Aetna and Anthem enhance healthcare access for providers and Medicaid members in Virginia

The recent Provider Q/A session for the New Cardinal Care Managed Care Program highlighted significant advancements aimed at improving the experience for healthcare providers and enhancing care for Medicaid members in Virginia.

Aetna and Anthem HealthKeepers Plus, two key players in the program, outlined their commitment to streamlining processes for providers. Aetna introduced its online self-service portal, Availity, which simplifies claims and authorizations, particularly benefiting safety net providers through a quick pay program that improves cash flow. They also emphasized the importance of customized provider manuals and web-based training modules that promote health equity and compliance.

Anthem, on the other hand, focused on its comprehensive approach to supporting both providers and members. They are implementing innovative contracting strategies and value-based payment arrangements to enhance care quality and provider retention. The organization is also leveraging technology to simplify the credentialing process, allowing providers to spend more time on patient care rather than administrative tasks.

Both organizations stressed the importance of communication between providers and care teams. Aetna encouraged providers to connect with care managers to report changes in member needs, while Anthem highlighted its focus on a person-centered approach to care, ensuring that providers are well-informed and supported in their billing practices.

The session also introduced various member benefits aimed at improving overall health outcomes. Anthem's offerings include transportation assistance for medical appointments, educational support for youth, and a new Foster Care Specialty Plan designed to meet the unique needs of children in foster care.

As Virginia's Medicaid program evolves, these initiatives reflect a strong commitment to enhancing healthcare delivery and ensuring that providers have the necessary tools and support to thrive in their roles. The focus on streamlined processes and comprehensive support aims to foster a healthier community, ultimately benefiting the residents who rely on these essential services.