ProHealth Care joining Anthem Blue Cross and Blue Shield’s Blue Priority network


Waukesha-based ProHealth Care will join Anthem Blue Cross and Blue Shield’s Blue Priority network on Dec. 1, making all of ProHealth’s professionals, services and facilities available to network members.

Blue Priority is Anthem Blue Cross and Blue Shield’s high-value network in Wisconsin. It’s the network used by all Anthem Blue Cross and Blue Shield Individual health plans sold through the state’s federally-facilitated health insurance exchange, and it is available to employers through fully-insured and self-funded health benefits arrangements.

“We are pleased to join Blue Priority,” said Susan Edwards, chief executive officer of ProHealth Care. “Collaboration with the progressive, value-focused health care providers in the Anthem network will allow us to further enhance the quality of care we provide and the health of the communities we serve.”

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The Blue Priority network offers access to quality care at a market-leading value in 45 Wisconsin counties, where more than three-quarters of the state’s residents reside. The network includes all seven members of the newly established statewide provider partnership, as well as the Children’s Hospital System in Milwaukee, Meriter Health Services in Madison and select clinics and physicians to ensure access across the entire geography covered by the network.

“We launched Blue Priority two years ago with the expectation that it would spark innovation and competition around the critical issues of cost, quality and efficiency,” said Larry Schreiber, president of Anthem Blue Cross and Blue Shield in Wisconsin. “It has done all that and more, and we’re excited to continue adding to the network health systems that share our passion for high value, patient-centered care. ProHealth Care is a leader in those efforts, and we look forward to having them join the network in December.”

Blue Priority works to improve health by combining the clinical expertise of Anthem Blue Cross and Blue Shield and its participating health systems. The organizations work together to unlock the power of clinical data and claims records to produce personalized, patient-centered care that improves the overall health of the Blue Priority patient population.

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Health care organizations in the Blue Priority network, among other things, use electronic medical records to actively manage patient cases; exchange data electronically between the health care organization and Anthem Blue Cross and Blue Shield; and reward doctors for value and outcomes versus the volume of services provided.

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