ActiveHealth Management Inks Deal With Companion HealthCare In South Carolina

NEW YORK, Jan. 26 /PRNewswire/ -- ActiveHealth Management announced that it has finalized a deal to deliver physician and member messaging via its CareEngine(R) System to 192,000 plan participants of Companion HealthCare, a wholly owned subsidiary of Blue Cross Blue Shield of South Carolina. Program implementation will begin on February 1, 2005 and is an expansion of the existing relationship with Blue Cross Blue Shield of South Carolina.

“This is an exciting time for ActiveHealth Management and Companion HealthCare,” said Lonny Reisman, MD, CEO of ActiveHealth Management. “This is the beginning of a great relationship whereby our proven CareEngine System can help Companion HealthCare improve the quality of care for its members while helping to reduce trend in medical costs,” continued Dr. Reisman.

The ActiveHealth patented CareEngine System supports physicians and their patients by matching evidence-based medicine against member claims information with the goal of identifying gaps in care or opportunities to improve outcomes. Physicians are notified about these treatment issues via “Care Considerations,” which detail the clinical issue found and provide suggestions for changes in treatment that reflect medically accepted standards of care as reported in peer-reviewed medical literature and specialty guidelines. In the case of Companion HealthCare, members will also be notified of the treatment issue via Care Considerations that are written in easy-to-understand terminology. The goal of Care Considerations is to improve the dialog between physician and patient, thereby improving the quality of care delivered and, in turn, reducing medical costs. ActiveHealth has reported that by communicating Care Considerations to both the physician and patient, the rate of compliance with the standard of treatment is increased. More than 192,000 members of the Companion HealthCare network will benefit from clinical oversight provided by the CareEngine System.

About ActiveHealth Management

Founded in 1998 by physicians, ActiveHealth is an information-driven health management and data analytics company that helps health plans and self- insured employers take full advantage of evidence-based medical knowledge to improve patient care and reduce healthcare costs. Leveraging its patented CareEngine(R) platform, ActiveHealth combines clinical expertise with innovative medical information technology to enable doctors and patients to work together to reduce medical errors, improve patient safety, improve overall health outcomes and reduce costs. Nearly 8 million health plan members benefit from ActiveHealth health management programs.

The ActiveHealth suite of services is designed to seamlessly integrate with insurers’ existing care management systems. Services include URAC- accredited disease management, utilization management and case management services in addition to clinical predictive modeling, performance measures and data analytics through Heath Data Management Solutions, Inc. (HDMS), a wholly owned ActiveHealth subsidiary. The company’s unique approach to physician and member engagement enables it to communicate treatment improvement opportunities in time to avoid serious and costly adverse clinical events.

ActiveHealth is based in New York City and employs more than 220 people. The company has additional offices in Chantilly, Virginia; Chicago, Illinois; and Cleveland, Ohio.

About Companion HealthCare

Companion HealthCare is a wholly owned subsidiary of BlueCross and BlueShield of South Carolina and an independent licensee of the Blue Cross and Blue Shield Association. Companion HealthCare has an A+ rating from AM Best, and an Excellent Accreditation status, the highest level awarded, from the National Committee for Quality Assurance (NCQA).

ActiveHealth Management and CareEngine are registered marks of Active Health Management. Inc.

ActiveHealth Management

CONTACT: Media, John C. Caceres of ActiveHealth Management,+1-212-590-2647, jcaceres@ahm-usa.com