Company Overview
APS Healthcare Inc., headquartered in Silver Spring, Md., is a privately held specialty healthcare company. Founded in 1992, APS and its 1,300 employees provide a wide range of healthcare solutions to more than 20 million members across the United States and Puerto Rico.
APS was founded as a behavioral healthcare company and has evolved into a specialty healthcare company that offers customized, integrated healthcare solutions across two major product lines: care management and behavioral healthcare services. The company has capitalized on its experience in behavior change to create physical and mental healthcare programs that are industry renowned. The use of an integrated approach to healthcare for the mind and body has allowed APS to be more effective in improving the quality and effectiveness of care.
Today, APS is a pioneer in providing health and disease management services while retaining its position as one of the leading behavioral healthcare organizations in the United States. In fact, APS is the only specialty healthcare company with extensive experience in health management, behavioral healthcare, employee assistance programs (EAP), informatics and quality review/oversight programs.
Products and services
APS’ integrated approach is designed to positively impact the overall health and well-being of individuals. The company is known for its expertise in developing customized products and services that enable its customers to meet the challenges of today’s healthcare environment. This approach is built upon the broadest set of clinical expertise in the specialty healthcare industry. The company’s full line of products and services include:
Care management solutions:
- Disease management
- Case management
- Health and wellness
- Utilization management/review
- Informatics consulting
- Training and oversight programs
Behavioral health services:
- Managed behavioral health
- EAP
- Work-life services
APS’ products are nationally recognized for innovation and quality.
The company was recognized in 2005 by the Disease Management Association of America as having the best government disease management program and in 2006 for its outstanding provider engagement in disease management. APS is also a two-time winner of the Employee Assistance Professional Association Quality Award for EAP excellence.
The company has achieved URAC accreditation for its core medical, behavioral health and disease management products.
To meet the specific needs of its diverse set of customers, APS is organized into three major operating divisions: APS Commercial Programs, APS Public Programs and APS Puerto Rico.
APS Commercial Programs
APS Commercial Programs serves nearly five million members through relationships with more than 900 employers, health plans, third-party administrators (TPAs) and Taft-Hartley Trust Funds. By focusing on the unique needs of these market segments, APS has been successful in creating and implementing programs that help its customers improve the quality of care and manage cost.
APS Commercial Programs’ success is largely attributable to its use of proven behavior modification techniques to provide a well-rounded approach to improving individual health, wellness and productivity. Through a comprehensive range of programs, APS provides a model for its customers and members that transcends traditional processes. As a result, APS’ programs have been frequently cited by industry thought leaders as being unique in integrating holistic physical and mental healthcare management.
APS Commercial Programs consistently achieve customer satisfaction rates well in excess of 95 percent due to its ability to develop customized programs that deliver outcomes that far exceed customer expectations.
APS Public Programs
APS Healthcare is one of the largest healthcare services companies in the public programs area, serving clients responsible for more than 40 percent of the nation's Medicaid population through nearly 40 programs in more than 20 states. The Public Programs division delivers specialty healthcare administrative services to support utilization management, disease management, behavioral health, EQRO and other quality improvement endeavors across a diverse set of beneficiary populations.
APS Public Programs offers dedicated experience in delivering customized programs that are customer and program focused, rather than product focused. A core part of APS’ operating philosophy is the use of a decentralized staffing model designed specifically around the needs of the program. This model provides customers with a local operating center and a dedicated leadership team. APS has also been a leader in using technology and clinically driven best practices to help create a more productive, healthier lifestyle for members.
APS prides itself on its retention rate of its Public Programs customers. In fact, APS Public Programs has retained or won every competitive rebid since its inception in 1998.
APS Puerto Rico
APS is the largest managed behavioral healthcare provider in Puerto Rico. APS Puerto Rico serves more than one million members in public and private programs throughout the island.
In the public space, APS is the largest provider of behavioral heath services to the government of Puerto Rico’s Medicaid program. This unique behavioral health model covers several regions throughout the island and involves a provider network of about 300 professionals and a multidisciplinary outpatient clinic system that is operated by APS.
Serving the commonwealth since 1999, APS has become an important contributor to Puerto Rico’s healthcare system and has increased the number of individuals it serves each year. The APS system currently serves more than 100,000 active patients. In the past four years, APS has increased access to mental health services by more than 50 percent and in 2006, delivered more than 600,000 patient services.
Tailored mind-body solutions for improved outcomes
APS is dedicated to integrating the mind and body in its approach to products and services to help its members live healthier lives.
Through unparalleled program customization, APS provides the innovation and expertise to position its customers to meet the challenges of today’s healthcare environment, including the control of rising healthcare costs and improving the quality of care. APS is committed to delivering the products and services which allow its customers to provide the right solution for members and beneficiaries.
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