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Press Releases: 2006

AmeriHealth Mercy's PerforMEDSM to Present Intensive Case Management Strategies for High-Risk, High-Cost Members at 11th Annual Health Management Congress

September 6, 2006 - Philadelphia (PA) - Karen Michael, RN, MSN, MBA, Vice President, Clinical Services, PerforMEDSM, will present on Management of High-Risk and High-Cost Chronically Ill Members through Intensive Case Management, at the 11th Annual Health Management Congress in Las Vegas, on Thursday, September 14th from 2:20 pm -3:00 pm. PerforMEDSM, AmeriHealth Mercy's care coordination product, provides an intensive case management approach aimed at health plan members who are at risk for extensive and long-term medical needs.

Traditional disease management is not fully effective in managing high-risk, high-cost members with multiple, advanced chronic care conditions, particularly when conditions are complicated by psychosocial and economic issues. Through PerforMEDSM, AmeriHealth Mercy has implemented a comprehensive program of care management that incorporates the best practices in case management, disease management and behavioral health coordination. In this session, Michael will discuss:

  • Strategies to identify high-risk members upon enrollment
  • Implementing predictive modeling to identify and plan for programmatic changes
  • How this Best Practice approach is reducing costs while improving quality outcomes and member satisfaction

With more than 20 years of experience exclusively serving the Medicaid population, 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 more than 2 million members in 16 states. For more information, visit AmeriHealth Mercy.

The 11th Annual Health Management Congress, being held September 13-15, 2006 at the Mandalay Bay Resort and Casino in Las Vegas, is the only independent conference that offers strategies to develop, implement, and manage wellness, prevention and disease management programs with measurable benefit to health plans, employers, and hospitals. This year's event will focus on fostering informed health care decisions to improve clinical outcomes and control costs. Please visit 11th Annual Health Management Congress for more information.