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AmeriHealth NJ to Participate in National Comprehensive Care Initiative Overseen by the Centers for Medicare and Medicaid Services

June 18, 2012
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Business Wire, Inc.

NJ one of only seven states selected to participate.

CRANBURY, N.J.--(BUSINESS WIRE)-- AmeriHealth NJ today announced that it will be one of five health plans in New Jersey participating in the Centers for Medicare and Medicaid Services (CMS) national comprehensive care initiative. CMS solicited applications from regions across the United States and selected New Jersey to be one of the seven states to participate.

The pilot’s multi-payer approach offers an effective incentive for physicians to alter their model of care and will allow for greater collaboration and data aggregation in order to evaluate the model and develop a long-term primary care support plan in the State of New Jersey.

“Participation in this pilot exemplifies our goal as a company, which is to help our members get quality healthcare and enable them to improve their overall health and wellness,” said Judith L Roman, president & CEO of AmeriHealth NJ. “We are anxious to get started and are confident that through the guidance of CMS, this pilot will enable the State of New Jersey to successfully achieve better health, better care and lower health care costs for the residents of this state.”

"We know that when we support primary care, we get healthier patients and lower costs," said Acting CMS Administrator Marilyn Tavenner. "This initiative shows that the public and private sectors can come together to meet the critical need for these services."

AmeriHealth NJ’s Commit2WellnessSM program, which consists of on-site services, rewards and discount opportunities to help members and their families lead healthier lives, is closely aligned with the core objective of the Comprehensive Primary Care Initiative of helping primary care practices deliver higher quality, better coordinated and more patient-centered care.

CMS is expected to designate up to 75 primary care practices in New Jersey to participate. These practices will receive additional reimbursements to support the practice changes that will be required for their participation, which will support the effort to provide more coordinated care to their patients. Patients covered by both private insurance and Medicare will be included in the pilot.

“This is an incredibly exciting opportunity not only for AmeriHealth NJ, but for the entire state,” said Dr. Lisa Blondin, senior medical director for AmeriHealth NJ. “New Jersey is in a position to vastly improve the relationship between individuals and their primary care physicians. Participation in this pilot will enable us to develop a higher standard for coordination of care, access to care and chronic disease management, which is vital in order for patients to experience improved health status - the ultimate goal.”

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About AmeriHealth New Jersey

AmeriHealth HMO, Inc. and AmeriHealth Insurance Company of New Jersey (collectively, AmeriHealth New Jersey) provide health insurance coverage to employers and individuals throughout New Jersey. The company has the largest provider network in New Jersey*, and that network includes access to hospitals and doctors across the nation. The company is also committed to offering value-added insurance solutions for customers through its innovative wellness and incentive programs and benefits designs.

The company's managed care plan, AmeriHealth HMO, Inc. is accredited by National Committee for Quality Assurance (NCQA).

AmeriHealth New Jersey and its affiliates are a growing group of insurance and health companies whose product portfolios include health insurance, workers' compensation, property and casualty insurance, and management services. AmeriHealth New Jersey headquarters are located in Cranbury, NJ. For more information on AmeriHealth New Jersey, visit www.amerihealthnj.com.

* Based on analysis done through an independent source.

AmeriHealth New Jersey
Jill Roman
Manager, Public Relations
609-662-2454
Jill.Roman@AmeriHealth.com

Source: AmeriHealth New Jersey

Copyright:Copyright Business Wire 2012
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