Complex Care Coordination
Public health agencies face several tough challenges:
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populations with a higher incidence of co-morbidities, chronic health problems and behavioral health issues.
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uncoordinated use of healthcare resources and disconnected sources of patient information.
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providing Medicaid recipients with high-quality care in times of increasing budgetary constraints.
APS Healthcare specializes in helping government organizations solve these challenges; improving health and optimizing healthcare expenditures through collaboration and behavior change. Our Complex Care Coordination programs deliver results by:
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Being local — building service centers in your state and deploying teams of local, experienced community-based health coaches who work with hospitals, health centers and practioners to serve members in their healthcare neighborhoods
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Partnering with essential community providers — engaging them in the design and oversight of the program, as well as adding resources and service capabilities that extend and strengthen the quality of care they deliver
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Focusing our efforts — prioritizing our outreach to engage the neediest and most vulnerable recipients – the 20% of the population who drive 80% of expenditures
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Integrating and sharing information — via our web-based, HIPAA-compliant CareConnection® platform that creates a consolidated electronic Community Health Record accessible by all practitioners engaged in a member’s care
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Improving clinical outcomes — which, when combined with appropriate use of healthcare resources, delivers expenditure optimization validated by third party reviewers such as Mercer and Milliman
Customized and Collaborative Program Design
Working collaboratively with our state agency client and key practitioner groups, we tailor a Complex Care Coordination program that reflects the nuances of your state’s healthcare system/resources and combines the services that best address your population’s unique needs:
In the Words of our Customers and their Members
"This [Georgia Enhanced Care] is a wonderful, collaborative partnership with APS. Our physicians, staff and patients work directly with APS health coaches. Through this interaction, the patients receive disease education, medication management and, most importantly, alternatives for care when they are discharged from the hospital."
— Leon Haley, M.D. Chief of Emergency Medicine, Grady Health System, Atlanta, GA
"APS health management programs have exceeded our expectations. We are fortunate to partner with a company that understands the complexity of our healthcare system and is able to tailor its programs to meet the needs of providers and clients."
— Teri Green, Medical Policy Manager, State of Wyoming
"This [Georgia Enhanced Care/Georgia Medicaid Management Program] is a unique disease management program. The grass roots approach reaches out to community members and partners with communities to serve the population better."
— Dr. George Rust, Director for the National Center for Primary Care at the Morehouse School of Medicine.
"… what has involved years of dealing with illness resulting in needless frustration is remedied within a couple of months since my call to the Chronic Care Improvement Program. Someone needs to be congratulated on a great idea because in my case it is the answer I’ve been looking for.…Keep up the good work and thank you for such sincere care and competence."
— Sheryl, Missouri Chronic Care Improvement Program
"I find [Healthy Together!] very helpful. It has saved me trips to the doctor. My coach has been tremendous! Thank you for the program."
— Wyoming EqualityCare Client
Measurable Results
$136.5M reduction in total annual costs achieved through higher quality healthcare to Medicaid recipients.
Missouri MoHealthNet Health & Wellness Program
$80M contribution to Georgia Medicaid cost stabilization.*
*Independent third-party validation by Mercer Government Human Services Consulting
Georgia Enhanced Care Program
$61.1< reduction in inpatient costs and a 50% reduction in inpatient hospital utilization
Missouri MoHealthNet Health & Wellness Program
96% member satisfaction ranking for overall program quality
Wyoming Healthy Together!
$9.6M reduction in ER costs, 30% reduction in ER use
Missouri MoHealthNet Health & Wellness Program
24% reduction in Medicaid inpatient hospital utilization
Wyoming Healthy Together!
Georgia Enhanced Care Program: Awarded “Best Government Disease Management Program” (2007) and “Best Provider Engagement Initiative” (2006) by DMAA: The Care Continuum Alliance
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