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Press Releases: 2006

AmeriHealth Mercy's PerforMEDSM Recognized For Innovation In Health Care Management

July 5, 2006 - Philadelphia (PA) - PerforMEDSM, AmeriHealth Mercy's care management program, was recently recognized as one of the top six finalists for the 2006 Thomson Medstat Innovator Award. This award honors organizations that are forging solutions to the quality and business challenges facing the nation's health care system.

PerforMEDSM was recognized for its proactive approach to case management, which uses prospective risk scores to identify high-risk members and manage their chronic conditions. The PerforMEDSM care management model, used at Keystone Mercy Health Plan,  incorporates the best practices in intensive case management, disease management, and behavioral health coordination. PerforMEDSM generates an annual net savings of millions of dollars for a relatively small population of high-risk members with high medical costs.

"We are very honored to be recognized nationally for innovative programs which provide the highest quality of care for our members while managing costs," said Anne Morrissey, Senior Vice President and General Manager for Pennsylvania Managed Care for AmeriHealth Mercy.

The finalists were selected by Medstat, part of the Thomson Corporation, which provides market intelligence and benchmark databases, decision support solutions, and research services for managing the costs and quality of health care. 

"The Thomson Medstat Innovator Award program honors organizations that use groundbreaking healthcare information solutions to solve the daunting problems facing the healthcare system," said Carol Diephuis, executive vice president of Thomson Medstat. "AmeriHealth Mercy's approach to care coordination for high cost members, known as the PerforMEDSM program, achieves the ultimate goal - reducing healthcare costs while improving healthcare quality."  

The AmeriHealth Mercy Family of Companies and its affiliates comprise the largest family of Medicaid managed care plans in the United States, touching the lives of nearly 2 million members nationwide, which makes us the nation's expert and industry leader in Medicaid and State Children's Health Insurance Programs.  Visit AmeriHealth Mercy for more information.