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A Leader in Health Care Solutions for the Underserved and Chronically Ill
AmeriHealth Caritas is one of the nation’s leaders in health care solutions for those most in need. Operating in 13 states and the District of Columbia, AmeriHealth Caritas serves approximately 4 million Medicaid, Medicare, and Children’s Health Insurance Program (CHIP) members through its integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, and behavioral health services. Headquartered in Philadelphia, AmeriHealth Caritas is a mission-driven organization with more than 35 years of experience serving low-income and chronically ill populations. For more information, visit www.amerihealthcaritas.com.
S E R V I C E S A N D P R O D U C T S
Full-risk Medicaid managed care servicesAmeriHealth Caritas has a variety of programs and capabilities to meet the medical and social needs of underserved populations. Current capabilities include management and administrative services necessary to operate a state-of-the-art Medicaid managed care organization.
Dual eligible productsAmeriHealth Caritas offers specialized Medicare Advantage dual eligible special needs plans (D-SNPs) and Medicare-Medicaid plans (MMPs). Our approach integrates proven, established care management, preventive services, and other programs that effectively coordinate care for aged, blind, and disabled individuals.
Behavioral health servicesFounded in 1995, PerformCare is a national behavioral health managed care organization that helps health plans and customers provide comprehensive behavioral health management strategies and solutions to optimize clinical outcomes, maximize efficiency, and integrate services.
For more information, visit www.performcare.org.
Pharmacy benefit managementPerformRx LLC, a clinically focused pharmacy benefit manager, has provided best-in-class pharmacy benefit management services since 1999, including formulary development, drug therapy management, and rebate management, and in 2014 launched a full-service specialty pharmacy, PerformSpecialty. PerformSpecialty is PerformRx’s wholly owned and integrated specialty pharmacy.
For more information, visit www.performrx.com.
Specialty pharmacyPerformSpecialty LLC is a full-service specialty pharmacy dedicated to providing complete pharmaceutical care throughout the patient journey. PerformSpecialty’s approach provides high-touch care and programs to help patients achieve the best outcomes. PerformSpeciality is licensed nationwide.
For more information, visit www.performspecialty.com.
A C C R E D I T A T I O N S
National Committee for Quality Assurance
Commendable and Multicultural Health Care Distinction
AmeriHealth Caritas Louisiana
AmeriHealth Caritas Northeast
AmeriHealth Caritas Pennsylvania
Blue Cross Complete of Michigan
Keystone First
Select Health of South Carolina
Accredited
AmeriHealth Caritas District of Columbia
Prestige Health Choice
Utilization Management
PerformRxSM
Full Accreditation Managed Behavioral Healthcare Organization
PerformCare® (Pennsylvania)
Accreditation Association for Ambulatory Health Care
Prestige Health Choice
URAC
Pharmacy Benefit Management, and Drug Therapy Management
PerformRx
Specialty Pharmacy
PerformSpecialty®
Accreditation Commission for Health Care
Durable Medical Equipment, Prosthetics, Orthotics and Supplies, and Specialty Pharmacy
PerformSpecialty
ACCREDITEDSpecialty Pharmacy
Expires 04/01/2021
ACCREDITEDDrug Therapy
Management
Expires 04/01/2021
ACCREDITEDPharmacy Benefit
Management
Expires 11/01/2019
As of March 11, 2020CORPCOMM_19742331
C O M P A N Y O V E R V I E W
EmployeesMore than 7,300
MissionWe help people get care, stay well, and build healthy communities.
Vision Our goal is to develop strategic partnerships and build accessible, flexible health systems across the nation. Moving forward as health care evolves, we will continue to ensure the greatest level of care at maximum value for members, providers, and governments.
Executive leadership
Paul A. Tufano Chairman and CEO
Contact information
AmeriHealth Caritas Peter A. JakucSenior Vice President and Chief Development [email protected]
200 Stevens DrivePhiladelphia, PA 19113-1570
A Leader in Health Care Solutions for the Underserved and Chronically Ill
