Clients Served by AHCP’s Health and Utilization Management Programs

  • Employers who sponsor both partial and complete self-funded group health plans.

  • Schools, both single and those who have combined to form purchasing alliances and trusts.

  • Municipalities including local townships, city, and county government group health plans.

  • Brokers and consultants, when finding ways to assist their clients in holding down escalating costs.

  • Third party administrators, looking for a way to pro-actively increase their market share.

  • Insurance carriers, both fully insured and self-insured, as a way to better predict, manage, and mitigate their risk.

  • Preferred provider organizations (PPOs) that can use health management as a tool to prove to perspective clients that they are assuring proper care management from the provider base.

  • Regional health plans, including hospitals, as a marketing tool to educate clients and perspective clients as to the benefits of membership in the plan.

  • Health saving account holders, to assure that they are making wise health care purchasing decisions and to assist in breaking through the administrative quagmire of the United States health care delivery system.

 
 
 
 

Clients We Serve

Health care affects a wide range of interests: private and public businesses, government entities such as schools and municipalities, the risk industry, doctors, hospitals, and most importantly, people. While all these entities come to the health care delivery system with a common goal, to obtain and maintain good health for the individual, each has a different agenda and role in health care.

AHCP’s health management role in the delivery system is that of being a coordinator between the care receiver, the care giver, and those involved in the financial aspect of health care. AHCP works to form a positive working partnership between these three entities:

AHCP works primarily through the care payor to foster the relationship between the care receiver and care giver. This relationship enhancement is accomplished through the following methods:

  1. Advocating appropriate and comprehensive care management plans that follow the national standards of care.

  1. Mitigating risk through prevention, early detection, and timely interventions.

  1. Increasing patient understanding of their disease(s), thereby improving compliance to care plans and beginning the lifestyle changes that are so integral to the control of chronic disease(s) and the subsequent costly complications that occur.