The AmeriHealth Mercy Family of Companies delivers excellence in publicly funded managed care services and products to more than 2.5 million members nationwide. As a leader in Medicaid managed care, AmeriHealth Mercy is proud to offer health plans and states expert, cost-effective pharmacy and care management solutions.
PerformRx provides "The Next Generation" of pharmacy benefit management services for its clients and their members through a distinctive approach that enhances clinical outcomes and improves financial performance.
The PerforMED care management model incorporates the best practices of intensive case management, disease management and care coordination. Using predictive modeling, this holistic approach helps prevent avoidable episodes of care, resulting in healthier members and actuarially-certified cost savings.
In business since 1978, Avesis is a national vision and dental care company that has built a reputation in providing quality vision and dental care solutions for millions of members. We offer value to our clients and members through our extensive PPO networks, cost efficient TPA services and our experience in underwriting vision and dental risk in Medicaid, Medicare and commercial markets.
DCA is a prominent Risk Adjustment firm for Medicaid Health Plans and Medicare Advantage Plans. DCA, established in 1991, helps both MCOs and MAOs deal with the challenge of various Risk Adjustment Payment methodologies impacting their revenue and quality of patient care.
DCA provides subscription based risk adjustment platforms coupled with on-going expert analysis. These services enable Health Plans to proactively monitor and improve their risk scores and revenue in the most practical and cost effective way.