Anthem | MaineHealth Forge New Partnership
In August 2019, MaineHealth announced a new and innovative joint venture designed to enhance patient care by partnering with Anthem Blue Cross and Blue Shield to offer a new Medicare Advantage health insurance plan across Maine.
The joint venture with Anthem aligns squarely with MaineHealth priorities by creating a provider-sponsored health plan focused on quality care, patient experience and access to care that will drive unprecedented value for aging Mainers. It will adopt a clinical model that promotes consistent, coordinated care delivery. And, it will be structured to promote longer-term, more beneficial patient/provider relationships in partnership with Maine’s leading health insurance provider.
“This partnership can open up entire worlds of possibilities for us,” said Dr. Nir Harish, an emergency medicine physician at Pen Bay Medical Center and member of the Medicare Advantage plan’s Provider Advisory Council. “As an integrated payer-provider, we can redesign how we organize and pay for care in a way that makes the most sense for us and our patients.”
Medicare Advantage plans have been growing rapidly in popularity since they were first offered to consumers in 2005. They offer the same medical coverage as original Medicare, also known as Part A and Part B, while adding a cap on out-of-pocket expenses and often including access to additional health care services. This plan for Maine seniors will draw on the most popular and successful features of the highest-ranked plans available today.
“Forging partnerships that aim to improve the health of Mainers is central to MaineHealth’s vision of ‘working together so our communities are the healthiest in America,’ and this collaboration has that potential,” said Bill Caron, CEO of MaineHealth.