From Payer to Partner: How We’re Working to Make Healthcare Better
Key Highlights:
- Elevance Health is focused on improving how people access and experience healthcare.
- We use technology, data and quality-driven programs to connect members with the right care at the right time.
- Our whole-health approach addresses physical, behavioral, and social health so we can be a true health partner for the communities we serve.
You can get your knee replaced, but not at that hospital. You can take this medication to manage your blood pressure, but not the one your neighbor takes. You should see this doctor for your skin condition — period.
Does this sound familiar? We know health insurance can sometimes feel like a roadblock to needed care. We get that many people find their health plan benefits hard to understand. That’s on us to fix — not just by removing unnecessary barriers, but by raising the bar for what people should expect from their health insurance company.
What We Really Do
The truth is, what health insurance companies do is about more than policies and processes. It’s about being an active partner in health with the people and communities we serve. And we agree that we have work to do to improve health insurance and the overall health system.
To deliver on that responsibility, we’re focused on the fundamentals that shape the healthcare experience. That means negotiating for lower costs from hospitals and drug companies, establishing affordable premium rates for people enrolled in our plans, and diligently managing healthcare so dollars go further for employers and families alike.
As a purpose-driven company, though, our goals reach beyond managing costs to making healthcare simpler, more accessible, and more effective. Through advanced technology, predictive data insights, impactful community partnerships, and personalized member experiences, we’re working each day to improve health and healthcare for everyone.
How We Help Make Healthcare Better
We expect care to be both accessible and exceptional, so we build comprehensive care provider networks and create payment models that support the highest-quality care for our members. We design benefits and services that prioritize prevention and allow people to get the right care at the right time in the right setting — because when people stay healthy, everyone wins.
Health Beyond the Doctor’s Office
Because most of what shapes health happens outside the doctor’s office, we’re leaning into a whole-health approach. When we consider mental health and the social factors that affect health, such as access to transportation, we can better address members’ physical health needs.
That means using data to deliver customized mental health care, partnering with local organizations to improve access to nutritious food, and helping members find stable housing — so they can focus on their health instead of how they’re going to feed their family or where they’re going to sleep at night.
Our Commitment
These holistic efforts are just a sample, and only the beginning of our commitment to redefine health and reimagine the health system. They reflect our shift from being a payer of claims to being a true partner in health — a goal that transcends financial interests and check-the-box exchanges.
Our industry must help members through the challenges presented by a shifting healthcare landscape. We’re embracing that responsibility with humility and intention, because we know trust is earned, and we believe a better approach to health and healthcare is not only possible — it’s essential.
Mark Kaye is Elevance Health’s Chief Financial Officer