Articles from AmeriHealth Caritas

AmeriHealth Caritas announced today a strategic investment in Deon Health, a Michigan-based specialty managed care organization built specifically to serve people with intellectual and developmental disabilities (I/DD).

AmeriHealth Caritas New Hampshire will continue to provide Medicaid managed care services and supports to beneficiaries in the state after a new contract was approved by the Governor and Executive Council, following the recommendation of the New Hampshire Department of Health and Human Services.

AmeriHealth Caritas, a national leader in Medicaid managed care and other health care solutions for those most in need, announced today that Kelly A. Munson has been selected to lead the company. Munson is a seasoned health care executive, steeped in the Medicaid program, with deep experience leading complex and successful national operations. She will officially assume the role of president and chief executive officer (CEO) on February 1, concluding a thorough national search led by the AmeriHealth Caritas board of directors, which includes representation from joint owners Independence Health Group and Blue Cross Blue Shield of Michigan.

AmeriHealth Caritas, a national leader in Medicaid managed care and other health care solutions for those most in need, continues to demonstrate its commitment to long-term services and supports by funding an innovative program to help improve training and support for Pennsylvania caregivers. This is the second of three investments that aim to support vulnerable Pennsylvanians. Through AmeriHealth Caritas’ Community HealthChoices (CHC) health plans, the plans of choice for eligible Pennsylvanians, more than $355,000 is being granted to the Pennsylvania Homecare Association (PHA).

AmeriHealth Caritas, a national leader in Medicaid managed care and other health care solutions for those most in need, is demonstrating its commitment to long-term services and supports by launching a series of investments in community-based solutions to support vulnerable Pennsylvanians. The first of three planned investments will provide at-risk older adults with access to housing-related legal assistance.

Newsweek has announced its annual ranking of America’s Top 100 Most Loved Workplaces®, with AmeriHealth Caritas listed at 71. The 2023 Top 100 Most Loved Workplaces® are the result of a collaboration with the Best Practice Institute (BPI), a leadership development and benchmark research company.

AmeriHealth Caritas is proud to announce Melody Bonomo as the newly appointed market president for AmeriHealth Caritas Florida. Bonomo will provide the strategic vision and operational expertise essential to help ensure members have access to high quality health care services and supports through the Medicaid managed care plan, which serves seven Florida counties.

AmeriHealth Caritas announced that it will honor the payments already made toward 2023 plan year deductibles and out-of-pocket caps by former Friday Health Plans members who join AmeriHealth Caritas Next in North Carolina during a special open enrollment period through Oct. 30, 2023.

AmeriHealth Caritas, a national leader in Medicaid managed care and health care solutions for those most in need, announced today that Paul A. Tufano is stepping down as CEO of the company, effective September 1. A national search for the company’s new CEO is being conducted. Thomas Hutton, EVP and General Counsel of AmeriHealth Caritas’ parent company, Independence Health Group, and a member of the AmeriHealth Caritas board of directors, will assume the role of interim CEO as the search is underway. Hutton is a seasoned healthcare executive and has served on the AmeriHealth Caritas board of directors since 2020.

AmeriHealth Caritas, a national leader in Medicaid managed care and other health care solutions for those most in need, has become certified as a Most Loved Workplace®. This designation, created by Newsweek and backed by the research and analysis of Best Practice Institute (BPI), provides the most comprehensive look at workplace sentiment for organizations today.

A new mom comes in for her 6-week postpartum checkup. You check her blood pressure. You check her heartbeat. But do you screen for invisible conditions, the ones that can’t be detected by a monitor, but can be just as life-threatening?

Physicians and their patients can perceive health care experiences differently when they don’t share the same culture, ethnicity, and language. Such situations can even create an environment of mistrust, misperception and miscommunication, leading to poor health outcomes, according to AmeriHealth Caritas, a national leader in Medicaid managed care.

Which high-income country is the most dangerous place to give birth? If you answered “The United States,” AmeriHealth Caritas says you would be correct. In 2021, the U.S. maternal mortality rate hit its highest level since 1965, with deaths disproportionately impacting Black women:

AmeriHealth Caritas, a national leader in Medicaid managed care and other health care solutions for those most in need, announced that it has appointed Kathleen Giblin as Senior Vice President, Clinical Operations. An accomplished health care executive with more than 25 years of experience in health plan quality and medical management roles, Giblin will lead the strategy and planning of key clinical operational initiatives that support the company’s Medicaid, Medicare, and Exchange lines of business. She will also oversee the implementation of new and enhanced integrated clinical operations. Giblin will report to Dr. Karen Amstutz, Chief Medical Officer at AmeriHealth Caritas.

