Wednesday, September 18, 2019
Amerigroup announced today that it has entered into a value-based arrangement with Great States Health to enhance care coordination and improve health outcomes for Amerigroup’s Medicare Advantage members. This arrangement encompasses 16 counties, including Bailey, Cochran, and Lubbock. Amerigroup’s collaboration with Great States Health is part of the health insurance provider’s continued effort to deliver high-quality, affordable health care services that help Texans improve their health and well-being.
“Amerigroup is on the forefront of making the transition from fee-for-service reimbursement to value-based care and does so by collaborating with care providers, such as Great States Health, in our work to help members lead healthier lives,” said Ken Satrom, President of Amerigroup Medicare in Texas. “We look forward to working with Great States Heath and its care providers to ensure our members are receiving the quality care they expect, when and where they need it.”
Amerigroup and Great States Health will focus on leveraging the relationship between consumers and their primary care providers to ensure individuals receive consumer-centered care, such as appropriate preventive care, and avoid unnecessary health care services. Additionally, the two organizations will collaborate to facilitate better coordination between primary care, specialty care, and other health care professionals involved in care delivery.
“Great States Health aims to deliver care that is of high value by deploying a well-aligned team of providers who seek to deliver high-quality care,” said Pavel Bindra, MD, CEO of Great States Health. “We strive to ensure that the patient’s care is well coordinated across the entire continuum of care. Through high impact contact with our members, utilizing our disease management, care coordination and complex case management teams, we seek to reduce the burden of disease for our members.”
Great States Health helps deliver coordinated care through its network of primary care physicians, specialists, hospitals, urgent care centers, ancillary services, imaging centers and pharmacies. Great States Health’s network includes care providers such as Texas Tech University Health Science Center of Lubbock and UMC Physicians.
Amerigroup currently offers a number of health plans in Texas that meet the needs of individuals eligible for Medicare. These plans include Amerivantage Classic (HMO) and Amerivantage Dual Coordination (HMO SNP).
This agreement encompasses Great States Health’s geographic footprint in the following counties: Bailey, Briscoe, Castro, Cochran, Crosby, Dickens, Floyd, Garza, Hale, Hockley, Lamb, Lubbock, Lynn, Motley, Swisher, and Terry.
Health care providers who would like to learn more about and/or are interested in joining Great States Health can call 1-806-853-8331 and select option 4. Consumers who believe they may benefit from this collaborative effort between Amerigroup and Great States Health should speak with their care providers to see if they participate in the network.
Independent physician associations are operated by a network of independent physicians and work together to maximize business efficiencies; contract with payers; and implement innovative, consumer-centered health care.