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Changing Lives

Together

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Our VisionWere not just another health benefits plan.

We help to improve members lives

We are an ally with the community and providers

Our local presence improves understanding

We have a diverse staff for a diverse member base

We believe We Can Help!

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Anthem is a proven model thatserves low-income and/or medicallyhigh-risk individuals enrolled inMedicaid, State Childrens HealthInsurance Programs and otherpublicly funded health care programs.

We serve more than 2 millionmembers and are backed bymore than 10 years of experiencein publicly funded health careprograms through our affiliated plansthroughout the nation.

We address the cultural needs ofour members and the communitythrough access to quality care offeredby a choice of providers and access tonumerous value-added services.

About Anthem Health Plan

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The needs of Medicaid and SCHIP members

are unique. We develop programs to help our members reduce

health risks through better self care.

Among these programs are:

ER initiative that reduces inappropriate ER

use and promotes doctor visits Childhood obesity programs

Asthma program

Well-child/well-mother care

Smoking cessation

The Unique Experience of Anthem

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Anthem Unites Everyone InvolvedLook at the Big Picture

Member

Coverage

Education

Transportation

Health Education

Access to Care

ProviderContracting

Education

Problem Solving

Quality of Care Initiatives

Government

Government Agencies

State and County

Health Departments

County Medical Health

Community

Advocacy Groups

Schools

Community Leaders

Social Service Agencies

Religious Organizations

CustomerResourceCenter

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What Is a Community Resource Center?Anthems Hands and Heart in the Community

Building strongprovider-member relations

Offering health educationclasses and materials

Reaching those who may havedifficulty obtaining care

Furnishing providers withtraining, including Medicaidguidelines and changes in state

procedures Working with members,

government, providers andcommunities to help improvethe health and lives oflow-income families and

individuals

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Director/Manager

Manager, Network Development

Clinical Quality Administrator

Health Promotions Consultant

Outreach Specialist

Network Education Representative

Administrative Assistant

Community Resource Center StaffThe People Who Help You Make a Difference

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Community Resource CenterValue for Our Members

Who are the Anthem members our Community ResourceCenter serves?

Individuals and families

Often unemployed or unable to afford health coverage Often temporary asssistance for needy families (TANF)

or welfare recipients

Those who have barriers to communication and care

High percentage of non-English speaking

High percentage of low-literacy rates Often lack trust in the

health care system

People dealingwith hardships

Untreated illness

Loss of a placeto live

Spousal abuse

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Who are the providers that serve Anthem members?

May be traditional Medicaid providers (Medicaid andSCHIP members only)

Federally Qualified Health Clinics (FQHCs) and

Rural Health Centers (RHCs) Include commercial health benefit plan providers

How do we help providers?

We offer in-person service through local CRC staff

We train them on plan benefits, billing and claims

Encourage membersto keep medicalappointments

We play a key role incase management

Community Resource CenterValue for Providers

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Community Resource CenterValue for Community Based Organizations (CBOs)

What are Community Based Organizations?

Nonprofit groups, social services, faith-based andcharitable institutions

Groups that strive to make a difference inthe community

Groups that often represent interests ofthe underserved

How our Community Resource Center helps:

Links Anthem members to CBOs forappropriate assistance

Encourages CBOs to educate their members onAnthem and Medicaid

Honors select CBOs for their achievementswith Community Service Awards

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Delivering Health Education

and Programs

Community Resource Centers offer and promote: Self-Care Initiative (ER Diversion Program)

Well-Woman Care

Get Up and Get Moving!

The Last Cigarette (TLC)

Healthy Habits Count With Asthma

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Community Resource Centers,

State Agencies and Vendors

Local support promotes education,compliance, health initiatives andsolid working relationships with:

Department of Health andMedicaid agencies

Enrollment brokers

County social servicesand health offices

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We All Need One Another

To help us improve the lives of our members and thehealth of our communities, our Community Resource

Centers in your community and across the nation canwork with you to make a difference.

Member

Provider

Government

Community

Our CommunityResource Centers

Can Help!

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