HSHS, Prevea Health to remain in Anthem care provider network

New agreement continues in-network health benefits for Anthem consumers at Prevea Health and HSHS hospitals in Eastern Wisconsin

Published Monday, February 24, 2020

Hospital Sisters Health System (HSHS), Prevea Health and Anthem Blue Cross and Blue Shield in Wisconsin announced today a new multiyear agreement allowing Anthem consumers continuation of in-network access to care at Prevea Health and HSHS hospitals in Eastern Wisconsin: St. Vincent and St. Mary’s in Green Bay; St. Nicholas in Sheboygan; and St. Clare Memorial in Oconto Falls.

“Our number one priority as physicians is our patients and we are pleased an agreement has been reached so our Anthem patients can continue to receive the high quality care they have come to know and trust at Prevea Health and the HSHS hospitals in Eastern Wisconsin,” said Dr. Ashok Rai, President and CEO at Prevea Health.

“We are grateful our partnership with Anthem will continue into the future as we provide health, healing and hope for all we care for in Eastern Wisconsin,” said Andy Bagnall, President and CEO of HSHS Wisconsin.

In partnership, Prevea and HSHS hospitals are one of the largest health care delivery systems in Eastern Wisconsin, with nearly 400 providers, 85 health centers and four hospitals. Similarly, Anthem is one of the largest health plans in the state with more than 1.3 million commercial, Medicare and Medicaid members.

“We work every day to assure our consumers have access to quality health care that is affordable, which requires working collaboratively with our care provider partners to reach contracts that achieve that goal,” explained Anthem Blue Cross and Blue Shield in Wisconsin President Paul Nobile. “With Wisconsin health care costs among the highest in the nation, this agreement is a particular win for consumers because both parties worked together to moderate costs and further the trend toward value-based health care models.”

The new agreement incorporates additional value-based care arrangements, a fast-growing national care delivery and payment model payment that connects higher reimbursements to providers who produce quality outcomes. Value-based care is transforming health care delivery, replacing the traditional fee-for-service model of payment that focuses on quantity rather than quality. Value-based care delivery models have been shown to improve outcomes, reduce cost and provide a better patient experience.

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