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 – 7.0 to 1
Case Management – Key Statistics
Total cases managed in 2021 – 33,510
Average Case Management ROI – 4.1 to 1
Overall member satisfaction in 2021 – 97.4%
Average Oncology ROI – 4.8 to 1
Average Transplant ROI – 17.8 to 1
Disease Management – Key Statistics
Average annual claim cost reduction per managed member – $5,364
Percent of Disease Management participants who are satisfied with the program – 99.6%*
*2022 Disease Management Participant Satisfaction Survey
Maternity Management – Key Statistics
Average Maternity Management ROI – 7.9 to 1
Average Maternity Case Management ROI – 14.9 to 1
Average Neonatal and Pediatric Case Management ROI – 4.2 to 1
Integrated Behavioral Health – Key Statistics
Average Integrated Behavioral Health ROI – 3.5 to 1
Pre-Admission and Post-Discharge Counseling – Key Statistics
Reduction in readmission rates for program participants compared to non-participants:
Pre-Admission Counseling – 49.3% lower
Post-Discharge Counseling – 32.4% lower
For more information on our programs, please contact the American Health sales representative assigned to your territory.