Complex care coordination. Tiered pricing. Atypical enrollment processes. These are just a few of the challenges unique populations, such as students, hospital and health systems, Taft-Hartley plans, unions, and correctional facilities, may present. The good news is they’re also a few of AmeriHealth Administrators’ strengths. With our ability to customize our support, we can offer solutions as unique as the populations we serve.
Correctional Health Care Expertise
Inmate populations are growing, budgets are tight, and regulatory constraints continue to present challenges. Yet somehow correctional institutions must simultaneously stem rising health care costs and continue to provide inmates access to high-quality care. Providing inmates with access to care outside a correctional institution requires specialized knowledge, flexibility in approach, and out-of-the-box thinking. Fortunately, AmeriHealth Administrators offers all three.
Health Care Offerings
By leveraging relationships with the provider community and a decade of experience in the industry, we understand the challenges and nuances of offering inmates access to offsite medical care – all advantages to help make your job easier.
Our staff of registered nurses and case managers can help with inpatient concurrent review and discharge planning to help you get the best value for your health care dollar.
In addition to paying claims efficiently, we offer fraud prevention safeguards to help identify duplicate claims, up-coding, unbundling, and incompatible codes.
We use sophisticated data analytics to measure the effectiveness of programs to help pinpoint potential cost savings.
White PaperThe Challenge of Correctional Health Care: Balancing cost with quality of care
This white paper explores some of the options that may help correctional facilities stabilize or reduce health care costs while continuing to deliver high-quality care to their inmate populations.
Case StudyCorrectional health care: A collaborative approach to accessing cost-effective care
Correctional facilities often face unique challenges when providing health care for inmates. The facilities are generally legally obligated to deliver appropriate care while managing the overall cost, which demands creative solutions.