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Amerigroup

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Submitted By tamaraboyd8512
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Amerigroup’s PCMH Strategy
• Our strategy is focused on transforming our delivery system and working more directly with providers of health care services to improve the quality and efficiency of the care delivered to Amerigroup members.
• The core of this strategy is focused upon devoting resources to our primary care providers to assist them in becoming highly functioning patient-centered medical homes within an integrated delivery system
• The foundation of this strategy starts with primary care providers and works through to the execution of the Patient Centered Medical Home (PCMH) concept. Building upon this foundation the strategy expands to specialists, hospitals, and ancillary providers of services to build a delivery system for Amerigroup . members that are aligned to produce better outcomes, higher quality, and lower costs.
AmeriGroup Florida
Amerigroup Florida, a health plan, works collaboratively with seven psychiatric hospitals to improve patients' transitions to outpatient care, with the goal of reducing readmissions. The plan's behavioral health manager meets quarterly with hospital leaders to review data on admissions and length of stay, discuss select cases of readmitted patients to determine how patient care could have been managed differently, and identify strategies to improve quality and reduce the risk of readmissions going forward. Strategies focus primarily on steps that can be taken in the inpatient setting to facilitate the provision of appropriate treatment and support services after discharge. The program significantly reduced overall readmission rates at participating hospitals. Patients involved in specific quality improvement initiatives that came out of the program also experienced significantly fewer readmissions, along with associated declines in inpatient days and costs.
What They Did
Many hospitalized psychiatric...

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