Enhanced personalized match: improving the care provider search for members

Find Care, the care provider finder and transparency tool in our online directory, allows members to search for in-network care providers using the secure member website at anthem.com/ca/find-care. This tool has always offered sorting options for distance, alphabetical order, and care provider name. The new Personalized Match option considers care provider efficiency and quality outcomes, gaps in care (such as HEDIS^® measures and other market-specific clinical care measures), knowledge about member history derived from claims and other available clinical data, and member search radius. Care provider pairings with the highest overall ranking within the member’s search radius will be displayed first. Members will continue to be able to sort by distance, alphabetical order, and care provider name.

HEDIS^® is a registered trademark of the National Committee for Quality Assurance (NCQA).

If you have questions

If you have questions or if you would like additional information or details about the Personalized Match methodology, use the Chat with Payer feature in Availity Essentials.

Personalized Match is just one example of how we continue to expand our member tools and content to assist them in making more informed and personalized healthcare decisions.