ST. LOUIS - In order to meet the evolving needs of patients, Anthem Blue Cross and Blue Shield in Missouri (Anthem) is working with Mercy to form a strong alliance in transforming health care. Together, they have developed a new option to better serve Missouri members and support the unique needs of local employers as they offer affordable, quality health plans to their employees.
Coverage begins January 1, 2018 for an exclusive provider organization (EPO) in St. Louis and Springfield, Missouri. Anthem Alliance EPO will provide in-network benefits to members through a focused network of Mercy physicians, hospitals and other health care professionals. This new product will be available to employer groups with 51 or more employees in St. Louis and Springfield. Funding options include fully insured or administrative service only (ASO).
“Close collaboration between the insurance carrier and providers is key to managing cost in today’s health care market,” said Dr. Jay Moore, senior clinical officer of Anthem Blue Cross and Blue Shield in Missouri. “By collaborating with Mercy, we can ensure members get the best, fully integrated care possible, while also keeping costs affordable. The Anthem Alliance EPO is really the best of both worlds for members.”
Jeff Johnston, president of Mercy’s eastern Missouri region added, “The EPO plan created by Mercy and Anthem offers unique advantages to patients. They’ll have access to the region’s most coordinated network of doctors, hospitals, urgent care centers and other services, which are linked by a powerful electronic health record. Our caregivers are able to collaborate across all locations – and even virtually – to deliver the high quality, compassionate care Mercy is known for, and with the convenience that patients are seeking.”
Because of its efficient, quality care, Mercy was recently named one of the top five large health systems for the second year in a row by IBM Watson Health’s Truven Health Analytics.
Mercy in the greater St. Louis area offers a wide range of services, including:
- More than 650 integrated doctors, nearly 100 clinic locations and four hospitals
- The only dedicated heart and vascular hospital in the area
- Maternity care that includes the option of a low-risk birthing center in a homelike environment within the hospital
- A Level III neonatal intensive care unit, with the most advanced care available for the tiniest patients
- St. Louis County’s only Level I Trauma Center, capable of providing the highest level of care on a moment’s notice
- A children’s hospital including a dedicated emergency department for children, which eases the anxiety of an unexpected illness or injury
- The region’s leading burn center
- Mercy Rehabilitation Hospital St. Louis, which ranks in the top 10 percent of rehab hospitals in the country
- The David C. Pratt Cancer Center, which offers comprehensive cancer services with several locations
About Anthem Blue Cross and Blue Shield in Missouri
In Missouri (excluding 30 counties in the Kansas City area) Anthem Blue Cross and Blue Shield is the trade name for RightCHOICE® Managed Care, Inc. (RIT), Healthy Alliance® Life Insurance Company (HALIC), and HMO Missouri, Inc. RIT and certain affiliates administer non-HMO benefits underwritten by HALIC and HMO benefits underwritten by HMO Missouri, Inc. RIT and certain affiliates only provide administrative services for self-funded plans and do not underwrite benefits. Independent licensees of the Blue Cross and Blue Shield Association, ®ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross Blue Shield Association.
Mercy, named one of the top five large U.S. health systems in 2017 by Truven, an IBM Watson Health company, serves millions annually. Mercy includes 44 acute care and specialty (heart, children’s, orthopedic and rehab) hospitals, more than 700 physician practices and outpatient facilities, 40,000 co-workers and more than 2,000 Mercy Clinic physicians in Arkansas, Kansas, Missouri and Oklahoma. Mercy also has outreach ministries in Arkansas, Louisiana, Mississippi and Texas.
In Mercy’s east Missouri region, services include a 859-bed hospital in west St. Louis County, 767-bed hospital in south St. Louis County, 251-bed hospital in Crystal City, 187-bed hospital in Washington, 25-bed critical access hospital in Troy and Mercy Clinic, a -member multispecialty physician organization. For more about Mercy, visit www.mercy.net.