What are the health care issues that AHP addresses?
- Skyrocketing medical costs and insurance premiums
- Clinical protocols that are driven by priorities other than evidence and outcomes
- Lack of collaboration between primary care physicians, specialists, and hospitals
- Lack of accountability for quality of care and results
How does AHP help solve these problems?
- We create stronger relationships within the network that facilitate better communication and coordinated care
- We define procedures and processes for care that are evidence-based and informed by best practices
- We give providers sophisticated data tools that help them stay on top of your health needs
- We promote accountability for quality patient care by rewarding doctors for preventive efforts that keep you healthy
- We offer independent care managers to assess your needs and help you achieve the best possible outcome
How does it work?
- AHP isn’t an insurance company or health care plan. It’s an alliance of medical providers who are all affiliated with your plan’s third-party administrator (e.g., Excellus, MVP, etc.).
- You’re free to see any provider within your plan’s network—or outside of it—based on the specific terms and coverage of your plan.
- When you see a provider within the AHP network, you’ll realize considerable savings in your out-of-pocket expenses—co-pays, deductibles, and/or co-insurance.
- Our providers are rewarded for meeting specific goals around the quality of their services and the level of your satisfaction, so you can be confident that you are the top priority.
What if my provider isn’t currently a member of AHP?
Since providers in the AHP network have agreed to uphold our high standards of care, the reduced cost-sharing associated with their AHP affiliation are available only when you see one of those doctors. (Exceptions apply for some services and specialties. Consult your plan for more information.) If your provider isn’t a member, you can:
- Continue to see your current provider, or any provider participating with your insurance, but without the cost savings you’d get with an AHP provider
- Select from the nearly 2,000 providers in our network—all of whom are committed to improving health care coordination and quality—and enjoy the lower out-of-pocket costs
What are the results?
- 93% of patients would “definitely recommend” their AHP primary care physician to a friend (source: Press Ganey CGCAHPS Survey, August 1, 2016 through January 31, 2017)
- The rate of colorectal cancer screening across AHP patients improved from 66% in 2012 to 74.5% in 2015.
- The number of AHP patients better controlling their hypertension increased: while 60% of hypertensive patients’ blood pressure was within acceptable limits in 2012, that number rose to 78% in 2015.