Founded in 1993 as a privately held company, American Health Holding provides comprehensive, integrated health management solutions through a team of highly qualified physicians, registered nurses and social workers with the training and tools to impact quality and cost. We take pride in delivering timely solutions that impact the daily lives of our members as well as our client’s bottom line. Our wide variety of medical management services span the health continuum and include: * Utilization Management * Advanced Radiology Scheduling Services * Case Management * Specialty Case Management (Chronic Kidney Disease, Maternity, Neonatal and Pediatric, Oncology, Specialty Pharmacy and Transplant) * Pre-Admission and Post-Discharge Counseling * Population Health Management (Wellness and Disease Management) * Maternity Management * Medical Transportation * Medical Review * Independent External Review * Integrated Behavioral Health * Medical Disclosure * 24/7 Physician Consultations and Nurse Line * Medical Cost Containment * Proprietary iSuite Software We are confident that our extensive experience and broad array of medical management solutions will allow American Health to meet and exceed your expectations, and we look forward to adding you to our growing list of satisfied clients!
Our philosophy for managing patient care is reflected in the goals that we have established for our URAC-accredited, integrated medical management programs: Utilization Management - Precertification is based on the premise that early intervention can lead to claims cost reduction. We ensure procedures are medically appropriate, assign a length of stay, ensure that the location of service is appropriate and identify “high risk” cases that can be forwarded to Case Management or Disease Management. Case Management - The program targets cases requiring more attention, resulting in better medical outcomes for members and greater cost savings for employers. Our criteria and systems are designed to identify catastrophic and complex illnesses, transplants and trauma cases. Key to our success is our ability to identify, coordinate and negotiate alternative treatment plans and related costs. Disease Management - The program targets nine conditions (asthma, chronic kidney disease, COPD, chronic pain, CHF, CAD, diabetes, hyperlipidemia and hypertension) for which evidence-based guidelines are established to impact health and measure improvements. The goals of the program include improving participant activation and effecting improvements in the health status of participants by providing education and support that promote good self-care practices and adherence to care guidelines.Get More Info
American Health Medical Management Overview.docx
You must be a registered user of Shortlister to access this information . Click below to register and download these materials .
You must be a registered user of Shortlister to access this information . Click below to register and see this vendor’s clients .
will be in touch to provide pricing info shortly . They may need more specific information about the program you’re looking for, so that they can provide pricing on the most appropriate features and components .
|Shortlister Public Site
|Who can Access Shortlister?||Versions of the Shortlister app are available for employers and benefits consultants to access detailed information on service providers and issue RFPs.||Anyone can access the basic vendor data listed on the Shortlister public site, free of charge.|
|Do employer & consultant users pay to access Shortlister?||Yes – There is a monthly subscription fee||No – Shortlister's public site has tens of thousands of visitors per month that are researching vendors. They do not pay to access this basic vendor data.|
|Do service providers pay to be listed?||No – Service providers can enroll on the Shortlister app for free.||No – Service Providers do not pay to be listed on the Shortlister public site.|
|Can service providers pay to improve their position?||No – The Shortlister app's matching algorithm is completely neutral & unbiased. It matches employer & consultant users with service providers based on how closely the buyers requirements match the service provider's capabilities.||Yes – ONLY on Shortlister's public site. Service providers can bid to show up higher on listing pages. This is how Shortlister is compensated for the substantial effort it takes to curate this pages and vet vendor data.|
|What if a service provider doesn't pay Shortlister?||Nothing – Service providers don't pay a fee to participate on the Shortlister app and are matched based on how well their capabilities align with a buyer's demographics and needs.||Service providers will still be listed on the pages for the services they provide, they will just be listed below those that have bid to list higher on that particular product page.|
|What about the Top Vendor lists at the top of the product listing pages? Is there a fee to be listed?||Not Applicable – The Shortlister app doesn't display Top Vendor lists because the algorithm generates a custom list based on the customer's needs.||Yes - There is a nominal fee of $50 per quarter that's charged if a service provider is approved for a Top Vendor list. Shortlister evaluates vendor capabilities & market performance data to determine who should be listed. Evaluating this data takes considerable time and effort, so the nominal $50 fee covers the cost of the work it takes to curate these lists. If a vendor applies for a Top Vendor list but doesn’t meet the criteria, they are not charged a fee.|
|Who provides reviews of service providers?||Reviews on Shortlister's app are collected from employers and consultants. Service providers are also able to collect reviews from their customers, once they are validated by Shortlister. When a user is logged into the Shortlister app, they can clearly see the source of the review.||Public site reviews are an aggregation of employer, consultant and provider-collected reviews. There is no way for public site visitors to differentiate the source of the review.|
|Do service providers see information and reviews put in the site by your users?||Service providers cannot see the information put in by Shortlister's consultant and employer users.||Service providers can see information that was collected from their own clients.|