Amerigroup Texas Launches Collaborative Effort to Improve Quality Outcomes of Medicaid Plan Members

AUSTIN, Texas--()--Amerigroup Texas, one of the largest Medicaid health plans in the state, has launched a collaborative effort to use enriched data, advanced collaborative tools, proven analytics and services to provide actionable information for managing population health and achieving high-value care at lower cost. Amerigroup Texas will utilize analytic tools from Treo Solutions to identify potentially avoidable care such as unnecessary hospital admissions and emergency visits, and preventable readmissions. In 2014, the State of Texas began tying a portion of Medicaid reimbursement to the management of these types of potentially preventable events.

“As health care shifts from volume-based payment to new care delivery models and payment structures based on quality outcomes, analyzing and addressing key outcome performance metrics is vital to the way we do business”

“As health care shifts from volume-based payment to new care delivery models and payment structures based on quality outcomes, analyzing and addressing key outcome performance metrics is vital to the way we do business,” said LeAnn Behrens, President for Amerigroup Texas. “We expect our work with Treo to provide ongoing network efficiencies, quality improvements and significant cost savings.”

The State of Texas has been at the forefront of innovative payment reform initiatives that link financial incentives to quality performance,” said Barbara DeBuono, MD, MPH, Senior Vice President, Market Development Group for Treo Solutions. “We look forward to working with Amerigroup Texas in this dynamic environment, and helping them align incentives to drive improvements in clinical performance and hospital based care so that Amerigroup Texas plan members achieve the best possible outcomes.“

About Amerigroup

Amerigroup Corporation, a wholly owned subsidiary of Wellpoint, manages publicly funded health programs that meet the healthcare needs of financially vulnerable Americans. Its Texas affiliate, Amerigroup Texas, helps improve health care access and quality for Texas Medicaid enrollees through innovative care management programs and services. Amerigroup promotes care that is not only accessible, but also accountable, comprehensive, integrated and patient-centered. The company’s products and services improve healthcare outcomes, while reducing the overall cost of care to taxpayers. More information is available at www.amerigroup.com.

About Treo Solutions

Treo Solutions, a business unit of 3M Health Information Systems, leverages enhanced data assets to deliver analytics and business intelligence to its payer and provider clients. Treo works with government organizations across the nation to fulfill healthcare reform mandates while improving population health. Treo’s highly scalable tools, optimized claims database of over 45-million covered lives, and expertise in collaborative care logistics enables clients to create new risk-sharing and total cost-of-care models healthcare data firm. Treo’s focused experience and agility allows clients to anticipate—and rapidly react to—a constantly changing market. Visit www.treosolutions.com.

3M Health Information Systems delivers innovative software and consulting services designed to raise the bar for clinical documentation improvement, computer-assisted coding, performance monitoring, and terminology management. 3M patient classification tools and methodologies are used by healthcare providers, commercial payers, and federal and state agencies for quality outcomes reporting and healthcare payment. For more information, visit www.3Mhis.com or follow on Twitter @3MHISNews.

Contacts

Media contacts:
Amerigroup Texas
Cindy Wakefield, 404-788-8957
Cindy.wakefield@wellpoint.com
or
Price Houns Associates
Mollie Houns, 952-920-6951

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