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health plans

For Health Plans

Amerimed works closely with hospitals and health systems manage the risk of penalties and claim denials due to avoidable readmissions, including embedding Amerimed staff in the facility to meet with patients and their families before discharge to coordinate an in-home/in-person Transition of Care (TOC) visit within 72 hours of arriving home.  

In this TOC visit, our Nurse Practitioners will:

  • carefully review the facility discharge orders with the patient and family/caregivers,
  • review and reconcile patient prescription drugs, 
  • review and address Social Determinants of Health challenges within the home environment, 
  • coordinate follow-up care with primary and specialist physician offices,
  • coordinate any in-home care with home health, durable medical equipment or other provider, 
  • and render any appropriate medical care that will support the patients’ progress to recovery and health.

Finally, our team will ensure that all documentation from the TOC visit is submitted to the patient’s regular primary care and specialist providers.  

Contact us today to discuss how Amerimed Transition of Care strategies can meaningfully reduce claims cost and provide a signifcantly improved patient experience.

READMISSION MANAGEMENT

Amerimed provides strategy, resources, and engagement to support health plans’ claims based HEDIS results, CAHPS and HOS survey results and STARS ratings across Medicare Advantage, Medicaid, Commercial and ACA lines of business. With our ability to deliver the appropriate clinical resources into the homes of members, we can meaningfully close critical gaps in care, and provide information and reminders regarding survey-based measures. Our experienced team can help you design a patient engagement strategy that will significantly improve performance for key measures.

QUALITY INITIATIVES – STARS, HEDIS, CAHPS, HOS

Amerimed deploys Nurse Practitioners and other health care professionals into patients’ homes to provide non-emergent high quality, compassionate medical care in a very efficient, cost-effective way. Your members will avoid long Emergency Department wait times and signifcant member cost-share by utilizing Amerimed in the comfort and convenience of their own home. Most of all, your health plan members will enjoy an outstanding patient experience. Our patients consistenly rank us over the 90th percentile for our NPS.

EMERGENCY DEPARTMENT DIVERSION

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Amerimed Medical Solutions, LLC

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