Beyond Managed Care
Healthy outcomes and healthy members depend on more than just doctors’ visits. AmeriHealth Caritas is proud to offer award-winning health plans, but we also work to treat all aspects of our members’ lives.
From health outreach to opioid prevention to job training and more, our Next Generation Model of Care encompasses the whole person. We pride ourselves on the programs and supports that help our members lead more active, engaged, sustainable lives.
Every day, we’re truly rethinking what managed care should be — and building healthier communities along the way.
Health outreach programs
By working with local providers, advocates, and civic leaders, we've created outreach programs that improve health care access and education for our members — including preventive care, children’s wellness, dental care, weight loss, women's health, and more.
Opioid use and addiction is a growing problem nationally, claiming nearly 44,000 deaths per year.1 To combat this epidemic, we're working with our members, providers, and other care organizations to offer opioid education, prevention, and treatment programs.
Job placement and readiness
Employment is a key part of a person's health and well-being, so we offer several workforce programs that provide our members with the tools and training they need to find work and reach their self-improvement goals.
We work to reduce health disparities in the communities we serve and help ensure that everyone has equal access to quality health care — regardless of age, sex, race, gender identity, sexual orientation, religion, education level, ability, or wealth.
Social determinants of health
Up to 80 to 90 percent of a person's health is tied to factors other than clinical care.2 Our person-centered model of care prioritizes these underlying drivers of health, known as the social determinants of health, when evaluating our members’ well-being.
- Findings from The Facts Hurt: A State-by-State Injury Prevention Policy Report – Trust for America’s Health and Robert Wood Johnson Foundation at http://healthyamericans.org/reports/injuryprevention15/ and from CDC – Injury Prevention & Control: Opioid Overdose at www.cdc.gov/drugoverdose/
- Magnan, S. "Social Determinants of Health 101 for Health Care: Five Plus Five." NAM Perspectives. Discussion Paper, National Academy of Medicine, Washington, DC. 2017. https://doi.org/10.31478/201710c