Clinical Services
We combine insight and compassion to help care for both the population and the individual. Our medical management programs help balance high-quality and cost-effective care, while helping to maximize the member’s overall health.
Wellness
Our suite of wellness program options allows you to customize a plan based on the needs of your population. And, as a result, can reduce health care costs and improve overall health.
Case Management
AmeriHealth Administrators has received Case Management Accreditation from NCQA for our Complex Case Management Program. Earning NCQA's Case Management Accreditation is an indication that a Case Management program is dedicated to care coordination, patient-centeredness and improving quality of care: getting the right care to patients.
Disease Management
We identify members with chronic or unstable conditions and provide them with education, support, and health coaching to help improve their outcomes – and help you better manage health care costs.
Telemedicine
Enjoy convenient, 24/7 access to non-emergency care at lower costs than visits to an emergency room or urgent care center2. This virtual care delivery model enables secure consultations with a board-certified physician over a telephone, computer, tablet, or mobile app3.
Account Management
We know each client is unique, so we listen to you and then tailor programs to support your specific objectives. Our team measures the program’s success, and can recommend potential improvements to help increase your plan’s performance
Administration
Our dedicated implementation team helps to make the onboarding process easy. We walk you through the details, including eligibility, enrollment, and claims.
Intelligent Reporting
Using our intelligent reporting suite, we can help you evaluate plan design changes and other strategies that can help control costs and improve health.
Employer Resources
From our electronic data interchange services to our client support teams, we provide you with the resources to help you better manage your self-funded health plan – both online and off.
Member Resources
Being informed is one key to managing your health. So we provide 24/7 access to plan details and a wide-range of resources designed to help members do everything from finding an in-network doctor to living a healthier lifestyle.
Plan Design
Our comprehensive plan designs are tailored to meet your specific needs and bring the combined power of our experts and state-of-the-art technology.
Network Strategies
We connect you to health care providers locally and nationally, providing you access to high-quality care at a competitive rate.
Efficient Administration
Our fraud prevention safeguards help to identify duplicate claims, up-coding, and unbundling as well as incompatible procedures and diagnosis codes to help detect inaccuracies that can affect your bottom line.
Stop Loss
Stop Loss coverage helps protect you against high-dollar claims. And our preferred arrangement integrates with your self-funded health plan.