Support Services

Anthem Healthkeepers Plus offers a variety of member resources and support services to help members access healthcare and manage their health. These services include:

• 24/7 Nurse Line: Members can speak with a registered nurse any time of day or night for advice and support.
• Health and Wellness Programs: Members can participate in health and wellness programs, such as weight management, tobacco cessation, and stress management.
• Online Portal: Members can access their healthcare information, find providers, and manage their benefits online.
• Customer Service: Members can contact customer service for help with enrollment, benefits, and claims.

Anthem Healthkeepers Plus also offers translation services and disability accommodations to ensure that all members have equal access to healthcare and support services.

Eligibility Requirements

To be eligible for Anthem Healthkeepers Plus membership, individuals must meet the following requirements:

• Reside in the service area, which includes most of Virginia.
• Be enrolled in Medicaid or another qualifying program, such as FAMIS, CHIP, or Plan First.
• Meet income guidelines, which vary by program and household size.

Individuals who are not currently enrolled in Medicaid or another qualifying program can apply through the Virginia Department of Social Services.

Enrollment and Renewal

To enroll in Anthem Healthkeepers Plus, individuals can visit the website or contact customer service for assistance. Enrollment is typically open year-round, but may be limited during certain times of the year. Members must renew their coverage annually, and can do so by following the instructions provided by Anthem Healthkeepers Plus.In summary, Anthem Healthkeepers Plus offers a variety of plans and benefits for its members, as well as resources and support services to help members access healthcare and manage their health.

Membership is open to eligible low-income individuals and families, and enrollment is available year-round through the Anthem Healthkeepers Plus website or customer service.

Anthem Healthkeepers Plus’s Commitment to Quality and Innovation

At Anthem Healthkeepers Plus, quality improvement and innovation are at the heart of our mission. We strive to deliver exceptional healthcare services, while continuously exploring new ways to enhance the healthcare experience for our members. Our commitment to quality and innovation is demonstrated through several initiatives, strategies, and technologies.

Quality Improvement Initiatives

Anthem Healthkeepers Plus is dedicated to improving the quality of healthcare services through evidence-based practices and continuous learning. Our quality improvement initiatives include:

• Implementing clinical guidelines and protocols to ensure best practices in medical care, such as preventive care, chronic disease management, and mental health services.
• Promoting transparent communication and collaboration among healthcare providers, members, and caregivers to enhance care coordination and reduce medical errors.
• Monitoring and analyzing healthcare outcomes and utilization trends to identify opportunities for improvement and develop targeted intervention strategies.

Driving Innovation through Partnerships and Data

Anthem Healthkeepers Plus collaborates with various stakeholders, including healthcare providers, technology companies, and research institutions, to drive innovation in healthcare. We leverage data analytics and health information technology to facilitate:

• Population health management: analyzing large-scale healthcare data to identify healthcare disparities, trends, and patterns that inform targeted interventions and policies.
• Telehealth and remote monitoring: expanding access to care through virtual consultations, remote patient monitoring, and digital health tools, enabling members to manage their health conditions proactively.
• Artificial intelligence and machine learning: harnessing the power of these technologies to identify, predict, and manage health risks, enhance diagnostic accuracy, and personalize healthcare interventions.

Technology as a Foundation for Quality and Innovation

Anthem Healthkeepers Plus relies on technology to support our commitment to quality and innovation, streamline internal operations, and improve service delivery. Our technology-driven strategies include:

• Electronic health records (EHRs): creating a seamless and secure flow of patient information to enhance care coordination, reduce documentation errors, and improve healthcare outcomes.
• Automation and workflow optimization: using technology to automate repetitive tasks, streamline administrative processes, and reduce operational costs.
• Cybersecurity: protecting the privacy and security of our members' health information through advanced encryption, multi-factor authentication, and regular security audits.

Anthem Healthkeepers Plus’s Successes in Promoting Quality and Innovation

Anthem Healthkeepers Plus's commitment to quality and innovation has resulted in several success stories, such as:

• Improved diabetes management: implementing a comprehensive diabetes management program, including education, monitoring, and care coordination, resulted in better glycemic control and reduced hospitalization rates for members with diabetes.
• Enhanced mental health services: expanding telehealth and remote monitoring services for mental health treatment increased access to care and improved patient engagement, leading to better mental health outcomes.
• Breast cancer screening: implementing a targeted campaign to promote mammography screening and follow-up care for eligible women increased breast cancer detection rates and reduced mortality.

Anthem Healthkeepers Plus’s Involvement in the Community

At Anthem Healthkeepers Plus, we understand the importance of giving back to our communities. We strive to make a positive impact through various initiatives, partnerships, and outreach programs. Our commitment to corporate social responsibility is an integral part of who we are and what we do.

To achieve this, Anthem Healthkeepers Plus engages in several community activities. We focus on improving health outcomes, investing in local organizations, and promoting overall well-being. Our aim is to address the diverse needs of our communities and contribute to long-term, sustainable growth.

Partnerships with Local Organizations

Anthem Healthkeepers Plus collaborates with numerous local organizations, non-profits, and community groups. These partnerships allow us to pool resources, knowledge, and expertise to tackle pressing social and health issues. By working together, we can create meaningful and lasting change.

• Examples of our partnerships include:
• Collaborating with local food banks to distribute healthy meals and address food insecurity.
• Working with schools to promote health education and physical activity.
• Organizing community events with local health departments to raise awareness about disease prevention and early detection.

Community Outreach Programs

Our community outreach programs focus on engaging directly with individuals and families. These initiatives target various segments of the population, ensuring that we reach and support as many people as possible.

• Some notable outreach programs include:
• Health fairs and screenings, offering free or low-cost health assessments and consultations.
• Community workshops, addressing topics such as mental health, substance abuse, chronic disease management, and health literacy.
• Youth development programs, fostering leadership, education, and well-being among young people.

Approach to Corporate Social Responsibility

At Anthem Healthkeepers Plus, our approach to corporate social responsibility is guided by the following principles:

• Empowering individuals and families through health education, resources, and support
• Collaborating with partners to enhance the overall health and well-being of communities
• Investing in evidence-based and data-driven interventions to ensure long-term impact
• Promoting transparency and accountability by measuring our progress and reporting outcomes

Conclusive Thoughts

Anthem Healthkeepers Plus is more than just a healthcare provider. It is a partner in promoting health and wellness, a catalyst for innovation and quality improvement, and a responsible corporate citizen. With its extensive network of providers, diverse range of membership plans, and commitment to community involvement, Anthem Healthkeepers Plus continues to set the standard for quality care.