Aledade to Launch Community Health Center-Only MSSP ACO in Virginia

Dec. 1, 2023
Company also announces an expanded relationship with Anthem Blue Cross and Blue Shield in Virginia to include Medicaid

Aledade is working with several community health centers (CHCs) to launch Virginia’s first CHC-only accountable care organization in the Medicare Shared Savings Program next year. Aledade already supports the care of more than 10,000 Virginians who receive care through rural health clinics in the Valley Health MSSP ACO. 

Nationally, Bethesda, Md.-based Aledade works with more than 1,500 practices and CHCs in 46 states and the District of Columbia. It shares in the risk and reward across more than 150 value-based contracts representing more than two million patient lives under management.

Aledade said it is working to bring the benefits of value-based care to patients all across Virginia, especially those in underserved communities and those who receive care through a community health center. The company serves as a partner to 15 of Virginia’s 26 CHCs and supports the care of more than 90 percent of Anthem Blue Cross and Blue Shield in Virginia’s CHC members in Virginia.

Further extending its impact in Virginia, Aledade also announced an expanded relationship with Anthem to include Medicaid, which means that more than 150,000 Anthem members in Virginia across Medicare Advantage, commercial insurance and Medicaid will have easier access to high-quality primary care, including preventive care and screenings. The partnership will impact more than 80 practices, 15 health centers and 25 rural health clinics across Virginia and covers Medicare Advantage, commercially insured, or Medicaid members.

“As a community health center, we understand that value-based care is of great importance to shift the focus of health care to be patient-centered and about striving for the best possible outcome for our patients,” said Barbara Willis, CEO of Hampton Roads Community Health Center, in a statement. “This kind of care allows us to focus on eliminating redundant care, disease prevention, improving the full patient experience and less unnecessary testing. This not only leads to greater overall medical cost savings, but it has shown to improve the relationships between doctors and their patients.”

“We are already beginning to reap the benefits from this partnership seeing rural health clinics expand access and offer more preventive care,” said Monica Schmude, president of Anthem Blue Cross and Blue Shield in Virginia, in a statement. “These physicians are able to focus exclusively on better health outcomes for our members, making a critical difference in the health of our communities.”

“Every patient deserves access to the proven benefits of physician-led, value-based care, regardless of how they get their health coverage,” said Ananya Banerjee, chief commercial officer at Aledade, in a statement. “Thanks to our unique partnership with Anthem Blue Cross and Blue Shield in Virginia, we are ensuring this high-quality care reaches patients of every age and in every community, so that we can close persistent and troubling gaps in health equity and ensure every Virginian can access the preventive and primary care they need to stay healthy and thrive.”

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