Pre-Admission and Post-Discharge Counseling
Generating savings by averting inpatient complications and readmissions
American Health’s Pre-Admission and Post-Discharge Counseling programs are designed to avoid complications and address readmission
rates by providing education to members admitted for inpatient procedures. The programs expand the reach of medical management to
assist members who are hospitalized but not already enrolled in Case Management.
Pre-Admission Counseling
In our Pre-Admission Counseling program, case managers make coaching calls to members who are scheduled to receive inpatient,
elective surgery. During the call, case managers educate members on proper preparation for their hospital admission and the
recovery process. They discuss medications, review signs and symptoms of infection, and send members additional educational
material if necessary.
Post-Discharge Counseling
Post-Discharge Counseling is provided to members who are discharged from the hospital to the home setting.
Case managers make timely calls to members to check on their health status and assess their pain or discomfort levels.
They identify any complications and discuss with members when they should contact their physicians or seek medical
attention. The post-discharge call provides an opportunity to engage members early with opioid risk educational tools
and resources. It is also an opportunity for early identification of Case Management needs.
Product Highlights
- Timely education provided to members who experience an inpatient admission
- Designed to quickly identify complications and address readmission rates
- Additional identification sources for members who are appropriate for Case Management
- Optional program enhancements to medical management that provide further opportunities for cost savings
- Clients may elect to purchase one or both of the services
- Members work with the same case manager when the services are combined, maximizing the opportunity to reduce readmission rates
Testimonials
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I have worked with AHH for many years and have always been pleased and impressed with their level of expertise and
professionalism. Their case managers have served both our clients and the patients well in getting quality care
while controlling costs. Makes us look good in selecting such a quality partner!
Nancy Fee
Vice President
3PAdministrators
Onalaska, WI
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American Health's Case Management service has provided H.H.C. Group and our clients with an exceptional service.
The nurses are always available for questions, very responsive and willing to work with our team to ensure members
receive the care and information needed.
Bruce D. Roffé
President & CEO
H.H.C. Group
Gaithersburg, MD
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American Health's CM nurses balance the needs of our clients and each individual member
they engage. Their model is personable, generating high member satisfaction, while providing program oversight to help
manage our loss ratio.
Lynn Fleury
Marketing Executive
Blue Benefit Administrators of MA
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American Health case managers are just more unique at a professional level. Their communication
skills are filled with knowledge; they are very prompt to respond, extremely honest and very good with members. Whenever I refer
someone over to Case Management, I never question the level of expertise our members will receive.
Carol Stolzenbach
Diversified Group Brokerage
Marlborough, CT
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American Health is very aware of the needs of our different clients. Any time we have needed
anything, they have bent over backwards to accommodate us. That flexibility has been invaluable. Timeliness and accessibility
have never been an issue. American Health has been a partner in working with our clients, and that's important to our
company.
Kim Wood
Chief Compliance Officer and Consultant
American Benefit Corporation
Ona, WV
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Over the years, I have been impressed by both the Utilization Review and Case Management services provided by
American Health Holding. The customer service is excellent! It is great to have an actual contact when a situation
arises. The case management nurses are knowledgeable; their reports are understandable and comprehensive. Many of
our patients in Case Management have called Group Administrators to say the case manager was wonderful to work
with and very helpful.
Mary Hasterok
Case Management Coordinator
Group Administrators, Ltd.
Schaumburg IL