Care is delivered through video visits and secure messaging via a smartphone app, where patients are matched with a dedicated Care Team, including: With this relationship - and by linking arms with healthcare providers and community-based organizations across the state - we’ll help more people stay safe and achieve long-term recovery.”īoulder Care, founded in 2017, is a digital clinic that offers long-term support and telehealth treatment for substance use. We are grateful to partner with Anthem to ensure more Ohioans have accessible, affordable options for SUD care. Value-based contracting enables this innovation: holding treatment providers accountable for delivering better experiences to partners and patients. Bundling services under a case rate stabilizes costs while realigning incentives around whole person care and treatment retention.īoulder Care’s CEO Stephanie Strong shares, “Boulder’s model tailors care plans for each patient, drawing from a range of medical, social, and recovery resources to meet individual needs. Boulder Care’s payment model rewards long-term care management and quality outcomes – rather than fee-for-service reimbursement, which incentivizes high visit and testing volume. Unique to the partnership is a joint commitment to innovative value-based care. “Partnering with a provider such as Boulder Care allows us to do this in a way that extends our commitment to quality service delivery in a virtual format for our Ohio membership.” ”A cornerstone of Anthem’s strategy to address increased rates of substance use disorder has been to expand access to quality treatment which meets members where they are at, and with what they are ready to do,” shares Eric Bailly, Anthem SUD strategy director. Furthermore, medications for addiction treatment (MAT) – considered the gold standard for treating SUD – remain inaccessible to many, due to a lack of prescribers and regulatory barriers: only 55 percent of all rehabilitation facilities in Ohio offer medications like buprenorphine, and 80 percent of communities nationwide lack a buprenorphine prescriber. Ohio has the fourth-highest drug overdose rate in the United States, with record surges in opioid overdoses reported in 2020. This partnership comes at a time of heightened need for effective addiction treatment in Ohio. Together, Anthem and Boulder Care are setting a new standard for addiction care: delivering high-quality SUD care to more Ohioans and advancing a value-based care model in SUD treatment. CINCINNATI, OH, Septem/24-7PressRelease/ - To address the growing need for accessible, affordable substance use disorder (SUD) treatment, Anthem Blue Cross and Blue Shield in Ohio and Boulder Care have partnered to provide evidence-based telehealth addiction treatment to Ohioans covered by employer-based, individual and Medicare Advantage plans.
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