About Us

The PerforMED® care management model incorporates the best practices in intensive case management, disease management and care coordination.  This holistic approach allows us to maximize the care for our members in this program.

The Problem

• Rising Medicaid costs
• Risk bearing entities realize conventional medical management does not work and are looking for a solution.

The Solution: The PerforMED® Model

• Focused on Medicaid only; with over 24 years of experience addressing the unique health issues faced by this population
• Flexible, customized program design based on output from predictive modeling and blended with the target objectives of the State Medicaid office or health plan
• Combines traditional elements of care, including primary care, disease education and case management, behavioral health coordination with predictive modeling technology
• Focuses resources on those recipients predicted to have the highest future costs
• Employs purposeful interventions designed to prevent avoidable episodes of care
• Results in demonstrated cost savings by reducing hospital admissions and emergency room visits
• Designed for health plan and government setting

PerforMED® is a division of the AmeriHealth Mercy Family of Companies. The AmeriHealth Mercy Family of Companies comprises the largest organization of Medicaid managed care plans in the United States, touching 6.2 million lives nationwide. We are the nation's expert and industry leader in the delivery of quality health care to low-income populations covered by publicly funded programs, including Medicare, Medicaid, and State Children's Health Insurance Programs.