Experience

We are proud of the quality and scope of our services. We touch 6.5 million lives with a philosophy of care that is practical and comprehensive.

Our focus on Medicaid and vulnerable populations gives us the advantage of being able to customize our systems and processes to best serve these populations. Since we operate in multiple states, in urban and rural areas, and in ethnically diverse areas serving adults and children, we have experience with a variety of state requirements and market needs. We are able to quickly evaluate and develop programs that are well suited to meeting specific state program requirements while addressing the needs of special populations.

Summary of the AmeriHealth Mercy Family of Companies' Experience:

• Has focused on Medicaid managed care since 1983.
• Has developed seven turnkey Medicaid plan start-ups, including rapid roll-out of large programs.
• Currently provides Administrative, Management and Pharmacy services to four owned and/or operated Medicaid managed care plans and to other managed care organizations throughout the country.
• Is the market leader in voluntary Medicaid managed care enrollment markets.
• Has extensive experience with mandatory Medicaid markets.
• Has extensive experience with Medicaid TANF and SSI populations.
• Serves CHIP populations in three states.
• Understands the special needs of Medicaid membership.
• Is successful at working collaboratively with traditional Medicaid providers.
• Develops and manages Medicaid-focused disease management and health outreach programs.
• Employs seasoned management staff with strong client focus.
• Enjoys successful working relationships with state regulators.
• Employs over 2,000 individuals.
• Serves 6.5 million Medicaid members through affiliated plans and products.