Elevance Health Care is a cornerstone of the U.S. healthcare system. It provides insurance and health services to over 118 million people.
This article explores its operations, benefits, and recent updates in simple terms.
What Is Elevance Health Care?
Elevance Health Care, formerly Anthem, is a leading health insurer. It operates through brands like Blue Cross Blue Shield and Wellpoint. The company serves members in 14 states.
Its Carelon division offers pharmacy, behavioral health, and digital solutions. Elevance Health Care focuses on whole health, addressing physical, mental, and social needs. It employs about 50,000 people and is based in Indianapolis.
The company’s mission is to improve health equity. It partners with providers and communities to make care accessible. Elevance Health Care reported $171.3 billion in revenue in 2024.
Core Services of Elevance Health Care
Elevance Health Care offers a range of health plans. These include employer-sponsored, individual, Medicare, and Medicaid plans. Each plan covers medical, dental, vision, and pharmacy services.
The company emphasizes preventive care. Members get free screenings, vaccinations, and wellness programs. This helps catch health issues early and reduces costs.
Carelon provides specialized services. These include home-based care and behavioral health support. Elevance Health Care integrates these to improve outcomes.
Medicare Advantage and Medicaid Plans
Elevance Health Care excels in Medicare Advantage plans. These serve nearly 2 million seniors across 23 states. Most plans have $0 premiums and include extra benefits.
Medicaid plans support low-income individuals. They cover essential care like hospital visits and mental health services. Elevance Health Care operates these in 14 states.
Benefits include transportation to appointments and fitness programs. These address social barriers to health, like access and affordability.
Carelon: Enhancing Health Services
Carelon is a key part of Elevance Health Care. It manages pharmacy benefits through CarelonRx, offering affordable medications. Members can use home delivery for convenience.
Carelon also provides behavioral health services. These include therapy and substance use disorder treatment. The Member Connect program reduces loneliness, cutting hospital visits by 8%.
The division uses AI and data analytics. This personalizes care plans and improves health outcomes. Carelon is central to Elevance Health Care’s innovation strategy.
Financial Performance Snapshot
Elevance Health Care is financially robust. Its 2024 revenue was $171.3 billion, up 6.9% from 2023. Net income reached $6.1 billion despite industry challenges.
Here’s a look at Elevance Health Care’s 2024 financials:
| Metric | Value |
|---|---|
| Revenue | $171.3 billion |
| Net Income | $6.1 billion |
| Members Served | 118 million |
| Employees | ~50,000 |
| Stock Price Drop (2025) | 30.2% |
This financial strength supports benefit enhancements. However, a 2025 stock drop reflects sector-wide cost pressures.
Technology and Digital Innovations
Elevance Health Care uses technology to improve care. Its Health OS platform connects providers, payers, and patients. It boosts medication adherence by 25% for chronic conditions.
The Sydney app helps members manage care. They can schedule appointments, check claims, and access telehealth. This simplifies the healthcare experience.
AI-driven analytics identify care gaps. For example, predictive models flag high-risk diabetes patients, improving A1C testing rates. These tools enhance Elevance Health Care’s efficiency.
Community and Health Equity Efforts
Elevance Health Care invests in communities. The Elevance Health Foundation has committed $150 million over five years starting in 2025. This funds health equity programs.
The Food as Medicine program with Feeding America is a highlight. It has screened over 1 million people for food insecurity since 2019. This addresses diet-related health issues.
Community service centers in 11 states offer support. These provide Medicaid guidance and social resources, strengthening local health outcomes.
Key Benefits of Elevance Health Care Plans
Elevance Health Care plans offer comprehensive coverage. Members benefit from a wide provider network, including top hospitals. Plans also include wellness perks.
Key benefits include:
- $0 Premium Plans: Most Medicare Advantage plans have no monthly cost.
- Flexible Benefits Cards: Members use these for groceries or health items.
- Telehealth Access: Virtual visits for medical and mental health needs.
- Wellness Programs: Free gym memberships through SilverSneakers.
These benefits make healthcare affordable and accessible. They address both medical and social needs.
Recent Challenges in 2025
Elevance Health Care faces industry pressures. Rising Medicaid costs have strained finances. A 2024 cyberattack disrupted operations, increasing expenses.
A securities fraud lawsuit filed in 2024 alleges cost misreporting. This led to a 30.2% stock drop in 2025. The company is addressing these issues.
New Medicare star rating rules cut bonus payments by $500 million. Elevance Health Care filed a lawsuit against CMS, claiming the changes were unfair.
Recent Updates to Services
In 2025, Elevance Health Care enhanced its offerings. Nine out of ten Medicare Advantage plans now have $0 premiums. This makes coverage more affordable.
Transportation benefits expanded significantly. Members get free rides to doctor visits and pharmacies. This helps those with mobility or financial barriers.
The company added new wellness allowances. Benefits cards now cover over-the-counter health items. These updates improve member access and satisfaction.
Partnerships and Provider Collaboration
Elevance Health Care partners with providers to enhance care. Its Quality-In-Sights: Hospital Incentive Program (Q-HIP) rewards hospitals for patient safety. This improves outcomes without penalties.
The company works with Epic Systems on Health OS. This platform shares real-time patient data, reducing care gaps. It has increased primary care follow-ups by 15%.
Collaborations with Aledade and Equality Health focus on value-based care. These partnerships prioritize outcomes, lowering costs for members.
Future of Elevance Health Care
Elevance Health Care is poised for growth. It plans to expand telehealth and digital tools. The Sydney app will add more features for member engagement.
Value-based care will be a priority. This ties payments to health outcomes, improving quality. The company expects 60% of 2025 earnings in the first half.
The Elevance Health Foundation will continue addressing social needs. Programs like Food as Medicine will grow, supporting health equity.
Summary
Elevance Health Care serves 118 million people with comprehensive health plans. Its Medicare Advantage, Medicaid, and Carelon services focus on whole health. Benefits include $0 premium plans, telehealth, and wellness programs.
Despite challenges like rising costs and a 2024 cyberattack, the company innovates with AI and partnerships. Recent updates in 2025 enhance transportation and wellness benefits. With a strong financial base and community focus, Elevance Health Care is set to lead in equitable, accessible healthcare.
FAQ
What is Elevance Health Care?
Elevance Health Care, formerly Anthem, is a health insurer serving 118 million people. It offers medical, dental, vision, and pharmacy plans. Its Carelon division provides specialized health services.
What benefits do Elevance Health Care plans offer?
Plans include $0 premium Medicare Advantage options, telehealth, and wellness programs. Members get flexible benefits cards for groceries and health items. Preventive care like screenings is covered at no cost.
How does Elevance Health Care use technology?
The Health OS platform connects providers and patients, boosting care coordination. The Sydney app helps members manage appointments and claims. AI analytics identify care gaps for better outcomes.
What community programs does Elevance Health Care support?
The Elevance Health Foundation funds health equity initiatives. Its Food as Medicine program has screened 1 million people for food insecurity. Community centers in 11 states provide support.
What challenges does Elevance Health Care face in 2025?
Rising Medicaid costs and a 2024 cyberattack strain finances. A securities fraud lawsuit and Medicare rating changes cut earnings. The company is adapting with cost management and legal action.