AmeriHealth Caritas, a national leader in Medicaid managed care and other health care solutions for those most in need, announced the launch of a national media network to spotlight, amplify and support solutions for the nearly 48 million Americans living in poverty.

AmeriHealth Caritas, a national leader in Medicaid managed care and other health care solutions for those most in need, announced that it has appointed Marla Purvis as its Georgia market president. An accomplished Medicaid and health care executive with more than 20 years of experience, Purvis will provide the strategic vision and operational expertise to lead AmeriHealth Caritas’ efforts to enter the state.

AmeriHealth Caritas, a national leader in Medicaid managed care, is collaborating with a physician-led, national non-profit organization to provide training for its health care providers to learn how gas stoves contribute to childhood asthma and other respiratory ailments.

AmeriHealth Caritas Ohio, a managed care organization that is slated to begin serving Ohio Medicaid enrollees in early 2023 and part of the AmeriHealth Caritas Family of Companies, announced that it has further expanded its provider network across the state. AmeriHealth Caritas Ohio and the following large health systems have signed agreements to allow health plan members to receive care from their affiliated hospitals, physicians, and other providers:

As winter nears, AmeriHealth Caritas stresses the importance of being current with age-appropriate COVID-19 vaccinations as recommended by the CDC, including the new bivalent boosters, which offer protection against Omicron variants.

AmeriHealth Caritas, a national leader in Medicaid managed care and other health care solutions for those most in need, announced the appointment of Neil Gomes as Senior Vice President and Chief Digital Officer; and Ngoc Trang as Senior Vice President and Chief Actuary.

AmeriHealth Caritas, a national leader in Medicaid managed care and other health care solutions for those most in need, announced that Baptist Health South Florida has joined AmeriHealth Caritas Next’s Health Insurance Marketplace provider network in Florida. AmeriHealth Caritas Next Health Insurance Marketplace members will have access to Baptist Health South Florida’s 12 hospitals, more than 200 outpatient centers, urgent care facilities, and physician practices, and more than 500 Baptist Health Medical Group physicians spanning across Miami-Dade, Monroe, Broward, and Palm Beach Counties.

AmeriHealth Caritas Ohio, a managed care organization that is slated to begin serving Ohio Medicaid enrollees in early 2023 and part of the AmeriHealth Caritas Family of Companies, announced that it has expanded its provider network across Ohio as it prepares to begin serving the state. AmeriHealth Caritas Ohio and the following large health systems recently signed agreements to allow health plan members to receive care from their affiliated hospitals, physicians, and other providers:

AmeriHealth Caritas Family of Companies, a national leader in Medicaid managed care and other health care solutions for those most in need, announced that AmeriHealth Caritas Pennsylvania and AmeriHealth Caritas Pennsylvania Community HealthChoices are two of the highest-rated health insurance plans in the nation, having both earned 4.5 out of 5 ratings in the National Committee for Quality Assurance’s (NCQA) Medicaid Health Plan Ratings 2022. AmeriHealth Caritas Pennsylvania and AmeriHealth Caritas Pennsylvania Community HealthChoices are the only two Medicaid plans in Pennsylvania — and two of only 13 in the nation — to earn a rating of 4.5 or higher.

AmeriHealth Caritas, a national leader in delivering health care solutions for those most in need, announced that it is expanding its presence in the Health Insurance Marketplace® this fall. AmeriHealth Caritas Next is based on the same principles of compassion and health equity that have been the company’s cornerstone for nearly four decades, and will help people, including those who are transitioning from Medicaid to Marketplace plans, access the clinical care and other resources that are essential for ongoing health and well-being.

AmeriHealth Caritas, a national leader in Medicaid managed care and other health care solutions for those most in need, announced that it has appointed Ash Hanson as Executive Vice President (EVP) and Chief Human Resources Officer. Hanson brings 25 years of leadership experience in human resources to the company. In her role as EVP, Chief Human Resources Officer, Hanson will oversee associate relations, learning, development, benefits, and recruiting for AmeriHealth Caritas’ more than 8,000 associates nationwide. She will report to Chairman and CEO Paul A. Tufano.

