Our Results
A typical day at American Health
One of the biggest assets of American Health’s business model and technology is its capacity to support the volume and the range of cases managed for clients and members. Learn more about American Health’s metrics of success.
American Health sees each day as a new opportunity to grow its business, support its clients, research opportunities for better outcomes and respond to the demands of a constantly changing industry. It’s no secret that American Health employees play a pivotal role in the continued success of our organization. Whether clinical, managerial, operational or technical, the diversity of our expertise results in cost-effective, quality care for members.
In 2021, our Utilization Management team reviewed over 325,000 cases, including inpatient and outpatient services. This complex process is overseen by our experienced medical director.
Our case managers, with an average of 10 years of experience, handle all types of long-term, complex medical cases, helping members navigate the complicated world of health care and assisting our clients in containing costs. With more than 33,000 cases managed in 2021, American Health case managers have diverse specialty backgrounds including medical/surgical, psychiatric/substance abuse, rehabilitation, maternity, neonatal and pediatrics, oncology, transplant and chronic kidney disease/renal.
Disease Management nurse health coaches educate members on nine conditions that have the highest prevalence in many populations. By lowering a member’s high cholesterol, or coaching members on how to talk to their doctors, we get results that matter. As a result, members have a 100% satisfaction with American Health’s Disease Management program.
On any given day – or with five planes in the air at one time – American Health’s medical evacuation team may be called on to navigate a complex transport from the Caribbean or another remote location to a destination facility in the United States. This service is available 24 hours a day, 7 days a week.
At the same time, our medical cost containment department may discover an unreasonable procedure charge while auditing a client’s bill, adding to the 28% of average savings it provides to clients.
At American Health, there is no such thing as typical. Our teamwork approach is always focused on improving results.