As of January 1, 2016, AmeriHealth New Jersey commercial members have
been transitioned to the Primary Health Coach model, consistent with all other
AmeriHealth members. The Primary Health Coach model gives members a single
point of contact for all issues and concerns related to disease/condition and
case management (this combination is called care management).
The following table describes the programs now available to AmeriHealth New
Jersey commercial members:
| Program | Program
description |
|---|
| Disease/condition management | Offers eligible members
24/7/365 access to a Health Coach by calling
1-888-YOUR-AH1
(1-888-968-7241) |
| Case management | Provides members with extra support when
dealing with an acute illness, chronic condition, or multiple comorbidities
|
Benefits of the Primary Health Coach model include:
- The Health Coach remains consistent as a member transitions across the
health care continuum. This consistency ensures patient-centered coaching that
is individualized and coordinated.
- The Health Coach and member can develop a trusted relationship, which
fosters higher levels of member engagement and helps members reach their health
goals.
- A Health Coach has a 360-degree view of a member?s complete health record
using an integrated nurse dashboard, which puts information at the Health
Coach?s fingertips. This display features information about the member?s
condition, prescription drugs, recent diagnostic or therapeutic activities, and
patterns of treatment and procedures. Such complete data review allows our
Health Coaches to have a more meaningful interaction with a member and improves
the customer experience.
What providers need to know
Providers should now refer all AmeriHealth New Jersey members for case and
condition management by submitting an online physician
referral form. Providers who wish to refer their patients by telephone
should call 1-800-313-8628.
What members need to know
AmeriHealth New Jersey members should continue to call the same number
(1-888-YOUR-AH1) to reach a Health Coach. Once they indicate that they
would like to speak to a Health Coach, their call will be routed to a Health
Coach at AmeriHealth. Members have 24/7/365 access to a Health Coach and online
educational tools.
If you or one of your AmeriHealth New Jersey patients has any questions,
please call Customer Service at 1-888-YOUR-AH1 (1-888-968-7241).