Metrics of Success

How has American Health been performing?

How do you define success? At American Health, we believe it's doing the right thing at the right time in a manner that can be measured and tracked. We’re never satisfied, and we continue to look for ways to improve the outcomes we provide for our clients and members. A sampling of our savings, satisfaction, ROI and other key indicators is shared below. For insight on the some of the stories behind the metrics, read about a day in the life at American Health.  

Utilization Management – Key Statistics

Average Utilization Management ROI – 7.7 to 1

Case Management – Key Statistics                                             

Total cases managed in 2023 – 31,255

Average Case Management ROI – 3.8 to 1  

Overall member satisfaction in 2023 – 96.8%

Average Oncology ROI – 5.0 to 1  

Average Transplant ROI – 18.2 to 1  

Disease Management – Key Statistics

Average annual claim cost reduction per managed member – $7,281

Percent of Disease Management participants who are satisfied with the program – 99.6%*

*2023 Disease Management Participant Satisfaction Survey  

Maternity Management – Key Statistics

Average Maternity Case Management ROI – 9.5 to 1

Average Neonatal and Pediatric Case Management ROI – 3.9 to 1 

Pre-Admission and Post-Discharge Counseling – Key Statistics

Over 95.5% of Pre-Admission program participants do not experience a readmission

Over 96.0% of Post-Discharge program participants do not experience a readmission

2023 Book of Business 5-Yr Aggregate

For more information on our programs, please contact the American Health sales representative assigned to your territory.

Testimonials

• I have never been disappointed with American Health's level of customer service. I can't think of a single occasion where we've asked for something and not received it. We are also very appreciative of American Health's Utilization Management reports. They're very informative, concise, comprehensive and user friendly to both the administrators and the clinicians on staff.
  

  Libby Watkins
  Director of Health Benefits Management
  American National Insurance Co. Galveston, TX
• American Health provides the oversight needed to manage claims costs. Their Case Management department is customized to meet our clients' needs versus the industry standards.
  Michael Lagalante
  President
  International Benefits Administrators LLC Garden City, NY