Health Care Solutions
Health Insurance Solutions for Quality Health Care
Welcome to Our Integrated Model of Care
At AmeriHealth Caritas, we make a difference by being different.
We’ve spent more than 35 years serving Medicaid and Children's Health Insurance Program (CHIP) populations. Our state-of-the-art care management models and award-winning wellness programs remove barriers to care and get people the help they need. Our holistic approach manages physical health, pharmacy, and behavioral health needs.
That’s our model of care — one that focuses on the whole person.
It’s the foundation for how we operate, innovate, and continuously improve our services across the nation. It’s the basis of our specialization in providing outcomes-driven care and customized services for health plans, states, and other systems that manage care for publicly-funded programs.
We take pride in our expertise in the managed care market, and we’re here to help you navigate the health care system and comply with the rules and regulations specific to your state’s needs. View our solutions to learn more, or contact us today.
Community-based care coordination in action
When members’ needs are not met through traditional health care delivery and care coordination, we offer community-based care coordination. A team consisting of a nurse, social worker, and community health worker — overseen by a medical director — connects with members in person to coordinate care and coach them on disease management. Through June 2017, across all lines of business, the outcomes are staggering:
50 percentreduction in inpatient admissions per member, per year.
19 percentreduction on total cost for members who had high use prior to the program.
36 percentreduction in ER use.