medicaid managed care, Pennsylvania, Philadelphia, Medicare Coverage, Find a Medicaid Health Insurance Plan, Find a Medicaid Provider, Doctor, Pharmacy, Pharmacist, What is Medicaid, How much does it cost to sign up for Medicaid, What is Medicaid Managed Care, How does Medicaid Managed Care Work?
-
Medicaid Managed Care Health Insurance, What is Medicaid, How do I sign up for Medicaid?
-
Medicaid Care, Managed Care or Medicaid, Manager, Manage Management of Care, and how to get health care. hospitals that accept Medicaid Managed Care patients
-
Find a Doctor in Pennsylvania, Find a Hospital in Pennsylvania, Who accepts Medicaid Managed Care
-
Healthcare Providers Pennsylvania, Medicaid Managed Care
Understanding Medicaid, Pennsylvania, Medicare, Medicare Advantage, Perform Rx, Members, Medicare Part D, Centers for Medicare & Medicaid Services (CMS), Getting help with Medicaid Assistance, Medicaid Managed Care, How to enroll in medicaid, AmeriHealth Mercy, PerformRx, Providers, Healthcare, Medical Assistance, Transition Policy, Prior Authorization Process, Pharmacy Network, Drug Formulary, Medication Therapy Management, Medicaid Enroll, Enrollment Medicaid, Premiums, Coinsurance, Deductable, Coverage Gap, Medicaid Eligibility, Co-insurance, Managed Care, Copay/copayment, Dual eligible, Emergency care, Evidence of Coverage (EOC), Generic drugs, Medically necessary services, Medicare Modernization Act (MMA), Medicare Part A, Medicare Part B, Over the Counter (OTC) Drugs, Practitioner, Where to get Medicaid Managed Care, Primary Care Provider (PCP), Summary of Benefits, Urgent care, Special Needs Plan, SOBRA - Poverty level pregnant women and children, TANF - Temporary Assistance to Needy Families, SSI without Medicare - Individuals who are medically needy, aged, blind and disabled, SSI with Medicare - Individuals receiving Supplemental Security Income and Medicare benefits, Managed Care Welfare, Medical Assistance and Medicaid States, Pennsylvania Medical Assistance, Medicaid, Managed Care Health Plan, Keystone Mercy Health Plan, Philadelphia, PA, A Managed Healthcare Organization, Serving Medical Assistance recipients in Southeastern Pennsylvania, Bucks County, Chester County, Delaware County, Montgomery County, Philadelphia County.
Local Medicaid Managed Health Insurance in Pennsylvania
Allentown Altoona Back Mountain Bethel Park Bethlehem Chester Drexel Hill
Easton Erie Harrisburg Hazleton Johnstown Lancaster Lebanon Levittown McCandless
Township Medicaid McKeesport Mount Lebanon Municipality of Monroeville New
Castle Norristown Penn Hills Philadelphia Pittsburgh Plum Pottstown Radnor
Township Reading Ross Township Scranton Shaler Township Springfield State
College Upper St. Clair West Mifflin Managed Care Wilkes-Barre Williamsport
York
Hospitals in the Philadelphia / Pennsylvania Area
Children's Hospital, Cooper Medical Center, Einstein Hospital, Episcopal Hospital,
Fox Chase Cancer Center, Frankford Torresdale Hospital, Frankford Frankford
Hospital, Managed Care, Friends Hospital, Graduate Hospital, Hahnemann Hospital,
Holy Redeemer Hospital, Jeanes Hospital, Jefferson Hospital, J.F.K. Hospital,
Lankanau Hospital, Vencor Hospital, Lower Bucks Hospital, Methodist, Moss
Rehab Hospital, Nazareth Hospital, Northeastern Hospital, Pennsylvania Hospital,
Presbyterian Hospital, Rolling Hill Hospital, Shriners Hospital, Saint Agnes
Hospital, Saint Christopher's Hospital, Saint Joseph's Hospital, Saint John
Neuman Home, Saint Mary's Hospital, Temple University Hospital, University
of Pennsylvania Hospital, Vencor Hospital, Will's Eye Hospital, Women's Medical
Hospital
Pennsylvania Medicaid, Pennsylvania Health Plan, Pennsylvania Health Insurance, Pennsylvania, Medical Assistance, Pennsylvania Medical Assistance, Pennsylvania Medicaid, Pennsylvania Health Plan, Pennsylvania Health Insurance, Pennsylvania Medical Assistance, Pennsylvania Medical Assistance, Pharmacy Benefit Management Solutions (PBM) Perform Rx, Pharmacy Benefits Management, Prescription Drug Plan for Medicare Perform Rx PDP, Kentucky Medicaid, Medicare Advantage Kentucky, Medicare Advantage South Carolina, New Medicare Drug Plan, Prescription Drug Benefit
 |
|
 |
 |
| About Us | Community | Providers | Members | Miembros | Pharmacy | News | Career | Contact Us |
| News | | Home > News > Press Releases: 2006 | |||||||||
|
Senate Aging Committee Focuses on Medicaid Managed CareSeptember 15, 2006 Sen. Gordon Smith (R-OR), chairman of the committee, indicated that this was the first in a series of roundtable discussions that will focus on developing solutions for strengthening the Medicaid program. While Smith is not planning to pursue legislation this year, he urged the panelists and other interested parties to work with his staff in the coming months to develop a legislative proposal that will encourage states to expand managed care for vulnerable populations, while also ensuring that necessary safeguards are in place. Daniel Hilferty, President and CEO of AmeriHealth Mercy and Keystone Mercy Health Plans, was one of the panelists in the September 13 forum. Hilferty's testimony emphasized that AmeriHealth Mercy has been serving the Medicaid population for 23 years and has improved quality of care, access to care, and efficiency through innovative approaches to care management, collaborative provider arrangements, community outreach, and enhanced technology. Hilferty discussed his company's PerforMED initiative, which uses predictive modeling to determine which Medicaid beneficiaries will be high utilizers of health care services and intervenes pro-actively to reduce preventable acute care episodes for these individuals. Another AmeriHealth Mercy initiative, Healthy Hoops, helps asthmatic children and their families manage their condition through appropriate medication usage, proper nutrition, monitored exercise, and recreational activities. In 2004, this initiative reduce emergency room admissions by 63 percent and sleep disturbances by 70 percent. While reviewing the positive impact of these and other Medicaid managed care initiatives, Hilferty pointed to a study by The Lewin Group, which concluded that Pennsylvania has received $2.7 billion in cost savings over five years through the innovative practices of Medicaid managed care plans. He noted that another Lewin study projects that expanding managed care capitation to Medicaid on a nationwide basis would yield savings of $83 billion over ten years. Other participants in the roundtable discussion included representatives of the Arizona Health Care Cost Containment System, Families USA, the Health Policy Institute of Georgetown University, the National Association of Community Health Centers, and CareOregon. |
| © 2008 Keystone Mercy Health Plan. All rights reserved. | Home | News Room | Employees | Site Map | Contact Us | Email-to-Friend | Print |
| Legal Statement and Terms of Use | Notice of Privacy Practices for Members |