AmeriHealth Caritas, a national leader in Medicaid managed care and other health care solutions for those most in need, announced it has appointed David Finkel as Executive Vice President, Specialty Products and Services and Strategic Business Operations. An accomplished health care executive with more than 30 years of experience with payers, providers, and technology companies, Finkel will oversee AmeriHealth Caritas’ non-Medicaid businesses which include PerformCare® managed behavioral health, PerformRxSM pharmacy benefit management, AmeriHealth Caritas VIP Plans Medicare products, and AmeriHealth Caritas NextSM, an ACA Marketplace offering. He will also lead the company’s enterprise operations and network management areas.

Nearly one in five adults, or about 53 million people, lives with a mental, emotional or behavioral health disorder in the United States.1 Not all people are diagnosed and treated at the same rate, however. This leads to disparities in mental health treatment and diagnosis, says AmeriHealth Caritas, a leader in health care solutions for those most in need and an advocate for whole-person care.

AmeriHealth Caritas Family of Companies announced that its Medicaid plan in Delaware, AmeriHealth Caritas Delaware, has been awarded a contract by the state’s Department of Health and Social Services to continue helping the Diamond State’s Medicaid enrollees access quality health care.

AmeriHealth Caritas, a national leader in Medicaid managed care and other health care solutions for those most in need, has appointed Loretta Lenko President, Exchange. The appointment affirms the company’s commitment to the Affordable Care Act Health Insurance Marketplace, and to individuals and families — including those who are transitioning from Medicaid to a health insurance marketplace — who need affordable access to clinical care and other resources essential for ongoing health and well-being. Lenko will oversee AmeriHealth Caritas Next, the company’s Marketplace business that was announced in October 2021, and will also guide its expansion into new markets.

AmeriHealth Caritas, a national leader in Medicaid managed care and other solutions for those most in need, announced that two of its leaders were named to Modern Healthcare’s Top Diversity and Top Emerging Leaders lists. Yavar Moghimi, M.D., chief psychiatric medical officer for AmeriHealth Caritas District of Columbia, was named a Top Diversity Leader. Mairead McInerney, corporate director of population health-wellness coordination and member experience, was honored as one of Modern Healthcare’s Top Emerging Leaders.

AmeriHealth Caritas, a national leader in Medicaid managed care and other health care solutions for those most in need, announced appointments to two newly created roles on its executive leadership team: Adrian Mebane has been named executive vice president and chief risk officer; and Topper Ray has been named executive vice president, public affairs. Both roles report to AmeriHealth Caritas Chairman and Chief Executive Officer Paul A. Tufano.

AmeriHealth CaritasSM announced that it has appointed Jim Gartner as president of PerformRx, LLC, its URAC-accredited, full-service pharmacy benefit manager (PBM) with industry-leading clinical programs.

AmeriHealth Caritas Louisiana, a Healthy Louisiana Medicaid managed care health plan and part of the AmeriHealth Caritas Family of Companies, announced today it is teaming up with the New Orleans Saints and Pelicans to raise awareness of and help address key health issues and disparities impacting our state. The health plan’s Wellness and Opportunity Centers in New Orleans’ Gentilly neighborhood and Shreveport will host joint health and wellness activities as part of this Champions of Care collaboration.

AmeriHealth Caritas, a national leader in Medicaid managed care and other health care solutions for those most in need, announced that its two Medicare Advantage dual eligible special needs (HMO D-SNP) plans in Pennsylvania earned an overall 4.5-star rating (out of a possible five stars) from the Centers for Medicare & Medicaid Services (CMS) for 2022. The Pennsylvania plans earned this achievement through their commitment to providing quality benefits and services while focusing on social determinants of health.

AmeriHealth Caritas, a national leader in Medicaid managed care and other health care solutions for those most in need, announced that Rebecca Engelman has been promoted to executive vice president, Medicaid Markets.

AmeriHealth Caritas, a national leader in Medicaid managed care and other health care solutions for those most in need, today announced the appointment of Bob Kolodgy to the position of executive vice president and chief financial officer (CFO), effective Nov. 1.

AmeriHealth Caritas announced today that its South Carolina health plan, Select Health of South Carolina, will offer a new health insurance option for South Carolinians eligible for both Medicare and Medicaid (dual eligibles). First Choice VIP Care, a Medicare Advantage Special Needs Plan for dual eligibles (D-SNP), has begun accepting enrollment applications in 42 counties, with services to begin Jan. 1, 2022.

