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Under a traditional PPO plan, patients may choose to receive care from many physicians from different provider networks. Under this new ACO arrangement, there will be strong emphasis on coordination of care among all the health care providers involved in the ACO initiative, which includes an enhanced focus on preventive care and chronic care management.
The ACO pilot program is being offered to select Anthem Blue Cross small group, large group and individual commercial PPO members in the
"Individuals who receive coordinated, patient-centered care through an informed collaborative partnership with their physicians can more effectively manage their health care needs," said Pam Kehaly, president of Anthem Blue Cross. "This integrated team collectively takes responsibility for the ongoing care of patients, thus helping them live healthier lives and reducing the cost of care."
"We bring many years of experience providing outstanding health care and great value to our patients," said Dr. Donald C. Balfour III, president and medical director of Sharp Rees-Stealy Medical Group. "We are pleased to have been selected by Anthem to participate in this pilot."
According to Dr. John Jenrette, CEO and medical director of Sharp Community Medical Group, "Under this exciting new ACO program, PPO patients will now have the opportunity to have their personal doctor help them navigate the often-confusing array of health care options and better coordinate their care."