Mainebiz

April 20, 2026

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Driven by rising prices from care providers, legislative policy changes, and an increase in drug costs, affordability is a problem. At Anthem Blue Cross and Blue Shield, we're focused on creating solutions that not only lower costs but improve outcomes and simplify the healthcare experience for hard-working Mainers. We're focused on: 1 Sydney Health cost transparency tool utilization analysis, 2024. 2 Elevance Health: 2024 Impact Report (accessed March 2026): www.elevancehealth.com/content/dam/elevance-health/documents/ELV_2024_Impact_Report.pdf. 3 CarelonRx: How medical and pharmacy benefit integration drives savings (February 2024): www.carelonrx.com/perspectives/value-of-integrated-benefits. 4 Anthem internal data, cost-of-care saving analysis, June 2025. 5 Anthem Payment Integrity Program results, 2025. Sydney Health is offered through an arrangement with Carelon Digital Platforms, a separate company offering mobile application services on behalf of your health plan. CarelonRx, Inc. is an independent company providing pharmacy benefit management services on behalf of your health plan. Anthem Blue Cross and Blue Shield is the trade name of Anthem Health Plans of Maine, Inc. Independent licensee of the Blue Cross and Blue Shield Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc. 1089203MEEENABS 02/26 Committed to lowering healthcare costs Accountability & cost transparency We partner with care providers to establish fair, sustainable pricing, while digital tools like SmartShopper contribute to $185 in average annual savings. 1 Care quality With value-based care models, 66% of health plan spending supports providers for prevention and care coordination, not the volume of services. 2 Benefit integration Plans with integrated medical and pharmacy benefits produce up to $100 per member per month in savings through better care coordination. 3 Care accessibility Virtual care options reduce costly ER visits and drive $126 in average savings per telehealth urgent care visit. 4 Fraud, waste, and abuse Our payment integrity efforts prevent waste and improper billing which drove over $4 billion in savings in 2025. 5 Scan the QR code or visit anthem.ly/maine-affordability for more on our work to lower costs.

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