AmeriHealth Caritas, a national leader in Medicaid managed care and other health care solutions for those most in need, announced that it has appointed Benjy Green as its Texas market president. A Texas native with more than 20 years of experience in the state’s health care system, Green will provide the strategic vision and operational expertise to lead AmeriHealth Caritas’ efforts to enter one of the country’s largest Medicaid markets.

AmeriHealth Caritas, a national leader in Medicaid managed care and other health care solutions for those most in need, announced it has appointed Mark Grippi as market president of its Ohio Medicaid plan, AmeriHealth Caritas Ohio. In this role, Grippi will be responsible for the plan’s strategic direction, growth, and leadership. In April 2021, AmeriHealth Caritas Ohio was chosen to be one of seven health plans serving Ohio’s Medicaid managed care program. Coverage is scheduled to begin in July 2022.

AmeriHealth Caritas, a national leader in Medicaid managed care and other health care solutions for those most in need, announced today that it is entering the health insurance marketplace (or exchange) with its AmeriHealth Caritas Next℠ product. Based on the same principles of compassion and health equity that have been the company’s cornerstone for nearly four decades, AmeriHealth Caritas Next will provide services and supports to help people, including those who are transitioning from Medicaid to a health insurance marketplace, access the clinical care and other resources essential for ongoing health and well-being.

AmeriHealth Caritas, a national leader in Medicaid managed care and other solutions for those most in need, announced today the creation of a new company, Social Determinants of Life, Inc. An early pioneer in addressing the health outcomes of people who are challenged by poverty and disability, AmeriHealth Caritas is now pursuing a longer-term focus on resilience and life outcomes. The Social Determinants of LifeSM category encompasses all of the social and environmental factors that engender or inhibit wellness and opportunity.

AmeriHealth Caritas, a national leader in Medicaid managed care and other health care solutions for those most in need, announced it has appointed William T. Keena as market president of its New Hampshire plan, AmeriHealth Caritas New Hampshire. In this role, Keena will be responsible for the plan’s strategic direction, growth, and leadership. He will also serve as the plan’s primary point of contact with the state of New Hampshire.

AmeriHealth Caritas, a national leader in Medicaid managed care and other health care solutions for those most in need, announced today that six of its Medicaid health plans have received the National Committee for Quality Assurance’s (NCQA’s) Multicultural Health Care Distinction. The distinction is given to health plans that provide culturally appropriate care and quality improvement initiatives in serving diverse populations.

AmeriHealth Caritas, a national leader in Medicaid managed care and health care solutions for those most in need, today announced that it will collaborate with state, community, and provider partners to expand access to vaccine protection against COVID-19 for adolescent Medicaid members ages 12 and older with their parent’s or guardian’s consent. The aim is to help ensure this young population receives the second vaccine by Aug. 16, 2021, so they are able to return to school in September fully vaccinated.

AmeriHealth Caritas announced that its Florida Medicaid managed care plan, Prestige Health Choice, has changed its name to AmeriHealth Caritas Florida, effective today. The rebranding launches a new era for the health plan — and its mission to help build a healthier Sunshine State.

AmeriHealth Caritas, a national leader in Medicaid managed care and other health care solutions for those most in need, today announced the appointment of Karen Amstutz, M.D., to the position of chief medical officer. A pediatrician with more than two decades of experience as a health plan physician executive, Dr. Amstutz will oversee care management; utilization management; and medical, dental, pharmacy, and behavioral health clinical policy.

AmeriHealth Caritas District of Columbia, a Medicaid managed care plan serving the District of Columbia and a part of the AmeriHealth Caritas Family of Companies, has collaborated with Howard University Faculty Practice Plan to pilot a new value-based payment model to promote integration of drug and alcohol addiction treatments to help keep patients in recovery and to reduce relapse.

AmeriHealth Caritas announced today that it has been selected by Ohio Department of Medicaid (ODM) to help Ohio Medicaid and Children’s Health Insurance Program (CHIP) program enrollees access quality health care. Ohio has more than 3 million Medicaid and CHIP enrollees with diverse backgrounds and wide-ranging needs who require solutions that address their health as well as the social determinants of health, such as education, job training, transportation, and housing.