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Better outcomes at lower costs for Hoosiers is the goal of a new collaboration launched Jan. 1 by Anthem Blue Cross and Blue Shield with OrthoIndy and Franciscan Health/Forté Sports Medicine and Orthopedics.
The network addresses one of the most pressing challenges in orthopedic care: wide variations in quality and cost for procedures like knee and hip replacements depending on where care is delivered.
Through the network, available on all Anthem HealthSync plans, Anthem will guide members to high-quality, lower-cost surgeons and facilities. This approach ensures patients receive exceptional outcomes, outstanding care experiences, and up to 50 percent lower costs for orthopedic services.
“Innovative partnerships like ours with OrthoIndy and Franciscan Health/Forté Sports Medicine and Orthopedics demonstrate how we work with high-performing healthcare providers to improve quality and lower costs for Indiana consumers,” Anthem Indiana President Jessica Lopez-Liggett said. “Healthcare affordability is the number one concern for Hoosiers and their employers. That’s why we will continue investing in top-performing healthcare providers that deliver best-in-class care and lower overall cost.”
Patients who use the HealthSync Designated Orthopedic Network will benefit from several enhanced support services. OrthoIndy offers participating plan members “white glove” assistance, such as dedicated concierge scheduling from the first appointment to the post-surgical follow-up. Forté Sports Medicine and Orthopedics offers participating plan members direct access to a scheduling concierge who will oversee their scheduling of services and care.
The HealthSync Designated Orthopedic Network remains open to other eligible orthopedic groups. All selected facilities must meet rigorous qualifications, including achieving Blue Distinction Center designation for superior patient outcomes and demonstrating favorable costs compared to peers.
“Over the past two years OrthoIndy has been collaborating with Anthem on this initiative to prioritize patients, employers, and clinical quality in creating this network,” OrthoIndy President and CEO Matthew Lavery MD said. “We are proud to partner with Anthem across OrthoIndy’s four Central Indiana locations to make our award-winning orthopedic care available to patients at a consistent value. This enhances our ability to provide patients with trusted options when and where they need them.”
“Collaborating with Anthem on the HealthSync Designated Orthopedic Network allows us to focus on what matters most – our commitment to putting patients first while improving quality and affordability,” Forté Sports Medicine and Orthopedics President Jonathan Smerek MD said. “We’re proud to partner with Anthem to put patients, employers, and clinical quality first. By combining high-quality orthopedic expertise with a value-based approach, we’re helping ensure patients have access to the right care, at the right place, at the right cost.”
For more information on the network and its benefits, visit Anthem.com/IndianaHealthSync.
