AmeriHealth Caritas District of Columbia, a mission-based Medicaid-managed care plan serving more than 100,000 District residents, has received a three-year accreditation from the National Committee for Quality Assurance for its complex-care management program.
The program’s objective includes:
• Addressing members’ needs in multiple community settings, including their homes, primary care offices and other acute care settings such as its Member Wellness Center.
• Partnering with health care systems, including providers, community-based organizations and Core Service Agencies, to extend the program’s reach into the community.
• Employing clinical and non-clinical field-based associates to assist case managers with scheduling appointments, coordinating transportation and removing barriers to care.
• Leveraging technology, such as telemedicine and text messaging, to promote member engagement and increase the coordination of care and other services.
• Providing additional support to members with multiple complex health conditions or other special health care needs through high-touch (in-person) interactions
• Delivering person-centered, whole person, minimally disruptive care with the assistance of trained, culturally competent personnel, and
• Utilizing community-based care management services to provide cost-effective, high-quality care.
“Our care managers make it a priority to provide person-centered care that addresses the needs of the whole person by promoting the integration of behavioral and physical health care,” said Karen Dale, market president for AmeriHealth Caritas District of Columbia. “Through member and provider engagement, we gain the necessary insight to continuously adapt to ever-changing member needs, providing care when and where the member needs it.”
