Healthcare Costs are Disproportionately Driven by a Small Part of the Population
This characteristic is especially apparent in Medicaid populations because medical co-morbidities and behavioral factors contribute disproportionately to the cost of care. And without consistent medical attention and encouragement, many individuals will not adopt the behaviors needed to effectively manage and improve their health.
APS Healthcare’s innovative strategies for disease management and care coordination have shaped how to think about meeting the complex healthcare needs of Medicaid members. We are successful at reducing healthcare expenses by facilitating care, not denying it.
Helping the Most Vulnerable Individuals
Individuals who have unique needs, including those who have advanced chronic conditions or who are in severe, acute medical situations require specialized capabilities and interventions.
- We educate individuals and their caregivers on important medical and behavioral factors that contribute to overall health.
- We encourage members to adopt healthy behaviors that can make a significant impact on their health outcomes.
- We foster strengthened relationships between members and providers, increasing use of preventive services, reducing use of unnecessary emergency services.
Focusing on the Factors that Impede Care
Addressing the hidden obstacles that stand in the way of individuals seeking appropriate care is critical to improving outcomes. We look at members’ financial considerations, transportation issues, cognitive impairments, or psychosocial issues that may impair them from taking action on their healthcare plans. APS personnel work diligently with local community resources to find creative solutions to these challenges.
