NEW YORK, Dec. 14 /PRNewswire/ -- ActiveHealth Management, Inc. (ActiveHealth) today announced that it has entered into a partnership with XLHealth to provide health management services to seniors in Tennessee. Through XLHealth’s recently awarded prime contract under the Chronic Care Improvement Program (CCIP), ActiveHealth will assist XLHealth in its unique approach for providing disease management services to physicians and their patients.
ActiveHealth’s proprietary CareEngine(R) System is providing clinical decision support to assist XLHealth in improving the quality of care for Medicare beneficiaries who qualify for CCIP. This is part of a new relationship in which ActiveHealth supports XLHealth in identifying opportunities to improve care for patients with chronic conditions who are most in need.
Administered by the Center for Medicare & Medicaid Services (CMS), the CCIP pilot program awarded to XLHealth will allow the company to apply the beneficial features of its unique disease management services to traditional fee-for-service Medicare beneficiaries with certain chronic conditions, such as diabetes and congestive heart failure. The initiative is designed to help improve health outcomes for these Medicare recipients, reduce medical costs, and improve participant and medical provider satisfaction. The awards are a part of CMS’s implementation of the Medicare Modernization Act of 2003.
Participation of Medicare beneficiaries in the CCIP is voluntary, and all services will be provided to participants at no charge. Additionally, the program does not change participants’ access to traditional fee-for-service Medicare benefits.
Designed to improve quality of care and thereby reduce costs, ActiveHealth’s patented CareEngine system uses a proprietary clinical technology platform to apply a comprehensive set of evidence-based clinical rules to aggregated patient medical claim, laboratory and pharmacy data. It then generates patient-specific treatment improvement suggestions called Care Considerations that are communicated to physicians and their patients to help prevent avoidable clinical complications and hospitalizations. These services have been shown to significantly improve clinical outcomes and reduce medical costs across a covered population. The CareEngine system currently provides coverage for more than 6 million commercial, Medicare and Medicaid lives.
“We’re excited to be partnering with XLHealth in delivering a program that we believe will positively impact Medicare beneficiaries who are part of a population that can benefit greatly from disease management,” said Lonny Reisman, MD, CEO of ActiveHealth. “This initiative is another application of the ActiveHealth health management solutions that support XLHealth’s unique approach to disease management for physicians and their patients with chronic conditions such as diabetes and congestive heart failure,” he added.
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 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. More than 6 million health plan members have benefited 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 XLHealth
XLHealth (http://www.xlhealth.com/) has been at the forefront of disease management innovations since its inception. Founded by physicians, many of whom were affiliated with Johns Hopkins, XLHealth replaces the more customary remote telephone “call-center” or direct mail support with ongoing, face-to- face meetings with patients and physicians. XLHealth also uses tight coordination of care, behavior modification, and in-depth patient profiling integrated with claims, pharmacy, and lab information to generate sophisticated, predictive modeling. The firm emphasizes preventing avoidable and expensive disease complications and hospitalizations. XLHealth was recently awarded the Disease Management Association of America’s (DMAA) Recognizing Excellence Award for “Best Disease Management Program: Medicare.”
CareEngine(R) is a registered mark of Active Health Management, Inc.
ActiveHealth Management, Inc.
CONTACT: John C. Caceres, +1-212-590-2647, jcaceres@ahm-usa.com; or MarySgammato, +1-212-981-8313, msgammato@ahm-usa.com, both of ActiveHealthManagement; or Amy Levy, or Susan Barker, +1-301-656-6212, both of XLHealth,info@levypr.com
Web site: http://www.xlhealth.com/